It often happens that the patient goes to the doctor to understand why the back hurts in the middle part. Very often, such a pain syndrome is faced by those who spend a lot of time in their summer cottage, their garden. Constantly repairing the house and not sparing any effort in the plot, people in this way undermine their health. A day or two of hard work, and now it is impossible to stand without excruciating pain. However, in some cases, pain indicates the presence of other pathologies. To determine the right treatment strategy, you must first find out the root cause of the pain.
Possible factors: is everything serious?
To find a good treatment for a problem, you must first identify its cause. The back in the lumbar region hurts on the left, on the right, or even causes pain in the waist, if a person has damaged the function and health of the kidneys, osteochondrosis has developed, and neuralgia is observed. There is a possibility of acute pancreatitis. Each described condition requires a comprehensive approach to treatment and it is advisable to consult a doctor. Trying to choose a course of therapy for yourself, you can harm your health, the condition will become even worse. If you come to the doctor, he will evaluate the symptoms, formulate a preliminary diagnosis and send him to studies that will confirm or refute the assumption.
Kidneys hurt
If the back hurts a lot in the lumbar region, there is a possibility of pyelonephritis. The term refers to the formation of foci of inflammation in the organ. If the disease is not infectious, glomerulonephritis can be diagnosed. Sometimes the pain syndrome indicates the appearance of stones in the kidneys and ducts. The processes of their generation, as well as movement, cause quite strong concern.
Often the disease develops against the background of hypothermia, it can be preceded by a cold. It is noted that people who adhere to strict diets are more likely to suffer from kidney diseases. In many ways, the symptoms of kidney pathologies and the condition called "back tear" are similar. There are a number of specific symptoms that allow you to more accurately identify the pathology. If the kidneys are sick, the sensations do not depend on the load, activity, movements. Many have a fever, the urine becomes cloudy, the shade changes. Some notice an increased need to urinate, the process itself is accompanied by pain. There is a light stroke with the edge of the hand near the kidneys, the area will respond with severe pain.
How to help yourself?
If the back of a man, woman, child has pain in the lower back, if there is reason to suspect a kidney disease, it makes sense to contact the local doctor, call him at home. Kidneys are extremely important elements for the functioning of the human body, so unjustified risks are unacceptable. While waiting for the arrival of a specialist, you can try to alleviate the manifestations of the disease. The patient lies down or sits down so that they are as comfortable as possible, they are given a means to reduce the heat if the temperature exceeds 38 degrees. To make the pain a little weaker, you can take an antispasmodic medicine. If the patient needs to change position, he should be assisted. In addition, it is reasonable to monitor blood pressure and body temperature.
It happens that people are convinced that they know for sure if the back hurts in the lumbar region, what to do: you should immediately put a warm compress or put the patient in a hot bath. In the case of kidney diseases, such procedures are strictly prohibited. Any rewarming will drastically worsen the patient's condition. If a person has developed pyelonephritis, this activates the inflammatory focus. The patient's task is to wait for the arrival of a professional. The doctor will examine the patient and recommend further actions.
Pancreatitis
If the back hurts in the lumbar region, in a man, woman, child, the cause may be pancreatitis. Pathology can be suspected if the pain is circling, creating a feeling that it comes from the left half of the body, the region of the hypochondrium. It is possible to cover the back, abdomen - this forms rings of pain. For some, pancreatitis causes severe pain near the navel. If the pathology continues atypically, the patient has back pain - in the lower back and slightly higher. This nature of pain syndrome localization often causes an initial wrong diagnosis.
Assuming pancreatitis, it is necessary to call a doctor. While waiting for a specialist, you will have to completely refuse food - during the inflammatory process, food can drastically worsen the condition. The caregiver should help the patient to take a comfortable position; as much as possible, give a person comfort and peace. You can drink some water without additives, but drinking is allowed only in moderation. It is advisable not to leave the patient, constantly monitoring the change in condition until a specialist arrives. It is believed that the pain is a little weaker if you bend over in a position characteristic for the embryo.
Osteochondrosis
If the spine in the lower back is very sore, it is likely that the cause is a disease of the cartilage of the joints that connect the elements of the spine. The pathological process is accompanied by compression of the nerve roots - this is what becomes the source of pain. According to doctors, the probability of being affected by this disease is high for any of our compatriots over 30 years old. In recent years, osteochondrosis is increasingly being diagnosed in young people and discovered in teenagers.
To provoke a pain attack you can lift a heavy object, a long stay in a forced and uncomfortable position. The possibility of developing pathology is higher if a person drives a car for a long time, sits a lot and moves a little in everyday life. It is possible to suspect osteochondrosis if the pain syndrome spreads to the legs, while the discomfort is felt in the lower back. If you try to move, the pain increases. This accompanies any load and a simple change in body position. Shooting, burning pain sensations are possible. It is possible to replace osteochondrosis if the hips and legs are characterized by reduced sensitivity, and if a stable posture is maintained for a long time, it becomes difficult to change it. For many people, the thermoregulation of the limbs is disturbed, the feet sweat a lot and the feeling of cold is disturbing.
Case characteristics and first aid
If the back, lower back, spine hurts, while there is no fever, and the manifestations are similar to those described above, if there is no doubt that the cause of the pain is the spine, you can give yourself helpseen in a simple way. means. The affected area is covered with a warm woolen scarf or tied with a heating scarf and laid on a hard, flat surface. In the absence of the effectiveness of such measures, it is possible to smear the lower back with non-hormonal ointments to facilitate the course of the inflammatory process. The doctor can prescribe systemic treatment with non-hormonal anti-inflammatory drugs. As a rule, drugs containing meloxicam, ibuprofen are prescribed.
Do not take analgesics and anti-inflammatory drugs on an empty stomach. The active components included in the medicine irritate the stomach mucosa, can cause peptic ulcer disease, gastritis.
If there is no certainty that the cause of the pain is precisely osteochondrosis, it is necessary to visit a doctor for a diagnosis. Unjustified self-treatment with non-hormonal anti-inflammatory drugs will certainly cause a worsening of the condition. This will be especially pronounced if the patient has a pancreatic disease, a violation in the gastrointestinal tract.
Safety first
If the back hurts in the lumbar region, what to treat, the doctor will tell. You can not try to "set" the spine, this will worsen the pain, there is a possibility of serious damage to the back. If osteochondrosis has passed into the acute phase, heating should be avoided. Hot baths are not allowed. We will have to give up saunas and baths. Warmth at first gives a feeling of relief, but soon the pain comes with renewed energy. If symptoms indicating osteochondrosis appear frequently, you should make an appointment with a neurologist. The doctor will give you a referral for an MRI. Such a view will allow you to assess the condition of the lumbar spine and determine how best to deal with the root cause of the pain.
If osteochondrosis caused pain during physical exertion, while the person took an anesthetic or a drug to stop inflammatory activity, it is likely that the condition will soon improve. Even if the pain is completely gone, you should not return to your previous activity. For some time, rest should be provided to the sick back. The best option is bed rest.
Neuralgia
There are a large number of different manifestations of how the lower back hurts - when lying on the back, walking, bending over. In some cases, the cause of this is an inflammatory process that affects nerve fibers. Neuralgia can be assumed by manifestations similar to the symptoms of osteochondrosis described above. With any physical activity, the back immediately responds with pain, even a slight movement is difficult for the patient, and the need to move creates fear. There are a number of features that make it possible to suspect what exactly caused the pain and distinguish neuralgia from compressed nerve endings that provide sensitivity to the spine.
With osteochondrosis, a person subconsciously is afraid to move, because the back gives pain with every action. Neuralgia also has this feature, but the pain will spread along the nerve that caused it, and the sensations themselves are described by sufferers as tremors. Perhaps an unpredictable relief of the condition and the return of pain when a person is calm, motionless. Sometimes, against the background of neuralgia, convulsions occur, muscle pain and a change in skin tones are disturbing. In some, the work of the glands that produce sweat is interrupted. With pressure on the back, the pain immediately covers both halves of the body symmetrically.
Help features
If your back or lower back hurts a lot, only a qualified doctor will tell you what to do. The pain syndrome caused by neuralgia is quite difficult to exclude, at the same time, it is necessary to take measures to improve the patient's condition, since constant pain can provoke mental deviations. To alleviate the pain somewhat, the doctor will prescribe non-hormonal anti-inflammatory drugs. In some cases, they prefer to stop at medications containing ibuprofen, meloxicam. The patient is given rest.
If a patient goes to the doctor because his back hurts a lot, the lower back what to do should be decided by a qualified specialist. Based on the specifics of the case, hospitalization may be recommended. This measure is used if the sensations are very strong. In a hospital setting, a blockade will be done on the needy using novocaine.
Features and pains
It also happens that a person snaps his back and the lower back hurts. What to do in such a situation, the doctor will tell you. This will depend on the severity of the injury. Sometimes rest is enough, in other cases the help of a surgeon is required. It is known that pain often accompanies a period of rest after a long workout or an unreasonable heavy load. Pain can be caused by difficult and unsuccessful movements. It is known that stressed people as well as those who, due to the nature of their work, sit for a long time, especially in front of the computer, complain of pain more often. The back often hurts in those who train very actively, spend a long time on their feet, suffer from excess weight. Pain in the lower back almost always accompanies pregnancy and bothers for some time after the birth of a child.
There are also situations when, in general, you do not need to understand what to do: the back hurts in the lumbar region, but quite weakly, over time everything passes by itself. If the attack is once, not very strong, it was preceded by an obvious causative factor (for example, prolonged work at a summer cottage), you just need to give yourself a break and wait for the pain to go away. If the pain comes with attacks, periods, discomfort for a long time, you should consult a doctor, since it is impossible to determine on your own what provokes the sensation.
Reasons: primary and secondary
Primary pain is observed if there is a disease of the spine. Such a syndrome is possible if a person has developed spondylarthrosis, spondylosis. Possible herniation or protrusion. Secondary pain syndrome accompanies fractures, tumor processes, prolonged muscle tension. Such pains can be caused by diseases (kyphosis, arthritis, tuberculosis), there is a possibility of narrowing of the spinal canal, osteomyelitis and a malignant process. Pain in the lower back is possible with ovarian cysts, endometriosis. The doctor must clarify all the factors of the case, checking the patient's condition to find out what needs to be done. Back pain in the lumbar region in people suffering from cystitis, in patients with scoliosis and osteoarthritis. Scheuermann-Mau disease can provoke pain. In some women, pain indicates complications in carrying the fetus.
Should you rush to the doctor?
There are several signs of pain that indicate the need to get qualified help as soon as possible. So, if when you walk the lower back reacts with pain, coughing, sneezing leads to a worsening of the sensation, while the sensations spread to the lower extremities, you should make an appointment with a neurologist. It will also help if the lower back hurts, sensations are dull, back pain, the pain spreads to the legs, it is more noticeable when you cough and move. Perhaps, such symptoms indicate sciatica, but a person needs more timely help from a doctor, so you should not delay contacting the clinic.
A traumatologist can tell you what to do if your back hurts in the lower back, if the sensations come against the background of stretching muscles or lifting a very heavy object. For such reasons, as well as pain due to hypothermia and exposure to current, it is first necessary to use creams that activate blood flow for three days at home. If the condition does not improve during this period, you should make an appointment with the doctor.
Measures and time
For three days, you can try to help yourself with back pain, lumbago. According to doctors who know exactly what to do if their lower back hurts, such symptoms are more often experienced by those who, because of their activities, are forced to work hard. The pain usually goes away on its own within a few days after exercise, although in rare severe cases it persists for weeks. To alleviate the condition, it is necessary to use analgesics, give yourself rest. It is necessary to find out experimentally in which position the pain is weaker. The first two days you should provide yourself with bed rest. If the sensations have not passed in three days, they are registered with a doctor.
Possible pain syndrome on the background of myositis. Such a pathological process is usually preceded by hypothermia or severe muscle tension. The area responds with stiffness, the sensations are sharp, especially strong when you try to move. The doctor will also tell you the best thing to do if your back hurts in the lower back for this reason. Doctors advise first to take a warm shower, find suitable warm clothes and completely abandon any physical activity. For the first three days, use ointments that relieve the inflammatory process, relieve pain. If the sensations have not subsided, make an appointment with the doctor.
Chronic and radiating pain
What to do if the back hurts in the lower back due to spondylosis, the doctor will tell only after a careful assessment of the patient's condition. The disease is indicated by a strong and sharp pain syndrome, the lower back hurts, the legs become weak and numb. With such manifestations, you should immediately make an appointment with a neurologist.
Ankylosing spondylitis can provoke pain. A possible reason is a metabolic failure or oncological pathology. In none of these options, it will not be possible to help yourself, you should consult a qualified specialist and a detailed examination of the body.
It also happens that a person is sure that the pain is localized in the lumbar spine, but the real reason is the failure of the functionality of the internal organ. Radiating pain is possible if the pathology is localized in the pelvis, gastrointestinal tract and kidneys. Often the pain gives in the lower back with cancer. It is impossible to postpone a visit to the doctor if the syndrome lasts more than three days, if it was preceded by an injury, if in addition to the waist region, the leg and lower leg hurt. In the case when the pain is accompanied by numbness of the limbs, inguinal region, it is also impossible to delay contacting the clinic.
How to check?
If in the morning your back hurts in the lumbar region, this can be considered a sufficient reason to contact a specialist. First, you can go to your local therapist. The doctor will give instructions for tests and instrumental examinations, redirected to a highly qualified doctor based on the details of the case. The most accurate diagnosis is usually made by a neurologist. To do this, you need to get the results of MRI, EKG and ultrasound examination. Blood and urine samples are checked in the laboratory. In some cases, it is necessary to study spinal cord puncture, if malignancy is suspected, tissue samples are taken for a biopsy.
How will they be treated?
Many people are afraid to go to the doctor if their lower back hurts in the morning, because they believe that the doctor will immediately send them for surgery. Today, there are many effective methods for the treatment of various diseases of the spine. There is a method using waves and magnetic fields. Administering a medication designed to treat nodules may help. Rehabilitation simulators have been created that quickly restore mobility. With severe pain and the need to stop inflammation and spasm, the doctor will make a blockade.
Drug treatment of back pain includes taking oral and injectable medications. Often such treatment is combined with physiotherapy - this increases effectiveness. Prescribe medications to relieve swelling, relieve stiffness, eliminate the inflammatory focus. Since all such drugs have an extensive list of contraindications and possible side effects, self-medication with them is strictly prohibited.