Backache – the most common problem among doctor visits, moreover 27 years ago, she only 105 a place! Back hurts 36% people, and up to 80% of them, cured, after a while they face the problem again. The first complaint usually occurs after 30, and with each passing year the risk of back pain increases.1
Why does my back hurt??
Backache, localized in the lumbar region, can occur as a result of various disorders in the work of the musculoskeletal system:
- muscle spasm;
- microtrauma and serious injuries;
- ischemia of the paravertebral muscles;
- osteoarthritis;
- facet joint dysfunction;
- pathology of the sacroiliac joints;
- discogenic pain – hernia, decompression and compression of nerve roots.
The share of muscle damage and osteoarthritis of the facet joints accounts for about 60% registered appeals, on the share of injuries – 5-10%, discogenic pain occurs in about 5%. 3
In rare cases, low back pain occurs, not associated with disorders in the work of the musculoskeletal system. Usually, we are talking about kidney disease, menstrual pain, flatulence and inflammatory processes in the intestines. This pain is called irradiating., and passes, when the cause of its appearance is cured.
Causes of the prevalence of back pain
Doctors believe that the main cause of back pain is a sedentary lifestyle., and this is quite fair. Rarely does an adult monitor posture throughout the working day. Usually the muscles of the back are relaxed and a backward bend appears in the lumbosacral region. – wrong, non-physiological, but in moments of relaxation comfortable.
Back muscles become numb after eight hours in the wrong position, and a sharp rise leads to unpleasant sensations, which the body compensates, incorrectly distributing the load on the longitudinal muscles of the back, not on the abs and gluteal muscles.
Another problem, leading to lower back pain – improper and inept lifting of weights when moving, in gardening works, when playing with children. Lifting the load, the person uses the strength of the back muscles and the press in the snatch, which leads to the appearance of microtraumas in the lumbar spine. Sports exercises with impaired execution technique lead to a similar result.
In fact, most of the chronic pain in the lumbar spine is the result of repeated trauma due to an improper lifestyle and a lack of understanding of the biomechanics of one's own body. Age-related changes account for only a small percentage of visits to the doctor.4
Pain mechanism: how does chronic inflammation in the lumbar spine occur
All pain syndromes, caused by injury and muscle strain, sharp jerks and even injuries of the intervertebral disc develop according to the conditionally the same pattern. Damage occurs first, which is accompanied by a pain impulse. Muscles are spasmed around the damaged area – this is a natural mechanism, which protects the back from further damage.
A muscle contracted by a spasm compresses the nerve endings, that signal pain. The brain sends a signal to fix the damaged area. The spasm gets worse. It turns out a looped process.
If the damage is minor, and the patient is able to lie down immediately after the injury, relax and not strain the body for several hours, the spasm subsides and the pain subsides. Sometimes, to accelerate the effect, an ointment with a warming and anti-inflammatory effect is sufficient..
In severe injuries, swelling and inflammation may be added to the adjacent muscle spasm, the area of damage becomes insensitive or hypersensitive. In this case, it is better not to move the patient and urgently call a doctor.
For chronic pain, which appears regularly and in one area, the inflammatory process is latent. This pain is usually not accompanied by swelling., however, it is often associated with degenerative changes in the joints, intervertebral discs, nervous tissue.
How to treat low back pain?
Rigid fixation of the lumbar spine is required only for serious injuries, in all other cases, therapy involves maintaining the patient's activity. Strength training and shock loads are excluded during treatment, the weight of the objects being lifted is limited – bags, packets, instruments.
Patients are prescribed massage to relieve spasm, Exercise therapy to restore normal mobility of muscles and joints. Usually, a physiotherapist teaches the patient to properly lift weights with weight distribution on the leg muscles, buttocks and abs, helps to find a safe, but a regular load – swimming, classes on certain simulators.5
To relieve pain and inflammation in back pain, non-steroidal anti-inflammatory drugs are used internally and externally., course, until complete recovery. When choosing a drug, first of all, its safety is taken into account., that's why modern specialists choose selective NSAIDs, not disrupting liver function, kidney and gastrointestinal tract.
Among modern selective NSAIDs, the most convenient to use is – Etoricoxib based drug, which comes in four dosage options. The ability to adjust the dose of the anti-inflammatory agent, provides the maximum treatment result without danger to the patient's body.2
An individual strategy for the treatment of NSAIDs is developed by a doctor, combining the drug with physiotherapy, loads or rest, taking vitamins and microelements for quick healing of muscle and nervous tissue. NSAIDs in treatment act as an analgesic and anti-inflammatory agent, which allows you to improve the patient's quality of life during treatment. An integrated approach and selection of safe drugs gives the best results and helps to significantly reduce the risk of relapse.
1. A.N. Barinov, Ph.D., K.A. MAKHINOV, TO. ROZHKOV SOME ASPECTS OF DIAGNOSTICS AND TREATMENT OF NON-SPECIFIC BACK PAIN
2. A.E.. Karateev Non-steroidal anti-inflammatory drugs in the treatment of musculoskeletal pain: time of the "golden mean"
3. Barinov A.N., Makhinov K.A., Rozhkov D.O. Efficiency and safety of interventional therapy for pain syndromes in neurology
4. Parfenov V.A.. The reasons, diagnosis and treatment of lower back pain.
5. Suslova E.Yu., Parfenov V.A.. An integrated approach to the treatment of patients with chronic lumbodynia
6.
.
Loading...
Leave a Reply