Back pain in the lumbar region: causes and treatment

why does the back hurt in the lumbar region and what to do

It is hard to imagine a person over the age of 30 who has never experienced any discomfort and soreness in the lower back. An increasing amount of life time spent in a sitting position, in addition to physical inactivity, "gives" us and problems with the spine. It is good when the pain is single, short-term and quickly passes without leaving a trace. Worse, when the pain has a growing, unbearable character, does not go away for a long time. This signal should be taken seriously. Often this is a signal from the body that a serious illness is developing in it, which will require attention, effort and even financial spending.

To avoid the development of such events, you need to know about the factors and causes of those diseases that can provoke the development of such pain.

We hope that our popular article will help you avoid the development of events that are difficult for your lower back and will help you maintain your ability to work for a long time.

Risk factors for low back pain

If you feel pain in your lower back, then you probably exposed this part of the body to one or more of the following factors:

  • Lack of physical activity for a long time;
  • Excessive physical activity after a long break;
  • Prolonged sedentary work;
  • Power supply errors;
  • Long-term static, monotonous loads on the spine, vibration;
  • Weight lifting;
  • Professional sports (wrestling, boxing, weightlifting);
  • Smoking and alcohol.

Any of these factors can be removed, or the effect can be significantly reduced, thus avoiding the development of chronic low back pain.

Causes of lower back pain

The causes of lower back pain are usually divided into secondary and primary.

Primary causes of back pain

In fact, they are a pathological process that is predetermined by musculoskeletal changes. In the practice of lower back diseases, they are much more common than secondary causes of the development of lower back pain. As a rule, the primary causes are understood as one of several degenerative-dystrophic processes:

  • Osteochondrosis,caused by the development of degenerative changes in the bone and cartilaginous structures of the lumbar spine. Sometimes the process affects both the intervertebral discs and the adjacent vertebrae;
  • Spondyloarthrosis.This pathology affects the joints that are responsible for the mobility of the spinal column in the lumbar region.

Secondary causes of lower back pain

causes of back pain in the lumbar region
  • Deterioration of bone structures due to metabolic disorders of the lumbar spine (osteoporosis and so on);
  • Oncological processes in the vertebral or paravertebral space. Often, back pain can cause distant metastases;
  • Curvature of the spine;
  • Infectious lesions of the body (tuberculosis, brucellosis);
  • Inflammatory processes of a non-infectious nature (rheumatoid arthritis, Reiter's Syndrome);
  • Traumatic lesions of the vertebrae in the lumbar spine, including fractures;
  • Diseases of the stomach and intestines;
  • Diseases of organs and systems in the small pelvis (renal colic, sexually transmitted infections, adnexitis, ureaplasmosis);
  • Stroke disorders of the cerebrospinal circulation.

Causes of chronic and acute low back pain

Back pain in the lumbar region can be both acute and chronic. These two factors should be distinguished, since the presence of one or the other of them will predetermine the tactics of treating the underlying disease. In some cases, it can even stop the development of complications and chronicity of the disease (its transition to a chronic form).

Causes of Chronic Low Back Pain

  • Bechterew's disease (ankylosing spondylarthrosis);
  • Spondylosis deformans. Often, a monotonous aching pain becomes its symptom;
  • Tumors and their metastases. Differential diagnosis in order to exclude oncological processes from the list of causes that caused chronic lower back pain is carried out with the exception of lymphoma, myeloma, cancerous lesions of the body of very different localization;
  • Oncological formations of the spinal cord (located both directly in the spinal cord and in the space between the dura mater and the spinal cord);
  • Osteomyelitis. Often, pulling pains in the lumbar region become its symptom;
  • In addition, tuberculin tests may be prescribed in order to exclude the causative agent of tuberculosis in the patient (exclusion of tuberculosis of the spinal column).

In order to clarify the diagnosis, additional studies can be carried out in the form of radiography, myelography, biopsy.

Causes of acute lower back pain

  • Tearing or stretching of muscle mass along the lumbar column;
  • Spinal fractures;
  • Displacement of the intervertebral discs;
  • Facet syndromes (damage to the nerve root in those places where it is not anatomically covered by the bone structure of the spine);
  • Epidural abscesses;
  • Coxarthrosis (a rare pathology characterized by severe pain syndrome). As such, coxaratrosis does not provoke lumbar pain, but it develops intolerable pains that radiate to the legs.

Low back pain treatment

how to treat low back pain

The appearance of back pain, regardless of its location or intensity, should be a reason for seeking qualified medical help. The high intensity of the pain syndrome should be the reason for calling a doctor at home or for seeking an ambulance.

The best solution would be to conduct a course of treatment in a hospital setting.

Lower back pain can have a variety of causes, often not related to the lesion of the spinal column, and therefore, to differentiate such causes, you may need the help of specialists such as:

  • gynecologist;
  • gastroenterologist;
  • infectious disease specialist;
  • pulmonologist;
  • urologist;
  • nephrologist;
  • cardiologist and proctologist.

It is important to remember that getting the advice of a professional doctor as soon as possible will help you avoid complications. You should not self-medicate, and use folk remedies for pain in the lumbar spine only on the recommendation of a surgeon, orthopedist or vertebrologist.