The condition when it hurts, the back gives the lower back, occurs frequently.In most cases, a person turns to a specialist when pain becomes constant or acute.In this case, a long examination cannot be avoided to clarify the cause of pain, long treatment and recovery.It is easier to prevent the development of possible diseases and consult a doctor from the outset, when the lower back begins to get sick, the pain is not constantly present and does not manifest itself acutely.
The causes of lower back pain

There may be many causes that cause pain and discomfort in the lower back.Factors that cause the state where the back hurts in the lower back, its causes can be divided into 2 main groups: primary and secondary.The primary group includes pathologies of the spine spine, the condition of the lumbar bone bone, causing back pain:
- Osteochondrosis, osteoarthritis lesions of the lumbar and sacred region;
- Stretching of the back muscles of the back, which can lead to intense pain;
- Damage, bruises, lesions in the spine;
- Intervertebral disc hernia;
- Overlanter of the muscles of the spine of the lower back.
The secondary group combines diseases of the internal organs, a condition against which the lower back begins to get sick:
- Gastrointestinal tract pathology.A stomach and duodenum ulcer, infectious intestinal lesions cause pain in the lower back.Not only can the affected organ harm, the pain gives to the lower back, the painful syndrome is hurting, pulling nature;
- Urinary system diseases (kidney disease, stones, cystitis);
- Damage of the reproductive system organs.Pathologies manifest in pain of different nature, located in the lower abdomen, radiating to the lower back;
- An acute appendicitis attack, acute pain in the lower abdomen to the right gives the lower back;
- Pancreatitis, in which pain arises in the lower back on the left;
- Liver diseases.The pain is located on the right side, accompanied by swelling, pain in the lumbar region on the right;
- Endocrine system pathologies;
- Respiratory diseases.Lung pleurisy usually causes the condition when the lower back begins;
- The emergence of neoplasms.
- Lumbar pains are often caused by pathologies inherent in one or another sex.
In women
In women, the state of the back, pulls the back in the lower back, causes the following diseases:

- Cystitis, which is more frequently observed in women.In addition to pulling lumbar pain, there is a burning sensation during urination, the lower abdomen pain before and after it;
- Infectious processes in the vagina.Frequently, non -express lumbar pain causes infectious diseases: candidiasis (tortinho), bacterial vaginosis, vaginitis;
- Adnexitis (the occurrence of inflammation of the uterus appendages), in most cases, causes not only pain not only in the lower abdomen but also on the back;
- Pain after delivery located in the lower back and the sacred;
- Abortion.A stressful state, usually resulting from endometritis, reduction of the uterus causes pain in the lower abdomen and back.
- Menstrual Cycle.Lombar pain that appeared during menstruation, in most cases, are not a sign of pathology, as the uterus increases during this period presses dorsal muscles, which causes pain and discomfort.
In connection with pregnancy, a woman may feel pain in the lower back.The lumbar region can hurt at any stage of taking the baby.In the first weeks, the stomach, the lower back can pull, the appearance of a small amount of bloody discharge is possible.Before delivery, the center of gravity, pressure and excessive load is in the lower back.In the premium period of pain in the lower back, they can be located on the left or right of the bottom of the back, in most cases, this signals the curvature of the spine.
In men
To answer the question “why the back hurts in the lower back in men” will help several of the following diseases and conditions:
- Inflammation of the prostate gland.The pain is located in the lower abdomen with the return to the lower back, usually in the groin;
- Inguinal hernia, characterized by acute pain syndrome (to loss of consciousness), radiates to the lower back;
- Inflammation of the testicles and their appendages, accompanied by pain in the lower abdomen and back;
- Lesions and damage to the musculoskeletal device of the lower back.Excessive loads associated with work activity or sports hobbies can cause stretching, lumbar bruises;
- Fractures of the spine, the cause of which can serve not only serious damage, but looking like frivolous and injury.
What cannot be done with back pain
Only one expert can identify the root cause of lower back pain.If there is no way to visit a doctor immediately when painful sensations occurs, it is worth noting several rules that will help avoid deterioration in the condition.In a situation where the back hurts in the lower back for a long time, even if the pain is not acute and cutting, in any case:
Continue active physical activity.It is necessary to limit the intensity and time of movements as possible, relax more and relax in a horizontal position.Do not panic and nervous, from this, the condition may worsen - tensions increase pain syndrome, cause severe tension of the muscle apparatus.It is worth interrupting sports, load -related physical actions in the lower back (slopes, raising even small pesos of slope, remaining for a long time sitting, standing, long walks. If it is not possible to lie down, you need to move very smooth and slowly, the movements should not be clear.

Try to get rid of lower back pain, heating with heating pillows, hot toilets.This warming can aggravate a painful state, lead to an exacerbation of the pathology.Heat, relieve pain with the help of heating compresses applied to the affected area.Among the folkloric recipes, you need to pay attention to a mustard compress or gem and alcohol lotion.You can apply an anesthetic, warming the ointment to the place of pain.Compresses and ointments, having a heating and painkiller effect on the lower back, do not contribute to a deterioration in the condition, to exacerbate a possible disease, as they have a local effect.
Prescribe medications yourself.In no case should you diagnose and prescribe medications.Only one specialist can accurately diagnose the disease and prescribe proper drug treatment.The uncontrolled drug may markedly make the condition worse, cause an exacerbation of the disease and cause complications.If a pronounced pain syndrome occurs and the impossibility of visiting a doctor or calling an ambulance, you need to relieve pain.Analgesics with an anti -inflammatory effect will help this.
Delay the process of visiting a doctor.The longer the visit to the expert, the more the exam will be to clarify the root cause of the disease, the treatment and recovery period.At first opportunity, you need to visit the therapist, who will conduct an inspection of physics, will send to the necessary exams.After a general diagnosis, the therapist will direct the patient to a narrower specialist (neurologist, gastroenterologist, endocrinologist, gynecologist, surgeon).In some cases, redirect is already based on a physical inspection, tests and necessary studies that allow the root cause of pain in the lower back by a narrow expert.
Draw an ambulance call.There are several cases when delaying and delaying with the ambulance call can lead to serious consequences:
- Pain syndrome is acute, pain cannot be tolerated.Similar sensations can cause acute inflammation of the appendix, inguinal hernia in men;
- Medium size pain is persistent for a long time (for example, if the back hurts in the lower back for a whole week);
- Lumbar pains are accompanied by intense pain in the gastrointestinal tract, the pelvic organs (pain, "pike", "cuts", pulls the lower abdomen);
- Pull back pain is accompanied by the absence of intestinal emptying for several days;
- In the feces, there are blood clots, the stools acquire black.
Back Pain Examination
When a patient seems to the expert that his back in the lower back are very hurt, the doctor performs an exam, a patient research, paying attention to the following points:

- Age criterion.Elderly patients are more susceptible to osteochondrosis and osteoarthritis lesions.The older person, the risk of neoplasms of a different nature (malignant and benign) in different parts of the body, which can be accompanied by pain in the lower back, increases.Young patients are often exposed to lesions of the bone muscle tract in the lower back, chronic joint diseases (spondyl arthropathy), it is possible to diseases of the spine caused by lumbar region overloads.In small patients (up to 10 years), it is worth excluding kidney disease, organic lesions of the spine spine (osteomyelitis, tumors);
- The pain side is left to the right;
- Concomitant symptoms (pain in the lower abdomen, pain in the umbilical region, pain on the right side, left side);
- The nature of pain is acute, cutting, painful, pulling;
- The rhythm of pain during the day.In most cases, spinal diseases have a certain daily rhythm (decrease, intensify).In cases with cancer neoplasms, osteomielit does not decrease.
Neurological examination
- Tests are performed to determine the nerve end violated in the lower back;
- Sensory test, pain identification, numbness, mobility disorders;
- Motor test that determines muscle weakness;
- Laboratory and instrumental diagnosis methods;
- Blood tests that allow to determine the level of hemoglobin, the rate of red blood cells (VHS), calcium content;
- General urine analysis;
- Radiography.Images of different projections of the affected area are taken (the pelvis, the lower back is examined);
- Magnetic resonance imaging and computed tomography.Studies make it possible to visualize the spinal canal in detail, identify compression disorders of nerve processes.CT helps identify bone pathologies and disorders, magnetic resonance imaging reveals pathological conditions of soft tissues;
- Radioisotopic studies that allow qualitatively identify the location of tumors, outbreaks of infection;
- Electromyographic Studies (EMG) are performed to confirm violations, lesions of the nerve roots of the affected area.

Additional tests and studies allow you to make a precise diagnosis.If you suspect reproductive system organs in women, additionally:
- A vaginal smear is taken for a degree of purity, bacterial cultures of a cervical canal;
- Ultrasound studies (through the stomach or transvaginally);
- An x -ray of the pelvic organs.
In case of suspected digestive tract diseases, they are prescribed:
- Radiography that allows you to obtain organ images, identify neoplasms, anomalies, ulcerative lesions;
- Radioscopic studies that allow functional disorders to determine;
- Computed tomography;
- Radioisotopic studies that allow to study the processes of moving food masses along the digestive tract.Studies allow you to identify liver diseases, pancreas;
- Ultrasound allows you to evaluate all the necessary parameters of the digestive tract, detect formations of tumors, stones, cysts, defects of ducts, blood vessels.
How to treat lower back pain
When the expert, based on diagnostic measures, found out why his back hurts in the lower back, he names a set of medical measures.In most cases, treatment unites:
- Medicine.Preparations are prescribed, depending on the cause of the disease: damage to the musculoskeletal apparatus eliminates NSAIDs (non-steroidal anti-inflammatory drugs), painkillers, medications that stimulate the regeneration of bone cherry tissue.The preparations are prescribed in the form of tablets, drops, ointments and gels.In cases of neuralgia (when pain occurs due to nerve violation), drugs that have a relaxing effect are prescribed.In cases where pain syndrome occurs against the Digestive Tract Diseases Fund, medications may be prescribed additionally to improve the work of organs that help their normal functioning, restoring organic disorders;
- Diet Therapy.This type of treatment is ideal for any disease.Proper and balanced nutrition helps the body restore the necessary balance of vitamins, minerals needed for their normal functioning.An specially designed diet allows the affected organ to recover faster, filling the elements required for its uninterrupted operation;
- Manual therapy and massage.In most cases, it is used for lesions of the spine spine.There are a large number of contraindications, so it is important to go through a course of therapy and manual massage after agreeing with a doctor.Manipulations have a positive effect: blood circulation in the affected area is improved;Muscle cramps are removed, not expressed pain;Toxins are excreted;The necessary relaxation occurs;
- Physiotherapy.This direction is based on the use of natural forces and combines treatment with current, dirt, hydrotherapy and treatment with a magnet.
- Therapeutic Gymnastics.One of the most effective components in the treatment of any disease.The effect of gym exercises is comparable to massage manipulations, but has a longer result.LFK can be performed when removing pain syndrome slowly and gently during the recovery period.Special attention when performing exercises is given to breathing by the diaphragm.This respiratory technique is effective in combination with exercises that eliminate spinal lesions.Diaphragm breathing is effective in treating various internal organs, even without special exercise, having a soft stimulant effects and massage.
- Traditional medicine.Some recipes for non -traditional medicine can be used before visiting a doctor.When the lower back hurts or pain, you cannot use hot baths, heating with electric or rubber heating pillows.This can lead to an exacerbation of the disease, increased pain.It is ideal to use hot -up compresses that have a local effect that has no side effects (component irritation may occur):
- Mustard application.2 teaspoons are mixed with 1 tablespoon almond oil and 100 ml.Hot decoction of the oak bark.A piece of gauze is wet with this mixture and applied to the painful point.The application has a lightweight effect, anesthesia to the affected area;
- Alcohol compress with egg yolks.To prepare a compaction, you need to take 50 ml of alcohol, in which 2 gems are added.The ingredients are completely mixed, applied to a dressing or piece of gauze and applied to the pain site.The compress lasts about 2 hours, after which is washed with warm water.
The doctor prescribes herbalization, compresses as additional treatment, when the diagnosis is known:
- One of the universal decoctions for oral administration is the infusion of chamomile, Calêndula.2 tablespoons of flowers are manufactured with a glass of boiling water, the decoction is infused, filtered and taken inward twice a day;
- Effective as anti -inflammatory, restoration and antibacterial agents pharmacy herbs (renal rate, gynecological, gastric collection);
- Therapeutic phytocei, which has a pronounced support and recovery effect, have a pleasant taste.