Lower back muscle pain
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Lower back muscle pain
A lower back muscle pain is called a lombago. This type of muscle pain is usually referred to as " kidney pain " or " kidney tower " even if the kidney organ itself is not affected in any way.
Lumbago symptoms: back and sometimes buttocks and legs
Lumbago symptoms will be relatively identical to those of low back muscle pain.
The pain felt in case of lumbago will be:
- following an effort
- of muscular origin (with significant lower back stiffness)
- particularly intense
Muscle tension sometimes leads to compression of the sciatic nerve with, in this case, pain that radiates into the buttocks and sometimes into the legs.
Lumbago is a benign condition
Important: Serious diseases causing acute back pain are rather rare.
Lumbago pain comes from the hardened sacral lumbar muscle mass, so it is a muscle contracture.
The intensity of pain is often worrying, especially since lumbagoes are very disabling.
Generally, we can therefore understand which movement is at the origin of the pain and thus convince ourselves of the benign aspect of the injury.
Origins of lower back muscle pain: inadequate effort
Lower back muscle pain is generally the result of a major effort that has exceeded the adaptability of the sacro-lumbar muscle mass.
It is often movements performed in a misaligned or unusual way that cause this type of muscle reaction:
- torsion effort
- tripping with a heavy object in your arms and trying to hold it back
- repetitive movements
People most prone to this type of muscle pain are:
- those whose physical fitness is not very good
- those in physical occupations where carrying heavy loads is frequent (bricklayers, movers, etc.)
Lumbago: links with other diseases
Lumbar pain can also be due to:
- a disk hernia
- a digestive or gynaecological problem
- bone or joint diseases: osteoporosis, arthritis, osteoarthritis.
Lumbar muscles can have another problem
In the case of a digestive, urinary or gynaecological problem, even a minor one (diarrhea, constipation, prostatitis, etc.), the lower back vertebrae will already be subjected to a form of stress:
- their adaptability will be greatly reduced
- they will more easily tend to "block"
Lumbago has effects on the body other than muscular
On the other hand, vertebral and lumbar problems have a digestive, urinary or gynaecological impact:
Note: It is on this same principle that sciatic neuralgia generally has a lumbar origin.
- nerves that innervate the organs emerge from the spinal cord at the vertebrae
- their "offset" can irritate nerves and have an impact on the transmission of nerve information
The injury mechanism of lumbago: a defense
Lumbago is due to muscle contracture of the back muscles.
These muscles, subjected to a sudden movement, will contract to contain the movement:
- this defense mechanism is designed to protect the joint system, which would otherwise risk exceeding its physiological amplitude;
- by contracting violently, the muscles will remain in spasm, contracted, and this tension will cause pain.
At the same time, by contracting, back muscles that attach to the vertebrae will go:
- pull them in inclination and rotation (usually on the same side)
- lock them in this wrong position
The opposite phenomenon also exists:
- a shock or trauma can shift a vertebra
- to prevent this vertebra from moving excessively, a muscle contracture will set in to immobilize the vertebra
Lumbago: 1 to 2 weeks
Pain tends to diminish within a few days:
- at first, it is very brutal and intense and prevents movements from being carried out
- then it gradually gives way in 1 to 2 weeks
Lumbago complications: compensation
This seemingly positive evolution generally hides a much darker reality: the body can compensate.
This means that the body has "dealt with" and organized itself to reduce pain by working differently:
Warning! Untreated or poorly managed lower back muscle pain can become chronic and become extremely debilitating.
- to do this, it abnormally requires other structures to compensate for the loss of mobility (or "osteopathic lesion")
- everything can work very well for months, but the body is less able to manage the discomforts of everyday life (difficult digestion, stress, etc.), because it is already adapting to a musculoskeletal disorder
Compensations can lead to recurrences, but in more than 30% of cases, relapses occur independently of the compensatory phenomenon.