Symptoms
The lumbar spine syndrome (lumbar spine syndrome) describes a collection of different complaints in the area of the lumbar spine. These symptoms either affect the region of the lumbar spine itself or originate from this region and can radiate to the coccyx. Symptoms in this region are more frequent than in other areas of the spine because the lumbar spine is subject to particular stress.
Affected patients often describe that the pain is sudden and its intensity depends on the position in which they are currently standing. Through certain behavior of the patient the pain can be felt stronger or weaker, for example when walking or sitting. In addition to this, the intensity of the symptoms can be increased with:.
The pain itself is often described as dull pain, less often as stabbing pain. The most common cause of this sudden, stabbing pain is lumbago, which is often caused by a previous misalignment of the lumbar spine and then suddenly becomes very painful during a certain movement.The most common cause of lumbago is jerky movements, heavy lifting or bending. If the symptoms begin rather insidiously, this indicates increased wear (degeneration) of the lumbar spine.
This can affect vertebral joints, ligaments and muscles equally. Other causes, such as inflammation, tumors or malformations, are less frequently found to be the cause of lumbar spine syndrome (lumbar spine syndrome). In addition, although the pain may be localized in the lumbar spine area, it may originate in the internal organs (e.g. uterus, pancreas or bladder).
This is also rather rare, but requires more precise clarification in order to be able to detect malignant neoplasms (carcinomas) at an early stage.
- Cough
- Sneezingor
- Presses
The symptoms of lumbar spine syndrome (lumbar spine syndrome) are usually located in the lumbar spine itself, but can also be located above or below the lumbar spine. The symptoms rarely radiate to the extremities (legs).
If the pain does radiate to the extremities, the sciatic nerve (sciatic nerve) is often also affected. This subform of the lumbar spinal syndrome is called lumboischialgia or lumbar root syndrome by doctors. If the symptoms radiate into the legs as described above and additional symptoms such as: are observed, a doctor should be consulted urgently.
If bladder and bowel emptying disorders occur in addition or in isolation, this is particularly alarming and should therefore be clarified as an emergency. These complaints are often accompanied by an acute herniated disc, making surgical intervention necessary to relieve the nerves in the spinal cord. In addition to back pain, increased sweating at night can also occur.
It is not uncommon for patients to sweat so heavily that a change of bed linen is unavoidable. If, in addition to the back pain, fever attacks occur, an inflammatory disease of the lumbar spine (e.g. spondylodiscitis) must be clarified directly. This is a medical emergency.
- Deafness
- Tingling or
- Symptoms of paralysis
Pain in the lumbar spine syndrome manifests itself as back pain in the lumbar spine (lumbar spine), which can radiate into the coccyx, the legs and even into the feet. Pain in the lumbar spine syndrome is of a pulling, stabbing or dull pressing character of varying intensity and is characterized by a sudden, abrupt occurrence. The pain can become chronic, i.e. it can persist for a long period of time.
In addition to the pain, lumbar spinal syndrome can cause other complaints such as sensory disturbances, for example numbness, formication or tingling, as well as a reduction in strength in the legs. Pain in the context of a lumbar spine syndrome should definitely be treated, as otherwise movement can be avoided and in the long term, the back can become incorrectly positioned. In most cases, preparations from the group of non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, diclofenac or naproxen are used to relieve pain in the lumbar spine syndrome.
In the case of intolerance or contraindications to NSAIDs, paracetamol can be used as an alternative, which also has an analgesic effect via a different mechanism than NSAIDs. If the pain in lumbar spinal syndrome does not respond to the above-mentioned drugs, stronger painkillers from the group of opioids, such as morphine or tramadol, must be used. When patients complain of back pain, they are generally referring to pain in the lumbar spine.
Alternatively, the term problems with the spine or back problems is also used for a lumbar spine syndrome. Usually the pain is perceived as dull or pulling. In some cases this pain can radiate into the legs. This form of back pain is also known as lumboischialgia.
