What to do if your lower back hurts when bending over and walking

Lower back pain is often referred to by terms such as lumbago or lumbodynia. Lumbago or “lumbago” is an attack of acute pain in the lower back, which is usually associated with hypothermia and stress. Lumbago occurs in many people and is often the cause of temporary disability. Often the cause of lumbago can be sports injuries or sprains, but sometimes the factor that triggers the pain remains unknown. Lumbago is characterized by pain without radiating to the legs. Low back pain (lumbago) may appear acutely and gradually progress throughout the day. Stiffness often occurs in the morning and gradually the stiffness turns into pain. Curvature of the spine (antalgic scoliosis) as a result of muscle spasm is also possible. The pain itself can be caused by muscle spasm, which in turn is associated with other causes. This could be overuse or sprained ligaments, sports injuries, herniated discs, spondyloarthrosis (spondylosis), kidney disease (infections or kidney stones). Sometimes the patient accurately determines the cause-and-effect relationship between the onset of malaise and stress, hypothermia, but often the pain appears without obvious reasons. Sometimes lower back pain can appear even after sneezing, bending over, or when putting on shoes. This can be caused by deforming diseases of the spine, such as scoliosis.

Unlike lumbago, the term lumbodynia refers to pain that is not acute, but subacute or chronic. As a rule, pain with lumbodynia appears gradually over several days. Pain may also occur in the morning and may decrease with physical activity. Lumbodynia is characterized by increased pain during prolonged static loads (sitting, awkward body position). It is also characteristic of lumbodynia that the pain decreases when lying down in a certain position. Patients with lumbodynia have difficulty performing normal activities such as washing or putting on shoes due to muscle spasms. Due to the disease, there is a decrease in the range of movements of the body (bending forward or, to a lesser extent, bending to the side or extension). Due to pain, the patient often has to change position when it is necessary to sit or stand. Unlike lumbago, muscle spasm is less pronounced and, as a rule, does not cover the entire lower back, and there are often signs of spasm predominance on one side.

Main causes of lower back pain

The overwhelming number of visits to the doctor with such a complaint are associated with pathology of the lumbar spine - with degenerative-dystrophic changes in the osteoarticular apparatus of the back. However, the pain may be caused by diseases of an infectious-inflammatory or other nature. Let's take a closer look at them.

Ankylosing spondylitis

Another name is ankylosing spondylitis (spondylitis). One of the systemic connective tissue diseases. Characterized by non-infectious inflammation of the spinal structures. The vertebrae gradually fuse with each other, which limits the range of movements in the affected area - ankylosis is formed. The paravertebral ligaments ossify. Gradually, the spinal column completely loses the ability to bend and turns into one solid bone.

It debuts in young people, the first symptom is pain in the back, in the lumbar region of the back, which, as the pathology progresses, spreads to other parts of it. At first they occur only from time to time, but very soon they become permanent, decreasing temporarily only after taking the drug.

Shpidonov Gennady Stanislavovich

Neurologist

Rostov State Medical University (neurology)

10 years of experience

Other characteristics of pain:

• accompanied by a feeling of stiffness of movements;
• more pronounced in a state of rest, especially painful in the second half of the night, in the morning;
• their intensity decreases after active movements - physical exercise, as well as after taking NSAID medications.

It is accompanied by damage to joints located remote from the spine - morning stiffness occurs in them, and during exacerbation there is intense pain, swelling and hyperemia (redness) of the soft tissues around them.

Hernia and osteochondrosis

Osteochondrosis is characterized by malnutrition and subsequent destruction of the cartilage tissue of the intervertebral discs, hernial protrusion of the latter towards the spinal canal, the formation of marginal growths of bone tissue in the areas adjacent to the affected discs, as well as arthrosis of the spinal joints.

All these changes lead to the appearance of dorsalgia - a constant aching or shooting acute pain in the lower back, often radiating (radiating) to the buttock area, to the legs, accompanied by weakness of the limbs and numbness. Locally at the site of the lesion, it is possible to palpate (feel) the tense paravertebral muscles, and the patient at this moment notes an increase in discomfort. Pinching of the nerve roots by a spasmodic muscle is accompanied by a burning sensation, tingling, numbness or a feeling of “crawling goosebumps”.

Intervertebral hernia is a complication of osteochondrosis, in which a fragment of the intervertebral disc protrudes or falls into the spinal canal. At an early stage it is asymptomatic, but as it progresses it leads to gradually increasing frequent back pain and limited range of motion in the affected part of the spine.

Unpleasant sensations intensify with high physical activity, static load on the lower back (during a long stay in a standing or sitting position), limit movements, and sometimes there are “lumbagoes” radiating to one or both buttocks and lower limbs. Severe hernias are accompanied by decreased sensation in the legs, which does not recover after rest, as well as dysfunction of the reproductive system and pelvic organs.

Kyphosis and scoliosis

With curvature of the spine, the back also hurts in the lumbar region. According to its anatomy, the spinal column is not a strictly straight structure, it has physiological curves: forward - cervical and lumbar lordosis, backward - thoracic and sacral kyphosis. The bends are necessary to ensure that the load is distributed evenly across the vertebrae; they help the post to absorb shock during movements.

In some congenital diseases, the curves are formed incorrectly; changes in their depth can also be observed in a number of acquired pathologies. Lumbar lordosis is often smoothed out against the background of spondylitis and spondyloarthrosis (degenerative-dystrophic and inflammatory processes in the joints between the vertebrae). Kyphosis also forms due to injury.

Lumbar scoliosis (sideways curvature) develops in response to curvature of the thoracic spine compensatory (the body strives to gain stability and distribute the load more evenly). Visually, it is manifested by an S-shaped back, asymmetry at the waist and shortening of the lower limb. Lumbar scoliosis is a fairly rare condition - the curvature develops mainly in the thoracolumbar column.

The initial stages of kyphosis and scoliosis occur without any symptoms. As the disorders progress, the patient notes fatigue of the back muscles, especially towards the end of the working day, periodic pain appears, which later becomes constant. By nature, these are unpleasant, dull, pressing or aching pains, more pronounced during exercise, less so after rest.

Spondyloarthrosis

A degenerative-dystrophic disease characterized by the destruction of articular cartilage in the vertebrae and the formation of bone growths on them - osteophytes. As a result, the spinal canal narrows to the point that in some areas the spinal cord begins to be compressed. In recent years, spondyloarthrosis has become significantly younger - it develops in people who have reached 30-35 years of age, but more often in mature and elderly people.

The signs are:

• chronic low-intensity or moderate-intensity pain at the lumbar level, spreading to the buttock, hip joint area on the right or left, intensifying with exercise, as well as during walking or long standing, decreasing after rest;
• palpation - muscle tension and soreness at the site of the lesion;
• decreased mobility of the spine;
• when the spinal cord is compressed - numbness, weakness of the lower extremities, dysfunction of the pelvic organs.

Protrusion

It is characterized by the appearance of an unnatural protrusion of the intervertebral disc while maintaining the integrity of its fibrous ring. It is a consequence of the progression of osteochondrosis and other degenerative diseases. If timely assistance is not provided to the patient, it leads to the formation of a hernia.

Factors provoking the development of protrusion:

• spinal injuries;
• increased load on the lower back as a result of a person’s excess weight or work associated with heavy physical labor or heavy lifting;
• multiple microtraumas of the intervertebral disc;
• weakness of the back muscles;
• sedentary lifestyle;
• heredity.

Manifestations of this pathology are:

• feeling of discomfort, tension, chronic pain in the affected area of ​​the back
• decreased range of motion in the area of ​​protrusion;
• chilliness, numbness, discomfort in the lower extremities.

Arthritis

Arthritis of the joints of the spine is a fairly rare problem, but its occurrence significantly affects human health. This is an inflammatory process of an infectious or non-infectious nature, which is accompanied by pain in the affected joints. It can be chronic, being dull and aching, or be acute, sharp, severe, taking on the character of lumbago in the lower back that occurs after overwork or hypothermia. There is pronounced stiffness in the back after a long stay at rest in one position.

Osteomyelitis

A serious disease of a bacterial nature, characterized by purulent-necrotic inflammation of bone tissue. Initially, it is acute in nature - a paroxysmal, sharp, bursting pain appears, which, if left untreated, becomes chronic - its intensity decreases, its character changes to aching, dull, constant. These sensations are more pronounced when moving, but at rest they also persist and do not go away completely. There are also manifestations of general intoxication of the body - low-grade fever (slight increase in body temperature), weakness, fatigue, headache, sweating.

Pancreatitis

It is also accompanied by back pain: if the head of the pancreas is affected, it hurts in the right hypochondrium, the body - in the epigastrium (upper abdomen in the middle), the tail - in the left hypochondrium. If the inflammatory process affects the entire gland completely, the pain is characterized as girdling, radiating to the lower back, groin area, and perineum. It occurs after eating or physical activity, it can be pulling, cutting, stabbing, and sometimes occurs in the form of severe attacks.

Spinal stenosis

It is a complication of protrusion or herniation of the intervertebral disc. These pathological formations compress the roots of the spinal nerves, causing disruption of their function: numbness, weakness, tingling, dim comfort along the nerve. The pain is also observed at rest, and when a person walks, it intensifies when trying to straighten the back, and decreases when bending it forward.

Facet syndrome

It occurs as a consequence of degeneration of facet (formed between the articular processes) joints, which, in turn, develops against the background of pathology of the intervertebral discs. Damage to the discs leads to an increase in the load on the facet joints - inflammation is initiated in them, and then spondyloarthrosis - degeneration. This pathology affects 4 out of 5 patients aged 80 years and older.

Shpidonov Gennady Stanislavovich

Neurologist

Rostov State Medical University (neurology)

10 years of experience

Pain occurs locally in the area where the affected joints are located, intensifies when bending the body or during rotation in the lower back, as well as during prolonged standing and when changing body position from sitting to lying down and vice versa. It can radiate to the groin, buttock, lower limb on the affected side, and be cramping. Morning stiffness lasting up to an hour is typical, with an increase in the strength of unpleasant sensations towards the end of the day.

Symptoms

Pain in the lumbosacral region is the main symptom of lumbago, lumbodynia, and lumbar ischialgia.

• The pain may radiate down the front, side or back of the leg (lumbar ischialgia), or it may be localized only to the lower back (lumbago, lumbodynia).
• The feeling of lower back pain may intensify after exercise.
• Sometimes the pain may be worse at night or when sitting for long periods of time, such as during a long car ride.
• There may be numbness and weakness in the part of the leg that is in the area of ​​innervation of the compressed nerve.

For timely diagnosis and treatment, a number of criteria (symptoms) deserve special attention:

• Recent history of trauma, such as a fall from a height, a traffic accident, or similar incidents.
• The presence of minor injuries in patients over 50 years of age (for example, a fall from a small height as a result of slipping and landing on the buttocks).
• A history of long-term use of steroids (for example, these are patients with bronchial asthma or rheumatological diseases).
• Any patient with osteoporosis (mostly elderly women).
• Any patient over 70 years of age: at this age there is a high risk of cancer, infections and diseases of the abdominal organs, which can cause lower back pain.
• History of oncology
• Presence of infectious diseases in the recent past
• Temperature over 100F (37.7 C)
• Drug use: Drug use increases the risk of infectious diseases.
• Lower back pain intensifies at rest: as a rule, this type of pain is associated with oncology or infections, and such pain can also occur with ankylosing spondylitis (Bechterew's disease).
• Significant weight loss (without obvious reasons).
• The presence of any acute dysfunction of the nerve is a signal for urgent medical attention. For example, gait disturbances and foot dysfunction are typically symptoms of acute nerve injury or compression. Under certain circumstances, such symptoms may require emergency neurosurgery.
• Bowel or bladder dysfunction (both incontinence and urinary retention) may be a sign of an emergency that requires emergency treatment.
• Failure to respond to recommended treatment or increased pain may also require seeking medical help.

The presence of any of the above factors (symptoms) is a signal to seek medical help within 24 hours.

Localization of pain in the lumbar region

By the location of the pain, one can indirectly judge its possible cause. But it is important to understand that this is just a guess and does not replace consultation with a doctor.

Pain above the lower back, but below the shoulder blades

It may be based on:

• diseases of the lower thoracic and/or lumbar spine of a degenerative-dystrophic, traumatic or other nature;
• osteoporosis;
• muscle pathology (tension, spasm of muscle fibers);
• benign and malignant neoplasms (tumors);
• diseases of the digestive system (pancreatitis).

Pain below the waist

Can talk about the following diseases:

• osteochondrosis of the lumbosacral spine;
• osteoporosis;
• diseases of the gallbladder, intestines;
• pathology of the genitourinary system (pyelonephritis, urolithiasis, inflammation of the ureters).

In women, this symptom may be accompanied by a complicated pregnancy (for example, one with a threat of miscarriage), premenstrual syndrome, and menstruation itself.

Lower back pain that occurs when internal organs are damaged is called referred pain. They are secondary in nature and are accompanied by other symptoms:

• abdominal discomfort;
• bloating;
• nausea, vomiting;
• bowel dysfunction (frequency, constipation);
• increased or difficult urination, pain during urination;
• increase in body temperature.

If there are no other symptoms, and pain occurs after a long stay in one position, heavy lifting or long walking, it is probably associated with problems in the musculoskeletal system, and you should first undergo an examination to exclude this particular cause.

Left lower back pain

Sudden, acute pain in the left side, radiating to the left shoulder blade, the left half of the neck, may be a manifestation of myocardial infarction, requiring emergency treatment. Also, a sudden sharp (“dagger”) pain in this area of ​​a piercing, cutting nature is a sign of perforation of a stomach ulcer. This is a dangerous, even life-threatening condition that you need to be aware of in order to begin treatment as early as possible.

In other cases, this symptom is a sign of a pathological process of the musculoskeletal system:

• posture disorders;
• osteochondrosis;
• radiculitis, radiculopathy.

More often it is aching, occurs during a sedentary lifestyle, after physical activity on the lower back (long walking, sitting), and does or does not go away after rest.

Right lower back pain

Cramping or dull, aching pain may be a sign of kidney disease or reproductive system disease.

A gradually increasing intensity of sensations and pain when touching the affected area indicate the presence of an inflammatory process of an infectious or non-infectious nature.

Sharp, acute pain, like being hit with a dagger, that occurs suddenly is a symptom of perforation of a stomach or duodenal ulcer, internal bleeding, or rupture of the appendix.

Pulling sensations originating in the spine and spreading to the right side are a sign of muscle strains, radiculopathy or other diseases of the musculoskeletal system.

Lower back pain when coughing

The main reasons are the following:

• osteochondrosis;

• facet syndrome (if you relax the muscles on the affected side, reduce the load on the damaged joints, leaning towards them, the intensity of the discomfort decreases);
• herniated disc in the lumbar spine (usually accompanied by decreased sensitivity of the lower extremities or dysfunction of the pelvic organs);
• stenosis (narrowing) of the spinal canal (accompanied by intermittent claudication, impaired sensitivity and movement in the legs);
• radiculopathy;
• kidney diseases.

Types of pain

The first thing the doctor asks about is the nature of the sensations. Depending on the cause that caused it, lower back pain can be:

• acute: usually occurs abruptly and is characterized by high intensity; the duration of sensations is no more than 1.5 months;
• subacute: lasts 6-12 weeks;
• chronic: sensations of any intensity, lasting 12 weeks or more;
• transient (variable): appears periodically;
• aching;
• dull;
• strong, medium intensity, weak.

This division is conditional. Depending on the situation and circumstances, the nature and duration of sensations may vary. It is important to describe them to the doctor as fully as possible.

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Types of severe back pain that radiates to the legs

When describing what back pain means, we want to focus on this sensation radiating to the legs. Usually it occurs when the nerve roots are damaged - when they are pinched by a spasmodic muscle or damaged by osteophytes, however, depending on the nature of the discomfort, a connection can be found with other pathologies.

Severe pain

They radiate to the legs, back of the foot, and sometimes affect the sacral spine. In most cases, they are caused by compression of the sciatic nerve by the fibers of the spasmodic piriformis muscle; they intensify when bending over, walking, or during coughing. If compression persists for a long time, atrophic processes in the gluteal muscle on the affected side are possible.

Osteochondrosis may also be the basis of this symptom. Accompanied by numbness of the limbs and a crawling feeling.

Acute pain

Arising suddenly, extending to the outer side of the thigh, they are a manifestation of the onset of an intervertebral hernia or neuropathy of the lateral cutaneous nerve of the thigh. They are also characterized by a burning sensation, numbness, tingling, crawling, and weakness of the thigh muscles.

Drawing, aching pain

If they radiate to the buttock and thigh, then they indicate the possible presence of an intervertebral hernia, disc protrusion, ankylosing spondylitis, subacute inflammation of the sciatic nerve in the lumbar region, or, less commonly, a spinal cord tumor.

Chronic pain

They are also a consequence of secondary damage to the sciatic nerve in degenerative-dystrophic diseases of the lumbosacral spine, protrusions or herniations of intervertebral discs. They become more intense after physical activity on the lower back, prolonged sitting or lying on an uncomfortable surface, and a sedentary lifestyle.

Displaced pains

They are also called reflected. They occur secondarily when the pathological process is localized in the pelvic organs - the ovaries, fallopian tubes in women, the prostate in men, as well as in the case of damage to the organs of the urinary system or rectum.

How not to sit

Often we don’t notice how we change our posture to a more comfortable one, causing harm to our back. The first signal that your posture is incorrect should be the appearance of discomfort. This may be numbness of the limbs, tingling caused by impaired blood circulation, headaches.

We invite you to familiarize yourself with the most common poses that KIT clinic specialists call uncomfortable and unhealthy for the back when held in them for a long time:

1. Sitting in which the legs (feet, hips) are tense.
2. A leg crossed over the other leg.
3. Hands hanging in the air without strong support.
4. Elbows pulled back.
5. Reading reclining on the sofa.
6. Using a chair without a back or a stool for long periods of sitting.
7. The location of the screen or monitor is too close or far away, causing you to lean forward or lean back.
8. Indirect direction of gaze (to the side, up).

Particular attention should be paid to the posture of children and adolescents. During puberty, children develop bones; any deviations can lead to problems with the spine in the future. Therefore, it is important for parents to teach children to sit correctly and regularly stop attempts to take one of the incorrect positions listed above, do not allow them to sit for a long time at the computer without moving, or read while lying in bed.

How is back and lower back pain diagnosed?

To make a preliminary diagnosis, the doctor talks with the patient:

• collects complaints (specifies what symptoms of back pain the patient still has);
• is interested in the history of this disease (when the first manifestations occurred, how they changed over time, what affects their intensity and what makes it easier);
• clarifies the life history as a whole (asks what other illnesses the patient had, what his close relatives suffered from).

Then the specialist will conduct an objective examination:

• will examine the affected area of ​​the body, paying attention to the color, cleanliness of its skin, sometimes “by eye” he will detect tense paravertebral muscles, and asymmetry of the spine, when the patient, trying to relieve sensations, takes a forced position;
• palpates (feels with fingers; in this way the doctor will assess the body temperature at the site of the lesion (an increase in it is a sign of an inflammatory process), find the place of maximum pain, detect a spasmed muscle or a deformed vertebra, and if the problem is localized in the abdomen, make a conclusion about which organ caused referred pain);
• if necessary, she will perform percussion or tapping (this method will help determine the lower border of the liver, stomach, kidneys in order to verify the possible pathology of these organs).

Shpidonov Gennady Stanislavovich

Neurologist

Rostov State Medical University (neurology)

10 years of experience

The data obtained at this stage is enough for the doctor to suspect a particular disease. To confirm the diagnosis, he will prescribe additional research methods to the patient:

• clinical blood test (will show the inflammatory process in the body, if any);
• general urinalysis (will exclude kidney pathology);
• Ultrasound of the abdominal organs, retroperitoneum and pelvis;
• radiography of the lumbosacral spine or other, more modern imaging methods (CT or MRI);
• consultations with specialists of other profiles.

Correct posture when sitting

Please read the recommendations carefully and try to follow them in the future. The correct posture for a sitting person is:

1. Straight spine, back resting on the back of the chair.
2. Head erect, chin slightly raised.
3. Shoulders back, slight arch in the lower back.
4. Feet placed on the floor or stand shoulder-width apart at a 90-degree angle (hips touching the bottom of the chair seat).
5. Elbows slightly apart, resting freely on the table surface.
6. Hands and forearms located on the same line.
7. Gaze directed forward or slightly lower (top edge of the monitor at eye level, documents, books on the table in front of the person sitting). The distance to the monitor should correspond to the distance of an outstretched arm.

This pose is the most correct and comfortable for a person, but it should still be changed every 30-60 minutes or a warm-up should be done. Remember that even a super ergonomic workplace will not save you. An office chair purchased for several tens of thousands of rubles, approved three times by orthopedists, will not make your back healthy. He'll just kill her more slowly, but he'll still kill her if you don't try.

If you experience frequent back pain or discomfort in the lower back, we recommend that you consult an orthopedic doctor or neurologist. Specialists from the KIT multidisciplinary medical center will give recommendations that will help you get rid of unpleasant sensations, tell you how to maintain your posture, select an exercise program and, if necessary, prescribe physical therapy. In case of severe pain, a thorough examination will be required to clarify the diagnosis and prescribe treatment.

How to relieve an attack of lower back pain?

If this symptom occurs as a manifestation of a spinal disease, you should:

• reduce the load on the spine as much as possible (ideally, lie on a flat, hard surface, first on your stomach, and after 5 minutes carefully roll over onto your back and raise your legs to reduce the tension on the nerves);
• apply an anti-inflammatory drug to the skin of the lower back, or inject an NSAID drug into the gluteal muscle, or take such a drug in tablet form (preferably not on an empty stomach);
• after the intensity of the sensations has decreased, carefully stand up and secure your lower back with a scarf or a special corset.

If back pain is reflected - arose against the background of somatic pathology, taking an antispasmodic will help alleviate the person’s condition. You should not apply heat to the area of ​​pain - it can aggravate the inflammatory process, if any.

Preventive measures

To minimize the likelihood of lumbar pain, it is necessary to follow preventive measures.

1. Do not lift excessive weights, but lift feasible ones correctly.
2. Do not make sudden physical movements.
3. Do exercises to strengthen the spine and muscles.

   
   Exercises to strengthen the lower back

4. Refuse the soft sleeping place, replacing it with a more rigid and anatomical one.
5. Maintain good posture.
6. Go swimming.
7. Eat right so that the menu contains vitamins, acids, fats and minerals, and unhealthy foods are consumed in minimal quantities.

   
   How to eat healthy

8. Do not abuse alcohol and do not smoke.
9. Sitting less, especially in uncomfortable positions.
10. When working sedentarily, do exercises periodically.

Orthopedic chair

Pigeon sitting on the table

Stretching on a sofa or chair

Bridge

These simple rules will help you avoid seeing a doctor for lumbar pain for as long as possible. And if they do arise, you should not try to cope on your own. Yes, often the pain goes away on its own in a matter of days, but it is also often a sign of a serious illness, the untimely treatment of which can lead to spinal surgery.

How to treat pain in the lumbar region?

Depending on the detected cause of back pain, the patient will be prescribed treatment. It can be conservative or surgical.

Conservative treatment is usually complex - includes a number of medications and physical therapy techniques.

Medicines from the following groups can be used:

• non-steroidal anti-inflammatory drugs in the form of injection solutions, capsules, tablets, gels, ointments, special patches (have an analgesic effect, reduce swelling, reduce the activity of the inflammatory process; not one, but several (two or three) can be prescribed to the same patient ) drugs of this group in different dosage forms);
• muscle relaxants (effectively relax a spasmed muscle);
• ointments and gels with local irritating action (reflexively reduce pain);
• B vitamins (used as part of complex treatment, improve metabolic processes in nervous tissue);
• antibiotics (if the process is based on bacterial inflammation);
• antispasmodics (if the cause is a disease of the abdominal or pelvic organs, which occurs with damage to the smooth muscle layer of their wall).

When the acute pathological process is eliminated, physiotherapy (massage, electrophoresis, magnetic, laser therapy) and physical therapy, gymnastics (for pathology of the musculoskeletal system) are added to the treatment.

Surgical treatment is recommended as an emergency measure for acute life-threatening conditions (perforation of a stomach ulcer), for cancer, or as a planned procedure for chronic processes in the spine that cannot be compensated for conservatively (severe hernias, protrusions, fractures).

General information

The lower back is an area that experiences significant stress due to being in an upright position. The spinal column is represented by five large vertebrae, which are additionally strengthened by a muscular frame. 9 out of 10 cases of pain in this area are provoked by pathology of the musculoskeletal system: osteochondrosis, muscle spasm, herniated disc, pinched nerve root.

The remaining 10% of cases are associated with diseases of internal organs located in the lumbar projection: kidneys, genitourinary system, intestines, liver. Even a doctor during an examination cannot always accurately determine the cause of pain, which is why this condition requires careful laboratory and instrumental diagnostics.

Treatment at the Energy of Health clinic

If you are experiencing back pain, welcome to the Health Energy clinic! Here you will find experienced doctors of various specialties, as well as modern diagnostic equipment that will help you accurately determine the cause of pain. When choosing treatment, we are guided by the principle of an integrated approach and use:

• modern drug regimens, selected individually;
• drug blockades to quickly relieve pain and restore mobility;
• a variety of physiotherapy courses for the treatment and prevention of diseases;
• your own exercise therapy room, where they will select a set of therapeutic exercises for you, teach you how to perform the exercises correctly, and help you organize daily exercises at home;
• massage room, where restorative and therapeutic massage of the lumbar region and the whole body is available;
• acupuncture and manual therapy sessions.

Together we will find an approach to treating any pathology. You will be monitored by specialized specialists throughout the course of therapy.