How to determine what hurts: a loin or kidney?

Many are faced with the problem of pain in the lumbar region. It is not always possible to immediately understand, hurts the lower back or kidneys.

The loin can be ill for many reasons: radiculitis, osteochondrosis, bile-stone disease, aortic aneurysm, pancreatitis, ulcer of the stomach or 12-rig, diseases of the kidneys, inflammatory processes in the cavity of the small pelvis. Pain in the lumbar region can be a symptom of many diseases, of which 90 percent constitute problems with the spine and muscles of the back, about six percent - kidney disease, and only the remaining four percent are diseases of other internal organs.

How do the spine and the muscles of the back hurt?

The pain can be pulling or cutting, "shooting" when it is impossible to even break the back. When problems with the spine, the pain is often localized in the middle of the lower back. It can be given to the lower limbs.

Pain with osteochondrosis and radiculitis is usually amplified while driving. Mobility in the lumbar department is limited due to muscle spasm. Painses are reduced after rubbing to the lower back and anti-inflammatory ointments or gels. Also, the pain in the back can be facilitated if you wear a warming or special orthopedic belt.

Symptoms of renal disease

Lethargy, drowsiness, fatigue, weakness; an increase in blood pressure and as a result - a headache; The appearance of edema on the face, the legs, which are usually noticeable in the morning, and in the evening smoothed; Increase body temperature, chills, sweating; nausea, loss of appetite, vomiting; Frequent or painful urination; The intensity of painful sensations does not depend on the position of the body.

Urine can also be changed: it becomes saturated or, on the contrary, colorless, contains blood, mucus or precipitate.

Localization of pain is very important. Many do not know where the kidneys hurt and what is the characteristic of pain. In renal diseases, the pain worries more often on one side - to the left or right of the spine. It is localized just below the ribs and can be given to the side surface of the abdomen and groin, along the ureter, on the external genital organs, the inner surface of the hips.

Characteristics of pain in kidney pathology

For renal colic, an acute parole pain is characteristic. Painful sensations for urolithiasis are associated with the blockage of the urinary tract with a concretion and a violation of the outflow of urine. A reinforced peristalistic and spasp of ureters occur, in addition, the stone with sharp edges is injured and irritates the nerve endings in the wall of the urinary tract. These changes are the cause of pain.

The pain caused by the inflammation of the kidneys has another nature. Inflamed kidneys increase in volume, their fabric swells. As a result, the renal capsule is stretched, in which there are many nerve endings. When tensile, the shell is irritating these endings, which leads to the appearance of painful sensations.

For pyelonephritis and glomerulonephritis are characterized by stupid sensations in the right or left lumbar region. With these diseases, pain is not very pronounced, in contrast to urolithiasis and diseases of the spine.

Diagnostic research

An experienced specialist knows what symptoms for kidney disease are most characteristic. To distinguish renal pathology from back pain, the doctor does the following reception: the edge of the palm is tapping along the lumbar region. In case of kidney disease, the penalty is accompanied by the appearance of stupid inner pain. To identify, what is the cause of pain, make the X-ray snapshot of the lumbar spine (with osteochondrosis and radiculitis there are characteristic changes of the spine - osteophytes, intervertebral hernias, etc.); General blood test (for diseases of the spine, there are usually no changes, with kidney disease - leukocytosis, anemia, an increase in ESP); General urine analysis (increased or reduced relative density of urine, hematuria, leukocyturia, bacteriuria, elevated salt content speak of kidney disease); Ultrasound of the kidneys and abdominal cavity (increase in the volume of kidneys, the presence of consolidation in them).


If you find that pain in the lower back is accompanied by the specified symptoms, do not self-medicate and immediately consult a doctor. With inflammation of the kidney, you can not heal the lumbar, so do not apply the heating and do not smear the ointment before the consultation of the specialist.

Prepared Tatyana Petrov.

Change body position as often as possible with long work in one position.Pain in the lower back - frequent phenomenon in people of working age and is due feature of the structure of the lumbar department .

Pains localized in the lumbar department are mechanical, infectious (tuberculosis), metabolic (osteoporosis), inflammatory (ankylosing spondylitis), visceral (caused by diseases of internal organs) and neoplastic (oncology).

They may indicate the development of serious diseases that can lead to temporary disability and even disability.

Therefore, when the appearance of unpleasant sensations in the area of ​​the belt, you need to immediately contact the doctor.

A timely prescribed treatment will help get rid of the disease conservative way and avoid the development of complications.

Features of the structure of the lumbar spine

The lumbar spine serves to connect the breast and the sacrum. He consists of five vertebrae which in medical documents are indicated by the letter L (L1-L5) .

The vertebrae of this department is the most massive and, unlike the vertebrae of the breast and cervical, are rarely subjected to degenerative-dystrophic changes. The magnitude of the vertebrae increases from the first to the fifth, because The lower vertebral post department accounts for maximum load .

The structure and functions of the vertebrae of the lumbar department

The vertebrae is bones that participate in the formation of the spine. The body of the vertebra has a cylindrical shape and is distinguished by increased strength, because It accounts for the greatest load. Behind there is a mug of the vertebra - a semiphello with the proceedings from him.

The structure of the lumbar spine

The body and the arrangement form a vertebral hole. The vertebral holes located over the other form the vertebral channel - the spinal cord, blood vessels and nerve roots. Starting with 2 lumbar vertebra holes are gradually narrowed, due to the anatomy of the spinal cord .

Also in the formation of the spinal canal Bundles are involved, the most significant of which are longitudinal rear and yellow . The first combines the bodies of the vertebrae from behind, and the second connects the near arc of the vertebrae. The alignment of each vertebra has 7 processes. Bundles and muscles are attached to transverse and sprunms, and the lower and upper articular processes are involved in the formation of faceted joints.

Functions of the vertebrae loins :

  • Motor . The vertebrae of the sacrum and the chest is sedentible, which is compensated by the waist vertebrae. The crusters and the vertebrae of the lumbar department form 5 vertebral motor segments, allowing a person to rotate and slopes.
  • Amortizing . Launate Lordoz is responsible for the performance of this function, which is formed in childhood. The older man, the less pronounced is the shock-absorbing function.

Video: "Structure of lumbar vertebrae"

Occupatic muscles of the lumbar spine

The lumbar spine consists of five massive vertebraeThe muscles located next to the spine are called nearby. They act as a coordinated mechanism and lead the body in motion. .

If everything is in order with the oil-star muscles, movements are natural. The totality of muscles and ligaments forms the so-called corset around the spine.

Occupatic muscles are divided into two groups, each of which is responsible for performing certain functions.

Muscles are :

  • Motor . Allow rotations and slopes. Moreover, the muscles of the belly tilge the body forward, and the back muscles deflect it back.
  • Stabilizing . Support the vertebral pillar, retain it in a steady position while driving.

Sharp stretching of muscles or ligaments, accumulation of fatigue due to repeating or long-term load - all this can lead to the appearance of pain in the lower back.

Video: "Features of the structure of each of the spinal departments"

Physiological bends of the lumbar spine

The vertebral pillar is not direct. It has several physiological bends, one of which is the lumbar lordosis. The exact same bending is located in the cervical spine (cervical lordosis).

Physiological bending of the lumbar department is formed at the age of 5-6 months When the baby learns to sit down. Thus, the body adapts to increasing loads on the spine. The presence of convexities (kyphosis and lordosis) provides unloading of the musculoskeletal system.

Common pathology of the lumbar spine

Diseases of the lumbar spine are board for straight. Most of the time a person conducts, loading the back in general and lower back in particular, which leads to a deterioration in blood circulation and a shortage of nutrients. The following describes the most common pathologies of the lumbar department.

Ladant osteochondrosis

Violations of exchange processes arising from osteochondrosis Run the process of degeneration of cartilage fabric of intervertebral discs . The lumbar disk decreases in height, becomes unable to restore its normal position, i.e. Play the role of spring. As a result, the vertebrae of the lumbar department in contact with each other. Sometimes the disk is protruding and cracks, which leads to the development of such complications as hernia and protrusion.

Typical signs of lumbar osteochondrosis are pain and stiffness.

If nervous roots are pressed during the disease, the situation is complicated :

  • The sensitivity of the legs is disturbed: there is a feeling of numbness, "running goosebumps";
  • Pains become more intense, given to the femoral and pelvic areas;
  • The work of the bladder and the rectum is worsen.

Protrunza Rasnik

With osteochondrosis of intervertebrals discs lose moisture and cease to be elastic . Sometimes they Provided to the side, forming a protrusion . In such cases, the symptoms of degenerative-dystrophic processes increase: stiffness and pain become more intense, the innervation of hands and internal organs deteriorates, the risk of climb of nerve roots increases. In the launched cases, the protrusion converts intervertebral hernia.

Hernia Lumbar Department

The intervertebral disk consists of two elements: a soft pulp nucleus and its surrounding dense fibrous shell.

When the cartilage cloth of the shell dries and protrudes, the probability of its rupture increases . If a break occurs, the pulp nucleus leaves the shell limits and partially comes out.

Sometimes the pulp chalks the nerve roots, which provokes the appearance of a strong sharp pain, as well as a violation of the innervation of internal organs or muscles, for the functioning of which the damaged nerve is responsible. This may cause swelling, incontinence of feces or urine, breaking the sensitivity of feet and other unpleasant symptoms.

The most dangerous is the species of the disease, in which the pulp fabric turns towards the spinal channel. In this case, the risk of developing a spinal channel stenosis increases. The situation is complicated by the fact that the doznal (rear) hernia is in a hard-to-reach place .

Muscles of the lower back can be divided into motor and stabilizing

Osteophytes of the vertebrae

With spondylise, osteophytes are formed - Pathological growths arising on the surface of the vertebrae or their articular processes. These bone elections can take the type of hooks or spikes, have a different origin and accompanied by different symptoms.

Osteophytes are considered dangerous, because Their sharp edges can deform the cartilage tissue, cover the blood vessels and nerve roots. In the overwhelming majority of cases, symptomatics is absent, therefore the patient may not guesses the existence of the disease.

The most serious complication of spondyleze is the spinal canal stenosis . In this case, osteophytes put pressure on the spinal cord, which can lead to disability and complete loss of sensitivity below the lower back.


Lumbago or so-called raznantic - The disease, to the development of which leads the compression of the nervous roots of the lower back. Usually the face comes after a sharp movement.

A person who collided with this unpleasant phenomenon is frozen in one pose and can not move due to severe pain and stiffness. The cause of lumbago becomes muscle spasm, which does not allow any actions. This body reaction is called protective: spasm prevents the damage to the nervous tissue, which can occur when performing further movements.

It is worth noting that Lumbago is not an independent disease . It reports on the availability of another pathological process in the body, for example, spondyleze, osteochondrosis or intervertebral hernia.

Make any movements during the shot contraindicated. The best thing to do is try to calm down, take a convenient position and make an appointment with a neurologist. To get rid of pain, you can take analgesic.

Lumbar arthrosis

Lumbar arthrosis call the disease at which There is a destruction of the facet joints of the lumbar . There are no inflammatory processes and risks to clamp the nervous fabric. At the same time, Arthrosis part develops against the background of osteochondrosis and is accompanied by a number of unpleasant symptoms.

Degenerative-dystrophic changes more often happen in the lumbar department

Typical manifestations of disease are pain and feeling of stiffness . Facetic joints rub apart from each other, as a result of which each movement of the case is given to a patient with difficulty. Launch loses mobility, severe pain appear in the morning and evenings.

In the first case, the cause is a long stay in the same position, in the second - loads that the spine experienced throughout the day. To get rid of pain in the morning Enough to actively move or make a special charge . To eliminate pain syndrome, arising after the working day, you need to lie down and fully relax, eliminating all possible stress factors.

Lumbar lordosis

When the physiological bends of the spine deviate from the norm (become too pronounced or, on the contrary, smoothed) talk about the presence of pathology requiring medical intervention.

Usually violations occur in childhood When bone tissue is not plastic and deformed under the influence of heavy loads. For example, children with excessive body weight are subject to this pathology.

In the arthrosis of the spine, the violations occur in the joints of the vertebrae

Depending on its origin, the lumbar lordosis can be :

  • Primary . It is a non-agricultural disease. Developed against the background of inflammatory processes, tumors, muscle disease and spinal column.
  • Secondary . It occurs during mechanical damage, that is, due to dislocation and injuries.

The reasons for which a disease may develop, quite a lot. The factors affecting the development of the pathological lords of the lower back are obesity, disruption of the ligament and musculoskeletal apparatus. In childhood, Lordosis may arise due to generic injury, rickets, hip dysplasia, etc.


  • The lumbar spine is the most massive and has the smallest amount of vertebrae.
  • The lower load is acting on the lower back, unlike other spine departments.
  • Physiological bending in the lower back is called Lordoz.
  • The most common diseases: osteochondrosis, protrusion, hernia, arthrosis, pathological lordosis.


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Violations in the bend of the lumbar department usually arise in childhood

Manual therapist, neurologist, osteopath

Diagnosis of patients in traumatology and orthopedics. He reads X-rays, as well as conduct conservative treatment of osteochondrosis and protrusions of the spinal disks using manual therapy.

Other authors Comments for the site Cackl e

Pain in the lower back occurs quite often. Patients say "I have a hurt hurt", "hacked the lower back", "rake into the lower back." If the pain is inconvenient, they can say "lumbar", "pulls the lower back", "Noet Lednitsa." Sometimes pain is described as a burning in the lower back.

Explanant It is called the bottom of the back - from the place where the ribs end, to the tailbone. Perhaps a separate word for the designation of the lower back it took just to indicate the place in which it hurts. After all, if the back hurts, then in most cases the loin hurts.

What could be the pain in the lower back

Usmannko Viktor Leonidovich

Most often, pain in the lower back arises suddenly, sharply and is acute. In this case, talk about lumbago (Outdated folk name - lumbago ). The pain is described as a sharp, "shooting". Moves are riveted, sometimes it is even impossible to break the back. With any movement, the pain is enhanced.

Pain attack can last a couple of minutes, and it may continue a more considerable time (up to several days). It may be that the attack will pass, and the pain will not recall more about himself, but often the pain is returned and the person gets used to himself that his loin can hurt.

Pain in the lower back can be not only acute (sharp), it can wear a pulling character and be chronic. Nonal, but constant pain in the lower back, sometimes exacerbating, for example, during exercise, infectious disease, supercooling, etc., are called Lambalgia . Sometimes there is no pain directly, but in the lower back stiffness, the patient has discomfort.

Causes of back pain

Pains in the lower back can be called different reasons, but the statistics here are as follows:

  • In 90% of cases, pain is caused by problems with the spine and muscles of the back;
  • In 6%, the cause of pain is kidney disease;
  • 4% - diseases of other internal organs (urogenital system, intestines).

The spine accounts for most of all the cases in the lower back, and it is not by chance. A person has the center of gravity of the body is located just at the level of the loin, and when walking, all the load almost completely falls on the lumbar spine (in animals moving on four paws, there is no such problem). And when a person sits down, the vertebrae of the lower back and the sacrings are experiencing the same pressure force, with which on the diver there is a 170-meter layer of water. Naturally, this area is particularly vulnerable.

Diseases of the musculoskeletal system, causing pain in the lower back:

Hurts loins
  • pinching a sedlication nerve. Nervous roots derived from the spinal cord are squeezed by adjacent vertebrae. In this case, there is a sharp, shooting pain. As a rule, the pinching of the roots becomes possible due to degenerative changes in the spine (osteochondrosis): intervertebral discs separating the vertebral from each other are destroyed, the gap between the vertebrae is narrowed by a sharp movement (tilt, rotation) can lead to pinching nervous branch;
  • Ishias (lumbling-sacral radiculitis). Packed nervous roots can inflame. Inflammation of nerve roots is called radiculitis (from lat. Radicula - "root"); To refer to the inflammation of the satellite nerve, a special name is sometimes used - Ishias. With the defeat of the sedlication nerve, Lumboishalgia can be observed - the pain in the lower back, which also spreads into the buttock and foot along the sedlication nerve;
  • The hernia of the intervertebral disk is the protrusion of the intervertebral disc fragment into the vertebral channel. Arises as a result of injury or degenerative changes of the spine (osteochondrosis);
  • Miostite lumbar muscles. My sum is inflammation of skeletal muscles. The cause of myositis of lumbar muscles may be overcooling or sharp voltage.

Also, pain in the lower back can be caused by such diseases as dispelled sclerosis, degenerative sacroileite, osteoporosis.

Prevention of back pain

The emergence of the back pain often provoked by a careless attitude to his own health. Pain may be called:

  • long stay in the same position (for example, during sedentary work);
  • irregular posture;
  • low mobility;
  • excessive physical exertion.

All these factors contribute to the development of diseases that appear pain in the lower back. The risk of pain can be reduced if the following advice doctors:

  • Watch out for posture;
  • Avoid uncomfortable posts when working sitting. It is desirable that the knees are somewhat higher than hip joints. To do this, use a low chair or stand under your feet. Route a small pillow between the lower back and the back of the seating;
  • With sedentary work, it is necessary to get up from time to time to move. Make every hour five minute breaks; how to lift the gravity
  • It is advisable to sleep at an orthopedic mattress (elastic and enough hard);
  • Why might be sick
  • It is necessary to lift gravity by flexing the knee joints, and not back. That is, it is necessary to sit down, bending the knees, and then straighten them, while maintaining a flat line of the back;
  • Carrying a cargo, it must be evenly distributed between both hands, wearing all the load in one hand (one heavy bag) cannot be;
  • Every day the exercise complex should be made, aimed at strengthening the abdominal muscles and backs.

Pain in the lower back for kidney disease

With pain in the lower back, it is important to determine what is their cause - the pathology of the musculoskeletal system or the kidney disease (as well as other internal organs). The diagnosis must be carried out by the doctor. However, there are signs that suggest that pain may be due to the problems of kidneys or (and) other organs of the urogenital system. When these symptoms are manifested, it is advisable to immediately contact the urologist. Disease of the kidneys (or wider - urogenital system) can be suspected if the pain in the lower back is accompanied by:

  • general worsening of well-being (lethargy, drowsiness, weakness, increased fatigue);
  • Celebration of the eyelids, faces. The swelling is especially expressed in the morning, after awakening and falls in the evening;
  • increasing body temperature, chills, sweating;
  • loss of appetite, nausea, vomiting;
  • rapid or painful urination;
  • a change in the characteristics of urine (it can become a more concentrated color or vice versa - colorless, contain mucus or blood);
  • an increase in blood pressure.
How to raise gravity

Also an important feature that pain in the lower back is caused by the problems of internal organs, and not the musculoskeletal system, is its independence on the position of the body: the pain of the body and limbs is not enhanced and does not decrease. However, with prolonged departure in the standing position in the pathology, the hop may increase.

It matters and the localization of pain. In case of kidney disease, the pain is most often observed on the one hand (since only one kidney only suffers). Renal pains may not be limited to the lower back, but spread along the ureter, in groin, in the external genital organs, on the inner surface of the hips.

Wrong hurts: what to do?

  • The pain in the lower back is a symptom of a disease that requires treatment. Therefore, it is necessary to consult a doctor. But in the case of a sudden attack of acute pain ("striking", typical of radiculitis), first of all, it is necessary to weaken pain syndrome. Doctors advise:
  • Use light heat. Take a wool handkerchief or woolen belt.
  • Take an anesthetic;
Diseases of the kidneys - one of the possible causes of lower back pain

It is necessary to take a posture that allows you to relax your back muscles. It is recommended to lie on the back, on a solid smooth surface (board); Feet should be raised and bent in the knees, for which they need to put a rolled blanket or pillow. (It is undesirable to go to the floor, can blow up a draft).

The proposed posture is not a dogma. The patient should feel relief, therefore other poses are possible; For example, lying on the board to put on it the legs bent in the knees, closing the pillow between them. You can try to lie on the stomach and pull out the legs by laying the roller under the ankle joints. If the sharpness of the pain was removed, it does not mean that the doctor is no longer needed. Without proper treatment, the attacks will be repeated, and the situation as a whole is to worsen.

What doctor to deal with a complaint against the back of the lower back?

With the back pain, it is best to consult a doctor's doctor, because first of all it is required to determine what kind of organs cause pain. Depending on the results of the inspection, it may be necessary to consult a particular physician. Can be appointed:

The spine is a very complex bone system, which serves as a supporting axis of the body and provides snapshot. It reliably protects the spinal cord, ensures the correct location and operation of the internal organs. It is to him that all parts of the skeleton are attached.

The spine provides static stability and dynamic mobility of human body. It consists of several departments. Each of them has its own characteristics of the structure and the functions performed. One of these departments on which there are huge loads daily, it is customary to be called a lumbly-sacke of spine. The content of the article:

General information, restricted disease traummprofilax

General Information about the Department

As in the rest of the departments, there are vertebrae in the lumbosacral spine. Each vertebrae is distinguished the front and rear departments. Front section - the body of the vertebral, the structure of which is intended for easy folding of the vertebrae to the vertical design.

What to do with sharp back painBodies carry the main weight and oppose compressions. Rear department - an arc that protects the spinal cord. In addition, it serves to connect the vertebral motor segments. Behind the arc there are processes that serve to attach ligaments and muscles.

Each vertebra has 4 facetry joints, with which the adjacent vertebrae is associated. These joints provide the mobility of the spinal column.

As a result of the placement of the vertebrae, one over another of the arc is formed a hollow tube, called the cerebrospinal channel. It is there that the spinal cord coming from the brain. In all directions, nerve fibers are diverged from it. They form spinal nerves roots. The spinal cord ends at the level of the 2nd lumbar vertebra. The roots departing from it hang further inside the spinal channel and go out through the intervertebral holes.

Between the bodies of the vertebrae is intervertebral discs, which serve to combine the vertebrae and eliminate friction between them. They have the kind of rings with an embelting substance in the center (kernel). The ring of the disk consists of elastic fibrous fibers that are attached to the bodies of the vertebrae. These discs also perform the depreciation function during the movement of a person, providing the slide of the vertebrae.

In case of spinal injuries or frequent spinal overvoltages, the liquid kernel can flow through the fibrous ring cracks. At the same time, intervertebral hernias are formed, which pinch the nervous roots and cause pain.

Thus, the front range of the spine performs the role of support for the entire body, and the rear protects the spinal cord, controls the mobility of the vertebrae and fastens the vertebral motor segments.

Vertebral motion segment

The vertebral motor segment is a portion of the spine, which form 2 adjacent vertebra. Also there are a binder apparatus of these vertebrae, their joints, an intervertebral disk and the ocolopotchny muscles. Each such segment of 2 intervertebral holes, for which blood vessels and spinal nerves roots pass.

The lumbar section contains 5 such vertebral motor segments. In this case, the last segment is formed by the 5th lumbar and 1-sacral vertebrae.

Lumbar spine

small of the backThis spinal department consists of 5 vertebrae. In some cases, with lumbalization, it has 6 verteons, which is the option of the norm. The vertebrae of this department is indicated by the Latin letter L and the number corresponding to the sequence of the vertebra.

It is to the Lumbar Division that accounts for all the severity of the overlying spine. Because of this, the vertebrae has its own characteristics. All of them have a supporting part of large sizes, which increases from L1 to L5. It increases not only width, but also the height of the body of the vertebra.

Lumbar vertebrae have the most pronounced and massive processes. The central parts of the transverse processes are rudiments of ribs that merged with true transverse processes during evolution. At the base of these processes there are also small additional processes.

Ostial processes are located almost horizontally from behind almost at the level of vertebral bodies. Their ends are thickened and directed backwards. Such a location and structure of these processes is associated with the great mobility of the spine in this part.

Separately, select the vertebra L5. His body is in front of the back and has a clinoid form. Such a structure is necessary for the formation of lumbar lordosis.

Despite the fact that the intervertebral holes in this spine is wide enough, it is most often observed by pain syndrome due to damage to the roots. This is explained by the great mobility of the department and large loads on it. Exception is 5 vertebra. It is he who has the smallest intervertebral hole in the junction site with a sacrum, despite the fact that the corresponding spinal nerve has the greatest diameter among all the spinal nerves.

Sleepy spine

The sacral of the spine is represented by 5 surrounding vertebrae. They are denoted by S1-S5. The vertebrae of the department will not immediately. The fire starts at around the 14th and ends to 25 years. There are no rare cases when the crushes grows with 5 lumbar vertebra only after 25 years.

vertebraeThe vertebrae is called the sacral bone. It has a look of a pyramid directed down.

The base of the sacrum with its front edge forms an angle protruding, along with the vertebral L5. Based on there are 2 articular processes that are directed back and slightly to the side.

On the front of the sacral bone, transverse lines are notable - vertebral splicing places. At the edges there are pelvic sacrats, through which the spinal nerves come out.

The rear surface of the sacrum is covered with 3 scallops lines. They are formed by splicing by the rudiments of articular and ostic processes.

Inside the sacrum passes the continuation of the spinal channel, which ends with the bottom sacrum. This hole is essential in medicine. It is here that epidural blockade is carried out.

Thanks to this structure of the sacrilate department, intervertebral hernias practically do not occur in it.

Copchiki department


Figsy Department

The lumbar spine has a physiological bend forward, referred to as lumbar lordosis. It begins to form at child age since the start of straightening. Due to the displacement of the axis of the load of the Zada ​​under the conditions of the lumbar bending, circular springs are provided.

The sacral division has bending directed backwards. It is called sacral kyphosis.

These bends are very important for the whole body. Thanks to it, the depreciation properties of the spine are provided, mitigating the jokes when running and walking, which will remove the brain from damage when the body moves.

Comedy verteonsBundles

The department was strengthened with the following bundles: the rear longitudinal, supervising (absent at the level of 5-person-1 sacrilate vertebrae), cross-body, cross-sacral, cross-iliac, sacrochny-born, sacker, cork, yellow, etc.

All ligaments perform a very important role, since the vertebral pillar fixes and regulate the movements in it. They limit the slopes of the body to the side, back and forth, compensate for the displacement of the vertebrae.

Innervation department

Lumbar plexus formed by the weave of I-IV lumbar spinal nerves. It resembles a triangle shape with a top, directed along the bodies of the vertebrae. Lumbar plexus branches to terminal and collateral branches. The latter perform innervation of the square muscle of the lower back and large and small lumbar muscles. Terminal branches are represented by iliac-groove, iliac-pitual, femoral-sex, poor, locking nerves and the skin nerve of the thigh.

Personal plexus is formed by lumbar-sacral trunk and 1-3 sacral nerves. It is located under the pelvic fascia on the front of the body of the pear-like muscle. The sacrilant plexus has 1 terminal and 6 collateral branches, which in turn are separated into many nerves.

Diseases and injury

This spine department is most often subjected to a variety of damage and pathologies. The reason for this is the features of the functioning of the department. It is here that there is the greatest freedom of the movements of the vertebrae, which must be kept on themselves the whole mass of the overlying departments.

Also on this department accounts for the greatest load when raising and moving weights, with a long stay in a sitting position, when working in a bent position or associated with frequent bending and extension, etc.

Injuries may occur due to an unsuccessful fall from a height, lifting weights (for example, building collapse), as well as due to an accident. Spinal lesions in this department are very dangerous, as they can cause complete immobilization or even death.

  • vertebral pillarPain in the lumbar and sacral spine can occur not only because of injuries. Its reason can be:
  • vertebral instability;
  • disk protrusion;
  • intervertebral hernia;
  • osteochondrosis;
  • displays;
  • Lumbar kyphosis;
  • lumbago;
  • Lumbar-sacral radiculitis;
  • Facetic syndrome;
  • Fracture of the vertebra;
  • deforming spondylosis;
  • Ankylosing spondyloarthrosis;
  • spinal tumors;
  • osteomyelitis;
  • sciatica;
  • Fibromyalgia;
  • infringement of nerve roots;

Miostit and others.

In some cases, pain in the lower back does not indicate problems with spine. This is the so-called moving pain in diseases of the internal organs. Therefore, in case of even weak soreness or discomfort in the lower back, it is necessary to seek help from a doctor. It is based on the analyzes and research differentiates the disease and prescribes the appropriate treatment.

  • Risk factors for the development of diseases of the lumbar-sacrive department:
  • congenital anatomical features of the spine;
  • suffered injuries of the spinal column;
  • overweight;
  • high growth;
  • smoking;
  • weak physical development;

Psychological factors.

Prevention of diseased diseases

  • To avoid lumbar-sacrolling diseases, follow these recommendations:
  • monitor the posture and the right position of the body during operation and rest;
  • play sports: yoga, gymnastics, etc.;
  • try not to wear gravity;
  • Avoid drafts and supercooling;
  • evenly distribute gravity between hands;
  • sleep on an orthopedic mattress;
  • monitor weight;
  • get rid of bad habits;

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