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Director: Randa Girgis
The lower back extends from the end of the thoracic cavity, called the lumbar spine. Injuries to this area are common problems around the world due to heavy weight, pressure, stress or a sudden drop. For long periods, especially during exercise and others, and although the symptoms begin slowly at regular intervals and do not cause severe damage or chronic pain, but the pain that accompanies them is acute and can not be tolerated and develops rapidly in two or three months. And can become chronic if it is not treated here properly.
According to Dr. Gita Harfi, a specialist in rheumatology, lower back pain is usually caused by heavy objects or violent exercises resulting in muscle tension, sometimes due to cartilage slippage. The torn or swollen cartilage The pain starts from the lower back to one of the legs, known as "sciatica". In rare cases, back pain is due to rheumatoid arthritis, a chronic joint inflammation that usually affects the joints of the spine and diaphragm. That connects the bottom of the pelvic for the spine, it is diagnosed and the management of this disease by specialized rheumatic diseases.
Lower back pain may vary and may be associated with severe pain, deafness or a burning sensation. The pain is usually described as a tingling sensation in the affected area. Other symptoms accompany the pain, such as mild or severe muscle cramps and reduced mobility. Acute tingling or numbness due to sciatic nerve irritation when pain begins in the lower back, buttocks, thighs and even along the legs and feet (sciatica). the cause of the pain, the positions are different, which is more comfortable for the patient. Occurs in spinal stenosis, is to reduce or eliminate pain The tendency to lean forward or during the session, confirmed by some patients with low back pain, indicates that the symptoms worsen in the morning and decrease after advancement and movement and may be associated with pain in the morning of Baltebes, called inflammation of the lower back. In humans, the possibility of rheumatoid arthritis should be considered.
Diagnosis and complications
Lower back pain can affect all age groups. There is no difference between the sexes except in the case of spondyloarthritis, which is more common in men. The diagnosis is based on clinical examination, which results in a difference between the causes of mechanical or inflammatory damage, (X-rays) of the spine when detecting bone lesions or cartilage failure. cases requiring more accurate magnetic resonance imaging (MRI) for the diagnosis of the spine, and should pay particular attention to In the physical and psychological state, in case of delay For the treatment of pain in the case, because of the disc slipped, it can cause nerve damage and severe back pain is the main cause of disability within the staff, who were absent from work to take sick leave. Chronic back pain can also cause depression and insomnia, and harm the social life of patients.
Rehabilitation methods
Dr. William DiMayo, a consultant in Physical Medicine and Rehabilitation, notes that lower back pain is due to several causes. There is much talk of cartilaginous disc pain, but muscle and ligament pains are the most common. Most back problems, which contribute to weak core muscles (abdominal muscles, back and back) and elasticity of back muscles, hamstrings and thighs, increase the risk of injury , as well as the situation, incorrect techniques, weight lifting or stress, among the most important factors, The pain can be Some simple stretching and strengthening exercises can bring great improvement to people suffering from Back pain and can maintain a vital lifestyle and avoid specific activities that contribute to the stimulation of pain to prevent the development of chronic back pain. In addition, the thermotherapy is useful before the exercise and the use of cold compresses, and the use of NSAIDs to reduce muscle spasms, accompanying inflammation, and the physical treatment of pain recurrent dorsal for more than two weeks. individual needs of endodontic patients.
physiotherapy
Dr. William points out that it is sometimes necessary to perform surgery to treat disk pressure on the spinal nerve, but that this is relatively rare compared to the treatment of the nonsurgical back. Thigh pain is often due to a different cause. Nonsurgical treatments are effective, especially when the nerve is irritated, so the surgery should not be squeezed. If the disc presses many nerves resulting in loss of leg strength or control of the bowel or bladder then immediate surgery is performed. The use of surgical solution is excluded in cases such as lack of stability of the spine, which requires surgical integration.
Physiotherapy is based on principles similar to the stretching, strengthening, cold and cold compression exercises mentioned above, but it provides a personalized plan to each person for the preparation of a professional processor . Ultrasound (electrothermal therapy), electrical stimulation and other similar therapies may be helpful. Although physical therapy can relieve muscle aches, exercise is usually a long-term treatment, but sports sessions with a special trainer are not enough to solve the problem. But often, the most important factor is on recovery with the adoption of a dedicated exercise program at home.
Slide the cartilage
According to Dr. Rami Salama, specialist in orthopedic and joint surgery, the cartilaginous slide is the exit of the gels located inside the cartilage cartilage, due to the rupture of the surrounding outer ring fibers, which causes pressure on the nerve roots or spinal cord, causing pain. Many symptoms are minor and are not felt by the patient, while the impact of others on the intensity and duration of continued treatment and usually shows signs in the form of:
– Sensation of intense pain in the lower back, back and legs.
– unable to walk normally, due to increased pain during walking, cramps in back and legs.
– Face difficulties to stay upright for a long time.
– numbness and reduction of the lower limbs.
– The appearance of certain complications, such as muscle cramps of the leg, and the appearance of urinary problems, such as retention or the inability to control it.
Causes of infection
Dr. Rami mentioned that the causes of cartilage sliding are multiple and are due to structural problems of the cartilage itself, or ligaments that support the cartilage, as well as a general weakness of the back muscles, tendons and ligaments, genetic factors or lack of sport strengthening the muscles of this region, In addition to the exposure of the paragraphs to excessive pressure, to the support on the back and the weight of excess, or to a strong collision in this region, dry disc cartilage located between paragraphs and, because of age, do not sit repeatedly for a long time without pausing or doing exercise. Elongation
The diagnosis begins with a visit to the specialist, the detailed history of the patient, followed by a careful clinical examination of the nervous system and, in case of cartilage suspicion, X-rays are performed to confirm the diagnosis, for example radiography, MRI, image class, colored material in some cases.
Means of treatment
Dr. Rami recommends to all people with cartilage symptoms slipped to indicate that it is necessary to rest and go to the doctor as soon as possible to diagnose his condition and follow the treatment. appropriate before aggravating it. Early treatment facilitates management. And faster, and do not need this problem most often at the surgical treatment, and there is more than one way of treatment, including:
– Preservative treatment, using pharmacotherapy, to relieve inflammation and tumors caused by the cartilaginous blade, as well as powerful analgesics that relieve pain and help relaxation, in addition to rest, and physical therapy and light in all their forms.
– Injectable local injections: this type of treatment is used if the patient does not react to the treatment.The patient receives an analgesic and an anti-inflammatory around the nerves affected by the cartilaginous blade, by direct injection in the back under local anesthesia.
– The surgical treatment, which is used in the case of the patient does not improve the medical treatment, the doctor has recourse to a surgical treatment, and this surgery under total anesthesia, where the doctor gets rid of the surplus part of the Outside: Result of a fall of the cartilage on the back, causing pressure on the nerves.
70% of the ladies
Many studies have shown that back pain targets a large number of people in the older age group, most adults, and that a significant proportion of women suffer from it continually, especially during the last few months of life. pregnancy due to increased fetal weight, 50 to 70%. And in some cases with high hormones, which leads to relaxation of the joints, and ligamentous ligament in the pelvic area, and can extend to the postpartum for 6 months.
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