Pain is often interpreted as a herniated disc, and because of the fear of surgery in the initial period, the possibility of diagnosis and treatment is ignored.
However, not all pain is a sign of hernia and can be seen as a sign of a significant illness.
Memorial Kayseri Hospital Department of Physical Therapy and Rehabilitation Uz. Dr. Ali İpek gave information about back pain and its causes.
Lumbar hernia in youth, the cause of pain in the calcification of old age
Lumbar pain is more common in young age than in the spinal cord and spondylosis. In lumbar pain due to canal stenosis, there are problems with leg numbness and decreased walking distance. Patients are admitted to the doctor for intense pain and sometimes loss of energy. One of the important causes of low back pain is rheumatic disease. The most common of these is called Bunlar's Ankylosing Spondylitis. Besides that; infections, spread of cancer that occurs in any organ of the body, or bone cancer, metabolic causes, pain and reflected pain of internal organs are most often shown as causes of low back pain.
Lumbar pain may be due to these 5 reasons
The habits of daily living are an important factor that triggers back pain. Most of the pain is of mechanical origin, which is caused by the excessive use, tension or deformation of the structures that make up the spine. Lumbar pain, which makes sitting and sitting difficult and restricts movement, usually suggests a herniated disc. However, the severity and location of the pain varies from person to person. Therefore, only pain is not a sufficient criterion for the diagnosis of lumbar hernia. Lumbar pain is most commonly seen for the following reasons:
1. Elevation of heavy loads, accidental trauma and particularly challenging movements have a detrimental effect on the structure of the vertebrae. With the deterioration of the structure, the disc between the vertebrae leaves and a disc herniation occurs. The rupture of the vertebrae also leads to slipping of the waist and pain.
2. Still life and excess weight are among the causes of low back pain. Lack of activity due to deprivation of the waist muscles and excessive weight of the heavy load causes low back pain.
3. Excessive stress is an important factor that negatively affects the human body in all aspects. Low back pain is more common in people with high stress groups.
4. Choosing the wrong beds and chairs also opens the way for back pain. Lumbar pain can become chronic due to non-ergonomic beds and office chairs.
5. Long-term wear on the joints is converted to calcification over time. Calcification due to aging is one of the causes of low back pain.
6. It has been proven that smoking causes back pain.
7. Lumbar pain is more common in some occupational groups. Between them; long distance drivers, users of vibrating tools (concrete or asphalt breakers), heavy lifts and long-time workers.
Attention to rheumatic diseases!
It is known that the problem is progressing and pain becomes chronic when the necessary treatment is not applied to patients with quality of life because of low back pain. Especially the rheumatic disease called ankylosing spondylitis is a health problem that can be observed in young men. In this disease, unlike herniated disc, the pain does not rest, but increases. Even if there is no ankle pain, ankle pain, headache, swelling in the knee and ankle may be present in ankylosing spondylitis. It is recommended that the patient consult a specialist after waking up in the morning if the waist area lasts for more than an hour.
8 criteria for generating images
For people suffering from low back pain, the medical image is based on criteria called Bel Bel. Bel.
1. If the person has suffered a serious trauma, such as falling from a height, a traffic accident,
2. Continuous, progressive and non-mechanical pain
3. If there is recurrent or non-recurrent low back pain.
4. If there is a history of cancer, use of cortisone, substance abuse, history of HIV and excessive alcohol consumption,
5. If there is severe resistance restriction in forward bending,
6. If there are complaints such as long-term fever, weight loss,
7. sudden loss of sensation in the legs,
8. In case of problems with the bladder and intestines, it is necessary to obtain medical images.
A multifaceted approach to treatment
In the treatment of low back pain, a multifaceted approach is generally used. The treatment plan is started first with detailed examinations and exams.
Back pain; drug therapy, rest, physiotherapy methods as well as strengthening of the waist muscles and lifestyle changes are effective.
Emergency surgical intervention may be required in a very small proportion of those with mechanical back pain, such as those who experience loss of sensitivity in the legs. Patients with rheumatic back pain should be under regular control and follow-up. The success of anti-rheumatic drug treatment used in recent years is increasing.