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the pain in the back

The back pain - unpleasant manifestation of a multitude of diseases or a strong muscle tension in the back for other reasons. In most cases this disease occurs on the background of various changes of structure of joints of the vertebral column, but also close to the muscles, nerves, or the skin above the spine. In addition, this symptom is accompanied by certain diseases or dysfunctions of the internal organs.

The place of location of the pain can tell you a lot about which damaged internal organs. In this way, the pain in the lower back suggests that, perhaps, has suffered from the bones of the vertebral column, the man develop intervertebral hernia, affected the nerves of the bone marrow, abdominal and pelvic organs.

The pain in the upper back it is manifested on the background of a variety of diseases of the aorta, cancer or growths benign in the chest, cough, and background inflammation in the spine. But much more often back pain are the result of large loads on the joints and ligaments of the spine.

The etiology

The back pain is not uncommon for a perfectly healthy person, but in a couple of times more common in diseases. The main causes associated with disorders of the functioning of the body, there are several violations of the integrity of the spinal column. In this group pathological the causes referred to in the following diseases:

  • osteomyelitis that affect the bone marrow;
  • tumors or metastasis, common in the spine, causing pain in the lumbar-sacral;
  • formation of hernias in intervertebral disks;
  • displacement of the vertebrae;
  • curvature of the vertebral column, to a different extent;
  • fractures or other lesions of this organ;
  • stenosis of the vertebral canal;
  • spondylarthrosis - the defeat of the cartilage;
  • fibromyalgia - chronic muscle pain, accompanied by a multitude of unpleasant symptoms. Not only the pain in the upper back, but also in the lower part.

The main causes of back pain

THE PAIN IN THE BACK

The causes of pain, not connected with diseases of the spine, or the change of its structure:

  • pelvic bleeding;
  • the squashing of the nerves in the sternum leading to the appearance of back pain during inhalation;
  • gynecological diseases are often characterized by unpleasant sensations in the right side or in the lower part of the back in general;
  • the accumulation of large amounts of blood in the retroperitoneal space;
  • the diseases of the various pelvic organs;
  • aortic dissection;
  • peptic ulcer - causes pain in the back between the shoulder blades;
  • disorders the functioning of the kidneys;
  • herpes zoster;
  • arthritis;
  • disorders of the DIGESTIVE tract and of the genitourinary system cause pain in the back to the right or to the left (in place of the projection of the affected organ);
  • violation of the functioning of the organs located in the abdominal cavity;
  • rheumatological disease;
  • lung cancer will manifest pain when breathing or coughing;
  • diseases of the cardiovascular system causing to man the flank pain, often of the left;
  • the formation of kidney stones, is manifested the pain in the lumbar-sacral;
  • appendicitis - with this condition causes pain in both boca;
  • infectious diseases, accompanied by a lesion of the lung.

In most cases, the data causes may excite the pain in the lumbar back.

Factors, for which the pain can appear in a healthy adult or a child:

  • long-lasting effect of cold temperatures;
  • the conditions of work, in which the man is forced to lift weights a couple of hours in a row;
  • sudden movements;
  • with a strong cough (occurs the pain in the upper back, lumbar);
  • stay in an awkward position, perhaps during sleep or during long journeys;
  • the menstrual flow;
  • injury or fractures, and not necessarily of the spine. Due to fractures pain from the place often gives the back;
  • posture;
  • the increased weight of the body;
  • age category - back problems can occur at any age, but for the people of the middle-aged and the elderly as well a characteristic trait more often, because the body can particular chronic diseases, slow down some processes, because, and you experience pain in the muscles of the back (you may not spend a lot of time).

It is worth to take in consideration the back pain during pregnancy. A woman for the whole life you feel the heaviness in the back and pain in the chest when coughing, because of the growing fruit and the pressure that it creates. Because of the movement of the torso, lumbar muscle and the pelvis the thesis to support the weight. It is for these reasons appears to be the back pain.

Variety

Depending on the cause, is a feeling of discomfort may locate in different places:

  • the pain in the upper back lumbar spine - may be periodic or chronic in nature, it occurs mainly due to harmless factors, such as, the organization in the wrong job or lifting weights;
  • the pain in the lumbar area - occur on the background of displacement or hernia of the intervertebral discs. The pain can be so severe that you experience the back pain during inhalation and coughing, but in a horizontal position all passes;
  • lower back pain can occur because of hypothermia of the body or heavy loads on the back. If this symptom is manifested with any disease, you must immediately call an ambulance. For this type is characterized by unpleasant sensations in the right side, that often damage in the lower limbs;
  • back pain - back pain on the left comes the heart attack, or psychological problems. Often spreads in unusual places, such as the right hand, the neck or the groin. With the right hand (in the case of the formation of stones or other renal diseases. The pain directly in both of the blades is expressed to cause cancer or tuberculosis;
  • the pain in the back on the right gives the signal, problems with breathing, pneumonia or cancer in the lungs or the bronchi, but also the organs involved in the breakdown of the urine;
  • the pain in the back left says about the problems with the heart and the respiratory system;
  • the pain in the lower back - the most common type of discomfort, since it can be due to the large number of diseases, for example, when the catarrhal cough, or under the influence of external factors. Typically, if the pain you apply to the side and continues for more than three months, this means that the disorder overflowed in the chronic form;
  • the pain in the upper back is caused by cancers or lung metastases or the spine.

Classification of back pain

The symptoms

Symptoms of back pain of different localization, can vary, depending on the cause. Often the back pain accompany these signs:

  • disability and motor functions of a person due to the different intensity of the pain and the spread of different parts, of other organs or limbs;
  • frequent urge to urination, especially if the pain is caused by problems the kidneys or urinary tract channel;
  • in some cases there is fever;
  • the drastic reduction of body weight;
  • diarrhea;
  • the weakness and pain in the muscles of the back;
  • nausea, ending in vomiting;
  • the pressure in the chest area, the heart and the lungs;
  • the appearance of acute pain pulmonary cough;
  • the feeling of lack of air;
  • constant worry;
  • distraction;
  • reduction of visual acuity and hearing.

Because the main symptom is the pain, you can wear a different character. In some cases, it may be acute and sharp, in others permanent and pressing. Often the pain spreads in different directions, the internal organs or the places in which it is not, in principle, should be, for example, the face, the neck, the lower jaw. In some cases, the pain intensifies after a meal, or, on the contrary, it stops, can occur during sleep, due to a poor posture or carry out, once a person takes a horizontal position.

Diagnostics

Before starting the treatment, the therapist will need to carry out a series of investigations to determine the possible causes of the expression of pain, her look, and the place of localization. The doctor has a complete picture on the performance of this uncomfortable feelings, the patient must:

Electromyography

Electromyography
  • provide complete information about your symptoms that accompany the pain in the back, the first time it appeared and how intense;
  • express hypotheses about what could lead to a feeling, for example, menstruation, uncomfortable posture for sleep or body position during the work, coughing or sudden movements, and also give the opportunity of a specialist to know the complete list of all the diseases of the individual patient for the whole life;
  • say, at the point where you experience pain, and what organs or parts of the body spreads. This is very important to define the diagnosis, because the different location of the pain can talk about various diseases;
  • pass the general inspection, in which the doctor will perform palpation of the spine;
  • to make the analysis of blood and urine for the definition of a pathological process or diseases of the kidney;
  • perform an x-ray that allows to detect structural abnormalities of the vertebral column, the thoracic cage and the lungs;
  • go to the CT scan and magnetic RESONANCE imaging examination - for the detection of any diseases of the internal organs;
  • examine the muscles by means of electromyography;
  • search of bones, with the introduction in the body of a contrast medium. Where it accumulates there and the violation occurs;
  • examined to determine the density of the bone tissue;
  • also consult with professionals such as a neurologist, rheumatologist, and orthopedic vertebrologist.

After receiving the results of the analysis, the doctor will prescribe an individual treatment for each patient.

Treatment

If the pain is unbearable, before arrival of doctors it is necessary to perform measures of first aid:

  • apply a cold compress to the back area, where localized pain;
  • ensure the complete immobility in order to avoid further damage. The administration must take the most comfortable position of the body;
  • take pain-relieving drugs;
  • completely eliminate any load.

After the arrival in the healthcare facility for performing the processing, the base is the therapy of the underlying disease, which can be made by:

  • anti-inflammatory drugs;
  • warming ointments;
  • drugs to solve the spasm with intense pain in the lumbar-sacral therapy, as this type of pain is more frequent in patients;
  • medicines, which increases the production of the components of the cartilage tissue;
  • physiotherapeutic treatment (heating);
  • therapeutic massage;
  • manual therapy methods, but they can only be used on prescription from the doctor, because in the case of carrying out such treatment is likely to worsen the situation;
  • acupuncture - similarly to the previous paragraph, apply with the permission of the doctor;
  • the medical intervention takes place only in some cases, for example, when oncology or the need to establish intervertebral prosthesis;
  • wear corset special, which will reduce the load on the spine and lower back.

Prevention

Methods of prevention to avoid the onset of back pain are:

  • timely treatment of the main diseases of the spine, the lungs, the kidneys and the organs of the abdominal cavity;
  • the refusal by heavy physical workloads, and hypothermia of the body, especially in pregnant women;
  • the respect of a correct posture during work and study;
  • software conditions favorable to sleep;
  • the adjustment of a greater body mass;
  • limitation of sharp movements, back pain;
  • the preventive controls in the clinic for early diagnosis of pathologies that cause back pain.