DESCRIPTION

The pain or inconvenience in the back is a problem of very frequent health that generally the biggest persons endure and that can appear and disappear during a period of several years. In most cases, the cause of the backache is not serious and the pain will disappear with a simple treatment at home and in the course of time.

The persons who endure backache describe it often as a slow and continuous or sharp and shooting sensation that causes rigidity and difficulty on having been calm or on having moved or pain or pins and needles in the buttocks and in the legs up to the knee.

A sharp backache attack is an attack that lasts less than six weeks, while the chronic attacks last generally more than three months.

Most of the backaches are related to the tension or the sprain of a muscle or ligament. The backaches that they affect to the nerves of the spine, producing pain in the buttocks and in the legs happening for the knee, are less frequent. The pain can begin immediately after the effort or injury or can begin after a few hours. A percentage much low of the backache is related to the age.

If you endure backache during more than two weeks, consult a doctor so that it examines him and to insure itself of that the pain does not cause it a problem of exceptional health. The majority of the cases of backache is treated by if the same with the help of some care at home. It can try the following home-made measurements to reduce the pain and to stimulate the healing:

• Rest for twenty-four hours once it has begun the pain to avoid any other injury.
• Sleep in a hard mattress with a table below.
• Go to bed on a side with a pillow between the legs to prevent the hips from having a rotary movement and the pressure increases in the back or go to bed on the back, with a towel coiled under the nape and pillows under the knees. Avoid to go to bed on the stomach.
• Get up of the bed slowly and carefully, first sitting down and then standing up. Apply ice or cold compresses during twenty minutes every two hours during the first twenty-four at forty eight hours to reduce the pain and the muscular spasms.
• After forty eight hours apply heat to improve the circulation and the healing. The use of ice or heat is an individual election that depends on what he prefers and on what reduces the pain.
• Take analgesic and anti-inflammatory medicines without medical recipe, like for example the aspirin or ibuprofen. It is better that it takes these medicines with milk, meal or antacids to protect the stomach. Nevertheless, the children and adolescents must not take aspirin since the aspirin use in these ages has collaborated with a slightly frequent alteration, although it burdens, of the brain and of the liver called Reye syndrome.
• The pregnant women must consult with his doctor before taking any medication. Without medical recipe. It is advisable that the parents with children and the persons with medical problems read attentively the brochures of the products and consult with the pharmacist if they have some question on his use.
• Also the energetic activity must be avoided for six weeks after the pain has disappeared to obtain a finished healing and to prevent the injury from turning to produce.

The backache not chronic or caused by a nervous injury generally disappears with rapidity with treatment at home.

If you do not manage to relieve the backache with the home-made measurements, consult his doctor and he probably will recommend to him to come to the physiotherapist or will advise him x-rays to diagnose the cause of the backache. The treatment for the chronic backache or appellant caused by a nervous injury includes:

• Therapy of electrical stimulation of the nerve.
• Medicines with recipe designed to relieve the pain, to reduce the distension and to relax the muscles.
• A program of exercises and programs of reduction of weight.

The most serious back injuries must talk each other with injections to relieve the pain or surgery.

Nevertheless it is very strange that the surgery is used and only it is used in 2 % of the cases of backache. The backache due to more serious causes is slower to disappear and it is easier that it takes place again

Sometimes, the backache can collaborate with:

• Numbness, pins and needles, loss of movement in an arm or a leg.
• Pain of breast or difficulty on having breathed.
• Fever.
• Increase of the intensity of the pain in spite of the use of medicines against the pain.
• Loss of the control of the bladder or of the intestine or difficulty for the gait or on having supported the balance.

If some of these symptoms takes place with the backache, consult his doctor immediately to discard more serious processes.

Mechanism of formation of a Slipped disc: The exit of the pulpy nucleus of the intervertebral disc towards the fundamental space presses the exits of the nervous roots.

ADVICES POSTURALES

Always adopt a good position, following these steps:

Distribute his weight uniformly while it is standing up. Support a foot raised on a box or step if it is standing up during long periods.	Support the head and the shoulders backwards while I walked. Support the back straight and rested on a chair, with both feet rested on the soil or raised in a footrest, and avoid to sink in the chair.

• Take shoes with low or flat heels to avoid the tension in the back.
• Realize the movements of the body correctly on having raised heavy or difficult objects.

The suitable achievement of the movements of the body implies:

Always to double the knees.	To support the top part of the straight back. To support a light arch in the low part of the back.

To avoid to twist or to be turned on having supported a heavy object. To support the load the closer possible of the body. To never raise an object weighed over the head.

Also, if it already has a back injury, he must avoid the physical activity not approved by his doctor.

WHAT DOCTOR CAN TREAT ME?

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