Pain in the lower back

Back pain in the lumbar region - the need to consult a doctor

Embarrassment in this area is known to almost everyone. People encounter it at a young age, and at the age of 30-40, back pain becomes common.

However, only a specialist can determine why the lower back can hurt so much that it is impossible to straighten up, even lying down hurts, and pain appears in the lower back after every movement.

Many reasons can cause severe pain in the lower back


People want to find out why and why the lower back hurts so much when sitting or standing, with every movement the spine behind the back gives pain, so it cannot be straightened after sitting in a chair and what to do with these symptoms, how and what to treat, which made him feel unwell. It is impossible to answer these questions unequivocally and without thorough research, because there may be many root causes.

Diseases of the spine

When a person complains "I can't sit and it hurts to walk", the lower back hurts when he stands up or sits in a chair, often he can't walk or stand for a long time, it's impossibleto relax in a sitting position for a month, the cause of this is diseases of the spine.

Moreover, pathologies can be either congenital or acquired due to a wrong lifestyle, predisposition or injury.

Common causes of pain in spine diseases:

  • Congenital anomalies.
  • Poor blood circulation in the spinal cord.
  • Degenerative changes.
  • Secondary nerve damage that develops against the background of changes in the position of the bones of the spine.


Before you decide how to quickly and effectively treat back pain, you need to understand why when you get up from a sitting position, your back hurts so much that it is difficult to straighten up. Acquired or congenital deformities of the bones of the spine are often to blame.

Low back pain due to spinal deformity such as scoliosis

Curvature occurs throughout life. Often a person himself provokes changes in himself, not watching his posture or preferring to sleep on a soft bed. As a result, the load on the bones, muscles and ligaments is not distributed physiologically, which leads to pain.

People with established diagnoses will have to experience regular attacks:

  1. Kyphosis.
  2. Scoliosis.
  3. Lordosis.
  4. Flat back syndrome.

Strict adherence to the doctor's recommendations can help in this case. Even if a person was born with such pathologies, today it is possible to stop development and live a full life.


Pulling, aching pain radiating to the chest may be the only sign of advanced osteoporosis. At the same time, the unpleasant sensations are weak and appear irregularly. Most often, discomfort is felt after heavy physical exertion or when the weather changes.

Osteoporosis is one of the causes of back pain

Even if the disease was not congenital, it can develop during life as a secondary disease after a number of negative influences, including drunkenness and the wrong use of medications.

A pathological fracture is considered dangerous. It is accompanied by stronger pain than usual. At the same time, since there were no injuries as such and it does not interfere with movement, it often remains undiagnosed. Which after some time can lead to additional complications.

The question of how to quickly cure back pain is important for people with osteoporosis, because in their case, unpleasant attacks can be stopped easily and quickly.


When you think about why, when I sit or stand for a long time, the lower back in the area of the spine, often under the lower back, constantly hurts, try to remember if you hit this place.

Even a small bump or fall can cause serious injuries that may not be easily detected at first glance.The most common causes of traumatic back pain:

  • Spinal contusion.You can easily get it by falling unsuccessfully or crashing on your back. It manifests itself as mild pain, sometimes the formation of swelling or bruising at the site of the impact. Most often it does not require special treatment. However, in severe cases it can provoke neurological symptoms.
  • Compressive fracture.It most often occurs with sharp forced flexion of the torso. Later it manifests as severe pain during movement. The sharp processes of the vertebrae can be felt locally.
  • Vertebral subluxationit appears not only with pain and swelling, but also with frequent numbness at the site of injury. The lower limbs also gradually begin to go numb.
Various back injuries lead to pain in the lumbar region

It is extremely important to be extremely careful of bumps and falls in the spine area. Because of mild pain, it is easy to miss serious injuries, which will then lead to greater limitations in life.


The cause of severe chronic burning pain that constantly aches, stabs, grabs and does not go away in the lumbar and back area can be infections.

There are pathologies affecting the spine. Without treatment, these diseases will quickly turn a person into a disabled person. Spread of infection:

  1. Osteomyelitisit can enter the body through injury, during surgery or through contact with another infected person. The infection causes sharp, severe pain that occurs with any sudden movement. In this case, the chronic course of the infection is characterized by mild manifestations of pain. In addition, the person suffers from intoxication, chills and fever.
  2. Epidural abscessleads to severe pain, combined with chills and strong muscle tension.
  3. Tuberculosis of the spineit develops slowly but inevitably. At first it manifests itself only as periodic pain after physical strain and stiffening of walking. As the bones deteriorate, pain increases and the ability to move is completely reduced.

Local inflammation

Low back pain caused by local inflammation

In addition to the constant spread of unpleasant sensations, sometimes people experience stabbing pain in the lower back, in the lower back, when sitting, what it can be and what it is called, is determined by a specialist based on the results of the examinationand analyses. The cause is local inflammation.

Lumps, carbuncles, and paranephritis are easy to recognize. The first two phenomena are bumps on the skin that react painfully to the touch. In the case of paranephritis, fever first appears and severe pain, which prevents full movement and walking, develops in 2-3 days. The condition is considered serious and requires hospitalization.

Infectious diseases

Sometimes the explanation of why the lower back can hurt, it constantly gets into it, gets caught when you stand for a long time, and sometimes the back starts to hurt as if it will soon fall, and the decision of what to do and what totreated for may be infectious diseases.

Doctors cite infectious diseases as the cause of back pain

Increased temperature, intoxication, the need to seek a more comfortable position, pain in muscles and joints - these are signs of an infected person. It often occurs in severe cases of ARVI or influenza.

Similar symptoms may also indicate infection:

  • Ebola fever.
  • Foot and mouth disease of the human type.
  • The severe course of the coronavirus.
  • Generalized forms of viral or fungal infections.

If such signs appear, you should immediately consult a doctor, as the condition can worsen within a few hours.

Muscle damage

When you understand why the lower back hurts and pulls, why it catches the back in the area of the spine, why when you sneeze it radiates to the back, which began to hurt much more often, you need to determine the cause first. deciding what to do.

In addition to problems directly with the spine, muscle damage can also hinder a person. This problem is often encountered by professional athletes, people who do a lot of strength training, or who do manual labor. After excessive tension for several days, painful sensations arise in the muscles of the lower back, which disappear under the influence of medicines, warming ointments and massage.Lower back pain due to back muscle strain

However, there are also chronic changes in muscle tissue, which often occur against the background of serious diseases and are their consequence. If they are detected, complex therapy is carried out, sometimes even surgical intervention is required.

Types of pain

To understand what helps with back pain and how to get rid of it, you should pay attention to the characteristics of the symptom.

If the unpleasant sensations appeared suddenly and recently, then the stage is called acute, and if you suffer for more than 3 months, then it is called chronic.

Depending on the intensity and variety of sensations, there are:

  • Mechanical.It occurs after heavy physical activity, often in the afternoon, along with feeling tired. Heals easily by rest. Most often this is the result of degradation of the bone structures of the spine or its severe curvature.
  • Inflammatory.It intensifies after rest, a period of immobility. After some time, it weakens due to constant movement or taking anti-inflammatory painkillers.
  • Bar.The result of direct damage to muscles, joints or ligaments. Focuses directly on the point of injury.
  • Koreshkovaya.It occurs when nerves are compressed due to injuries, tumors or hernias. Simultaneously with the appearance of pain, the sensitivity of the injury site decreases.
  • Reflex.The most dangerous type because it deceives people. The patient thinks that he has pain in the lower back, but in fact these are reflected sensations that arise due to a disease of the internal organs.
  • Myofascial.A protective mechanism, such as occurs due to muscle spasm when bones are damaged.

Depending on the description of the sensations, the doctor will be able to understand in the first minutes what disease the person who contacts him has.

Which doctor should I contact?

If you have lower back pain, you should consult a general practitioner or neurologist.

As soon as there is an unpleasant shooting in the lower back, constant pain or discomfort, the question arises to see a doctor.

Since this part of the body is specific due to the fact that it has not only the spine and muscles, but also a large number of internal organs, which can also cause discomfort if the disease develops, it is not recommended to be treated at home. Due to the inability to determine the source of the pain, the situation can worsen.

Initially, it is better to consult a general practitioner with such symptoms. Based on the symptoms that appear, the characteristics of the pain and the location of the lesion, he will be able to determine which specialist should deal with the problem.You may refer to:

  1. Neurologist.
  2. To the surgeon.
  3. Urologist or gynecologist.
  4. Nephrologist.

After the examination, they will prescribe the necessary tests to determine the exact cause of the discomfort.

By deciding to go to a specialist yourself without first consulting a therapist, you risk making an incorrect diagnosis and wasting valuable time.


A CT or MRI scan will help doctors determine the cause of your back pain

Very often, patients turn to the doctor when they have excruciating pain in the back, so strong that it hurts to stand up and walk, even without turning, why does it hurt in the center or at the end of the back, what can bother you in the spine, what causes the condition and what to do, what treatment for back pain.


  • Patient interviewcollecting data on signs and time of disease development. It is also important to find out your medical history and identify chronic diseases that may affect the development of attacks.
  • Neurological examination.The doctor checks whether reflexes are preserved, how much muscle strength and reaction speed are affected and how much movement is limited. In addition, the degree of superficial and deep sensitivity is examined.
  • X-ray of the affected area of the back.The image will show the damage received, a pathological decrease in the intervertebral space, curvature and the beginning of degenerative processes. New growths are also discovered.
  • CT or MRIused to clarify the data obtained. They help to determine the location of even small hernias or processes in the back, help to understand where the compressed nerves are located and why this happened.
  • Functional studiesare aimed at determining the condition of the muscles and the degree of nerve tissue damage, the speed of nerve impulse transmission.
  • Laboratory tests.Taking blood samples is necessary to determine if the inflammation is infectious in nature.

In addition, depending on the indications, an x-ray of the internal organs located near the painful area may be prescribed. This is done to prevent exacerbations of chronic diseases of the kidneys, gastrointestinal tract or genitourinary system.


It is extremely important to correctly give first aid to the patient and transport him to a medical facility without additional injuries. In the event of an attack, place the person on something firm or lighten the load on their back and then take them to the hospital.

How and what to treat the back and what to do when the back in the middle of the spine is very heavy and constantly hurts in the middle region, the lower back, the doctor decides only after finding out the reasons why this happened, the treatment in thiscase is described both conservatively and in the form of surgical intervention.

Before the examination, it is not recommended to use drugs to suppress symptomatic pain; only a single dose of analgesics is allowed.

After the examination and diagnostic measures, the doctor will prescribe the appropriate treatment, which is complex for back diseases.Therapy includes:

  1. Taking medications.
  2. Physiotherapy.
  3. Use of external drugs.
  4. Lifestyle changes.

In difficult cases, surgical intervention is also performed.

Several types of drugs are used to treat back pain:

  • NSAIDs are pain relievers and anti-inflammatory drugs.At the first visit, it is possible to administer by injection; in the future, doctors recommend a combination of tablets and ointments with a similar effect.
  • Local anestheticsit is used to create a blockade in cases where the pain becomes unbearable.
  • B vitaminsenhances the effect of other drugs, stimulates improved blood supply to the affected area of the back.
  • Physiotherapyperformed after relief of acute pain. As soon as the attack ends, special therapy is selected that positively affects the condition of the spine. In addition, a set of physiotherapy exercises is prescribed.
Intervertebral hernia in the lumbar spine is a reason to undergo surgery

Surgical intervention is an undesirable option for the development of the situation. Since the spine is one of the most complex organs of the human body. Near it there are many points that affect the functioning of the body, so doctors try to perform as little surgical intervention as possible. However, there are hopeless situations where it is impossible to restore health without a surgeon's scalpel.

Surgical intervention is required:

  • In case of tumor formation.They are removed regardless of whether they are benign or malignant, as the gradual growth brings serious pain and can provoke the onset of paralysis.
  • Intervertebral hernias,gradually destroying the space around them. They are the culprits of constant and endless pain.
  • Narrowing of the intervertebral canal.
  • Instability of the elements of the spine,severe injuries that require additional fixation of the bones in their places.

After a course of treatment or surgery, the patient must prepare for the fact that there is still a lot to do in order to finally say goodbye to pain.


Therapeutic exercises are one of the components of rehabilitation for back pain

Depending on the reasons why the spine hurts in the lumbar region and the intensity of the pain, the treatment is prescribed. However, taking a course of medication and possible surgery is not all that is needed to return to a full and healthy life.

More often, additional rehabilitation includes physiotherapeutic procedures.Frequent meetings:

  1. Massage.Moreover, it is not recommended to choose this procedure for yourself.
  2. Physical therapy course,which is performed under the supervision of an experienced trainer who knows at what speed and intensity the exercises should be performed. It is also possible to use specialized simulators.
  3. Manual therapy.
  4. Acupuncture.
  5. physiotherapy,aimed at the additional use of sedatives: electrophoresis, magnetic therapy, laser treatment.

When deciding how to treat severe, acute or painful back pain in the lumbar region, the doctor determines what to do if the spine constantly aches and hurts, the muscles are seized and stiff, depending on the reasons, additional treatment is prescribed. In which a course of restorative procedures is also described in detail that will help improve well-being and return to a healthy state. Patients should be prepared that the rehabilitation period may last more than a month if nerve endings or vertebrae are severely damaged.


The consequence of ignoring back pain can be a herniated disc.

If, turning to friends with a complaint: "If the lower back suddenly hurts for no reason, the back falls, then what to do in such a situation? " in response you hear only a suggestion to take a sedative, do not hesitate to follow this advice.

The main consequences of untreated spine diseases:

  • Greater prevalence of painintensification of attacks due to the fact that more healthy tissue will suffer from a problem area that gradually expands.
  • A sharp deterioration in the functioning of the cardiovascular system.And problems in this area can lead to the development of chronic diseases of any organ, including the deterioration of brain function.
  • In the worst cases it is possibletemporary or permanent paralysis of the limbs.

Also, self-medication without prior diagnosis or a doctor's prescription can lead to a deterioration of well-being. And then, the course of treatment and recovery will become long and complex.


Physical activity can help prevent back pain

The main medical direction that helps to maintain health and avoid unpleasant days in which you will be deprived of the opportunity to live a full life is prevention. It will help to avoid inflammation or the occurrence of many back diseases.

You must adhere to some rules and tips:

  1. Choose a mattress with medium firmness for the bedroom.
  2. If you move a little throughout the day, but sit a lot in front of the computer, then take a break for a few minutes every hour to do a short warm-up of the spine.
  3. Give up bad habits.
  4. Try not to make sudden and thoughtless body movements.
  5. Exercise regularly. Even a small 15-minute exercise in the morning already has a positive effect on the condition of the spine. After 30, it's good to find a hobby that will allow you to get the physical activity you need, with a low chance of injury. Consider doing yoga or swimming in the pool to stay in shape.
  6. Check your posture.
  7. Avoid severe hypothermia in the lower back.
  8. Treat detected diseases in a timely manner.
  9. Do regular preventive checks.
  10. If you have back pain, contact the clinic immediately for a consultation.

Painful sensations in the spine are one of the most unpleasant. In addition to direct pain, they also bring with them stiffness in movement, which prevents them from leading a full and normal life.

The sooner professional treatment for back problems begins, the sooner a person can return to a full life. And neglecting your health in this case can lead to disability.