Low back pain: causes, symptoms and how to treat it
Lumbago is pain that occurs in the lower back or low back pain. The causes vary, which can be due to injury, the effects of doing strenuous activities, and as a symptom of another disease. However, the most common are injuries such as muscle sprains or tension due to sudden movements.
Two types of low back pain that often occur are acute pain because it appears suddenly but quickly disappears, and chronic pain which appears gradually and protracted.
Causes of Back Pain
Back pain occurs because there is damage to one of the components of the waist such as muscles, tendons, ligaments, bones to the discs, and nerves. There are several things that can cause this damage, such as movement and posture, strain and other medical problems.
Daily activities or movements as well as poor posture as below which are often the cause of back pain, include:
Standing, bending and sitting for too long
Working at the computer for too long
Driving too long or long distances without taking a break
Overstretching the muscles
Wrong position while sitting and sleeping
Wrong pillow
Other backaches are caused by muscle or ligament strain due to the following conditions:
Lifting too heavy a load
Lifting heavy loads repeatedly
Incorrect posture when lifting heavy weights
Injuries and fractures
fell
The supporting bones are damaged
Cramps and muscle tension.
Apart from the habits and conditions as above, back pain can also be a symptom of other diseases such as:
Osteoarthritis
Arthritis
Ruptured or herniated disc
Spine cancer
Kidney infection
Spinal infection
Digestive system disorders
Endometriosis
Narrowing of the spine or spinal stenosis
Pinched nerves
Abnormal spine
The risk factors below also increase the likelihood of people getting back pain, namely:
Symptoms of back pain
Symptoms of low back pain vary depending on the cause. But in general the symptoms are as follows:
The waist is sore, stiff, or feels like it's been stabbed
Pain from waist to buttocks to feet
Pain from the waist to the groin to the genitals
Difficulty moving and standing straight
The pain worsens when bending, lifting heavy objects and walking
The pain is worse at night and when sitting for too long
Numb limbs
When to See a Doctor?
Back pain recurring for 1 month and getting progressively worse and having symptoms like the one below, go to the doctor immediately, including:
Have a fever
Legs feel weak
Waist hurts when coughing or urinating
Weight gain or even decreased dramatically
There are problems with urination and defecation
Back Pain Diagnosis
Back pain is serious and until you have to see a doctor, a series of medical procedures will be carried out to diagnose it. These are some of the steps that the doctor will take during the examination.
Physical examination: Seeing the ability to stand and walk, spinal movements, reflexes, leg strength and physical examination of the kidneys.
Blood and urine tests:The goal is to find the cause of low back pain.
X-ray: The goal is to see the structure of the spine and check whether there are fractures or not.
Bone scans: The goal is to find out any abnormalities in bone tissue.
CT scans and MRIs:The goal is to see more clearly the structure of the muscles, ligaments, discs, nerves, and blood vessels.
Electromyography (EMG):The goal is to test nerve conduction.
How to Treat Back Pain
Back pain can be treated according to the severity. There are those that can be treated independently at home, but also in some cases a doctor's medical action is needed.
1. Self-medication at home
Doing activities and light sports such as brisk walking, yoga, swimming or stretching muscles.
Cold and warm compresses to reduce pain.
2. Drugs
Pain relievers are either in the form of creams, oral (drinking), or injections. muscle relaxants, such as baclofen or eperisone. Tricyclic antidepressants or SNRIs. Botox injections to inhibit nerve performance. Antibiotics, given if there is an infection such as a kidney infection.
3. Physiotherapy
Physiotherapy can also be used as an alternative to treating low back pain. Usually they will be guided by professional officers so that the exercise movements are appropriate4. Operation
Surgery or surgery is usually done for low back pain due to spinal deformities. This operation is the last resort for healing because the condition of the disease is getting worse, it does not heal with drugs and physiotherapy, and there is a narrowing of the nerves that weakens the muscles.
In some cases, mild back pain because it is not caused by a serious condition can get better on its own or enough self-medication at home. However, for serious back pain, surgery can be performed as the best solution.
Back pain is sometimes underestimated because it is considered to be self-healing. However, if it is not treated properly, the risk can be worse because it will interfere with movement and even cause paralysis.