Lumbago
Last reviewed: 23.04.2024
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Lumbago (chamber) - an attack of lumbar pain as a result of the development of intervertebral hernia.
Causes of the lumbago
Doctors distinguish such causes of lumbago: intervertebral hernia, which involves jamming the nerve roots, hypothermia, colds, bruises. In response to pain, muscles tend to strain, there is pain in the lower back and a headache. Often, the chamber is combined with such an unpleasant disease as sciatica. In this case, the pain along the nerve trunks is transmitted in the leg. This can last several hours.
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Symptoms of the lumbago
You can find in yourself, in addition to the pain in the lower back, the inability to straighten. Pain can give to the buttock. Ask the household to put a few pillows on the floor and lift your legs. If you do not help the patient in time, the pain will become chronic in a month, and it will be much harder to cope with it. Pain occurs when you tilt forward, for example, when cleaning snow.
The recumbent position significantly reduces pain. Pain with lumbago shooting, and extension is limited. This condition lasts for several hours, the patient is helpless at the shooting, he can not cough and sneeze, any tension causes intense pain.
Where does it hurt?
Forms
Lumbago with sciatica
Lumbago with sciatica is most often caused by osteochondrosis of the lumbar region. Cystitis, pyelonephritis and kidney stones are a consequence of problems in the lumbar spine. Injuries, scoliosis, obesity lead to osteochondrosis. Other factors: physical overstrain, infection. It is possible to fight with osteochondrosis at an early stage, strengthening the surrounding muscles. Well relieves the tension of the back muscles posture of the embryo.
Sciatica is an inflammation of the sciatic nerve. Ways are most often the following: acupressure and manual therapy. Carefully choose a chiropractor! Treatment of lumbago with sciatica should be aimed at improving muscular trophism, cleaning the tissues from toxins and healing the legs.
There can be not only pain, but also a violation of sensitivity, a burning sensation, numbness. The patient takes the forced position of the body with the bending of the spine forward. Sciatica affects the work of the muscles and can cause paralysis and paresis.
Attack of lumbago
A lumbago attack can provoke a sharp jerk and heavy lifting. If you have a lumbago, even once, do not pull with medical care to your body. The doctor will give you an X-ray to reveal the signs of osteochondrosis - the most frequent culprit of this trouble. The medicine has safe conservative methods of treatment and rehabilitation after an attack of lumbago. As a result, blood circulation and nutrition of damaged discs improves.
To prevent an attack of lumbago, do not stand for a long time in one pose, do not lift too heavy a burden, be careful in the gym.
What happens during lumbago? The intervertebral disc looks like a jelly. It can lose elasticity if there are pathologies of the spine, especially osteochondrosis in the lumbar region.
The first attack of lumbago and sciatica sometimes occurs during pregnancy. Address to the neuropathologist, he will appoint or nominate to you harmless for the kid a course of treatment because if you start this status, the chamber can disturb you and after sorts or to become aggravated during sorts or labors that is very dangerous. Appointed drugs that relieve spasm of the back muscles and warming ointments. Do not appoint them yourself. Also effective is the Dorsaplast plaster. It effectively removes spasms and inflammation around the fallen spinal disc, allowing to reduce the dosage of anti-inflammatory. It needs to be glued all day for 10 days. It is very convenient to use, does not require a prescription, is sold in many pharmacies in Ukraine. If you are pregnant, wear a special bandage. Do not overcool the lower back.
Diagnostics of the lumbago
Diagnosis of lumbago is primarily to assess the appearance of the patient, the characteristic posture that he takes. About the shooting shows a sharp pain, a person can not straighten, walk, freezes in place. In case of difficulty, an x-ray of the spine can be prescribed. The most modern and reliable method is magnetic resonance imaging. The doctor can send you to her to clarify the condition of the intervertebral disc. In every third case, the cause of the lumbago can not be established.
How to examine?
Who to contact?
Treatment of the lumbago
During treatment, use anti-inflammatory drugs, pepper plaster (apply to the sore spot daily, it improves blood circulation and has a resorption effect), vitamins and manual therapy. Recommended bed rest 14 days. Also performed exercise therapy with exercises for flexion and extension. Very useful swimming in the pool for unloading the spine. Eliminate the diet of salty and smoked dishes that hold water in the body. Eat more vegetables. If necessary, stretching of the spine or training on special simulators can be prescribed. The sanatorium treatment is shown.
Work in the office, improper diet and hypothermia, even in middle-aged people, can cause back pain - lumbago. Lumbago is a consequence of osteochondrosis of the spine and scoliosis. Treatment consists in the appointment of physiotherapy exercises and manual therapy. Also the doctor will prescribe to you gels and creams for topical application. For example, it is a preparation of Fastum Gel. The drug is classified as a non-steroidal anti-inflammatory local remedy. The gel is applied to the skin once a day and rubbed. Duration of treatment - up to 20 days. Cautiously appoint or nominate to pregnant women. Possible eczema, purpura, urticaria, edema and stomatitis. Do not apply to wounds and abrasions, do not use in children.
For anesthesia, ibuprofen, an analgesic and anti-inflammatory drug, can be prescribed. Produced in the form of tablets. The daily dose is 800 mg. One tablet contains 200 mg of ibuprofen. Possible side effects, such as nausea, heartburn, indigestion, may be dizzy. Allergy is possible. Very rarely - aseptic meningitis. In childhood, with ulcerative colitis and disruption of the kidneys and liver, the drug is not prescribed. It is necessary to control the composition of blood.
Medicamentous treatment of lumbago
After you helped relatives with the move, did you feel the pain in your back that chained you to bed? In a week, if you comply with bed rest and recommendations of a doctor, which you need to call home necessarily, the attack will only be a terrible memory.
How to relieve the suffering in a fit of lumbago? Taking anti-inflammatory local gels and ointments and tablets. For example, such a drug may be Voltaren in tablets. Take 2 tablets a day. Possible side effects such as stomach pain, nausea, vomiting, bloating, ulcer, stomatitis, glossitis. Do not appoint with a stomach ulcer, a violation of blood clotting and hemopoiesis and the 3rd trimester of pregnancy.
Injections with lumbago
With very severe pain, you can be prescribed injections with lumbago, for example, Voltaren in the form of injections. Voltaren is administered intramuscularly 1 ampoule, once a day. Side effects: you can get a stomach, you can vomit and tear or have an enterocolitis, an ulcer and gastric bleeding. If you already had something like this before (stomach problems, ulcers), it is better to not use Voltaren in a shot, and consult a doctor to prescribe another medicine.
Ointment for lumbago
An effective agent for lumbago is Gel Bystrum. Bystrum gel is our analogue of the German Fastum gel. Contains in its composition ketoprofen and essential oils. It is enough to apply to the skin and rub it once a day. Usually well tolerated, but with pregnancy is contraindicated. Do not apply Bystrum gel on open wounds.
Pain Relief for Lumbago
With lumbago effectively anesthetizes Nimesulide - an anesthetic - sulfananilide. Inside take 1 t. 1 time per day after meals, or 100 ml of suspension. There is also Nimesulide in the form of a gel, it is applied and gently rubbed 2 times a day. Do not use during pregnancy and in children under 12 years old, in patients with severe hepatic, cardiac and renal insufficiency. Possible drowsiness, nausea, vomiting, hives, allergies, anemia, lengthening bleeding time, hemopoiesis. It is especially dangerous to prescribe the drug in the last months of pregnancy.
Alternative treatment of lumbago
Treatment of lumbago by alternative medicine methods is, first of all, banks on the waist region, infusion of plum kernel kernels of plum (30 grams of kernels pour 200 ml of plum tincture) and insist 4 days. Use for grinding.
1 horseradish root to mix in a ratio of 1: 1: 1 with flour and salt and make compresses, keeping on the sore spot for 1 hour.
Leaf cranberries, angelica root and nettle take in equal parts, pour the collection in a thermos (1 tablespoon per 500 ml of water) and insist the night. Drink 0.5 cup in the morning on an empty stomach.
Treatment of lumbago at home
The best treatment for lumbago at home is observance of bed rest. To active life, you can return, on average, after 10 days. In the acute period of the disease, a bath is prohibited, exercise therapy.
Clean the radish, grate, spread it on a cloth and apply a compress to the waist.
Make compresses from the tincture of valerian.
Make an ointment from the leaves of the American agave, rubbing it on the grater and rub it overnight.
Rub 2 times a day extract of chilli pepper for 14 days.
Massage with lumbago
With lumbago apply a general warming massage with creams and ointments. The masseur strokes and kneads the back muscles for 10-15 minutes. Massage effectively removes the pain syndrome and restores the function of the spine. To remove the increased tone, pats and strokes are used. The tissues of the vertebrae receive the nutrients necessary for their regeneration, during the treatment massage session. Also used is electrophoresis, which activates local metabolism and protective forces. Acupuncture is also successfully used to treat lumbago.
Exercises with lumbago
Gymnastics with lumbago in an acute period:
- Bend the foot in the ankles 5 times.
- Bend your knees, lying in bed, 4 times.
- Raise your hands up 4 times.
- Breeding and kneeling, lying in bed, 5 times.
- Bend your legs and pull your knees to your stomach 4 times.
- Lying on his side, raise his arm, turn over to the other side and raise his other hand 6 times.
- Lying on his side, bend and unbend his leg in the knee 6 times.
Gymnastics, which must be performed when acute symptoms subsided:
- One hand to put on the chest, the other on the stomach, inhale and draw in the belly, exhale (6 times).
- Hands along the trunk, pull your feet on yourself (8 times).
- Lie on your back, bend your arms at the elbows, put them on the floor and do rotational circular movements with your hands. Repeat 12 times.
- Lying on your back, bend and unbend your knees 12 times.
- The left hand to the side - look at the hand - the right hand to the side.
- Bike with left foot and right foot 10 times.
- Circular motion alternately with each leg.
- Raise your hands up and press your knees to your stomach. Straighten your legs. And first. Perform the exercise 4 times.
More information of the treatment
Drugs
Prevention
Prevention of lumbago consists in changing the way of life to a more mobile, excluding weight lifting, the treatment of scoliosis and osteochondrosis. Do not overcool your back. Avoid injury, watch your weight. When pregnant, you need to wear a bandage.
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Forecast
The prognosis of lumbago is positive with timely adequate treatment. After 14 days the patient returns to normal life, to habitual activity.