Lower back pain is a common human experience - around everyone at some point. The lower back, which begins below the rib cage which is called the lumbar region. The pain can be intense here and is a major cause of lost work. Fortunately, often back pain improves on its own. Where it is not, there are effective treatments.
Lower Back pain
can come on suddenly and for less than six weeks (acute) which can be caused by a fall or heavy lifting. Back pain (chronic) lasts longer than three months, is less common than acute pain.
Lower Back pain
often develops without a specific cause that your doctor can identify with a study or test patterns. Conditions often include back pain related:
Low back pain may be the result of conditions that affect the bones of the lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, the lower back muscles, pelvic organs and the abdomen skin and the lumbar region covers.
Symptoms range from a dull ache to a throbbing sensation or shooting. The pain can make it difficult to move or stand. Acute low back pain occurs suddenly, often after a sports injury or heavy lifting. The pain that lasts more than three months is considered chronic. If the pain does not improve within 72 hours, you should consult a doctor.
Symptoms that require urgent attention
severe lower back pain after a fall or injury must be checked by a doctor. Other warning signs of a loss of control of bowel or bladder, leg weakness, fever and pain when coughing or urination. If you have any of these symptoms and signs ahead back pain, ask your doctor.
Causes of lower back pain
The most common cause of lower back painis a herniated disc. The discs act as shock absorbers between the vertebrae of the spine. These discs are weakened as your age and become more susceptible to injury. Sometimes the gel center of a disc is pushed through the skin and puts pressure on the sciatic nerve roots. About 1 in 50 people have at some point in life to get a herniated disc. Up to a quarter of them have symptoms more than 6 weeks duration.
2. Spinal Stenosis
Degeneration of the spine can lead to a narrowing of the spinal canal. This narrowing, called spinal stenosis can put the pressure on the sciatic nerve roots. Spinal stenosis is more common in adults over 60 years.
3. Spinal tumors
in rare cases, sciatica can result due to tumor growth or along the spinal cord or the sciatic nerve. As the tumor grows, it can press on the nerves that branch out from the spinal cord.
4. Piriformis syndrome
Piriformis muscle is located inside of the buttocks. The bones of the lower leg of the upper column are connected and runs directly on the sciatic nerve. When these muscles are in spasm, it can put pressure on the sciatic nerve, causing symptoms of sciatica. Piriformis syndrome is more common in females.
Sacroiliitis is an inflammation of one or other of the sacroiliac joints, wherein the lower column is connected to the basin. Sacroiliitis can cause pain in the buttocks, lower back and may even one or both legs extending downward. The lower back pain may worsen with climbing stairs or prolonged standing. Sacroiliitis can be caused by pregnancy, arthritis, infections or injury.
6. Infection orinjury
other causes of lower back painare muscle inflammation, infection or injury as a fracture. Typically, each condition irritates or compresses the sciatic nerve can cause symptoms. In some cases, no specific cause of lower back paincan be found.
7. Muscle or ligament strain
Repeated heavy lifting or a sudden awkward movement ca cause the back muscles and ligaments of the spine strain. If you are constant strain on your back in poor physical condition may cause painful muscle spasms.
8. Bulging or ruptured disks
The discs act as cushions between the bones (vertebrae) in the spine.The soft material inside a diskmayswell or rupture and press on a nerve. However, you may have swelling or a herniated disc without back pain. Discopathy is often accidentally when subjected to a different reason for X-rays of the spine.
Osteoarthritis can cause the lower back pain. In some cases, the arthritis of the spine leads to a narrowing of the space that surrounds the spinal cord, a condition known as spinal stenosis.
10. Skeletal irregularities
Back pain canoccur if the curves of the spineabnormal. Scoliosis, a condition in which the curves of the spine to the side can also cause back pain, but usually when scoliosis is only severe.
Vertebral compression fractures of the spine can develop when the bones become porous and brittle.
Treatment for Lower Back Pain
The treatment oflower back pain is directed optimally diagnosed or suspected to a specific cause. For acute lumbar sprain may initially a home remedy advantageous.
Lower Back pain treatment
Epidural steroid injection
Epidural steroid injections are often used in cases of radicular pain, pain that will radiate outside of the spine to the irritation of the spinal nerves that is provided. Irritation of the spinal nerves in the lower back (lumbar radiculopathy) causes pain in the leg. Epidural steroid injections are also help to treat nerve compression in the neck (cervical spine), which is called cervical radiculopathy that causes pain.
Low doses of certain types of tricyclic antidepressants - especially antidepressants, such as amitriptyline - have shown to relieve some types of chronic lower back pain, independently of its action on the rear depression.
If other measures relieve anylower back pain and if the pain radiating down the leg the doctor can inject cortisone - an anti-inflammatory medicine - or drugs to the spinal cord to numb the area (epidural space). A cortisone injection reduces inflammation around the nerve roots, but pain usually lasts less than a few months