The lumbar region may be due to several factors. These factors include the presence of a hernia, osteochondrosis, sciatica. Sometimes pain can occur in a woman during menstruation.
Naturally, the method of treatment and getting rid of pain should be selected based on the occurrence. Therefore, if pain is felt, you should consult a doctor immediately.
What if there is no way to seek professional help? In this case, you need to remove the pain symptoms yourself. There are several ways to do this.
Ways to relieve back pain on your own
In cases where the pain is very strong and unknown, it is best to observe bed rest. Only after two or three days from bed and move around. At the same time, it is good to use it to reduce the degree of stress on the spinal column. As for the bed for the patient, it should be hard.
To reduce the feeling of pain, you can use ointments. Well suited "Finalgol" "Capsin", "Tiger", or cream "Chaga". It is necessary to rub with these ointments that part of the lower back where the feeling of pain is most pronounced.
Also, the following ointments can be used for pain relief and against inflammation: voltaren, orthophenic, indomethacin. In some cases, it is good to use ethyl chloride, which is applied to the lumbar region.
If you know that you suffer from myositis, then you can use a hot compress. A pepper patch is either glued to the sore spot, or a mustard plaster is placed. For a more serious effect, the lower back should be wrapped with a wool scarf.
Often with pain in the lumbar region, you have to deal with muscle tension. To remove it, muscle relaxants are used. After taking it, the pain associated with tension will subside.
Prevention
Most often, dull lumbar pain is associated with constant muscle tension in this area. To avoid complications, you should learn to control the body, take control of the muscle tone of the back. Yoga and Pilates work well for this.
It is always important to maintain your posture, to monitor the correct position of the back, the muscles of which must periodically relax.
Professional methods to relieve back pain
To relieve dull pain in the lumbar region, the following procedures are suitable, which can be done by specialists: electrophoresis using novocaine, percutaneous electroanalgesia, the action of dynamic and sinusoidal-modeled currents. Perfectly helps to relieve pain moxibustion and acupuncture.
In cases where pain occurs due to disc displacement in the spine, traction therapy is necessary. It consists in stretching the body. In ancient times, our ancestors used a device called the Rule. With its help, the spine was stretched, the joints were aligned. Nowadays, in some cities, such stretching is practiced, but first you need to consult a doctor.
In hospitals and sanatoriums, radon, sodium and chloride baths and the application of therapeutic mud are used to relieve pain.
It is provoked by various factors, but always brings a lot of discomfort to a person. The mobility of the body decreases, the condition of the body worsens, the patient develops stress and depression. This situation requires immediate treatment, since problems with the spine are a direct path to disability.
The lower back is one of the most vulnerable areas of the spine. Pain in this place begins to disturb already from the age of 30-35. The intervertebral discs of the lower back begin to wear out earlier due to heavy loads, because the lower back is the main center of gravity of the body. Although pain in this area does not always indicate problems with the spine. Often it is the result of problems with internal organs, such as the kidneys or the gastrointestinal tract. Intervertebral discs in the lower back lose their elasticity due to osteochondrosis or other pathologies of the musculoskeletal system. Pathologies that can cause pain:
- injuries or sprains of ligaments and muscles;
- inflammation of the sciatic nerve;
- tumors in the vertebrae or spinal cord;
- infectious diseases;
- pre-stroke state;
- diseases of the pelvic organs.
External factors that provoke pain in the spine:
Depending on the cause and factors that provoke discomfort, pain syndromes differ from each other.
The pain is sharp
Sudden acute pain in the lower back is a rather unpleasant symptom that disrupts a person’s usual lifestyle. It can appear suddenly when moving or at rest, and indicates a malfunction in the body. In medical practice, there are several groups of people in whom acute pain occurs most often:
- people leading a sedentary lifestyle;
- drivers;
- people who do hard work;
- professional athletes.
In rare cases, the patient can independently determine the cause of acute pain. But, basically, you need to visit several doctors for a diagnosis.
The causes of back pain can be divided into two types:
- Pathologies of the spine: osteochondrosis; intervertebral hernia, sciatica, displacement of the vertebrae, pinched nerves, diseases of the ligaments and muscles.
- Inflammatory processes in the internal organs: kidney pathology, urolithiasis, ectopic pregnancy, cancer.
Many doctors believe that lower back pain is caused by the anatomical features of a person, since the main load falls on this department. This is a kind of payment for walking upright. Therefore, the pain syndrome is most often caused by problems with the spine.
Pain is chronic
Low back pain that lasts more than three months is classified as chronic. Many patients do not pay attention to uncomfortable sensations and just live with them. It is believed that chronic pain is associated with disorders in the nervous and psycho-emotional spheres. Damage to the spine or problems with internal organs rarely cause it. Possible reasons:
- complex operations;
- mechanical injury;
- stress;
- suffered a heart attack or stroke.
According to statistics, most patients with depression suffer from lower back pain. What clinical signs accompany this syndrome:
- sleep loss;
- constant weakness;
- feeling of hopelessness;
- low self-esteem.
To identify the cause, the patient should be examined by specialists of various qualifications. How to relieve back pain ? In addition to taking medications and physiotherapy, the patient must take antidepressants and visit a psychologist.
Intermittent pain
Sometimes there are situations when back pain does not have a permanent character and a clear localization. It can be sharp, dull or shooting. Most often, such a syndrome indicates a disease of the internal organs.
Among women:
- gynecological problems;
- menstruation;
- consequences after an abortion;
- pregnancy;
- climax.
For men:
- prostatitis
- epididymitis.
Common reasons:
- tumors;
- injuries of the spine or vertebrae;
- appendicitis;
- pancreatitis;
- cholecystitis;
- lumbar tuberculosis;
- myositis.
Pain of an intermittent type is typical for athletes, weightlifters or bodybuilders who incorrectly distribute the load on the spine.
Treatment Methods
How to relieve back pain ? Depending on the cause and localization of the pain syndrome, the methods of treatment are also distinguished. The best way out is to visit a doctor and a complete examination. If this is not possible, you need to know how to provide first aid for acute pain in the lower back.
How to relieve back pain:
- Lie on a hard surface - the spine should be in the correct position.
- Relax your muscles.
- Apply ice to the sore spot;
- With very severe pain - take a drug for pain relief (Diclofenac, Ibuprofen) and call an ambulance.
What not to do:
- use warming ointments;
- perform physical exercises;
- do massages or go to a chiropractor during an exacerbation;
- take a hot bath;
- drinking alcohol;
- take any medication without the consent of the doctor.
After examination and diagnosis, the doctor prescribes a course of treatment. If the problem is in the internal organs, the therapy is aimed at eliminating the cause. For pathologies of the musculoskeletal system, the following methods are used:
- taking medications;
- diet food;
- course of therapeutic massages;
- visiting a manual therapist;
- physiotherapy;
- acupuncture;
- magnetotherapy, UHF.
How to get rid of back pain patients with chronic pain and depression? Such patients need emotional support and provision of psychological and motor rehabilitation. It is recommended to attend recovery courses after suffering psychological and physical injuries.
Preparations
How to relieve back pain ? This is where pain relievers can help. Dosage and duration of administration is prescribed only by a doctor. There are two main groups:
What drugs have the maximum effect of pain relief for lower back pain:
- Naproxen;
- Ketorolac.
Non-steroidal anti-inflammatory drugs give the maximum effect when combined with muscle relaxants (reduce muscle tone):
- Myolax;
- Tolperil;
- Myoksan.
Reduce the chance of the transition of the disease to the chronic stage - corticosteroids:
- Dexamethasone;
- Methylprednisolone;
- Diprospan;
- Budesonide.
How to relieve back pain if it is caused by stress:
- taking antidepressants;
- vitamin B injections;
- injections;
- antiepileptic drugs.
Chondroprotectors are used to prevent future pain syndromes:
- Chondroxide;
These drugs only eliminate the symptoms and do not eliminate the true cause of the disease. Their effect is temporary, in addition they have a number of side effects and contraindications.
Medications should be combined with physiotherapy.
Ointments
One of the safest remedies for back pain is considered for external use. When they are used, only 10% of the active substances enter the bloodstream. It is not a pharmacist in a pharmacy who has to choose an ointment, but a doctor who will take into account all the features of the disease. The course of treatment continues up to 10 days. Terms of use:
- Apply the product to a clean, undamaged area of \u200b\u200bthe skin.
- The ointment is rubbed with light massage movements. The number of procedures is 2-3 per day.
- To improve the warming effect, the place of application of the ointment should be wrapped in a warm scarf.
- In inflammatory infectious processes, it is forbidden to use a warming ointment.
How to get rid of back pain with ointment? What is used:
| Drug group | Properties | Name |
| Non-steroidal anti-inflammatory drugs | Pros: fast action for lower back pain, high efficiency
Cons: Lots of side effects |
Diclofenac, Nise, Nimesulide, |
| Warming ointments | Activate blood circulation, dilate blood vessels, have an analgesic effect | Finalgon, Viprosal, Efkamon |
| Chondroprotectors | Repair damaged ligaments and cartilage | Chondroitin, Teraflex M |
| homeopathic remedies | Improve metabolism, restore damaged cartilage | Traumeel, Zell T |
Combined preparations are also used, which, in addition to the analgesic effect, relieve the inflammatory process, improve tissue regeneration, and have a thrombolytic effect. Among them:
- Artrocin.
For back pain caused by sports injuries, hypothermia or pinching, irritant ointments are used.
- Finalgon;
- Nicoflex,
- Viprosal;
- Kapsikam.
Before using any drug, you need to do an allergic test - apply a small amount of ointment on the forearm.
Intolerance to components can provoke urticaria, edema and bronchial spasm.
Massage
One of the means of rehabilitation for diseases of the musculoskeletal system is massage. A course of massages is also useful as a prophylactic. The procedure will be useful for both athletes and people leading a sedentary lifestyle. Also massage will help to recover after heavy physical exertion. Benefits of massages:
- removal of pain in the lower back;
- stimulation of blood circulation and lymph flow;
- improving the conductivity of nerve fibers;
- elimination of edema of the joints;
- stop inflammatory processes.
Massage should be carried out only by a qualified specialist, since one wrong movement can harm the patient.
There are the following types of massage:
- Swedish massage;
- Acupressure;
- Deep penetrating;
- Japanese (shiatsu);
- Thai;
- Sports;
- Special massage for hernia;
- Massage for pregnant women.
To relieve pain, rubbing and kneading using special techniques are used.
It is widely believed that massage does not hurt anyone. But this is fundamentally wrong. There are several contraindications that should be considered before visiting a massage therapist.
When massage is contraindicated:
- with hypertension;
- the presence of an intervertebral hernia;
- oncological diseases;
- allergic and purulent rash on the skin;
- tuberculosis;
- heart disease;
- with pathologies of the kidneys;
- elevated body temperature;
- blood diseases;
- benign tumors;
- strong displacements of the intervertebral discs;
- with thrombosis.
A massage session should not exceed 60 minutes. If the procedure did not help and the lower back continues to hurt, the massage technique may have been chosen incorrectly or the massage therapist is not a professional.
Comfortable posture
One of the possible causes of lower back pain is poor sleeping position. The best sleeping position is the supine position. But many people are not able to fall asleep like this or this position is uncomfortable for them. But there are alternative options:
- Sleep on your back with a roll under your knees. This posture distributes weight evenly plus preserves the natural curvature of the spine.
- On the side with a pillow between the knees. To prevent deformation of the lower back, a hard roller or pillow should be placed between the knees. The knees must be bent.
- Embryo position. Oddly enough, it is this position that will bring relief to people who have been diagnosed with an intervertebral hernia.
- Sleep on the stomach. This position is considered the worst for sleeping, but if you place a thin pillow under the abdomen and hips, it will even bring relief to patients with degenerative disc pathologies. To avoid distortion of the neck, you can try lying face down, for this, a small pillow should be placed under the forehead so that it is possible to breathe.
People with a sick spine should choose orthopedic mattresses and pillows.
How to relieve back pain ? A few simple tips will help:
- it is better to refuse upholstered furniture;
- during sedentary work, you should take breaks every quarter of an hour, get up and stretch;
- the back should touch the chair;
- with a long standing position, you need to alternately transfer weight to the right and left legs;
- picking up a thing from the floor, you should sit down or bend down with bent knees;
- drivers are advised to put a small roller under the lower back;
- when lifting loads, it is strictly forbidden to make sudden movements;
- during an exacerbation of the pain syndrome, you need to abandon the sauna.
Regular exercise will help strengthen your back muscles. You need to do it systematically, only then there will be a positive effect.
ethnoscience
Traditional medicine is not able to eliminate the main cause of pain in the spine, but due to folk recipes, it is possible to get rid of the pain itself. For this, a conventional heating pad is often used. Dry heat properties:
- improves blood circulation;
- swelling decreases;
- helps with pinched nerves and minor sprains.
In addition to heating pads, other heating methods are used:
- hot baths with the addition of essential oils;
- fabric sand bags
- mustard plasters.
Do not use dry heat if you are not sure of the cause of the disease. With inflammatory processes in the internal organs, such procedures can only do harm.
Medicinal compresses and decoctions help well. Several effective folk methods:
- Dilute mustard powder with water to the consistency of thick sour cream and apply to the lower back for no more than 5 minutes. The heat should be comfortable for the body, with a strong burning sensation, the compress must be removed;
- Dissolve 100 grams of salt in a liter of hot water. Soak gauze or natural cloth in the solution and apply to the sore spot. Fix and leave overnight.
- Thoroughly wash the beets and grate on a fine grater along with the peel. Squeeze the mass and mix with a tablespoon of kerosene. The skin should first be protected with a piece of gauze. Wrap the mixture in a natural cloth and apply to the sore spot. Top with a warm scarf and leave overnight.
- Squeeze the juice from the leaves of the agave and rub it on the sore lower back. There may be a strong burning sensation. If skin irritation occurs, treatment should be discontinued.
- Collect fresh nettles in a large bunch. The patient must be beaten on the lower back with this broom. The oven will be very hard, but the recipe is effective.
In fact, traditional medicine offers many recipes. But before using them, it is better to consult a doctor so as not to harm the spine even more.
Prevention
Almost 90% of people experience low back pain. Therefore, it is better to prevent them than to treat them later. A few rules for a healthy spine:
- Motion. Regular exercise, an active lifestyle, weight control - all this will strengthen the muscles of the back, and significantly reduce the risk of injury.
- Rejection of bad habits. Cigarettes have a detrimental effect on the intervertebral discs, reduce their strength and flexibility.
- Correct posture for sitting and sleeping. These factors should be controlled, since the wrong position is an extra load on the spine.
- Regular breaks during sedentary work. It is advisable to get up from the workplace every half an hour and walk for 5-10 minutes and do some simple exercises.
- Reducing the time of using laptops, smartphones and tablets. Frequent use of gadgets creates additional stress on the spine and neck.
Today we will talk about:
General information about the lumbar spine
The spine consists of three sections: cervical, thoracic and lumbar.
The lumbar spine experiences much greater stress in the course of our life than the other two departments. Therefore, people have problems with it more often.
Agree that a lot of people complain about a "sore lower back", but few people talk about, for example, a "sore chest" :)
The fact is that in order to support the lumbar spine in its physiological, natural position, not only the back muscles are included in the work, but also the press, lateral abdominal muscles, gluteal muscles and thigh muscles.
Therefore, in order to restore the lumbar and make it stronger and healthier, you will need to include more muscles in your work than for the chest and. To do this, there are many different physical exercises.
But before moving on to recovery with exercise, you first need to figure out what acute is and what needs to be done to eliminate this pain.
In the people, and in official medicine, there are several synonyms that are called acute back pain:
Aggravation
Radiculitis
nerve injury or
"Punch" in the lower back
What causes back pain
Imagine that the spine is a multi-storey building, where the floors are the vertebrae, the floor with the underlying ceiling are the intervertebral discs, the outer walls are the muscles that surround the spine, and the windows are the openings between the vertebrae from which the nerve fibers exit.
When everything works well in this structure, there are no breakdowns and violations. So no back pain.
But imagine the following. If the back muscles are weak, then a colossal and constant load is placed on the spine. What happens then? From such increased pressure, the intervertebral discs are the first to suffer!
They begin to "settle", crack and lose their main function and task - to cushion and protect the vertebrae from impacts. Because of this, the load on the spine increases even more.
Since the intervertebral discs are “crushed”, they begin to go beyond the spinal column, forming protrusions - protrusions of the discs.
Let me draw a clear analogy. Intervertebral discs - like balls of thick fluid, located between two books. When they are constantly pressed, they flatten out and go beyond these books - this is the protrusion of the discs.
Further, if the load continues to act on the disks, then they are so flattened that they begin to break through in the weakest places - in protrusions. Because of this, their contents come out. This is how hernias of the spine are formed.
How is it related to pain and at what stage does it appear
Remember, I said above that there are holes between the vertebrae, where the nerve roots come from? So - when the disks "settle", then these holes also narrow. In addition, protrusions or hernias can get into these holes.
Pain occurs when there is an infringement or irritation of the nerve root or nerve. The reason may be a narrowing of the intervertebral foramen, a protrusion or hernia getting into this hole. This is the first cause of pain.
In addition, muscles are also located around the spine. They also experience certain changes. They strain to somehow maintain in a normal position, but they do not always succeed.
The result is chronic muscle strain. And tight, inelastic muscles can also compress the nerves and prevent the nerve impulse from passing through them.
So, the second cause of pain is spasm, overstrain of the muscles surrounding the spine and their imbalance. Overstressed muscles negatively affect the nerves that run through the muscle fibers to the lower extremities.
How does exacerbation of lumbar osteochondrosis manifest itself?
A typical picture of an exacerbation of lumbar osteochondrosis (aka sciatica or lumbago) looks like this:
- Sharp, severe pain in the lumbar region. It may be local, or it may radiate (radiate) along the pinched nerve to the pelvic region, groin, thigh, buttock Pain may intensify with any movement and in a standing or sitting position
- Limited movement in the back up to complete absence due to severe pain
- Spasm of the muscles surrounding the spine, which reflexively block any movement in this section
There are a lot of variations in the manifestations of lumbar osteochondrosis, since it is the lumbar spine that provides the work of the legs from the pelvis to the tips of the toes.
If the pain is not sharp and shooting, but more moderate, dull and appears / intensifies ONLY when turning or bending to the side, then there is no infringement. Such characteristic pains speak more about muscle imbalance, their chronic overstrain, sprains.
So how do you get rid of lower back pain?
In the course of further lessons that I will send you over the next few days, we will deal with this issue, develop a plan for getting rid of pain and gradually restore the lumbar to normal.
But within the framework of this lesson, we must figure out what to do with a typical exacerbation and how to quickly relieve acute pain in order to further engage in the restoration of the lumbar spine.
How to relieve acute lower back pain
With an exacerbation of osteochondrosis of the lumbar spine, unlike, for example, the cervical spine, exercises CANNOT be performed for anatomical reasons.
If, for example, for the cervical region we can use isometric exercises to relieve pain, then such exercises will not work for the lumbar region.
Therefore, in exacerbation, you need to follow the following plan:
1) Gentle mode
The first thing to do is to observe bed rest for at least one to two days. When you are in a standing or sitting position, the load on the lumbar region increases significantly. From this infringement will make itself felt even more.
In the prone position, there is a complete unloading of the lumbar region. The vertebrae do not put pressure on each other, the intervertebral foramina restore their size, the nerve infringement decreases, the muscles relax as much as possible.
With acute pain, swelling of the nerve and surrounding tissues, muscle spasm, and inflammation appear. These signs further provoke a worsening of the condition. In the supine position, the infringement subsides, which means that inflammation, swelling, and muscle spasm decrease.
2) Proper styling
Another important condition is proper bedding. In order to relax all the muscles and surrounding tissues as much as possible, it is necessary to maintain all the curves of the spine in a physiological position.
By the way, the bed should be hard so that there are no unnecessary kinks in the spine and you can relax your muscles as much as possible.
3) Pain relief
Some people with acute pain take drugs from the group of NSAIDs (non-steroidal anti-inflammatory drugs), which are actively advertised by pharmacies, TV, newspapers. This makes sense, but there are a few important things to keep in mind.
These drugs should be taken according to strict indications and no more than two days.
Such drugs have a huge list of side effects, ranging from the skin to the nervous system. They adversely affect all systems of our organs, overload the liver, affect the mucous membrane of the stomach and intestines, and so on. You can read about this in the instructions for a particular drug.
Yes, if the pain is severe, then anesthesia is still necessary. But I advise you not to take pills, but it is better to give painkillers in intramuscular injections. So the drug will reach its destination faster.
In addition, tablets simply may not be absorbed in the intestines due to many reasons (dysbacteriosis, malabsorption, damage to the intestinal wall, etc.).
The basic rule of such injections is no more than twice a day and preferably only one day.
If there is an opportunity to visit a neurologist, then be sure to do it. He can put a novocaine blockade on you, which is much more effective than NSAIDs.
The blockade is more local and targeted. She has no such side effects. This method will be much better, safer and faster to work than other medicines.
4) Local anesthesia if the pain is chronic
If your pain is not too strong, but rather dull, moderate and tolerable, then it is quite possible to get by with local anesthesia - any warming or anesthetic ointment on the lumbar region + Kuznetsov's applicator.
Lie on your back and lie down for at least 20-30 minutes to relieve spasm and reduce pain.
5) Nervous system support
Since nerve fibers suffer in acute back pain, they definitely need vitamin support. During this period, I recommend taking B vitamins (for example, neuromultivit).
But it is best to put B vitamins intramuscularly (thiamine, milgamma). The reason is the same as with pills. Vitamins may partially not pass through the intestines. In addition, any medicine passes not only through the intestinal barrier, but also through processing in the liver.
Only under the condition that you have a perfectly functioning intestine and a normal liver, the medicine or vitamin will get into the right tissues and organs. To bypass all these steps and get exactly the vitamin support, it is better to put vitamins intramuscularly.
6) Exercise and gentle self-traction
Let's say you have already implemented all of the above tips. Now you are lying on your back, they put painkillers, vitamins.
Now, in order not to lie just like that, let's do some exercises with you. But, as I have repeatedly said before, exercises directly for the lumbar spine and for the back muscles at this stage cannot yet be performed.
But you can and should do general light exercises for the muscles of the feet, hands, arms, and also do breathing exercises. These types of exercises will help relax the muscles and improve the capillary blood supply to all tissues.
In addition, it will be a good prevention of hypodynamia. You lie, do not move, all processes slow down. From this, further recovery will take longer.
You can also do a gentle self-traction of the spine.
I give examples of exercises in the video:
The main condition for performing exercises is smoothness, softness and maximum concentration of attention on the exercise and your own feelings.
Here is a step-by-step plan you need to implement if you have acute back pain, backache, exacerbation. This plan concerns only the first days when there are strong and sharp pains.
What to do next
As soon as the pain subsides, that is, the process will go into a subacute period (usually this happens on the third or fourth day after the exacerbation), be sure to add:
- Therapeutic exercises for the lumbar spine YET ONLY lying on your back with a warm-up and a hitch (according to all the rules of physiotherapy exercises)
- Wearing an orthopedic corset when you need to get up and go somewhere (for example, walk to the nearest store)
That is, when the subacute period sets in, you actively perform therapeutic exercises lying down, and when you walk or sit, put on an orthopedic corset.
Why do you need exercise in the subacute period
How do most people get treated? Their back hurt, they rested, everything seems to have passed, and they continue to continue to lead the same lifestyle that they led before the exacerbation.
But think about this. If your lifestyle has led you to an aggravation, does it mean that it is somehow wrong? If he was correct, the exacerbation would not have happened? Correctly? :)
It's very easy to avoid this! You need to start doing therapeutic exercises already in the subacute period. And when it passes, connect more complex exercises and continue to practice further.
And it is in the subacute period that it is very important for you to start active restoration of the spine, namely:
- Restoring balance between all muscle groups
- Muscle relaxation and restoration of their normal tone
- Removal of edema and restoration of all tissues of the spine
- Formation of your own muscle corset and strong muscular support of the spine
From the subacute period, it becomes the main and main work on restoring the health of the lumbar. It should be built systematically - from simple exercises to complex ones, from the starting position lying on your back to the starting position standing in an incline.
How to quickly relieve back pain? First of all, to eliminate discomfort and discomfort, you should understand what is the cause of the pain. Back pain is provoked by injuries, curvature of the spinal column, inflammatory processes in the muscles, diseases of the internal organs, excessive stress on the spine, drafts leading to myositis or pregnancy.
The patient should visit a doctor who will make the correct diagnosis, and then eliminate the root cause of the disease. But it is not always possible to visit the hospital, and you need to get back on your feet quickly. To do this, there are a number of therapeutic manipulations and recipes that are used at home.
How to quickly cure a back with a backache? We lay down on a flat surface so that the muscles relax a little. After a couple of minutes, we turn over on our backs, raise our legs to an elevation so that the hips are at a right angle. The pain subsides quickly. Mechanism of action: relieving the load from the spine. If you lie down without lifting your legs, then the spine will still be loaded. After the pain subsides, gently rise, without making jerky movements. To do this, turn over on your side, get up on all fours. Hold on to the support, straighten your back and rise.
Massotherapy
The answer to the question of how to quickly get rid of pain is simple - massage. It will improve blood circulation, make muscle tissue more elastic, relieve clamps and lymph stagnation. Doctors recommend using vacuum jar massage, relaxing massage, stone massage, shiatsu, etc. to quickly relieve pain. The type of massage and the duration of the course are set by the doctor.
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After the massage, the following exercise is done: the patient lies down on a hard surface, turns on his side so as to be at the very edge. If the pain is localized on one side, then the patient should lie on a healthy side. If discomfort is felt on both sides, then the exercise is done alternately on each side.
The patient bends in the back, bends it. The leg on which the patient lies is bent at the knee and hip, and the upper one hangs freely. The pelvis of the person turns to the surface. Turns head away from dangling leg. Hold onto a surface with one hand for balance.
Under the weight of the hanging limb, the lumbar region will begin to tense up, raise the leg a little, exhale, hold the breath for 30 seconds. Inhaling, we turn towards the hanging leg. We relax again and let the leg hang under our weight. We repeat the exercise several times.
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You can also massage your lower back to yourself if no one is around, and the lumbar region is seized. To do this, a person sits on a flat surface. Place your thumb on your lower back and bend your knees. We make stroking movements for three minutes, from top to bottom towards the coccyx. We start stroking along the ribs, gradually moving towards the spinal column. We make movements first on one side, then we rest and go to the second side.
Acute lower back pain is also known as lumbago. Pain syndrome worries people of middle and advanced ages.
The causes of acute pain in the lumbar region are various pathologies of the spinal column, diseases of internal organs, and injuries.
Pathologies of the spine
The first indicated group of diseases and pathological conditions includes:
- Osteochondrosis. This is a lesion of the intervertebral disc of a dystrophic nature, which also extends to the vertebral bodies adjacent to it. With such a pathological process, any unsuccessful movement can provoke compression of the nerve roots of the spinal cord, which causes acute pain in the lumbar region. Clinical manifestations do not disappear within a day. When lifting weights, the pain becomes burning, unbearable.
- Deforming spondylosis. Pathology is characterized by deformities in the lumbar vertebrae with parallel formation of bone growths, due to which the spinal canal narrows. Unpleasant sensations appear due to the pressure exerted by the growths on the roots.
- Facet Syndrome. Acute back pain in the lumbar region is associated with compression of the root at the site of its exit from the spinal canal. This syndrome is caused by an increase in the size of the upper and lower facets of the intervertebral joint, which narrows the intervertebral canal.
- Ankylosing spondylarthrosis. Severe pain, radiating towards the thighs, begins from below, in the back. Initially, there is a significant limitation of mobility, then the number of respiratory contractions of the chest decreases. As the pathological process progresses, the curvature of the thoracic part of the spine and its flexion occur.
- epidural abscess. This pathology is characterized by the accumulation of pus in the spinal cord. Abscess formation is due to urinary tract infections. It occurs in the thoracic spine. Acute pain in the back and lower back occurs when probing or tapping the affected area.
- Osteoporosis. Metabolic bone structure disorders.
- Kyphosis, scoliosis. Curvature of the spinal column.
- Protrusion or. It is difficult for the patient to move, because with unsuccessful movements, nerve endings are compressed, which causes sharp and sudden pain.
- Lesions of the elements of the spine of an infectious nature: brucellosis, tuberculosis.
- . This disease causes shooting pains that occur when bending or other sudden movements, as well as when lifting heavy objects, such as barbells.
Pathologies of internal organs
Lumbar pains of an acute nature also appear due to various ailments of the internal organs:
- Urolithiasis disease. The pain syndrome has a pronounced character and is aggravated by walking or physical exertion. Additional manifestations are hematuria (blood in the urine), nausea, and bouts of vomiting.
- Aortic aneurysm.
- Prostatitis.
- Infectious gynecological diseases (trichomoniasis, ureaplasmosis, chlamydia).
- Cholecystitis.
- Kidney disease - pyelonephritis.
- Endometriosis.
- Peptic ulcer, tumor processes in the duodenum and colon, as well as in the pancreas.
- Ulcerative colitis.
- Carcinoma of the ovaries or uterus.
Systemic pathologies often act as a source of pain in the lumbar region. This is a diffuse connective tissue disease, rheumatoid arthritis, Bechterew's disease.
Overload, fatigue, injury
Various injuries and damage to muscles, ligaments and vertebrae cause physical discomfort and pain. This group of factors includes the following problems:
- Acute sprain. With this diagnosis, discomfort in the lumbar region is localized in the long muscles of the back. This condition contributes to a significant limitation of mobility.
- Vertebral compression fractures associated with osteoporosis or trauma.
- Rupture of ligaments or muscles of the back.
Burning pain in the lower back often occurs in athletes, as well as in people engaged in heavy physical labor.
Other reasons
Other likely causes of low back pain include:
- Neuralgia. This phenomenon is expressed in squeezing or irritation of the nerves. This diagnosis is often made to patients after hypothermia. Pain manifests itself in the form of seizures. Along with them, there is trembling, redness of the skin, increased sweating and swelling of muscle tissues.
- Spinal stroke.
- Tumor neoplasms and metastases in the spinal column. Malignant neoplasms of the kidneys, thyroid gland, lungs, prostate, mammary glands, and gastrointestinal tract can metastasize to this area.
An ectopic pregnancy can also cause severe pain in the sacrum. Shooting pains occur due to rupture of the fallopian tube.
Varieties
Depending on the cause that caused the development of the pain syndrome, pain is expressed in different signs.
Doctors distinguish the following varieties:
- . This is a paroxysmal, sharp pain in the lower back, manifested after physical exertion or sudden movements. Severe pain forces a person to be in a forced position: patients tilt the body to the side or forward, trying to transfer body weight to the healthy half. The attack lasts from 5 minutes to 2-3 weeks. Most often, this type of pain occurs with osteochondrosis.
- Lumbalgia. This term refers to not too pronounced, but regularly occurring lower back pain. They become more intense with colds, hypothermia, with physical overwork. Often seizures occur during movements with elements of extension or twisting. Pain is typical for pregnant women who have gained a large number of kilograms in a short time.
- Sciatica. Such pain is radiating in nature. It can give to the leg, buttock, coccyx, groin, lower leg, heel. The pains are not too pronounced, accompanied by numbness and the appearance of goosebumps. This type of pain syndrome is dangerous: due to the weak severity, the patient is in no hurry to see a doctor and drowns out the attacks with the help of analgesics. Meanwhile, the pathological process progresses, and the muscles of the thigh and lower leg become flabby and gradually atrophy. Lumboischialgia occurs when the back muscles are stretched, intervertebral hernia.
Elena Malysheva shares tips on how to get rid of back pain in the lumbar region:
The nature of acute pain in the lower back during gestation
Pain in the back, in the lower back, often worries women who are carrying a fetus. This does not always indicate the development of a pathological process, but, in order to exclude the likelihood of their presence, you should immediately consult a doctor.
There are the following probable causes that cause lumbar pain in pregnant women:
- Pressure exerted on the nerve endings and blood vessels that surround the spine. This happens early in pregnancy when the uterus changes its size. In this case, there are pulling pains.
- Uneven load on the spine. When the stomach increases in size, a woman has to bend her back more and more. The pains are irregular, weak and aching.
- Synthesis of the hormone relaxin, the function of which is to prepare the body for childbirth. In this case, pain occurs in the sacral area. Pain is associated with stretching of the pubic joint and can continue for a long time.
- Mechanical damage or chronic diseases of the spine, which were observed in a pregnant woman before conception. Pain is acute and occurs frequently.
- . The pain is localized to the left or right above the lower back, but also has a bilateral character.
Also indicate the threat of miscarriage. In this case, there are additional pulling sensations in the lower abdomen, as well as spotting.
Diagnostic methods
To determine the cause of pain in the lower back, the following diagnostic measures are carried out:
- radiography;
- electromyography;
- osteoscintigraphy;
With pain syndrome spreading to the lower back, blood is also taken to analyze and detect hemoglobin levels, calcium levels in the blood.
Methods for the treatment of acute pain
Treatment of acute pain in the lumbar region requires an integrated approach.
First aid
First aid for the manifestation of acute pain syndrome at home is as follows:
- Limitation of physical activity. It is necessary to be in a calm state for 1-2 days after the attack.
- Taking painkillers. It is shown to take over-the-counter analgesics that do not have a strong effect, for example, Analgin or Balargin.
- Applying an ice pack or heating pad to the area where the pain is localized.
It is not necessary to endure sharp or dull pain: it is important to see a doctor to determine the cause of its source and start treatment.
How to relieve pain in the lumbar region with sciatica in 1.5-2 minutes, advises Professor Kartavenko:
Medical treatment
How can I relieve acute pain in the lumbar region? This can be done with medication. In this case, blockades or the following tablets are recommended:
- "Paracetamol";
- "Baralgin";
- "Sedalgin";
- "No-shpa";
- "Ketorol";
- Solpadein.
You can also use topical preparations that must be rubbed into the affected areas. With girdle pain, you can use Viprosal, Finalgon, Apizartron, or anesthetic injections (shots).
Topical gels and ointments for lower back pain
Massage
Massage is another method of therapy that effectively complements the medication course. Massaging helps even those patients who are unable to straighten up from the strongest attacks. It is necessary to perform massage for back pain when the patient is sitting, standing or lying down. The algorithm of actions in this case is as follows:
- The palms are first warmed up by rubbing them and holding them between the knees. Having achieved the appearance of a pronounced sensation of heat, you must immediately apply to the affected area. Repeat up to five times.
- Warmed palms are placed on the lower back, while the thumbs should be on the sides and point down, while the others lie obliquely. Gently but vigorously rub the area in which the pain is localized until warmed up.
- The lower back is massaged with fingertips, moving from top to bottom. After that, the fingers are placed so that they are perpendicular to the vertebrae and slowly move sideways, by 2-3 cm.
- The fingers are clenched into fists. Their back parts are carried out along the crest of the iliac bone.
Gymnastics
If the back hurts, the patient's condition can be improved with the help of therapeutic exercises. The following exercises are recommended:
- Rest your hands on the seat of the chair, take a deep breath. Draw in the stomach, bend the back. After that, exhale, trying to relax and bend your back as much as possible. Repeat this exercise 8-12 times.
- Rest your palms on the floor. Raise the right leg first, then the left. In this position, you need to linger for 5-7 seconds. Repeat for the opposite pair of limbs. Each time increase the exposure time (up to 1-2 minutes).
- Rest your palms on the floor, inhale. Slowly, without taking your hands off, turn your body and head to the right side. Exhale, then return to the starting position. Repeat the same complex for the opposite side. Exercise is performed 6-8 times.
- Read more about exercises.
Some exercises to relieve pain in the lower back
Treatment at home
You can also do the following at home:
- Lubricate the affected area of the back with horseradish juice, half diluted with alcohol.
- Carry out water procedures with the addition of infusions based on chamomile or thyme to the bath. This should be done only during periods of remission of pain. The duration of the procedure is 15 minutes.
- Apply saline compresses. It is necessary to dissolve 100 g of table salt in a liter of hot water and dip gauze folded in several layers into the resulting composition. Apply a compress to the lower back until the liquid has had time to cool. Can be left overnight.
- Apply a compress from the dough. It is necessary to wrap the lower back with a thick layer of gauze, put a cake of sour dough on top, the layer of which is 2-3 cm. Apply such a compress before going to bed.
Acute back pain is not an independent disease. They act as a symptom of various pathologies. To determine the cause of this phenomenon, it is important to consult a doctor in time and start treatment.
In this video you will learn how to treat the lower back at home with folk remedies:
