Sharp, sharp back pain caused by damage to the bones, intervertebral discs, ligaments, or back muscles is one of the most common types of back pain. Let's analyze some specific causes of acute, sharp pain:
muscle spasm
Muscle spasms are prolonged contraction or stiffness of the back muscles that can be caused by injury or constant stress. Muscle spasm in the back can occur defensively when the spine is injured to protect it from further injury. The spasm can cause sharp pain in the upper or lower back.
Herniated disc
Intervertebral hernia is a displacement of the intervertebral disc with a rupture of the fibrous ring. This condition can cause sudden, sharp back pain. A herniated disc can be caused by improper lifting of heavy objects or overly strenuous activity. Acute back pain may radiate down through the buttocks and into the legs, often referred to as sciatica, a common symptom of a herniated disc.
Compression fracture
This term refers to fractures of the bones of the spine (vertebrae). A compression fracture can be caused by trauma (fall or accident) or occur (out of the blue, as they say) due to weakened bones (osteoporosis). In this case, the pain is usually very acute.
Infection
Sometimes, due to injury or through the bloodstream, pyogenic bacteria or mycobacteria can enter the bone marrow, leading to a rare disease called osteomyelitis. Sharp back pain, which is associated with the presence of bacteria in the spine, is usually accompanied by fever, intoxication, low blood pressure, heart pain and other symptoms.
Diagnosing Severe Back Pain: Less Common Causes
Sometimes a sharp back pain that seems to be there is actually not back pain at all. For example, a rupture of a major artery in the abdomen (called a ruptured splenic artery aneurysm) can be an extremely serious cause of acute back pain. In addition, infection of the kidneys (pyelonephritis) and infection of the pleura (pleurisy) can mimic back pain. In these cases, treating the real cause usually resolves the problem.
Keep in mind that if you are experiencing sudden, severe back pain, the best course of action is to consult with your doctor. If you experience sudden pain for no apparent reason, call an ambulance.
If you're sure that your back pain is caused by a pinched nerve, tight muscles in your lumbosacral back, here are some effective exercises to help relieve the pain. Look at the video.
Let's summarize
There are many causes of sudden, sharp back pain, but most of them do not require complex treatment. By talking to your doctor, having the necessary tests and tests (if needed), you can determine the cause and have an understanding of how to deal with it. This is the best path to recovery and return to your daily activities.
Pain occur in any part of the lower back, during pregnancy at a later or earlier date. - This is a consequence of bipedalism, since the greatest load falls on the lumbar spine in the spine. Also, the presence of physical inactivity, along with malnutrition, stress, and obesity, has a detrimental effect on the spine. For most back pain or lumbalgia- this is a fairly familiar phenomenon, which gradually becomes a part of everyday life. Lower back pain may come and go suddenly and never come back. Often, patients recover after 2-3 months of treatment, only a small percentage suffer for a long time and complain of serious illnesses. Engaged in the treatment of back pain chiropractor.
Doctors at the Medical Center of Dr. Ignatiev at a preliminary consultation will be able to identify the cause that causes pain in the back, lower back. An appointment with a chiropractor should be booked in advance.
Lower back pain can be of a very different nature. For example, appearing after sitting in one position for a long time, after sleep. They are aching, shooting in nature, they find the patient in an uncomfortable position, do not give the opportunity to straighten up. The pain may be related to pinched nerve roots, own nerves in the spinal column are irritated, swelling also appears on the ligaments and muscles in the zones of innervation of the lumbar. Pain can be given to the lower back when there are internal diseases. The most common low back pain syndromes are sciatica and lumbodynia.
Divide lower back pain into primary and secondary. As for the causes of primary pain in the lower back, it is due to development of pathology in the spinal column. This is how functional and dystrophic changes appear in the vertebral joints, muscles, intervertebral discs, ligaments and tendons. The spine is a series of vertebrae that are interconnected by a complex of elastic tissues, ligaments and muscles. In addition to bone tissue, it also contains nerve endings, which become a source of back pain. As for the secondary low back pain syndrome, it is associated with injuries of a traumatic nature spine, infectious and tumor infections, diseases of the internal organs of the small pelvis in women, and other pathologies. Lower back pain has a variety of causes that may or may not be associated with spinal pathologies. The most common causes of persistent low back pain in women and men are malignant and 
benign diseases of the pelvic organs. The most common cause of pain in the lower back is lumbar osteochondrosis. It can manifest itself in pinching the roots of nerves that depart at a certain level from the spinal cord. Lower back pain that radiates down the leg is the most common in outpatient practice. Approximately 60% of the population in developed countries suffer from and complain of recurrent back pain. And 80% of all these pains occur in the lumbar region. People of any age can suffer from back pain. But the peak incidence occurs between the ages of 30 and 60 years.
Low back pain symptoms
Symptoms are divided into several types. Everything depends on the reasons. In the presence of a sprain, the pain will have a spasmodic, movement-limiting character in the lumbar muscles. Pain can spread to the back of the legs, buttocks. It will be difficult for a person to turn, tilt the body in different directions. When the nerve roots are damaged, the pain from the lower back gradually passes to the legs. in number accompanying sensations includes coughing, sneezing, numbness with deep breaths when a person sits for a long time in one position. If the cause of the appearance of pain in the lower back lies in the development of the disease, like sciatica, osteochondrosis, then the symptoms increase gradually. Severe pain in the lower back on the right, on the left, below, at the top it increases gradually, it can take too long. When the pain does not go away for three or more days, it is imperative to consult a specialist.
Causes of back pain
Common causes of lower back pain, radiating to the leg, lower abdomen, are associated with the fact that a person spends a lot of time behind the wheel, a computer, is engaged in physical dynamic labor with drastic changes body position, loads himself excessively in the gym, leads a sedentary lifestyle, or, conversely, stands for a long time, is fond of country work, suffers from overeating and complains of being overweight. An additional risk exists for women who have recently given birth, have reached the onset of menopause, which has led to the development of osteoporosis.
Diseases that cause back pain
Malignant and benign formations in the pelvic organs, diseases of the prostate gland, chronic prostatitis. Tumors can also affect the pelvic cavity. Back pain after long walks. This may indicate the development of stenosis in the spinal canal. The disease manifests itself as a syndrome of spinal or pseudo-intermittent claudication. The patient complains of cramps and pain in the lumbar region, buttocks, which appear when walking. The pain calms down only when lying down or sitting, but with great physical exertion it can intensify again. Elderly patients may develop a syndrome such as polymyalgia rheumatica. It begins with pain, which will gradually increase, manifest itself in stiffness in the proximal sections of the upper or lower extremities.
Osteochondrosis or dorsopathy is the most common source of pain in the lower back. The doctor during the examination discovers a variety of degenerative diseases in the spine, such as osteoporosis, osteoarthritis and osteoarthritis. The height between the vertebral discs gradually decreases, which leads to disturbances in the field of mechanical balance between all structures in the spinal column. So there is a tolerable and constant pain in the lower back, which can intensify. Muscle spasm may occur during unusual physical activity.
The disposing factor is static and prolonged wrong position body, for example, behind the PC, bent at the waist at summer cottages, squatting. As a result, muscle spasm gradually develops, which limits the mobility of specific sections in the spine. Muscle tightness is a real source of suffering. Such a state can be maintained for a sufficient period of time. Herniated discs in the lumbar intervertebral discs, which compress the roots in the spinal cord, occur most often in men who are over 40 years old. The first symptom of an unfavorable outcome will be lumbodynia, combined with a number of additional symptoms, such as pain along the location of the nerve root to the foot from the buttock. The pain manifests itself when sneezing, coughing, laughing, difficulties with bending over, extension of the spine in the lumbar region. The pain is aggravated by lifting a straight leg while lying on your back. This pain is called "sciatica" or "shoot through". It can intensify in a vertical position, and subside - in a horizontal position. Spinal instability is considered a common problem in middle-aged women. This disease is also manifested by lower back pain, which is aggravated by prolonged physical exertion, when a person is standing. There is a feeling of fatigue, a person wants to lie down. This disease is due to the fact that the disc or the intervertebral joint is affected, which often occurs against the background of moderate obesity. It is quite difficult for such patients to make any movement. The presence of a narrow spinal canal causes pain at rest or when walking. They spread along the entire course of the root, reaching the buttocks and feet. Pain is always felt when a person sits, lies, walks. Narrow Canal Syndrome is a consequence of changes degenerative, all kinds of growths of articular and bone structures in the spine. This leads to pinching of the nerves in the spinal canal.
Diagnostics
As you can see, there are a sufficient number of reasons that can cause lower back pain. Therefore, there is a need for differential diagnosis ailments that have similar symptoms.
Diagnosis is carried out by such basic methods as myelography, magnetic resonance imaging, radionuclide scanning of bone components.
CT scan makes it possible to identify changes in the structure of the spine associated with injuries, infections, fractures, arthritis, osteoporosis, tumors. Thanks to computer research, the doctor can assess the condition of bone tissue, blood vessels and soft tissues.
Myelography is an example of radiopaque examination of pathways conducting in the spinal cord. Shown myelography in the presence of all pathological conditions, when there is a decrease in the lumen in the spinal canal. It develops hernias, stenoses, tumors. Xenon is used as a contrast agent. It is injected into the spinal cord, and then an X-ray examination is already carried out. There are situations when the primary data obtained from an x-ray examination are uninformative, then they resort to radionuclide scanning. This technique makes it possible to diagnose neoplasms of a tumor nature, arthritis. The method is not always used, because it is very expensive.
Treatment of lower back pain at the Medical Center of Dr. Ignatiev
They are aimed at stretching and relaxing the entire spine. traction techniques. The impact is along the entire axis. Such methods of exposure will be characterized by much less trauma. They can be performed by a chiropractor not only with hands, but also with special devices. The spinal traction itself can be underwater. Exercises are then carried out on the Evminov board. After proper training, the patient is able to perform such exercises independently. Treatment usually begins with reflex techniques in manual therapy. The doctor uses such manipulations as kneading, vibration. This helps eliminate detected changes in the spine. The procedure takes several minutes. After the chiropractor already determines its specific impact on the movements of an active nature in the patient. There is also a connection with clinical manifestations. In manual therapy, the main techniques will be associated with rotation, traction, pressure. The doctor chooses one of these methods. It is based on the facts that the reception should finally “open” the joints together with the arcuate processes. As a result, the diameter should also increase along with the intervertebral foramen on the side where pain occurs.
The main technique for the lumbar will be rotation. Restoration of muscle function can also occur with the help of pressure. Doctors take special care in the treatment of radicular syndrome. At the initial stage of treatment, movements will be carried out in the direction where the pain appears. For example, when rotating to the left painful side, the doctor will conduct mobilization techniques for the right side. After the end of the procedure, the doctor will repeat the rotation for the left side. If the pain decreases, then there is a possibility of an increase in the strength of the reception. The specialist approaches the selection of a technique responsibly. However, the preferred method is manipulation. It is less traumatic. Specialists devote a lot of attention to manipulation. The lumbar spine is characterized by mild trauma. Before proceeding with manual therapy, the doctor conducts an x-ray examination. Particular attention is paid to the indicator of the width of the spinal canal, whether there are spikes in the back, and other changes. A tomogram will help in such a study. For the lumbar spine, manipulations are carried out in this way. On the edge of the table, the patient lies on his side. The patient's shoulder and neck are grasped by the hands of the doctor, who pulls them towards him, and the upper shoulder begins to push back. So rotation lends itself to the lumbar spine. Shoulder upper belt specially fixed by a specialist. Next, the turn comes to the very spine. The patient's lower leg must be in an extended state, and the upper leg must be bent at the hip and knee joint. In the popliteal fossa of the leg, which lies below, is the foot. The doctor, with his own knee, applies pressure to the patient's popliteal fossae. The rotation of the spine is gradually increased, and the posture is controlled gradually. The spinous process, which lies on the vertebra located above the blocked segment, will be fixed with the thumb on the right hand. A doctor's brush is placed on the pelvis or sacrum. If possible, the posterior spine is captured in the existing ilium. Lumbar spine the doctor applies rotation with the help of the hands until tension is reached in the blocked segment. The rotation of the lower back of the patient is performed on his inspiration. With the help of the legs and arms, traction traction is carried out. A crunch will indicate positive changes in the spine. The pain syndrome decreases quite sharply. It completely disappears after a couple of days. For the lumbar region, in order to achieve a positive result, only one rotation will not be enough. The specialist necessarily "feels" the rigidity of the segment. It is his task to do everything so that he has the maximum share of rigidity. This effect is achieved when combined actions are performed simultaneously with the help of sufficiently long levers. It can be carried out both short and long levers. In this case, the impact is made with fingers on adjacent, structural bone vertebrae.
Articular manipulation and mobilization techniques have their own principles of implementation. By doing 
manipulations take into account the body weight index of the doctor together with the patient. The rhythm of the movement consistent and slow if the body weight of the patient and the doctor is large. Also vice versa. Manual therapy is carried out only at the moment of movement. Techniques before or after will be impossible to carry out. The spinal column has curves that should be taken into account. Back springing will be contraindicated for 69% of people. When articular manipulation, it is important to take into account the basic principles that are directed to the elimination of blockades. These blockades are the real reasons for clinical manifestations in diseases of the spine or joints. Additionally, it is necessary to perform approximately 8 more manipulations in different vertebral sections. This will make it possible to fix the curvature that has appeared in the spine in the motor stereotype. Manual procedures are carried out, as a rule, every day, if there are no contraindications. You can limit yourself to several procedures a week, when there is poor tolerance. Occasionally, patients may complain of traumatization of superficial tissues after manual therapy or for increasing pain, skin hyperemia. These symptoms may disappear within one day. Patients will be shown rest, manual muscular complete relaxation. It is important to understand the location of the source of low back pain. For lumbar pain, rotation and extension procedures will be useful. You should not get involved in bending techniques. The doctor necessarily tells the patient about unwanted movements on his part, which will lead to exacerbations. Patients who are informed in time can easily avoid exacerbations or repeated courses of manual therapy.
Experts use the technique directed strike in manual therapy in order to change the position of the vertebrae. The location of the vertebrae must be taken into account in relation to the lower or upper adjacent process. The normal distance between the apex on the spinous process, on which a directed blow will be applied, and the vertebral disc is 9 centimeters. Directed strike technique must be observed carefully. Therefore, all patients of the Medical Center of Dr. Ignatiev remain unharmed. apices of the spinous process. Techniques that use passive restoration of full range of motion will be used when the joint capsule is stretched. It is also attached to the surface of the joint. The technique will be useful for recent adhesions. In manual therapy, alignment methods are quite successfully used in order to restore the necessary range of motion in the joints. As a rule, they use a long arm of the lever. For example, when it is necessary to obtain mobilization in the pelvic bone, which is fixed in the iliac and sacral joints, then the femur with the femoral anterior muscles will be used as the shoulder. The method of fixation consists in the fact that a muscle is torn off from the capsule apparatus, which is then attached to the articular surface. Powerful amplitude force together with short levers, high speed of movement are carried out along the surface of the joint, the plane. They can also be perpendicular to it. Vascular compression symptoms can be observed with vertebral lumbar sciatica. Accompanied by a forced position of the body. Postisometric relaxation should be done carefully. Clinical increased symptoms may be called. The duration of the manual course will be determined by the doctor individually. It will depend on the stage of the disease. 10 or 15 procedures will be enough. Longer treatment may be needed if pain symptoms are severe. Then there are radicular symptoms. Courses of therapy are recommended to be repeated 4-6 times a year. The specialist must comply with all safety rules in order for manual therapy to be effective.
In manual therapy, the methods of non-specific effects are aimed at restoration of functions musculoskeletal system. As a result, functions are corrected, disturbances in the motor segment of the spinal column go away. This is necessary to eliminate muscle imbalance, normalize biorhythms in the human body. Such techniques will become effective at the stage that precedes the disease, reflex changes, manifestations of osteochondrosis and radiculitis of the spine.
A chiropractor eliminates muscle spasm with the following techniques:
Methodology muscle post-isometric relaxation. When the phase with post-isometric tension passes, then a period with full refractory action begins. Then the muscle will not contract. The phase with muscular isometric tension takes about 11 seconds. The full refractory period in time is 6-8 seconds. A strong muscle contraction will be present in the classic version of achieving isometric tension. The specialist tries to provide adequate resistance to such tension. With the help of stretching, subsequent muscle relaxation is enhanced. Other options can be used, such as isometric contraction in the presence of oculomotor and respiratory synkinesis with further natural relaxation. When there is a weak isometric contraction, then further natural relaxation is carried out. Within two seconds, isometric contraction is successfully applied when weak efforts are present. Also within two seconds there is an effort with relaxation stretching. The patient and the doctor take the starting position for the procedure, which implies further fixation of the fixed parts. The element to be mobilized will be placed in the most convenient position. Stretching occurs without the presence of pain. The procedure is stopped when the doctor begins to feel resistance. The next phase will be repeated from the position reached. It is also held by a chiropractor. For one procedure, movements can be repeated several times.
PIR for the lumbosacral spine
For the first exercise, the patient is placed on the couch on his back. His hands wrap around the head of this couch. The lower limbs protrude slightly beyond the edges of the couch. The doctor who performs the reception stands at the feet of the patient. He spreads his legs shoulder-width apart. The patient's legs are grasped at the level of the ankles, raised to a height of 20 centimeters above the edge of the couch. In order to maintain a stable position, it is worth resting both feet on the legs of the couch. The doctor leans back with the whole body, pulling the patient's limbs along with him. The effort should be increased gradually, but also weakened as well. Repeat the reception several times. This PIR method will be a preparation for further manipulations on lumbosacral spine. But even as a separate technique, it can be successfully used when there is an acute lumbago or other techniques are undesirable.
The second reception will be made for one limb of the patient. The patient is located on the back. His arms are extended along the body, the ankle joints protrude beyond the edge of the couch. The doctor who conducts the reception becomes so that his pelvis is turned towards the edge of the couch. Legs are set at shoulder width. Anterior spine in ilium must be necessarily pushed forward, and the patient's leg should rest against it with the whole foot. The second leg is captured with both hands of a specialist, the body is tilted back. At the same time, the doctor rotates his pelvis in the same direction. The patient's leg is pushed forward. She should rest against the wing of the ilium. Gradually, the doctor weakens and increases efforts to carry out such a reception. The reception may be repeated several times.
The third reception begins with the fact that the patient takes a supine position on his back. The knee and hip joints will be bent. Arms should be crossed on the chest. The specialist who conducts the reception stands at the feet of the patient. The patient himself rests his feet on the thighs of the chiropractor. After two hands, he grabs the legs of the patient. The forearms are placed at the level of the patient's popliteal fossae. The doctor should try to pull the patient's upper legs to the forearms. And he tilts his body back. The patient's pelvis is raised slightly above the level of the couch. As a result, it happens spinal flexion in the lumbar region. Effort should be built up gradually. The doctor should also weaken the intake consistently. Repeat the reception should be up to 7 times. It is carried out as a preparatory stage for subsequent manipulations in the region of the lumbosacral spine. In debilitated and elderly patients, this technique can act as the main manual technique.
The mechanism of action of PIR is rather complicated. Relaxation is based on a whole range of factors. The most important of these will be the normalization of work reflex apparatus spinal cord along with the restoration of a dynamic normal stereotype. According to experts, the analgesic and relaxing effects will be explained in this way. Isometric work, which is performed against all external force, requires the presence of the entire muscle. And a muscle with myofascicular hypertonicity will be able to realize such tension at the expense of a healthy part of the muscle. In this mode, the entire muscle will remain unchanged in its original length. And its functional and active part, during contraction, will gradually begin to stretch such a passive section with hypertonicity. All subsequent passive stretching up to the maximum value will contribute to a decrease in the size of hypertonicity with the periphery.
When repeated isometric work is carried out under the condition of an already fixed muscle length, then the tensile effect of the “healthy” areas will increase even more. Gradually, this leads to a decrease in sizes of hypertonicity. When there is a maximum passive stretching of muscle fibers to its possible physiological characteristics, then the contractility drops to zero. This means, as a rule, that hypotension has appeared in the muscle itself. But after 30 minutes, she returns to her former length without restoring the existing hypertonicity. If the dynamic and pathological stereotype persists, then after 2-3 days hypertonicity may appear again. With the repetition of PIR, the period of recurrence of hypertonicity is lengthened. Up to 7 sessions of PIR will be enough to completely eliminate it. To achieve a positive effect in the treatment, the main condition will be the elimination etiological factor, which caused the appearance of hypertonicity.
The idea that has developed about stretching or mechanical effect, as the only healing factor in PIR, is a simplification of a complex phenomenon. Of course, it can be assumed that the muscle from stretching will be hypotonic, sluggish, but how can analgesia develop in it? According to doctors, the analgesic and relaxing effects in PIR will be directly related to unidirectional changes in the afferentation system in the functionality of the segmental apparatus in the spinal cord. According to the results of the decrease in the general system of afferentation, together with its imbalance in the afferents from the hypertonicity of groups 1 and 2, mechanisms will be deployed to reinforce the already existing hypertonicity. The activity of the islet cells will decrease as a result of the general presence of a deficiency in proprioception with its imbalance. In other words, the effectiveness of the mechanisms of portal segmental control gradually decreases. Therefore, the disappearance of hypertonicity is a functional phenomenon, rather than a structural one. It means a complete restoration of the general level in the proprioceptive stream, along with the normalization of its components.
In parallel, mechanisms with the control and regulation of muscle tone in segmental limit of the apparatus spinal cord. So the doctor eliminates foci with pathological excitation. The work of the generator of the determinant peripheral structure is gradually eliminated. And this means only the collapse of such a pathological system. In such conditions, the method of irrigating the skin with refrigerants will be used, which serves as additional factors to reduce the level of extraceptive impulses. This significantly reduces the contribution of this type of afferentation to the mechanical activity of pain generation. As a result, PIR is able to have a multifaceted effect on the neuromotor system for the regulation of tone in the striated muscle. PIR normalizes proprioceptive impulses, establishes the physiological relationship between proprioceptive and other types of afferentation. As a result, effective braking mechanisms will be restored, the activity of the first point for the generator system will be eliminated. PIR is a completely safe manual therapy technique. It can be used as an alternative manipulation on the joints. PIR is the basis for conducting soft technique. On healthy muscles, the relaxing effect of PIR will not be realized, which excludes the side effects of the technique.
The method of reciprocal inhibition will be based on physiological tension and relaxation of such components as agonists and antagonists. Doctors have repeatedly proved in practice that when the extensors are relaxed, the flexors contract. This phenomenon is called reciprocal innervation. It is carried out automatically. Muscle reciprocal inhibition will always be carried out in a position that is characterized by the opposite action, movement. These movements and want to increase the amplitude. Carry out the technique before the mobilization itself. A movement is carried out when there is even the slightest resistance in a direction that is chosen specifically opposite to the normal movement. For example, when you need to try to increase the amplitude in flexion. The reception is made against the light resistance itself, which turns out to be extension. When the maximum amplitude is reached during flexion, this position will be maintained for the next 10 seconds. After that, the patient relaxes for 8 seconds. Manipulation is carried out several more times in order to increase the amplitude of extension.
Way muscle anti-gravity relaxation. On the bodily segments, muscles of a person, with their mutual arrangement, the force of gravity acts. It will vary in size. The doctor, thanks to specific movements, tries to overcome it. During stretching, anti-gravity relaxation for muscles under the influence of gravity can occur within 20 seconds. After, the chiropractor takes a break for 30 seconds. Next, the procedure is repeated. The total number of such repetitions can reach 15 or 16 times. Mobilization relaxation will be carried out in the complete absence of natural muscle relaxation. Isometric will always be considered the first phase during muscle contraction. When the alignment of muscle resistance and tension occurs, it is quite possible that the next phase will be expressed in concentric, eccentric, or remain isometric. It is best to repeat the movements up to 15 times.
The onset of muscle relaxation by influencing trigger myofascial points. In the bloodstream, phase changes will occur with prolonged and strong compression of the myofascial trigger point. This will determine the resulting therapeutic effect. Based on their practical experience, the doctors of the Medical Center of Dr. Ignatiev say that any kind of manipulation with myofascial trigger points will be accompanied by increased pain sensations. Then the manual influence on the "sub-trigger" zone will be suspended. Doctors resort to such methods. Pressure is applied to the myofascial point with the thumb or forefinger. Pressure is applied until the patient feels pain. As the pain decreases, the pressure gradually increases. If there is a need to influence the muscles that are located deep, then pressure is applied with a bent finger or elbow. The index or middle finger is used. In this case, all instructions of the doctor will be taken into account. A method of influence is applied, which is called screwing in. It is carried out before the onset of pain. The cycles take six seconds.
Relaxation techniques. The chiropractor tries to get as close as possible to the places where the muscles are attached to one another. Strong pressure occurs on the upper points in the muscle abdomen. Such pressure will be exerted by the thumb or forefinger. The muscle is pressed until the doctor reaches complete relaxation of the muscle. In one minute, several pressures are usually carried out at once. The doctor gradually increases the force of pressure. It also gradually decreases. And spasms in the muscle should not increase. Specialists also use a technique in which there is an increase in the distance between the tendons and muscles. This technique is allowed to be used for moderate muscle spasms. This method in manual therapy will also be suitable for severe muscle spasms. Reception is carried out several times. The relaxation technique is represented by repeated movements on the abdomen of the muscles. Such manipulation is carried out in a direction perpendicular to the fibers. In classical manual therapy, there is a technique known as "saw". In the course of the reception, the doctor, using the palmar lateral surfaces, performs “sawing” rhythmic movements on the muscles. Movements are carried out perpendicular to the placement and growth of muscle fibers.
Will be effective rubbing technique with existing muscle spasm. It is accompanied by such a phenomenon as fibrosis. The method of myofascial relaxation is carried out using layer-by-layer pressure and exclusion of the anatomical and fascial barrier. Then there is a redistribution of the gradient along with fascial pressure, with direct pressure on the muscle mass. The technique is based on highly elastic tissue properties. In engineering myofascial relaxation such stages as the implementation of special diagnostics with examination, palpation, examination of active and passive movements are carried out. Diagnosis is aimed at identifying skin temperature, asymmetry and pain. In addition, the chiropractor will try to identify "exit points" - these are the areas with the beginning of treatment. The chiropractor tries to adhere to the rules of three. This is the conduct of traction, pressure and torsion. Torsion is a movement with a rotational character. The fabrics are shifted to one side. The chiropractor will not apply great force to conduct the reception. With torsion, displacement to the sides should begin towards the restriction. So on the healthy side there will be no excessive stretching. When the doctor reaches the barrier, he will wait some time until the desired relaxation occurs. If it does not occur for a long time, then the specialist returns to a neutral position and repeats such a shift. Softer technique will be post-isometric muscle relaxation. Such a muscular exercise will be accompanied by the fact that the existing resistance will be overcome with subsequent stretching of the muscle mass. After post-isometric muscle relaxation, blood circulation in the muscles will be significantly improved. This will contribute to complete relaxation, relieving pain and spasms. Functional blocks will gradually disappear. In the intervertebral joints, subluxations can be corrected.
Neural Impact Techniques
The hands of a chiropractor necessarily pass through the entire body of the patient, affecting the bone, fascial and fluid levels. Under the manual influence necessarily falls and neural level, which communicates with common tissues. The neural level implies a more complex and subtle matter in organization. The doctor is able to exert the most direct influence on neuronal processes, thanks to the integration of micropalpation information about the position of the near-neural tissues, myelin sheaths and axonal current. At the roughest degree of approximation, when there are junctions of fascia and neurovascular pathways, the release can be carried out from the location of the most recent adhesive and inflammatory restrictions and processes. Tunnel and radicular syndromes are eliminated fairly quickly. It is within the competence of a manual therapist to speed up or slow down chains with neurons, to balance them in biochemical processes.
The medical staff of the Medical Center of Dr. Ignatiev will always be able to help you cope with lower back pain. At the consultation during the examination, the chiropractor will make a preliminary diagnosis, identify the cause of pain in the lower back. To receive professional treatment, you must first make an appointment with a doctor.
The causes of sharp lower back pain or lumbago are not yet fully understood. One thing is extremely clear - it is a pronounced syndrome and a sign of a disease that requires immediate treatment.
Acute and sharp pain in the lower back can frighten a person very much, especially when its intensity increases and does not allow any movement. When you change the position of the body, the pain intensifies, when coughing or sneezing, it becomes even more acute. Often, people affected by this pathology freeze in a position in which they were caught in pain, since any movement intensifies the pathological symptoms.
The main task of everyone who has encountered this problem is to find out the true causes of sharp pain in the lower back. It is necessary to consult a doctor as soon as possible and undergo a thorough examination. If the treatment is not complete, a sharp pain in the lower back after some time will turn into aching and pulling, and the disease will become chronic, which is difficult to treat. Therefore, if there is a sharp pain in the lower back, you can not hesitate, you must immediately go to the clinic.
Possible Causes of Severe Lower Back Pain
The causes of sharp back pain are so varied that without a medical examination it is difficult to draw a correct conclusion. Some causes may be so severe that they require surgery. There are ailments and problems that cause sharp pain in the lower back, which soon pass quickly after taking the necessary measures. Therefore, you should not immediately panic and think about the worst option when a sharp back pain appears.
Sharp pain in the lower back with diseases of the internal organs
Attacks of urolithiasis, pyelonephritis, inflammation of the renal pelvis and renal colic give a sharp pain in the lower back. If the stone closes the channel, surgical intervention is urgently required. But in this case, the pain is so unbearable that the patient can lose consciousness, and simple painkillers do not help.
Inflammation of the abdominal and pelvic organs, ovaries in women, abdominal cavity also project acute back pain. The pain can move to the hips and buttocks, it is felt in the lower abdomen, it is difficult for the patient to say exactly where it hurts. If this kind of pain is accompanied by fever, cough, nausea, dizziness, we can conclude that there are inflammatory processes in the internal organs.
Myocardial infarction, angina pectoris and other heart diseases; Pleurisy and pneumonia give sharp pains in the middle or upper back, which also do not have a clear localization. Sharp lower back pain can be experienced by pregnant women.
Causes of severe lower back pain associated with pathologies of the spine
Sharp lower back pain that worsens with movement and subsides with rest is often caused by problems in the spine and diseases of the adjacent muscles. A person can adapt to such pain. In this case, the localization of pain coincides with the focus of the disease, and it is easier to make the correct diagnosis. Such problems and ailments include lumbar osteochondrosis, injuries in the thoracic spine, myositis (inflammation of muscle fibers), displacement of the intervertebral discs, spondylosis and other lesions of the bone and muscular systems of the back.
The causes of sharp pain in the lower back can also be a sprain of the ligaments of the spine, aging processes in the intervertebral cartilage, hypothermia and drafts, leading to sciatica, injuries or congenital pathologies of the development of the spinal column. With all these ailments, sharp pain in the lower back comes from compression of the roots of the lumbar or sacral spine.
The most severe pain is exacerbation of osteochondrosis, in which degenerative damage to the intervertebral discs is formed, which leads to a violation of their depreciation functions. All of the above diseases occur as a result of insufficient motor activity, improper lifestyle, excessive mental and physical overload.
Establishing the correct diagnosis in identifying the causes of severe lower back pain
In order to correctly diagnose the causes of severe lower back pain, the doctor in the clinic prescribes a complete examination. When making a diagnosis, doctors, as a rule, rely not only on the subjective feelings of the patient, but also carry out a large number of diagnostic measures, given the complexity of some of the above diseases. The patient must go through a series of laboratory tests, ultrasound, x-rays, electrocardiography and, if possible, computed tomography.
As you can see, there can be a lot of reasons for sharp pain in the lumbar region. The information that the health website gives you is extremely useful to the reader, however we warn against self-medication and always recommend that you see a doctor if something is bothering you.
back pain, or dorsalgia, can be a symptom of various diseases and one of the most common complaints.
And at an older age, a back without pain is a rarity, age-related disorders are observed in almost every second person.
The structure and function of the spine makes the back prone to pain and injury. The spine is made up of 33 vertebrae, separated by flexible cartilages called intervertebral discs, and surrounded and riddled with ligaments, muscles, and nerves. Unsuccessful, abrupt movement, too much load (for example, carrying weights) or poor posture can cause sharp back pain (in everyday life they say this: “shot through the back”).
In many cases backache is not a serious violation and can be easily prevented, unless, of course, it is associated with serious diseases and injuries of the spine (including osteochondrosis), and in some cases with diseases of the gastrointestinal tract or urinary system (for example, stones in the kidneys).
It is known that in 95% of cases, sharp back pain is associated with muscle spasm or pinching of the nerve root by the vertebrae. The pain is so intense that the first priority is the question of removing the pain syndrome. This is quite natural, since it is pain that makes its own adjustments to the usual way of life, significantly affecting the human motor capabilities, and the question of the causes of its occurrence is already secondary.
The first thing to do - unload the spine as much as possible. During an exacerbation, observe bed rest. During this period, even your own weight is a solid load for the spine.
Find a comfortable position in which relief will come, the pain will subside. Usually, with lumbar localization of pain, this position is lying on your back with one or more hard pillows placed under the shins. Sometimes it is more convenient to lie on your side, attaching a pillow or cushion under your waist or between your legs bent at the knees.
The article detailed what to do if you suddenly had a sharp pain in your back. If the poses suggested in this article are not comfortable for you or do not relieve pain, try the poses below to find a position in which pain is not felt and rest for 24 hours.
But remember that exercises in a strictly limited volume needed to reduce inflammation and prevent immobility.
Since the causes of pain vary from person to person, you need to try every pose and every exercise and find the ones that work best for you in this way. If with any change in body position during the exercise you feel that the pain has subsided, take this position to rest.
Conversely, do not remain in any position if the pain increases. Try the movements on the bed if you have it with a hard mattress, otherwise use a gymnastic mat or rug.
The most popular fighting methods
with back pain
Before moving on to folk methods of dealing with back pain, I propose to consider the most popular and most effective methods.
Since they are very effective and quickly eliminate pain, you need to understand that they will be paid (you can scroll through the paragraph if you are interested in free methods).
- Massage mats. Such rug as - Tibetan or Kuznetsova. Or a very popular revision of these rugs - APPLICATOR LYAPKO(Follow the link you can read more). This is not the cheapest way, but one of the most effective, judging by the reviews of people and doctors.
- Cream. There are effective and ineffective, expensive and cheap ones - it is very difficult to find a good cream for back pain and not stumble upon a fake. When choosing a cream, I advise you to use the recommendations of friends and certainly not advertising.
- Massage. It's generally 50/50. I got to a good specialist, I got the effect, I didn’t get it - money wasted. I do not advise you to go to the first person you meet, as you can not only not get a therapeutic effect for your back, but also aggravate the situation.
Posture for pain relief
This position provides rest to the muscles of the back and intervertebral discs, due to which the muscles relax, the spasm decreases somewhat and the pain subsides.
1. Lie on your stomach with your arms extended at your sides.
2. If the pain persists, put a pillow under your stomach. If this does not help, turn slightly on the hip, try both on the right and on the left, since the effectiveness of one or another movement is determined by the location of the damage. Rest your head in your hands if that's more comfortable for you.
Warning. If any exercise causes pain to appear or increase or spread more, stop it immediately. Continuing may make the problem worse.
For the first two days, the exercises suggested here should be repeated no more than three times each, about three times a day. The rest of the time, just relax.
As the pain subsides, gradually increase the number of repetitions to a maximum of 10 times each exercise.
Pelvic tilt
1. Lie on your back and bend your knees at a right angle, while your feet should remain on the floor.
2. Arch your lower back, lifting your back off the floor, and then press it firmly into the floor. Keep your chest still while your hips rock back and forth.
3. Repeat the exercise three times, at the end of the exercise, the lower back should take a neutral position in the middle between the extreme ones.
After two days, begin to gradually increase the number of repetitions of this exercise to 10.
Rolling knees
1. Lie on your back and bend your knees, as in the previous exercise, but your hips should be on the floor.
2. Shift your knees from side to side, lowering them to the floor as low as is comfortable. Repeat the exercise three times. After two days, begin to gradually increase the number of repetitions up to 10 times.
How to deal with severe back pain
- After pain relief O necessarily get a doctor's advice, which correctly determines the nature of the disease. Do not forget: acute back pain is a symptom characteristic not only of osteochondrosis, but also of many other diseases.
You can alleviate your condition on your own, without harming your health, only if you know the diagnosis for sure, with the resumption or intensification of chronic pain that you already know well. - In the first hours of an exacerbation, if possible, seek help from manual therapy specialist. With this method, you can relieve an attack, stop the pain.
- During an attack of acute pain, cool the site of pain. Great in such cases, a cool shower or just cold (ice) on the lumbar region is suitable. If you use ice, then it must first be wrapped in a towel so as not to cause frostbite on the upper layers of the skin.
If additional heat is applied at the site of injury, this will only increase blood flow, and, consequently, aggravate the damage and increase pain. - If the pain in the back is very strong, unbearable, take a pain reliever, what is in the home first aid kit: 1-2 tablets of Analgin, Baralgin, Tempalgin are first crushed into powder so that they are better and faster absorbed and do not cause much harm to the mucous membrane of the stomach and intestines.
- 20-30 minutes after the first dose of the medicine, there was no relief? Again take 1-2 analgesic tablets. If the pain still does not subside, you will have to use stronger remedies. Suitable Solpadein, Nato, Trigan, Diclofen (can be in the form of candles).
How to take and in what doses, you will learn from the instructions attached to the drug.
Attention: All medicines have side effects. In addition, they do not eliminate the cause of osteochondrosis, but only its symptoms. Therefore, it is not recommended to take them longer than 3-5 days.
- You will probably have to move around the house. Corsets, even elastic ones, are not often used now in medical practice, especially since they cannot be worn for a long time (more than 3-7 days, depending on the severity of the disease).
In a stationary state, the muscles weaken, quickly atrophy, and cease to serve as a support for the spine.
For pain in the thoracic and lumbar regions, each time be sure to wear a wide (8-10 cm) tight leather belt, an officer's belt, a weightlifter's belt or a special one - the so-called lumbar stabilizer. - To reduce the load on the affected lumbar or thoracic intervertebral discs, not to cause additional injury to them, to move around the house use crutches. Don't be scared, there's nothing wrong with that.
On the contrary, when sagging, the spine will stretch a little, the pressure on the nerve roots will ease, and the pain will decrease somewhat. This "mini crutch traction" can be very effective.
If the condition allows, perform a hang (or half hang) on the crossbar, gymnastic wall. The intensity of pain in the cervical, thoracic and upper lumbar regions will noticeably decrease.
according to pozv.ru, osteokhondros.ru
When the back pain subsides a little, approximately on the 2-3rd day after the exacerbation, with great care, perform a complex of physiotherapy exercises, depending on the location of the pain:
Against the background of general well-being, a sharp pain in the lower back may appear after heavy physical exertion, falls, bumps, awkward movements or a night's rest in an uncomfortable position. These are signs of a pathology of the spinal column, which can proceed in a latent form for a long time. Most often, osteochondrosis does not give visible manifestations for a long time. There is a gradual destruction of cartilage tissue. Painful sensations, if they occur, are of a short-term episodic nature. Therefore, patients do not seek timely help.
Acute lower back pain after bruises and falls, it can appear when the integrity of the vertebral body and its spinous process is violated. Sprains of the ligaments of the intervertebral joints, displacement of the vertebrae and compression fractures are not uncommon. If there is a history of injury, against which there was an acute sharp pain in the lower back, it is necessary to ensure complete rest and immediately call an ambulance.
If you have been bothered by dull pulling lower back pain over the past few weeks, and then a sharp exacerbation of symptoms has occurred, then the radicular nerves are most likely inflamed. With radiculitis, accompanying symptoms appear. This is a limitation of mobility, stiffness of movements, irradiation of pain on the anterior abdominal wall and in the thigh area.
Causes of acute lower back pain
Common causes of acute low back pain include not only osteochondrosis and renal pathology. Thus, adhesive disease of the abdominal cavity, cholelithiasis, colitis and many other diseases can manifest. Therefore, you should not engage in self-diagnosis and treatment. Only an experienced doctor who has the ability to evaluate laboratory data can identify the cause of acute back pain. An X-ray of the spinal column is mandatory to exclude a herniated disc. A general urinalysis and ultrasound examination of the kidneys allows us to exclude acute renal pathology.
If there is no history of trauma and inflammation in the abdominal cavity, then the most likely cause of acute back pain is sciatica. With this pathology, there is an infringement of the nerve fiber, which occurs against the background of protrusion of the intervertebral disc. Inflamed radicular nerves give paroxysmal pain, which increases with any movement. The work of the internal organs of the abdominal cavity may be disrupted. With the defeat of the nerve roots in the lower parts of the lower back, there are lampas pains along the inner or outer side of the thigh.
Sharp acute pain in the lumbar region: what to do?
If you have a sharp sharp pain in the lumbar region, you should immediately seek medical help. In our clinic of manual therapy, you can not only get expert advice from a specialist. We offer methods for quick and effective relief from pain syndrome that occurs against the background of a destructive pathology of the cartilaginous tissue of the spinal column.
You can quickly and safely get rid of acute lower back pain with the help of reflexology and traction traction of the spinal column. With this procedure, there is an increase in pathologically altered spaces between the vertebrae. The compression of the radicular nerves is removed. Reflexology is aimed at restoring the physiological state of tense muscle fibers, which can interfere with the physiological position of the vertebral bodies.
