Sore lower back when tilting forward and backward causes what to do
Sharp lower back pain when tilting or, medically speaking, lumbalgia can be a symptom of many diseases of the spine and internal organs. Pain for no apparent reason often leads to an extensive survey covering diagnosis all possible causes of pain.
The content of the article
The cause of the pain
The reasonswhy back pain when bending, stanovitsya a number of diseases as inflammatory, and traumatic or neoplastic origin. Disease causing lumbalgia:
- Ankylosing Spondylitis;
- Injuries of the spine;
- The displacement of the vertebrae;
- Herniated discs;
- Kidney stones, kidney disease;
- The metastatic tumors in the spine.
Sciatica (inflammation of the spinal nerves) and myositis (inflammation of muscles) occur, usually due to local hypothermia and pain occurs on both sides. Most often it occurs in autumn and spring during planting and harvesting, street works, finding in the draft or hypothermia due to weather conditions. However, sciatica may appear when compression of the nerve roots metastasis, a displaced vertebra or a herniated disc. In such cases, usually the pain occurs on one side.
In inflammatory diseases of the lumbar spine does not give patients the opportunity to move to bend. Sometimes lumbodynia so pronounced, accompanied by a rapid pulse, fever. Myositis manifests itself when you tilt the back of the body, when inflamed, the muscles contract, causing increased discomfort.
Ankylosing spondylitis causes inflammation but not due to hypothermia, and disorders of the immune system. Suffer all spine, sacrum, Sacro-pelvic joint. The disease develops for a long time, gradually restricting movement, crasivaia intervertebral joints, people can't even bend over.
Herniated discs, injuries, and displacement of the vertebrae often have a common origin and can complement each other. Pain sharply after the injury, or lifting something heavy. Sometimes it is possible for a long period of formation of displacements and hernias, for example, porters, weight-lifters, gymnasts. Pain syndrome is pronounced, particularly severe back pain when tilting. Often there is numbness of the lower extremities, up to their complete failure, "zeroing" pain along the nerve. Sometimes you can identify a symptom of tension, in which the patient cannot raise a straightened leg, lying on his back. People with hernia, or displacement can search for the most convenient position in which the least painful to be in.
Pathology of internal organs
Kidney stones, glomerulonephritis and pyelonephritis often stalinis diseases of the internal organs indicate the lower back pain. Lower back pain when bending forward or to the side occurs when kidney stones when the stone located in the renal pelvis, shifted due to the movement of the spine and the twelfth rib, which is adjacent to the kidneys. The glomerulonephritis and pyelonephritis are felt regardless of motion, pain worse when effleurage in the lumbar region. Pain can arise not only when kidney disease. Inflammation of the pancreas, an atypical form of heart attack, pleurisy can give reflected pain in the lower back, however, these pathologies have their bright symptoms, in which lumbalgia fades into the background.
Metastases and tumors
The most terrible pain in the back are metastases. Rooting can as the spine, and other organs. The patient's condition deteriorates, he loses weight, metastases can press on the spinal cord, paralyzing him. The pain may increase gradually during several weeks or months and can occur acutely. fracture of a vertebra on the background of its germination metastases. Pelvic tumors, and breast and lung most commonly give metastases to the spine.
- Suggest to read: the prognosis for metastases in the spine.
Diagnosis and treatment
If you have a sore lower back, before starting the treatment complete the full course of the survey. Originallyconsult your neurologist who will examine the condition of your spinal nerves and it is better to tell to do next. The most accurate and complete picture of the health of the spine, intervertebral discs, the spinal cord shows a computer or magnetic resonance imaging. This research method will help make an accurate diagnosis and provide adequate treatment. In case of detection of injuries and displacements of the vertebrae, herniated discs, tumors and metastases treatment is possible only surgically.
Manual therapy, gymnastics and any folk remedies can not remove intervertebral hernia or back vertebra. Delaying the start of treatment will lead only to poor health and complications of surgical technique.
Various inflammatory diseases are well amenable to drug therapy. Used a number of drugs acting on the individual links of the pathological chain of inflammation:
- Anti-inflammatory drugs. Diclofenac, nimesulide, ibuprofen effect on biological molecules, activators of inflammation, thus removing pain and restoring the healthy range of motion. Especially well proven ointments with diclofenac.
- Analgesics eliminate pain, eliminate the spasm.
- B vitamins for any damage to the nerves contribute to early recovery of function, strengthen the body's defenses.
- Neuroprotectors. Actovegin, piracetam, etc. – restore the normal functioning of neurons, improve maginations transmission, protect the cell membrane.
Pathology of internal organs, manifesting itself by lower back pain, require treatment associated with the original cause. Ie urolithiasis treated not lumbodynia, but directly to the kidney stones.
If you have back pain when driving do not let it go. As early as possible start the examination and treatment, to achieve the most positive results.