Pain in the back in the lower left, above and when moving

Strong and sudden, or quite tolerable, constant or pain arising after the load, in any case, is a warning signal that makes you wonder about your health. Even if you managed to stop pain quickly enough, you still should not neglect medical advice. It is better to quickly find out the cause of discomfort, because back pain on the left may be a symptom of a variety of diseases, the fight against which will be most successful only in the initial stages of their development.

Causes of the left pain from the back

The aetiopathogenesis of the left-sided pain syndrome felt behind is distinguished by a great variety. It can signal the destruction of the articulations of the spine, spasms of the paravertebral muscles, pathological changes in the organs of the thoracic and abdominal cavity.

Nonspecific (primary or benign) back pain to the left appears as a result of a positional or mechanical effect on vertebral structures. It occurs as a sudden acute pain attack, the characteristic localization is the most loaded lumbosacral part of the spine. The pain is felt in the buttocks, sometimes even in the upper thigh. It is caused by spasm or overdistension of the paravertebral muscles. The manifestation occurs during physical overload of the spinal muscles, sudden unsuccessful movement, after a long stay in one position. Most often, such pain affects people who are not active enough and / or overweight, who do not know how to properly group and distribute the muscular load, for example, lifting heavy objects.

Specific (secondary) back pains are the consequences of trauma, growth of tumors, infections and degeneration of vertebral or spinal structures, in addition - they can reflect the pain that occurs with the development of painful changes in the organs of the thoracic cavity and peritoneum of the left-sided localization and have the origin:

• pulmonary - a consequence of inflammation of the lower respiratory tract, the accumulation of gases in the pleural cavity, dry pleurisy, tumors of the left-sided localization;
• heart - with inflammation of the pericardium, coronary heart disease, the presence of aortic aneurysm;
• digestive - acute pancreatitis, peptic ulcer;
• renal - thrombosis of the left artery, left-sided colic;
• gynecological - oophoritis;
• retroperitoneal hemorrhage.

In emotionally labile personalities, painful sensations are possible behind the left side of a psychogenic character, a strong emotional shock becomes the cause of the development of the syndrome. In addition, people who regularly experience discomfort in the back, sometimes in fear of waiting for the next attack, feel pain that does not exist (pain behavior).

[1], [2]

Risk factors

Risk factors for the occurrence of non-specific pain are sharp turns, jerks, tilts, prolonged stay in one position, increased stress on the muscles of the back, poor physical fitness, pregnancy. The risk of left-sided specific discomfort increases in the presence of diseases of the vertebral structures, the spinal cord, and internal organs located in the left part of the chest and abdominal cavity.

[3], [4], [5], [6],

Pathogenesis

Pathogenesis of left-side pain in the back is multifactorial. Nonspecific acute pains are the result of damage to the paravertebral muscles or their spasm. Acute episodes are more often resolved independently, but periodic damage increases the likelihood of chronicity. In this case, the enslavement of the muscle tissue surrounding the distended intervertebral joint occurs, which leads to a local blood flow disorder and is manifested by the intensification of the pain syndrome. If you do not take measures, the strained muscle strands remain and over time the lack of normal blood supply leads to the fact that myocytes are replaced by connective tissue cells.

The pathogenesis of specific back pain on the left is diverse and is considered as part of the mechanism for the formation of the underlying pathology. The population from 30 to 40 years most often applies for medical assistance on this issue, the primary appealability with this complaint is 5% annually. The prevalence of spinal pain syndromes in countries with developed economies and medical statistics reaches 80%.

[7], [8], [9], [10], [11]

Epidemiology

Statistics show that among non-oncological pain syndromes, about a quarter of it falls on back pain, among which the overwhelming majority (up to 90%) are non-specific musculoskeletal pains. Among the lesions of the vertebral structures, compression damage to the spinal root in the lumbar region (radiculopathy) prevails from six to 15% of cases, all other causes account for about 4%.

[12], [13], [14], [15], [16], [17], [18], [19]

Symptoms

Types of back pain, their localization, nature, can suggest the direction of the search for pathology, but going to a hospital to establish their etiology is necessary, since the discomfort is felt almost equally from completely different sources.

[20],

Back pain lower left

The overwhelming majority of such complaints of pain are associated with deformations of the vertebral structures that are under constant stress when we sit, stand, walk, run, lift weights. The lumbosacral region of the spinal column suffers from the stresses most of all. Pain syndrome of this localization is most often a symptom of stenosis of the spinal canal, sciatica, spondyloarthrosis, spondylosis, and other conditions that cause compression of nerve fibers in altered structures of the spine or in edematous inflammatory muscle tissues. In such situations, the pain is accompanied by numbness and restriction of motor function in this place. At the same time, lesions of the internal organs, which are located on the left in the abdominal cavity, can also declare themselves pain in the lower left back. Therefore, to differentiate vertebral pathologies from problems with internal organs, there will be no unnecessary consultation of a urologist for all patients, and for women, an unscheduled visit to the gynecologist, and performance of designated laboratory tests and hardware diagnostics.

Back pain in the lower left, caused by a violation of musculoskeletal function in a given place, usually occurs suddenly when lifting heavy objects, after a long positional inconvenience, abrupt fulfillment of the extensor-rotational motion, and injury to the spine. With dysfunction of the sacroiliac joint, it is usually dull and gives to the inguinal zone. After a long rest, it is difficult to get up and start moving, but when the patient "disperses" the pain decreases and sometimes subsides altogether.

A hernia in the lumbosacral region can also manifest tenderness in the left lower back and a feeling of stiffness in this place. Patients occasionally have backfires, they feel pain when turning the body and bending. The pain spreads to the foot up to the foot as the stripes. Patients often numb legs. However, these symptoms are not specific and may indicate not only the presence of a hernia.

Bechterew's disease in the initial stage is manifested by pain in the lumbar spine and below. It appears at rest, in the period of a long, often night, rest. In the morning, there is stiffness, when the patient moves - the pain decreases. The disease is characterized by swelling of the ankle and a violation of its mobility, the heels are particularly affected. Coughing, deep breaths contribute to increased discomfort.

Back pain in the area of the kidney, mainly indicates a pathological process in the said organ - nephrolithiasis and / or nephritis. However, it is symptomatically difficult to differentiate precisely with radiculopathy and inflammation of the ovaries. It is impossible to distinguish the sources of trouble solely by pain. The nature of the pain is somewhat different from each other, however, a doctor can confidently make a diagnosis only after the examination.

Nephritis and oophoritis are manifested by pulling pain regardless of body position. In future moms, pain of this nature in the lower back can be a warning about the threat of termination of pregnancy.

Intense painfulness suggests damage to the lumbar spine, shooting pain extending to the finger tips, rather indicates the presence of sciatica, pinching of the nerve in the vertebral structures of the lower lumbar spine. Irradiation of pain in the groin and abdominal muscles indicates damage to the lumbar vertebrae located in the upper section.

The attack of renal colic begins suddenly and suddenly, regardless of the activity of the victim. He can overtake and during the night of sleep - then the patient wakes up. Back pain in the kidney area in the acute phase increases, its duration is individual. Renal colic can stop suddenly, as it began, but, as a rule, the duration of reaching the apogee takes several hours, and the person manages to seek medical help, which is correct, as the pain is very strong, not going for a long time, as a result - painful shock is possible. The pain in case of renal colic is migratory, it may descend into the perineum, upper thighs. Falling down, the pain becomes more intense. A patient with renal colic usually cannot sit still or lie down, he goes back and forth, because it is impossible to find a position that relieves pain. The remaining manifestations of renal colic correspond to the factors that caused it. This may be the frequent urge to empty the bladder, sometimes ineffectual (tenesmus), nausea, vomiting, not bringing relief, bradycardia, hypo-and hypertension, flatulence and tenesmus of the intestine. Cause renal colic various obstacles to the exit of urine (stones, strictures and others).

If you feel a pain in your back, which is located in the lumbar zone on the left, and assuming that you have any pathology, do not start treatment without examination, it can be expensive for you.

[21]

Sore back at the top left

Such localization of pain syndrome is most often characterized by pathological transformations in the cervical and / or thoracic vertebral departments, such symptoms may be a lesion of the spinal cord in its upper part or peripheral nerves of the upper limb.

Scoliosis of the thoracic spinal column (curvature to the left) causes the deformed spine to touch the paravertebral tissues and nerve endings and / or intervertebral discs are absorbed in the process, absorbing vibration pulses during walking, running and other physical activities. The upper back part starts to hurt when the vertebral bend reaches a significant degree (second or third).

Reactive changes in the paravertebral cartilage and bone tissue in osteochondrosis leads to protrusion of destructurized discs that affect and damage muscles and nerve fibers. At the beginning of development, this process causes only a feeling of stiffness, the vertebral column loses flexibility, osteophytes appear (spondylosis) and pain begins, usually aching and arising after exercise, or persistent if the osteophyte injures the nerve root. Osteochondrosis and scoliosis are the main causes of protrusions and intervertebral hernias, which crush the nerve roots in the channel of their exit from the spinal cord. Symptoms of intercostal neuralgia appear, manifested by interscapular pain closer to the left side, which is masked as a heart.

Various deformations lead to the fact that there is pain in the back on the left above the waist. It may be caused by the displacement of the vertebrae. This is a very sharp and sharp pain that spreads along the intercostal nerve and extends to the area of the scapula, left arm and axilla.

Sagging of the intervertebral disc, which narrows the canal through which the spinal nerve ending passes to the left, can also cause pain due to compression of the nerve (Schmorl's hernia).

Inflammation of muscle tissue (myositis) leads to muscle spasm and, as a result, squeezing of blood vessels and nerve fibers. If the spasm is located in the upper left, it also hurts in the upper left side of the back. Similar lesions can appear along the entire length of the spinal column, respectively, and pain syndrome can be felt at any point.

Sore back at the top left with fractures of the scapula or ribs. The subscapular bursitis (inflammation of the left synovial subscapular bladder) causes considerable pain on the left under the scapula from the back. The shoulder swells, numb, often accompanied by symptoms of intoxication - hyperthermia, weakness.

The pain behind the left approximately at the level of the shoulder blades or slightly below often indicates the presence of cardiac pathology. It often irradiates to the upper limb and lower jaw. Intense pain plus the feeling of approaching death is part of the symptom complex of myocardial infarction.

Often, with other diseases of the heart, the pain on the left gives back. Usually cardiac pains are relieved by heart remedies (nitroglycerin, corvalol) and are accompanied by other symptoms of heart weakness — shortness of breath, fatigue. Often occur after excitement or physical stress.

Back pain on the left below the scapula may indicate diseases of the lower respiratory tract - pneumonia, pneumothorax, dry pleurisy, lung and / or bronchus neoplasms. For the pathologies of the respiratory system such accompanying symptoms as dyspnea, cough, weakness are characteristic.

Pain on the left under the rib from the back can be observed in acute pancreatitis. They are shingles and are given to the lower part of the sternum and the heart area, shoulder blade and posterior shoulder girdle. When pancreatitis is usually observed pronounced spasm of the abdominal muscles.

Renal colic can manifest as back pain on the left side under the ribs, higher than the waist can ache when the artery closes with a blood clot that provides blood supply to the kidney, and the retroperitoneal hematoma can be located in the same place. At risk - patients undergoing treatment with anticoagulants.

Back pain on left

In no way can one manifest oneself in peace and respond with sharp pain as soon as you start to move, spinal injuries and spinal cord stretches can occur, and, insignificant, the appearance of which the patient could not notice and then safely forget about them.

A variety of dorsopathies — osteochondrosis, scoliosis, kyphosis, pathological lordosis of the cervical region, spondylopathy and, as a result, protrusion and hernia, as well as other degenerative-inflammatory processes leading to deformities of the vertebral discs, often manifest themselves initially as pains that occur during walking , running, turning the body, and sometimes - just a deep breath, laughter and even conversation.

The muscular-tonic syndrome is manifested by pains that limit the range of mobility of a certain part of the spine. This happens when a toned muscle is involved in the movement. When probing it is she who is tense and painful. The causes of the syndrome can be weightlifting, a long stay in an uncomfortable position, increased exercise without prior warming up, and sharp unsuccessful turns.

Urolithiasis can manifest itself in back pain during movement, swelling of any organ of the chest cavity, sciatica (inflammation of the sciatic nerve) or myositis of the piriformis muscle.

[22]

What does the character of the pain mean?

Acute back pain usually arises suddenly and accompanies acute development of the pathology. If the pain has arisen and has not passed within the next few minutes, but its intensity has remained, although its intensity has decreased, the body declares a catastrophe. Further developments will tell you about the necessary actions - whether to call an ambulance or just go to the doctor. But the sharp back pain should not be ignored.

When pain is localized in the area under the ribs to the left, the pancreas most likely suffered. Pain dagger, radiating around the circumference of the body, and in the back and abdomen. Weakness, nausea, rapid pulse, may increase the temperature. If the patient vomits, it does not bring him relief at all. The onset of acute pancreatitis or exacerbation of chronic, as a rule, is preceded by excesses at the festive table.

Acute pain in the left lower back, extending into the lower abdomen may occur when a rupture of an ovarian cyst or fallopian tube in the presence of ectopic pregnancy. These conditions require immediate hospitalization. If a severe pain in the left back suddenly arises and does not let go for 15-20 minutes - call an ambulance. The patient's condition deteriorates dramatically - there is weakness until fainting, the temperature rises, sometimes significantly, the tone of the abdominal muscles on the left rises greatly. As a reaction to pain, vomiting may occur, spotting from the vagina appears, excretory processes are disturbed, however, it is better not to wait that long.

Severely ill in the lower abdomen and back may also occur in acute salpingitis (salpingoophoritis), but it is better to differentiate the intensive inflammatory process from a catastrophe in a medical institution using hardware methods.

In general, severe acute pain, which appeared suddenly, characterizes the acute development of the process and requires urgent diagnosis. This is exactly the case when it is necessary to show increased vigilance and demand the attention of medical personnel.

The pain in the left lower back, radiating to the stomach above the pubis on the same side, may indicate inflammation of the renal structures (pelvis, glomerulus) or completely covering the kidney. Nephritis is characterized by pulling pain on the left back, it can be stronger in the acute process and weaker in the chronic. When inflammation upsets the process of filtering urine, progresses dystrophy of the renal tubules. This affects the process of urination - the frequency of urging increases, the amount of urine is reduced, there may be discomfort - itching, cramps, burning, feeling of bladder overflow. People with diseased kidneys often have a headache. Acute nephritis is more symptomatic, there may be edema, acute urinary retention, weakness, vomiting, and fever. Sick kidneys react by exacerbation of pain to knocking at their location (Pasternatsky symptom).

Sudden sharp back pain to the left may occur with renal colic, the cause of which may be nephrolithiasis, stones in the left ureter, in the bladder on the left side. Basically, renal colic indicates a displacement of the stone, which causes a sharp pain, scratching the internal mucous surface of the organ. Such an attack is often triggered by brisk walking, jogging, jumping, intense physical work. Symptoms of digestive disorders appear due to irritation of the nerve endings adjacent to the affected kidney of the peritoneum.

Burning sharp back pain can be a symptom of myocardial infarction, angina pectoris, aortic aneurysm. If the pain does not go away within a quarter of an hour, it is necessary to call the ambulance team.

Stitching or cutting pain may indicate a disease of the lower respiratory tract. It appears only when pleural petals are involved in the inflammatory process, which cause pain when rubbing against each other. Tumor formations begin to ache, also growing into the pleura. If the processes are associated with the respiratory organs, then symptoms such as cough, shortness of breath, fever, night and day sweats will appear. Acute pain is characteristic of pneumothorax, lobar pneumonia, and dry pleurisy. Sore chest, in the side, given in the back. Pain coughing, bending in the right (healthy) side. Pulling and blunt correspond to chronic long-lasting diseases, for example, tuberculosis: lungs - occur in the upper back when coughing, breathing; kidneys, genitals - in the lower part.

The aching pain in the left back can be felt in case of chronic diseases of the female and male genital organs, and other symptoms usually appear: menstrual disorders, ejaculation disorders, discharge, discomfort during urination. If back pain on the left is accompanied by dyspepsia symptoms, then a problem with the large intestine can be suggested.

For radicular syndromes (compression of nerve endings in the interdisk space), appearing, for example, after overloading or lifting weights, there is a stabbing pain in the left back - lumbalgia.

Dull, exhausting, and sometimes with an unsuccessful movement, shooting pain in the left back can be a symptom of radiculopathy or sciatica.

Deformities and damages of the vertebral structures (osteomyelitis, osteochondrosis, scoliosis, prolapse, stretching, fracture, dislocation), complicated by the inflammatory process, inflammation of the internal organs located in the left part of the body, especially purulent, often accompanied by a throbbing back pain to the left.

Gender Differences

In most cases, the pain syndrome that occurs in the back of the left is caused by various injuries and diseases of the spine and paravertebral muscles. There are no gender differences in the causes, their causes, and the mechanism of development, all the above described applies equally to persons of both sexes. However, the lifestyle of men predisposes to the appearance of pain in the back - they are more often engaged in strength sports, in everyday life they raise more weighty objects, and professional risks are added (among them more drivers, porters and other workers engaged in heavy physical labor). The stronger sex is more susceptible to ankylosing spondylitis: among patients with this disease, nine men account for one woman, men are more likely to suffer from urolithiasis, respiratory diseases, but the diagnosis of pyelonephritis is five times more likely to be heard by women, and many pregnant women.

Specific causes of lower back pain in men are genital diseases: back pain is usually caused by orchitis and epidimitis, such a spread is not possible with prostatitis, varicocele and torsion of the spermatic cord, although in recent cases it is rarely possible to radiate pain. In addition to the back pain localized in the perineum and scrotum. Acute conditions are accompanied by fever, severe burning pains, nausea and vomiting. Chronic - less intense sensations, whining, bursting, sometimes disturbing only when walking and more intense movements. In diseases of the genital organs, pain is given to the lumbar region and lower, so if back pain is felt on the left above the lower back in men, then specific male problems can be ruled out.

Other causes of back pain, both above and below the lumbar spine, can be caused by diseases of both sexes — kidney, heart, lung, vertebral structures, spinal cord, as described above.

Specifically for the fair sex, back pain to the left, just like for men, occurs in diseases of organs that only they have. In general, back pain to the left in a woman causes pathological changes in the left-sided ovary and fallopian tube. Salpingitis, oophoritis, salpingo-oophoritis, tumors in these organs, torsion of the legs of an ovarian cyst, tubal pregnancy on the left can cause pain in the lower abdomen, radiating to the back. The nature of the pain and associated symptoms correspond to the process that caused it.

Inflammatory diseases of the acute course can manifest intense throbbing pain, fever, vaginal discharge and discomfort during emptying of the bladder. For chronic forms, aching pains and the absence of severe symptoms are typical.

Acute dagger pain, which suddenly penetrated the lower abdomen and back and remained, albeit reduced in intensity, a sharp deterioration of the condition may be a sign of rupture of an ovarian cyst or fallopian tube during ectopic pregnancy.

When not too significant periodically appear pulling pain in the lower abdomen and back, especially in combination with the cessation of menstruation or an unusual decrease in its intensity, you need to think about the possibility of ectopic pregnancy and be examined if this probability exists.

Neoplasms of the left ovary develop asymptomatically for a long time and appear pains already with the growth of the tumor and its pressure on the surrounding tissues, provided with pain receptors, pain can also occur during intercourse and physical exertion, and do not disturb at rest. At the same time, unexplained weakness, shortness of breath, disorders of urination and bowel movements, swelling or varicose veins may develop.

The most harmless back pain in women can be caused by the approaching menstruation. For some, such periodic pains cause fluid retention in the pelvic area, instability of the emotional status due to hormonal fluctuations before menstruation, increased anxiety, this causes pain in the lower back, any, and left, including pain. The pulling sensations before menstruation develop in the presence of chronic diseases of the pelvic organs, therefore, it is still necessary to be examined.

Female genital pathologies located on the left show painful sensations in the lower back, not higher than the loins, so when the patient complains of pain in the lumbosacral region, suspecting radiculitis, sciatica, hernia of the spine and other pathologies, she is surely sent for consultation to the gynecologist.

Back pain on the left above the lower back in women is usually caused by common causes for patients of both sexes, which were already covered in sufficient detail in the article above.

Let us dwell on such a period in the life of a woman as carrying a child. Back pain on the left during pregnancy is not uncommon. The load on the spinal column, especially in the lumbar region, increases with increasing uterus and reaches peak values by the end of gestation. If a woman is poorly physically trained, has weak back muscles, suffers from osteochondrosis, or has a curved spine, then this affects the sensations in the back negatively. Symptoms can manifest themselves in different ways: pain can occur after long walks, carrying heavy bags, when coughing, taking deep breaths, exhaling, sneezing. Sometimes, the pain is expressed in acute shooting, some have a back ache in the evening, and after a rest it passes. If the discomfort is constantly worried, it is better to inform the doctor about the pregnancy that is leading it. Maybe he will prescribe any studies, physical therapy for pregnant women, wearing a supporting bandage, additional treatment.

In pregnant women, chronic diseases are often exacerbated. In particular, kidney disease. Every tenth pregnant woman suffers from pyelonephritis. In the past three months, the likelihood of developing renal colic is high. This condition is dangerous because it can provoke premature delivery, so you need to urgently consult a doctor.

Meralgia (neuralgia of the external femoral nerve) is also possible during pregnancy. It arises due to compression of the nerve at the level of the inguinal ligament, since in pregnant women, with the growth of the abdomen, there is an increase in bending in the lumbar spine (lordosis), the angle of extension of the hip joint and pelvic tilt.

If a backache constantly troubles a pregnant woman, she needs to consult with a specialist.

Diagnostics of the left pain from the back

The doctor analyzes the patient's complaints. Already, according to the descriptions of sensations, it can be assumed that acute pain syndromes with clear localization are not accompanied by susceptible disorders (paresthesia, allodynia and others), as well as quickly reacting with regress to analgesics, usually associated with damage to the joints and ligaments of the spine or paravertebral muscles. Complaints of backache, burning pain in the limb, usually suggest the presence of radiculopathy. Pain, reflected from the visceral organs, often have fuzzy localization and are accompanied by symptoms, corresponding to the pathology.

Physical examination of the patient consists in palpation of muscles, ligaments, joints; analysis of movements and gait, carrying out certain tests to perform movements, allowing to determine their amplitude, the restriction due to pain. Such an examination often makes it possible to accurately determine the source of pain, and also to assume, and sometimes with certainty, which disease caused the pain.

However, for objective confirmation of the diagnosis, the doctor prescribes laboratory tests: blood - general, biochemical, glucose content; urine - common, according to Nechyporenko. Specific tests can be assigned: to determine the causative agent (during the inflammatory process), antigens, antibodies, PCR, to the PSA level (specific antigen of the prostate gland).

Instrumental diagnostics - X-ray (scintigraphy), magnetic resonance and computed tomography, ultrasound allows and often enough reveals degenerative-dystrophic changes in vertebral structures, even those not related to pain syndrome. Therefore, to establish the exact cause of pain, many factors are analyzed and differential diagnostics are made based on all studies. For this, in addition to examination, analysis, hardware methods, many specialists are involved in order to exclude possible specific causes of pain associated with diseases of internal organs, tumor processes.

If the results of the study do not reveal any organic disturbances, then the patient is diagnosed with psychogenic pains. Even at the time of the survey, such a presumptive conclusion can be made from the bizarre explanations of the patient's feelings, however, a full study is also necessary in this case.

[23], [24], [25], [26], [27]

Complications and consequences

Pain is always a symptom of trouble, so you need to know its cause. An intense cutting pain a person will not tolerate for a long time and consult a doctor, but some who are not too strong in pain are willing to endure for a long time. The consequence of such actions may be a complication of the disease and the emergence of a terminal situation in which drug treatment no longer helps, but surgery will be needed.

The most dangerous consequences entail suddenly and first-appeared high-intensity pain, especially if the pain increases and its intensity is not affected by a change in body position.

A dangerous sign that requires medical intervention is a symptom such as increased pain at night.

The presence of fever, chills, weakness should also not be ignored by the patient.

Sharp weight loss, shortly before the onset of pain; recent, seemingly not too serious, injury; the presence of tumors of other sites - these symptoms should be a reason for immediate treatment to the doctor.

Otherwise, the consequences can be the most deplorable - from disability to death.

[28],

Prevention

To prevent the appearance of back pain, it is recommended to observe the following rules.

1. Watch your posture - stand and walk with your back straight and your belly pulled in. Being in a vertical position, it is necessary to stretch the crown up. If you need to stand for a long time, you still need to move (move the weight of the body from the left leg to the right and vice versa, change the position).
2. While sitting, it is also necessary to observe the correct posture, the working chair must be chosen with a high back and a fairly rigid seat, it should fit 2/3 of the length of the thigh. It is not bad to put a small roller or pad under the waist at the waist level, it is recommended to rest on the back of the chair with the entire surface of the back so that the neck also feels supported. The knees should be just below the hips, and the feet should rest on the floor with the entire surface. It is advisable every 20 minutes to slightly dabble, change the position of the legs, move.
3. You must also be able to properly rest in a horizontal position and rise in the morning from the bed. It is advisable to sleep on orthopedic bedding, get up, do not jump sharply after the alarm bell, but having stretched, made several sweeps of the limbs, roll over on the stomach and, having straightened with hands from the bed, first go up on all fours, then sit down on the heels buttocks, reach as far forward as possible (like cat). Then, one foot from the bed and put it on the floor, leaning on it and on the arms, smoothly without sudden movements, straighten up. Reach out.
4. To lift adequate weights, to carry them, distributing on both hands. It is better to use backpacks than bags, to carry a heavy burden in bags equipped with wheels. Cleaning the apartment, use a mop, panicles with a long handle. Doing laundry and ironing, equip yourself a place to do this work with a straight back, not leaning low in the lower back. In general, try to organize any work in such a way that you can stand or sit straight, comfortably, without bending, without tilting.
5. Eat well, eliminate bad habits.
6. Exercise regularly to provide a normal muscular corset to support the spine and the flexibility of the spine. Yoga, Pilates, swimming, walking, exercises with dumbbells, on simulators, are initially recommended to do under the guidance of a competent instructor.
7. And most importantly - a positive attitude.

[29], [30], [31], [32]

Forecast

Back pain to the left can be caused by a number of reasons, rather long. Most of these pain are caused, according to statistics, quite removable reasons. However, the forecast of each particular case completely depends on the factor provoking it.

[33], [34]