Backache

Back pain is one of the most common complaints among people 25-30 years old. They can arise not only from overwork, but also as a symptom of diseases of the spine or internal organs. Therefore, it is important to pay attention to your health and not to ignore the problem. After all, if back pain is caused by the appearance of pathological changes in the spine, they can eventually lead to serious complications and even disability.

The reason

In some cases, back pain comes from natural reasons: after tiring work, hard exercise, wearing high heels for a long time, etc. v. In such cases, the pain is caused by the formation of lactic acid in the muscle, and in particularly difficult cases and microscopic tears. muscle, sprain. Therefore, to get rid of them, it is necessary to give your back a break for several days.

Pregnancy is a common cause of back pain. Because there are so many changes in the body, especially in the late stages of pregnancy, the body can respond to pain in the lower back. If they are not acute and are not related to lower abdominal discomfort or abnormal discharge, this is considered a normal variant. But at the same time, ongoing changes, a change in a woman's focus and an increase in weight during pregnancy can cause an exacerbation of chronic illnesses or the development ofDegenerative-dystrophic changes in the spine.

Because during pregnancy, the load on a woman's body doubles, it is very important to tidy up the spine. Our clinic has developed and prepared a special comprehensive treatment and examination program for pregnant women and those planning to become pregnant.

Degenerative-dystrophy, like other diseases of the spine, often causes back pain in women and men over the age of 30. For them, the pain can be localized to any part of the back (neck, between the shoulder blades, in the lower back) and headaches, shoulders, arms, buttocks, legs, etc. v. It can be of varying severity, acute, shot, pulling, soreness, persistent presence or occurs after exertion. All of these are important signs that help determine the cause of the development of pain syndrome, and thus find effective ways to get rid of it.

The most common back pain related diseases are:

• osteonecrosis, bulging eyes and herniated disc;
• curvature of the spine (scoliosis curvature, scoliosis, scoliosis and a combination thereof);
• myofascial syndrome.

Less often, back pain is caused by compression fractures (typical for the elderly or people injured, falls from a height, accident), develops into ankylosing spondylitis, degenerative vertebrae, degenerative spine and other diseases of the spine.

In addition, pain in various parts of the back can be caused by dysfunction of internal organs. For example, pain in the neck may be associated with thyroid disease, lymphadenitis, vascular disease, and pain in the lower back may indicate pathology of the kidneys, pelvic organs, and gastrointestinal tract. Discomfort in the mid back, in the shoulder blade area is rare, but does also occur. Its appearance, in addition to diseases of the spine, is possible due to the appearance of disorders of the heart's activity, v. v.

But the essence of the problem is that any disease of the internal organs does not arise. They almost always become the result of a violation of the inner segment, that is, the quality of transmission of nerve impulses from the spinal cord through the nerve roots and branches of the nerve to specific organs. Each level of the spinal cord corresponds to a pair of its own roots, from which the nerves will branch and travel to the respective organs. If changes in the spine occur, such as curvature, deflection of the spine, change in the height and condition of the disc this will inevitably affect the condition of the spinal roots and spinal cord. They can be pinched or even injured by various vertebral structures, as they change their parameters and natural position. Consequently, nerve impulses transmit to the organs in a worse way, leading to the appearance of disturbances at first negligible, but continuously progressing in their work. Gradually, organic changes appear in organs, becoming the cause of the development of the disease. So, in the case of back pain and detecting pathologies of the internal organs, it is imperative to examine the spine and look for changes that provoke their development. Acting on them will increase the effectiveness of treatment of internal diseases, and most importantly, eliminate the prerequisites for their appearance.

Each spinal motor segment has its own pair of nerve roots that transmit signals to a specific organ.

Bone tumors, bulging eyes and disc herniation

Bone tumors are the most common disease of the spine, this disease occurs in every second adult at different stages of development. It is accompanied by degenerative-dystrophic changes in the intervertebral disks, that is, their gradual destruction.

Depending on which part of back pain occurs and therefore, degenerative-dystrophic processes in the intervertebral disc, osteoporosis of the cervical, thoracic and lumbar spine are distinguished. Usually, the discs of the spine are destroyed, less often - the cervix, and only in rare cases is diagnosed bone necrosis of the thoracic spine.

For osteonecrosis, pain is typical, initially weak, aching after exertion or sitting for long periods of time. They gradually intensify and occur more and more often. Over time, these discs become so depleted that their outer shell cannot bear the load placed on it and becomes deformed, i. e. , forming a protrusion, which eventually turns into a hernia. In the latter case, the lint is completely broken, and the inside of the disc may fall out of the spinal canal.

In both cases, the protruding parts can compress the spinal roots, thus causing lens syndrome. This means that in addition to the fact that the pains will be intense and intense, they will also reach the arms, legs, buttocks and other parts of the body, directly dependent on the deformed disc. So, when the nerves of the cervical spine are pinched, the pain tends to reach the shoulders and arms, and when the nerves of the lumbar spine are compressed, to the buttocks and legs. This is often accompanied by sensory impairment, including numbness, shivering, and gradual muscle wasting.

The disease has irreversible changes in nerve fibers, which can lead to paralysis and disability.

Curvature of the spine

The curvature of the spine can be observed in any part of it. A fully erect spine today is a rarity, so most modern people have obvious defects. These could be:

• kyphosis - enhances the natural curvature of the spine in the pelvic region;
• fibroids - natural deflection of the spine in the lumbar spine;
• scoliosis - lateral deformation of the spine.

In each case, curvature can lead to compression of different groups of nerves, which also causes lens syndrome. But if changes in bone necrosis in the early stages of development cannot be seen with the naked eye, then spinal defects can be easily diagnosed by asymmetry of the position of the scapula, pelvis, protrusion of the abdomen or the formation of a hump.

Myofascial syndrome Myofascial syndrome is not a dangerous but rather painful condition in which some muscle groups contract in response to pressure or physical activity. Therefore, if you press on the place where the back pain is normal, you may experience a new acute attack, which is an important diagnostic criterion.

Diagnose the cause of back pain

If back pain occurs, whether it is in the neck, between the shoulder blades or in the lower back area, you should see a neurologist. You need to make an appointment with an orthopedist, chiropractor and neurologist as soon as possible if the pain spreads to other parts of the body, as this is a sign of the development of the association. lens evidence.

Our center specialists use an integrated approach to diagnosis and treatment, so they can quickly make an accurate diagnosis. Diagnosis begins with a survey of the patient, in which the nature of the complaints are presented, as well as the characteristics of work and rest, are clarified. The doctor must carefully examine the patient, palpate the spine, as well as perform special neurological and functional tests. This allows you to form a comprehensive picture of the patient's condition, detect signs of neurological deficiency, and assess the extent of damage. To clarify the diagnosis, it is imperative to specify:

• X-ray inspection;
• CT;
• MRI.

If there are no contraindications, MRI is always preferred because this method can provide the most complete data about the state of the spine and especially the disc, allowing for diagnosis. even small changes in their condition at the earliest stage and intervening in the pathological process in a timely manner.

In our clinic, you can also learn more about the composition of the body and the state of the vascular system, related to the blood supply to internal organs, musculoskeletal systemand brain. Our experienced doctors will explain the findings to you in detail. Biological measurement calculates the ratio of fat, muscle, bone and bone mass, total body fluids, basal metabolic rate. The recommended intensity of physical activity depends on the condition of the muscle mass. Metabolic processes, in turn, affect the body's ability to recover. According to indicators of active cell mass, one can evaluate the level of physical activity and nutritional balance. This simple and quick test helps us see the endocrine disturbance and take action. In addition, we also need to know the condition of the blood vessels to prevent diseases such as heart attack, hypertension, heart failure, diabetes and many more. Angioscan allows you to determine important indicators such as the biological age of blood vessels, their hardness, the stress index (which speaks to heart rate), and oxygen saturation in the blood. Such screening will be helpful for men and women over the age of 30, athletes, who are undergoing long-term and difficult treatment, as well as all those following their health.

If the diagnosis shows that back pain is a result of the development of internal diseases, the patient will be referred to the specialist of the narrow specialist such as urologist, endocrinologist, doctorgynecologist, gastroenterologist, cardiologist, etc. v.

Body composition analysis gives us information about the amount of fat tissue and musculoskeletal composition in the body. These data will help the rehabilitation person to plan an accurate physical activity, taking into account the individual characteristics of the patient.

Back Pain Treatment

Back pain treatment is always complicated, as it is impossible to eliminate pathological changes in the spine with the help of drugs alone. Furthermore, for each patient, the treatment regimen was developed separately. Not only takes into account the diagnosis and stage of development of the disease, but also the presence of comorbidities, the patient's age, work habits and characteristics, the physical level and other factors. Therefore, even in patients with the same diagnosis, treatment can take place in different ways. Only this approach gives maximum results.

So the main ingredients of conservative therapy for back pain stemming from vertebral causes are:

drug therapy

• ;
• osteopathy;
• manual therapy;
• massage;
• physiotherapy (electrophoresis, carboxy therapy, ozone therapy, compressive RF therapy);
• personal lessons with rehabilitation doctor.

Spine surgery is indicated only in very severe cases where conservative therapy is not absolutely effective.

The patient should definitely lose as much weight as possible, as well as avoid excessive exertion, as well as a sedentary lifestyle. A balanced diet will further improve the effectiveness of treatment.

Drug treatment

Drug therapy can include drugs from different pharmacological groups, depending on a combination of many different factors. In the majority of cases, the patient is prescribed:

• NSAIDs;
• corticosteroids;
Muscle relaxants
• ;
• chondroprotectors;
• B vitamins;
• vitamin D.

Patients with very severe vesicular pain who cannot be treated with nonsteroidal anti-inflammatory drugs or painkillers may be given a blockade. The procedure involves introducing a solution of lidocaine or novocaine, sometimes in combination with corticosteroids, directly into the area through which the compressed nerve is passed. They have no therapeutic effect, but allow you to quickly get rid of even severe pain of nerve origin. But the implementation of blockade measures requires special skills and absolute sterility, since such injections can lead to the development of serious complications.

Manual therapy

Manual therapy is considered to be one of the main ingredients of back pain treatment from many different origins, as it allows to restore the normal structure of the spine and at the same time:

• to improve the transmission quality of nerve impulses along peripheral nerves to all organs of the human body;
• activates blood circulation and lymphatic flow;
• initiates the body's natural recovery processes and facilitates their process;
• enhances immunity and enhances the body's adaptability to new living conditions, v. v.

The use of special techniques of manual direct action on the spine and surrounding tissues allows the removal of the pressure of various anatomical structures on the spinal roots, resulting in elimination of the attack. pain, including pain spreading to the limbs and other parts of the body. In addition, with their help, it is possible to increase the distance between the vertebral bodies, creating the most favorable conditions for the recovery of deformed vertebral discs, and at the same time the mixing action of the muscles helps. Eliminate functional blocks, increase mobility and flexibility of the spine, accelerate metabolism.

We do not have a general standard of treatment, an individualized approach that applies to each patient. The author's technique Gritsenko has shown high efficiency over many years of use. It implies a special effect on the spine, so that not only back pain disappears, but also eliminates the causes that cause them. And the normalization of the inner segments of the spinal cord helps to improve the function of internal organs and eliminate the causes of the progression of their diseases.

Thus, back pain patients can completely believe in obvious positive changes after 1-2 sessions of manual therapy according to Gritsenko's method. How many procedures are required to obtain the maximum possible results and its integration is individually selected for each patient.

Physiotherapy

Physiotherapy is indicated outside the acute phase of the disease. With its help, it is possible to enhance the effects of other influencing methods. As a rule, patients are prescribed therapy with anti-inflammatory, analgesic, antispasmodic properties, namely:

Electrophoresis

• ;
• pull therapy (pull the spine);
• UHF;
laser therapy
• ;
• ultrasound therapy, v. v.

exercise therapy

Physiotherapy is not the last ingredient in back pain treatment. The stability of the result is largely dependent on regular and proper exercise, as exercise therapy is mainly aimed at strengthening the muscular strength of the back, which will provide support to the spine. and reduce the load on the discs. In addition, exercise therapy improves the quality of blood circulation, leading to a more active delivery of drugs and nutrients to the affected area, increasing therapeutic effect.

However, do not choose some exercises yourself, as doing the general recommended exercises can be harmful to the patient due to overtraining in some of the most muscle groups. concentration. Therefore, the development of the optimal complex should be trusted by a physician - a rehabilitation doctor, who will teach a person to perform each exercise correctly.

So while back pain is familiar to all adults, it is not worth considering them harmless. Such negligence can lead to serious complications and, best of all, they can be handled with surgery. Worst of all, patients have to deal with disability. Therefore, if back pain occurs in jealous or rather acute frequency, make an appointment with a neurologist and determine the true cause of the discomfort. After all, the disease is much easier to stop during the early stages of development.