Low back pain: types, causes, treatment

Many of us are familiar with the feeling of pulling back pain. One has only to sit for a while in an uncomfortable position - and that is the result.

The fact that pain in the lumbar region, or lumbodinia, is very common, is evidenced by the fact that about 80% of the population have experienced it at least once in their lives. As a rule, acute pain eventually turns into chronic, and, according to neurologists, a second episode occurs in 40% of patients within the next year, and in the long run, the pain recurs in a total of 85% of patients.

What does low back pain warn of?

Today, lumbodynia is considered by doctors not as a diagnosis, but as a symptom that often serves as a signal for the development of some kind of internal disease. Any, whether pain or shooting, acute or chronic back pain can be divided into primary, caused by the pathology of the spine itself and secondary.

The latter signals a number of malfunctions in the body, for example, an infectious process or tumor in the pelvic organs, osteoporosis, inflammatory diseases of the ovaries, kidneys and other organs, dysmenorrhea, damage to large vessels or some diseasesof the nervous system. . .

The main causes of low back pain

Osteochondrosis is the most common cause of low back pain and it is quite easy to "win" it by standing in front of a computer for a long time, driving a car or doing some monotonous work, constantly repeating the samemovement. As a result, nerve roots from the spinal cord are suppressed.

As a rule, back pain in osteochondrosis gradually increases, at first a person may feel only a slight pain in the lower back, which quickly disappears when the body position changes. However, over time, the pain becomes stronger, worsening even with a simple cough or sneeze. In addition, a varied curvature of the lumbar spine becomes apparent: right-left or front-back.


If the nerve roots are severely damaged, there may be a decrease in the sensitivity of the skin and muscles of the lower half of the body, and even bladder and colon dysfunction.

Severe and sudden back pain

Such pain intensifies when it touches the body, with the slightest movement, when a person stands up in a bent position, unable to move. In this case, lumbago or sciatica may be assumed.

In the first case, the pain is caused by a dystrophic process in the intervertebral disc, the nucleus of which splits literally into separate fragments.

With sciatic nerve pain, the nerve roots located near the sacrum are damaged, and the sciatic nerve, the largest in the body, is damaged. This nerve runs from the lumbar spine, descends to the foot and reaches the tips of the toes, so that the pain can appear along its entire length and cause serious discomfort to a person.

Pain where the ribs join the spine

Such pain is usually dull, aching, radiating to the lower abdomen, navel and hypochondrium. When it occurs, you need to think seriously about kidney disease, as the pain is accompanied by the extension of the capsule in which the kidney is placed, and this happens, for example, with pyelonephritis or urethral blockage.

Low back pain during pregnancy

It should be clearly understood that the causes of early pain are different from those of late pregnancy. You should not panic if the lower back hurts a little in the early stages, this can be a physiological process that does not require any measures.

Pain in the lower back during pregnancy

But if the pain is sharp enough, pulsating, you should immediately consult a gynecologist, because during this period the risk of miscarriage is not excluded. Also, in the initial stage, the level of the hormone progesterone in a woman's blood increases, and pain may be associated with this.

It happens that the lower abdomen hurts along with the lower back, in this case, it is also necessary to consult a doctor, as you urgently need to make sure that the pregnancy is not ectopic.

At the end of pregnancy, the withdrawal of back pain is absolutely natural, because the baby grows, presses his head into the sacrum and begins to produce the hormone relaxin, which is necessary for muscle relaxation during birth, and this can alsocause mild back pain.

Moreover, the closer to birth, the more often the body regulates "pain exercises", training and preparing the expectant mother.

But severe and sharp back pain in late pregnancy may indicate a shortening of the cervix and opening of the uterine pharynx. This situation is already critical and urgent medical attention is needed.

Pain associated with fatigue and desire to stretch

We can talk about a typical problem of middle-aged women, namely, the so-called spinal instability. There is a damage to the disc or intervertebral joint against the background of excess weight and it can be difficult for a woman not to bend but, on the contrary, to direct. And every move starts to seem redundant and unnecessary.

How to deal with back pain

Only a specialist doctor will be able to answer this question especially after a serious examination and diagnosis, therefore, in no case should you delay the visit to him. The general list of measures to combat lumbodynia includes both medications and a variety of physiotherapeutic agents.

How to deal with low back pain

The main treatment methods are as follows:

  • Medications - non-steroidal anti-inflammatory, analgesic, hormonal;
  • Injections (blockages) in the area of ​​the intervertebral joints and at certain points of the muscle;
  • Acupuncture;
  • Manual and physiotherapy;
  • Healing gymnastics;
  • Surgical treatment.

Furthermore, to limit the range of motion, it is sometimes recommended to wear special corsets that can significantly lighten the spine.

And, finally, we must remember the common truth that disease is easier to prevent than to cure. Therefore, do not forget about sports, gymnastics and active rest, because in mobile people and athletics, low back pain is much less common.