Low back pain or back pain is pain in the lower back. People with back pain can experience pain that comes and goes, on one side of the waist or both.
Back pain is most often caused by injury to the muscles or joints in the waist area, it can be the result of the wrong body position, lifting heavy objects, or doing repetitive movements. Low back pain can also be caused by kidney disorders, infections, or spinal problems.
Back Pain Symptoms
Symptoms of back pain can be different for each patient, depending on the cause. Back pain sufferers may experience the following symptoms:
- Waist sore, stiff, or like being stabbed.
- Pain radiates from the waist down the buttocks to the feet.
- It is difficult to move and stand straight because of the pain in the waist.
- The pain sometimes gets worse at night or when you sit for too long.
- The pain gets worse when bending over, lifting heavy objects, or walking.
- The limb feels weak or numb, depending on where the pinched nerve is.
Back pain usually lasts a few days to a few weeks, especially when it's caused by a muscle injury. In some cases, back pain can last for more than three months.
When to go to the doctor
Back pain often goes away on its own. Be aware if back pain continues to recur for 1 month and gets worse over time, even though you are resting.
Immediately see a doctor if back pain is accompanied by the following symptoms, because it could be a sign of a serious condition:
- Fever.
- Thigh numb.
- Legs feel weak.
- Waist pain when coughing or urinating.
- Impaired urination and defecation.
- Weight gain or even decrease drastically.
You also need to consult a doctor if your back pain is accompanied by the following conditions:
- Have or are currently suffering from cancer.
- Suffering from osteoporosis.
- Ever used NAPZA
- Taking corticosteroid drugs in the long term.
- The pain occurs after a fall or accident.
Prolonged back pain, especially accompanied by a number of the above symptoms, can be a sign of a serious illness. To anticipate the possibility of large medical costs, you can consider choosing a trusted health insurance.
Causes of Pain Pwaist
In many cases, back pain occurs as a result of injury to the lumbar muscles. Injuries are often caused by sudden, repetitive motion of the hip, for example when playing golf, or from lifting something that is too heavy.
Back pain can also occur due to sitting for too long, especially if the wrong sitting position and the chair occupied is uncomfortable. In children, back pain can occur due to frequent carrying a backpack that is too heavy.
Other factors that can also increase the risk of low back pain, especially in adults, include:
- Age 30 years and over
- Have excess weight
- Lack of exercise
In addition to injury, back pain can also occur due to disorders of the organs in the spine, or disorders of organs in other parts of the body. Disorders of the spinal cord that can cause back pain include:
- Inflammation of the joints in the spine.
- Pinched nerves due to protrusion of the spinal cord (hernia nucleus pulposus).
- Erosion of the spinal cord due to the aging process.
- Narrowing of the vertebrae or spinal stenosis.
- Spinal injuries due to bumps or accidents.
- Abnormalities in the curvature of the spine, such as kyphosis, lordosis, or scoliosis.
- Spondylolisthesis.
Disorders of organs in other parts of the body can also cause back pain. In this condition, the pain can be felt only on one side of the waist, it can be right or left, but it can also be on both sides of the waist. Some of the disorders in other organs of the body are:
- Kidney infection
- Kidney stones
- Appendix
- Pancreatitis
- Endometriosis
- Ovarian cyst
- Miom
Back pain during pregnancy
Back pain can also be experienced by pregnant women. Some of the causes are:
- Weight gain makes the spine have to work harder to support the body. The added weight can also put pressure on the blood vessels and nerves in the pelvis and spine.
- The release of hormones that interfere with the tissue around the waist.
- Changes in body posture that make the center point of the balance of pregnant women change without realizing it.
- Change mood which causes the back muscles to tighten.
Sick Diagnosis Dishg
To determine the cause of back pain, the doctor will start by conducting a physical examination, including checking the patient's reflexes and range of motion. Doctors can immediately provide treatment if the patient does not show serious symptoms.
If back pain doesn't go away after a few weeks or if serious symptoms appear, your doctor may order further tests, such as:
- Blood tests, to look for possible infection or inflammation. The examinations performed included a complete blood count, erythrocyte sedimentation rate (ESR), and C-reactive protein.
- Imaging, such as X-rays, CT scans, and MRIs, to examine the structure of bones, muscles, and ligaments, and to find out if there are other triggering conditions.
- Electrodiagnostics, including electromyography (examination of the electrical activity of muscles), nerve conduction tests (testing the speed of transmission of nerve signals), and evoked potential test (examination of the speed of nerve conduction to the brain).
P Pain Treatmentcheetahg
Treatment of back pain depends on the cause. The following are treatment steps for back pain, both done independently and on the advice of a doctor:
Self treatment for back pain
For back pain caused by tense muscles, the treatment can be done independently, including by:
- Keep active
Do not rest too much because it can make the waist muscles weaken. It is recommended to stay active and do light exercise, such as brisk walking, yoga or swimming as well as stretching muscles. However, avoid strenuous activity for a few days until symptoms improve.
- Cold compress
Apply ice to the sore back area to reduce swelling. It's important to remember to wrap the ice in a towel or ice pack beforehand so you don't hurt your skin. Apply a cold compress in 2 to 3 days.
- warm compress
Replace the cold compress with a warm compress after 2-3 days. Warm compresses are useful for reducing inflammation, increasing blood flow, and relaxing muscles. Do the compress for 20-30 minutes, every 2 or 3 hours.
- Pain reliever
Back pain can be relieved with some over-the-counter medications, such as paracetamol.
Drugs
If self-medication steps can not overcome the symptoms, immediately consult a doctor. Doctors can prescribe the following back pain medications according to the patient's condition and the cause of back pain:
- Pain relievers in the form of creams, oral medications, or injections.
- Muscle relaxants, such as baclofen.
- Corticosteroid injections.
- Tricyclic antidepressants or SNRIs.
- Botox injections to inhibit nerve performance.
- Antibiotics, in case of infection (eg kidney infection).
Special therapy
Some specific therapies that can be done to treat back pain are:
- Physiotherapy, aims to improve posture, and strengthen and increase the flexibility of the waist muscles.
- Spinal manipulation, to improve the position of the spine by applying massage and pressure to the back and spine.
- Traction, which is therapy with weights to gradually improve the position of the spine.
- Transcutaneous electrical nerve stimulation (TENS), aims to block pain signals in the nervous system.
Operation
The type of surgery performed depends on the underlying cause of the back pain. Operation methods that can be performed include:
- Spinal surgery, such as kyphoplasty to repair a broken spine or a laminectomy for a pinched nerve.
- Surgery to remove kidney stones.
- Surgical removal of uterine cysts or fibroids.
- An appendectomy.
Considering the cost of surgery is not small, as a preventive measure you are recommended to have health insurance that is equipped with a free chat service with a doctor. With this product, you can consult a doctor anytime you want.
Pain Complications Waist
Back pain can lead to a number of complications, including:
Sindrom cauda equina
Cauda equina syndrome occurs when the spinal cord cushions the endings of the spinal nerves. As a result, the patient becomes unable to hold urine and defecate. If left untreated, this condition can result in permanent nerve damage.
Activity disorders
Back pain can make the sufferer unable to carry out activities, or even have to bed rest (bed rest) for a long time. Bed rest for a long time can cause new complications, such as: deep vein thrombosis or the formation of blood clots in the veins of the legs, and the muscles become weak.
P Pain Preventionwaist
There are several steps you can take to prevent back pain, namely:
- Regular exercise to strengthen the waist muscles, such as swimming or yoga.
- Bend your knees and keep your body straight when lifting heavy objects. Remember, do not lift heavy objects in a bent position.
- Avoid lifting weights that are too heavy. It's best to use assistive devices or ask someone else for help.
- Sit in an upright position and avoid sitting for too long. It is recommended to occasionally stand and walk to stretch the muscles.
- Maintain an ideal body weight to prevent excess pressure on the spine.
- Quit smoking, because the content in cigarettes is bad for bone health and can reduce blood supply to the waist.
- Meet the intake of calcium and vitamin D to prevent bone loss or osteoporosis.
- Sleep on your side with your knees bent up to reduce pressure on your waist. Use bedding that is able to withstand weight and is not too soft.
- Use comfortable footwear and avoid wearing high heels.