Back pain often develops in people who are engaged in heavy physical labor or power sports. Such pain may be the first signal that it is worth considering a change of work or termination of sports. This is necessary because, while maintaining physical stress condition will worsen.
Reasons for a pinched nerve in the back
Pinched nerve in his back may occur at the level of the thoracic or lumbar spine. In the first case back hurts because of the infringement of the intercostal nerves (with intercostal neuralgia pain intensified towards the spine) in the second - in the infringement of spinal nerve roots extending from the lumbar spine and is manifested by severe pain called lumbago.
Intercostal neuralgia may be caused as changes of the spine (herniated disc against the background of osteochondrosis, scoliosis), and spasm of the intercostal muscles (in this case violated not only the nerves and blood vessels, which causes malnutrition affected area and aggravates the situation) the last reason is more common. This is due to the anatomical structure of the thoracic spine, in which less than in other parts of the developing low back pain.
In addition, pinching the back muscles can cause a very high physical activity (eg, athletes heavyweight), spinal injuries, post-operative scarring, the growing tumor.
Pinching the intercostal nerve pain manifests itself in the intercostal spaces, especially near the point of attachment of ribs to the spine. At this point, usually located and extremely painful points. The pains are very intense, burning in nature, they can be either permanent or paroxysmal. With any, even the slightest movement (including coughing and sneezing), the pain intensifies. For intercostal neuralgia is characterized as increased pain after prolonged immobility, such as after a nap
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. Protective voltage intercostal muscles intensifies the pain.
Entrapment of spinal nerves at waist level is manifested in the form of lumbago or lumbalgia. Lumbago a condition called because the pain comes on suddenly and is very strong pungent character, because of which it is compared with a gunshot wound. Such pain may be concentrated only in the lumbar region, but it can give, and in the back. Thus there is a sudden sharp protective spasm of the back muscles and the patient freezes in the position in which he found the pain.
Keeps twinge from several minutes to several days, and then quickly passes, "as if someone turned off the pain." After the attack, there are only slight pain in the lumbar region. However, attacks can recur, sometimes very often, so the patient is subject to a thorough examination to determine the cause of the disease.
Diagnosis and treatment
In most cases, the diagnosis of a pinched nerve in the back there is no doubt, because it has very specific symptoms. But this is not enough to appoint proper, adequate treatment, it is necessary to identify the cause of the infringement - osteochondrosis
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, Tumor, trauma, scar. For this first X-ray of the spine is held, and if that is not enough, then other methods of examination - magnetic resonance or computed tomography, myelography (x-ray with contrast medium).
Treatment starts with pain relief. To do this, appoint steroidal anti-inflammatory drugs (NSAIDs - Voltaren
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Ibuprofen) in the form of injections, preparations for oral and external agents (ointments, creams, gels). NSAIDs have strong analgesic properties. With the same purpose appointed novocaine blockade - injection into the nerve exit site, that is the most painful point. You can remove the pain and using the physiotherapy treatments such as electrophoresis with analgesic drugs, UHF. Helps relieve pain reflexology sessions
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The patient is assigned to bed rest, you are advised to lie on his back on a hard surface. The diet also need to follow certain recommendations: sharp, salty, smoked dishes, strong broths can cause a worsening of the disease.
After the acute effects will be appointed massage and physiotherapy, which initially carried out under the supervision of an experienced specialist, and then the patient is allowed to perform physical therapy exercises at home.
After a sharp pain in the back will be quite sick can be sent to a spa treatment.