Almost every adult person, one way or another, is familiar with pain in the spine, radiculitis. What is the cause of these pains, and what can the treatment be?
Back pain, sciatica - a very urgent problem. Not surprisingly, in a modern computerized world with rapidly evolving technologies, since often vertebral pain syndrome develops due to inadequate active lifestyle, lack of adequate adequate, or, on the contrary, excessive physical exertion. However, the underlying cause of this symptom complex can also lie and congenital pathology of the musculoskeletal system, and osteoporosis, and even excessive weight pop over to this web-site.
Pain is not the only sign of the vertebral (from the Latin vertebra - vertebra) syndrome. Pain is always a sign of morphological or physiological pathology. Accordingly, the origin of the vertebral pain syndrome always lies either in the primary lesion of the vertebral column (directly pathology of the musculoskeletal system), or extravertebral pathological processes secondary to the spine, or their combination. Thus, this syndrome is polyethiologic (that is, it has many possible causes) and includes not only the pain symptom complex, but also the morphological (anatomical signs of pathology) and fixation (impaired spine functions).
The causes of the development of this syndrome can be divided into vertebral (more often degenerative-dystrophic) associated with pathological changes in the muscles (more often myofascial syndrome), visceral (associated with the pathology of the abdominal cavity organs) and neurogenic. Risk factors for the development of this pain syndrome can be trauma, severe physical exertion, hypothermia, sedentary sedentary (especially in an uncomfortable position), depression and stress, alcohol abuse, obesity, harmful working conditions (vibration, radiation, high temperatures).
AMONG SPECIFIC CAUSES CAN BE EXACTLY NAMED:
Discogenic radiculopathy or radicular syndrome (ischaemia of the roots due to their compression of the herniated intervertebral disc);
Compression of the spinal canal;
Bechterew's disease (rheumatoid spondylitis);
Injuries of the spinal column;
Reflex muscular syndromes;
Spine tumors (including metastatic lesions);
Radiculopathies (radicular syndromes), in addition to the pain syndrome, can also be accompanied by loss of sensory, motor and / or reflex functions of the affected spinal root.
Pain in such pathologies can irradiate (spread) to other parts of the spine, internal organs, lower and upper limbs, which is often mistakenly regarded as manifestations of very different diseases. So, the pain in the thoracic spine can radiate into the chest, causing pains similar to angina pectoris.
With lumbalia, the pain spreads to the pelvic organs, simulating the pathology of the internal genital organs and organs of the urinary system.
As a rule, the pain syndrome is accompanied by the limitation of mobility of the spine, which can occur primarily (pain in this case occurs when trying to move due to a disruption of the function) or secondary (reduced mobility as an attempt to avoid pain or reduce it).
Treatment and complex of diagnostic measures of painful syndrome depends on the root cause of its occurrence. But what must be done necessarily!
External examination of the back and chest, palpation of all parts of the spine to identify deformations of the spinal column, pain points, muscle tension (spasms), muscle hypotrophy, swelling, changes in skin temperature, pathological neoplasms. Assess the volume of movements and examine the neurological status (symptoms of Wasserman, Lasega, Neri).
Instrumental diagnostics includes: X-ray methods, computer and magnetic resonance imaging of the spine, as well as if necessary, perform ultrasound examination of internal organs, endoscopic methods of examination of the cavity organs.The indications can be used to study the cerebrospinal fluid.
Treatment is appointed individually depending on the revealed pathology. Analgesics, muscle relaxants and non-steroidal anti-inflammatory drugs (including in the form of ointments) can be prescribed to relieve the pain syndrome.