Causes and treatment of back pain in the lumbar region: what to do if it radiates to the leg

back pain in the lumbar region

It turns out that back pain in the lumbar region is a very common phenomenon.

According to biologists, such a symptom is a consequence of our upright posture, in which the load falls mainly on the lumbar region and is not evenly distributed throughout the spine.Lower back pain can signal very serious problems not only with the spine, but also with internal organs.

If the pain is sharp and accompanied by fever, call an ambulance.

If such symptoms are not observed, you should consult a therapist for an accurate diagnosis.Let's find out why such symptoms appear, how they can be treated and avoided.

The main causes of pain in the lumbar region

First of all, let's find out the causes of these unpleasant symptoms.Pain can be primary in spinal pathologies or secondary in diseases of internal organs.

In addition to the causes, it is important to identify the factors that aggravate the pain syndrome.

lower back pain

Here they are:

  1. Characteristics of the profession: intense physical activity for builders and loaders and heavy lifting for athletes.
  2. Prolonged stay in a sitting position.
  3. Excess weight and sedentary lifestyle.
  4. Poor nutrition and lack of protein, calcium and phosphorus in the body.
  5. Bad habits: alcohol and spirits.

Even by reducing the impact of these factors, you will significantly improve your condition and the health of your spine.

Primary factors

Primary factors are associated with degenerative-dystrophic processes in the spine.

These include:

  1. Osteochondrosis is a change in the cartilage and intervertebral discs, leading to herniation or deformation of the discs.
  2. Spondylosis is characterized by the formation of bone spurs on the vertebrae.With this growth, the muscles around the spine contract, limiting its mobility.The appearance of injuries in the lower back.
  3. Spondyloarthrosis is the degeneration of the articular surfaces of the vertebrae, as well as their involvement in the pathological process of ligaments, joints and muscles.In this case, deformation of the intervertebral discs occurs and the mobility of the spine is limited.
  4. Spondylolisthesis is manifested by a displacement of the vertebrae, leading to a change in the lumen of the spinal canal.
  5. Intervertebral disc herniation.
  6. Radiculopathy is damage to the nerve root.

Secondary factors

Secondary ones occur with concomitant pathologies:

  1. Metabolism problems.
  2. Curvature of the spine.
  3. When malignant tumors are located near the spine.
  4. Infectious diseases: spinal osteomyelitis, tuberculous spondylitis, spinal epidural abscess.
  5. Spinal injuries.
  6. Autoimmune diseases.
  7. Painful symptoms of a psychogenic nature.
  8. Diseases of the digestive system.
  9. Diseases of the pelvic organs.
  10. Menstrual pain.

Additionally, spinal problems can be affected by flat feet, which is the flattening of the arch of the foot.

Pregnancy can also cause pain.In the early stages they appear when progesterone affects the ligaments and muscles, also when there is a risk of miscarriage or during an ectopic pregnancy.

After childbirth, pain may appear as a result of stretching the pelvic muscles or increased load on the spine, with frequent carrying of the child in the arms.

What diseases does such pain signal?

The location of the pain is also important.

So, let's look at each case:

  • aching pain on the right and above the lower back may indicate pulmonary pathology.These symptoms are accompanied by shortness of breath, cough and fever.Also on gallbladder or liver problems.At the same time, the nature of the pain is throbbing;
  • if discomfort is felt above the lower back on the left, this may be a sign of pancreatitis, myocardial infarction, pericarditis or pleurisy on the left side;
  • painful symptoms in the lumbar region indicate osteochondrosis in this area, intervertebral hernias, as well as compression fractures;
  • a symptom of pain below the lower back that radiates to the lower abdomen is a sign of diseases of the pelvic organs.These diseases include fibroids, endometriosis, prostate pathologies, colon diseases and infectious gynecological diseases.It can also indicate that the kidneys are not in order.

Which doctor will help you?

doctor who treats lower back pain

Most often, lower back pain occurs temporarily.Only in rare cases do such symptoms signal complex diseases.

In any case, it is worth knowing which doctor can help you in such a situation.Acute pain often occurs with increased physical activity.

In other cases, you can seek help from a surgeon, urologist or even a chiropractor, who will make a more accurate diagnosis and prescribe how to treat such a problem.

In addition, for such pains, you may need to consult a traumatologist, orthopedist, gastroenterologist, infectious disease specialist, proctologist or gynecologist.

Treatment characteristics

Depending on the causes of back pain, your doctor will prescribe the following treatment options:

  • drug treatment with painkillers and hormones;
  • blockages, which are injections into the intervertebral joints;
  • manual techniques;
  • physiotherapeutic procedures;
  • therapeutic exercises;
  • acupuncture.

If conservative treatment does not help, surgery is used.

When treating a herniated disc due to osteochondrosis, physiotherapeutic methods are used in addition to the main treatment.

Therapeutic blockades are used when other methods do not give the desired effect.Most often, for this purpose, anesthetics are injected into the lumen of the affected joint.

Acupuncture is recommended for disc protrusions, osteochondrosis or herniations.If the pain radiates down the leg, physiotherapy is also used.

acupuncture to treat lower back pain

Wearing a special corset helps limit movements at the lumbar level.This helps reduce pain in the area of joint inflammation.

For back pain, your doctor may give you the following recommendations:

  1. Rest in bed on a hard surface for 2 to 5 days.
  2. Wear a special bandage.
  3. The use of anti-inflammatories and painkillers.
  4. To get rid of muscle spasms, muscle relaxants are prescribed.Special medications are also used to help relax muscles.
  5. To improve blood circulation and reduce swelling, vascular and diuretic drugs are used.
  6. All kinds of gels and ointments are used as local therapy.
  7. To consolidate the positive result, physiotherapeutic procedures are prescribed.This can be electrophoresis, phonophoresis and magnetic therapy.

Therapeutic exercises and special massages help to improve blood circulation, relieve muscle tension, and also eliminate the inflammatory process.

If pain in the lumbar region is not associated with complex diseases, yoga classes will help relieve the disease.

You can do similar exercises at home and it won't take much time.

Pain due to hypothermia

Did you know that hypothermia is a common cause of back pain.At the same time, you don't even need to freeze, but just sweat and go under the air conditioning.

In this case, the hot surface of the body will come into contact with a stream of cold air.And the next day, it will be difficult to straighten up or get up.

In such a situation, the pain becomes constant and painful.

First of all, you need to warm up your back.A warming ointment is suitable for this.If there is no remedy, regular alcohol will also help.After rubbing, the lower back should be wrapped in something warm.

A similar procedure is carried out every day.If the pain is severe, you should seek help from a doctor.Nonsteroidal anti-inflammatory drugs are used to relieve pain.

If you often suffer from hypothermia, buy a belt made of dog or sheep wool.

What to do in case of lower back pain?

back pain in the lumbar region

This pain occurs during intense physical exertion.Sharp pain extending to the leg appears when carrying weight.

A similar symptom is characteristic of lumbosacral radiculitis, called lumbago or lumbago.In such a situation, you need to lie down on a hard surface.

To relieve pain, take a pain reliever.

Remember, if you have these symptoms, you should not take a hot bath or steam in a sauna.In this case, dry heat will be more useful.

For example, a special ointment.It's also worth limiting your salt and fluid intake for several days.

What can help with a hernia?

With a hernia, sharp and constant pain appears, increasing with any movement.Relief occurs only when lying down.

You may also feel numbness in your lower back.To reduce pain, you should ensure bed rest and take painkillers.Then you need to call a doctor.

In the acute period, serious and qualified treatment is necessary.

What to do for prevention?

Do not wait for severe pain to appear, but start taking preventive measures.

Here they are:

  1. Identification and treatment of concomitant diseases that can cause lower back pain.
  2. Good nutrition with sufficient amounts of phosphorus, calcium and other vitamins.
  3. Strenuous physical activity and heavy lifting should be avoided.In this case, the load must be distributed evenly.Don't make sudden movements.
  4. Lead an active lifestyle.Try walking, swimming or yoga.
  5. Periodically take therapeutic massage courses.
  6. When working sedentary, take a break every hour and exercise.
  7. The bed should be comfortable, for example with an orthopedic mattress.

For prevention, you can wear special elastic belts, posture correctors or bandages.

Such devices are recommended during pregnancy and during intense physical activity.

It is important to control your weight, because large body weight increases the load on the spine.Get rid of bad habits, and also do a preventive examination every year.

Therapeutic gymnastics

therapeutic exercises for pain in the lumbar region

To strengthen your back muscles and prevent pain, exercise at home.Physical exercise should be practiced regularly.

A well-designed set of exercises will help improve posture, increase muscle tone, and also activate blood circulation.

In such a complex, you can use the following movements:

  • the body tilts in different directions.First left and right, then forward and backward;
  • turn the body to the sides;
  • in the knee position - in the elbow position you need to bend your back up and down;
  • lying on your back, knees bent, lift the pelvis upwards;
  • in a lying position, straight legs should be bent at the knees and pulled towards the chest.

Perform each exercise 8 to 10 times.

Do not ignore the symptoms of pain in the lumbar region, consult your doctor and take preventive measures that will help normalize your well-being and improve your health.