Pain is often interpreted as a disk hernia, and because of fear of surgery in the initial period, the possibility of diagnosis and treatment is ignored.
However, not every pain is a sign of a hernia and can be seen as a sign of a significant disease.
Physical Therapy Kayseri Hospital Memorial and Rehabilitation Department Uz. Dr. Ali İpek provides information about back pain and its causes.
Lumbar hernias in youth, causes of pain in older age calcifications
Lumbar pain is more common at a younger age than in the spinal cord and spondylosis. In low back pain due to canal stenosis, there is a problem with numbness in the legs and reduced walking distance. The patient is treated at the doctor for severe pain and sometimes loss of power. One important cause of low back pain is rheumatic disease. The most common of these is called il ankylosing spondylitis Bunlar. Other than that; infection, the spread of cancer that occurs in any organ in the body, or bone cancer, metabolic causes, pain and pain reflected from internal organs is most often indicated as a cause of lower back pain.
Lower back pain may be due to these 5 reasons
Daily living habits are important factors that trigger back pain. Most of the pain is mechanical origin, which is caused by excessive use, strains or deformations of the structures that make up the spine. Low back pain, which makes standing and sitting difficult and restricts movement, generally indicates a disc that is herniated. However, the severity and location of pain varies from person to person. Therefore, only pain is not an adequate criterion for the diagnosis of lumbar hernia. Lower back pain is most often seen for the following reasons:
1. Heavy lifting, accident trauma, and very challenging movements have a detrimental effect on vertebral structures. With the structure deteriorating, the disc between the vertebrae comes out and the disc hernia occurs. Disorders of the spine also cause slippage of the waist and pain.
2. Still alive and excessive body weight is one of the causes of lower back pain. Lack of activity due to seizure of waist muscles and excessive weight from heavy loads, causing low back pain.
3. Excessive stress is an important factor that negatively affects the human body in every aspect. Lumbar pain is more common in people with high stress groups.
4. Choosing the wrong bed and chair also paves the way for back pain. Low back pain can be chronic because the bed and office chair are not ergonomic.
5. Long-term wear and tear in the joints is converted to calcification over time. Calcification due to aging is one of the causes of lower back pain.
6. Smoking has been shown to cause back pain.
7. Lumbar pain is more common in some occupational groups. Among them; remote drivers, users of vibrating devices (asphalt or concrete breakers), heavy duty lifters, and long-term workers.
Attention to rheumatic diseases!
It is known that this problem develops and the pain becomes chronic when the necessary care is not applied to patients with quality of life due to lower back pain. Especially rheumatic disease called ud ankylosing spondylitis omat is a health problem that can be seen in young men. In this disease, unlike herniated discs, pain does not stop, but increases. Even if there is no obvious pain in the ankles, ankle pain, headaches, swollen knees and ankles may be present in ankylosing spondylitis. It is recommended that the patient should consult a specialist after waking up in the morning, if the waist area lasts more than one hour.
8 criteria for imaging
For people who suffer from lower back pain, medical imaging is based on a criterion called the Bel's red flag bell.
1. If the person has experienced severe trauma such as falling from a height, a traffic accident,
2. Continuous, progressive and non-mechanical pain
3. If there is recurrent lower back pain or no recurrence.
4. If there is a history of cancer, cortisone use, substance abuse, history of HIV and excessive alcohol consumption,
5. If there is a heavy resistance in bending forward,
6. If there are complaints such as long-term fever, weight loss,
7. Suddenly loses sensation in the foot,
8. In cases of bladder and intestinal problems, medical imaging is needed.
Multi-faceted approach to care
In the treatment of lower back pain, a multi-faceted approach is usually used. The treatment plan mainly starts with a detailed examination and examination.
Mechanical back pain; drug therapy, rest, physical therapy methods and strengthen waist muscles and effective lifestyle changes.
Emergency surgical interventions may be needed in a very small proportion of those who suffer from mechanical back pain, such as those who develop sensations in the legs. Patients with rheumatic back pain must be under control and regular follow-up. The success of treatment with anti-rheumatic drugs used in recent years is increasing.