How dorsalgia causes depression?

The dorsal spine is reinforced by a series of muscles that tend to contract, causing persistent and diffuse pain, fibrosis, and muscle spasm it’s  known as dorsalgia.                                           

What does “Dorsalgia” mean?

Dorsalgia means back or spine pain, including low back, mid-back, and sciatic pain. Back pain can range from a muscle aching to a shooting, burning, or stabbing sensation. 

However, the pain may radiate down your leg and worsen with bending, twisting, lifting, standing, and walking.

What is the link between dorsalgia and depression?

Dorsalgia causes several problems leading to depression, such as sleeping and stress. Disabling pain can cause low self-esteem due to work or participating in social activities and hobbies. 

Major depression is four times greater in people with dorsalgia than in general. However, a combination of chronic back pain and depression was associated with greater disability than either depression or chronic back pain alone.

How is depression common for those with back pain?

Depression is common in patients with chronic back pain.                                                           However, Symptoms might include the following:

  • Difficulty in sleeping.
  • Bowel or bladder problems.
  • Weakness.
  • Numbness or tingling.
  • Distracting pain.

Understandably, these symptoms accompanying chronic back pain may lead to feelings of despair, hopelessness, and other signs of clinical depression.

How does dorsalgia cause Stress?

Dorsalgia and Stress:

When you suffer from dorsalgia, you become mentally stressed. In turn, mental stress makes your muscles tighten up. It only makes the pain worse.

However, Even acute back pain causes emotional stress. But when you suffer for a long time, your brain switches from pain processing to emotion processing. It’s like your brain acts like a switchboard. Your brain needs a break from the ongoing pain. Clinical research shows this often leads to emotional disorders.

What causes Dorsalgia?

Conditions commonly linked to back pain include:

  • Sciatica.
  • Ligament strain.
  • Tumors.
  • Muscle spasm.
  • Arthritis.
  • Herniated Disk.
  • Osteoporosis.

What is the major cause?

Although all of the above causes are valid for dorsalgia, Herniated disk and sciatica are major causes.

Sciatica: 

Sciatica is a term used to describe nerve pain caused by irritation or compression of the sciatic nerve. It originates in the lower back, radiates deep into the buttock, and travels down the leg. Also, you may experience mild to severe pain anywhere along the sciatic nerve path.

It usually affects only one leg at a time. Also, it can occur in both legs at the same time. Acute sciatica resolves within 1 – 2 weeks. In some cases, Home remedies may be adequate for relieving sciatica pain.                                                                                                         

However, certain patients may develop chronic sciatica pain, which may wane but remains present over many years.

Herniated Disk:

Discs act as cushions between the bones in your spine. The soft material inside a disk can bulge or rupture and press on a nerve.

However, you can have a bulging or ruptured disk without back pain. Disk disease is often found when you have spine X-rays for some other reason.

The primary goal of treatment for each patient is to help relieve pain and other symptoms resulting from the herniated disc. However, treatments focused on pain relief, such as medications, may help patients with herniated disks. 

What is the Diagnosis?

Your doctor will examine your back and assess your ability to sit, stand, walk and lift your legs. Your doctor might also ask you to rate your pain on a scale of zero to 10 and talk to you about how well you’re functioning with your pain.

These assessments help determine where the pain comes from, how much you can move before pain forces you to stop, and whether you have muscle spasms. They can also help rule out more serious causes of back pain.

If there is reason to suspect that a specific condition is causing your back pain, your doctor might order one or more tests:

  • X-ray. These images show the alignment of your bones and whether you have arthritis or broken bones. 
  • MRI or CT scans. These scans generate images that reveal herniated disks or problems with bones, muscles.
  • Blood tests. These can help determine whether you have an infection or other condition causing your pain.
  • BIn rare cases, your scan: Your doctor might use a bone scan to look for bone tumors or compression fractures caused by rare cases.
  • Nerve studies. This test can confirm nerve compression caused by herniated disks or narrowing of your spinal canal.

How can we treat Dorsalgia?

Treatments may include the following:

Medications:

Depending on the type of back pain you have, your doctor might recommend the following:

  • Over-the-counter (OTC) pain relievers: Nonsteroidal anti-inflammatory drugs, such as ibuprofen or naproxen sodium, may help relieve back pain. 
  • Muscle relaxants. If your back pain doesn’t improve with pain relievers, your doctor might prescribe a muscle relaxant. However, Muscle relaxants can make you dizzy and sleepy.
  • Antidepressants. Some antidepressants, such as amitriptyline, have relieved chronic back pain.

Physical therapy:

Physical therapy is a first-line treatment for responding to backache associated with dorsalgia. Your physical therapist may recommend stretches or exercises to treat dorsalgia. However, In some cases of chronic back pain, physical therapy can be more effective than surgery.

Ice Pack or Heating Pad:

Heat and ice may also help ease painful muscle spasms because they can immediately relieve sciatic nerve pain. It can help reduce inflammation, while heat encourages blood flow to the painful area. Apply an ice pack to the painful area for 15 minutes once every hour, and then apply heat for 15 minutes every 2 or 3 hours.

However, always use a barrier to protect your skin when using heat or ice, and never sleep while using heat or ice therapy.

Cortisone injections:

If other measures don’t relieve your pain, your doctor may inject cortisone — a strong anti-inflammatory drug into your spinal nerve. However, A cortisone injection helps decrease inflammation around the nerve roots, but the pain relief usually lasts only a month or two.

Botox: According to some early studies, Botox is thought to reduce paint rusted Source by paralyzing sprained muscles in spasms. These injections are effective for about 3 to 4 months.

Traction: Pulleys and weights are used to stretch the back. This may result in a herniated disk moving back into position. It can also relieve pain, but only while traction is applied.

Cognitive-behavioral therapy (CBT): CBT can help manage chronic back pain by encouraging new ways of thinking.

Surgical procedures:

If you have unrelenting pain associated with radiating leg pain or progressive muscle weakness caused by nerve compression, you might benefit from surgery. 

However, These are the less conservative treatments if medications or other therapies are not working. These include microdiscectomy, electrical stimulation, artificial disc replacement, spinal fusion, and vertebroplasty.

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