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The back muscles and one of the ligaments can be injured or irritated. What causes problems can be a sudden movement in the heat of a tennis match or a football match, or a sudden fall, a twist or a jolt to prevent a fall. The sudden pain usually follows a clear wound, although there may be a delay of a few hours or even a day or two. Specific movements tend to aggravate pain and muscle damage can cause palpable muscle spasm. Muscle spasms can also occur without muscle damage, such as a reflex phenomenon of deeper and more irritated structures, including broken ligaments, infections, tumors or chronic disc irritation or hernia. The way you move, your posture and other tests allow the doctor to separate a muscle spasm
from that caused by an underlying disease.
Causes
The cause of muscular spasm is that the protruding disc presses against the ligament that holds it in place. Because this ligament contains nerves, the result is pain. Because of the initial pain, the back muscles go into spasm as part of the body's effort to immobilize the sore area. Instead of improving things, the result is more painful.
After several of these episodes, the protuberance can become a hernia, indicating that the problem has worsened involving compression of the sciatic nerve and the spinal nerve root.
Symptoms
Severe pain and palpable tension in the muscles of the lumbar region.
Diagnosis
The diagnosis is based on medical history, physical examination and imaging.
Treatment
Initial treatment:
Activity and walking, as tolerated, badociated with steroidal anti-inflammatory drugs (NSAIDs) are also often prescribed. Some of these drugs are already available over the counter.
Muscle relaxants can also be used, but they are not more effective than NSAIDs and can cause sedation. Handling the spine may be helpful in some cases, but check with your doctor first. Analgesics are also used.
If the pain does not resolve
Patients who have persistent back pain beyond 1-2 weeks should consult their physician. Physiotherapy and, in some cases, advice on how to treat pain may be helpful. Continuing to exercise and trying to be as functional as possible at home and at work can also be helpful.
Dr. Adriano Scaff is a neurosurgeon specializing in spinal pain
Fellowship in Minimally Invasive Surgery of the Spine – University of Florida – USA. Fellowship in Bread at Maasland Hospital – Sittard – The Netherlands. Coordinator of the training course on minimally invasive techniques of the column.
Director / Secretary of the Minimally Invasive Surgery Committee of the Brazilian Society of Column. Director / Secretary of the Brazilian Society of Interventional Physicians at Dor. Member of the Center for Integrated Management of Pain in São Paulo
This is a commercial content published by Dino and is not the responsibility of Terra
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