Acute back pain in the sides of the right and left side: causes, treatment

According to statistics, every third person has experienced such a phenomenon as acute back pain at least once in their life. And in every second person, the cause of the pain remains unclear. In other cases, the leading cause of the development of back pain syndrome is a pathology of the musculoskeletal system (bones, ligaments, tendons, muscles), the development of inflammatory processes, or neuralgia. Almost always, the pain begins abruptly, acutely and requires urgent help. Often, the cause of the pain cannot be determined, since even its source is unclear (the pain radiates from the focus to other, nearby areas). There are quite a few cases, and each of them is unique, has its own causes and requires treatment. Let's consider various options for the manifestation of pain.

Causes acute back pain

There are many different reasons why acute back pain may occur. No specialist will be able to immediately say what caused the pain in this area without conducting a comprehensive examination. Even a simple survey and examination are often not enough. The causes can only be roughly assumed, and the vector of further diagnostics can be determined. Therefore, it is important to understand that first you need to undergo diagnostics, and only then can you talk about what caused the pain. Based on this, further treatment is selected.

The first thing people usually think about is a muscle strain or a pinched muscle. Or many people think that they just caught a cold in their back, being in a draft, cold or damp. Perhaps a muscle strain, pinched muscle or rupture really did occur. Pain can be caused by sudden or excessive strain on the back muscles, overtraining, hypothermia. But this is not the only possible reason. And sometimes this is not the reason at all. Sometimes there is a false impression that the muscles hurt. Similar sensations can also be caused by a pinched nerve, intercostal neuralgia, chest injury, inflammation in the lungs, bronchi, fluid accumulation in the pleural cavity, and many infectious diseases, such as croup, tuberculosis. Sometimes the pain radiates in a similar way from inflamed areas of the pleura, lungs, bronchi, upper respiratory tract. It may be a consequence of pinching or displacement of a vertebra, development of an intervertebral hernia, arthrosis, osteochondrosis.

Also quite often the cause is pain in the kidneys, their inflammation or traumatic injury. There are many receptors and nerve fibers in the kidneys, and when they are inflamed, the pain can radiate along the nerve fiber, resulting in the sensation that the back hurts.

Acute pain is accompanied by injuries, ruptures of blood vessels and their microdamage, inflammation in the lumbar region, exacerbation of urolithiasis, cystitis, bladder. These can also be disorders of the nervous and endocrine systems, pathologies developing against the background of nervous strain, stress, chronic fatigue. One of the main causes of pain is increased susceptibility of pain receptors, a high threshold of pain sensitivity, increased reactivity of the nervous system, disruption, restructuring or adaptation of the hormonal background, increased sensitization of the body. This is often observed against the background of pregnancy, during the lactation period, or against the background of neuroses, psychoses (as a psychosomatic pathology).

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Risk factors

The risk group includes people with acute or chronic diseases of the lower back, spine, muscles. People with various disorders of nervous and hormonal regulation are also at risk. The risk of pain increases significantly if a person is exposed to factors such as stress, as well as high physical exertion, nervous and mental overstrain, hypothermia, if he lives and works in dampness, in conditions of high humidity. The risk group also includes people suffering from various diseases: lumbago, radiculitis, and pinched nerves. People with hypodynamia, who lead a sedentary, inactive lifestyle, or people who are forced to spend a lot of time in one position are also at risk.

The risk group includes elderly people due to the natural processes of aging of the body, resolution of vertebrae, and disruption of intervertebral areas. Pregnant women and nursing mothers also fall into this group, as their lower back load increases. People with kidney pathology are also at risk, as pain often radiates from the kidneys to the back (while the person clearly feels that it is the back that hurts). If we talk about back pain as an occupational disease, then the risk group includes people with such professions as a loader, sales floor worker, truck driver, driver, factory worker, accountant, computer operator, etc., as they have a predominant load on the back and a monotonous position.

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Symptoms acute back pain

The pain can be localized in absolutely different areas of the back. It can hurt on the side (left, right), from behind. Also, pain is often felt in the lumbar region, shoulder blades, above the ribs, under the ribs and even between them. Often there is pain in the coccyx, sacrum. Often there is a spread of pain along the nerve fiber (sciatic nerve), as a result of which irradiation of the pain syndrome occurs and the actual source of pain is lost.

Acute back pain in the lumbar region

It can appear for many reasons. First, you need to make sure that the acute back pain really comes from the lumbar region, and not, for example, from the kidneys or other internal organs. If it is not the kidneys, then it is worth diagnosing the back itself. Make sure that you have not received an injury. Perhaps there was a stretch, pinching or tear of the muscle. Pain can be caused by a sharp or excessive load on the back muscles, overtraining, hypothermia. Pain can be a consequence of recently suffered infectious diseases, since in the process of their vital activity, bacteria release toxins and other metabolites. Getting into the muscles. They can provoke pain, since they are toxic factors.

Acute pain in the back above the waist

There is a high probability that lower back pain is caused not by changes in the back, but by pathological phenomena or their remnants in other organs and systems. For example, acute pain can be associated with recently transferred diseases of the lungs, bronchi, upper and lower respiratory tract. It is a consequence of inflammatory and infectious processes, spasm of the respiratory tract, and sometimes even a consequence of diseases of the liver, spleen, and other organs located in the abdominal cavity. It is often observed as a residual phenomenon after pneumonia, prolonged wet cough, congestion in the stomach, intestines, gallbladder, pancreas. Such pain can be both a sign of pathological processes themselves and a sign that recovery processes are taking place in the body.

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Sharp pain in the back on the right

This may be a right-sided pinched nerve, intercostal neuralgia, chest injury, inflammation in the lungs, bronchi (mainly on the right). Also, acute pain may be caused by liver diseases, especially if it radiates under the right rib and intensifies while walking. In addition, the cause may be appendicitis, peritonitis, and even the development of necrosis and cirrhosis of the liver and pancreas.

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Sharp pain in the middle of the back

It is difficult to say exactly why a painful sensation appears in the middle of the back, and almost impossible, without having anamnesis and examination results. If we speak hypothetically, acute pain can be provoked by an exacerbation of gastritis or ulcer, the transition of gastritis to an ulcerative form, or a pre-ulcer condition. In women, the cause is often an ectopic pregnancy, pathology of the ovaries and genitourinary system. In men, this may be a pathology of the prostate gland, a sign of hormonal changes.

Sharp pain in the sides from the back

Acute pain is often caused by damage or tightness of the oblique abdominal muscle and other lateral muscles. It usually develops if a person stays in one position for a long time or sleeps on one side, which results in impaired blood circulation and innervation in the sides, from the back, in the area of the area where the person sleeps. Often the second side hurts because there is an asymmetric curvature of the second side. The optimal and most effective method of treatment is physical activity. It is advisable to include therapeutic exercise classes in the daily routine and perform exercises for various muscle groups every day, including the lateral areas. Twisting exercises to the side, stretching with subsequent relaxation work well. You can also try isometric gymnastics, during which the muscles are first maximally tense, then maximally relaxed. This is alternated at least 10-15 times.

Sharp pain in the right side of the back

Only a doctor can clearly determine the etiological factor of this phenomenon. But usually such acute pains are associated with ligament rupture, overstrain of the muscular-ligamentous apparatus. If the injury occurred on the right, it will manifest itself mainly as pain syndrome in the right side, as well as in the back. It can also be a consequence of an infectious or inflammatory process, a general decrease in the body's resistance, metabolic, allergic and autoimmune disorders.

Sharp pain in the left side of the back

Acute pain is often associated with the displacement of vertebrae, pinched nerves, intervertebral discs with displacement to the left side. Often the source of pain is not only the back. Pain can be provoked by many other factors. For example, pain can be a consequence of kidney disease, left lung, and even heart and aorta. It can indicate a sharp disruption of blood circulation and innervation processes.

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Sharp pain in the lower back

Lower back pain may indicate the development of a pathology of the back itself, which causes damage to muscles, bones, displacement of vertebrae, pinching of an intervertebral hernia, nerve. Also, acute pain of this kind can occur during pregnancy, since the fetus has an increasingly strong effect on the lower back, causing pressure and pinching of the sciatic nerve. The optimal treatment option is to maintain the required level of motor activity with active development of all muscle groups. But the main emphasis should be on developing the latissimus dorsi, oblique and lateral muscles, as well as the sacrococcygeal region. For this purpose, it is worth using therapeutic physical culture, hatha yoga or yoga therapy, qigong, since these practices allow you to most effectively work out the muscles, eliminate clamps, and normalize metabolic processes in them.

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Sharp back pain when moving

It can be a sign of inflammatory, infectious and autoimmune diseases. It is also worth noting that acute pain can develop with insufficient motor activity. It is especially pronounced in the back and intensifies with movement, while walking. Acute pain often develops with rheumatic injuries, arthritis, arthrosis and rheumatism. In this case, it is worth contacting a rheumatologist or endocrinologist, taking a rheumatic test, C-reactive protein, and other tests.

Sharp pain in the back between the shoulder blades

There can be many reasons for the development of acute pain, and in almost every case they are strictly individual. This can be osteochondrosis, hernia, rheumatism, lumbago and other similar diseases. Often the disease is chronic, at a certain point manifesting itself in the form of acute attacks of pain syndrome. There are often cases in which pain between the shoulder blades is a concomitant factor against the background of inflammatory diseases of the back, upper and lower respiratory tract, nervous diseases and heart failure.

Sharp pain in the back when inhaling

Acute pain often occurs during pregnancy and breastfeeding, especially if a woman has signs of mastitis or minimal milk stagnation in the mammary gland (lactostasis). When inhaling, the symptom usually intensifies. It can also be a sign of an inflammatory process in the muscles. Other tissues and organs can be involved in the inflammatory process. This can be a sign of the development of inflammation and infection of the respiratory tract, spasms, including those of a latent nature. It can indicate the development of pathology of the mucous membranes of the respiratory tract: their mechanical damage, or a violation of the microflora.

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Sharp back pain when coughing

Often the cause is a bacterial or viral infection that accompanies the inflammatory process. First of all, the damage affects the respiratory tract (lungs, bronchi). An important role in maintaining inflammation is played by cytomegalovirus infection, herpes, and from bacterial infections - streptococcal. Less often - staphylococcal infection. Often such pain is caused by a recently suffered infectious disease, including tonsillitis. In addition to back pathologies, acute pain can be a sign of congestion in the alveoli, bronchi, or a consequence (residual phenomenon) against the background of a cough.

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Acute pain in the back muscles

Often, sharp, piercing pain is noted, which from the lumbar region radiates along the entire length of the nearby nerve, and radiates to the buttocks, and sometimes to the intercostal muscles, neck, along the spine. When a nerve is pinched or inflamed, the pain is usually sharp and piercing, passing along the entire nerve fiber. Also, sharp pain can be associated with inflammation in the paravertebral muscles, that is, those areas of the back and spine that are located on both sides of the spine itself. In addition to these areas, pain can radiate from other parts of the spine. The liver and spleen can also be a source of pain. It can occur with diagnoses such as pyelonephritis, nephritis, glomerulonephritis, and other pathologies of the kidneys and urinary tract.

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Sharp pain in the back radiates to the leg

It is a pain in the back area, which also affects the sciatic nerve area. Acute pain spreads along the nerve and radiates to the leg. It can also develop as a result of various injuries, damaging effects, tumors, hematomas. This disease is typical mainly for patients aged 40-60 years, which is due to age-related features and degenerative processes in the brain and spinal cord, spine and intervertebral discs. This is often observed in people with disabilities who are forced to sit for a long time (in a motionless position), as well as in those who are in a lying position for a long time (for example, seriously ill people, people with fractures, lying in traction). Such pain is also often encountered during pregnancy.

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Nature of pain

The pain can be sharp, abrupt, shooting, piercing. It affects either one specific area and is strictly localized, limited to a certain area. But it can also be quite diffuse. In this case, the pain spreads throughout the back, has a nagging character, and it is impossible to determine its source exactly. The pain is paroxysmal in nature against the background of constant aching pain and a large area (area) of damage, a sharp, piercing point pain occurs. The duration of such an attack can vary - from a few seconds to 10-15 minutes, after which it gradually subsides and turns into a duller pain. The nature of the pain depends on many factors - concomitant pathologies, age and individual characteristics of the person.

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Sharp stabbing pain in the back

This type of pain can be sharp and shooting, it intensifies with sharp movements, turns, and simply when trying to stand up. This causes a feeling of a shooting pain, a sharp blow. It often radiates to the leg: it is difficult to lean on, there is a fear that you can fall, since the legs become numb and disobedient. It often occurs during pregnancy. The basis of the pain syndrome during pregnancy is also the compression and constant mechanical damage to the sciatic nerve, which is why the pain is not localized strictly in the back area, but diverges along the entire nerve, and also gets into the buttocks and thigh. The pain is often sharp and stabbing.

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Acute back pain during pregnancy

Back pain is common during pregnancy. There is a simple pattern: the longer the term, the more back pain, and the sensations are more acute. This is due to the load on the lower back, which is constantly increasing. It is also due to the special position of the fetus, in which it puts pressure on the lower back, the pelvic area. Pain from the lower back radiates to the hips, pelvic area. It can spread along the entire length of the sciatic nerve. If you stay in the same position for a long time, the pain intensifies.

It is reduced by doing physical exercises aimed at relieving the load from the lower back. It is also necessary to wear a special bandage for pregnant women, which not only supports the fetus in the right position, but also relieves the lower back. It will also become easier if you take a lying position, and raise your legs up and put them on the wall. This relieves not only the lower back, but also the legs, and relieves swelling of the legs.

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Complications and consequences

The main complication is considered to be radiating pain, which quickly spreads and progresses. It should also be taken into account that such pain can be a sign of the development of inflammation, infection, tumor. Also, the pain can become chronic, which will be accompanied by periodic attacks, exacerbations. One of the unfavorable social consequences is temporary or permanent disability (depending on the severity of the condition), disability, unfitness for military service.

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Diagnostics acute back pain

During diagnostics, differential diagnostics is of primary importance, the essence of which is to separate the signs of one disease from another. The fact is that back pain can be a sign of many pathologies and diseases. To conduct diagnostics, you need to see a doctor (diagnostician, therapist), make a diagnosis and only on its basis select treatment. In this case, various diagnostic methods are used, ranging from a classic examination to laboratory and instrumental studies.

Standard tests include clinical blood, urine, and stool analysis. Rheumatic tests, C-reactive protein analysis, biochemical studies, and an immunogram may also be required, which are mainly performed when rheumatism, inflammatory, degenerative, and autoimmune diseases are suspected.

It is one of the main methods that allows differential diagnosis. Instrumental methods allow distinguishing the signs of one disease from the signs of another disease, which also causes pain. Different methods are used in diagnostics, depending on what pathology is suspected.

Differential diagnosis

Differential methods are a mandatory stage of diagnostics. This is due to the fact that back pain can be a symptom of many diseases, sometimes quite unexpected. Further treatment depends on the correct determination of the cause and pathogenesis. For example, if the pain is a consequence of such diseases. As angina, ischemia, myocarditis, you need to treat the heart. Having cured it, the back will stop hurting. But if you treat the back, the pain will not only not be cured, but the condition may also worsen. Both the course and the outcome of the disease, its prognosis depend on the correctness of the treatment.

In the course of differentiation, it is desirable to carry out differentiation associated with clinical manifestations of heart diseases (CHD, cardialgia). It is also important to separate diseases that are associated with back damage. The leading symptom that allows differentiating back pain from heart pain is the fact that heart pain intensifies against the background of severe emotional stress, stress, physical exertion. Whereas back pain is not associated with these factors. Even the opposite effect is noted - pain subsides with moderate physical exertion.

Also, back pain is not accompanied by such symptoms as increased blood pressure, tachycardia, increased heart rate, or rapid heart rate.

At the second stage, back pain is differentiated from pain in internal organs. Thus, damage to the gastrointestinal tract, kidneys, and liver is often associated with an increased reaction to food intake. Back pain is not associated with food intake. Also, with back pain, a pronounced reaction to movement and breathing is noted. Palpation also reveals an increase in pain syndrome.

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Treatment acute back pain

Therapy depends on the correct diagnosis. In most cases, therapy is long-term, continuous. Only a doctor can tell you what to do. But in general, you still need to be guided by the main directions of therapy.

It depends largely on the adequacy, activity and characteristics of the pathological process. Three groups of drugs are mainly used: non-steroidal anti-inflammatory drugs; cytostatic immunosuppressants (for autoimmune, rheumatoid pathologies); symptomatic therapy, which forms the basic therapy (vitamins, antibiotics, antiviral agents, folk and homeopathic remedies, phytotherapy). Ensuring physical activity is also a mandatory condition. It is best to use therapeutic exercise, hatha yoga, qigong.

How to relieve acute back pain?

Everyone should know how to relieve pain. But only a doctor can give more detailed recommendations and prescriptions for the treatment of acute back pain. Non-steroidal anti-inflammatory drugs have found the widest application. They relieve pain as quickly as possible, since in addition to the actual anti-inflammatory effect, they also have an antipyretic, analgesic effect.

Medicines

When using any pharmaceuticals, you must strictly follow the precautions. The main one is to consult a doctor and follow his recommendations. The second measure is to first determine its exact cause, after which measures are taken to eliminate these causes. This is the main rule and the main precaution that allows you to avoid numerous side effects. The main side effects are worsening of the condition, increased pain, its spread to other areas. And also the development of pathology of the organ that actually caused this pain. It should also be taken into account that the treatment of back pain is almost always long-term. Medicines are used as a means of basic therapy and must be supplemented with other means.

Thus, the colloidal gold preparation, or chrysanol, is administered intramuscularly at 2 ml in the form of a 5% solution. Frequency - 1 time per week, duration of treatment - 7-8 months. Indications - inflammatory, rheumatic, autoimmune pathologies.

D penicillamine, or cuprenil is prescribed at 0.15-0.3 grams 2-3 times a day. The duration of treatment is 5-6 months. Indications - infectious, inflammatory process, or the risk of its development.

Chloroquine is prescribed at 0.12 - 0.25 grams per day (one tablet). The duration of treatment is 10-12 months. Indications - treatment and prevention of infection, inflammatory processes.

Azathioprine is prescribed at 50 mg 2-3 times a day. 2-3 courses per year are mandatory, with long breaks. Indications - inflammatory, autoimmune processes, rheumatism.

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Injections

It is advisable to resort to the use of injections if the rheumatic tests have given a positive result (rheumatoid factor is detected in the blood). They are also used when treatment with tablets and other means is ineffective. They are necessarily used in case of a tendency to bone destruction, the development of vasculitis, visceropathy, amyloidosis. Schematically, treatment with injections can be presented as follows. If there is a predominant lesion of joints and bone tissue, as well as 1-2 stages of pain syndrome, aminoquinolone drugs are prescribed, such as delagin, plaquenil. Injections are often combined with non-steroidal drugs. If necessary, antibiotic therapy is carried out, in which antibiotics are administered.

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Vitamins

When back pain occurs, it is necessary to take vitamins, since most pain syndromes are directly or indirectly associated with a violation of vitamin metabolism, hypovitaminosis or avitaminosis. Pain is almost always associated with a lack of vitamins A, E, PP. Therefore, it is recommended to take vitamins in the following daily concentrations:

• Vitamin PP – 60 mg
• Vitamin A – 240 mg
• Vitamin E – 45 mg
• Vitamin C – 1000 mg.

Physiotherapy treatment

Various methods of physiotherapy treatment are used. But they are used as an additional means, supplementing the main drug treatment and physical activity. Which method to choose depends on the diagnosis and the cause of the pain. And this is determined by the doctor.

In almost all areas, treatment with ultrasound, microcurrents, waves of various lengths, electrophoresis, cryoprocedures, thermal procedures, and electrical procedures are used. It is recommended to alternate with massage and manual therapy sessions. An important role is given to segmental-reflex massage, reflexology, acupuncture, point massage (shiatsu), and vertebral impact (massage of the vertebrae and intervertebral discs).

Various compresses and wraps are also used. Quite an effective method is acupuncture, apitherapy (treatment with bee stings), hirudotherapy (treatment with leeches). An effective method is oiling, the essence of which is that the affected area is first massaged, then intensively soaked in medicinal oils, which are made mainly on the basis of plant components. Preference is given to handmade oils, which are preheated on a fire or in a water bath.

Also used are means of therapeutic physical training, without which it is impossible to overcome the pain syndrome, means and techniques of active and passive gymnastics, correct breathing. You can use various sets of breathing exercises. The "pranayama" complex from hatha yoga is especially recommended. It is recommended to perform a set of static, dynamic breathing exercises. It is better to finish with relaxation training, meditation, autogenic training, contemplation and concentration. Concomitant aromatherapy, color therapy have a positive effect. Various procedures with water have proven themselves well: swimming in the pool, aqua aerobics, dousing, rubbing, Charcot's shower, hydromassage, jacuzzi.

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Exercises for Acute Back Pain

Therapeutic exercise is used to relieve pain and eliminate symptoms. Exercises should also be aimed at improving muscle trophism, reducing or completely eliminating muscle tone disorders, preventing bone and spine deformation. It is important to prevent compactions, pathological development of soft and hard tissues. Therapeutic exercise should help normalize reflexes and psychomotor reactions, increase resistance and endurance of the body, non-specific resistance. The selection of therapeutic exercise is determined primarily by the causes, as well as the main goals and objectives that need to be achieved.

It is important to combine the exercises with massage, manual therapy, reflex gymnastics. Postural-tonic and static exercises are also important. In the method of therapeutic physical training, massage plays a primary role as a means of relieving pain and tension. To reduce pain, mainly such techniques as stroking and squeezing are used. Kneading is also important. The procedure is completed with vibration techniques and active-passive gymnastics. Stroking is necessarily used on areas along the spine, as well as on the sacrum and coccyx. It is also recommended to massage the buttocks.

After the massage, proceed to the actual exercise. For acute back pain, start with 10-15 minutes of training, gradually increasing the training to 40-60 minutes as the pain subsides. There are many exercises and complexes. The "Crocodile" complex has proven itself well.

• Starting position

Lie on your back, spread your arms to the side, lower your palms down. The shoulder blades and shoulders should be pressed to the floor. During the exercise, the shoulder blades and shoulders should not come off the floor. Feet shoulder-width apart.

• Exercise No. 1.

Inhale, turn your head to one side. Try to press your ear to the floor as much as possible. Turn your feet in the opposite direction. Try to put your feet on the floor. Make sure your hips don't come off the floor. Repeat the same exercise to the other side, then return to the starting position. Do about 7-10 times in each direction.

• Exercise No. 2.

From the starting position, perform a similar exercise. The difference is that we place one leg on the other. We cross our legs at the ankles. With an inhale, turn the toes in one direction and the head in the opposite direction. With an inhale, return to the starting position, then repeat the exercise in the opposite direction. Repeat 7-10 times.

• Exercise No. 3.

We put one leg on top of the other. The heel of one leg should be placed between the big and index toe of the other leg. We turn the head to one side, the legs to the opposite side. Then we change legs. We repeat the exercise 7-10 times in each direction.

• Exercise No. 4.

Bend your legs at the knees. Your feet should be parallel to each other. There should be a distance of one foot between your feet. Lower your knees to the floor in one direction, and your head in the opposite direction. Then repeat the exercise in the opposite direction.

• Exercise No. 5.

Bend your knees. Press your ankles, thighs, and buttocks together as much as possible. Place both knees on the floor. Turn your head in the opposite direction. Repeat the exercise in the opposite direction.

After doing the exercises, it is advisable to move on to doing relaxation exercises. You need to lie on your back, put your arms and legs freely on the floor, straighten them. Try to relax as much as possible. Do not think about anything. The duration of the exercise is not less than 30 minutes.

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Folk remedies

In addition to traditional remedies, you can also use folk remedies.

• Recipe No. 1.

An ointment made from comfrey and propolis extract is used for lubricating and rubbing in the area where the pain is most pronounced. This ointment can be used during massage instead of massage oil. To prepare the ointment, take about 50 grams of comfrey. Add about 5 grams of propolis melted in a water bath or steam, mix thoroughly and allow to harden until a homogeneous mass is formed. Apply a thin layer for about 15-20 minutes to the affected areas, then cover with dry heat.

• Recipe No. 2.

For general strengthening of the body, a balm is used. It is prepared on the basis of alcohol. To prepare, take a tablespoon of strawberry, nettle, birch leaves, add a teaspoon of flax seed, comfrey root and juniper berries. Drink 10 grams per day.

• Recipe No. 3.

To apply compresses to the affected areas, use an anti-inflammatory composition: 3-4 tablespoons of bearberry leaves, blackberry leaves, and common watercress grass are poured with a liter of boiling water, covered with a lid. Infuse until the decoction becomes warm. After that, use for compresses.

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Herbal treatment

It is best to use herbs in the form of decoctions and infusions internally. They are also used to lubricate affected areas, apply under a compress, and are used as massage oil and a balm for rubbing.

• The following herbs have proven to be the best for relieving pain: valerian, oregano, sage, red clover, and Siberian acacia.
• Chamomile, calendula, linden, sage, plantain, coltsfoot have anti-inflammatory effects;
• Burnet, sweet clover, celandine, mullein, daisies - antiseptic and soothing effect, relieves irritation and inflammation, relieves pain;
• Eggplant juice, kelp, and chicory have anti-inflammatory effects;
• Quince, calendula, chamomile aster, knotweed, angelica, ginseng – relieves inflammation, restores damage;
• Poplar, oats, peppermint, white lily soothe, relieve inflammation of nerves and muscle elements;
• Cucumber grass, zamaniha, Manchurian aralia, eleutherococcus, and primrose fill the body with vitamins, have an antioxidant effect, and increase immunity.

When treating with herbs, it is recommended to use these herbs as decoctions for internal use, as well as under a compress on the affected area. The decoction is made at the rate of 2 tablespoons of the product per glass of boiling water.

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Homeopathy

When treating with homeopathic remedies, you need to take precautions. There are two main precautions - carefully study the composition of these products, and before taking them, make sure that you do not have an allergy or individual intolerance to the products included in the composition. The second precaution is to always consult a doctor, since only a doctor can know all the nuances and features of the interaction of medicinal components with each other.

Although homeopathy is relatively safe, it still has numerous side effects. For example: swelling, allergic reactions, urticaria, dermatitis, worsening of the condition, headache, nausea, vomiting.

• Recipe #1. Strengthening balm

To prepare, take a tablespoon of nettle, basil, geranium, anise, pour about 500 ml of vodka or pure alcohol, then add half a teaspoon of celery roots, chamomile flowers. All this is infused for at least 3-4 days, drink 50 ml per day. The course of treatment is at least 28 days (full biochemical cycle).

• Recipe #2. Pain Relieving Balm

Take equal parts of castor oil plant, lemon balm, creeping thyme, hops. Take about 2-3 tablespoons of each component, pour 500 ml of alcohol, leave for at least 5 days, drink in small quantities twice a day for 28 days.

• Recipe #3. Anti-inflammatory ointment

This ointment can be prepared at home by yourself. It can be applied in a thin layer to the affected areas. To prepare it, take butter as a base and melt it in a water bath. Then add about a tablespoon of the following ingredients: horseradish juice, nettle leaves, marjoram, peppermint. Mix until a uniform consistency is formed, then set aside and allow to harden.

• Recipe #4. Anti-inflammatory cream

Apply to affected areas. Apply with light massaging movements until completely absorbed. Can be used after a shower, after a massage, before bed. Add a few drops of lemon, raspberry, and pine essential oil to regular baby cream or any other body cream.

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Surgical treatment

Doctors try to avoid surgical treatment for as long as possible. Firstly, any disease can be treated surgically only if the cause of the disease is precisely known. Secondly, surgery is used if there are no other treatment methods, or they have proven ineffective.

The operation can be performed if the cause of pain is an abscess, purulent inflammation, tissue decomposition, accumulation of pus, necrosis (tissue death). The following pathologies are indications for the operation:

• myositis,
• nerve compression,
• tumor,
• large hematoma,
• hernia of the spine, internal organs,
• damage to intervertebral discs,
• accumulation of pus, fluid, exudate.

Operations are usually performed on a planned basis, emergency ones are rarely required. They are performed during the period of remission (after the pain has completely subsided).

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Prevention

Prevention is based on avoiding hypothermia, drafts, regular exercise, an active lifestyle, proper nutrition, and consuming the required amount of vitamins and minerals. It is important to undergo regular preventive examinations and, if necessary, receive timely treatment.

Forecast

The course and prognosis of the disease depend on the severity of the disease, the localization of the inflammatory and infectious process, and its severity. If the cause is identified in a timely manner and the necessary treatment is administered, the prognosis will be favorable. Acute back pain is usually treatable. If diagnosis and treatment are delayed, the prognosis may be unpredictable, even leading to disability. Cases of fatal outcome are unknown. However, they cannot be completely excluded. For example, if the cause of pain is a tumor that could not be identified in a timely manner, its growth and progression can lead to malignant transformation, the formation of metastases, and further depletion of the body, and a fatal outcome.

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