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Symptoms and types of lumbulgia in children and adults, in pregnancy

, medical expert
Last reviewed: 23.04.2024
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The main symptom of lumbargia is pain - acute or chronic, piercing or protracted. It can be aching, and bother the person within a day, or may be paroxysmal. Often the pain intensifies by night, and in the morning it becomes weaker, after the muscles relax, and the bone will receive more nutrients. It is also worth noting that one of the symptoms is a violation of the function of the waist - this may be hunched, stiff, contractures.

With lumbargia, sometimes deformation and anomalous mobility develops. Sometimes deformation, shortening or sinking of certain parts of the spine (individual vertebrae) can be observed. Later, hemorrhage, an inflammatory process, which is accompanied by an infectious process, may appear. In this case, there may appear exudate inflammatory or purulent nature, as well as hematoma. In some cases, one of the symptoms may be a general impairment of mobility, which causes pain in walking, as well as the inability to stand on their feet. If this is due to injury, it is better not to attempt to get up, rather, on the contrary, to ensure immobility.

Pain syndrome with lumbargia

Can be expressed in different ways. For many, this is aching, dull pain in the lumbar region, but sometimes there is a sharp, piercing pain that differs from the lumbar region along the entire length of the nearby nerve, and gives to the buttocks and sometimes the intercostal muscles, neck, along the spine. There may be acute pain, and chronic, which then subsides for a certain period of time, then increases, when the period of exacerbation occurs.

Lumbalia with radicular syndrome

It also manifests a pronounced pain localized in the lumbar region. In this case, pain spreads along the spine, and affects the lumbar vertebrae, giving off a strong pain in the intervertebral and intercostal space. In this case, the roots of the nerves that pass through these vertebrae are affected, which is called the radicular syndrome. Pain, as a rule, acute and piercing, passes along the entire nerve fiber.

Lumbalia, left, right

It can be associated with pain in the paravertebral zones, that is, those areas of the spine that are located on either side of the spine itself. In addition to these areas, pain can be irradiated from other parts of the spine. Also, the source of pain can liver, spleen. Pain can give back to the nerves, including the trigeminal nerve. Often the pain extends to the buttocks, in the hypochondrium. Quite often, the pain in the kidney area with pain in the lower back is confused, since there is the concept of "irradiation", which implies that the pain irradiates throughout the course of the nerve fiber. It can occur with such diagnoses as pyelonephritis, nephritis, glomerulonephritis, and other pathologies of the kidneys and urinary tract.

Two-sided lumbalgia

Often is a consequence of lesions of paravertebral muscles, as well as damage to intervertebral discs, intercostal areas and a zone in the kidneys, adrenals. Moreover, it is worth noting that often this pain on both sides indicates the development of a pain syndrome in the nerves, in which the nerves are subjected to the inflammatory process, and the pain irradiates to different sites. It is worth noting that often with this pain on both sides develops against intercostal neuralgia. It is important to consider that the pain from two sides can develop in the case of inflammatory and infectious lesions of the lungs and bronchi. In some cases, such feelings occur against the background of radiculitis, intervertebral hernia, lesion of the spinal canal, and even the spinal cord.

Dorsalgia

It is a defeat of the posteroventes of the spine. In this case, both their mechanical damage, and inflammatory, and even infectious damage can occur. It is accompanied by the development of the inflammatory process, damage to the spinal canal, excessive accumulation of leukocytes in the area of damage, which causes the inflammatory process. Also, there is a decrease in the immune system, a violation of the hormonal background. The treatment requires the correct diagnosis, as well as strict adherence to the doctor's recommendations. It can be used as a medicamental therapy, as well as various physiotherapy procedures.

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Lumbalia and sciatica, with sciatica

It is a pain in the lumbar region, which also affects the area of the sciatic nerve. In this case, the pain is localized both in the lumbar region and in the buttock area. At the heart of the pathogenesis of this syndrome lies the surrender of the spinal cord nerve root. In this case, the primary compression occurs in the region of the sciatic nerve, as well as in the lumbar region. In addition to pain, there are other syndromes, which in each case are strictly individual and very diverse.

The closest synonym for "sciatica", today is radiculitis, affecting the area of the sacrum and sciatic nerve. There may be many causes, including radiculopathy, radiculo-ischemia, and other pathologies. In a literal translation, this disease means an inflammatory process that affects the nerve. However, it has now been established that the process in most cases is non-inflammatory, since mechanical compression of the nerve occurs by various factors, including intervertebral zones. It can also develop as a result of various injuries, damaging effects, tumors, hematomas.

This disease is typical mainly of patients aged 40-60 years, due to age characteristics and degenerative processes in the brain and spinal cord, spine and intervertebral discs. Often is a consequence of compression and a prolonged stay in a stationary position. This is often observed in people with disabilities who are forced to sit for a long time (in a stationary position), as well as those who are in a lying position for a long time (for example, seriously ill people, people with fractures, lying on the hood). Also often sciatica occurs during pregnancy. The cause can be both immobility in general, and limited mobility of individual parts of the body, and squeezing individual zones of the spine, sciatic nerves.

Lumbago and lumbalgia

Under lumbago imply a sharp, shooting pain, which affects the lumbar region. At the same time, the spinal cord itself, the intervertebral disks and the surrounding space are severely affected. Lumbago is an acute inflammatory process, which is accompanied by sharp and sharp pain. While lumbulgia is a protracted, chronic process, the essence of which also boils down to the development of a pain syndrome, which may not be so dramatic, but more moderate, weaker. As for pain in lumbar region, it is rather a aching, protracted nature, and more often accompanies a mild, chronic process.

Lumbalia in children

Most often in children it is an innate process, which consists either of genetically caused anomalies affecting the spinal nerves and spinal cord. Either it may be congenital abnormalities that appeared during intrauterine development, or directly during childbirth, if the child sustained an injury to the spine or sacrum. In children this process can be curable, but sometimes incurable pathologies occur that can only be sustained, but it is impossible to completely cure. Exacerbations can occur under the influence of various factors, including, and as a result of hypothermia, overfatigue, prolonged stay in a state of stress, with a fixed lifestyle. In children, the lumbosacral zone is most often damaged, and the vertebrae located near the rump. In this zone, the vertebrae are closely intertwined with each other, forming neural plexuses and fibers.

They are formed, as a rule, by the roots of the spinal cord, which are closely intertwined with each other on the inner side of the spine. It is from this nerve plexus that the sciatic nerve emerges, which is often subjected to mechanical jamming. It passes through the entire surface of the buttocks and extends to the very shin. In the region of the shin, it is divided into 2 nerves. The sciatic nerve is a paired organ that forms large neural plexuses to the left and to the right.

Lumbalia during pregnancy

Quite often when pregnancy hurts the loin. The pain may be different, but more often aching and drawing. It can also increase by evening, and in the event that a woman is in a long position in one position. Pain from the pelvic areas and the sacrum rises directly to the waist region.

In this case, the pain can be sharp and shooting, amplified by sharp movements, bends, just when trying to get up. It often happens that the pain from the waist, so strongly makes itself felt, that there is a feeling that it is impossible to get up. Pain can be given to the sacrum, as well as to the pelvic area. Quite often it affects the anterior surface of the thigh (less often lateral).

At the same time, there is a feeling of shooting, a sharp blow. It is difficult to lean on one's leg, there is a fear that you can fall, because, according to many women, the legs "buckle". Completely eliminate this condition is impossible, because it is due to the fact that the fetus puts pressure on the lumbar region, while affecting the nerve fibers and nerve plexuses. At the heart of the pain syndrome during pregnancy is also compression and permanent mechanical damage to the sciatic nerve, which is why pain is not strictly localized in the lumbar region, but diverges throughout the nerve, and also falls into the buttocks and thighs.

The longer the gestation period, the stronger the pain in the lumbar region, because the size of the fetus and the strength of its pressure are constantly increasing. It is worth noting that the only reliable means of getting rid of the pain is the physical load directed to the waist, hips, pelvic region.

Also it should be noted that there are special bandages that allow to unload the waist region, reduce the load on it. This bandage should be worn regularly to prevent excessive stress on the spine, lower back. Begin to wear it from about 20-25 weeks of pregnancy, but you can and sooner. To look it is necessary on own state of health, and recommendations of the doctor which is based mainly on results of US and the given laboratory analyzes. Usually the need for this bandage is determined by the size and weight of the fetus itself.

Sleep on the stomach is not recommended. It is better to sleep on your back or on your side, as this allows you to lower the load on your lower back. Physical exercises are best performed in several approaches for 10-15 minutes. A day is recommended up to 5-10 approaches to doing physical exercises. The main goal of exercise should be loosening the loin, removing excessive load, normalizing metabolic processes, preparing the pelvic region and the waist for the forthcoming birth. Be sure to perform morning exercises, and evening exercises. The remaining approaches should be based on how painful the syndrome is.

Forms

There are different kinds of lumbulgia. A wide variety of species of this pathology determined the variety of classifications that underlies the division of this phenomenon. So, in accordance with one of the classifications, based on the localization of pain and damage, isolate vertebrogenic lumbulgia, lumbar lumbar spine, sacral spine. Separately, the spondylogenous form, muscular-tonic syndrome, and intercostal and vestibular lumbalgia are isolated. Depending on the form of the disease, a sharp, subacute and chronic form is isolated. Depending on the severity of the pathology, a mild, moderate, moderate, severe form of the disease is isolated.

Vertebrogenic lumbargia

Implies the shape of the lumbula, which affects the different parts of the spine. In this case, the intervertebral discs, vertebrae and their processes are damaged. Often there is a pinched nerve. It is worth noting that the name comes from the Latin "vertebra", which in translation means the vertebra. Accordingly, it is not difficult to guess that the damage affects just the vertebrae, and the spine as a whole.

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Lumbar lumbar spine

Implicate a separate form of lumbula, in which the lumbar spine is primarily damaged. At the same time in this department there is a lot of pain, the vertebrae are injured and jammed. As for the irradiation of pain, this phenomenon also exists and implies that the pain spreads along the nerve, and can be felt in other departments.

The sciatic nerve is most often paralyzed in parallel, which leads to pain and damage in the area of the sacrum, the pelvic region, and pain extends to the thigh and shin. Lumbar lumbar spine arises with an incorrect load on the lower back, with hypodynamia, as well as against colds of hypothermia, stress, trauma.

Lumbalia of the sacrum

Most often it is understood that pain in the sacrum originates as a result of trauma. It should be noted that this pathology is not marked as an independent pathology. In most cases, it is the result of the spread of pain from the lumbar region, along the entire spine, or to the area of the sacrum, the cob. On the individual damage to the sacral department, speech can only take place if there is a trauma and a sedentary lifestyle. Most often, the triggering mechanism of lumbar development is precisely the impact on the sacrum of a damaging character, which leads to a violation of the integrity of the bones, the development of the inflammatory process, and the involvement of nearby sites in this process.

Spondylogeny

It is a damage to the intervertebral discs, at which they are pinched between two adjacent vertebrae. In this case, we are talking about damage in the lumbar spine. The leading symptom is pain, which is acute. If there is no treatment, it can go on into a chronic form. It should be noted that treatment only physical rehabilitation (massage, physical therapy), is not able to completely eliminate the pathology. In this case, mandatory medication, as well as physiotherapy is required.

Lumbalia with muscular tonic syndrome

It implies a traditional form of lumbula, in which the lumbar spine is damaged, and the muscular system is involved in the pathological process. There is a sharp decrease in muscle tone. The main symptoms (pain, stiffness), is also added to the inflammatory process in the area of paravertebral muscles. They are gradually weakened, unable to maintain the necessary tone, and, accordingly, can not provide the necessary mobility.

Gradually, in the absence of treatment, the tone continues to decrease, the pathology progresses and spreads to neighboring sites too. In the pathological process, an increasing part of the musculoskeletal system is involved. There may be cramps. In the absence of treatment, it can progress up to a complete loss of mobility, and disability.

Intercostal lumbalgia

It is the damage of the sections between the ribs. At the same time, intercostal muscles are involved in the pathological process first of all. A characteristic feature is the involvement of the diaphragm, as well as the muscles of the chest, in the pathological process. As for the spread of the pathological process, the pain can irradiate along the course of the nerve fiber, which is also involved in the pathological process.

Vestibular lumbargia

It is a special form of lumbulgia, which, in addition to pain in the lumbar region, is also characterized by a violation of the vestibular apparatus, which is manifested by headache, mild dizziness, burning of the occiput, impaired coordination. The cause is damage to the spinal cord, as well as progression to the brain area.

Vertical lumbargia

Under vertical lumbargia is meant the spread of pain in the vertical direction from the cob to the brain. There is a lesion of the spinal cord, its various parts. As a rule, such a syndrome is removed with the help of medical methods of treatment, various physiotherapy procedures, and also with the help of specially selected physical exercises.

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