Lower back pain
Lower back pain is one of the most common health problems among the people and comes in second after the common cold as a reason for hesitation on the doctors.
It was found in the latest statistics that more than 80% of the population of the globe have suffered or are suffering or will suffer from a severe bout of low back pain in the period of their lives. There are more than eight million individuals suffering lower back pain each year, including 4% ... the reason is nucleus of the sliding disk cartilage and needs 10% of the 4% to surgical intervention while the remaining 90% improved with treatment and rest after a period ranging from one week to eight weeks. In economic terms, lower back pain is a significant burden on the patient and his family and even society as a whole, where the patient stops the currency, leading to a lack of production has sometimes led to psychological problems due to excessive use of medication and left the doctor regularly and continuously.
It consists of the back (33) paragraph as follows: (7) cervical, (12) chest, (5) Cotton, (5) welded to sacral (part one), (4) Asasip welded (part one) and contains 139 detailed and a number of ligaments that connect paragraphs together.
Causes of lower back pain: too many, and branching and the fact more than one hundred most important reason, very briefly:
Mechanical causes: represents more than 90% of the causes of lower back pain and are intended to use back the wrong way and incorrect in daily activities, exposing the lumbar region of the extreme stress resulting in reduced chronic or acute muscle surrounding the spine or sliding the nucleus of the disk cartilage, leading to a bottleneck one of the nerve roots by feeding the lower and appears in the form of severe pain is too unbearable with the tingling and Khaddlan one of the lower limbs or both.
And as we have said previously that the rate of sliding discs do not exceed 5% of the causes of lower back pain, and less than 10% needed surgical intervention and that more than 90% of them can be cured specialized treatment and comfort and without surgical intervention and fall under the mechanical reasons is also a narrow channel spinal canal or nerve roots and also the roughness of Synovial joints between two or roughness of the disk cartilage in old age, leading to the inability of the hard discs to withstand stress, which is located on the lower back.
Rheumatic causes: diseases such as stiffness of the spine, which affects young males more than females between the ages of 25-40 years and result in chronic pain (more than 3 months), lumbar than in the morning at a very awakening accompanied by stiffness in the movement and improved these symptoms with the exercise of any movement or exercise therapy and be accompanied by symptoms and signs of many other known only doctor rheumatism specialist also one of the causes of rheumatic disease, psoriatic arthritis and rheumatoid disease. Also, there are many reasons such as arthritis, intestinal (intestinal disease associated) and inflammation, fibromyalgia who is accompanying lack of sleep or lack of comfort in the sleep more precisely non-saturation of sleep (either that the patient is concerned as much or sleep too much and wake up if something did not sleep )
Reasons related to metabolic or endocrine: most important of all osteoporosis and osteomalacia disease and diseases of the thyroid gland and neighbor, and dark urine disease (or Olkaptenyoria) and some genetic diseases.
Stress: such as depression and arthritis that leads to psychological stress and back muscles Tqslat lead to severe pain that does not respond to conventional therapy, which is used in the treatment of lower back pain.
Bacterial causes: such as bone abscess, meningitis, or bacterial infection of the disk cartilage or bacterial infection of the separation FINAL imperialist skit.
Some diseases of the urogenital system: such as renal colic, ureters and bladder, and uterine contractions and inflammation of the ovaries and prostate.
Some diseases of the digestive system: such as ulcers and inflammation of the twelve Biliary bile and pancreas and bowel.
Some benign tumors and malignant diseases, and some blood and ischaemia.
How to avoid lower back pain: follow the correct rules for the use of the back in daily activities for example:
When you rest and sleep: avoid sleeping on the surface of spongy or too stale, such as land also avoid exposure to direct airflow during sleep
The movement to and from bed: Use the correct method to do so.
Sit on your desk or while driving a car is completely based on the back while maintaining a 90-degree angle to sit (do not bend forward and not backward Tntrah).
When you stand: Stand upright and chest up and inside the abdomen.
Use the method to carry things: bend the knees and in the integrity of the afternoon.
Maintaining the ideal weight of the body where every one kilogram increase in offset (10 km) stress in the lumbar region.
The start of daily activity to practice some simple exercises that help the flexibility of the muscles to operate quite efficiently, which reduces the occurrence of contractions and therefore a pain.
Something must be done on a training program for 15-30 minutes at least 3 times a week and then to help keep joints and muscles that support the back and keep it in a balanced or walk for ½ hours a day.
Immediately stop the practice of any exercise causes you any pain.
Consult your doctor in the following circumstances:
If the pain does not improve within 72 hours despite the comfort and taking medication.
If there is back pain due to a sudden fall or accident.
If you continue to change the sense of pain with the party basement.
Diagnosis:
X regular: it is sufficient for the diagnosis of more than 90% of cases and does not need to use any other type of charge without the work of the radiology normal. CT: and if we can not use diagnostic radiology normal (with the knowledge that there is an error of only 30% .) MRI: This is the best species at all but very expensive (with a margin of error ranging from 10-20%). Survey atomic: if the pain does not improve with treatment, with the presence of other symptoms such as high temperature, and a continuing lack of weight the patient.
Some laboratory tests: such as sedimentation rate and some enzymes such as protease enzymes, prostate and bone.
Treatment:
Complete bed rest for a period of one week - two weeks in the place and relax. (And that there was no trouble in controlling the urine and faeces) with use hot compresses and massage light.
Medical treatment and is in pain relief and anti-inflammatory drugs and sometimes sedatives physiotherapy, therapeutic exercise is in addition to the thermal treatment (short-wave or infrared, or ultrasound), or treatment and is in the electrical currents or other currents nested see your physician or injection water treatment residual nerve root or microalbuminuria detailed patient and have the effect of this method is very strong and effective in treating many cases, especially if it is given by a specialist doctor at a dose ranging from 3-5 injections per year of situ injection per week and no complications of this method because the dose of cortisone injected weekly dose of no more than physiological. surgically: and if the previous steps did not work for a period of at least 6 months
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