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Это **не самостоятельное заболевание**, а симптом, который сопровождает различные патологии позвоночника [2](https://7010303.ru/articles/zabolevaniya/lyumbago/)[8](https://tkachevmoscow.ru/articles/prostrel-v-poyasnitse). \n\nПриступ возникает внезапно, обычно после резкого движения, поднятия тяжестей или наклона [6](https://smartclinicspb.ru/zabolevaniy/prostrel-v-poyasnicze-prichiny-vozniknoveniya-vozmozhnye-oslozhneniya-i-lechenie/).\n\n\n\n## Причины\nНекоторые причины люмбаго: \n* **Дегенеративные изменения позвоночника** (остеохондроз) — межпозвоночные диски теряют эластичность, истончаются, что создаёт повышенное давление на нервные корешки [6](https://smartclinicspb.ru/zabolevaniy/prostrel-v-poyasnicze-prichiny-vozniknoveniya-vozmozhnye-oslozhneniya-i-lechenie/). \n* **Межпозвоночная грыжа** — протрузии и грыжи дисков в поясничном отделе могут сдавливать нервные окончания [6](https://smartclinicspb.ru/zabolevaniy/prostrel-v-poyasnicze-prichiny-vozniknoveniya-vozmozhnye-oslozhneniya-i-lechenie/). \n* **Мышечные спазмы** — возникают из-за перенапряжения, неправильного подъёма тяжестей или длительного нахождения в неудобной позе [6](https://smartclinicspb.ru/zabolevaniy/prostrel-v-poyasnicze-prichiny-vozniknoveniya-vozmozhnye-oslozhneniya-i-lechenie/). \n* **Травмы позвоночника и мышц** — ушибы, падения могут привести к повреждению мышц, связок или позвонков, что вызывает воспаление и спазмы [6](https://smartclinicspb.ru/zabolevaniy/prostrel-v-poyasnicze-prichiny-vozniknoveniya-vozmozhnye-oslozhneniya-i-lechenie/). \n* **Переохлаждение и воспалительные процессы** — внезапное воздействие холода или инфекция могут вызвать воспаление нервных окончаний или мышц, что провоцирует острую боль [6](https://smartclinicspb.ru/zabolevaniy/prostrel-v-poyasnicze-prichiny-vozniknoveniya-vozmozhnye-oslozhneniya-i-lechenie/).\n\n## Симптомы\n**Главный симптом** — приступообразная и интенсивная боль в области поясницы [3](https://bogolubov.center/about/news/articles/lyumbago). Характер боли — пульсирующий, острый, она настолько сильная, что человек застывает на месте или даже падает [3](https://bogolubov.center/about/news/articles/lyumbago). Приступ продолжается от нескольких минут до суток [3](https://bogolubov.center/about/news/articles/lyumbago). \n\n**Дополнительные признаки**: \n* ограничение двигательной активности вплоть до полной неподвижности [3](https://bogolubov.center/about/news/articles/lyumbago); \n* напряжение мышц поясницы и ягодиц до деревянистой плотности [3](https://bogolubov.center/about/news/articles/lyumbago); \n* невозможность согнуть поясницу из-за мышечного спазма [3](https://bogolubov.center/about/news/articles/lyumbago); \n* вынужденное положение тела в попытках облегчить боль [3](https://bogolubov.center/about/news/articles/lyumbago).\n\n## Диагностика\nДиагностикой и лечением люмбаго занимается невролог [2](https://7010303.ru/articles/zabolevaniya/lyumbago/)[3](https://bogolubov.center/about/news/articles/lyumbago). Для уточнения диагноза могут назначить: \n* рентгенографию позвоночника в двух проекциях для выявления костных повреждений [3](https://bogolubov.center/about/news/articles/lyumbago); \n* КТ и МРТ поясничной области [3](https://bogolubov.center/about/news/articles/lyumbago); \n* миелографию — процедуру для оценки состояния спинного мозга [3](https://bogolubov.center/about/news/articles/lyumbago); \n* электронейромиографию для оценки состояния нервов и мышц [3](https://bogolubov.center/about/news/articles/lyumbago).\n\n## Лечение\n**Цель лечения** — устранить причину появления болевых приступов, то есть воздействовать на основное заболевание [3](https://bogolubov.center/about/news/articles/lyumbago). 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