Pain in the lumbar region is a common complaint when visiting a doctor. They take second place after catarrhal symptoms resulting from respiratory viral diseases (ARVI). More often the lower back hurts on the left, which can be caused by various reasons: pathology of the musculoskeletal system, diseases of internal organs with a chronic or acute course, tumors, injuries, muscle inflammation.
To prescribe complex treatment, an important aspect is to establish the nature of the pain syndrome, its nature and intensity. Depending on the cause of the pathological process, the treatment of the disease may differ radically.
In the lower back area there is the lumbar spine and an array of large muscles that support the spine and are involved in the movement of the torso. In the lumbar region on the left side of the skin there are Zakharyin-Ged reflex zones, where pain impulses from the internal organs are projected: the left kidney and ovary, intestinal loops of the left half of the abdomen, spleen, head of the pancreas, stomach, lower lobe of the left lung, diaphragmatic surface of the heart.
Left lower back pain appears in the following cases:
Depending on the cause of the pain syndrome and the severity of the pathological process, conservative treatment is prescribed or surgical intervention is performed on the internal organs, muscles, and spine.
The most common back pain is due to spinal pathology and muscle inflammation. Diseases of the spinal column can be congenital or acquired. Congenital ailments include vertebral hernias, anomalies of vertebral development, achondroplasia, and poor development of the muscular system. Acquired diseases include scoliosis, kyphosis, osteochondrosis with the appearance of intervertebral hernias, tumor lesions of the spinal column.
Pinching of the sciatic nerve causes pain in the leg on the affected side - sciatica
Inflammatory-dystrophic processes in the vertebrae lead to instability of the spinal column, thinning of the intervertebral discs (cartilaginous layers), and pinching of the neurovascular bundles in the spinal canal area. This causes inflammation of the posterior sensory roots extending from the spinal cord, which causes pain below the lower back. The pain can be nagging and constantly disturb the patient, intensifying after sleep and long periods of sitting. With a sharp pinching of nerves, the pain syndrome is intense, like a lumbago, leads to a sharp limitation of movements in the lumbar spine, and occurs during temperature changes, physical activity, and hypothermia.
A dull pain affects the lower back and can spread to the buttocks, radiate to the upper spine, and shoot into the left leg. This indicates damage to the nerve roots of the lower lumbar spinal column. Long-term compression of nerve formations leads to their atrophy, which causes a tingling and burning sensation in the fingers of the lower limb (parasthesia), and then numbness of the leg on the affected side, as well as impaired sensory and motor function (paresis, paralysis). One of the dangerous diseases of the nerve trunks is considered to be inflammation of the sciatic nerve, which leads to the development of persistent pain and the formation of complications.
Compression of nerve roots due to destruction of the intervertebral disc
Inflammation of the back muscles (myositis) occurs due to hypothermia, colds, decreased immune reserves of the body, intense physical activity, and sudden awkward movements of the body. The pain is a constant aching character at the site of the pathology, intensifies when turning, bending the body, taking a deep breath, coughing, sneezing. Rest and warmth reduce discomfort and usually lead to rapid recovery.
Chronic inflammatory processes in the left kidney (left-sided pyelonephritis, glomerulonephritis, urolithiasis) cause dull, nagging, debilitating pain above the lower back on the left. When a stone moves through the pelvis and ureter, sharp, cutting, stabbing pains of high intensity are characteristic as a result of damage to the mucous membrane of the urinary ducts by the sharp edges of the stone. Blockage of the urinary tract causes a violation of the outflow of urine, enlargement of the kidney with stretching of the renal capsule, which leads to bursting pain in the left side of the lumbar region, which spreads to the left thigh and groin. Kidney disease is characterized by Pasternatsky's symptom - increased pain when tapping in the area of the projection of the organ.
Renal colic causes intense lower back pain
With left-sided pneumonia with involvement of the pleura in the pathological process, the back hurts above the lower back. Discomfort appears due to friction between the layers of the pleura and the occurrence of contact inflammation of the diaphragm. In this case, the disease is accompanied by fever, cough with sputum, and the pain increases with breathing, coughing and decreases when the body is positioned on the affected side.
Chronic pancreatitis causes periodic low-intensity pain in the back with a predominant localization to the left and above the lower back, often the pain syndrome is of a girdling nature. Acute pancreatitis and intestinal obstruction cause unbearable stabbing or cutting pain, which is accompanied by nausea, vomiting, and intoxication of the body.
Gastritis and gastric ulcers can cause pain of varying intensity on the left side above the lower back, occurring against the background of dyspeptic disorders (constipation, diarrhea, nausea, belching, vomiting). Pathology of the spleen develops as a result of acquired and hereditary diseases, as a result of which it increases in size, the organ capsule stretches and pain appears.
Splenomegaly is accompanied by fever, general malaise, liver dysfunction, and jaundice of the skin. Angina pectoris and myocardial infarction with damage to the lower phrenic parts of the heart lead to an atypical clinical picture of the disease. In this case, the pain does not occur behind the sternum, as in the classic version of the disease, but can be located in the epigastrium, the left half of the lower back, and spread to the left leg. A heart attack is accompanied by fear of death, shortness of breath, cyanosis of the skin, and loss of consciousness.
Lower back pain often occurs during pregnancy
During pregnancy, the constantly growing uterus compresses the surrounding internal organs, increases intra-abdominal pressure, and places a high load on the spinal column. Compression of the left kidney and ureter, pancreas, and intestines can cause chronic pain in the left half of the back in the lumbar region. Pressure on the spine and pinching of the spinal roots impairs sensitivity and leads to impaired motor function of the lower extremities. In severe cases, the tone of the uterus increases and spontaneous miscarriage develops, accompanied by bloody discharge from the genital tract and increased pain in the lower back. Inflammation of the left ovary also causes pain in the lower back, groin, perineum and is accompanied by vaginal discharge, menstrual irregularities, and increased body temperature.
It is necessary to make predictions and prescribe treatment for pain in the left half of the back after consultation with a doctor, based on the results of a comprehensive diagnostic examination. To make a correct diagnosis, laboratory research methods (general blood and urine analysis, biochemical analysis of blood and urine, hematological markers of diseases), instrumental examination (radiography, tomography, ultrasound, ECG) are prescribed. Therapy, which may include both conservative and surgical methods, is prescribed according to the cause and severity of the pathological process. It should be remembered: the earlier treatment for low back pain is started, the more favorable the prognosis of the disease and the less likely it is to develop severe complications.
Left lower back pain is a fairly common symptom. Many people believe that such pain clearly indicates problems with the spine, but, unfortunately, this is often a mistaken opinion. Pain with such localization often has a “blurred” character, which makes it quite difficult to understand the real reason for its occurrence. And the source of pain in such a situation may be not only the spine, but completely other internal organs.
Any pain causes discomfort
Lower back pain on the left side is an extremely unpleasant symptom, the causes of which can be different. If we consider the most common diseases that can lead to the appearance of such pain, then first of all you should pay attention to diseases of the genital area, ureter, left kidney, intestines, and diseases of the abdominal wall. Also a fairly common cause is intervertebral hernia.
As you can see, spinal problems are not the basis of this list at all; this is just one of the possible options. But this is not a complete list of diseases that can manifest themselves in this way. Moreover, in most cases one has to deal with quite dangerous diseases, and the situation is aggravated by attempts at self-medication, which people almost always make, believing that back pain can only be caused by diseases of the spine. But for some diseases, “folk” methods of treating the back, based on heating the affected area, may be useless and even cause some harm.
Often pain on the left may indicate problems with the spine
Pain in the left lumbar region is a fairly common symptom when it comes to diseases of the lumbar spine. In some cases, the cause may be various congenital anomalies - spondylolisthesis, spondylosis, sacralization and lumbarization. But much more often we have to deal with such reasons as damage or injury, acquired diseases or degenerative conditions of the spine.
A variety of tumors can also cause a similar pain syndrome. At the same time, the situation with a tumor itself carries an increased danger, since heating (the basis of most traditional methods of treatment) will relieve pain to some extent, but at the same time may contribute to the further development of the tumor.
It should also be noted that in cases where the cause of pain is spinal problems, there is usually an additional opportunity to correctly determine what the problem is. In particular, almost all diseases of the spine are accompanied by more or less noticeable neurological disorders, which is very noticeable in cases where the disease develops in the lumbar region. For example, quite often patients have to deal with sensory disturbances in the legs (a feeling of tingling, burning or numbness appears). In severe conditions, such disorders are aggravated; they can affect the functioning of the internal organs of the small pelvis.
One of the causes of pain may be radiculitis
The reasons for the appearance of such a pain syndrome, as we have already said, can be quite a lot. So, one of the possible causes is inflammatory diseases and muscle injuries in the corresponding area of the back, but this, by and large, is the most “harmless” of the possible problems.
A possible cause may be a disease of the nervous system in the lumbar and sacral area. These can be inflammatory diseases (including the well-known radiculitis), or congenital malformations of the nervous system, compression of nerve roots or pillars, some functional diseases (neurasthenia, for example). General or local metabolic disorders can also cause such pain syndromes.
One of the most dangerous options is the manifestation of diseases of internal organs in this way. True, in this situation you have to deal with a rather characteristic syndrome - an acute and sharp pain appears below the lower back on the left. This is typical for diseases of certain organs located in the abdominal cavity (intestines, kidneys) or in the pelvic area (bladder, genitals, etc.). In such a situation, attempts at self-medication often lead to a worsening of the situation and complications of treatment in the future. So if any of the symptoms described above appear, it makes sense to immediately consult a doctor to get a normal consultation and undergo a full examination.
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Back pain in the lumbar region is a very common pain syndrome that occurs with various pathologies, both of the spine and internal organs, or with systemic diseases.
It can be higher than the lower back, lower, greater on the right or left, and often such pain occurs during pregnancy, both in late and early stages.
If the pain is very acute, accompanied by fever and weakness, you should call an ambulance.
In case of mild pain without fever, in order to understand the reasons for its occurrence, you should consult a therapist who, based on the patient’s medical history and complaints, will refer you to specialists such as an osteopath, neurologist, urologist, gynecologist, gastroenterologist, cardiologist, surgeon or pulmonologist. The final diagnosis is established by doctors based on MRI, ultrasound, and other tests and diagnostic methods.
The most obvious cause of pain in the lower back is lumbago and sciatica, which is caused by damage to the lumbar spine, osteochondrosis, as well as more serious pathologies in the spine - protrusions or intervertebral hernias. Such pain can appear when the nerves of the spinal column are irritated, nerve roots are pinched, when ligaments and muscles are irritated, when they are swollen, and also when there are diseases of the internal organs, the pain can radiate to the lower back.
In clinical practice, 60-30% of urban residents of developed countries periodically experience recurring back pain, among them, in 80% of cases, a person complains that the back hurts in the lower back. All age categories of the population are susceptible to disorders of the spine, but in most cases such ailments bother patients aged 30-60 years. In 66% of cases, lower back pain occurs due to osteochondrosis, when one of the roots of the 1st sacral, 4, 5 lumbar vertebrae is affected - this is called monoradicular syndrome. If 2 roots are affected at once, which happens in 33% of patients, this is biradicular syndrome; if 3, it is triradicular syndrome, which is much less common.
Since the causes of back pain are not always osteochondrosis, you can conduct several simple provocative tests that will help you figure out whether pain is associated with the spine, or are signs of other diseases - cystitis, pyelonephritis, urolithiasis, inflammation of the uterine appendages, prostate pathology , problems with the intestines or lungs. These are tests for lumbosacral osteochondrosis, which are named after the doctors who proposed using them as a preliminary diagnosis:
Back pain is such a non-specific symptom that can be caused by a lot of different reasons. Depending on how intensely the back pain in the lumbar region is, whether it is constant or periodic, primary or secondary, there may be reasons that cause it:
There is probably no person in the world who has not felt pain in the back and lumbar region at least once in his life. According to medical statistics, complaints of back pain rank second after respiratory viral infections worldwide. Lower back pain can be caused by many factors: for some, these manifestations are associated with congenital pathology, for others they are a consequence of any diseases or injuries. In any case, a person should not self-medicate, as this can lead to a worsening of the condition and the development of serious complications.
As a rule, lower back pain on the left is most often found in people of advanced or retirement age, however, in recent years, this pathology has tended to rejuvenate; now you can often find young patients complaining of back pain. What causes lower back pain? Let's look at these factors in more detail.
The main causes of lower back pain on the left are:
Pain in the lumbar region on the left can be of different nature and origin. The clinical picture largely depends on the cause of the pain. In inflammatory kidney diseases, the pain can be dull or aching in nature, bothering the patient constantly or occasionally. With kidney stones, the nature of the pain becomes acute, paroxysmal, with irradiation to the perineum and urinary organs.
Pain in the lumbar region on the left can signal inflammation of the ovaries in a woman or be the first symptom of a developing ectopic pregnancy. In the latter case, the pain will intensify and radiate to the genital area, anus, and perineum.
With inflammation of the nerve roots of the spinal cord of the lumbar region, back pain on the left can occur sporadically, under the influence of certain factors:
As a rule, the patient feels severe pain in the lumbar region of a shooting nature, sometimes the patient cannot even straighten up, so he takes a forced position of the body.
Pain in the left lumbar region may occur in pregnant women as the duration of pregnancy increases and the abdomen grows. The growing uterus displaces internal organs and increases the load on the lumbar spine, which can cause a woman to experience nagging and aching pain in the back. Important: if the pain is episodic in nature and radiates to the sacrum and perineum, it is necessary to contact a gynecologist as soon as possible, since such manifestations may signal a threat of miscarriage or premature birth.
In order to decide how to treat lower back pain on the left, a specialist must accurately identify the cause of pain; for this, the patient is prescribed a comprehensive examination of the body, including:
Treatment of lower back pain on the left largely depends on the cause of its occurrence:
As the acute inflammatory process in osteochondrosis and radiculitis subsides, massage, exercise therapy and manual therapy are prescribed.
It is important to understand that pain in the lower back on the left can signal serious diseases of the internal organs that require immediate medical attention, so self-medication is strictly prohibited! You can use traditional medicine recipes for lower back pain, but only after a diagnosis has been made by a specialist and with the permission of a doctor.
What to do if back pain begins (in the lumbar region) and radiates to the leg? This complaint usually occurs in patients over 30-35 years of age. There are many reasons for negative changes in the body. The pain sensations are also different. Therefore, for proper treatment, you should consult a doctor in order to quickly get rid of the disease.
Pain is often associated with people’s unhealthy lifestyle: strong periodic or constant stress on the spine throughout the working day. When a person sits or stands for a long time, the back muscles become overly tense.
It is even worse if, after a long stay in one position, the subject performs various actions that require great physical effort. There are many factors that cause back pain and pain in the leg. To clarify the etiology, sometimes there is a need to consult several doctors simultaneously (neurologist, urologist, gastroenterologist, gynecologist, orthopedist, etc.).
Pain in the lumbar region, radiating to the thigh or upper part of the lower limb, is explained by protrusion, or prolapse of the hernia. It occurs in the lumbar region and has intervertebral dislocation. Radicular pain of the lumbosacral type may appear in the presence of:
Additionally, negative transformations in the process of sweating are noted, which is provoked by neuropathy of the sciatic nerves.
Dull pain in the back that radiates to the back of the leg may indicate the presence of piriformis syndrome. We are talking about neuropathy, muscle pinching, and inflammation of the sciatic nerve. Most often a person experiences pain in the area that coincides with the beginning of the sciatic nerve. Discomfort spreads to the back of the thigh, sometimes reaching the feet. If there is deep compression or pinching of the sciatic nerve, there is a high likelihood of developing muscle atrophy.
If the pain spreads to the side of the leg, it may be caused by a herniated disc.
With this disease, damage to the upper lumbar roots occurs. It manifests itself in acute lumbago, weakness of the femoral muscles or pseudoradicular irradiation (in the presence of pathology of the hip joints).
If burning pain occurs, a suspicion arises of Roth-Bernard meralgia paresthetica (otherwise called tunnel syndrome of the femoral external nerve on the skin). Meralgia is caused by compression of the nerve by the fascia or inguinal ligaments. For example, such deviations are typical:
Discomfort is felt not only during movement, but also paresthesia, when goosebumps crawl on the skin, a tingling sensation is felt, and the degree of sensitivity may decrease. While the person is in a calm state, without sudden movements and stress testing, the symptoms disappear in most cases.
When the back bothers you and the impact is observed in the anterior thigh, the syndrome is caused by abnormalities in the femoral nerve. The lesion often appears after surgery (impact on the lower abdomen, hernia repair). Additional symptoms of negative effects:
In patients in such cases, the degree of impairment of motor direction is more pronounced than pain. When you feel severe pain in the back area, which radiates to the limbs, muscle atrophy in the thigh may simultaneously appear. This symptom is typical in cases of therapy with the use of anticoagulants, the development of blood accumulation processes, in the presence of diabetes mellitus, when asymmetric proximal neuropathy develops.
Discomfort in the lower back on the right with negative changes in the functioning of the 4th femoris muscle has a significant degree of severity (about 4 lumbar roots are affected). In this case, it is difficult for the patient to straighten the lower leg and bend the thigh.
Pain in the lower back may be accompanied by pain in the knee. Such deviations are associated with orthopedic disorders in the hip joints. The disease can be caused by oncological diseases of the genital organs in female representatives. In males, the cause lies in a prostate tumor. When the pelvic bones are broken, the skin becomes numb, a feeling of crawling sensations and pain in the area of the obturator nerve appears. Kickback is sometimes associated with the medial area of the knee joint.
Discomfort in the middle or upper back is caused by increased muscle activity and a high level of tension. Other reasons:
Unpleasant sensations in the lumbar region are in many cases provoked by orthopedic abnormalities. These may include spondylolisthesis, osteochondrosis, spondylosis, degeneration or other negative processes associated with discs in the lower part of the spinal region. This kind of back pain is also caused by inflammation of the sciatic nerves, tightness of the muscles in the buttocks, and an arachnoid cyst of the sacral zone. Lower back ailments at night in males are associated with ankylosing spondylitis.
However, it is necessary to take into account that pain in the lower back (radiating to the side) is provoked by disorders in the spinal column. The syndrome can also be caused by other pathological processes, which add to the list of symptoms manifested by the patient.
If you experience pain in any part of your back, you should consult a doctor, based on the results of the examinations performed. Diagnosis is carried out using x-rays of the sacroiliac joints and hip joint, magnetic resonance imaging and computed tomography.
For pain radiating to the leg, proper therapy can only be prescribed by a doctor. The specialist takes into account not only the causes of the disease, but also the stage of its progression. Of particular importance is the severity of the patient’s symptoms and the presence of chronic diseases in the person.
During severe progression of the disease, in acute cases, a person should be at complete rest. It is necessary to take a lying position, the most comfortable position. Experts recommend staying on bed rest for a week. Then you can start doing light exercises. In this case, you do not need to get out of bed (you can practice while sitting). Such activities should not harm your health.
If the lower back pain is very severe, the doctor will prescribe a therapeutic course using certain medications. The purpose of drug treatment is to eliminate pain and pathological muscle spasms. An injection course and non-steroidal anti-inflammatory drugs may be prescribed.
When spinal discomfort radiates to the leg, medications are often used that can normalize blood microcirculation and venous outflow. Products that include vitamins may be prescribed: B1, B2, B3, B6, B12. The patient should continue taking vitamins and non-steroidal anti-inflammatory drugs after the pain has resolved for 2 weeks.
Non-drug methods of therapy are characterized by excellent effectiveness. These are physiotherapeutic procedures, the duration of the course of which is limited by the doctor in each individual case. However, they can be used after pain has been relieved.
One of the most popular methods is pharmacopuncture, prescribed in combination with acupuncture. Pharmacopuncture is an injection of a special medication into a painful point using a needle. This option provokes positive changes in the body: the irritating process of nerve endings stops, muscle spasms are eliminated.
Patients with pain in the lower back should always perform therapeutic exercises while using prescribed medications. Manual treatment is often used when the lower back not only bothers you, but also radiates to the leg. However, there are a number of contraindications. This therapy is only possible for certain types of lumboischialgia and therapeutic traction. Manual therapy cannot be used if the patient has certain chronic diseases.
If there are no exacerbations, you need to do massage courses and physiotherapeutic procedures several times a year. You can conduct physical therapy exercises at home for preventive purposes.
Among the abundance of pathological, inflammatory and degenerative changes in the spine that contribute to the occurrence of lesions of the constituent elements of the spinal cord, blood vessels, various surfaces, and roots, the following are distinguished:
Worries from the lower back are sometimes associated with abnormalities that have nothing to do with negative processes in the musculoskeletal system. For example, this is an abscess, chronic meningitis, spinal syphilis, etc.
Less common causes of pain on the right or opposite side of the back with a return to the legs include the following diseases:
The clinical picture in patients is characterized by a variety of manifestations. The pain in the area may be muted or severe. The pain occurs with a burning sensation, shooting, sometimes it compresses the body or tears. Often its appearance is sharp, mainly in one of the sides, it is clearly felt in the hip area, gluteal area, and then appears in the legs.
This condition often continues for a long time. If you do not take measures, self-healing will not occur. Over time, the process worsens, and vegetative-vascular or neurodystrophic abnormalities begin to appear. The consequence of negative transformations is a violation of the motor function of the lower extremities.
Sharp muscle spasms in the lumbar region provoke limitation of motor functions in the region in question. They are called the muscular-tonic form of negative changes. Vegetovascular manifestations are characterized by numbness, which is complemented by burning pain.
In a sick person, it is externally possible to distinguish the diseased lower limb from the unaffected one. In the area of the foot, the leg has a pale tint. It is cold, which is due to high vascular tone.
When deviations in the condition of the spinal muscles and spine are alarming and pain is also heard in the leg, you must immediately seek help. Prompt action will help avoid exacerbations and prevent irreversible consequences.
October 10, 2016
Lower back pain occurs quite often and manifests itself under different circumstances.
Often patients go to the doctor and ask: if their lower back hurts, what could it be, what is causing severe pain.
Back pain in the lumbar region can develop with a variety of pathologies of both the spine and internal organs. Also, periodic pain develops in people with systemic diseases. The location of such pain can be different: many people complain that it hurts more on the right or left, below or above the lower back, and ask what is in this area. Often this condition develops during pregnancy , and this is possible both in the early and late stages. If the pain is acute and there is also a fever, you must call emergency help.
If there is constant pain, but no temperature, then a specialist will help to understand the cause of this phenomenon. Initially, you should contact a therapist, who will assess the patient’s condition and advise which specialists should be contacted next.
To find out whether the spine hurts, or whether there are other reasons for this condition, it will be necessary to conduct a number of studies, including ultrasound, MRI, etc.
If your back hurts in the lumbar region, the causes of this phenomenon are most often associated with the development of lumbago and sciatica . These conditions are a consequence of damage to the lumbar spine, osteochondrosis . Also, such pain can be associated with intervertebral hernias and protrusions. It hurts a lot if a vertebra has shifted. Whether there can be a temperature with osteochondrosis depends on the woman’s condition, but in this case you should immediately consult a doctor.
If persistent lower back pain develops, the causes in women and men may be related to irritation of the nerves of the spinal column, irritation or swelling of the muscles and ligaments. The answer to the question of why there may be pain in the lower back may lie in the fact that the patient develops a certain disease of the internal organs, and the pain radiates to the lumbar region. In this case, pain may be felt lower and higher, left, right.
If we are talking about why lower back pain occurs in women, the reasons may be pyelonephritis , cystitis , or urolithiasis . Sometimes the causes of lower back pain in women are associated with diseases of the genitourinary system, in particular, inflammation of the uterine appendages . But even if there is periodic pain and aching in the lumbar region, a specialist should definitely find out the reasons for this phenomenon.
Why lower back pain in men also depends on the disease, which must be diagnosed. If lower back pain occurs in men, the causes may be related to prostate .
In addition, there is a possibility that pain in the lumbar spine may develop as a result of problems with the intestines, and the pain may also radiate when the lungs are affected.
But no matter why severe lower back pain develops, the reasons for this phenomenon must be determined immediately and adequate treatment provided.
According to statistics, up to 60% of city residents in developed countries periodically complain that their lower back hurts. The causes of this phenomenon are associated with pathologies of the spine. In most cases, people aged 30 to 60 years complain about such violations.
60% of cases of such pain are a consequence of osteochondrosis, when one of the roots of the first sacral, 4, 5 lumbar vertebrae is damaged. This phenomenon is called monoradicular syndrome . When two roots are affected, biradicular syndrome (in approximately 33% of patients). Damage to three roots is called triradicular syndrome ; it is rarely diagnosed.
These tests are used as a way to make a preliminary diagnosis and are named after the doctors who suggested them.
Back pain is a nonspecific symptom, and the causes of its occurrence can be very diverse. There are very different types of pain in the spine in the lower back. And by how exactly the spine hurts in the lumbar region - severely or a nagging pain or heaviness manifests itself - the cause of this condition is determined. It is also important to understand where the pain manifests itself - at the top or bottom of the spine; it develops periodically or continuously.
If pain appears above the back on the sides, it is quite possible that we are talking about liver diseases - liver failure , hepatitis , the consequences of taking toxic drugs, as a result of which the liver hurts. As a rule, in this case, the back hurts on the right, above the lower back - in the hypochondrium.
Why does it hurt on the right and left just above the lower back? Most likely, in this case, acute kidney disease develops. Often, with polycystic disease , chronic pyelonephritis kidney tumors, mild symptoms are observed. After all, stretching of the renal capsule occurs gradually. How to determine what hurts - the kidneys or the lower back? This question can be answered accurately only after a full diagnosis.
edema develops during acute pyelonephritis , or the patient has a blocked ureter, then the pain is intense, but dull, often aching. But such sensations appear constantly, for a long time, often radiating to the navel area and lower abdomen. Also, discomfort and pain may appear in the hypochondrium on the left or right.
In chronic kidney diseases, pain sometimes occurs as a result of taking certain medications. When treatment is stopped, these sensations go away.
Sometimes muscle pain develops, which can manifest itself not only in the lower back, but also in the sternum, etc. In this case, it is necessary to establish an accurate diagnosis.
Drawing and aching pain in the lower back develops with a number of spinal diseases. In addition, women experience pain in the lumbar region during menstruation. In this case, your stomach and back may hurt at the same time. This symptom also manifests itself in diseases of the genital area ( adnexitis , salpingo-oophoritis , oophoritis ), and pelvic peritoneum. Sometimes the lower back hurts and aches when the cause is the intestines, as well as inflammation of the appendix. As a rule, it does not subside even in the lying position.
In men, aching or sharp pain in the lower back can develop with prostate disease.
Sharp pain in the lower back is possible with bladder ailments. A doctor will help you find out the exact diagnosis.
If the lower back hurts on the right and left at the same time, this may indicate the development of hepatitis , pyelonephritis , cholecystitis . Pain in the lower back on the right also manifests itself with inflammation of the uterine appendages and prostate. Pain on the right back in the hypochondrium area can develop with pleurisy , pneumonia . If the pain is radiating and is felt above or below the lower back on the right side, atypical appendicitis , as well as intestinal obstruction . In general, the causes of pain in the lumbar region on the right and lower left can be associated with various diseases, both of the spine and internal organs.
Pain in the buttock on the right in women occurs both with osteochondrosis and with damage to the ligaments and muscles in this area.
Thus, if the lower back hurts on the left or right, you can suspect that the following ailments are developing:
If your back hurts in the lumbar region on the left, the causes of this condition may be associated with acquired diseases - tumors, degenerative pathologies, inflammatory processes. Also, unpleasant sensations on the right and left lower back can be associated with traumatic injuries, intervertebral hernias. Pain in the lower back on the left above and below is also possible with congenital pathologies - spondylosis, sacralization, spondylolisthesis, lubularization.
It hurts on the right and left sides due to diseases of the pelvic organs (bladder, parametrial tissue, uterus and appendages, prostate gland). Sometimes the lower back hurts very badly due to pathologies of the intestines and kidneys. Symptoms of intestinal inflammation in women and men can include severe pain in this area.
It hurts in the sacrum area if the following problems occur: compression of the roots, neurological diseases (neuritis, radiculitis, neurasthenia, hysteria), metabolic disorders, diabetes mellitus , gout , etc.
If the lower back is pulled, the reasons for this may be related to pinching of the sciatic nerve . In case of pinching or inflammation of the sciatic nerve, as well as with radiculitis, the pain varies. The patient sometimes feels a lumbago when at rest and when moving, sometimes there is a stabbing, burning, burning, burning sensation in the back. There may be a feeling of numbness. In this case, pain can be both moderate and very strong, unbearable.
The sciatic nerve is the longest in the body. When it is pinched, pain appears only on one side. Where exactly depends on the gender of the patient: as a rule, on the right for girls and on the left for men. Most often, the feeling of a sharp lumbago appears when you get up from a lying position, when you stand and change the position of your body. The most painful place when this nerve is inflamed is under the knee, as well as where the bone protrudes at the bottom of the buttock. Sometimes nodules appear on the back of the thigh and on the muscles of the lower leg. This lump is especially sensitive if you touch it. This disease can bother you both day and night.
Lumbago - popularly this disease is called radiculitis. Sudden lumbago, which manifests itself after heavy exertion, sudden movement, prolonged stay in one position, or during hypothermia or a cold. If your back hurts, attacks force you to take a position in which the pain subsides. It is better to ask your doctor what treatment methods to take. As a rule, massage and warming agents help. But it is still important to consult with a specialist, since lumbago indicates disorders in the lumbosacral spine.
Many women ask about what to do if their lower back hurts during pregnancy . It is difficult to understand what to do when many medications, in particular antibiotics , cannot be used, and how to treat such a condition.
The causes of burning and pain during pregnancy are associated with the fact that at this time the woman’s body is subjected to increased stress. As the fetus grows, the center of gravity changes, and often expectant mothers complain of pain in the lower back when bending forward, and later of constant pain and burning in the back. In addition, during pregnancy, in the process of physiological changes, other manifestations are noted - headache and chest pain, hair loss.
During pregnancy, the femoral-sacral joints relax as the body prepares for childbirth. This also causes spinal tension and back pain.
Every woman who is expecting a child should definitely consult a doctor. It is especially important to do this if you have had back problems before. It is important to contact a specialist whose field of activity is broader than gynecology and determine how to act to prevent negative manifestations.
Most often during pregnancy, back pain in the kidney area occurs in women who previously suffered from osteochondrosis , spinal curvature , and muscle pain . However, it should be borne in mind that pain in the kidney area is sometimes a symptom of diseases of the internal organs. Thus, pain in the kidney on the left may indicate inflammatory processes in the genitourinary system. Therefore, if such manifestations occur during pregnancy, it is important to inform your doctor in a timely manner and undergo an examination. He will tell you what to do if your lower back hurts and determine the cause of this phenomenon.
If the sciatic nerve hurts during pregnancy, manual therapy and special exercises are practiced. Any medications are prescribed only by a specialist. It is very important to follow all the doctor’s recommendations exactly. Only in this case can all negative manifestations be minimized.