Archive for November, 2007
Lumbago, What Is it?
What is very frequent the lumbago?.
If, it is estimated that 80 per cent of the people it suffers from some time in their lives. It is without a doubt the musculoskeletal disorder more common in the world. The National Center for Health Statistics considers that the upheavals of the back and the column are the most frequent cause of limitation of physical activity in people under 45 years. It is the second disease that causes more absenteeism after the common cold.
Who are more willing to suffer from lumbago?
Obese Patients and sedentary, and in the other end workers who raise often heavy objects. It has been found some relationship between stature exceeding 1.81 meters and lumbar pain .there is also a strong correlation between smoking and lumbar pain in patients younger than 45 years. It should be stressed the importance of a well muscled abdominal and lumbar
What structures cause pain in the spine?
The outer layer of the disk backbone, the joints apofisiarias, ligaments and muscles that surround the column and nerve roots that leave the column.
What is the most frequent cause of lumbago?
Undoubtedly, the lumbago mechanic is the most common cause. It is the back pain that occurs after a physical activity inflated, especially in patients sedentary, and generally the cause of pain is in the muscles and ligaments of the lumbar region. Generally is self-improvement with rest and analgesic treatment.
What other diseases can cause lumbar pain?
A broad range of diseases can cause lumbar pain, sometimes the pain is not originates in the area but that it is referred pain of other organs. Kidney Diseases, gastrointestinal, gynecological and vascular can cause pain referred to the lumbar region.
What signs and symptoms of the back low may have a serious cause?
The majority of the causes of back low are mechanical origin and generally are resolved in a period of two days to 2 months. However, there are symptoms that make us think that the cause may be more serious.
These symptoms are:
Pain that does not yield with the changes of position and that does not improve with the rest. Fever, chills and weight loss. Stiffness and Pain more than 30 minutes that worsens in the morning in patients younger than 40 years ( spondyloarthropathy.) Abnormal results of a neurological exam: deficit sensory or motor, bladder dysfunction, anesthesia saddle. Pain lasts more than two months. Should the doctor always indicarme an x-ray if i suffer low back pain? No, it is not always indicated the x-ray in the lumbago.
The indications of Rx. are as follows:
* Symptoms that do not improve or worsen, especially if last more than a month.
* Back by trauma important.
* Patients with cancer diagnosed.
* Deformity spinal.
* Pain of top acute trauma without prior in patients with less than 15 years or more than 50.
* History of vertebral fractures or spinal surgery.
* S Constitutional íntomas such as fever or decrease weight.
What is a disk?
It is a hydraulic system that keeps separate the vertebrae. Dampens the burdens of the column and allows the vertebrae to move. The disk is comprised of two parts: an outer layer called ring, and a central portion called the nucleus.
Is There pain in the disk?
The disk, which always has been regarded as the real culprit of lumbar pain, curiously is not the main contributor to this. On the disk is a gelatinous material, in which there is no nerve endings. Only in the outer layer or ring there innervation. disco lumbar
What is a herniated disk?
When the intervertebral disk pressed the nerves that got through the spine is said that there is a herniated disk. The herniated disk is a common cause of pain in the area. In the figure of the left is a disk, in the herniated disk the central part or nucleus pulposus protruding through the fibrous ring compressing the nerve root.
Can the depression cause lumbar pain?
If, the emotional depression is associated with lumbago, the patient depressed takes a position that increases the lordosis lumbar and causes pain.
What do you mean the terms spondylosis, spondylitis, espondilolisis and spondylolisthesis?
Spondylosis is the degenerative disease of the disk spine or the laminate joints apofisiarias.
Spondylitis means inflammation of the spine, as in the case of the espóndilitis ankylosing.
Espondilolisis refers to the default and separation of the party interarticular, bone bridge that links the apophyses joints upper and lower .
Spondylolisthesis refers to the displacement anterógrado or subluxation of the vertebra In the next link you can find out more about the topic: spondylolisthesis.
What are the non-steroidal anti?
The non-steroidal anti or NSAIDS are medicines used by your doctor in the treatment of lumbago, should be used with caution because they are not exempt from side effects, such as gastritis medicated, allergic reactions and others. Some new drugs called COX-2, as the Vioxx®, have been suspended for their association with cardiovascular diseases with prolonged use.
What Is indicated the use of corset in the treatment of lumbago?
If you. In the lumbago mechanic is useful for improving the position and relax the lumbar musculature. However the used prolonged corset causes atrophy of the abdominal muscles and lumbar by what should be used with care.
What is the nuclear magnetic resonance?
It is a method without radiation which allows obtain images of the agency at any level or axis. It is a method quite expensive, it is used only if the diagnosis is not clear or when the results of the studies are needed for the patient care. This procedure is contraindicated if you have a device such as pacemaker, clip or aneurismal cochlear implants. If you have a prosthesis knee or hip the procedure is performed, but the areas anatomical close to its articulation may suffer distortion.
What Is the important exercise in the treatment of lumbago?
If, maintain a proper weight and exercise are important factors in the treatment of lumbago. People with better physical condition have fewer episodes of low back pain. These exercises should be indicated by your doctor and supervised by specialized personnel. The position is also very important , here you can see some recommendations on the subject: take care of your back.
What is the scoliosis?
It is a deformity side of the spinal column. Is accompanied by rotation of the vertebral bodies by what is said to be a deformity in the three planes. If you want to know more about the item uses the link: scoliosis.
What is the stenosis lumbar?
As we age the vertebral disk become dehydrated and elongates ( for this reason is that we see that our grandparents become more small). As a result, the joints between the vertebrae (joints facetarias) is hipertrofian by excess weight they receive, and this growth can compress the spinal cord or nerve roots. In the stenosis lumbar occurs a characteristic pain occurs when walking and relieved to sit. The patient often feel the pain referred to the legs or hip, and it can be confused with arthrosis of hip or knee.
How is it diagnosed stenosis lumbar?
The questioning, physical examination, x-rays of column and sometimes electromiografia of lower limbs. Sometimes it can occur as a sore knee or hip without back pain, here the doctor must be very attentive and determine which is the source of pain.
How is the stenosis lumbar?
Indicated analgesics and physical therapy, if there are commitment root medications such as the gabapentin. . In very severe cases can be required surgery.