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Why is the back pain in the bottom, how to treat it?

Low pain is a common phenomenon that most adults face less or more often.For many, they remain, background.However, sometimes they can have a significant negative effect on the quality of life, to interfere with daily activities.In this case, it is necessary to start the diagnosis and treatment of spinal pain in the lumbar region, as it can be a serious sign of pathological.

What to do if the back hurts the bottom?

What to do if the back hurts in the lower back area?First of all, the patient needs to freely consider what is uncomfortable.

Pain can cause two types of pathology:

The cause of back pain in the lower back
  • Is directly associated with the musculoskeletal system.They are characterized by an increase/appearance when changing posture, active movement, dynamic load on the musculoskeletal system.For the same reason, pain arises after long sitting work and so on;
  • Associated with internal organs pathology.In this case, you can determine the problem with the same symptoms - in kidney disease, this is an increase in temperature, difficulty with urination, with bladder disease, it increases/appears during urination.Gynecological pathology is accompanied by symptoms of the genital organs, menstrual cycles.

If the patient has a reason to believe that pain in the lumbar region is associated with gynecological pathology, then after going to the doctor, the following diagnostic studies will be conducted:

  1. Ultrasound examination of pelvic organs;
  2. Diagnostic curettage;
  3. Smear for pathological microflora;
  4. General blood test.

In the event of suspected kidney pathology, bladder, the following study was conducted that the therapist prescribed:

  1. Kidney/bladder ultrasound study;
  2. General urine analysis;
  3. Biochemical blood tests;
  4. Manual examination.

If the pathology of the musculoskeletal system causes back pain, you should consult a vertebrologist/orthopedic/neurologist.

To establish the presence of spinal disease, the following studies were conducted:

  1. X -ray -describes only bone tissue, but above it you can determine the indirect signs of articular tissue pathology, intervertebral disc;
  2. Manual examination - check reflex, sensitivity;
  3. Electroneurogram in case of suspicion of significant involvement in the nerve tissue in the process;
  4. Spinal ultrasound with contraindications to other research methods.

The most informative complex research method for lower back pain - CT, MRI.They can be used in any case, if necessary, confirm the diagnosis, or if it is impossible to put it in another method.

Comprehensive treatment

How to treat back pain at the bottom?If they are associated with internal organ pathology, then it is necessary to cure its own cause.With urolithiasis, the removal of stone surgery, dissolving it with special medicines is recommended.With pyelonephritis, cystitis is prescribed less, a spectrum of action for a long time.In the case of gynecological pathology that causes lower back pain, it all depends on their type: hormones, antibiotics, anti -inflammatory drugs, and surgical intervention can be prescribed.

But often, lower back pain is caused by the pathology of the musculoskeletal system, which also requires comprehensive treatment.Neurologists, orthopedists can prescribe such treatment.

Removal of pain with medications

If the back pain is in the bottom, one of the following methods can help:

Way of relieving lower back pain
  • Anti -anti -non -ssteroid drugs in tabletsReceived 1 piece up to 3 times/day.Effectively relieves pain, almost no contraindication, side effects.You cannot take it without control during pregnancy.When, after 2-3 days of taking, the pain does not pass, you must consult a doctor's course of treatment can be extended to 14 days, but only under its control;
  • Anti -anti -injection drug in injectionThey are administered intramuscularly in individual doses no more than once a day.Relieves pain more efficiently and faster than drugs in tablets, but is prohibited from using it for more than three days, as they begin to affect blood chemical composition, reduce its freezing.If necessary, continue the NSAID course, the doctor prescribes the patient to the tablet;
  • Analgesics in tabletsThey are allowed in extreme cases, as they have side effects, negatively affect the gastric mucosa condition, but are more effective in relieving pain than NSAIDs.Take tight if needed for 1 tablet.Contraindicated during pregnancy, stomach ulcers, in some other cases;
  • Analgesic in injectionThey have no clear negative effects on the mucous membranes, which are introduced in individual doses, also strictly according to the guidance.Contraindicated during pregnancy, reducing blood clotting.

The method has a clear analgesic effect, but with serious pathology, only comprehensive treatment will help relieve severity.

Additional

During complex back pain therapy at the bottom, other drug materials are prescribed:

  • Heating of ointmentApply if necessary 4 times a day.They help relieve muscle cramps, hurt by themselves, causing compression of nerve tissue, blood vessels.Cramps occur after a long static/dynamic load;
  • Antispasmodics2 tablets are taken up to twice daily, contributing to the removal of muscle cramps;
    • How to treat back pain in the lower back
  • Chondroprotectors in ointment or tabletAllow the strengthening of the intervertebral disc, the articular tissue, stop the development of the pathological process.Ointment is used up to 4 times/day, tablets are taken 1-2 times/day;
  • B VitaminsIntramuscularly is injected 1 times in 1-2 days in individual doses.Allows you to improve the conductivity of nerve impulses, maintaining good conditions from nerve tissue;
  • Nsaid masiThey have additional analgesic effects, used directly to painful areas 3 times/day.By itself, local funds are not able to effectively.But effective as an additional method.

Comprehensive treatment is prescribed by a doctor, it is supplemented by massage, physiotherapy, physical education physiotherapy.

Training

Exercise therapy and gymnastics

The following exercises help relieve pain effectively in the lumbar:

  • A cat-border.Take a position on the floor with your knees and palms.Bend your backup as much as possible, finish at the top 10 seconds.Then bend your back as much as possible, finish it at the bottom for 10 seconds.Repeat training 7 times in both directions;
  • Lying on the floor, on the stomach, straight legs, arms extended in front of you.At the same time, lift the arms, upper body, straight legs, as if they were doing a "bridge" instead.Fix at the maximum point for the maximum time possible, slowly back to its original position.

Physical exercises prescribed by physiotherapy exercises help strengthen muscle frames, so that the spine will be more resistant to load.They also normalize tissue nutrition, intervertebral discs, prevent the development of the deterioration process.However, training can only be done during the remission period - during injury, chronic diseases, they are prohibited.

Yoga

Yoga has the same signs, contraindications as training therapy.

Asana The following are the most useful in pain in the lower back:

  1. Tilt forward from an inactive position;
  2. Pose children;
  3. Rotate from the lotus pose;
  4. Lying Goddess;
  5. Feet in the right corner to the body with support on the wall;
  6. Free wind;
  7. The resurrection of the pose.

It is first recommended to perform it under the supervision of an instructor.

Swim

During swimming, the burden is removed from the spine, the muscle frame is strengthened and the function of the muscles is normalized, and the blood circulation improves.You cannot swim during the expansion period.It is also important to adhere to certain styles that do not use loads in the lumbar region.This is a swimming behind the start of the lesson, in the end, Brace, like a dog.Rabbit style is not recommended, as it puts a significant load on the musculoskeletal system.

Physiotherapy

How to treat pathology?A good additional method is physiotherapy.

The following methods are used:

  1. Microwave;
  2. Uhf;
  3. Magnetotherapy.

During its journey, hypertonic, muscle cramps are removed, the process of inflammation decreases, swelling of the blood, blood circulation, micro -circulation is normalized.Usually, 7-10 procedures are sufficient to achieve a stable positive effect.

Massage

Massage allows you to relieve muscle hypertonicity, strengthening muscle corsets, such as exercise therapy, is prohibited from performing severe pathological enlargement.

Do a light massage as follows:

  1. Rubbing with open palms, in both sides of the spine;
  2. Pressing, accompanied by vibrating/round movements - apply simultaneous power with two fingers, symmetrically, at some points along the spinal column;
  3. Development of a deep muscle layer - press four fingers on the tissue in both sides of the spine, without reducing the pressure to advance the hands forward - from the sacrum to the thoracic area.

Complete the complex too by rubbing.

Workplace organization

Often, the pain in the spine is clear in people involved in inactive work.As a result of prolonged sitting, strong static load is in the spine.It can be reduced with the right organization at work.It must meet the following rules:

  1. When placing the lower arm on the table between them and the shoulder, the right corner should be formed;
  2. The feet should stand on the floor in a sitting position, the knee should be bent at a 90 degree angle;
  3. The distance from the eye (with a straight back) to the computer screen is 50 cm, to the surface of the table-30-40 cm.

In addition, you can improve your condition by buying special orthopedic sitting.

Prevention

If the lumbar region has not hurt, but you feel the stiffness in it, take the following steps for the prevention of pain at the bottom:

  1. Avoid weight loss;
  2. Avoid prolonged dynamic/static loads;
  3. Rest in gymnastics with inactive work;
  4. Do daily exercise therapy;
  5. Eat properly;
  6. Abandon bad habits;
  7. Avoid drafts;
  8. Follow your weight - don't let the set.

This method prevents the development of the pathology of the musculoskeletal system.

Conclusion

Back and lower back pain can cause a variety of pathologies and you can get rid of unpleasant symptoms simply by eliminating the cause of this pathology.Therefore, if the pain to relieve the pain stops acting, the lower back pain becomes normal/very intense, then you must consult your doctor to establish the cause of the pain and eliminate it.