What’s going on with my uterus? 3 conditions related to pelvic pain and bleeding | Women’s Health

2. Endometrial polyps

Endometrial polyps are abnormal overgrowths of the cells that line the uterus and extend into the uterine cavity. The majority are benign, but cancer can be found in them too. Uterine polyps are rare in women younger than 20, typically affecting premenopausal and postmenopausal women. Women who are obese and those who take tamoxifen, a common drug prescribed after breast cancer, also are at increased risk of developing polyps.

Abnormal bleeding is the most common symptom, which can mean:

• Bleeding after menopause
• Bleeding between periods
• Bleeding after sex
• Overly-heavy periods

We can identify polyps through transvaginal ultrasound, which entails placing a small device in the vagina that emits sound waves, creating an image of the uterus and showing us the growths. Alternatively, we can use hysteroscopy, which involves placing a small, thin camera into the uterus so we can look for polyps. Removing symptomatic polyps generally is recommended to treat the problems and diagnose any concerning cells. The surgeon will use a small, thin instrument and a hysteroscope to identify and remove polyps with little to no pain.

3. Adenomyosis

Adenomyosis is the enlargement of the uterus due to tissue that normally lines the uterus growing into the muscular wall of the organ. The cause of adenomyosis is unknown, but we usually see it in women in their later reproductive years. In the past, researchers have estimated that 20 percent of women develop adenomyosis. An exact percentage has not been determined, however, because a definitive diagnosis can be made only by microscopic examination of the uterus following a hysterectomy.

Symptoms of adenomyosis can include:

• Heavy bleeding
• Pain during periods
• Pain during sex
• Pelvic pressure or bulkiness 

Treatment options include hormone medications, such as birth control pills, progesterone, or intrauterine devices (IUDs). Endometrial ablation is an effective surgical option, or a hysterectomy might be recommended if medication doesn’t work.

Leading experts in treatment

At UT Southwestern, we customize treatment to each patient’s needs, including offering medication or minimally invasive treatments whenever possible. This allows patients to avoid undergoing open surgeries, which are more extensive and require longer recovery times.

Women shouldn’t hesitate to visit a doctor if they experience abnormal bleeding or pelvic pain. Fighting through symptoms is unnecessary – especially with the wide variety of ways to diagnose and treat the conditions. To find out what treatment is best for you, call 214-645-8300 or request an appointment online.

Sharp lower back pain: Causes and treatment

Many different muscles, bones, and connective tissues meet in the back. This means that individuals may experience a wide variety of symptoms in the lower back. Small variations in the way a person experiences pain may help a doctor identify the source of the pain.

Muscle strains

A muscle strain might happen as the result of a simple action, such as bending down to pick something up or twisting while holding something heavy.

A person may experience a sharp pain that causes a burning or tingling sensation or a radiating ache. They may also feel they have a stiff back, aching muscles, and pain that gets worse if they twist or move the back.

Muscle strains are generally minor injuries and often require little or no treatment.

However, these types of injury generally respond well to rest, which means avoiding physical activity for a few days while the muscles heal. While a muscle strain is healing, avoid sitting in an upright position, such as at the desk, as this may engage the injured muscles.

However, after a few days of rest, physical activity can help strengthen the muscles. A review in Asian Spine Journal, notes that both general exercise and exercises specific to the back can help reduce lower back pain. Gentle activities, such as swimming or riding a bike, may help strengthen the muscles and keep the body healthy.

Also, working with a physical therapist to create a gentle workout routine can help strengthen the affected muscles in the back.

Hot or cold packs may help treat symptoms such as swelling and pain. Alternate between 20 minutes of cold and 20 minutes of rest a few times each day for the first few days. Afterward, using a heat pack may help relax the tense muscles and promote circulation.

Over-the-counter (OTC) pain relievers, such as ibuprofen (Advil) or acetaminophen (Tylenol), may also help control symptoms. However, always follow the dosage recommendations and do not use them to work through the pain.

Sciatica

The sciatic nerve is a long nerve that runs from the back to the legs. Sciatica, which refers to pain in this nerve, occurs due to pressure on the sciatic nerve. This pressure can be due to an injury, such as a herniated disk, or more long-term issues, such as incorrect posture.

Sciatica is relatively common in adults, with between 10–40% of people experiencing it at some point during their lives. It is important not to generalize back pain or assume that any lower back pain is sciatica. Anyone who suspects they have sciatica should see a doctor.

Pain from sciatica may build up over time or come on all at once. It can also vary between a dull ache and an excruciating tearing or burning feeling.

Many describe the pain as warm or sharp, and it typically radiates from one side of the lower back down to the hip or buttocks.

Working with a physical therapist to help strengthen the back muscles might help alleviate pain from sciatica. Practicing proper posture, especially while seated, might gradually strengthen the back and prevent extra pressure on the nerve as well.

Intervertebral disk degeneration

As a person ages, the structures in the body age with them. The rubbery disks that cushion the spine can begin to wear down, often causing pain and stiffness in the back.

Some OTC anti-inflammatory medications and workouts may help relieve pressure on the disks.

Herniated disk

A slipped, or herniated, disk occurs when one of the spinal disks ruptures. This can put pressure on the nerves, which causes intense, sharp pain.

If the disk puts pressure on these nerves, a person might experience symptoms such as:

• tingling pain or numbness in the lower back, buttocks, and legs
• muscle spasms
• weakness in the lower back and legs

Most cases respond well to mild treatment, such as rest and physical therapy. Surgery may be an option in more severe cases.

Read about some safe exercises for treating a herniated disk.

Serious injury from accidents

Forceful injuries from impact sports, car accidents, and falls may all cause sudden back pain. Anyone who experiences back pain after such an event should visit the doctor right away because the pain might be a sign of something more serious, such as a fractured bone in the back.

Other signs of serious injury in the back can include:

• loss of bladder control
• numbness in the groin or pelvis
• weakness in the legs
• pain when coughing or urinating

Anyone experiencing these symptoms should see a doctor.

Other chronic issues

Pain in the lower back may be due to an injury but may also be a sign of a chronic issue, such as:

In females, lower back pain might signal a range of conditions, such as ovarian cysts, uterine fibroids, or ovarian cancer.

Sometimes, a person will know the cause of a sharp lower back pain. It may happen after they bend to pick something up or after an intense workout at the gym. In these cases, rest and home care may be enough to help the body heal.

There are some occasions when a person should see a doctor.

See a doctor if the pain does not respond well to home treatments or if a pain that has no known cause lasts more than a couple days.

Troubling symptoms, such as tingling or weakness in the legs, are signs to visit the doctor, as well.

Take note of any symptoms as they appear to share with the doctor. During the visit, the doctor will likely ask the person to describe their symptoms and how long they have persisted.

They may ask the person to do a series of movements to try and find the exact point of pain in the back and determine the underlying cause.

They may also order imaging tests to help with the diagnosis in some cases, such as X-rays or MRI.

Read about 10 exercises for strengthening the lower back here.

Symptoms, Causes, Risk Factors & Complications

The upper back consists of the thoracic spine (bony structures called vertebrae surrounding the nerves of the spinal cord). Between the vertebrae are spongy sacs of cartilage called discs that act as a cushion and provide a range of motion to the back. Muscles, tendons and ligaments provide additional support. Any of these structures in the back can become irritated or inflamed in response to a variety of mild to serious conditions.

A common cause of mild to severe pain in the upper back is a sudden movement during sports activities or home improvement projects. Upper back pain can also be due to more serious conditions, such as fibromyalgia, spondylitis (a type of arthritis of the spine), or disc herniation. A bulging disc can put pressure on the nerve roots coming out from the spine, resulting in upper back pain. Although the lower back is a “hot spot” for bulging, or herniated, discs, the discs in the upper back can also deteriorate and rupture.

In addition, a problem in another part of the body, such as the heart, can radiate to the upper back. This is called referred upper back pain.

Structural causes of upper back pain

Thoracic back pain can be due to injury, inflammation, or infection of the bones and tissues including:

Life-threatening causes of upper back pain

In some cases, back pain may be due to a serious or life-threatening condition that should be evaluated as soon as possible or in an emergency setting. Possible life-threatening conditions that involve upper back pain include:

• Heart attack

• Kidney stones and disease (although this pain is usually below the rib cage)

• Multiple myeloma

• Spinal tumor or cancer (the tumor can be noncancerous, also known as benign)

What are the risk factors for upper back pain?

Although anyone can experience upper back pain, there are certain risk factors that make you more likely to develop it. Being older than 30 years of age and leading a sedentary lifestyle are the most common risk factors. These and other risk factors include:

• Congenital (present at birth) or acquired back deformities (such as scoliosis)

• Family history of back pain or spine disease

• Increasing age

• Obesity

• Poor posture

• Sedentary lifestyle

• Smoking

• Stress and anxiety

• Weak abdominal (core) muscles

What are the potential complications of upper back pain?

The complications associated with any kind of back pain depend on the underlying disease, disorder or condition. Most cases of upper back pain are not due to serious diseases and do not lead to long-term complications. Physical therapy, basic self-care measures, and following the treatment plan outlined by your doctor can help treat many causes of back pain and relieve pain. However, upper back pain may become chronic and overwhelming. If you are struggling, ask your doctor about advances in back pain treatment.

Over time, upper back pain can lead to complications including:

• Absenteeism from work or school

• Permanent nerve damage (due to a pinched nerve) including paralysis

• Physiological and psychological response to chronic pain

• Poor quality of life

Symptoms, Causes, Risk Factors & Complications

The middle back consists of the thoracic spine (bony structures called vertebrae surrounding the nerves of the spinal cord). Between the vertebrae are spongy sacs of cartilage called discs that act as cushions and provide a range of motion to the back. Muscles, tendons and ligaments provide additional support. Any of these structures in the back can become irritated or inflamed in response to a variety of mild to serious conditions.

A common cause of mild to severe pain in the thoracic spine is a sudden movement during sports activities or home improvement projects. People who normally lead a relatively sedentary lifestyle are at increased risk of these types of strains and sprains.

Middle back pain can also be due to more serious conditions, such as fibromyalgia, spondylitis (infection or inflammation of the spinal joints), or a herniated disc. A bulging disc can put pressure on the nerve roots coming out from the spine, resulting in middle back pain.

In addition, a problem in another part of the body, such as the heart or digestive organs, can radiate to the middle back. This is called referred middle back pain.

Diseases and disorders that can cause middle back pain

Middle back pain can be due to diseases and disorders of the bones and tissues in the back including:

• Osteoarthritis
• Osteomyelitis (infection or inflammation of the bones)
• Osteoporosis (thinning and weakening of the bones)
• Paget’s disease (abnormal bone tissue loss and reformation)
• Spinal degeneration (degenerative disc disease, also called spondylosis)
• Spinal stenosis (narrowing of the spinal canal, creating pressure on the spinal cord or nerves)
• Spondylitis (infection or inflammation of the spinal joints)

Structural causes of middle back pain

Middle back pain can be due to injury or misalignment of the bones and tissues in the back including:

• Herniated disc
• Kyphosis (abnormal curving of the upper spine and humpback)
• Muscle spasm
• Scoliosis (sideways curve of the spine)
• Spinal tumor or cancer (the tumor can be noncancerous, also known as benign)
• Spine fracture
• Sprains and strains due to overuse or injury

Other possible causes of middle back pain

Middle back pain can also be due to systemic problems or problems affecting other body systems, which can be serious or life threatening in some cases. These include:

What are the risk factors for middle back pain?

Although anyone can experience middle back pain, there are certain risk factors that make you more likely to experience it. Middle back pain can occur at any age, but it most often begins between 30 and 50 years of age. The activities associated with this age group, along with the increasing age of the spine and associated tissues, are the most influential factors in back pain. Risk factors include:

• Advanced age
• Congenital (present at birth) or acquired back deformities (such as kyphosis, an abnormal curving of the upper spine and humpback)
• Family history of back pain or disease (such as degenerative disc disease)
• Obesity
• Poor posture
• Pregnancy
• Sedentary lifestyle
• Smoking
• Stress and anxiety
• Weak abdominal (core) muscles

What are the potential complications of middle back pain?

The complications associated with middle back pain depend on the underlying disease, disorder or condition. For example, middle back pain resulting from a degenerative condition, such as spondylosis, can lead to inactivity and its associated complications.

You can best treat middle back pain and minimize the risk of complications by following the treatment plan you and your health care professional design specifically for you. In many cases, this may include physical therapy and basic self-care measures, such as rest and nonprescription pain relievers.

In some cases the degree and duration of your pain may become overwhelming and affect your everyday living.
Treatment and pain management for all types of back pain is an area of ongoing research. Contact your doctor to learn about your treatment options.

Over time, middle back pain can lead to complications including:

• Absenteeism from work or school
• Chronic pain
• Disability
• Permanent nerve damage (due to a pinched nerve) including paralysis
• Poor quality of life

Back pain – Symptoms and causes

Overview

Back pain is one of the most common reasons people go to the doctor or miss work, and it is a leading cause of disability worldwide.

Fortunately, you can take measures to prevent or relieve most back pain episodes. If prevention fails, simple home treatment and proper body mechanics often will heal your back within a few weeks and keep it functional. Surgery is rarely needed to treat back pain.

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Symptoms

Back pain can range from a muscle aching to a shooting, burning or stabbing sensation. In addition, the pain may radiate down your leg or worsen with bending, twisting, lifting, standing or walking.

When to see a doctor

Most back pain gradually improves with home treatment and self-care, usually within a few weeks. Contact your doctor if your back pain:

• Persists past a few weeks
• Is severe and doesn’t improve with rest
• Spreads down one or both legs, especially if the pain extends below the knee
• Causes weakness, numbness or tingling in one or both legs
• Is accompanied by unexplained weight loss

In rare cases, back pain can signal a serious medical problem. Seek immediate care if your back pain:

• Causes new bowel or bladder problems
• Is accompanied by a fever
• Follows a fall, blow to your back or other injury

Causes

Low back pain caused by spinal degeneration and injury.

Click here for an infographic to learn more

Back pain often develops without a cause that your doctor can identify with a test or an imaging study. Conditions commonly linked to back pain include:

• Muscle or ligament strain. Repeated heavy lifting or a sudden awkward movement can strain back muscles and spinal ligaments. If you’re in poor physical condition, constant strain on your back can cause painful muscle spasms.
• Bulging or ruptured disks. Disks act as cushions between the bones (vertebrae) in your spine. The soft material inside a disk can bulge or rupture and press on a nerve. However, you can have a bulging or ruptured disk without back pain. Disk disease is often found incidentally when you have spine X-rays for some other reason.
• Arthritis. Osteoarthritis can affect the lower back. In some cases, arthritis in the spine can lead to a narrowing of the space around the spinal cord, a condition called spinal stenosis.
• Osteoporosis. Your spine’s vertebrae can develop painful fractures if your bones become porous and brittle.

Risk factors

Anyone can develop back pain, even children and teens. These factors might put you at greater risk of developing back pain:

• Age. Back pain is more common as you get older, starting around age 30 or 40.
• Lack of exercise. Weak, unused muscles in your back and abdomen might lead to back pain.
• Excess weight. Excess body weight puts extra stress on your back.
• Diseases. Some types of arthritis and cancer can contribute to back pain.
• Improper lifting. Using your back instead of your legs can lead to back pain.
• Psychological conditions. People prone to depression and anxiety appear to have a greater risk of back pain.
• Smoking. Smokers have increased rates of back pain. This may occur because smoking prompts more coughing, which can lead to herniated disks. Smoking can also decrease blood flow to the spine and increase the risk of osteoporosis.

Prevention

You might avoid back pain or prevent its recurrence by improving your physical condition and learning and practicing proper body mechanics.

To keep your back healthy and strong:

• Exercise. Regular low-impact aerobic activities — those that don’t strain or jolt your back — can increase strength and endurance in your back and allow your muscles to function better. Walking and swimming are good choices. Talk with your doctor about which activities you might try.
• Build muscle strength and flexibility. Abdominal and back muscle exercises, which strengthen your core, help condition these muscles so that they work together like a natural corset for your back.
• Maintain a healthy weight. Being overweight strains back muscles. If you’re overweight, trimming down can prevent back pain.
• Quit smoking. Smoking increases your risk of low back pain. The risk increases with the number of cigarettes smoked per day, so quitting should help reduce this risk.

Avoid movements that twist or strain your back. Use your body properly:

• Stand smart. Don’t slouch. Maintain a neutral pelvic position. If you must stand for long periods, place one foot on a low footstool to take some of the load off your lower back. Alternate feet. Good posture can reduce the stress on back muscles.
• Sit smart. Choose a seat with good lower back support, armrests and a swivel base. Placing a pillow or rolled towel in the small of your back can maintain its normal curve. Keep your knees and hips level. Change your position frequently, at least every half-hour.
• Lift smart. Avoid heavy lifting, if possible, but if you must lift something heavy, let your legs do the work. Keep your back straight — no twisting — and bend only at the knees. Hold the load close to your body. Find a lifting partner if the object is heavy or awkward.

Buyer beware

Because back pain is so common, numerous products promise prevention or relief. But there’s no definitive evidence that special shoes, shoe inserts, back supports, specially designed furniture or stress management programs can help.

In addition, there doesn’t appear to be one type of mattress that’s best for people with back pain. It’s probably a matter of what feels most comfortable to you.

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Aug. 21, 2020

Sharp Low Back Pain: Causes and Risk Factors

Sharp low back pain can occur due to a sudden injury, such as a spinal fracture or sprain, or to issues like sciatica or degenerative damage of the vertebral discs. When the precise cause of sharp low back pain cannot be identified, it is described as “non-specific” back pain.

Low back pain that’s sharp and severe tends to come on suddenly and can be acute—sometimes lasting for no longer than three months.

Low back pain is a common complaint: An estimated 80% of adults experience an episode of low back pain at some point in their lives. It usually resolves on its own within a few days or weeks.

Verywell / Gary Ferster

Sharp, piercing pain is usually associated with simple, seemingly benign movements such as twisting or lifting something heavy.

Causes include:

• Muscle strain
• Lumbar sprain
• Facet joint pain
• Spinal fracture
• Sacroiliac (SI) joint dysfunction
• Disc damage

Several lifestyle factors may increase or decrease your risk of developing sharp low back pain.

Muscle Strain

A strain is an injury in which tendon or muscle fibers are overstretched or torn, triggering inflammation. When the low back is affected, the pain often emanates from the buttocks and may extend down the back of one or both legs.

Other symptoms of muscle strain include:

Lumbar Sprain

A lower back sprain, also called a lumbar sprain, occurs when ligaments—the tough bands of tissue that connect bones to bones—are injured.

Sprains can result from stretching or tearing a ligament from its attachment, often due to an injury such as a fall or an action that displaces the surrounding joint from its normal alignment.

A sprain can range from a mild ligamentous stretch to a complete tear. Common symptoms experienced after a sprain are:

• Bruising
• Swelling
• Instability
• Painful movement
• Painful muscle spasms

Facet Joint Pain

Facet joints are located behind the vertebrae and help to protect the spine from extreme movements in any direction.

They can be injured by a sudden jolt, such as whiplash, in which the spine is pulled out of alignment. Even the simple action of bending over to tie a shoelace can trigger facet joint pain.

Facet joints also are susceptible to degenerative arthritis (osteoarthritis), in which the cartilage around the joint that provides protective cushioning between vertebrae wears out. When the bones rub against each other, it causes pain.

The sharp pain caused by facet joint injury or degeneration can radiate from the lower back down to the buttocks and upper legs or up to the shoulder blades.

Facet joint pain can make it feel like your spine has “locked up” and may even make you unable to move for a few minutes.

Spinal Fracture

One type of spinal fracture—a compression fracture—occurs when vertebrae collapse under a load of an external force. This is common in traumatic spinal injuries or due to a bad fall when a vertebra is squeezed or crushed.

In older adults, loss of bone density associated with osteoporosis can increase the risk of these fractures, which may not cause symptoms right away.

Spinal fractures tend to cause sharp low back pain when you’re standing.

Sacroiliac Joint Dysfunction

The sacroiliac (SI) joints are located on either side of the lower back between the sacrum and the pelvic bones. They’re shock absorbers, decreasing stress on the pelvis and spine.

When you stand or walk, the SI joints help transfer the load from your upper body to the lower body.

Repetitive stress from daily movement or injury can wear down the cartilage around the SI joints, causing low back pain and limiting motion in the lower back or hips.

The intensity of sacroiliac pain is typically related to the extent of joint damage. When the cartilage is damaged or worn away, the bones begin to rub against each other. 

Movements or positions that stress the joints—standing up from a chair, walking upstairs, bending, and twisting—can worsen pain in the lower back and hips. That pain may radiate to the buttocks, groin, thigh, or below the knee.

SI joint pain also can be caused by:

• Running, jogging, and other activities involving continuous and repetitive pounding
• Injury or trauma to the ligaments surrounding SI joints
• Spinal surgery
• Uneven leg length that affects walking patterns
• Pregnancy

In the case of pregnancy, the SI joint-associated pain is due to extra weight, ligament laxity, and hormone changes—issues that usually resolve after the baby is delivered.

Sciatica

Sciatica occurs when there’s pressure on or damage to the sciatic nerve, which starts in the lower back and runs down the back of each leg.

The sciatic nerve controls the muscles in the back of the knee and lower leg, and makes it possible to feel sensation in the back of your thigh, lower leg, and even the soles of your feet.

When the sciatic nerve is compressed, you may feel a burning sensation and pain. If the nerve is pinched, you may also feel numbness and weakness in your leg due to an interruption of the nerve signal.

In some cases, sciatica may be caused by a tumor or cyst that is pressing on the nerve or nerve roots.

Disc Damage

Sharp low back pain from a herniated or ruptured disc can occur when the intervertebral discs become compressed and bulge outward, also described as a slipped disc.

When a disc slips, all or part of it exerts pressure on surrounding nerves or the spinal cord. A disc can also rupture due to an injury or strain.

Because they act as a cushion, intervertebral discs facilitate a full range of lower back movements, such as flexing, bending, or twisting. However, disc deterioration reduces that cushioning and leads to sharp pain. It also can cause some people to lose several inches of height.

Annular tears (tears of the ligament) that occur in the outer layer of the intervertebral disc can also cause acute low back pain. The pain can be severe, even if there is only a small amount of tissue damage.

Lifestyle Risk Factors

Lifestyle factors that can increase your risk of sharp low back pain include:

• Excess body weight
• Repetitive bending or twisting of the lower back
• Lifting heavy objects the wrong way
• Sitting or standing for hours in the same position
• A generally sedentary lifestyle

Some research suggests smoking may also up your risk of sharp low back pain.

A Word From Verywell

Low back pain is one of the most common medical conditions in the United States. Often, if you have a sprain or strain, the pain will resolve itself.

However, it can be caused by a serious injury, so it is important that you see a doctor. As you are recovering, seek medical guidance to ensure that you are reducing any of your risk factors for low back pain.

Lumbar Strain | Cedars-Sinai

Not what you’re looking for?

What is a lumbar strain?

A lumbar strain is an injury to the
lower back. This leads to damaged tendons and muscles that can spasm and feel sore. The
lumbar vertebra make up the section of the spine in your lower back.

What causes lumbar strain?

Injury can damage the tendons and
muscles in the lower back. Pushing and pulling sports, such as weight lifting or
football, can lead to a lumbar strain. In addition, sports that require sudden twisting
of the lower back, such as in tennis, basketball, baseball, and golf, can lead to this
injury.

Certain risk factors can increase
the risk for this injury. The risk factors are:

• Severe lower back curvature
• Forward-tilted pelvis
• Weak back or abdominal muscles
• Tight hamstrings

What are the symptoms of lumbar strain?

The following are the most common symptoms of a lumbar strain. However, each person may experience symptoms differently. Symptoms may include:

• Sudden lower back pain
• Spasms in the lower back that result in more severe pain
• Lower back feels sore to the touch

The symptoms of a lumbar strain may
look like other conditions and medical problems. Always talk with your healthcare
provider for a diagnosis.

How is lumbar strain diagnosed?

In addition to a complete medical
history and physical exam, diagnosing low back pain may include the following. However,
specialized tests aren’t usually required.

• X-ray. A diagnostic test that produces images of internal
  tissues, bones, and organs onto film.
• CT scan. This is an imaging test that uses X-rays and a
  computer to make detailed images of the body. It shows details of the bones, muscles,
  fat, and organs.

• MRI. This test uses a combination of large magnets,
  radiofrequencies, and a computer to produce detailed images of organs and structures
  within the body.
• Radionuclide bone scan. A nuclear imaging technique that
  uses a very small amount of radioactive material, which is injected into your
  bloodstream to be detected by a scanner. This test shows blood flow to the bone and
  cell activity within the bone.
• Electromyogram (EMG). A test to evaluate nerve and muscle
  function.

How is lumbar strain treated?

Treatment will depend on your symptoms, age, and general health. It will also depend on
how severe the condition is.

Treatment may include:

• Rest
• Ice packs and/or heat and compression
  applied to the back
• Exercises (to strengthen the abdominal
  muscles)
• Stretching and strengthening exercises
  (for the lower back as it heals)
• Learning how to use and wear
  appropriate protective equipment

Medicines, such as
anti-inflammatories and spinal injections, may also be used to relieve pain and
inflammation.

When should I call my healthcare provider?

Call your healthcare provider if any of the following happen:

• You’re unable to stand or walk.
• You have a temperature over 101.0°F
  (38.3°C).
• You have frequent, painful, or bloody urination.
• You have severe abdominal pain.
• You have a sharp, stabbing pain.
• Your pain is constant.
• You have pain or numbness in your leg.
• You feel pain in a new area of your back.
• You notice that the pain isn’t decreasing after more than a week.

Call your healthcare provider
immediately for the following:

• Pain radiating down the leg
• Pain that is accompanied by fever, weakness in the leg, or loss of control of the bladder or bowels

Living with lumbar strain

Cold reduces swelling. Both cold and heat can reduce pain. Protect your skin by placing a towel between your body and the ice or heat source.

• For the first few days, apply an ice
  pack for 15 to 20 minutes.
• After the first few days, try heat for 15 minutes at a time to ease pain. Never sleep on a heating pad.
• Over-the-counter medicines can help control pain and swelling. Try aspirin or ibuprofen.

Exercise

Exercise can help your back
heal. It also helps your back get stronger and more flexible, helping prevent
reinjury. Ask your healthcare provider about specific exercises for your back.

Use good posture to prevent reinjury

• When moving, bend at the hips and knees. Don’t bend at the waist or twist around.
• When lifting, keep the object close to your body. Don’t try to lift more than you can handle.
• When sitting, keep your lower back supported. Use a rolled-up towel as needed.

Key points about lumbar strain

• Lumbar refers to your lower back.
• Strain can cause damage to the tendons and muscles causing pain and soreness.
• Nonsurgical methods can cure most low back pain.
• Call your healthcare provider if symptoms don’t get better over the next several days or if symptoms get worse.

Next steps

Tips to help you get the most from a visit to your health care
provider:

• Know the reason for your visit and what you want to happen.
• Before your visit, write down questions you want answered.
• Bring someone with you to help you ask questions and remember
  what your provider tells you.
• At the visit, write down the name of a new diagnosis, and any
  new medicines, treatments, or tests. Also write down any new instructions your
  provider gives you.
• Know why a new medicine or treatment is prescribed, and how it
  will help you. Also know what the side effects are.
• Ask if your condition can be treated in other ways.
• Know why a test or procedure is recommended and what the results
  could mean.
• Know what to expect if you do not take the medicine or have the
  test or procedure.
• If you have a follow-up appointment, write down the date, time,
  and purpose for that visit.
• Know how you can contact your provider if you have questions.

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90,000 Shoulder and neck pain – causes, treatment and prevention

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Date of last update: 22. 03.2021

Average reading time: 2 minutes

Contents :

What triggers neck pain
Motrin® for pain and neck

One of the most common causes of neck and shoulder pain is muscle pain in these areas.Well-coordinated work of the back muscles is essential for the proper functioning of the spine. They allow a person to keep the neck and back in an upright position, fix the vertebrae together, which allows the body to unbend, bend and turn, and also help to maintain the natural curvature of the spine, the violation of which will negatively affect the functioning of internal organs.

What provokes the appearance of neck pain

Spasms of the muscles of the upper back and muscles of the neck can occur due to injuries, physical strain, such as improper posture.Sleeping on an uncomfortable pillow can also cause pain in the shoulders and neck. Usually this condition is manifested by painful sensations, limitation of neck mobility. The pain usually goes away within six weeks. To speed up the process, you can do special exercises, and it is also necessary to eliminate the cause of the painful sensations.

The provoking factors include:

• prolonged stay in the same position of the body;
• the habit of slouching, holding your back incorrectly while working and walking;
• overweight;
• hypothermia;
• exacerbation of chronic diseases;
• injuries;
• pathology of the spine;
• Wearing tight, uncomfortable shoes with high heels;
• Uncomfortable position of the body during sleep.

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Motrin® for pain and neck pain

Motrin ^® is a modern pain reliever with anti-inflammatory action. One of the advantages of the application is the long-term analgesic effect – up to 12 hours ¹ .

The drug has a proven clinical efficacy and a high safety profile.

Motrin® is available in the form of tablets that can be used by adults and children over 12 years of age. Read the instructions before use.

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

1 – Frick et al. Efficacy and safety of naproxen sodium and ibuprofen for pain relief after oral surgery. Ongoing Therapeutic Research.1993; 54 (6): 619-27.

Low back pain – causes of occurrence, under what diseases it occurs, diagnosis and treatment methods

IMPORTANT!

The information in this section cannot be used for self-diagnosis and self-medication. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For a diagnosis and correct treatment prescription, you should contact your doctor.

Low back pain – the causes of the appearance, with what diseases it occurs, the diagnosis and methods of treatment.

Low back pain occurs in almost everyone, especially after 40 years. One of the reasons is osteochondrosis – a degenerative-dystrophic change in the spine. However, in many cases it does not explain the nature, severity and duration of back pain.

Varieties of pain

Back pain can be a symptom of a serious medical condition, but the vast majority of pain is benign.One of the main points to consider when diagnosing back pain, and in particular low back pain, is its duration. In most cases, muscle pain can last up to two weeks and then disappear. Pain caused by organic changes in the spine (intervertebral hernia, arthrosis) lasts much longer and can radiate to the leg, perineum, accompanied by a feeling of numbness, burning, goose bumps.

Pain caused by cardiovascular diseases, diseases of the abdominal organs are of greater intensity and duration.

Possible Causes

Pain due to disease or injury of the spine

In most cases, back pain is caused by dysfunction of the intervertebral joints.

A decrease in the distance between the vertebrae due to degenerative changes in the intervertebral discs leads to an increase in the friction of the articular surfaces.This can cause subluxation and blockage of the joint. The muscles surrounding the affected joint are in a state of overstrain for a long time, which increases joint pain.

Most often, pain in diseases of the spine is dull in nature, that is, its intensity increases gradually, increasing with movement and weakening at rest. …

In cases of severe osteochondrosis, pain can be caused by compression of the nerve endings (spinal roots) during the formation of a herniated disc.Acute shooting or stabbing pain can become constant over time and occasionally radiate to the leg with sudden movements, coughing, sneezing. Pain syndrome is usually accompanied by numbness, tingling, burning. Similar symptoms are combined with loss of sensitivity in the area of ​​the affected nerve, loss of reflexes, muscle weakness.

Serious spinal injuries (fracture, fracture dislocation) are accompanied by severe pain and require emergency medical intervention.

If a fracture occurs as a result of compression of the vertebral body, then it is called compression.

In older people, such a fracture is possible due to osteoporosis, which is more common in women. A compression fracture, sometimes even with minimal external stress, is caused by damage to the spine during metastasis of malignant tumors.

Diagnostics and examinations

When diagnosing, the doctor takes into account orthopedic defects, the presence of symptoms such as urinary or defecation disorders; spreading pain down the leg; lack of relief after taking pain relievers; weakness and numbness in the leg.To confirm the diagnosis, it is necessary to perform:

90,000 Low Back Pain Treatment – New Hospital

Pain, lumbago, constant heaviness, are you familiar with such sensations in the back?

Harmless pulling pain is often a sign of a dangerous illness. In our article we will analyze all the causes of the disease.

Reading time 7 minutes, devote them to your health.

Reasons

1. Diseases of the spine and pelvic bones.

• Osteochondrosis (damage to intervertebral discs (protrusion, herniated discs)
• Spondylitis (inflammatory disease of the spine)
• Spondyloarthrosis (arthrosis of the intervertebral joints)
• Spondylosis (bone growths)
• Spondyloarthritis (inflammation in the intervertebral joints)
• Myositis (muscle inflammation)
• Osteoprosis (decreased bone density) with compression fractures of the vertebrae and other bone structures
• Injury of the spine and pelvic bones (fractures, cracks)
• Sacroiliitis (inflammation in the sacroiliac joints)
• Tumors of bone structures and soft tissues

2.Reflected pain in the lumbar spine , associated with diseases of the abdominal cavity and small pelvis (inflammatory diseases and tumors), this pain is often accompanied by abdominal pain.

The nature of pain can be different:

• Acute is pain that occurs quickly, suddenly
• Chronic – pain for more than 2 months, occurs with the progression of diseases of the spine
• For inflammatory pathologies of the genitourinary system, abdominal organs (for chronic gastritis, pancreatitis, cholecystitis, enterocolitis)

Pain intensity

from discomfort to severe pain syndrome

In case of acute and intense abdominal pain radiating to the lumbar spine, it is always necessary to exclude surgical pathology that requires urgent surgical intervention (gastrointestinal bleeding, appendicitis, peritonitis, etc.).

Intense pain in the lumbar spine
May be reflex (muscle spasm caused by irritation of receptors in the paravertebral muscles). It hurts a person to cough, sneeze, all movements are accompanied by pain. When the nerve root is compressed (disc protrusion, disc herniation), the pain spreads to the lower extremities, often from one side.

Myofascial syndrome
It is caused by irritation of pain receptors in muscles and fascia.Triggers (pain nodes) are formed in the muscles, pain syndrome is chronic, often recurrent.

Any trauma to soft tissues or bone structures is also accompanied by intense pain.

When do I need to see a doctor?

Any case of lumbar pain requires medical attention.
This will help identify the cause of the pain and take action.

Pain in men, women

With diseases of the reproductive system, pain syndrome differs in males and females.

For men with prostate pathology, a pulling, aching pain is characteristic, often accompanied by a violation of urination.
In women, the symptom is more often acute, pronounced. With ovarian apoplexy or ectopic pregnancy, the pain is unbearable. Usually the syndrome is more intense on the affected side.

With endometriosis, uterine myoma – aching, pulling sensations.
If pain is associated with a pathology of the spine, the intensity of the pain does not depend on gender. It is noticed that men go to the doctor later.

Expert examination

• vertebroneurologist
• gastroenterologist
• neurosurgeon
• surgeon
• gynecologist
• urologist
• rheumatologist
• Oncologist

Laboratory Methods

• general blood test (to exclude the inflammatory process, the level of leukocytes, ESR), exclusion of anemia (hemoglobin level)
• general urine analysis: exclusion of the inflammatory process in the bladder, kidneys (bacteria, leukocytes, erythrocytes)
• fecal occult blood test
• blood biochemistry: rheumatological tests to exclude systemic inflammation (CRP, RF, uric acid), liver function assessment (alt ast bilirubin), renal function assessment (creatinine urea), pancreatic function (amylase), etc.

Instrumental research methods

• X-ray of the lumbar spine and pelvic bones Plain X-ray of the abdominal cavity (excluding intestinal obstruction)
• Ultrasound of the abdominal cavity and small pelvis
• FGDS
• colonoscopy
• MRI (CT) of the lumbar spine, MRI (CT) of the lumbar spine with contrast
• MRI (CT) of the abdominal cavity and small pelvis, MRI (CT) of the abdominal cavity and small pelvis with contrast

Treatment

When a tumor is detected, depending on the location and nature of the tumor, the tactics of treatment, surgery, or others are determined. (observation and treatment in a neurosurgical, surgical hospital, oncological dispensary)

Drug treatment

Diseases of the spine (more often within the framework of osteochondrosis):

• NSAID
• muscle relaxants
• opioid analgesics
• diuretics
• vascular preparations
• antibacterial drugs
• medical and therapeutic blockade with novocaine, lidocaine and diprospan

Non-drug methods

Mainly used in the treatment of diseases of the spine

• physiotherapy (magnetic laser, magnetotherapy, CMT with novocaine, etc.)
• acupuncture
• Hardware traction of the lumbar spine
• manual therapy
• massage
• balneotherapy (mud applications, ozokerite)
• exercise therapy

Prevention for diseases of the spine (within the framework of osteochondrosis) all of the above methods (except physiotherapy)
Prevention of diseases of the gastrointestinal tract: diet, diet, work and rest.

If you have pain in the lumbar spine, contact the multidisciplinary clinic “New Hospital”. We will help you identify the cause and choose a treatment strategy.

In our hospital there are all the specialists and all the diagnostic methods presented in this article. There are also inpatient departments: a gastroenterological department and a city vertebrological center.
All methods of treatment are used except surgery. You can be monitored, examined and treated on an outpatient basis, that is, outside the hospital.

Treatment prices

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> 20

medical directions

1400

daily services provided

Our specialists

Andrey Andreevich
Morozov

Headbranch

Igor Valerievich
Kolobov

Physician – neurologist

Natalia Nikolaevna
Ulanova

Physician – neurologist

Leonid Fedorovich
Konyukhov

Physician – neurologist

Elena Viktorovna
Barsukova

Physician – neurologist

Yulia Mikhailovna
Maltseva

Physician – neurologist

Maria Vladimirovna
Pravdina

Physician – neurologist

90,000 Back pain: causes, treatment, orthotics

Causes of back pain and risk groups

Back pain is one of the most common complaints of diseases of people of working age, elderly and senile age. The human spine bears almost the entire weight of a person. It consists of 33-34 vertebrae, which are connected by intervertebral discs. Thanks to this connection, the vertebrae can move relative to each other. The sacrum and coccyx are special parts of the spine. The sacrum is formed by five fused vertebrae, and the coccyx is a rudimentary part of the spine that does not perform a supporting function.

Pain can develop in any one or all three parts of the spine.Most often, pain occurs in the cervical, thoracic and lumbar spine. Pain can be caused by diseases and injuries of the discs (protrusion of the disc, herniated disc) and intervertebral joints (arthrosis of the facet joints), or other conditions. 90,022 The number of people with back pain has increased dramatically in recent years and decades, making this the most common complaint in the world.

Types of back pain

Acute back pain lasts up to six weeks.If it lasts up to 12 weeks, it is called subacute. Pain that persists after 12 weeks is called chronic pain.
Depending on the definition of certain causes of pain, there are

• nonspecific back pain
• specific back pain

Specific back pain

Specific back pain

If the exact cause of the pain is known, it is referred to as specific back pain.

Examples of specific pain are trauma, lesions of the intervertebral disc, inflammation of the intervertebral joints (arthrosis of the facet joints).

Nonspecific back pain

Nonspecific back pain

In some cases, back pain is classified as nonspecific, since it is not possible to accurately determine its cause.

Nonspecific back pain can occur with poor posture or lack of physical activity.

Symptoms and Complaints

Almost everyone has experienced either “lumbago” or mild back pain. “Back again!” – a very common phrase, because the back is under significant stress every day. Hours spent sitting in the office, slouching in front of the computer, lifting and carrying heavy objects, or working in the garden in a position: minor back pain is an integral part of everyday life.

Back pain must be taken seriously. The reason for contacting the doctor should be situations when the pain does not go away for several days, when certain movements intensify the pain or when the pain radiates to the limb (s), and especially when there is a feeling of numbness .

Shooting pains in the lower extremities are characteristic of compression of the spinal cord or its roots (for example, herniated disc). The pain inherent in arthritic changes in the intervertebral joints is usually dull and local.The nature and intensity of pain can vary greatly from person to person. Only a doctor can, on the basis of complaints and symptoms, prescribe the necessary examination and treatment appropriate to the situation. Depending on the situation, the doctor may prescribe physiotherapy, therapeutic exercises, or schedule surgery. With conservative treatment and during the period of postoperative rehabilitation, it is very important to regularly to do physiotherapy exercises, because they train muscles, stabilize the spine and reduce pain.

Most common causes of back pain

The spine or vertebral column is a complex structure consisting of vertebrae, intervertebral discs and ligaments ¹ . Pain occurs when the interaction of these structures is disturbed. Typical reasons are:

Stress

Stress causes back pain

Predominantly sedentary work and lack of physical activity in daily life lead to chronic tension in the muscles of the back and pain in the spine in the absence of any disease.

Did you know that emotional stress at work and in your personal life also leads to muscle tension? For more information on the link between psychological stress and back pain, see this brochure.

Download brochure

Hernia

The intervertebral discs act as biological shock absorbers and separate the vertebral bodies from each other. With a decrease in the elasticity of the disc, it begins to bulge into the lumen of the spinal canal (the so-called prolapse), and its height decreases.The latter negatively affects the work of the intervertebral joints, because their biomechanics is disrupted.

If the protruding part of the intervertebral disc presses on the sensitive nerve fibers, then various sensory disturbances may occur in the innervation zone of the compressed nerve: pain, tingling, numbness, creeping, etc. If the motor nerve fibers responsible for the work of the muscles are compressed, then the function of the innervated muscle is disrupted, up to paralysis.

Blocking

Posture disorders and heavy lifting can lead to disruption of the anatomical relationships of the structures of the spine.In some cases, this leads to the so-called block of intervertebral joints, usually accompanied by severe pain. When the intervertebral joints are blocked, the back muscles are in a state of painful spasm. Thus, pain occurs not only in the blocked joint, but in the muscles. This dramatically reduces the physical activity of patients up to the inability to walk. When blocking intervertebral joints, effective stabilization of the spine with medi braces helps to eliminate muscle spasm, localize pain and increase motor activity.

Degenerative changes

As we age, our spine gradually changes its structure, which is described by the general term “degenerative changes”. In this case, the word “degenerative” means irreversible changes as a result of aging. Despite the irreversibility of the process, the use of orthoses helps to relieve and improve the patient’s condition.

Degenerative changes in the intervertebral disc imply a violation of its elasticity, a decrease in height and bulging into the lumen of the spinal canal.A decrease in disc height causes increased stress on the intervertebral (facet) joints.

Muscle Causes

The position of the spine, including the lumbar spine, is stabilized by the work of the muscles. The back muscles, the abdominal muscles and the muscles of the lateral abdominal wall are involved in maintaining posture. Muscle work makes the load on the intervertebral discs more even and prevents excessive stretching of the tendon-ligamentous apparatus.Any pain syndromes negatively affect the functioning of muscles, which can lead to local hypertonicity or, conversely, local weakness. As a result, the stabilization of the spine is impaired. This, in turn, provokes an increase in the hypertonicity of some muscles, i.e. a vicious pathological circle is formed.

Therapeutic gymnastics helps to break the pathological circle, allowing to restore the symmetry of the tone of the muscles of the trunk.

Deformations

The cause of back pain can be localized not only in the trunk.For example, abnormal gait biomechanics can also cause back pain. First of all, this is due to the loss of the cushioning function of the foot in case of certain deformations. Another reason may be the difference in the length of the limbs, exceeding the normal values.

Good news: In many cases, back pain goes away after a few weeks. Nonspecific pain is successfully treated with the help of mobilization techniques (manual therapy) and medication.With such pain, exercise therapy exercises are very effective.

Prevention

Each of us can reduce the strain on the back and prevent pain.

Exercises useful for the back.

There are strength training exercises that you can easily integrate into your daily routine. This complex was developed in conjunction with a specialist in physiotherapy exercises.

Try it! And your back will thank you.

Try it!

• Regular exercise : Three 45-minute sessions per week will help improve well-being, activate the immune system and help maintain muscle tone.Optimal back sports are swimming and walking.
• Balanced nutrition : Proper nutrition prevents excess weight, which is an additional burden on the back.
• Lift Weights Correctly : When lifting weights, squat down and lift the load by extending your legs, not your back muscles.
• Carry weights correctly : Carry heavy objects as close to your body as possible.Don’t carry heavy things in one hand.
• Be physically active : Sedentary workers should take every opportunity to increase their physical activity, such as walking up stairs better, getting up more often during the day, walking while talking on the phone, and taking walks during their lunch break.

Ergonomic workstation

Back pain often occurs at the workplace. Prolonged sitting in the wrong position can lead to chronic muscle fatigue and subsequent pain. Also, back pain is often provoked by work associated with frequent bending and lifting.

Download the medi brochure to learn more about ways to keep your back healthy at work and in your daily activities.

Download brochure

Back pain treatment

There are many treatments for back pain.First of all, the attending physician chooses between conservative and surgical treatment. The latter is used when conservative treatment is ineffective and in a number of other cases.

Orthotics

View our Orthopedic Products for Back Pain brochure.

Download brochure

Physiotherapy and massage

Physiotherapy and massage

Complexes of remedial gymnastics and special exercises for the back should be performed under the supervision of a doctor or physiotherapy instructor until you have mastered the technique of performing each exercise. Such sets of exercises are developed to train the strength of the musculature of the trunk.The doctor chooses the exercises that best suit the patient. Massage and physical therapy may be prescribed to reduce the intensity of pain.

Drug treatment

Drug treatment

Drug therapy is prescribed to reduce pain and inflammation in the acute period. Taking pain relievers helps to eliminate the uncomfortable protective position that the patient takes to relieve pain.Medication should only be taken as directed by a doctor.

Back Exercises

Strong trunk muscles protect the spine from adverse stress, reduce the likelihood of spasm and pain. To prevent back pain, you should regularly do exercises to train your back muscles. Swimming or walking is also helpful.

The set of exercises combines strength training and stretching exercises, and is designed for 20 minutes.The optimal frequency of exercise is 2-3 times a week. Important: consult your healthcare professional before exercising.

Strength training

Orthopedic products for the spine

Medical braces and braces for the spine are designed to treat pain and muscle spasms.Modern bandages and corsets effectively fight pain and increase the level of physical activity. Depending on the diagnosis, devices with greater or lesser potential are used to stabilize the lumbar spine.

Lumbar braces and corsets with a higher height and more rigid stabilizing elements better stabilize and support the spine in the desired position. The ability to move without pain and participate in social life eliminates the seeming bulkiness of even the most rigid corsets.

Stylish orthosis – practical guide

Can a spine orthosis be fashionable and stylish? You can get the answer by reading our brochure.Learn how to take care of your health and dress appropriately for the occasion at the same time.

Treatment can be trendy!

Download the brochure!

medi products for effective back support

Bandages and corsets medi

The medi company manufactures a large number of orthopedic devices for the treatment of a wide variety of diseases.Hundreds of thousands of people around the world note the high efficacy of medi products, including those intended for the treatment of back pain. At the same time, patients point to the high comfort and durability of the products. Thanks to the special design, all medi lumbar braces are easy to put on. Additional comfort in the sitting position is also provided by a design solution – a special pattern in the groin folds.

Stabilization of the lumbar spine with medi orthopedic products is not accompanied by muscle weakening, much less atrophy.As already mentioned, the ability to move without pain increases the physical activity of patients. In addition, orthopedic support is aimed at eliminating excessive and / or painful mobility, and not at immobilization, which is the reason for the functional inactivity of muscles and their weakening.

Find out more about medi orthopedic products for the spine.
Use the filter on the left side of the screen to select the product you want.

Sources

¹ Klein, Dr Christoph (2014): Orthopedics for patients.Understanding medicine. Remagen: Published Michels-Klein, p. 277.

Diagnostics and treatment

Types, causes and treatment of back pain.

Backache

90,000 Spine pain

Once the ability to walk upright helped our ancestors to win in intraspecific struggle and survive in new conditions. But for this ability, humanity had to pay with problems with the spine.They are in most cases the cause of back pain.

Statistics say that almost every inhabitant of our planet during his life is faced with back pain. By the age of fifty, more than 80% of men and at least 60% of women suffer from spinal diseases. Moreover, the first complaints fall on the most active and able-bodied period of life – 25–35 years, and radiological signs of osteochondrosis can be detected already in adolescence.

Most often, pain in the spine occurs as a consequence of an improper lifestyle, and is also the result of spinal injuries, scoliosis, disc herniation, osteoporosis, spondylosis and spondyloarthrosis, inflammatory and tumor injuries of the spine. Moreover, ignoring such pains, we run the risk of missing a serious pathology of the spine and starting treatment with a delay, thereby significantly reducing its effectiveness.

Risk Factors

The causes of back pain can be associated with both negative changes in the spine and the psychological state of a person.The main risk factors include being overweight, a “sedentary” lifestyle, excessive physical activity, or, on the contrary, an inactive lifestyle. Long-term regular stay in an uncomfortable position, abrupt movements, contributing to microtraumas of the spine, adversely affect the back. At risk are professional athletes, representatives of such professions as a cook, a hairdresser, a driver, a salesman, as well as a large army of office workers. A harmful habit such as smoking also contributes to the destruction of the spine.There is evidence that the aging process of intervertebral discs in smokers occurs much faster than in non-smokers. Stress and depression, especially prolonged depression, can also provoke back pain and interfere with the patient’s recovery process.

History of recovery from pain in the spine

Treating ailments that cause back pain is not easy. As a rule, this is a whole “bunch” of diseases, therefore, the approach to them should be complex.Here it is very important for the patient to understand that the outcome of treatment will largely depend on his own efforts. Patients themselves can best tell about this.

Vladimir, 36 years old:

“For a long time, I did not pay attention to back pain, muscle cramps, headaches and dizziness. I thought it was the result of ordinary fatigue. But when my heart began to ache, I decided to see a doctor. In the clinic “Scandinavia” they explained to me that my complaints were related to the pathology of the spine and sent to the Center of Neurology and Rehabilitation on Vasilievsky Island.In addition to problems with the spine, they also revealed incipient hypertension and excess weight. Prescribed treatment: first I had to drink a course of drugs, undergo manual therapy and, finally, rehabilitation on simulators.

As a child, I went in for sports a lot, so the simulators were especially interested in me. This is the so-called David Back Concept biomechanical training complex. Before starting classes, you need to be tested. The computer program determines the initial state of the muscles and the mobility of the spine and calculates the training program taking into account individual characteristics.As they explained to me, it is very important to train muscles in such a way that there is no “skew” and unnecessary overload of the spine. At the end of the course, testing is done again. And here it becomes clearly visible what changes have taken place.

The entire course of treatment took two months. The headaches and pains in the spine are gone, the cardiogram has improved. But I would describe the main changes in a different way – a mass of vital energy appeared, the long-forgotten ease of movement returned, which I had not experienced since my youth ”.

The Competent Approach to Back Pain

The head of the Center for Neurology and Rehabilitation of the Scandinavia Clinic answers questions. Tatyana Valerievna Beshlyaga , a neurologist of the first category .

– What should be done to prevent spinal diseases?

– Of course, physiotherapy exercises and any massage course will be useful. However, if the pain has already appeared, then all this is not a panacea.Such measures give a temporary result, since the causes that led to the pain persist. This applies to pathological or conditionally pathological changes in the spine, as well as lifestyle and nature of stress. To avoid diseases of the spine, it is necessary to strengthen the muscles of the back and constantly keep them in good shape. In general, the human body is designed to move. We must not forget about this.

– What should not be done if you have a sudden sharp pain in your spine?

– When acute pain occurs, it is always a signal that something is wrong with our body.Usually, back pain is also accompanied by muscle spasm, which limits the mobility of the affected segment of the spine, therefore, in this situation, it is categorically contraindicated to engage in violent “development” of the spine. Unfortunately, not everyone knows about this: someone begins to actively do physical exercises, independently engage in physiotherapy exercises, someone does a massage, someone takes a hot bath or goes to a sauna. All this is wrong, as it contributes to additional damage to the structures of the spine and nerve roots.And in no way contributes to healing. Therefore, in the event of acute back pain, it is best to take an anesthetic medication and consult a doctor immediately.

90,000 Why back pain is dangerous and why it cannot be ignored

Back pain is a common occurrence even among the younger generation. Tingling, bruising, fatigue, discomfort – discomfort brings any discomfort at the end of the working day or after physical exertion. And sometimes the back can ache after sleep, after a sudden sneeze or cough, with an unsuccessful tilt, jump, too soft sofa …

If you begin to notice painful sensations in the back, you need to eliminate the cause of the ailment and start treatment.

The statistics are relentless: only 5% of people over 18 years old do not have pronounced problems with the spine. The most common symptoms are a pulling lower back, numbness in the arms and legs, sharp or dull pain. In America, researchers have come to the conclusion that pain in the back is the most common reason for going to the doctor and absenteeism at work for health reasons.

Many are very negligent about the unpleasant sensations, tingling sensations that have appeared – attributing to a sudden and unreasonable appearance, in the expectation that “it will pass by itself.”But too often the cause turns out to be extremely serious, and a neglected disease can turn into disability after a few years.

In case of acute back pain that does not go away for more than 3 days, and with frequent pain symptoms, you should consult a doctor!

In the absence of treatment, the disease of the spine will begin to progress, causing more and more inconvenience, pain and, ultimately, this will affect the appearance and capacity of a person.Don’t expect consequences:

• The transition of the disease to a chronic form will affect more muscles and joints, and the amount for treatment will grow like a snowball;
• In the early stages, spinal disease can be treated without surgery. If left untreated to avoid disability, surgery may be the only salvation;
• Disability, recumbency and costly patient care;
• Pathology in the spine is not just pain and curvature: the disease can affect the functioning of all internal organs and systems, including urinary incontinence, lack of erection and loss of limb sensitivity;

Do not wait until the disease progresses to a severe stage – rush to see a doctor as early as possible.

• Tension and muscle spasms. At risk are people with routine sedentary work, rarely playing sports. The pain appears after light exertion on the muscles or back. If untreated, it turns into a permanent spasm with myofascial pain syndrome.
• Violation of the symmetry of the spine. Scoliosis, kyphosis – any curvature can cause discomfort, spoil the appearance, and in a neglected form, cause constant pain.
• Hernias.When the intervertebral disc is deformed, pressure is exerted on the spinal cord and the nerves are pinched. There are severe pains up to the inability to move, neurological disorders.
• Osteochondrosis. Degenerative appearance of premature signs of aging and destruction of joints, intervertebral discs, bones.
• Osteoarthritis of the intervertebral joints. The destruction of the cartilage of the joints and nearby bone tissue is observed in 4/5 of the world’s population over 55 years old.
• Osteoporosis of the vertebrae.Slow but irreversible destruction of bone tissue. In an advanced form with such a disease, with a slight load on the back, a compression fracture of the spine can be obtained.
• Ankylosing spondylitis. Curvature of the spinal column as a result of numerous destruction of the ligaments, articular elements of the spine, incessant pain and difficulty in movement.

There are actually many more reasons. Self-diagnosis has remained in the last century – modern medicine allows you to accurately diagnose the disease and select an individual course of treatment for the spine.Only an experienced doctor can not only remove the symptoms of the disease, but also eliminate its causes in the early stages without leaving a trace.

A visit to the doctor is required when:

• Acute pain does not subside after 2 days;
• Pain is stable or increasing;
• Soreness when walking interferes with your daily activities and work;
• There is a shooting pain in the limbs;
• After a bruise or injury, the back does not stop hurting;
• After physical exertion or after sports, discomfort appears, tension in the muscles of the back;
• There was a prolonged tingling numbness of the arms, legs, groin area;
• You notice incontinence of urine, stool;
• When soreness appeared, the body temperature became higher than normal;
• Pain appears and does not go away during rest, when the weather changes;
• The pain appears sporadically, but at the same time the weight began to go away.

You may be at risk!

• Lead a sedentary lifestyle, exercise little. The muscle corset loses its tone, weakens. Because of this, the bone tissue of the vertebrae becomes fragile, and the discs and joints between the vertebrae age prematurely.
• Overload the back. Despite the pain and discomfort, they continue training – damage is inflicted on the spinal column and its parts constantly, as a result of which destruction leads to pain and irreversible consequences.
• Are overweight. The body is designed for certain loads, when the body weight is exceeded, the vertebral frame cannot cope and is destroyed ahead of time.
• Work in a tense, uncomfortable and asymmetrical posture. Uneven load on the vertebrae and intervertebral discs leads to curvature.
• Heavy objects are worn or lifted incorrectly. Incorrect tilt and bend of the lower back can lead to injury, even with light exertion.
• Are often stressed.Anxiety, mood swings, and nervous disorders are the most subtle and destructive causes of diseases, including problems with the spine.

The complex program “Healthy back” of the specialists of our center will allow:

• Correct posture, achieve symmetry;
• Relieve tension and fatigue from the back muscles, relax the neck and lumbar region;
• Improve mood and feel lightness in the body;
• Strengthen the health of the body and restore the muscle corset.

For convenience, our center is built on the basis of a family club, the trainers of which are experienced rehabilitation doctors. The program of the complex includes consultations, individual preparation of a course for the restoration of back health, fitness and training, massages, baths and saunas, adjustment of nutrition and home physical education. Suitable for all ages of patients.

• Try not to skip morning exercises. Just 10-15 minutes of physical exercise daily will keep the back muscle in good condition for many years.
• Workers in offices and long sedentary jobs are encouraged to take frequent but short breaks. Every hour you need to be distracted from the work process for 5 minutes, walk around the office, stretch, stretch. This will not only relieve tension from the lower back, but also improve performance.
• Purchase an orthopedic bed kit. Consult your doctor after diagnosis and determine the required type of mattress filler and its thickness. We spend a third of our lives in sleep, and comfort can be significantly increased by maintaining health and correct spine curvature.
• Watch out for excess weight. 5-10 extra pounds can be to the face, but exceeding the norm several times is fraught with complications of movements and the appearance of other diseases.
• Add sports and exercise in your spare time – get a membership to the fitness room, pool or dance.
• Do not overdo it with physical activity. It is important to know when to stop, and consultation with a specialist will help you choose an individual course of exercises with the possibility of adjustment.In the presence of diseases of the spine, the main loads during physiotherapy exercises should occur under the supervision of a trainer.
• Watch your food. Get rid of the diet of unhealthy, excessively fatty and high-calorie foods. Supplement your diet with natural vitamins and natural sources of calcium.

Acute back pain: causes, prevention and first aid | Medicinal Directory | Health

Please note

Acute back pain can be caused by various reasons.It can be provoked by problems with muscles or ligaments: sprains, spasms, excessive strain after lifting something heavy, turning unsuccessfully, or being in an uncomfortable, forced position for a long time.

Another common cause is problems with the spine: osteochondrosis, herniated disc, arthrosis of the facet joints. Changes in the natural “geometry” of the spine can lead to pinching of the nerve roots and severe pain.

First aid

What if you have an acute back pain?

First of all – go to bed, on a hard or semi-hard mattress, on your back.This position provides peace of mind to the muscles of the back and intervertebral discs, due to which the muscles relax, the spasm decreases somewhat and the pain subsides.

Spread the affected area with ointment with anesthetic or warming effect.

If pain persists after this, take a non-steroidal anti-inflammatory drug. Such funds provide a quick analgesic effect. However, remember: you cannot take them in large quantities – they have many side effects. Before going to the doctor, such medications can be used only as needed, when the pain becomes difficult to bear.

Muscle relaxants, which are drugs that relax muscles, can also relieve pain. But their use is possible only under the supervision of a doctor.

See a doctor!

Most often, back pain disappears in 10-14 days. But, even if you are already feeling well, you need to consult a doctor and find out the cause of its occurrence. The insidiousness of back pain is that if the factor that causes it is not eliminated, it returns. According to statistics, within a year after the first attack, 50% of patients experience a second, and for many, the pain becomes chronic.

In addition, back pain on the background of osteochondrosis or muscle spasm – although unpleasant, but not the most dangerous option. The back may hurt due to a vertebral fracture, tumors, inflammatory lesions of the intervertebral discs, due to impaired renal function. Therefore, specialist advice is necessary.

Gymnastics

For a long time, doctors in acute back pain recommended adhering to strict bed rest for several days. Today the approach is different: on the first day you really need to lie down, but then the lack of movement is harmful, if possible you need to get up.And also – to do gymnastics, which improves the blood supply to the muscles of the back, allows you to keep the muscle corset in good shape.

Exercises should be performed lying on your back, with a small amplitude, without tension and sudden movements. Each – 8-10 times.

Bend your left knee. Bend and unbend your right leg at the knee, sliding your heel along the bed. Change your legs.

The starting position is the same. Now, the right leg, without bending, needs to be taken to the side. Do the same with your left foot.

Lying on your back, bend both legs at the knees, feet rest on the bed. Take your knees to the sides one by one.

Starting position – as in the previous exercise. If possible, pull your right bent leg to your stomach, then your left.

Place a soft roller or wide, not too soft pillow under your feet. Lying like this, alternately raise your hands up, and then to your head.

With a roller under your feet, without bending your knees, alternately raise your legs as far as possible.

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