The pain in the back - unpleasant manifestation of the multitude of diseases or a strong surge on the back muscles for other reasons. In most cases, this pathology occurs on the context of the various changes in the structure of the joints of the spine, but also located nearby muscles, nerves, or the skin above the spine. In addition this kind of symptoms accompanying certain diseases or abnormalities of the functioning of internal organs.
The place of the location of the pain can tell you a lot about the internal organs are damaged. Therefore, pain in the lower back shows that, perhaps, has suffered the bone tissue of the vertebral column, human develop intervertebral hernia, amazed by the nerve of the bone marrow, the organs of the abdominal cavity and pelvic.
The pain in the upper back is manifested on the background of a variety of diseases of the aorta, cancer or benign tumors in the chest, coughing, as well as on the bottom of the inflammation of the spine. But, the more often pain in the back due to heavy loads on the joints and ligaments of the spine.
The etiology
The pain in the back is not rare for a healthy person, but several times more frequent in the case of illness. The main causes of disorders of the functioning of the body, are of various violations of the integrity of the spinal cord. This group of diseases causes include the following diseases:
- osteomyelitis, which affects the bone marrow;
- cancerous tumors or metastases diffuse on the spine, causing pain in the lower back;
- the education of the hernia of the intervertebral disc;
- displacement of the vertebrae;
- spinal curvature of various degrees;
- fractures or other injuries of this organ;
- stenosis of the channel of the spine;
- spondylarthrosis lesion of the cartilage;
- fibromyalgia chronic muscular pain is accompanied by a multitude of unpleasant symptoms. Is product not only of the pain in the upper back, but in the background.
The main causes of back pain
The reasons for the onset of pain, is not associated with diseases of the spine or to the modification of its structure:
- bleeding;
- the crushing of the nerves in the sternum leads to the onset of back pain when breathing;
- the gynecological diseases are often characterized by unpleasant sensations in the right side or in the lower back in general;
- the accumulation of large amounts of blood in retroperitoneal space;
- ailments of different organs of small pelvis;
- aortic dissection;
- peptic ulcer - causes pain in the back between the shoulder blades;
- the disorders of the functioning of the kidneys;
- tinea versicolor;
- arthritis;
- disorders of the organs of the GASTRO-intestinal and genito-urinary cause of the pain in the back to the right or to the left (in the space of projection of the affected organ);
- the interruption of the functioning of the organs located in the abdominal cavity;
- rheumatological disease;
- the tumors in the lungs will manifest pain when breathing or coughing;
- cardiovascular diseases cause the man to back pain, most often of the left;
- the formation of kidney stones - is manifested by pain in the lower back;
- appendicitis - when this disease of aching in both sides;
- infectious diseases, accompanied by the dfaite of the lungs.
In most cases, the causes may excite the pain in the back below the waist.
The factors due to which pain can appear in a healthy adult or child:
- a long-term influence of cold temperatures;
- the conditions of work in which the man is forced to lift weights of several hours in a row;
- a sudden movement;
- with a strong cough (occurs pain in the back above the kidneys);
- stay in an uncomfortable position, perhaps during sleep or on long journeys;
- the unfolding of the menstruation;
- injuries or fractures, not necessarily of the spine. Fractures of the pain from an space often makes in the back;
- a bad posture;
- increase of the mass of the body;
- age group - the troubles of back can occur at any age, but for the people middle-aged and older such a sign is characteristic more often, because in the body can result in leakage of chronic diseases, slow down some processes, it produces pain in the muscles of the back may not spend a lot of time).
It is worth to consider the pain in the back during pregnancy. The woman throughout the duration feels the gravity of back and chest pain when coughing, is determined by a growing of the fruit and of the pressure that it creates. Because of the polarization of the trunk, the muscles of the back and pelvis tense up to support the weight. It is for these reasons, there is a pain in the back.
Varieties
Depending on the cause, it is a sense of discomfort may be localized in different places:
- the pain in the back above the waist, may be periodic or chronic nature, is mostly raised in question of the responsibility of factors, among which, a poor organization of the work position or the transport of heavy loads;
- the sensation of pain directly in the lumbar - manifest on the bottom offset or the herniated disc. The pain can be so intense that the pain occurs in the back of the inspiration and cough, but to the horizontal passes;
- the pain below the waist, can occur because of hypothermia of the body or heavy loads on the back. If this symptom is manifested when a disease, you should immediately call an ambulance. For this type of characterized by unpleasant sensations in the right side, which often render in the lower limbs;
- the pain in the blades - the pain in the back on the left, it happens in a heart attack or psychological problems. Often distributed in such an unusual space, like the right hand, the neck or the groin. To the right, when the formation of stones or other pathology renal. The pain directly in the two shoulder blades is expressed because of tumors or tuberculosis;
- the pain in the back on the right gives the alarm about respiratory problems, pneumonia or cancer in the lungs or bronchi, as well as the bodies involved in the allocation of the urine;
- the pain in the back on the left - said about the problems with the heart and the respiratory system;
- the pain in the lower back - the most common type of discomfort, because he can express himself because of a large number of diseases, for example, when the catarrhal cough, or under the influence of external factors. It is as if these pains are propagated in the flank, and continue for more than three months, this means that the disorder overflowed chronic;
- the pain in the upper back - often conditioned by a cancer of the neoplasms or metastases in the lungs or the spine.
The classification of the pain in the back
The symptoms
The symptoms of pain in the back of different locations can vary depending on the cause of the appearance. The more often the pain syndrome in the back accompany these signs:
- the limitation of the working capacity and the motor function of man because of the intensity of the pain and its distribution in the different parts, organs or members;
- frequent urination, with emission of urine, especially if the pain in the lower back due to kidney problems or urinary tract channel;
- in some cases, the heat;
- the strong decrease of the mass of the body;
- diarrhea;
- the weakness and pain in the muscles of the back;
- nausea, ending in vomiting;
- the pressure in the chest, the heart and the lungs;
- the onset of pain in the lungs when coughing;
- the feeling of a lack of air.
- a constant concern;
- the distraction of the attention;
- decrease of visual acuity and hearing.
Because the main symptom is pain, it can have a different character. In some cases, it can be acute and sharp, in other permanent and dry-cleaning. Often, the pain spreads in different parts, internal organs, or places where it is, in principle, should not be, for example, the face, the neck, the lower jaw. In some cases, the syndrome of acute pain, after the meal, or, on the contrary, is stopped, it may occur during sleep, due to a poor position, or, as soon as a person takes a horizontal position.
The diagnosis
Before starting treatment, your gp you need to pass a series of exams to determine the cause of the expression of the pain, from his point of view and the place of location. For the treating doctor has obtained a complete overview of the flow of this uncomfortable sensation, the patient needs:
Electromyography
- provide complete information on the symptoms that accompany the pain in the back, when they appeared for the first time and equally intense;
- express hypotheses about what could lead to a feeling, for example, menstruation, uncomfortable work posture for sleep or the position of the body during the working time, cough or a sudden movement, as well as allow an expert to familiarize yourself with the complete list of all the specific diseases of the patient for the whole life;
- the place where the pain occurs, what are the organs or parts of the body spreads. It is very important to determine the diagnosis, because different from the location of the pain can talk about various diseases;
- pass the general inspection, during which the doctor will perform palpation of the spine;
- hand over analyses of blood and urine for the definition of a pathological process or a disease of the kidneys;
- perform an x-ray, allowing you to detect abnormalities of the structure of the spine, thorax and lungs;
- go to CT and MRI in the investigation - to detect possible pathologies of the internal organs;
- the pacing of the muscles using electromyography;
- execute the search from the os using the introduction in the body of the substance of contrast. Where it will accumulate there and disorders;
- examined to determine the density of bone;
- in addition to consult specialists such as a neurologist, rheumatologist, orthopedist and vertebrologist.
After obtaining all the results of the analysis, the doctor will prescribe a treatment individualized for each patient.
Treatment
If the pain is unbearable, before the arrival of the doctors, you must perform the activities of first aid:
- attach a cold compress to the area of the back, where localized pain;
- to ensure a complete immobility to prevent further damage. The victim must take the most comfortable position of the body;
- take analgesic medication;
- completely eliminate all the load.
After the arrival in a care facility treatment, base treatment of the disease, which can be composed of:
- anti-inflammatory drugs;
- warming ointments;
- the drugs that treat the spasm during the intense pain in the lower back, because it is this kind of pain is more common in patients;
- medication, with the help of which will increase the production of tissue components of cartilage;
- physiotherapeutic treatment (heating);
- therapeutic massage;
- manual treatment methods, but apply them with a prescription from your treating physician, because in a poor performance of this treatment, there are likely to aggravate the situation;
- acupuncture - the same way with the provisions of the preceding paragraph applies, with the permission of the doctor;
- a medical procedure is organized in some cases, for example, in oncology or the need to establish an intervertebral prosthesis;
- wearing a special corset, which will reduce the load on the spine and lower back.
Prevention
Prevention methods to prevent the onset of back pain are the following:
- the timely treatment of the main diseases of the spine, the lungs, the kidneys and the organs of the abdominal cavity;
- the refusal of strong physical constraints and hypothermia of the body, particularly in pregnant women;
- the respect of a good posture during the time of work and study;
- ensure a comfortable environment for sleep;
- the adjustment of the overweight;
- the limitation of motion of the back;
- preventive examinations in the clinic for the early detection of pathologies causing pain in the back.