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The causes of back pain

Very often pain in the back cause serious illness and even disability. Famous doctors and scientists R. L. Geli, D. W. spit, R. R. Simon in 1995 have provided the statistics that say that back pain is the third costly disease after heart disease and cancer.

According to research in Russia suffer from pain in the neck and back approximately 42.4 to 80 % of adults . About 18 % of the population suffers from a combination of chronic pain in the back, chest and headache.

Back pain can signal about diseases of the spine (vertebral bodies, intervertebral discs, joints, ligaments), damage to and disease of the muscles, the nervous system (spinal cord, roots, peripheral nerves), pathologies of internal organs of chest and abdomen, pelvis, mental disorders. Usually find that the most common cause of back pain are musculo-skeletal changes associated with tension, excessive overloading of the muscles, ligaments or joints of the spine.

Microtrauma or muscle strain can be obtained by performing unusual movements, which then presumably find a cause of back pain.

"Discogenic" pain (category, self-reliance, which now needs to be clarified) and pain related dysfunction Logotronic (facet) joints, seen in 10% of patients with acute back pain. In 4 % of cases observed compressive radiculopathy lumbar-sacral roots in 3 % of cases neurological complications of lumbar stenosis. In 4 % of patients had compression fractures of vertebral bodies associated with osteoporosis, and in 2 % of cases of spondylolisthesis. Besides all this, the causes of back pain are traumatic lesions of the spine, the result of which can be vertebral fractures and ruptures of the discs, but more often a sprain of the capsule of joints and ligaments of the spine.

Age, gender, socio-economic status and level of education are all risk factors for back pain. Back pain usually makes itself felt in the third decade of life. From the third to the sixth decade of the disease spins occur very often. The back pain can lead to high physical activity, especially among young adults. However, over time the spine becomes more prone to damage, even without excessive load. All thisis due to the rise in this degenerative change, and this in turn leads to chronic back pain, especially in the elderly. The elderly back pain is more common in women possibly due to predisposition to osteoporosis spine. Sharp pain in the cervical spine, again, is more common in women, and chronic pain lasting more than one year suffer both men and women. High disability from back pain is observed, according to statistics, people with low social status and level of education.

Excessive body weight (body mass index greater than 30) is one of the risk factors for developing back pain. Very often back pain occurs in smokers.

Repetitive physical exercise, repetitive motion, typical of the work or for recreation, also contribute to the development of back pain. Its role in the development of pain in the back playing the heavy lifting, prolonged static loads or vibration at the workplace. Neck pain provoked by long position of a head tilt or body forward, uncomfortable posture of the arms in operation, long (more than 95 % of the time) the seat and vibration on the hands. If a person is experiencing dissatisfaction with working conditions, it also contributes to the development of lower back pain and neck.

It is proved that there is an independent relationship between psychological factors - stress, anxiety, depression, fear related to pain and the manifestation of back pain.

Quite a large contribution to the development of disability contribute psychological factors associated with back pain than any biomechanical disorders of the spine and extremity joints.

Usually acute back pain is limiting benign condition that does not require additional investigation methods. Treatment usually consists of pain management, it is recommended to adhere, to the extent possible, the optimal level of daily activity.

In chronic back pain it is necessary to accurately determine the source of pain impulses, resorting to the help of a computer and magnetic resonance tomography.

Theme: 40 causes of pain in the lumbar region

Acute back pain

Pain aching, nagging, "chewing", the pain is not very intense strong, it is not very much more common than acute. Often they can be the cause of pathological changes of the musclesback - myotonic and myofascial syndrome. For the first case is typical resistant process to increase muscle tone, for the second - formation of a thicker back muscles painful seals - myogelosis (trigger points).

There are many ways of dealing with back pain:

The method used currently in many medicinskih centers, based on the physical rehabilitation pain special exercises. If necessary, treatment can be supplemented by acupuncture, physiotherapy, herbal medicine, manual therapy, therapeutic massage, cryotherapy in motion. Thanks to the led events, there has been a gradual recovery of the spine. For a start, eliminates pain syndrome. Following the 12 sessions 71 % of patients cease to feel pain. In 25% of patients remain residual phenomena, with 7% in the form of discomfort. Only 4 % of patients the pain persists, this is usually caused by incomplete and irregular execution of complex rehabilitation. Thanks to the treatment improves the condition of myofascial structures: the spine becomes more flexible, in 47% of cases facilitated by the hypertonicity of the paravertebral muscles. All these positive changes occur due to improvement of microcirculation, increase elasticity, normalization of afferent impulses from the active twitch muscles. This is the first non-surgical step to eliminate the intervertebral hernia.