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Back pain in 20 year old. Back Pain in Young Adults: Causes, Symptoms, and Solutions

What are the common causes of back pain in 20-year-olds. How can young adults identify and manage lower back pain. What lifestyle factors contribute to back issues in younger populations. When should a young person seek medical attention for back discomfort.

Understanding the Prevalence of Back Pain in Young Adults

Back pain is often associated with aging, but it’s becoming increasingly common among young adults in their 20s and 30s. This unexpected discomfort can be both surprising and concerning for those who consider themselves to be in the prime of their physical health. Understanding the causes and recognizing the symptoms is crucial for proper management and prevention of chronic issues.

Common Causes of Back Pain in Young Adults

Several factors can contribute to back pain in younger populations. Here are some of the most prevalent causes:

  • Muscle strain from overexertion or improper lifting techniques
  • Poor posture, especially related to extended periods of sitting
  • Degenerative disc disease, which can occur earlier than expected
  • Sports injuries or accidents
  • Occupational hazards in physically demanding jobs
  • Stress and anxiety manifesting as physical tension

Back Strain: A Leading Cause of Discomfort

Back strain is one of the most common reasons young adults experience back pain. It occurs when muscles or tendons are stretched or torn, often due to sudden movements, heavy lifting, or excessive exercise. Symptoms of back strain include:

  • Dull ache in the back when walking or standing
  • Stiffness when bending
  • Localized soreness and tenderness
  • Pain that doesn’t radiate down the legs (unlike sciatica)

Treatment for back strain typically involves rest, alternating ice and heat therapy, anti-inflammatory medications, and gentle stretching exercises. How long does it take for a back strain to heal? Recovery time can vary, but most cases improve within a few weeks with proper care and management.

Juvenile Degenerative Disc Disease: An Early Onset Condition

Degenerative disc disease isn’t exclusive to older adults. Young people can develop a condition known as Juvenile Degenerative Disc Disease, often linked to poor posture habits formed during adolescence. The “teenage slouch” is a prime culprit in accelerating disc degeneration in the lumbar spine.

What are the signs of degenerative disc disease in young adults? Key indicators include:

  • Sudden pain when transitioning from sitting to standing
  • A sensation of bone-on-bone grinding within the spine
  • Muscle spasms in the back
  • Sciatica-like pain radiating down the buttocks and legs
  • Discomfort that worsens with prolonged sitting

Treatment options for degenerative disc disease vary based on severity and may include physical therapy, medication, and in some cases, surgical intervention.

Traumatic Injuries: When Accidents Cause Back Pain

Young adults engaged in sports or physically demanding activities are at risk for traumatic back injuries. Two common types of injuries include:

Spondylolisthesis and Spondylolysis

Spondylolisthesis occurs when a vertebra slips out of place, typically at the base of the spine. Spondylolysis refers to a fracture in the vertebra. Both conditions can result from hard falls or impacts, leading to severe compression of the vertebrae.

What are the symptoms of spondylolisthesis in young adults? Common signs include:

  • Lower back pain that may extend to the thighs
  • Muscle tightness and stiffness
  • Difficulty walking or standing for extended periods
  • In severe cases, numbness or weakness in the legs

Cervical Radiculopathy: A Nerve Compression Issue

Cervical radiculopathy occurs when a nerve in the cervical spine becomes compressed or irritated. This condition can cause pain, weakness, or loss of feeling in the arms, neck, or shoulders.

How is cervical radiculopathy treated in young patients? Treatment options may include:

  • Physical therapy to improve neck strength and flexibility
  • Medications to reduce inflammation and pain
  • In some cases, surgical decompression of the affected nerve

Lifestyle Factors Contributing to Back Pain in Young Adults

Several modern lifestyle habits can exacerbate or even cause back pain in younger populations:

  • Sedentary behavior and prolonged sitting
  • Poor ergonomics when using electronic devices
  • Lack of regular exercise and core strength training
  • Obesity and excess weight putting strain on the spine
  • High-stress environments leading to muscle tension
  • Inadequate sleep or poor sleeping postures

How can young adults prevent back pain related to lifestyle factors? Incorporating regular exercise, maintaining good posture, ensuring proper ergonomics at work and home, managing stress, and maintaining a healthy weight are all crucial steps in prevention.

When to Seek Medical Attention for Back Pain

While many cases of back pain in young adults can be managed with home care and lifestyle adjustments, there are instances where professional medical evaluation is necessary. Consider seeking medical attention if:

  • Pain persists for more than a few weeks despite self-care measures
  • Back pain is accompanied by fever, unexplained weight loss, or night sweats
  • There’s numbness, tingling, or weakness in the legs
  • Pain is severe and interferes with daily activities
  • Back pain follows a fall or other traumatic injury

What can young adults expect during a medical evaluation for back pain? A typical assessment may include:

  • A thorough medical history and physical examination
  • Neurological tests to check reflexes, muscle strength, and sensation
  • Imaging studies such as X-rays, MRI, or CT scans if necessary
  • Blood tests to rule out underlying conditions

Treatment Options and Management Strategies for Young Adults with Back Pain

The approach to treating back pain in young adults often begins with conservative measures and progresses to more advanced interventions if needed. Here’s an overview of potential treatment options:

Conservative Treatments

  • Rest and activity modification
  • Physical therapy and targeted exercises
  • Over-the-counter pain relievers and anti-inflammatory medications
  • Hot and cold therapy
  • Gentle stretching and yoga
  • Massage therapy

Advanced Interventions

  • Prescription medications for pain management
  • Epidural steroid injections
  • Chiropractic care
  • Acupuncture
  • Cognitive behavioral therapy for chronic pain management
  • In rare cases, surgical options may be considered

How can young adults determine the best treatment plan for their back pain? It’s essential to work closely with healthcare providers to develop a personalized approach that addresses the specific cause and severity of the pain while considering lifestyle factors and personal preferences.

Preventive Measures and Long-term Management of Back Health

Maintaining a healthy back is crucial for overall well-being and quality of life. Young adults can take proactive steps to prevent back pain and promote long-term spinal health:

  • Engage in regular exercise, focusing on core strengthening and flexibility
  • Practice good posture, especially when using electronic devices
  • Use proper lifting techniques and avoid overexertion
  • Invest in ergonomic furniture and equipment for work and home
  • Maintain a healthy weight to reduce strain on the spine
  • Get adequate sleep on a supportive mattress
  • Manage stress through relaxation techniques and mindfulness practices
  • Stay hydrated to maintain disc health
  • Quit smoking, as it can contribute to disc degeneration

What role does nutrition play in back health for young adults? A balanced diet rich in anti-inflammatory foods, calcium, and vitamin D can support bone and muscle health, potentially reducing the risk of back problems.

The Impact of Technology on Back Health in Young Adults

The digital age has brought new challenges to spinal health, particularly for younger generations who are often heavy users of technology. The phenomenon known as “tech neck” is becoming increasingly prevalent among young adults.

How does technology use affect back health in young adults? Common issues include:

  • Poor posture from looking down at smartphones and tablets
  • Repetitive strain injuries from excessive typing or gaming
  • Reduced physical activity due to screen time
  • Eye strain and associated muscle tension in the neck and upper back

To mitigate these effects, young adults should:

  • Take regular breaks from screen time
  • Use devices at eye level to maintain proper neck alignment
  • Implement ergonomic setups for workstations
  • Balance technology use with physical activity
  • Practice neck and shoulder stretches throughout the day

By understanding the causes of back pain and implementing preventive strategies, young adults can maintain better spinal health and reduce the risk of chronic issues as they age. It’s important to address back pain early and seek professional guidance when necessary to ensure proper diagnosis and treatment. With the right approach, young adults can enjoy active, pain-free lives and set the foundation for long-term back health.

Causes for Back Pain in Young Adults

What Causes Back Pain in Young Adults?

Low back pain is not often considered to be a potential problem among young adults. So when back pain strikes at a young age, it comes as a surprise and a source of confusion as to the cause. In our youth, we may think we are indestructible, but it is not uncommon for back pain to appear in our twenties and thirties.

Most often, back pain experienced at a young age is the result of overly strenuous exercising, a job that requires lifting objects that are too heavy, or a sudden awkward movement such as bending over to pick up a toddler. This type of back pain is usually due to Back Strain.

What Is a Back Strain?

Back Strain can be extremely painful and will unexpectedly put your life on hold. Treatment can consist of standard practices such as alternating ice and heat on the areas of injury, taking anti-inflammatories and doing non-rigorous, specific stretches or lower back relaxation techniques.

A strain is a stretching or tearing of muscle or tendon, which is a fibrous cord of tissue that connects muscles to bones. A Back Strain is often signified by a dull ache in the back when walking or standing. There may also be a feeling of stiffness in your back when bending, feeling sore in specific areas that are also tender to the touch, or pain in a localized area that does not mimic sciatica, which causes radiating pain in the legs.

Juvenile Degenerative Disc Disease

Another cause of back pain is Degenerative Disc Disease, a condition that can present itself early in adulthood, often referred to as Juvenile Degenerative Disc Disease. Studies indicate that Lumbar Degenerative Disc Disease in the lower spine is due to the common “teenage slouch”. Vertebrae in the back are cushioned by doughnut-shaped, gel-like pillows, called discs. With Degenerative Disc Disease, these “pillows” break down, bringing on sudden pain with movement such as standing up from a sitting position. The pain may feel as if the bone is scraping on bone within the spine. Muscle spasms can also occur, as well as sciatica, pain which radiates from the buttocks down one or both legs.

This discomfort can become worse with long periods of sitting, it may last weeks or months and is often quite intense. There are many treatment options for Degenerative Disc Disease, which will vary according to the severity of the patient’s condition.

Back Pain Injury

Finally, trauma or an injury can be the cause of back pain in an otherwise strong and healthy young adult. There are two main types of back injuries. Spondylolisthesis is described as slipping of the vertebra and occurs at the base of the spine. A fracture of the vertebra, referred to Spondylolysis, can cause for the vertebra to slip backward, forward or over a bone. A hard fall can and often does result in this type of injury, causing a severe compression of vertebrae. The resulting bulge can radically irritate surrounding nerves, resulting in pain, numbness or weakness in the extremities. Consulting with a spine specialist is your best solution, to identify the extent of the problem.

Cervical Radiculopathy is one of the most common diagnosis for a back injury, where compression of the cervical vertebrae results from a disturbed nerve. This injury will manifest itself by causing pain and weakness or loss of feeling in the arms, neck, or shoulders; areas closest to the damaged nerve. Cervical Radiculopathy can be treated through physical therapy, medication and in some cases surgery may be necessary to alleviate the pressure.

Visit Spine Vue in Dallas or Allen, TX today!

If you are experiencing any back pain, it is important that you meet with a specialist to pinpoint the problem and diagnose it accordingly. You should never disregard back pain as it can be an indicator of a serious, but treatable condition. Contact Spine Vue today for an evaluation to find out the reason for your back pain.

3 Causes Of Lower Back Pain in Young Adults

Most young adults don’t expect to suffer from back pain, it is usually associated with people who are much older. However, in your mid twenties to early thirties, it is possible to suddenly start experiencing lower back pain. This kind of soreness can be very debilitating and severely affect your quality of life.  Here are three of the main causes of back pain in young adults, and the symptoms to look out for.

 

1. Back Muscle Strain

One of the most common causes of lower back pain in young adults, back strain is often caused by lifting heavy objects, excessive exercising, sudden movements or twisting into an awkward position. The ligaments and muscles in your back might have stretched or suffered from microscopic tears, thus causing you pain. Back strains will  most often heal on their own with the help of some combination of rest, ice and/or heat application, anti-inflammatory pain medications, as well as gradual and gentle stretching and lower back exercises.

Symptoms of back muscle strain include:

  • Difficulty walking or standing up straight without pain
  • A pain that is dull and achy
  • Localized stiffness or soreness upon being touched
  • A pain that does not radiate down your legs, but moves around your lower back area, groin and buttocks.

2. Degenerative Disc Disease

Lumbar degenerative disc disease can affect individuals as young as 20. When the lumbar discs between your vertebrae begin to break down, the damaged disc can cause painful inflammation and slight instability in the lower back, which brings about muscle spasms and sometimes sciatica. Degenerative disc disease is common and is often successfully treated.

You may be suffering from degenerative disc disease if you experience any of the following symptoms:

  • Back pain worsened by sitting
  • Low-level of constant lower back pain punctuated by episodes of severe pain/muscle spasms lasting a few days to a few months
  • Walking, even running, may feel better than sitting/standing
  • Changing positions frequently relieves pain

3. Lumbar Herniated Disc

A herniated disk refers to a problem with one of the rubbery disks between the vertebrae that stack up to form your spine. You can have a herniated disk without even knowing it, but sometimes a slipped disk can be really really painful. It causes a pain commonly known as Sciatica.  Sciatica happens when a nerve root in the lower spine is compressed, causing pain and numbness to travel along the large sciatic nerve that serves the buttocks, legs and feet.

Common symptoms of Sciatica include: 

  • Pain typically is constant as opposed to flaring up for a few days or weeks and then ceasing.
  • Pain is more intense in the leg and foot, rather than the back
  • The pain is typically experienced on one side of the buttocks or leg
  • Pain is severe after long periods of standing or sitting still but is relieved when walking
  • The pain is more of an intense tingling or burning rather than a dull ache.
  • May be accompanied by weakness, numbness or difficulty moving the leg or foot

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Lumboischialgia – causes, treatment | MOTRIN®

Author, editor and medical expert – Anna Yurievna Budovskaya.

Editor and medical expert – Harutyunyan Mariam Harutyunovna

Number of views: 35 841

Last update date: 12/29/2022 9 0003

Average reading time: 6 minutes

Content:

Causes of sciatica
Symptoms of sciatica
Diagnosis of lumboischialgia
Treatment of lumboischialgia
Prevention of lumboischialgia

Pain in the lower back during life occurs in more than 70% of people, most often in young people aged 35 to 55 years. Lumbosacral pain is one of the most common causes of temporary disability 1.2 .

Pain in the lower back is called variously 3 :

  • lumbalgia – if it is felt only in the lower back;
  • lumboischialgia – when pain occurs not only in the lumbar region, but also spreads to the lower limb;
  • lumbago – in cases where there is acute and intense pain in the lower back (lumbar backache).

In all these cases, back pain is a serious symptom that requires alertness and a mandatory visit to a doctor. In this article, we will talk in detail about lumboischialgia: why it occurs, how to alleviate unpleasant symptoms and prevent their recurrence.

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Causes of lumboischialgia

In more than 90% of cases, doctors do not find any serious disease (inflammation, infection, tumor, or fracture) that could cause lumboischialgia attacks 2 . The most common causes of pain are complications of lumbar osteochondrosis, such as displacement of the vertebrae or a herniated disc 3 . In the elderly, lumboischialgia is usually due to degenerative processes (disc destruction) in the lumbar spine 2.9 , and in young and middle-aged people it is often due to reflex irritation of the nerves, for example, when the intervertebral disc bulges 9.12 .

Intervertebral discs are structures that serve as shock absorbers during the movement of the spine. Each disc has a nucleus pulposus and a fibrous (dense) annulus that prevents the nucleus from going beyond the disc 13 .

In a herniated disc, the intervertebral disc moves outward and irritates the pain receptors of the annulus fibrosus. This causes reflex muscle spasms, which provoke pain in the lower back and lower limbs 9 .

At risk of developing lumboischialgia are people whose work is associated with lifting weights or “twisting” loads that are inadequate for the spine. Such movements during work are usually performed by loaders, locksmiths, as well as athletes – gymnasts, tennis players, skiers 11 . However, osteochondrosis and its complications in the form of lumboischialgia are also often found in people of “sedentary” professions, for example, office workers and drivers of vehicles who are forced to stay in one, sometimes very uncomfortable for the spine, position for a long time.0035 11 .

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Symptoms of sciatica

Lumbosciatica can occur due to sudden movement, bending over, lifting heavy objects or falling 9 . For many, the pain is aggravated by straining, coughing, sneezing, staying in one position for a long time, and even sitting in a deep chair 9 . At the moment of the attack, the person takes a forced position, usually leaning to the healthy side, or lies with his leg pressed to his stomach to relieve pain 9 .

There are 2 forms of lumboischialgia:

  • In neuropathic the source of pain is the root of the spinal nerve, which turned out to be compressed by a displaced vertebra or herniated disc 3 . When squeezing the root (radiculopathy), the pain is sudden, shooting and intense 3 . Since the sciatic nerve is part of the root 14 , the pain “radiates” to one leg, but does not have clear boundaries and can “move” within the lower limb 3 .
  • Reflex occurs due to irritation of the muscles, joints and ligaments in the lumbar region 11 . At the same time, aching and more often bilateral pain is observed, which is most pronounced in the buttocks and thighs, rarely goes below the knee 3 . Sometimes discomfort is felt constantly 3 .

Consult your doctor if you experience any pain. Often low back pain is a manifestation of specific conditions that require emergency care 3 .

The following danger symptoms (“red flags”) are distinguished for lumboischialgia 2 :

  • under 18 and over 50 years of age;
  • recent back injury;
  • long-term treatment with hormonal drugs;
  • dramatic weight loss;
  • persistent progressive pain that does not improve with rest;
  • soreness, which is felt not only in the back, but also in the perineum, vagina, rectum, sometimes associated with urination or defecation;
  • increased body temperature;
  • marked spinal deformity.

If on the background of lumboischialgia you have found at least one “red flag” – immediately seek help from a specialist 5 .

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Diagnosis of lumboischialgia

Pain in the lumbar region radiating to the gluteal region and the leg (or both legs) may be a manifestation of acute lumboischialgia (lasts up to 6 weeks) and chronic (troubles more than 12 weeks ) 3 . Often it goes away on its own 5 , but in order for the problem not to become chronic, you need to be examined by a doctor in time and exclude serious diseases.

If you have frequent symptoms of sciatica, you should contact your general practitioner. If necessary, he will refer you to a neurologist, traumatologist, rheumatologist and other specialists 2 .

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Treatment of lumboischialgia

Pain relief is one of the important tasks of the syndrome therapy 11 . For this purpose, non-drug, medical and surgical methods can be used 8. 11 .

For symptomatic treatment of acute and chronic sciatica, non-steroidal anti-inflammatory drugs are used 4,6,11 , which relieve pain and increase the functional activity of patients 11 . Motrin® is a drug from the NSAID group, the active ingredient of which is naproxen. The drug is indicated for adults and adolescents from 15 years of age with lumboischialgia as an anesthetic 7 .

Tablets should be taken whole (including with meals) and washed down with a sufficient amount of liquid 7 . To relieve the pain of sciatica, you can take as follows: starting dose – 2 tablets (500 mg), and then one tablet (250 mg) up to 4 times a day (every 8 hours). In this case, usually the daily dose used to relieve pain is 2-3 tablets (500-750 mg). It is allowed to use the drug as an anesthetic without consulting a doctor for up to 5 days. If unpleasant symptoms persist or worsen, be sure to consult a specialist 7 .

Non-drug methods of pain relief include 3.8 :

  • therapeutic exercises;
  • manual therapy;
  • acupuncture;
  • massage.

If there is pain in the lower back that radiates to the leg, experts recommend maintaining physical activity and avoiding bed rest – this has a beneficial effect on the course of the pathology and helps to recover faster 6,8,11 .

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Prevention of lumboischialgia

To prevent attacks of pain, it is important to follow the recommendations of doctors: 5 2 ;

  • avoid hypothermia 2 ;
  • do not carry bags on one arm 2 ;
  • exercise regularly under the supervision of a specialist 8 , especially if your job involves prolonged sitting 2 ;
  • walk outdoors at least 3-4 times a week for 30 minutes 8 .
  • Lumbosciatica is a problem that can affect both the elderly and young people 1 . It indicates the resulting complications of osteochondrosis and requires careful attention 3 . With a properly organized work schedule, sufficient physical activity and timely access to a doctor, exacerbations and complications of chronic back pain can be avoided 11 .

    The information in this article is for reference only and does not replace professional medical advice. For diagnosis and treatment, contact a qualified specialist.

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    References

    1. WHO Priority diseases and reasons for inclusion 2013 6.24 Low back pain https : //www . who . int/medicines/areas/priority_medicines/Ch6_24LBP.pdf
    2. Parfenov Vladimir Anatolyevich, Golovacheva Veronika Alexandrovna Diagnosis and treatment of acute nonspecific lumbosacral pain // Therapeutic archive. 2019. No. 8. URL: https : //cyberleninka . ru/article/n/diagnostika-i-lechenie-ostroy-nespetsificheskoy-o-krpoyasnichtsovoy-boli
    3. Levin O. S., Chimagomedova A.Sh., Shugurova I.M., Nikitina A.N. Modern approaches to the diagnosis and treatment of chronic back pain // STPN. 2020. No. 3-4. URL: https : //cyberleninka . ru/article/n/sovremennye-podhody-k-diagnostike-i-lecheniyu-hronicheskoy-boli-v-spine
    4. Shirokov Vasily Afonasevich, Potaturko A.V., Terekhov N.L. Non-steroidal anti-inflammatory drugs, muscle relaxants and vitamins of group B in the treatment of lumboischialgia // Neurology, neuropsychiatry, psychosomatics. 2020. №6. URL: https : //cyberleninka . ru/article/n/nesteroidnye-protivovospalitelnye-preparaty-miorelaksanty-i-vitaminy-gruppy-v-v-lechenii-lyumboishialgii
    5. Shakhabov I.V., Polishchuk N.S. Evaluation of recommendations for the appointment of magnetic resonance imaging in the provision of outpatient care in a planned form for pain at the level of the lumbar spine // ORGZDRAV: News. Opinions. Education. Vestnik VSHOUZ. 2020. No. 3 (21). URL: https://cyberleninka. ru/article/n/otsenka-rekomendatsiy-po-naznacheniyu-…
    6. Parfenov Vladimir Anatolievich, Isaikin A.I., Kuzminova T.I., Chernenko O.A., Milovanova O.V., Romanova A.V., Samkhaeva N.D., Shor Yu.M. Treatment of patients with acute and subacute lumbodynia and lumboischialgia // Neurology, neuropsychiatry, psychosomatics. 2019. No. 3. URL: https : //cyberleninka . en/article/n/lechenie-patsientov-s-ostroy-i-podostroy-lyumbalgiey-i-lyumboishialgiey
    7. Instructions for use of the drug MOTRIN ® tablets //Reg.number P N002874/01// GRLS RF. – URL: https : //grls . rosminzdrav . en/Grls_View_v2.aspx?routingGuid=868bad0c-d10e-47a9-b9d8-2595d9a01ac7&t=
    8. Parfenov V.A., Parfenova E.V. Questions of therapy of chronic nonspecific lumbalgia // MS. 2020. No. 8. URL: https://cyberleninka.ru/article/n/voprosy-terapii-hronicheskoy-nespetsif…
    9. Shostak N.A., Pravdyuk N.G. Back pain and comorbidity – diagnosis, treatment tactics. Outpatient surgery. 2016;(3-4):44-50. https://www.a-surgeon.ru/jour/article/view/59
    10. Vertkin A.L., Karateev A.E., Kukushkin M.L., Martynov A.I., Parfenov V.A., Yakhno N.N., Knorring G.Yu. National guidelines for the management of patients with back pain for internists and general practitioners of polyclinics. Therapy. 2018; 3 (21) https://therapy-journal.ru/ru/archive/article/36103
    11. Russian Interregional Society for the Study of Pain. Clinical guidelines Diagnosis and treatment of musculoskeletal (non-specific) pain in the lower back, 2019https : //painrussia . en/educational-programs/2020/zoom/%D0%9A%D0%A0_%D0%91%D0%A1_%D0%A0%D0%9E%D0%98%D0%91_2020_%D1%84%D0% B8%D0%BD%D0%B0%D0%BB%20(1).pdf
    12. Diagnosis of viscero-vertebral and vertebro-visceral pain syndrome in lumbar osteochondrosis. Drivotinov B.V., Gamanovich A.I., Medical Journal No. 4 2012 From 46-50.
    13. Big Medical Encyclopedia (BME), edited by Petrovsky B.V., 3rd edition. Spine.https : //xn--90aw5c . xn--c1avg/index . php/%D0%9F%D0%9E%D0%97%D0%92%D0%9E%D0%9D%D0%9E%D0%A7%D0%9D%D0%98%D0%9A (accessed : 05.10.2021)
    14. Big Medical Encyclopedia (BME), edited by Petrovsky B.V., 3rd edition. Sciatic nerve. https : //xn--90aw5c . xn--c1avg/index . php/%D0%A1%D0%95%D0%94%D0%90%D0%9B%D0%98%D0%A9%D0%9D%D0%AB%D0%99_%D0%9D%D0% 95%D0%A0%D0%92 (date of access: 05.10.2021)
    15. Frick et al. Efficacy and safety of naproxen sodium and ibuprofen for pain relief after oral surgery. Current Therapeutic Research. 1993;54(6):619-27.

    What causes back pain? How to properly treat it and how it can harm

    Science

    85% of people complain about back pain. How to properly treat it and is it possible to get rid of the pain once and for all?

    Head of the neurosurgical department of the Federal State Budgetary Scientific Institution “Scientific Center of Neurology”, Doctor of Medical Sciences, Professor of the Russian Academy of Sciences, President of the National Association of Spine Surgeons Artyom Gushcha.

    Back pain? You are not alone! Sociological research data show that back pain is the second cause of disability in the adult population after viral infections. It is born with us (according to neonatologists, 80-90% of children at birth receive spinal injuries) and sooner or later overtakes everyone. There is an opinion that this is a retribution for walking upright. Since as a person grows, the load on the “backbone” increases, already existing spinal problems get stronger, and stress, anxiety, obesity, overload, a sedentary lifestyle exacerbate existing problems – and back pain can occur even at an early age.


    Attention patients!
    The Neurosurgical Department of the Scientific Center of Neurology performs endoscopic operations of herniated intervertebral discs.

    Consultation of a neurosurgeon on the day of treatment (if there is a medical recommendation).
    For details contact tel. +7 (495) 374-77-76 or leave a request


    What hurts there?

    The vast majority (about 95%) pain is associated with muscles, ligaments and joints. In the people it is called to pull the back. These pains are unpleasant, but not dangerous, and in most cases go away on their own in 2-3 days.

    3-4% of pain is associated with radiculopathy (sciatica) – a lesion of the spinal root. It is usually damaged by a hernia. Pain disappears when the edema caused by pressure passes.

    1-2% of back pain is caused by injuries or inflammatory diseases of the spine, oncological processes, diseases of the cardiovascular system or the gastrointestinal tract, in which the pain syndrome can pass into the back. This is the most dangerous type of back pain. To exclude such pathologies, be sure to consult a doctor.

    Don’t hesitate

    The main indicator that you need medical help is the regularity of pain. If you are twisted from time to time – most likely, there is nothing to worry about. If the pain of low or medium intensity haunts you relentlessly, you can not hesitate. It is urgent to consult a doctor if the pain is accompanied by a rise in temperature or the pain syndrome increases during treatment.

    At home

    The most effective remedy is oral anti-inflammatory drugs. Just do not overdo it – they are safe only at first. With prolonged use, such drugs can cause ulcers and bleeding in the gastric mucosa. Traditional home treatment – non-steroidal ointments – can only be used as an additional measure. They are harmless but ineffective. Wearing a corset also provides relief – fixation unloads the spine, relieves spasms and limits sudden movements. Only the corset should be normal – elastic, not warming.

    If the treatment does not work within three days, you should consult a doctor who will make a blockade with anti-inflammatory injections. By relieving spasms and relaxing the muscles, the pain goes away immediately and often forever.

    Prohibited!

    Sauna and massage strictly prohibited. They increase swelling and pain.

    Contact chiropractors through newspaper ads. Manual therapy is an area where there are three hundred charlatans for every specialist. If you really want to find a good doctor, you should contact certified clinics where certified specialists work.

    It is important to immediately determine the correct treatment tactics. This should be done by a neurologist or neurosurgeon. Treating your back on your own is dangerous. 30% of patients in the neurosurgical department have tried home treatments on themselves and have ended up in a hospital bed.

    Cut or not?

    Until recently, a person who was diagnosed with a hernia was immediately given a referral for surgery. Today, the operation is performed only if there are indications:

    • persistent pain not relieved by any pill;

    • pelvic dysfunction – incomplete emptying of the bladder;

    • weakness and numbness in the leg.

    All these symptoms make the operation inevitable, because without it the patient can become disabled.

    What are the risks

    The risk of surgery, due to which it is postponed or refused altogether, is considered by many patients to be greatly exaggerated. In neurosurgery, there are technologies that allow you to accurately calculate the effectiveness of the operation and which symptoms will disappear after it and which ones will remain.

    The probability of recurrence of pain after surgery does not exceed 1–1.5%. Hernias in other places can indeed appear, but this is not a complication, but a spread of the disease, which often occurs in young unruly patients. As soon as the pain goes away, they return to their usual way of life: they get behind the wheel, resume training. And it is absolutely impossible to do this.

    Is osteochondrosis to blame?

    Osteochondrosis is a chronic degenerative-dystrophic change in the intervertebral space. All people over the age of 25 have signs of osteochondrosis.