With the advent of discomfort in the spine, almost all people face.Using analgesics, the majority of the population does not even ask the question of why their back hurts, attributing negative manifestations about the common cold, drafts or the consequences of stretching.Meanwhile, painful syndrome (BS) can be an alarming sign for the appearance of serious pathologies.
In different parts
Back pain is different.
Among them they are distinguished:
- Struggle.They differ in frequency.
- Growing.In the process of pathological conditions, there is an increase in the degree of intensity of uncomfortable manifestations.
- Dagger.They are a consequence of emergency conditions.
- In the form of fire.They are recorded in case of deteriorated functionality of the spine.
- Permanent or monotonous.
In addition, back pain can be of two types:
- Projected.It extends along the nerve fibers.It can radiate the distal parts of the body.
- ReflectedIt appears during the malfunction in the work of the internal organs.
On the right side
There are a number of circumstances that explain why the back hurts to the right.They are:
- The result of hypodinamia, due to which the abdominal muscles lose their elasticity and elasticity, while the entire load is placed in the spine;
- Soft tissue lesions and bruises;
- Perform physical work in an unnatural position (with an unequal load).
In addition to the natural factors, the cause of the awkward sensations in the back can be diseases of the internal organs and the musculoskeletal system.
This symptom can be part of the clinical image for the following diseases:
- Respiratory system diseases.With the inflammation of the lungs (pneumonia of the right side), in addition to back pain, the patient complains about the appearance of dry cough, general weakness, increase in the body temperature indicator.
- The right puncture BS is observed with Pleurisy.It is accompanied by the discharge of purulent sputum and the difficulty of breathing.
- Liver pathology and gallbladder.Bs is distinguished by the duration of the current.To stop it, analgesics or antispasmodic drugs are used.The clinical image is complemented with signs of poisoning (nausea, vomiting, violation of the defecation law).
- Gastrointestinal diseases.With pancreatitis or gastritis, pain syndrome is usually located on the left side, but it often radiates to the right.
- Urinary diseasesThey manifest for prolonged or stupid pain.It occurs in the context of frequent urine, with the advent of red blood cells (blood) in the urine.A distinctive characteristic is that a sick person cannot find a convenient body position to reduce back pain.
- Appendicitis.In addition to the unpleasant sensations in the abdomen, the patient points out that the back hurts on the right side.Additional symptoms are the appearance of nausea and vomiting reflexes, an increase in the body temperature indicator, a general decomposition.
- Gynecological pathologies.The manifestations of discomfort to the right are recorded in case of an ectopic pregnancy, inflammation of the appendices or due to the growth of the quistic ovary stamps.
- Osteochondrosis.The pain can be located both right and left.It is accompanied by rigidity in movements and increases with physical work (especially if a person does it for the first time).In advanced forms, irradiation in the fingers is observed.
On the left side
The location of back pain to the left can be the main or additional symptom in the clinical image of many diseases.
It can occur in the following cases:
- Spine disease.Most of the time, the patient complains that the back hurts due to the osteochondrosis, the intercostal neuralgia or when the nerve is pinched.The clinical image is complemented by the rigidity in the movements, the radiation in the upper limb, the loss of sensitivity in the fingers.
- Stomach diseases and intestines.The symptoms of pain manifestations are complemented by the presence of nausea, vomiting, feces disorder and greater gas formation.These signs appear with the development of pancreatitis, intestinal colic, cholecystitis.
- Cardiological diseases.The acute painful syndrome from behind under the ribs in combination with difficulty breathing and a fourth sensation behind the sternum is a characteristic sign of myocardial infarction.
- In bronchi and lungs it can be observed with the development of pneumothorax, pleurisy, bronchitis or pneumonia.It can be intensified when inhalation and decreased exhalation.
In the lower back area
The lumbar region begins from the place where the ribs end, and ends with a cookge.Most of the time, patients, looking for medical help with back pain complaints, involve the lower back.
The causes of lumbar pain are the following conditions:
- 90% of all lumbar pain are explained by a violation of the functionality of the spinal column (osteochondrosis, hernias among the vertebrae, scoliosis, radiotr).These conditions are characterized by symptoms in the form of sudden shooting.
- In 6%, lower back pain is the result of rape of urinary organs.This characteristic is manifested for pyelonephritis, cystitis, glomerulonephritis or in the formation of calculations (stones) in the kidneys.
- 4% are diseases of other internal organs (stomach, intestines).
In the area of the blades
A person may feel pain in the area of shoulder blades in different places of location:
- Pain syndrome is located under the shoulder blades.This nature of the BS is observed in the presence of ulcers and erosion in the stomach.At the same time, the main epicenter of negative sensations is concentrated in the epigastric area, and irradiation gives it to the shoulder blade.
- Compression of chest, pain and stupid pains often cause osteochondrosis or myositis.
- When the back hurts between the shoulder blades, with a high degree of probability, it can be assumed about the location of intercostal neuralgia (if the BS occurs in the form of a chimney).In the case of pneumonia development, painful sensations are improved by cough and at the top of the sigh.
- Bs in the shoulder blade is more frequently manifested as a post -traumatic consequence.The symptoms of negative sensations improve when the upper limbs move.
Along the column
The cause of back pain along the column can be the following conditions:
- LumbalgiaIt manifests acutely after lifting weights.
- Stoop, scoliosis or kyphosis cause uncomfortable sensations that manifest taking or hurting Bs.
- A hernial protuberance between the vertebrae leads to the compression of nerve roots, so a sensation of ardor appears along the spinal column.In this case, there is a loss of sensitivity at the back.
- Cervical and thoracic osteochondrosis leads to changes in the thorny processes of the vertebrae, which becomes a consequence of the constant lesion of their nerve endings.This causes back pain and stiffness in movements.
- The lesions cause an acute and sharp pain syndrome.In case of damage to the spinal cord, sensitivity occurs in the lower extremities.
- Arthritis is characterized by a gradual increase in discomfort, with the appearance of crunchy and clicking on the vertebrae.
- Endometriosis andanxitis cause a sense of discomfort in the column due to the anatomical disposition of female reproductive organs (at the bottom of the abdomen).
Under the lower back
The lumbosacro department often experiences the load due to the inappropriate lifting of gravity, prolonged walk or staying in a sitting position.But these situations only explain in part why the back hurts under the lower back.
Discomfort occurs in:
- Pathological changes in the column (osteoarthritis, osteochondrosis, protuberance of hernia among the vertebrae);
- after an injury in the sacrum or coccix;
- In case of posture violation (scoliosis or lordosis).
The pain in the sacred department appears in diseases of the genitourinary sphere, constipation, cholecystitis or gastritis.In women, this symptom can indicate pregnancy or menopause.Sometimes the beginning of the menstrual cycle foresees.
Pain on the back after sleep
Sometimes, a person points to fatigue and breakdown strong after a rest night.
Very often, the following factors contribute to this:
- Inadequate litera organization (mattress too hard or soft);
- greater physical activity or a lot of work during the day;
- destructive changes with the deteriorated functionality of the vertebrae and discs between them;
- Age -related changes in the cartilage tissue of intervertebral discs;
- consequences of injuries;
- Inflammation in the internal organs of the abdominal cavity.
Muscles pain
The pathological processes in the vertebrae and the intervertebral discs change the structure of the bone and the cartilage.Because of this, there is an over -the muscles and fascia of the tendon.This leads to the fact that the body reacts with the appearance of Bs.
In some cases, it is observed that the back hurts after a long stay in the draft or during hypothermia.These two factors contribute to the manifestation of myositis, in which the pain is located in the surface muscles.A distinctive characteristic is an increase in discomfort in palpation or when the patient tries to turn or bow with the body.Sometimes their symptoms appear after sprains and bruises.
Painful syndrome in muscle groups often occurs due to intense training between athletes.In this case, overloaded muscle fibers lose their elasticity, stamps appear in them, which are detected in palpation.
The causes of diseases
The pain in the back is diagnosed with several diseases.
These include:
- Pathological processes in the column (hernia, spondylitis, arthralgia, radiculitis);
- Myocardial infarction, aorta aneurysm;
- stomach diseases and intestines (pancreatitis, colitis);
- The formation of calculations in the kidneys, cholecystitis, liver colic.
At the same time, all diseases have a different etiology, which is taken into account when choosing a treatment tactic.
Degenerative pathologies
Degenerative changes occur in cartilage and bone tissue.The violation of the morphological structure causes dystrophy, so that osteochondrosis, spondyls or the osteoarthritis of spondyl occurs.
Among the provocative factors of destructive changes, they distinguish:
- violation of metabolism that causes insufficient intake of nutrients to intervertebral discs;
- Limited intake of beneficial trace elements in the body;
- Great loads and injuries;
- Endocrine system malfunction;
- Bad habits, for example, smoking and excessive addiction to alcoholic beverages;
- Hypodinamia and sedentary lifestyle.
Inflammatory diseases
Diseases that lead to inflammation in the column can occur independently and be the result of pathologies complications.They are recorded in rare cases, but represent a serious threat to the patient's health.
The inflammation approach can be located in different parts of the vertebra:
- In the front section, spondylitis, dicitis or spondilodiscite is more frequently diagnosed;
- The location in the rear section causes the development of osteomyelitis, spondylitis or paravertebral abscess;
- If the spinal channel is infected, then inflammation is manifested by developing an abscess or epidurite.
In addition, column tissues can be affected due to tuberculosis, brucellosis, trricinelosis (a variety of hemmintiasis).
This type of pathology is characterized by acute pain attacks in muscle groups, which are difficult to eliminate analgesics.The clinical image can be complemented with related symptoms, for example, with a spasmodic increase in body temperature and loss of sensitivity in certain areas of the spine.
Mífascial syndrome
Myofascial syndrome has a chronic course with the formation of stamps in muscle tissue in the form of pain (trigger).This causes not only serious discomfort, but also leads to a decrease in motor activity, as a result of which the patient gets tired even even a lower physical activity.
The probability of developing myofascial syndrome increases many times in the following situations:
- osteochondrosis, spondylartrosis, injuries and bruises;
- in the case of scoliosis diagnosis or flat feet;
- If the work is related to the repetition of stereotypical movements;
- In case of violation of the psycho -emotional state (if this happens with an increase in muscle stress).
It occurs an important importance in clinical practice to the state of the trigger points.They are active or latent.
Given this, they are classified as follows:
- Acute form.The activation points are in an active state and cause a sense of discomfort when trying to make any movement.
- SubagudoNegative manifestations disappear at rest.
- Chronic.The latent state only causes insignificant inconvenience in the corresponding area.
In addition, to carry out the correct choice of therapy, a classification in neurology is adopted according to the etiological principle:
- Primary activation points are formed due to muscle damage;
- Secondary is recorded in violation of the functionality of the joints and somatic organs.
Physiological causes
A different group of physiological causes of causing pain in the muscle corset is called domestic.They do not require treatment and pass on their own, after a little break.
These include:
- perform hard physical work for a long time;
- Weakening or fatigue of the body;
- owned incorrectly for night rest or commit monotonous actions during work;
- Poor organization of a night sleep;
- A badly selected mattress or pillow.
To establish the cause of back pain, you must consult a doctor, since this may require a series of diagnostic measures.This will determine the tactics of the treatment process, which will not allow the transition from the disease to a careless way.