Pain in the lumbar region with the frequency affects about 90% of all people. Pain in the lumbar region has a varied clinical manifestations and a variety of reasons. The most common causes of pain in the lumbar spine are not any serious disease and pain in the lumbar spine can be treated successfully. In view of the diversity of clinical manifestations of pain and its causes should still be careful not to self-medicate and seek medical advice.
DIVERSITY OF BACK PAIN AND ITS CAUSES:
1) lumbodynia – monotone pain in the lumbar region of a different nature and from different causes. The most common causes of lumbalgia myofascial syndromes are both as an effect of direct muscle overload and compensatory, as the adjustment to the broken body biomechanics. As the causes of pain in the lumbar region may be due to a herniated disc, spondylarthrosis, myofascial sindromav reflex abdominal and myofascial pain from pelvic-related dysfunction of the organs in the abdomen; rarely – rheumatic diseases, various neoplastic processes or cysts of the lumbar and sacrum.
2) lyubago – sweep the pain in the lumbar, most often the result of a herniated disc may also be a consequence of spondylarthrosis, spondylolisthesis, vertebral body compression fractures.
3) lyumbosakralgiya – pain in the lumbosacral region, the causes of which may be myofascial syndrome, reflex syndromes myofascial abdominal and pelvic visceral pain reflected on the pelvic organs, resulting in stimulation of spinal nerve roots herniated disc, spondylarthrosis pathology kresttsovo pozvzdoshnogo joint (biomechanical dysfunction kresttsovopodvzdoshnogo joints or rheumatic disease sacroiliitis), pathology of the coccyx; rarely – a variety of tumors or cysts of the lumbar and sacrum.
4) sciatica – pain vpoyasnichnom department, buttocks and pain at the back or outer-side surface of the legs (sciatic nerve innervation area). The reasons may be – a herniated disc in the lumbar, spondylarthrosis, pathology of the sacroiliac joint (biomechanical dysfunction kresttsovopodvzdoshnogo joints or rheumatic disease sacroiliitis), reflectors syndrome piriformis associated with dysfunction of abdominal organs or pelvic rare – different tumors or cysts the lumbar and sacrum.
Just back pain may be the result of injuries of varying severity (such as lung and severe injuries).
To diagnose diffirentsirovat different causes of back pain should consult nevrolga (or, if necessary, a neurosurgeon) as well as an osteopath. If necessary, perform additional diagnostic methods (MRI, X-ray, on the testimony – ultrasound of the abdomen, kidneys, pelvis, general analysis of blood and urine).
In the diagnosis and treatment of back pain it is also necessary to take into account the presence of dysfunctions in the craniosacral system and the impact of these dysfunctions on the diaphragm and fascial system, the problems which leads to muscle imbalances in the back and indirectly may influence the emergence of regional decompensation tissues with the subsequent occurrence of pain.
Selection of appropriate treatment should be carried out relevant specialists – a neurologist (or neurosurgery), if necessary, an orthopedist (or neurosurgeon), osteopath (or a doctor chiropractor). as an auxiliary method of treatment in the subacute period – rehabilitology and kinesiotherapy. In more than half of cases, osteopathy can be successfully used as the only method of treatment of pain in the lumbar region. In complex and serious cases effectively combined treatment (neurological, orotopedicheskoe, osteopathic and subacute period physiokinesis).