What are the Causes of Low Back Pain?
The waist area is a region where there are multiple joint connections with the articulation of many vertebrae. This area pain can be caused by joints as well as from muscles and ligaments in this area. Vertebrae in the waist area play an active role in tilting the body forward and sideways. Low back pain may occur for many reasons such as traumas, strains, calcifications with advancing age, damage to discs between vertebrae and/or damage of ligaments surrounding the vertebrae. Low back pain, sleep disturbance in daily life, impairs mobility, negatively affects the quality of life and constitutes the majority of outpatient admissions. Some lower back pains are temporary, while other lower back pain can be long-term or chronic. Causes of low back pain include arthritis, arthritis, rheumatic and non-rheumatic arthritis, osteoporotic collapse fractures, myalgia, infectious arthritis (septic arthritis), discid, spinal curvature (scoliosis, kyphosis), metastatic or primary spinal tumors.
What Symptoms and Symptoms Match Low Back Pain?
Symptoms associated with low back pain include, depending on the cause;
- Side pain,
- Limited movement in the town,
- Swelling on the waist,
- Waist sensitivity,
- Not being able to lie on your back
- Electrification of the leg
- Weakness spreading to the leg
How to Diagnose Low Back Pain?
There may be problems caused by the lower back area that can lead to lower back pain, as well as some intra-abdominal organ problems can lead to this pain in the form of reflected pain. It is essential for the right treatment method to distinguish where this area pain is caused. Detailed anamnesis is very important for the diagnosis of the disease. Information such as the severity of the pain, its character, when it occurs during the day, whether it increases with movement, the spread of pain are important in finding the source of the pain. Physical examination manoeuvres can be used to detect positions that exacerbate pain. Sensitivity can be revealed by palping on inflamed areas. Straight leg lifting can detect sciatica symptoms. A physician can use imaging studies, including X-rays, CT scans and MRI scans, to further identify the causes of hip pain. After these evaluations, accurate diagnosis and treatment planning is made.
What are Spinal Curvatures?
There are 7 cervixes, 12 ridges (thorasomes), 5 waists (lumbars), 5 sacrals and 4 coccygeal vertebrae in the spine. Those in the cervical, thoramal and lumbar regions are moving joints. The curvatures of the spine seen when viewed from the front are called scoliosis, and the curvatures seen when viewed from the side are called kyphosis. Side view of the lumbar vertebrae is called hyperlordose, angle reduction is called waist straightening. These curvatures of the spine can be congenital, or they can occur in adolescence or older age. Congenital curvatures can often occur due to structural disorders in the vertebrae or disorders in the spinal cord located in the spinal canal.
Although the cause of scoliosis that occurs in adolescence is not often known, adolescent is called idiopathic scoliosis. Spinal curvatures that occur in older age often occur with calcification and/or osteoporotic collapse fractures and are called degenerative scoliosis. Follow-up and treatment are planned by taking into account the potential for progression by classifying the curvatures in the spine according to their causes, curvature angle and age of appearance.
Physical therapy exercises, swimming, Schroth exercises, corset treatment and surgical treatments are planned in the treatment of spinal curvatures. While surgery can be performed with rods that extend in the early stages of advanced curvatures, permanent surgical solutions such as posterior instrumentation and fusion can be applied in the future. It is one of the successful methods that can be used in corset treatments with personalized corsets especially in patients whose opening in the adolescent period will not require surgery. Corsets such as Torako-lumbo-sacral- orthosis (TLSO), Serviko-torako-lumbo-sacral-orthosis (STLSO), Charleston bending corsets are corsets used according to the location and degree of curvature.
What are the Symptoms and Symptoms of Narrow Canal (Spinal Stenosis)?
Narrowing of the canal inside the spine is a disease caused by pressing on the nerve roots and/or spinal cord. Symptoms appear depending on the degree of nerve roots and/or press in the spinal cord.
- Numbness in the legs
- Weakness in the legs
- Symptoms and symptoms such as increased pain with forward bending may occur due to canal ssherosis.
Causes of canal stiness include overflow of the disc between the vertebrae (hernia), bone protrusions due to calcification between the vertebrae, and slippage between the vertebrae.
After detailed questioning of the patient, physical examination and imaging methods (Computed Tomography and MRI) are diagnosed. Although non-steroidal anti-inflammatory drugs, weight loss, activity modification, physical therapy, injection accompanied by fluaroscopy, are used in the early stages, surgical treatment is required in advanced slacks. In surgical treatment, procedures for soft tissue such as disc removal can be performed, posterior installation and fusion (freezing process by screwing vertebrae) are performed in patients with multiple levels and advanced degeneration.