Система Orphus

Symptoms of disease - pian in the lower back

Lower back pain with or without irradiation in the leg (low back pain) - the most commonly used pain in ambulatory practice. 30-60% of the population of developed countries suffer periodically repeated pain in the back, and up to 80% of all back pain is on the lower back (lumbar region of the back). Pain in the lower back may suffer, all age categories, however, the peak incidence occurs in the age of from 30 to 60 years.

Pain in the lower back - non-specific symptom that can be caused by a variety of reasons. For convenience, we select the primary and secondary syndromes pain in the lower back.



Which diseases there is pian in the lower back

The basis of most of pain in the lower back are muscular-skeletal morphofunctional changes (primary syndrome pain in the lower back). This is, first of all degenerative-dystrophic lesions of the spine:
1) osteochondrosis (dystrophic lesion of the intervertebral disc and adjacent to it vertebral bodies with the formation of spndilosys);
2) spondylarthritis [arthrosis of intervertebral (faceted) of the joints, which is typical synovial joints)].

Possible causes of secondary syndrome pain in the lower back:
- The primary and metastatic tumors of the vertebrae of the spinal cord, retroperitoneal space.
Fractures of the vertebrae.
- Infections of the vertebra and intervertebral disks (tuberculosis, brucellosis, epidural abscess).
- Non-inflammatory disease (ankylosing spondylitis, Reye syndrome, rheumatoid arthritis).
- Metabolic bone loss (osteoporosis, osteomalacia).
- Growth diseases (scoliosis).
- Acute violations of the spinal circulation (stroke).
- Diseases of the gastrointestinal tract (the atypical course of acute appendicitis, intestinal obstruction).
- Reported pain in diseases of the small pelvis (including renal kolica, infectious gynecological diseases, such as chlamydia, gonorrhea, trichomoniasis, ureaplasmosis, adnexitis).

Lower back pain can also be acute and chronic, but the causes are lesion of the spine or the roots of the nerves. Perhaps, the movement of the pain from the deeper structures of the kidney, pancreas, colon, pelvic organs or retroperitoneal tumor).

Acute pain in the lower back

Acute sprain. The pain is localized in the long muscles of the back at their spasm, which causes restrictions on movements. Offset pain in the groin or lower limbs no.

Fractures of the vertebrae. This is usually a consequence of injury when bending or fall to his feet, but the same result can be and without injury or with minimal trauma, if the patient struck by skeletal system, there are osteoporosis, Cushing's syndrome, hyperparathyroidism, a disease mielomnaya, metastases of malignant tumors in the bones, illness Paget's disease.

Offset of intervertebral discs in the lumbar region. Most often struck by the division LV-SII, then - LIV-LV, at least - LIII - LIV or higher. Symptoms include pain in the lumbar area, involuntary body position, restriction of mobility. To participate in the pathological process of the nerve roots indicate: radicular pain, usually one-sided; sensitivity disorders (parestesia, hyperesthesia or hypalgesia); and the reduction or absence of Achilles (root S or S2) or of the patellar reflex (L3-L4). Protrusion of the intervertebral disc is usually affects the spine, located below the level of the disc, in other words, disk LIV-LV effect on the spine of L5. Violation of the functions of the bladder or rectum testifies to the defeat of the cauda equina, but can also arise in large part of the drive.

Faceted syndrome. Compression of the spine in place of his exit from the spinal canal is to radicular pain not caused by defeat of the disk. Single faceted syndrome, which most often linked with a spine L5, is manifested in the increase of the upper and lower veneers intervertebral joints, which leads to a narrowing of intervertebral canal or holes.

Epidural abscess. Most often occurs in the thoracic region of the spine, can be accompanied by severe pain in the back when palpation or hammering of affected areas. Requires rapid diagnosis and early treatment activities leading up to the surgery, if there are signs of compression of the spinal cord.

Pathological processes in the area of the hip joint can be accompanied by pain, sending in the buttock and lower limbs to the level of the knee joint.

Chronic lower back pain

Deforming spondylosis. Deforming spondylosis is a degenerative changes in the lumbar vertebrae with the formation of bone processes, limit the spinal canal and which put pressure on the spines of the books. At the lumbar-sacral pain neurological symptoms when walking (loss of sensitivity, violations of the sensitivity or weakness in both lower limbs) there is suspicion on the syndrome peremejateisa hromota, associated with the spine and arising out of the narrowing of the spinal canal. The diagnosis is confirmed by the survey.

Ankylosing spondylarthritis. It should be suspected in young people with pain in the lower parts of the back, immovable in the thigh. First arise restriction of mobility and morning stiffness, a reduction of respiratory movements of the chest, the progressive warping and bending of the thoracic spine. X-ray signs: the destruction and reconstruction of the Sacro-iliac joints, the formation of the so-called "bamboo" the spine. A similar symptoms with restriction of movement in the lower spine may take place in the psoriatic arthritis, Reye syndrome, and chronic colitis.

The tumor and its metastases, diseases of the exchange. With the help of x-ray and myelography it is necessary to exclude the following medical conditions: a metastatic carcinoma (the mammary gland, lungs, prostate, thyroid, kidneys, gastrointestinal tract), a disease mielomnaya lymphoma.

Osteomyelitis. Called pyogenic bacteria (most often staphylococci) or Mycobacterium tuberculosis; and the possibility of infections it is necessary to confirm or exclude from the definition of ESR, x-rays, bone, skin samples from tuberculin.

Intradural tumor - neurofibroma, meningiomas and lipoma - can cause chronic pain even before the emergence of other neurological symptoms.

Moving back pain in diseases of internal organs.

When the lesion is pelvic pain shifts in the sacral Department, bodies of the lower divisions of the abdominal cavity - to the lumbar segments of the L3-L5, in the upper part of the abdominal cavity - to the lower pectoral and upper lumbar segments of the T10-L2. Characterized by lack of local symptoms and stiffness in his back, the movement back in full not exacerbate the pain.

1. Peptic ulcers and tumors of the stomach, duodenum, pancreas, in particular with the retroperitoneal proliferation, can cause pain in the back in the segments of the T10-L2.
2. Ulcerative colitis, diverticulitis, tumors of the colon cause pain in the lower parts of the back.
3. Chronic diseases of the organs of small pelvis, endometriosis, carcinoma of the ovary or the uterus are accompanied by pain in the lumbar area. In men it is necessary to exclude chronic prostatitis and carcinoma of the prostate.
4. Kidney disease causing pain in costal-spinal corner.
5. Flake aortic aneurysm causes pain in the thoracic and lumbar regions.



Which doctor should I contact if there is a pian in the lower back

  • Gastroenterologist
  • Infectious disease physician,
  • Traumatologist
  • Neuropathologist
  • Chiropractor
  • Therapeutist
  • Family doctor
  • Cardiologist
  • Pulmonologist
  • Urologist
  • Otolaryngologist
  • Gynaecologist
  • Proctologist
  • Surgeon
  • The emergency doctor


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Do you feel lower back hurts? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

Pains by category

Pains by alphabet


Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.

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