Home / 健康 / 健康全般 / 腰痛 / ぎっくり腰の判断基準と処置
医者、男
医者、男

ぎっくり腰の判断基準と処置

医師

ぎっくり腰は年配の人ばかりがなるもので、放っておけば治ると思っていませんか。ぎっくり腰はどの年代にも起こりえる腰痛です。しかも、最初の処置を間違えば慢性化する危険性や、酷いときには命の危険にもさらされます。

ぎっくり腰の7割は筋肉や周辺組織の炎症が原因ですが、それ以外のものと区別する術を持っていますか?また、ぎっくり腰治療に必要な知識を知っていますか?

そこで、本記事ではぎっくり腰の応急処置や間違えやすい病気をご紹介していきます。正しいぎっくり腰の対処方法を知り、突然起こるぎっくり腰を処置していきましょう。

スポンサーリンク

ぎっくり腰とは

医師

ぎっくり腰は、突然急激な腰痛に襲われることだと思っていませんか。しかし、ぎっくり腰とは医学的には「急性腰痛症」といい、「椎間板ヘルニアなどのように原因がわかっているもの以外の腰痛で急性のもの」と捉えられています。

そのため、ぎっくり腰は症状が出る箇所が筋肉であったり、関節であったり、腰椎であったりと様々です。痛みを感じる箇所も人によって違い、お尻が痛む人や腰の中心が痛む人などがいます。

そのようなぎっくり腰ですが、見分ける方法があります。

  • 動けないほどの痛みを感じる
  • 痛みが出た原因がはっきりしている
  • 姿勢を変えると少し楽になる
  • 足や腰にしびれがない
  • 腰痛以外の症状がない

これらが当てはまるようなら、ぎっくり腰の可能性は高いでしょう。これにあてはまらず、寝ていていきなり腰痛が出た、姿勢を変えても痛みが取れない、腹痛や熱があるなどの場合は内臓の疾患である危険性もありますので、早めに病院で処置をする必要があります。

ぎっくり腰と間違えやすい病気

急に起こる腰痛でぎっくり腰と間違えやすいものは原因が外科的なものと内科的なものにわかれます。それぞれ処置方法は異なり、適切な対処をしないと腰痛は治まりません。そこで、外科的なものと内科的なものに分けてご紹介していきます。

外科的なもの

外科的なものには、足や腰のしびれが伴います。もし強い痛みがなくなっても足がしびれている、ということがあれば、病院へ行き、適切な処置をしてもらいましょう。こちらでは代表的な椎間板ヘルニアと坐骨神経痛をご紹介します。

椎間板ヘルニア
ぎっくり腰ともっとも間違われやすいのが椎間板ヘルニアです。椎間板は、24個の背骨が積み木のように連なっているその間にあり、クッションの役割をしています。その椎間板の中にある、髄核が突出してしまい、神経に刺激を与えるのが椎間板ヘルニアです。

坐骨神経痛
坐骨神経は背骨からお尻を通り、太ももの裏側やふくらはぎを通っています。椎間板ヘルニアや股関節疾患により坐骨神経が刺激をうけ、痛みを感じている状態です。背骨に症状がおこったとしても、しびれや痛みは太ももの裏やふくらはぎに感じます。

このほかにも腰の病気はいくつかありますので、ぎっくり腰とは違うと思ったらすぐに病院で検査を受けましょう。外科的なものであれば、レントゲンなどですぐにわかります。

内科的なもの

腰周りには多くの内臓があり、それらの異常でも腰に痛みを感じることがあります。内臓が原因で起こる腰痛は様々なものがあります。それぞれに合った適切な処置をしないと腰痛が治まるどころか症状が悪化するかもしれません。

内科的なものは、実に多岐に渡っています。

  • 消化器系:慢性胃炎、十二指腸潰瘍、急性膵炎、虫垂炎
  • 泌尿器系:尿管結石、腎臓結石、膀胱炎
  • 循環器系:動脈瘤解離、腹動脈瘤
  • 子宮系:子宮内膜症、子宮筋腫

これらは医師の診察を受け、適切な処置をしてもらうことが大切です。ガンや血液に関係のある動脈瘤は命に関わることもあります。「高熱がある」「原因不明の痛み」「どの体制になっても痛みが取れない」「腹の辺りに脈動を感じる」「背中やお腹も痛い」などの症状に気付いたらすぐに対処するべきです。

ぎっくり腰の応急処置

ぎっくり腰は最初の処置がその後を左右すると言われています。最初の痛みが強いときに適切な処置をしないと症状が慢性化し、治療期間が延びてしまいます。

通常のぎっくり腰であれば、最初の2~3日は「冷やす」「安静にする」が一番です。しかし、自宅以外の場所で起こることも少なくないでしょう。そこで、ぎっくり腰になったときの応急処置をご紹介します。

  • ①安全な場所に移動する
  • ぎっくり腰になるのは何も自宅だけではありません。野外の場合、二次被害を避けるためにも安全な場所を探し、移動しましょう。
  • ②安静にする
  • 自宅など横になれる場所がある場合は横になります。しかし、横になれない場合は、とにかく楽な姿勢をとれる場所をさがしましょう。
  • ③患部を冷やす
  • 氷枕やアイスノンで患部をしばらく冷やします。外出先であれば、缶ジュースやペットボトルで代用しましょう。
  • ④腰を固定する
  • ずっとそのままの場所にいるわけにもいきません。腰をコルセットなどで固定すると移動のときの痛みが和らぐので、外にいる場合は腰を回せるくらいのタオルやマフラーを腰に巻いて固定しましょう。これで移動が多少は楽になるはずです。位置は自分が楽になるところで構いません。ラップやビニール袋でも代用できます。
ALINCO(アルインコ)  エクササイズ フロアマット 厚さ 9mm EXP150
ALINCO(アルインコ) (2012-04-05)
売り上げランキング: 162

まとめ:ぎっくり腰の適切な処置を知ろう

ここまででぎっくり腰の症状と似た病気、応急処置をご紹介してきました。急な腰痛は、ほとんどがぎっくり腰で、家庭で処置することも可能です。(その後のぎっくり腰治療に関しては突然のぎっくり腰のための治療方法をご覧ください)

ただし、ぎっくり腰だと決める前に自分の腰痛がぎっくり腰かどうかを判断してからにしましょう。ぎっくり腰だと思っていくら対処しても一向に良くならない場合、原因は違うところにあるかもしれません。

腰痛と一言で言っても、原因は様々です。突然の腰痛イコールぎっくり腰ではなく、腰痛の中でも本記事のチェック項目に当てはまるようなものがぎっくり腰に該当するのだと理解し、適切な処置をしていきましょう。

スポンサーリンク

Check Also

運動

妊娠中の腰痛でお悩みの妊婦さんへ。原因と対策

妊娠中の女性の体は、赤ちゃんを …

52 comments

  1. I like the valuable info you provide for your articles.
    I will bookmark your blog and test once more right here regularly.
    I’m fairly sure I will be told many new stuff right here!

    Best of luck for the next!

  2. I enjoy what you guys tend to be up too. This sort of clever
    work and reporting! Keep up the great works guys
    I’ve incorporated you guys to my own blogroll.

  3. Do you have a spam issue on this blog; I also am a blogger, and I was wondering your
    situation; many of us have created some nice procedures
    and we are looking to exchange strategies with other folks, please shoot me an email if interested.

  4. Awesome blog! Do you have any recommendations
    for aspiring writers? I’m planning to start my own blog soon but I’m a little lost on everything.
    Would you recommend starting with a free platform like WordPress or go for a paid option? There are so many choices out there that I’m completely confused ..
    Any recommendations? Bless you!

  5. Nice post. I learn something new and challenging on websites I stumbleupon on a daily basis.
    It’s always helpful to read content from other authors and practice a little something from other sites.

  6. Hello, after reading this awesome post i am also cheerful to share my know-how here with colleagues.

  7. I do not know whether it’s just me or if perhaps everybody else experiencing issues
    with your site. It appears as though some of the written text in your posts are running off the screen. Can somebody else please comment and
    let me know if this is happening to them too?
    This might be a issue with my browser because I’ve had this happen previously.

    Many thanks

  8. Your style is really unique compared to other folks I have read stuff
    from. Thanks for posting when you’ve got the opportunity, Guess I’ll just bookmark this blog.

  9. Quality content is the key to interest the users to visit the site, that’s what this web page is providing.

  10. We stumbled over here different web page and thought I might check things out.
    I like what I see so now i’m following you. Look forward to going over
    your web page for a second time.

  11. What’s up, I log on to your new stuff like every
    week. Your humoristic style is witty, keep up the good
    work!

  12. Your style is very unique in comparison to other folks
    I’ve read stuff from. I appreciate you for
    posting when you have the opportunity, Guess
    I will just bookmark this blog.

  13. Hola! I’ve been reading your site for a while now and finally got the bravery to go ahead and give you
    a shout out from Porter Tx! Just wanted to mention keep up the good job!

  14. Hey there! This is kind of off topic but I need some advice from an established blog.
    Is it hard to set up your own blog? I’m not very techincal but I
    can figure things out pretty quick. I’m thinking
    about making my own but I’m not sure where to begin. Do you have any
    tips or suggestions? Thanks

  15. Greetings, I do believe your site could possibly be having internet browser compatibility problems.
    When I take a look at your website in Safari, it looks fine but
    when opening in IE, it has some overlapping issues.

    I just wanted to provide you with a quick heads up!
    Other than that, wonderful site!

  16. Hi there would you mind letting me know which hosting
    company you’re using? I’ve loaded your blog
    in 3 different internet browsers and I must
    say this blog loads a lot faster then most. Can you suggest a good hosting provider at
    a honest price? Thank you, I appreciate it!

  17. Hello I am so thrilled I found your blog page, I really found you by mistake,
    while I was browsing on Aol for something else, Nonetheless
    I am here now and would just like to say thanks
    for a marvelous post and a all round interesting blog (I also love the theme/design),
    I don’t have time to read it all at the
    minute but I have book-marked it and also included your RSS feeds, so when I have time I will
    be back to read a great deal more, Please do keep up the
    awesome b.

  18. For hottest information you have to pay a visit
    the web and on world-wide-web I found this
    website as a finest site for most recent updates.

  19. Hello, i think that i noticed you visited my site so i got here to
    return the want?.I am attempting to to find things to
    improve my website!I assume its ok to use a few of
    your ideas!!

  20. Hey! Someone in my Facebook group shared this website with
    us so I came to give it a look. I’m definitely enjoying the information. I’m book-marking and will
    be tweeting this to my followers! Superb blog and amazing
    style and design.

  21. Hello there! I just want to give you a huge thumbs up for your great information you have got here on this post.
    I’ll be returning to your website for more soon.

  22. I think the admin of this website is truly working
    hard for his site, for the reason that here every
    data is quality based data.

  23. Hi there, I enjoy reading all of your article post. I wanted
    to write a little comment to support you.

  24. Normally I do not read post on blogs, however I would like to say
    that this write-up very pressured me to try and do so! Your writing style has been amazed me.
    Thank you, very nice article.

  25. Greetings from Ohio! I’m bored to tears at work so I decided to check out
    your site on my iphone during lunch break. I really like the
    information you present here and can’t wait to take a look when I get home.

    I’m shocked at how fast your blog loaded on my phone ..
    I’m not even using WIFI, just 3G .. Anyhow, excellent site!

  26. Hello there, I do think your website may be having web browser compatibility issues.
    Whenever I take a look at your site in Safari, it looks fine however when opening in IE, it’s got some overlapping issues.
    I simply wanted to provide you with a quick
    heads up! Other than that, wonderful blog!

  27. Howdy very cool website!! Guy .. Excellent ..
    Superb .. I’ll bookmark your web site and take the
    feeds also? I’m glad to search out numerous useful information here within the submit, we’d like work
    out extra techniques on this regard, thanks for sharing.
    . . . . .

  28. Please let me know if you’re looking for a article writer
    for your blog. You have some really great posts and I believe I would be a good asset.
    If you ever want to take some of the load off, I’d really like
    to write some content for your blog in exchange for a link
    back to mine. Please send me an email if interested.

    Many thanks!

  29. Hello There. I discovered your weblog using msn. That
    is a very neatly written article. I’ll be sure to bookmark it and
    come back to learn extra of your helpful info. Thank
    you for the post. I’ll definitely comeback.

  30. After exploring a handful of the blog posts on your web site, I really
    appreciate your technique of writing a blog.

    I book-marked it to my bookmark website list and will be checking back soon. Please check out my website as well and let me know how
    you feel.

  31. I simply want to say I am just all new to blogging and honestly liked this web-site. Most likely I’m want to bookmark your site . You certainly come with awesome stories. Kudos for revealing your web-site.

  32. For newest information you have to visit the web and on the web I found this site as a best website for latest updates.

  33. Hi there to all, how is everything, I think every one is getting more from this web site, and
    your views are fastidious in support of new visitors.

  34. Spot on with this write-up, I really believe that this amazing site needs much more attention.
    I’ll probably be back again to read through more, thanks for
    the information!

  35. When I initially commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get several emails with the same comment.
    Is there any way you can remove people from that service?
    Thanks!

  36. Very nice post. I just stumbled upon your blog and wished to say that I’ve truly
    enjoyed surfing around your blog posts. After
    all I will be subscribing to your rss feed and I hope you write again soon!

  37. I do consider all the concepts you’ve introduced in your post.
    They are very convincing and will certainly work.

    Nonetheless, the posts are very brief for novices.
    May you please prolong them a little from next time? Thank you for the post.

  38. Greetings! This is my first visit to your blog!
    We are a collection of volunteers and starting a new project
    in a community in the same niche. Your blog provided us useful information to work on. You have done a wonderful job!

  39. It’s amazing designed for me to have a web page, which is valuable in support of my know-how.

    thanks admin

  40. Its like you read my mind! You appear to know a lot about this, like
    you wrote the book in it or something. I think that you could do with a few pics to drive the message home a little bit, but other
    than that, this is magnificent blog. A great read.
    I will certainly be back.

  41. Can you tell us more about this? I’d like to find out
    some additional information.

  42. Be sure that you have Silhouette Studio Designer Edition running and adhere to these easy actions to start! While it is crucial to have Silhouette Studio Designer Edition to import SVGs there is yet another step you’ve got to take to receive them actually cut. I am aware I’ve missed lots of nice anime collection, so should you have any suggestion, don’t hesitate to share about it in the comment section!

  43. I really intend to share it with you that I am new to writing and extremely valued your information. More than likely I am going to remember your blog post . You really have amazing article material. Value it for share-out with us your favorite url post

  44. Hi folks here, just got conscious of your web page through Yahoo and bing, and discovered that it is very interesting. I will take pleasure in should you keep up this approach.

  45. I have read a few good stuff here. Certainly value
    bookmarking for revisiting. I wonder how much effort you put to make such a great informative site.

  46. It happens to be suitable day to put together some schemes for the foreseeable future. I have go through this blog entry and if I have the ability to, I want to recommend you handful interesting pointers.

  47. Extraordinarily engaging points you have remarked, many thanks for publishing.

  48. I really hope to tell you that I am new to blog posting and really loved your report. Quite possibly I am probably to bookmark your blog post . You literally have impressive article content. Delight In it for sharing with us the best blog information

  49. Because he still possesses a couch for close friends and a spacious mattress for pair of that provides a restful evening’s rest.

  50. I think this is among the most important info for me. And i’m glad reading your article. But wanna remark on few general things, The site style is ideal, the articles is really excellent : D. Good job, cheers

  51. Good day here, just turned out to be aware about your website through Google, and found that it’s seriously helpful. I’ll take pleasure in should you decide continue this post.

  52. Hello there, You have done a fantastic job. I will certainly digg it and personally suggest to my friends. I am sure they’ll be benefited from this web site.

コメントを残す

メールアドレスが公開されることはありません。 * が付いている欄は必須項目です