How to relieve aching pain in the lower back. Causes and accompanying symptoms of pain syndrome
Today we will talk about:
General information about the lumbar spine
The spine consists of three sections: cervical, thoracic and lumbar.
During our life, the lumbar spine experiences much greater loads than the other two sections. That's why people have problems with it more often.
Agree that many people complain about “sore lower back”, but few people talk about, for example, “sore chest” :)
The fact is that in order to support the lumbar spine in its physiological, natural position, not only the back muscles are involved in the work, but also the abs, lateral abdominal muscles, gluteal muscles and thigh muscles.
Therefore, in order to restore the lumbar region and make it stronger and healthier, you will need to use more muscles than for the thoracic and. There are many different physical exercises for this.
But before moving on to recovery with the help of exercises, you first need to understand what acute pain is and what needs to be done to eliminate this pain.
Among the people, and even in official medicine, there are several synonyms for acute back pain:
Exacerbation
Radiculitis
Nerve injury or
“Lack of pain” in the lower back
What causes back pain
Imagine that the spine is multi-storey building, where the floors are the vertebrae, the floor with the underlying ceiling are the intervertebral discs, the outer walls are the muscles surrounding the spine, and the windows are the openings between the vertebrae from which the nerve fibers.
When everything works well in this building, there are no breakdowns or violations. This means there is no back pain.
But imagine the following. If the back muscles are weak, then a colossal and constant load is placed on the spine. What happens then? From this high blood pressure The intervertebral discs are the first to suffer!
They begin to “settle”, crack and lose their main function and task - to cushion and protect the vertebrae from collisions. Because of this, the load on the spine increases even more.
Since the intervertebral discs are “crushed”, they begin to extend beyond spinal column, forming protrusions - protrusions of discs.
Let me give you a clear analogy. Intervertebral discs- like balls of thick liquid located between two books. When there is constant pressure on them, they flatten out and go beyond the boundaries of these books - these are disc protrusions.
Further, if the load continues to act on the disks, then they are so flattened that they begin to break through the very weak points- in protrusions. Because of this, their contents come out. This is how spinal hernias form.
How to relate this to pain and at what stage does it appear?
Remember, above, I said that between the vertebrae there are holes where the nerve roots come out? So, when the disks “settle,” these holes also narrow. In addition, protrusions or hernias can get into these holes.
Pain occurs when there is pinching or irritation of a nerve root or nerve. The cause may be a narrowing of the intervertebral foramen, or a protrusion or hernia entering this opening. This is the first cause of pain.
In addition, there are also muscles located around the spine. They also experience certain changes. They strain to somehow maintain a normal position, but they don’t always succeed.
The result is chronic muscle strain. And tight, inelastic muscles can also put pressure on the nerves and prevent nerve impulse walk through them.
So, the second cause of pain is spasm, overstrain of the muscles surrounding the spine and their imbalance. Overextended muscles negatively affect the nerves that travel through the muscle fibers to the lower extremities.
How does exacerbation of lumbar osteochondrosis manifest itself?
Typical picture of exacerbation lumbar osteochondrosis(aka radiculitis or lumbago) looks like this:
- Acute, severe pain in the lumbar region. It can be local, or it can radiate (radiate) along the pinched nerve in pelvic area, in the groin, in the thigh, in the buttockPain can intensify with any movement and in a standing or sitting position
- Limited movement in the back up to complete absence due to severe pain
- Spasm of the muscles surrounding the spine, which reflexively block any movement in this department
There are a lot of variations in the manifestations of lumbar osteochondrosis, since it is the lumbar spine that ensures the work of the legs from the pelvis to the tips of the toes.
If the pain is not sharp and shooting, but more moderate, dull and appears/intensifies ONLY when turning or bending to the side, then there is no infringement. Such characteristic pains speak more about muscle imbalance, chronic overstrain, and sprained ligaments.
So how to get rid of lower back pain
During the further lessons that I will send you over the next few days, we will deal with this issue, develop a plan for getting rid of pain and gradually restore the lumbar region to its normal state.
But within the framework of this lesson, we must figure out what to do in case of a typical exacerbation and how to quickly relieve acute pain in order to further engage in recovery lumbar region spine.
How to relieve acute lower back pain
In case of exacerbation of osteochondrosis of the lumbar spine, unlike, for example, the cervical spine, exercises CANNOT be performed for anatomical reasons.
If, for example, for the cervical region we can use isometric exercises to relieve pain, then such exercises are not suitable for the lumbar region.
Therefore, in aggravation, you need to follow the following plan:
1) Gentle mode
The first thing you need to do is to comply bed rest at least one to two days. When you are in a standing or sitting position, the load on the lumbar region increases significantly. From this, the infringement will make itself felt even more.
In the supine position, the lumbar region is completely unloaded. The vertebrae do not put pressure on each other, the intervertebral foramina restore their size, nerve entrapment decreases, and the muscles relax as much as possible.
With acute pain, swelling of the nerve and surrounding tissues, muscle spasm, and inflammation appear. These signs further provoke deterioration of the condition. In a supine position, the pinching subsides, which means that inflammation, swelling, and muscle spasm decrease.
2) Correct styling
One more thing important condition- this is the correct position in bed. To relax all the muscles and surrounding tissues as much as possible, you need to maintain all the curves of the spine in a physiological position.
By the way, the bed should be hard so that there are no unnecessary bends in the spine and the muscles can be relaxed as much as possible.
3) Pain relief
Some people take medications from acute pain NSAID groups(nonsteroidal anti-inflammatory drugs), which are actively advertised by pharmacies, television, and newspapers. This makes sense, but there are the following important points to consider.
These drugs must be taken according to strict indications and no more than two days.
Such drugs have a huge list of side effects, ranging from skin to nervous system. They adversely affect all systems of our organs, overload the liver, affect the mucous membrane of the stomach and intestines, and so on. You can read about this yourself in the instructions for a specific drug.
Yes, if the pain is severe, then pain relief is still necessary. But I advise you not to take pills, but rather to give painkillers as intramuscular injections. This way the drug will reach its destination faster.
In addition, the tablets simply may not be absorbed in the intestines due to many reasons (dysbacteriosis, impaired absorption, damage to the intestinal wall, etc.).
The basic rule for such injections is no more than twice a day and preferably only one day.
If you have the opportunity to visit a neurologist, be sure to do so. He can give you a novocaine blockade, which is much more effective than NSAIDs.
The blockade is more local and targeted. It has no such side effects. This method will work much better, safer and faster than other medications.
4) Local anesthesia if the pain is chronic
If your pain is not too severe, but rather dull, moderate and tolerable, then it’s quite possible to get by local anesthesia- any warming or analgesic ointment for the lumbar region + Kuznetsov applicator.
Lie on your back and lie down for at least 20 - 30 minutes to relieve spasms and reduce pain.
5) Nervous system support
Since in acute back pain the nerve fibers are affected, they mandatory need vitamin support. During this period, I recommend taking B vitamins (for example, neuromultivitis).
But it is best to take B vitamins intramuscularly (thiamine, milgamma). The reason is the same as with tablets. Vitamins may not partially pass through the intestines. In addition, any medicine passes not only through the intestinal barrier, but also through processing in the liver.
Only provided that you have a perfectly functioning intestine and a normal liver, the medicine or vitamin will reach the necessary tissues and organs. To bypass all these stages and definitely get vitamin support, it is better to administer vitamins intramuscularly.
6) Exercises and gentle self-traction
Let's say you have already implemented all the above tips. Now you are lying on your back, they have given you painkillers and vitamins.
Now, so as not to just lie there, let’s do some exercises. But, as I have repeatedly said before, exercises directly for the lumbar spine and back muscles cannot be performed at this stage yet.
But you can and should do general light exercise for the muscles of the feet, hands, arms, and also perform breathing exercises. These types of exercises will help relax muscles and improve capillary blood supply to all tissues.
In addition, this will be a good prevention of physical inactivity. You lie down, don’t move, all processes slow down. From this and further recovery will take longer.
You can also do gentle self-traction of the spine.
I give examples of exercises in the video:
The main condition for performing the exercises is smoothness, softness and maximum concentration of attention on the exercise and your own sensations.
Like this step by step plan you need to implement it if you have acute back pain, lumbago, or exacerbation. This plan applies only to the first days, when there is severe and acute pain.
What to do next
As soon as the pain subsides, that is, the process will go into under acute period(usually this happens on the third or fourth day after an exacerbation), be sure to add:
- Therapeutic exercises for the lumbar spine SO FAR ONLY lying on your back with warm-up and cool-down (according to all the rules of physical therapy)
- Wearing an orthopedic brace when you need to get up and go somewhere (for example, walk to the nearest store)
That is, when the subacute period begins, you actively perform therapeutic exercises while lying down, and when you walk or sit, dress orthopedic corset.
Why do you need exercises in the subacute period?
How most people are treated. Their back hurt, they rested, everything seemed to go away, and they continue to lead the same lifestyle that they led before the exacerbation.
But think about this. If your lifestyle has led you to an aggravation, does that mean it is somehow wrong? If he had been correct, the exacerbation would not have happened? Right? :)
It's very easy to avoid this! Need to start studying therapeutic exercises already in the subacute period. And when it passes, connect more difficult exercises and continue to study further.
And it is in the subacute period that it is very important for you to begin active restoration of the spine, namely:
- Restoring balance between all muscle groups
- Relaxation of muscles and restoration of their normal tone
- Removing swelling and restoring all spinal tissues
- Formation of your own muscle corset and strong muscular support of the spine
WITH subacute period becomes the main and main work on restoring the health of the lumbar region. It should be built systematically - from simple to complex exercises, from the initial position lying on your back to the initial position of standing in an inclined position.
Acute pain in the lower back very often take us by surprise. We are at a loss, if the disease worsens, we try to do something.
Relieving lower back pain is necessary and is not recommended to be tolerated. Any pain exhausts and depletes the nervous system.
What to do in such cases to alleviate your condition, how to relieve unpleasant symptoms, in what ways can this be done?
Have you heard the word “lumbago”? This is what people call acute radiculitis, which occurs in the lumbar and back areas. It is not for nothing that people called this disease lumbago. The pain actually most often occurs suddenly.
In some cases, severe pain occurs due to some movements, various damages joints, muscles. ligaments, discs. Carrying heavy loads, poor work postures, and bending lead to loads that we are not prepared for. This especially applies to those who spend hours on the Internet.
The result of this is lower back pain.
A sick person cannot straighten up and remains in the state in which the unpleasant symptom caught him. Walking and standing are unbearable, and painful sensations can even radiate to the thighs and buttocks.
Our spine has a complex structure, so in each specific case it is necessary to find out which tissues may be damaged. Install accurate diagnosis Only a specialist can.
At this stage, we only need to identify the painful place and relieve the painful sensations.
Acute lower back pain can occur at work, in a variety of crowded places.
You are away from home and rent discomfort This position will help - half sitting, leaning on slightly apart and straightened arms. It is necessary to rise very carefully, we move carefully. If you have an assistant, use his participation, or pick up a cane or stick.
If a lumbago strikes you at home, try to create maximum comfort for your lower back. The most best poses in the acute period there are two postures.
One of them is to put a cushion of rolled up blanket and lie on your side. This pose will not help you long time. Another pose is to lie on your back, legs bent at the knees and a blanket roll under your feet.
Painkillers will help relieve severe lower back pain medicines. In the acute period, sedatives such as motherwort and valerian will help.
Local procedures will come to the rescue.
A mesh of iodine can be applied to the sore spot. Tincture will relieve pain capsicum, camphor alcohol, pepper patch, pharmaceutical ointments, which will have to be rubbed in.
Anesthetic ointments can cause local allergic reaction, in such cases, the drug is removed with alcohol or vodka.
You can try making mustard plasters; they are prepared completely differently and differ from those sold in the pharmacy.
Honey, sunflower oil, propolis tincture is mixed in equal proportions, a little flour is added to make flat cakes. We apply medicinal mixture on sheets of paper (the size of a mustard plaster leaf), attach to the sore spot for several hours. We secure it with a bandage and insulate it with a woolen scarf.
Take 1/4 cup of furatsilin solution, dilute 1 teaspoon of honey in it, and lower the mustard plasters there for a few seconds. We put the mustard plasters on for 3-10 minutes, depending on how much you can tolerate. Try to remove mustard plasters in such a way that the mustard remains on the skin. Sore spots are covered with film, which is left for 8 hours. This procedure It’s best to do this before bedtime; the plastic wrap can then be removed in the morning.
Radish juice helps for rubbing and relieving pain. A hole is cut in the cavity of the radish and honey is poured into it. Radish juice will be ready in 4 hours. Used to remove painful sensations 1-2 times during the day. Afterwards, wrap the affected area warm.
Grind the collected dandelion flowers and place them up to the top in a dark glass bottle. Pour vodka, leave to infuse for 2 weeks in a dark place. Arrange before bed therapeutic massage, rubbing the sore spots with the infused paste, wrap your back with something warm. Even several sessions can alleviate the condition and relieve the painful syndrome. To relieve pain, while using rubbing, you can drink a cup of dandelion tea 3 times a day.
To relieve pain, it is recommended to remain in bed for the first few days. The disease most often lasts from several days to 3 weeks. In the first days of illness, it is not recommended to take a hot bath or heating pad. The patient's condition may worsen.
To avoid suffering from lower back pain, you must remember:
The back should remain straight under load. Try to perform all your movements using your arms and legs, and not by extending and flexing your spine.
When lifting weights, squat down, do not bend over. The back is straight, avoid sudden movements, jerks and turns. Distribute weights evenly, do not carry them in one hand.
Don't try to do everything at once, get more rest!
If you need to put on shoes or wash the floor under the bed, do not bend over! Get down on one knee, keeping your back straight.
In lines at a store, at a bus stop public transport keep your back straight, the leg on which you are leaning, change periodically.
When working at a computer, get up from your desk more often, warm up, and do not lean forward.
If relief from lower back pain does not go away for a long time or repeats frequently, then it’s time for you to see a doctor! Independent and uncontrolled use of anti-inflammatory drugs is unsafe.
Consumption of products with high content calcium, massage, swimming pool during exacerbations will benefit the spine.
There is an opinion that lower back pain can only occur with diseases of the spine, for example, with osteochondrosis.
In fact, pain can be associated not only with the spine; approximately 25 diseases can cause unpleasant and painful sensations.
The condition of the lower back is affected by any physical problem, which immediately manifests itself.
And I advise you, pay attention, love and take care of your back!
Do you want to wear an orthopedic corset to get rid of back pain? Most likely not.
Just like almost 80% of people with spinal problems, Beverly Hayes suffers from back pain. For some, the pain is triggered by strenuous work such as gardening or lifting heavy objects. For others, simply bending down to pick up a pencil and their back immediately makes itself known.
“It feels like a screwdriver is piercing your lower back,” Beverly Hayes, a 46-year-old artist from Chicago, says of the pain she developed after running half of an amateur marathon. “She turned my life around.” I couldn’t bend over or sleep – my back was stiff and I thought I’d never feel normal.”
How to get rid of back pain?
Mary Ann Wilmarth, a member of the Physical Therapy Association and chair of the department of physical therapy at Harvard University, says people should see a doctor right away with an injury or any back pain. “Early intervention will help prevent the development chronic pathology and eliminate the need for treatment and surgery,” she says.
Through a combination of ongoing activity, strengthening exercises and physical therapy, Hayes said the intensity of her symptoms decreased significantly over the course of a year. Here are 12 ways to help relieve back pain.
1. Limit Bed Rest
Research shows that people with minor back pain who spend a lot of time in bed feel the pain longer and have a harder time coping. everyday affairs than those who remain active.
"Patients should stay in bed for no more than three days," says Mike Flippin, Dr. medical sciences, an orthopedic surgeon who specializes in back and spine problems at San Diego Medical Center. “I encourage my patients to start moving as quickly as possible.”
2. Continue to Exercise
Exercise is often the best cure for back pain. “Simple exercises like walking can be very helpful,” Wilmarth says. “During them, the body is in a neutral, vertical position.”
“But remember that you need to move in in moderation, reminds Flippin. “Avoid strenuous activities, such as gardening, and the movements that first triggered the pain.”
3. Maintain Posture
The pain may occur after a long workout, but the tension that caused it has likely been building up over many years. According to Wilmarth, most people have poor posture when they go about their daily activities. This adds extra stress to the back.
“It's the little things that cause problems,” she says. – You can increase the pressure on your spine by 50% simply by leaning incorrectly on the sink while brushing your teeth. If you give your back the right curves, the pressure on the nerve roots will disappear and back pain will decrease.”
4. Visit a Specialist
According to D. Scott Davis, physical therapist, M.D. sports medicine, Ph.D., orthopedic physical therapist and adjunct professor at West Virginia University, developing an individualized training plan is important to manage chronic pain in the back.
"No magic pill, which you can take for lower back pain, says Davis. – Some patients need strengthening of the muscular frame, although in general people stretch the muscles and improve overall flexibility. Find a physiotherapist who specializes in physical therapy or chiropractor(chiropractic) who specializes in the spine and back in general. They will help you choose the right set of exercises.”
5. Strengthen the Muscular Framework
Most people with chronic back pain will benefit from strong abdominal muscles.
“The torso is a complex of many muscle groups working together,” says Frank B. White, Ph.D., professor of exercise physiology at Western state university Missouri – If the abdominal muscles are weak, so are the other muscles. By strengthening your abdominal muscles, you can significantly reduce the load on your lower back.”
6. Improve Flexibility
Too much tension and tightness of the muscles can cause back pain. “Our goal when developing flexibility is to ensure that the entire body is receiving equal stress from the tips of the fingers all the way up to the head,” says Davis. – Here's a great exercise for this: sit on the edge of the bed, stretch one leg out and lower the other to the floor. Begin stretching your hamstrings by leaning forward while keeping your back straight.”
7. Stop Using a Corset
It's tempting to be able to support your back muscles externally, but Davis says the brace should be used with caution. “Braces are useful for strenuous activities such as weightlifting, but they can only be used for 15 minutes,” he says. “If you wear a corset all day, the muscles it is supposed to provide stability will weaken and no longer support the spine.”
8. Apply Ice and Heat
Heating pads and cold compresses can help relieve the condition. Most doctors recommend using ice for the first 48 hours after injury—especially if there is swelling—and then switching to heat. “But it’s hard to say whether ice or heat works better,” says Flippin. “I encourage patients to use what gives them relief most effectively.”
9. Sleep Properly
Sleep is very important, but so is the position in which you sleep. “Sleeping in a poor position or on a non-orthopedic mattress can lead to back pain,” says Wilmarth.
Here are some tips:
- If you sleep on your back, you should place a pillow under your knees.
- If you sleep on your side, you should place a pillow between your knees to keep your spine in a neutral position.
- Sleeping on your stomach leads to unnatural bends in the neck and head, which lead to excessive load on your back.
10. Quit Smoking
Smoking not only harms your lungs, it can also negatively affect your spine.
“Nicotine causes constriction of small blood vessels, which reduces blood delivery to soft tissues, says Flippin. “I tell all my patients to stop smoking because it can relieve their back pain.”
11. Try Psychotherapy
According to Alex Moroz, MD, assistant professor of rehabilitation medicine at Medical center Langone at New York University, back pain is often associated with problems such as depression and anxiety. "Yours emotional state determines the perception of pain, says Moroz. – Psychotherapy can be very useful part rehabilitation".
12. Use Relaxation Techniques
Research shows that relaxation techniques such as meditation, deep breathing, tai chi, yoga and others can work wonders.
“If you achieve deep relaxation, it will reduce the level of pain perception,” says Moroz.
Osteochondrosis is a degenerative disease of the spine, one of the most common human pathologies. The disease is characterized by gradual destruction cartilage tissue vertebrae: as the disease progresses, ligaments, muscles, and bone structures are involved in destructive processes.
The most indicative sign of pathology is back pain of various nature– sharp, aching, acute, periodic and constant. It is useful for all patients with degenerative diseases of the spine to know how to relieve pain from osteochondrosis and eliminate inflammation in the spine. acute stage diseases.
Pain in degenerative diseases of the spine
Pain is the main, but not the only symptom of osteochondrosis. The destruction of cartilage tissue itself is not accompanied by pain, especially on initial stage diseases. Painful sensations occur when pathological transformations affect nerve endings, muscles and ligaments.
Disease processes lead to loss of elasticity and mobility of the intervertebral discs. At the progressive stages of osteochondrosis, cracks appear in the discs, and the fibrous ring changes its anatomical position. These processes lead to the occurrence of protrusions and herniations of intervertebral discs: these are the main and most dangerous complications diseases.
Next to intervertebral discs nerve endings, blood vessels and the spinal cord itself are located. Deformed discs compress nerve endings and injure them. This process is primary cause pain symptoms, inflammation, muscle and ligament spasms. Back pain often radiates to other parts of the body because the nerve endings spinal cord connected to all body systems.
Painful symptoms in lesions various departments the spine is extremely diverse. In the progressive stages of the disease, in addition to back pain, patients may experience neck pain, headaches, cervical, shoulder, stomach and intestinal pain. Unpleasant symptoms occur in the legs, feet, gluteal muscles, and pelvic organs (often with impaired functionality).
Signs intensify with:
- Physical activity;
- Fatigue;
- Staying in one position for a long time;
- Stress;
- Hypothermia;
- Infectious processes in the body.
With severe compression of the spinal cord and blood vessels, possible serious pathologies internal organs. Compression in the cervical and lumbar regions is especially dangerous. Often a consequence pathological processes with advanced osteochondrosis, the following appear: dangerous diseases like a stroke erectile dysfunction, infertility, loss of control of functions digestive organs and bladder.
Causes and accompanying symptoms of pain syndrome
Main reasons pain syndrome for osteochondrosis:
- Compression of nerve endings when discs are displaced;
- Muscle spasms;
- Compression of blood vessels;
- Inflammatory processes in the soft tissues surrounding the vertebrae.
Most frequent localization pain – lumbar region backs. This is the most mobile part of the spine: it bears the main load during physical activity, lifting weights. IN sacral zone There are the main nerve plexuses and parts of the spinal cord that control the internal organs.
Complications often occur cauda equina syndrome- inflammation of the nerve endings of the lumbar region. This syndrome accompanied by severe pain in the lower back. They are partly caused by reflex muscle tension. In order to reduce pain, the body tries to limit muscle activity, which leads to muscle spasm. Constant tension contributes to the accumulation of lactic acid in muscle tissue, which also increases pain symptoms.
IN cervical spine syndrome is often diagnosed vertebral artery. Poor blood supply to the brain causes headaches various localizations(parietal, occipital, temporal). Since the pain is referred, conventional analgesics do not alleviate the condition. Other signs of compression of the vertebral artery are cervicalgia, reflex pain in the neck and arms.
Associated signs of pain:
- Tingling in the limbs:
- Numbness of certain parts of the body, loss of sensitivity;
- Limitation of range of motion;
- Muscular atrophy;
- Feeling of constant fatigue;
- Reduced performance.
Coughing, sudden movements, sneezing, laughter - all these factors increase pain or provoke its occurrence.
How to eliminate pain from osteochondrosis
How to eliminate pain from osteochondrosis? Most people will answer unequivocally - medications. On the one hand, this is true: analgesics play a certain role in pain relief. But medications give only short-term effect. Such treatment is purely symptomatic and does not affect the true causes of the disease.
Constantly numbing pain with anesthetics is a fundamentally wrong tactic. Qualified doctors use medications only for initial stage treatment. Further therapy depends on the stage of the disease, current state patient and other related circumstances.
After eliminating the acute stage of the disease, other treatment methods are necessarily practiced - physiotherapy, professional massage, therapeutic exercises, reflexology, osteopathy, complex spa therapy. By stimulating blood circulation and metabolism, strengthening the muscle frame and ligaments, we thereby prevent further degenerative processes and prevent the occurrence of new pain.
Non-drug help at home
Even at home, in the absence of medications, there are ways, if not to completely relieve the pain, then at least to alleviate the patient’s condition. There are special provisions bodies that reduce painful manifestations and provide motor rest to the affected area.
At cervical osteochondrosis resting on a special orthopedic pillow helps. It is important to ensure complete immobilization of the cervical region, so the pillow should be sufficiently hard and rigid. It's better to lie on your back. It's great if you have an orthopedic collar. Such devices can be purchased at medical equipment stores or made with your own hands from thick cardboard and soft fabric.
For lumbar pain localization there are several options correct location body for pain relief:
- Lying on your back, bend your knees and hip joints(you can put a pillow under your knees for comfort);
- Lying on your side, bend your legs and pull them towards your chin (you need to put a small pillow under your head to align the axis of the spine).
For non-inflammatory pain, gentle heating of the affected area is allowed. You can use warm heating pad, you can simply cover your back with a woolen scarf or blanket. Complete rest relaxes the muscles and partially relieves spasm.
Medicines to relieve pain and inflammation
Inflammatory processes in the nerve roots require the mandatory use of non-steroidal anti-inflammatory drugs. This is a fairly extensive group of drugs, represented by various dosage forms– ointments, tablets, injection solutions. The most popular drugs are Ibuprofen, Diclofenac, ointments Voltaren, Fastum and others.
Local painkillers are also used - Finalgon, Capsicam: these ointments, in addition to analgesic effect, accelerate blood flow and metabolism. There are complex medications (chondroprotectors) that partially restore cartilage tissue and slow down its destruction.
They try to prescribe perioral medications as rarely as possible: any medications other than useful action, have side effects. The most popular and in demand tablet drugs are Diclofenac, Nimesulide, Ibuprofen, Ketalong, Movalis.
Such drugs are often prescribed in a course of 5-7 days (1 tablet three times a day). In the absence therapeutic effect more are required radical methods treatment.
Clinical therapy
In hospitals, advanced cases of osteochondrosis with severe pain are treated with medicinal injections. Most effective method such a plan - novocaine blockade. This method pain relief is close to local anesthesia. When injected, the medicine penetrates directly into the nerve endings and blocks pain signals entering the brain.
Blockade is an effective, but exclusively symptomatic method of therapy. The injections do not cure the disease itself, but only stop its manifestations. Often such a procedure is prescribed for diagnostic purposes - doctors need to find out which nerve is inflamed and gives pain symptoms.
Drug blockade as a method of therapy has certain advantages:
- Fast-acting (analgesic effect occurs within just a few minutes);
- Minimum penetration of the drug into the general bloodstream (reduction side effect for the whole body);
- Opportunity frequent use(if necessary).
In addition to analgesics, to enhance healing effect Antispasmodics, decongestants and substances that stimulate trophism (nutrition) and blood supply to the affected area are sometimes introduced into the body. Allowed intramuscular injection vitamin preparations.
Most topical medications used for blockades: Lidocaine, Novocaine (anesthetics), Hydrocortisone (corticosteroid anti-inflammatory drug), B vitamins, ATP (for cell nutrition), Lidaza. Blockades can be epidural (made directly into the vertebral structures), paravertebral (injected into the surrounding tissues).
Other types clinical therapy for the treatment of pain: drug electrophoresis or phonophoresis, magnetic therapy, hypothermia (exposure to cold), paraffin, ozokerite applications, kinesio taping (application therapeutic patches), reflexology – acupuncture.
But for some of us, this nuisance becomes a regular problem. And while you can shrug off occasional pain or simply swallow a painkiller, chronic pain can turn your life into hell before you realize that you need to take care of your back globally. Below are a series of questions that will help you determine whether you are one of these people and whether you need to make additional systematic efforts to feel better.
Take the back pain test
- Constantly experiencing back pain?
- Apply cooling ointments to your back, apply a heating pad, and take regularly huge amount painkillers?
- Do you often tell your family and friends that your back hurts?
- Are you already like a broken record?
- Worried that the pain will become unmanageable?
- Do you go to the gym regularly and sometimes strain your back muscles during grueling workouts?
- Happened to you work injury at work and now your back hurts all the time?
If you answered yes to any of these questions, then you know how frustrating back pain can be. When a person experiences suffering, the future seems rather bleak. Before you give up and stop reading this article...
The good news: unless you've had a car accident or other serious injury, or are obese, you don't have to endure back pain!
The good news is that unless you have had a car accident or other serious injury, are obese, and have no other health problems, you don't need to endure back pain like this. You have to tell yourself that it’s time to put an end to the illness and move forward with bright thoughts!
Fortunately, there are many ways to get rid of back pain, including. The methods do not require a prescription from a pharmacy or surgical intervention. There are millions of people in the world who have found a way to alleviate their condition, and they have dealt with it on their own. We present to you 7 ways to cope with back pain yourself.
1. How to sit correctly if you have back pain
Firstly, if you often have back pain, you need to learn how to sit correctly! You often spend the whole day sitting. Or maybe you're on your feet most of the day, so you sit for a long time in the evening. In fact, most people sit incorrectly. If you're pulling your shoulders in, you need to relearn how to sit properly. You need to sit up straight and move your shoulders back a little. To do this, mentally draw a straight line from your hips to your shoulders so that they are at the same level.
2. How to stand correctly if you have back pain
If we work hard at the desk, we are worth little. Doctors recommend that if you have regular back pain, you should sometimes work while standing near a table, if possible. This will help your back rest after sitting in a chair for a long time if you can’t take a break from work. Ideal option- get up and walk around for a few minutes every half hour or at least every hour to get your body moving. The more you sit still at your desk, the worse your back pain will be later.
3. How to sleep properly when you are in pain
You might be surprised that it's time to learn how to sleep properly. But it's true. There are . When you sleep, you most likely lie in one position for several hours. Long-term stress muscles even in sleepy state leads to discomfort. But at this time a person may not realize that he needs to change his body position. This leads to muscle tightness and pain in the morning after waking up. The good news is that this situation can be corrected. If you are a side sleeper, use a pillow between your legs. You can use a regular pillow or buy a special one for back pain. If you sleep on your stomach or back, place a pillow under your lower back or stomach to balance your body weight. You'll probably need to practice for a couple of nights to get used to it. As a reward, your muscles will relax during sleep.
4. How to maintain posture with back pain
5. How to properly warm up the lower back for pain
If you have frequent, simple, cheap and easy way solve the problem with lower section backs - warm. You can buy an electric heating pad or make a rice pad at home. Before using your home heating pad, place it in the microwave for a couple of minutes. This will immediately relieve the condition in the lumbar region, but not for long. Hot bath also helps reduce back pain. If your symptoms are mild or you only experience this occasionally, these methods are quite effective. But if you are suffering from constant pain in your back, the warmth will help you for a short time. It's better to try something different later.
6. How does a bath with Epsom salts help with pain?
Baths with added medicinal salt, especially English can become in a wonderful way relieve back pain in the lumbar region. Stay in hot bath even without salt - excellent remedy for many. And adding salt works wonders. This happens because salts relax tight and tense muscles.
7. Best exercise for back pain
IN lately Many people have heard about this method of relieving back pain. This exercise is similar to a push-up. You need to lie down on a flat surface, then prop yourself up on your elbows, with your arms bent directly under your shoulders. Then you need to tense your core muscles, as if you were lifting your body off the ground. Tighten your abdominal muscles and hold this position for at least 1 minute. Only your toes and hands touch the floor. This exercise will strengthen your core muscles and relieve back pain. This is a proven method that exercise therapists use to help their clients cope with back pain.
The seven methods listed above are effective in dealing with back pain. If symptoms persist and your health does not improve, contact your doctor. He will be able to guide you further. Alternate work with rest, and your back will thank you for it.
