Persistent back pain


Persistent back pain

Back pain is a very common complaint. About 1/3 of patients in rehabilitation clinics are treated for this reason.

Damage to the disc may occur during a rapid movement of the torso (especially connected to the twist), eg during housekeeping, moving heavy furniture or lifting a heavy load. The fibrous disc casing, which is then cracking, allows the so-called nucleus of the crushing disk and pressure on nearby nerve roots, which is felt as sudden and severe pain during every movement in the loins (so-called lumbago or shot) or pain radiating to the buttock or along the posterior surface of the lower limb (so-called sciatica or sciatic nerve) ). It can also appear in the cervical spine as a neck pain radiating to the area around the shoulder joint. Sometimes doctors recommend to try muscle relaxants for back pain.

Also, intense physical exercise or training at the gym without warming up can cause overload or damage to the paraspinal muscles and joint ligaments, which act as spinal shock absorbers. The result is the emerging back pain. Most often, however, back pain occurs in people who are not physically active, in which the back is inflexible and less shock and shock absorption. In these people, back pain is the result of low physical activity, incorrect posture and overweight or obesity.

Other causes of back pain include various diseases of the musculoskeletal system, e.g.

  • osteoarthritis,
  • arthritis,
  • injuries,
  • osteoporosis,
  • cancer.

A medical appointment is necessary

Therefore, do not underestimate this symptom, but consult a doctor who will determine the cause of back pain, and then you can implement the right treatment. Back pain may be recurrent. These relapses may be short-term and may disappear after a few days or may last longer, sometimes causing neurological disorders that indicate nerve damage, e.g.

  • foot drop when walking
  • falling on heel when trying to walk on toes
  • unintentional bending of the lower limb in the knee joint while walking
  • pulling the entire limb (feeling left behind) while walking
  • impaired urination (urinary urgency, difficulty urinating or urinary incontinence) or similar disorders in passing stool.

Quite often, there is still the description of back pain as “radiculitis” among patients. However, this is not the right name for this disorder, because the cause of the pain is not the actual inflammation of the nerve roots (although this was once explained), but their oppression through the pronounced nucleus pulposus generating a strong pain sensation. The modern name that in medicine replaced “radiculitis” is “painful spinal-root syndrome”.

Important prophylaxis

To avoid back pain, it is worth using the following tips during work and home classes:

  • take care of the correct posture,
  • take care of the correct body weight,
  • during the day, at least a few times do exercises involving raising and lowering the arms,
  • learn to rest and change body position at regular intervals to prevent excessive contraction and overload of some muscles,
  • avoid prolonged walking in high heels, because then the curvature of the spine and the lumbar spine are increased,
  • shopping or luggage should be evenly distributed in both hands,
  • lift heavy objects by bending your knees instead of bending your back,
  • to work at the desk, use a profiled and adjustable chair,
  • set the computer screen in front of the face,
  • avoid pressing the telephone receiver against the ear with your shoulder,
  • mattress for sleeping, choose medium hard,
  • when buying a car, pay attention to whether the seat is adjustable and not very soft,
  • adapt the equipment and tools to your height (eg height of the ironing board, cot, appropriate length of electrical wiring of household appliances).

In prevention, it is important to strengthen the back, which can be achieved through appropriate training. Regular swimming, quick walks and cycling are beneficial. You can also do gymnastic exercises strengthening the back muscles. At the beginning it is good practice to train under the supervision of a trainer who will teach you the correct technique. Then we continue them at home.

It is worth to realize, however, that the pain in the lumbar region can also be caused by other disease-related causes.

  1. Muscle pain after the first workout.
  2. Pain after a lumbar injury.
  3. Kidney colic.
  4. Acute nephritis.
  5. Mycobacterium abscessus.
  6. Acute appendicitis located in the corner.
  7. A stomach ulcer that goes into the pancreas.
  8. Acute pancreatitis.
  9. Retroperitoneal blood.
  10. Abdominal aortic aneurysm.
  11. Cancerous changes in the bone.

If back pain has occurred and persists despite the limitation of physical activity and the use of over-the-counter painkillers, please consult a doctor who will help determine the cause of the pain and recommend appropriate treatment.