Causes of lumbago

causes

What is interesting about patients with lumbago is that the majority assume one disc prolapse should be the cause of their complaints. It is likely that the herniated disc is seen as the worst and most painful cause of sudden back pain and is expected accordingly when such an event occurs. In fact, a herniated disc is very rare for sudden back pain / Lumbago responsible. Rather, the focus here is on leg pain, which comes from the pressure of the herniated disc on the spinal cord nerve root.

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The spine is difficult to treat. On the one hand it is exposed to high mechanical loads, on the other hand it has great mobility.

The treatment of the spine (e.g. herniated disc, facet syndrome, foramen stenosis, etc.) therefore requires a lot of experience.
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Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

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Lumbago in the MRI

1. Spinal canal
2. Spinal nerve fibers
3. Position of the rear longitudinal ligament
4. Intervertebral disc bulge
5. Lumbar vertebrae

The cause of lumbago disease can vary. There are several theories about what changes are made to the Spine can cause such a sudden and painful clinical picture:

1. Segmental articular dysfunction ("Blocking") of a vertebral joint
2. Sprained capsule of a vertebral joint
3. Disc protrusion of the lumbar spine
4. Herniated disc of the lumbar spine
5. Muscle strain

1. At a Blockage as the cause of lumbago Imagine that an unfavorable body movement has led to a hooking of a small vertebral joint during the movement and the natural joint play is thereby eliminated. The joint can, depending on the remaining position with this hooking, in this case either no longer be opened or closed properly when moving. By the "wrong" Joint position the joint capsule of the vertebral joint, which is interspersed with many pain-conducting nerve fibers, is under tension, which causes the sudden pain.
   

   If the pain does not improve, further examinations will need to follow to investigate the cause.

   Read about this too Atlas correction

   Therapy for lumbago

   The most important and urgent therapy goal for patients who are currently suffering from acute lumbago is always to begin with Relieving pain. Besides the known Painkillers like for example Paracetamol or non-steroidal anti-inflammatory drugs (NSRIs) If the worst comes to the worst, taking certain ones helps many sufferers Postures. For many lumbago sufferers the so-called Embryo posture Comfortable: Lying on your back or on your side, pulling your legs close to your body, rounds your back as much as possible and can help you relax.

   As soon as it is somehow possible, however, is the Movement is paramount! Walking is far more back-friendly than standing or lying down and often relieves the pain that still exists. You should also use the Muscles of the back loosen and, at best, thorough stretch. Resting and relieving pain are therefore certainly appropriate to a certain extent. However, in almost all cases, completely avoiding any movement.
   The aim should be to be able to carry out all activities as before, only in a back-friendly manner, as quickly as possible. Often these are instructions and measures, also in combination with local heat applications, enough to get a quick recovery.

   However, if this is not the case after a few days, it is time to see a doctor. After a more detailed diagnosis, further therapy options may arise: In addition to manual therapy therapies (Chiropractic) or more active physical therapy plus accompanying Massages There are also more invasive methods available for long-lasting, constant back pain, the benefits and risks of which should be carefully weighed up.

   If a patient is very painful and has no prospect of improvement, after alleged lumbago it is often a full-grown one disc prolapse prove that, as an independent clinical picture, requires special therapy (often an operation!).
   Also the so-called Injection therapy with a Cortisone injection In the broader sense, it is one of the invasive therapeutic measures suggested by some doctors.