Low back pain reduces quality of life and can cause depression. Before going to a doctor, it is important to understand what provokes the pain, stop it, and reduce the intensity.
The cause of back pain can be high physical activity, and a serious disease of the internal organs, and problems with the musculoskeletal system. Self-diagnosis and self-medication is dangerous and unacceptable. It is possible and necessary to stop an unpleasant symptom for the period before consulting a medical specialist. Only a doctor can determine what is the provoking factor, prescribe the correct treatment. All that the patient has to do is to assess the intensity of the pain, to determine what provokes their intensification. The exact data provided by the patient at the doctor's appointment is one of the keys to successful treatment.
The main causes of back pain
The age of patients suffering from regular or recurrent low back pain is decreasing. The symptom can be different - intense and moderate, local and spreading to the entire lumbosacral spine. There are many reasons for back pain:
Deformity of the spine or neoplasm - hernia, Diseases of the genitourinary system, High physical activity and trauma, · sedentary lifestyle, Circulatory disorders in the pelvic area, Psychological problems - stress, depression, Overweight, · Problems with the gastrointestinal tract.
Lower back pain should not be neglected - in this way, the body signals serious problems. Most of the causes that cause it are asymptomatic, and manifest themselves already in the last stages, when complex treatment is required.
Problems with the musculoskeletal system, such as the formation of hernias on the vertebrae, make themselves felt only when a nerve or blood vessel is already pinched. Most gynecological diseases in women are manifested precisely by pain in the lumbar spine - an enlargement of the uterus or ovaries as a result of the development of inflammation provokes muscle spasm, and a stable blood supply to the pelvis is blocked. Problems with the reproductive system in men are also reflected in the form of stabbing or cutting pain radiating to the back.
Types of back pain
Consultation with a medical specialist is necessary even in cases where the symptoms are not yet pronounced and do not seriously affect the quality of life and performance. The intensity and type of pain are different, and before you go to see a doctor, you need to decide what they are:
Local, Generalized, Periodic, · Permanent.
Local pain in the lower back is concentrated at a certain point, can be reflected in one or both legs, given to the tailbone. Generalized syndrome gradually spreads to the entire back, including the abdomen.
Periodic back pain differs from other types in that it disappears after the cause of its appearance has been eliminated - problems with internal organs, excessive stress or individual physiological characteristics. In medicine, such symptoms are divided into reflected and radiating. Reflected ones appear as a result of problems with internal organs located in the pelvic region. Irradiating back pain occurs due to problems with the spine - pinching of nerve fibers or blood vessels, deformation of the vertebral column.
When visiting a doctor, the patient must clearly formulate his complaints and indicate what pains he is tormented by - chronic or acute, and how long they last. Without these data, the doctor will not be able to prescribe the correct diagnosis, which will complicate and delay the treatment, and may lead to the development of more serious pathologies.
Self-diagnosis and ambulance for back pain
It is not always possible to seek help from a medical specialist as soon as lower back pain appears. In order to reduce the intensity of an unpleasant symptom, you need to determine the cause that caused its appearance. This can be done even without medical knowledge. For preliminary self-diagnosis, you can use one of three tests:
Dejerine test, Lasegue test, · Lerrey test.
Dejerine's test is to tighten your abdominal muscles and listen to your feelings. If the pain in the lower back increases, then the likelihood of developing chondrosis or osteochondrosis is high. But if discomfort is felt in the abdominal cavity, then the reason lies in problems with the internal organs.
Lasegue's test - lying on your back, alternately raise your legs. If during exercise there is a shooting pain in the legs or upper spine, then the nerve is pinched.
Lerrey test - you need to try to get up from a supine position without bending your knees. If lumbago or aching pain is localized in the lower back, this should be considered a sign of hernia formation in this part of the spine.
The way to reduce the intensity of lower back pain depends on the results of self-diagnosis. Medical experts do not recommend using warming ointments or compresses to relieve the syndrome without consulting a doctor. They can provoke the development of inflammation or other complications. As an ambulance, you can use analgesics, drugs from the NSAID group or NSAIDs. The latter option is preferable, since the spectrum of action of the funds is wider - they eliminate pain, relieve inflammation and lower the temperature, but taking them longer than 3 days is dangerous.
Which doctor should i contact for lower back pain
Often, patients seek medical help when the disease progresses, and lower back pain manifests itself intensely, and it is no longer possible to cope with them on their own. As a result of the regular intake of painkillers and external agents - ointments, gels - most patients at the time of going to the doctor have problems with the gastrointestinal tract and skin. It is impossible to postpone a visit to the clinic even with a mild pain syndrome in the lumbar region. In addition, it is important to choose the right specialist.
Establishing the causes provoking the appearance of back pain should be dealt with not by one doctor, but by several highly specialized doctors:
· therapist, Neurologist, · Gynecologist or urologist.
At an appointment with a general practitioner - a therapist - the cause of back pain is determined. What it can be - neuralgia, diseases of internal organs or psychological problems, must be determined by the therapist. He will appoint standard examinations and give recommendations for further actions.
At a neurologist's appointment, more detailed studies are prescribed - X-rays, computed or magnetic resonance imaging (CT or MRI). Such a diagnosis is deeper, studies help to assess the condition of each vertebra, nerve endings and blood vessels. At this stage, osteochondrosis, lumbago, sciatica are detected, the location of intervertebral hernias, damage to bone and muscle tissues is determined.
Consultation of a gynecologist or urologist is necessary for those patients whose general practitioner suspects problems with internal organs. Diseases such as
Ulcers and tumors in the gastrointestinal tract with retro-abdominal spread, Colitis, problems with the colon, Inflammatory processes of the uterus, appendages in women, Cholecystitis or pancreatitis, Kidney and liver diseases, Dissecting aneurysm of the abdominal aorta, · Appendicitis or peritonitis.
Regardless of what diagnostic tactics and with the participation of which highly specialized doctors was chosen by the therapist, the patient must undergo the following standard examinations - take a blood test from a vein and finger, urine. The research results will help identify the presence of inflammation in the body and assess the effectiveness of the functioning of internal organs.
It is important to understand that any self-medication methods for back pain can be harmful, often irreparable. Long-term use of pain relievers, NSAIDs, folk remedies is dangerous.All drugs, herbs and ointments have contraindications and side effects, most of which can aggravate the situation, make the pain syndrome even more intense or drown it out, masking the underlying disease. It is impossible to self-medicate for more than 3-5 days if the methods are not approved by the attending physician, who knows the true cause of the onset of symptoms. Only a consultation with a medical specialist and a course of treatment with a complex of drugs will help to correct the situation, improve the quality of life and recover completely.