Badly of back

The Dos represents the médiale part dorsal face of the trunk.

In popular speech, the badly of back , " badly of reins" generally indicate a low Lombalgie, sometimes a lumbar pain higher located or even dorsal average. The expression is regularly used to indicate a chronic disease known as common lumbago. Ambiguity comes owing to the fact that the pain is a clinical sign which can have several significances. However, the terms badly of back or lumbago are used frequently and wrongly as a diagnosis which recovers in fact of the extremely various situations whose assumption of responsibility can be very varied.

As a sign,

the lumbago directs: on a rachidian pathology, most frequently (and by far)

  • tumoral

  • infectious

  • degenerative:

  • déformative

  • congenital

  • Pain irradiated in particular syndrome of the lumbar hinge dorso

but also, on on a nonrachidian pathology

  • urologic:

pyelonephritis, lithiasis, dilation of the pyélocalicielles cavities…

  • will intra abdominal:

pathology hepatic, splenic, pancreatic, gastric…

  • gynaecological:

in particular uterine or annexielle pathology

Like diagnosis,

the chronic common lumbago generally recovers:

etiologies of the intervertebral discs:

  • Discopathie degenerative

  • posterior annular tear

  • instabilities: Spondylolisthesis isthmian or degenerative

attacks of the posterior arc, especially in hyperlordose

  • osteoarthritis inter articular posterior

  • contact inter thorn-bush

The pain of pure muscular origin is known little about and discussed

the degenerative discopathies are extremely frequent; the painful mechanism is badly known

Treatment of the chronic lumbagos:

It depends on the diagnosis, in particular instabilities have different methods.

It rests on the fact that active muscular stabilization controls and cancels the pain in the majority of the cases, even in the event of severe anatomical attack.

  • girdles lumbar baleinée in the event of painful crisis

  • specific Rééducation gifts the goals are:

    • easing (ischio leg)

    • reinforcement spinal

    • abdominal reinforcement

interventionnel treatment

The injections will intra of the intervertebral discs various (corticoids, electrotherapy will intra of the intervertebral discs…) were not the proof of their effectiveness, and especially are being the proof of their inefficiency.

surgical treatment

It is reserved for patients who have a functional repercussion, somatic and social important:

  • functional: impossibility of the epic of the daily life

  • social: impossibility of following an occupation, impossibility of social operation

  • somatic: daily catch of Opiated illicit S, sometimes substances

The surgical treatment is addressed to voluntary patients, informed, and who moreover accepted the loss of the secondary benefit of chronic pathology…

  • Technical:

    • Arthrodèse : consist in immobilizing to it (them) painful segments

    • Prosthesis of the intervertebral discs, in the course of evaluation

See too

  • http://www.livrespourtous.com/component/option,com_bookmarks/Itemid,1/task,detail/id,944/

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