Sad statistics show that about half of the adult population suffers from back pain, but only one in five calls for qualified help from a doctor. Negligent attitude to one’s health is fraught with involvement in the pathological process of not only many muscles, but also some internal organs. The result of the defeat of the cervical spine are severe headaches, buzzing in the ears, blurred vision, dizziness. If the thoracic area is affected, the work of the heart and lungs is disrupted. Diseases of the lumbar spine affect the functioning of the digestive organs and kidneys, men lose libido.
With regular attempts to lift heavy objects, and also because of jumps and falls, microtraumas of intervertebral discs occur. The systemic nature of the negative effect helps to lose the elasticity of the intervertebral discs – they flatten, the distance between the vertebrae decreases. Accordingly, the nerve roots from the spinal cord are clamped. The result is discomfort and pain. At the same time, in the region of the clamping of the unequal-vascular bundle, puffiness is formed, because of which the patient experiences even more pain. The destruction of the intervertebral disc leads to the fact that it stops damping and traumatizes even more.
The prognosis of doctors is based on the age at which the patient first encountered the disease. The most dangerous situation develops, if the symptoms appeared in 16-18 years – this means an early onset of the disease. By 21-23 years, protrusions with a high probability of protrusions, to 32-34 years – intervertebral hernias. In the elderly, hernias are often aggravated, vegetative dysfunction, neuralgia, vascular disease develops. If the pain in the back is localized in the lumbar region and first touched the patient, when he has reached the age of 55-65 years, doctors give a positive prognosis.
Examination of the spine is necessary if the pain does not go away during movement, intensifies at night, has a high intensity and appeared for the first time. In addition, the need to urgently visit the clinic says incontinence of feces and urine, recent injuries, an oncological anamnesis. If the pain lasts longer than two weeks, the disease with a high degree of probability will take a chronic form, which is difficult to treat.
In the vast majority of cases, the culprit of pain is osteochondrosis. The intervertebral hernia manifests itself as painful sensations when lifting heavy objects and with simultaneous turning of the trunk in an inclined position. After this, the patient feels weakness and pain in the leg – right or left. Discomfort is worse with body movements, sneezing, coughing. Radiculitis is easy to recognize by the sharp pain in the lower back. If the patient experiences continuous unpleasant sensations in the occipital part and shoulders when trying to turn his head, it signals a chronic spinal disease – cervical spondylosis, which provokes growth and subsequent deformation of the vertebrae. Among other things, those suffering from back pain often complain about the inability to breathe deeply and the lack of mobility of the chest. In some cases, the cause is trauma – sprain or bruise. Proper treatment allows you to recover completely, the absence of treatment contributes to the occurrence of serious complications that can lead to a noticeable curvature of the spine.
Examination of the spine helps to identify the reason for the patient’s backache. Only understanding what is the catalyst for the ailment makes it possible to choose a suitable treatment regimen. The back is the most extensive anatomical region, which includes the lower back and the sacrum, neck, scapula and spine. It is on the back is the projection of dozens of important anatomical structures. This is due to a variety of causes that can cause malaise. Usually these factors are pathology of the musculoskeletal system and various diseases:
- Violation of the spinal circulation.
- Herniated disc.
Nevertheless, it is important to understand that the illness is not always due to diseases of the musculoskeletal system. Often the pain is a consequence of the defeat of internal organs:
- Kidney disease.
- Diseases of the gallbladder and liver.
- Problems with the intestines.
- Interruptions in the work of the heart.
- Numerous lung diseases.
In a situation where the pain is caused by diseases of the internal organs, the pain does not disappear, whatever the patient does. He can lie, sit, walk, but the intensity of sensations does not get lower. At the same time, the doctors of EUROMEDPRESTIGE do not rule out the reverse situation, when the osteochondrosis of the thoracic section makes itself felt by the pains in the heart area mistaken for angina pectoris.
It is not at all a fact that the projection of the internal organs will coincide with the localization of pain in the back. The pain itself can also be of a different nature. Dull and aching pain between the shoulder blades is clearly indicative of cardiac pathology. Sharp pain, affecting the back and significantly increasing with a change of posture, means lumbosacral radiculitis, disc hernia or sciatica. The pain that throws into the thigh and the groin area is a typical symptom of renal colic.
Only a careful examination of the patient will help to find out the exact cause of the disease. Diagnosis involves drawing up a clinical picture of the disease, consulting a neurologist, as well as a number of special methods:
- Magnetic resonance tomography (gives a good effect if necessary to visualize the spinal cord).
- X-ray of the spine immediately in two or three projections.
- Inspection of the chiropractor.
- Comprehensive analysis of blood, including biochemical.
- CT scan.
- Somatic examination.
In the process of collecting anamnesis, the doctor finds out the emotional state of the patient and possible stresses, localization of pain in the back and irradiation. He also asks about the injuries and diseases, fixes the relationship between pain in the spine and body movements.
Diagnosis of the spine is aimed at studying the neurological status, muscle tone and signs of tension. In addition, it is important to determine the level of difficulty in movement due to painful sensations when trying to lift a leg. Sensitivity diagnostics are of primary importance, since it can decrease or, conversely, increase.
The goal of a physical examination is the detection of any infections, tumors, somatic diseases that can be expressed through diseases of the back. Only clinical data give grounds to speak about compression and reflex complications of osteochondrosis. However, one must understand that not all problems with the spine signal about osteochondrosis, a disease that affects most adults and people over fifty years of age. Pain syndrome can be a manifestation of a much more serious ailment, so it is very important to conduct the most thorough examination and find the real cause of the ailment. Only in this case the treatment will be really effective.
TREATMENT OF PAIN IN SPIN
Treatment of back pain is always appointed based on the cause of the ailment, which can be different in each case. Basic methods include:
- Surgical intervention in emergency cases.
- Manual therapy.
- Therapeutic physical training (LFK).
- Reception of medicines.
- Physiotherapeutic measures.
- Extension of the spine.
- Postisomerization relaxation.
- Organization of interstitial and paravertebral blockades.
- Various massages.
Treatment, consisting in taking medications, allows you to remove pain and inflammation, significantly improve metabolic processes in the body. Painkillers are divided into two categories – not narcotic and narcotic. Typical analgesics are non-steroidal anti-inflammatory drugs. To improve immunity, immunomodulators and a complex of vitamins B and C are used. Narcotic pain medications are used only in extreme cases, when pain is almost impossible to tolerate, and other drugs have no noticeable effect. Drugs are injected with injections in a situation where the back does not ache due to a slight muscle strain, but because of a malignant tumor or a dangerous injury.
Currently, the modern highly effective and safe method of treating problems of the spine, joints, ligaments – shock wave therapy, which is a hardware method of therapeutic influence on tissues by means of impact acoustic waves of a certain frequency, is gaining popularity.
It is impossible to overestimate the benefits of physiotherapeutic procedures, which significantly strengthen the spinal muscles, stabilize the spine and positively influence the metabolic processes. The most effective in this sense is electrophoresis with calcium, as well as paraffin treatment, electrostimulation. If financial possibilities allow, the patient is obliged to visit mud resorts – their positive effect on the way to recovery is scientifically proven.
LFK and massages are also aimed at strengthening the muscles and stabilizing the spine. They significantly reduce the intensity of pain, and sometimes can completely rid of unpleasant sensations. Nevertheless, therapeutic exercise and massage are shown only after the aggravation of pain has been relieved, otherwise the patient’s well-being and the overall clinical picture of the disease will deteriorate noticeably. Therapeutic exercises should be conducted under the supervision of a doctor, any serious stresses are excluded. At the first lessons, most often no movements are made, all you need is to lie quietly on an even, soft surface. At subsequent meetings, the doctor forces the patient to perform small movements in amplitude and strength – first to lift his legs from the prone position, then using special shells. The most basic exercise for strengthening the spine, which causes associations with sipping a cat is the deflection in a position where the patient is on all fours. If pain intensifies during exercise, you should immediately stop exercising.
Surgical intervention to remove the hernia of the disc is indicated only in specific cases, when the spinal cord and the roots of the horse tail are strongly compressed. Without it, also not to do, if the patient is diagnosed with discogenic radiculopathy, accompanied by obvious paresis. The absence of any effect after conservative treatment for three to four months and a large disc herniation leave no choice but to contact the surgeon.
If the main methods of treating pain in the back do not give a tangible result, doctors turn to alternatives, among which:
- Osteopathic effect
- Vacuum Therapy
In the East, acupuncture has proven itself hundreds of years ago as a unique remedy for many diseases, including back pain. In the clinic “EVROMEDPRESTIZH” acupuncture is not just the introduction of needles in key points, but also the simultaneous introduction of drugs. In addition, they are irradiated with a laser and are affected by magnetic waves.
In the process of manual therapy the doctor actively kneads the spine with his hands. The goal is to release the nerves, move the incorrectly erect vertebrae and return them to their original position, and also eliminate pain. Despite the similarity of techniques, osteopathy is different: it has no definite contraindications and is often performed even against the background of aggravation of pain.
Vacuum therapy on the principle of use resembles the banks that our grandmothers put to children and grandchildren. In order to relieve the pain, a rarefied pressure, that is, a vacuum, is organized. Due to this, the blood begins to circulate more actively in the affected area, multiplying the metabolic processes many times. At the same time, the doctor moves the cans, thus making a vacuum massage. Vacuum therapy is considered one of the most effective means of getting rid of pain.
If you completely refuse to move it does not work, you need to put on a corset around your neck or on your lower back, and also use special ointments. In addition, compresses, hydrocortisone and novocaine blockades should be made. In the case of pain relief, it is important to begin to strengthen the back, slowly increasing physical activity.
The chronic course of radiculopathies and reflex symptoms requires physical therapy, reflexotherapy, the taking of inflammatory drugs, manual therapy and visits to special spas.
Regardless of the treatment plan developed, each patient must strictly follow the orthopedic correct regimen.
COMPLICATIONS OF NOT CURE SPINE DISEASES
Doctors of the medical center “EVROMEDPRESTIZH” insist on the timely treatment of diseases of the back, as a negligent attitude towards one’s own health can lead to serious consequences.
Instability in the vertebral motor segment, accompanied by excessive mobility between the two vertebrae, is formed as a negative consequence of injuries. It is caused by overgrowing of the ligaments or a sudden restriction of the mobility of a particular vertebra. Instability in osteochondrosis develops against the background of a decrease in the height and volume of the discs. As a result, the ligaments located between the vertebrae lengthen and lose the ability to maintain their position relative to each other. Such instability is always manifested by pain, which becomes stronger in the evening and at times when the patient takes certain poses. Often the patient is confronted with instability in the cervical region – this is fraught with constant headaches and dizziness during head movements.
It is important to give an account of the fact that excessive mobility of the cervical vertebrae in children under five is not a cause for panic, provided there are no birth injuries, any violations in the development of the baby and headaches. However, in any case, only a specialist’s consultation on stabilizing the vertebrae can remove all fears and clarify the situation.
Statistics, conducted by doctors, clearly illustrates the common complications of osteochondrosis – protrusion and disc herniation. Clinically, they do not have special differences, but with hernia the symptoms are much more pronounced, because the hernia is called the contents of the nucleus that fell through the crack of the fibrous ring of the intervertebral disc. The protrusion is a protrusion, in which the disk remains whole outside. In any case, the location of the hernia or protrusion in the posterior half of the disc entails not only pain, but also irradiation of them in the limb. Even with chronic osteochondrosis, with which the patient lives for years, protrusions and hernias only arise as a result of disproportionate axial loads, that is, lifting weights, jumping from height, twisting of the trunk, stresses. Accordingly, avoiding complications will help a way of life in which the patient avoids risk factors.
Doctors of the clinic “EUROMEDPRESTIGE” are strongly advised to adhere to the following recommendations:
- If you work in the office, make sure that the chair or armchair is comfortable and well supported back.
- Correct any curvature of the spine and posture disorders in a child in childhood.
- Try to keep your back straight, as proper posture removes the load from the spine.
- Fight with excess weight – fullness negatively affects the spine, because it is in tension most of the time.
- Make sure that the ration necessarily included products with a high content of vitamins, magnesium and calcium (beans, fish dishes, fresh milk, spinach, bread, nuts, peas).
- Do not bend unnecessarily.
- If you are forced to carry weights, distribute them evenly, choose a backpack between the backpack and the bag. Lifting the weights from the floor, lean on the legs, the spine should be relaxed. In doing so, bend your knees and keep your back straight.
- Pay attention to physical activity. Only regular exercise helps to create a muscular corset. It is not enough to just sit straight and stand near the wall – muscles must remember the posture, even when you forget about it.
- Grab something from the top shelves, use a chair or a ladder, do not drag.
Only a serious attitude towards one’s own health and adherence to all the recommendations will avoid the occurrence of serious problems with the spine in the future.