Pain under the diaphragm in the middle. Pain in the solar plexus area: possible causes, diagnosis. Various localizations of pain in the solar plexus

The solar plexus is one of the most vulnerable areas human body located in upper section peritoneal space. The solar plexus is a complex nerve endings and nodes formed by parasympathetic fibers and limited by the mesenteric and celiac arteries. The nerve nodes got their name because of the peculiarities of the anatomical location and structure: large and small nerves diverge from them in different directions around the entire circumference, resembling the sun's rays.

Pain in the area of ​​the solar plexus can appear both with a mechanical effect on the vulnerable area, and with diseases internal organs, since the nerve fibers of the nodes provide the connection of some organs with the central nervous system. These organs include: diaphragmatic tube, intestines, stomach, spleen, renal parenchyma. The nature of the pain can be burning, dull, cutting, dagger-like. To diagnose possible causes, it is recommended to consult a doctor, as in some cases it may be necessary specialized assistance including surgical treatment.

One of the main causes of sharp and shooting pains under the costal arches is a mechanical effect. external factors(hit, fall). Injury to the nerve complex may occur accidentally or be the result of professional activity. The main risk group for solar plexus injuries includes athletes involved in power, outdoor sports and various martial arts. Increased Risk injuries also occur in divers, climbers, workers in factories and large industries. During accidents on the road, about 70% of combined injuries also occur in the abdominal cavity and organs located in it, including the celiac plexus.

The main symptom of mechanical damage to the solar plexus is a sharp, intense pain in the upper abdomen just below the ribs, in which the person cannot remain upright and instinctively tries to bend or lie down.

Other signs of damage may include:

• inability to breathe (a typical symptom of celiac plexus injuries);
• difficult, shallow and painful breathing;
• localization of painful sensations above the umbilical ring and on the upper border of the epigastrium with possible irradiation to the vertebral region;
• paroxysmal course of pain.

For any damage to the solar plexus, you should immediately seek medical help. If the patient is able to move independently, you can get to the nearest emergency room. With severe pain syndrome, the patient should be hospitalized by an ambulance. Before her arrival, it is necessary to apply a heating pad with ice to the affected area and take a supine position (on the side).

Important! Emotional and physical stress can provoke an increase in the attack, so before the arrival of the brigade, the patient needs complete rest.

Neurological disorders

Neuralgia of the solar plexus is a common disease in people experiencing constant emotional stress and leading sedentary image life. This disease causes damage to the peripheral nervous system, consisting of cranial and spinal nerves outside the brain and bone marrow. The structure of the nerves with neuritis of the celiac plexus is practically not damaged, and the pathology develops against the background of compression nerve fibers internal organs, resulting in their pinching.

The main (and in some cases the only) manifestation of neuralgia is pain. Usually it is sharp, shooting or sharp, occurs suddenly and has a high intensity, limiting the patient's mobility. Sometimes patients describe the nature of the pain as burning or cutting sensations. Approximately 7% of patients with chronic neuritis are accompanied by dull or aching pain that does not go away within a few hours.

The disease has several causes, among which may be:

• pancreatic cysts;
• aortic aneurysm (bulging vascular wall as a result of acquired or congenital defects middle shell blood vessel)
• pathologists of the spine with displacement of the vertebrae or intervertebral discs;
• metastases in cancer.

Neurology is treated by a neurologist. Therapy may include drug correction (mainly blockade using " novocaine" or " Lidocaine"), physiotherapy exercises, admission sedatives and tranquilizers, as well as ancillary treatment of concomitant diseases.

The patient is tormented by a strong burning sensation: what is it?

Intense burning against the background of moderate tingling and pressing sensations is often a sign of an acute inflammatory process in the nerve nodes of the solar plexus, which is called solar plexitis. Pathology develops as a complication against the background of chronic neuritis in the absence of timely treatment or violation of the regimen prescribed by the doctor. In some cases, solar plexitis can take a chronic course and worsen under the influence of negative factors.

Increased pain under the ribs can occur with hypothermia, emotional stress or increased stress on the musculoskeletal system. Sometimes disease can be the causative factor digestive system, so the treatment regimen also includes adjuvant therapy aimed at normalizing the work of the gastrointestinal tract. The clinical picture of the disease in acute or subacute course, as well as during the period of exacerbation, is as follows:

• a feeling of fullness in the stomach, which occurs regardless of the meal and the amount of food eaten;
• bloating in the intestines, flatulence;
• pressing and bursting pain in the chest and heart;
• belching, heartburn, change in stool consistency.

Body temperature with solar plexitis usually remains within the normal range. In some cases, a slight increase is possible (up to 37 ° -37.4 °), but with a non-infectious nature of the pathology, this picture is rare. Some patients complain of feeling internal heat, which can be manifested by an increase basal indicators- temperature measured in the pararectal space (rectum).

Note! Solar plexitis is treated by a neurologist. If the disease is complicated by disorders of the digestive tract, the help of a gastroenterologist and a nutritionist may be required. In addition to drug treatment, the patient must be prescribed breathing and gymnastic exercises, physiotherapy and massage.

Video - 3 tests for chest pain

The nature and localization of pain syndrome in diseases of the respiratory tract

Soreness under the lower costal arches can be triggered by an inflammatory process in the lungs. In about 12% of cases, such symptoms occur with unilateral pneumonia. Some types of non-infectious pneumonia occur without fever, and the only symptom of the disease in the patient is a dry, painful cough. The pain in this case usually increases with coughing and trying to take a breath, it can radiate to the area behind the sternum and neck, less often to the collarbone or interscapular zone. Such a clinical picture may be the basis for suspicion of lower lobe focal pneumonia and appointments complex diagnostics including ultrasound and radiography.

If pneumonia is caused by infectious agents, the patient may have the following symptoms:

• discharge of a small amount of purulent or bloody sputum (sometimes an unpleasant odor may be present);
• increase in body temperature (with bacterial and viral inflammation body temperature can reach 39.6 ° and above);
• pallor of the skin and mucous membranes;
• shortness of breath, difficulty breathing;
• febrile syndrome;
• the fall blood pressure and a decrease in heart rate (occurs not always).

If bronchial tissues are involved in the inflammatory process, the patient develops complicated bronchitis against the background of pneumonia, which can take a chronic course if the patient is not given timely help. Sometimes pain in the area of ​​​​the celiac plexus is a symptom of pleurisy - a severe inflammatory process in serosa lining inner surface lungs, diaphragm, thorax and mediastinum.

Important! For the treatment of pathologies of the respiratory system, antibiotics of the penicillin series are used: Flemoxin», « Amosin», « Augmentin". In chronic or recurrent pneumonia, the use of antibacterial agents from the macrolide group is indicated (" Zinnat», « Suprax», « Hemomycin"). To facilitate the discharge of sputum, expectorant preparations based on ambroxol are prescribed: Lazolvan», « Ambrobene», « Ambrohexal».

Pain syndrome in persons with chronic lesions of the digestive tract

If the diagnostic measures did not reveal diseases of the solar plexus in the patient, but the pain does not go away, it is necessary to undergo an examination by specialized specialists, for example, a gastroenterologist. The solar plexus nodes are located under xiphoid process in the epigastric zone, so pain in this area is often associated with herbs of the celiac and mesenteric arteries. The list of diseases of the gastrointestinal tract that can cause periodic pain in this projection is listed in the table below.

Possible pathologies of the gastrointestinal tract

Affected organ	Image	Possible diseases
		Duodenitis - the defeat of twelve duodenal ulcer developing against the background of an infectious or mechanical effect. Colitis is an inflammation of the mucous membrane of the small intestine, diagnosed most often in men aged 25-45 years. Enterocolitis - simultaneous inflammation of the small and large intestines, one of the most common infectious diseases intestines. Intestinal obstruction - a violation of the movement of food through the intestines, the main cause of which is blockage of the intestinal lumen or atony of the intestinal walls
		Gastritis is an inflammation of the mucous membrane lining the walls of the stomach from the inside and protecting it from aggressive influences. chemical substances and hydrochloric acid. Peptic ulcer - ulceration of the gastric mucosa, a local defect with signs of trophic disorders. GERD is the spontaneous reflux of stomach contents into the lower esophagus, followed by inflammation of the esophageal tube. Menetrier's disease - overdevelopment of the mucous membrane of the stomach with the formation of cystic growths and benign tumors (adenomas)
		Pancreatitis is an inflammation of the parenchymal tissue and mucous membranes of the pancreas. A pancreatic cyst is a benign tumor formed by the cells and tissues of the organ. Pancreatic necrosis is a severe pathology accompanied by partial or complete necrosis of gland tissues with a high risk of mortality.

Pain in the solar plexus area can also be observed with Crohn's disease- a severe systemic disease that affects the entire digestive tract human, starting from the upper segments (mouth, larynx) to the final sections (rectum and anus). Pathology is characterized by severe pain, poor digestibility of food, spontaneous excretion of feces. The treatment of Crohn's disease requires the use of surgical methods, while in order to achieve a stable remission, the patient must undergo multi-stage surgical therapy. After treatment, the patient must adhere to diet food excluding alcohol, fried foods, fatty foods, spices and marinades.

Pain in the solar plexus in men

In men, such symptoms may be one of the manifestations prostatitis- a chronic disease characterized by a metabolic disorder in the tissues of the prostate and their inflammation. An andrologist or urologist is involved in the treatment of prostatitis, in some cases it may be necessary to consult a phlebologist or vascular surgeon. Soreness in the upper abdomen in the projection area of ​​the epigastrium can also occur against the background of other diseases of the genital and urinary system in men, which include:

• inflammation of the urethra urethritis);
• defeat Bladder infectious or non-infectious nature (cystitis);
• infectious inflammation of replaceable vesicles, most often a complication of infection with the herpes virus ( vesiculitis);
• damage to the venous system spermatic cord (varicocele);
• inflammation of the epididymis epididymitis);
• hyperplasia of the prostate tissue with further tumor formation ( BPH).

With all these pathologies, men experience specific symptoms: pain during urination and defecation, false urge to empty, discomfort during intimacy, lack of attraction to the opposite sex, erectile disorders. Against the background of some diseases, for example, varicocele, discomfort may appear during walking and physical exertion.

Pain in the area of ​​the solar plexus does not always indicate the defeat of this particular organ. Very often, a similar picture is observed in diseases of organs that are not related to the work of the autonomic nervous system. In order to accurately find out the cause of pathological symptoms and get rid of painful sensations, it is necessary to consult a doctor when the first signs of possible diseases occur.

Video - Pain in the pit of the stomach - three possible causes

The solar plexus is the largest nerve plexus in the body. It is located at the top abdominal cavity person. This is where they reflect pain from many internal organs, therefore

pain in the solar plexus

is frequent

symptom

With which patients go to the doctor.

What are the causes of pain in the solar plexus? Pain in the solar plexus can be caused by two reasons:1. Damage to the plexus itself (trauma, neuritis, etc.).
2.

Diseases of the internal organs (and even those that are far enough away - this is a more common situation).

By the nature of the pain in the solar plexus area, it can be sharp, strong, sharp, or, on the contrary, dull, aching. They can occur in attacks or disturb constantly, for a long time.

Pain with lesions of the solar plexus itself Excessive exercise

Pain in the solar plexus area can occur during excessive physical exertion. It is acute, usually stabbing or burning in nature. The sensations are quite intense, they make a person stop and rest.

Such pain, which develops with improper sports and hard work, does not indicate any pathologies. It is enough just to relax, and for the future to make up the right program training, do not overwork.

If excessive physical activity is repeated constantly, and is always accompanied by pain in the solar plexus area, then this can lead to a more serious condition - neuritis (see below).

Acute pain with solar plexus injuriesTrauma

solar plexus is always accompanied by characteristic symptoms. Most often, pain in the solar plexus appears as a result of the following types of traumatic effects:

A blow to the solar plexus. Most often this happens in boxers and some other athletes involved in martial arts.

Hitting the solar plexus with a ball (usually while playing football).

Too much tightening of the abdomen with a belt.

With an injury to the solar plexus, the pain is acute, burning, as a rule, quite strong. It occurs in the space between the navel and the lower edge of the sternum. At the same time, other symptoms develop:

• feeling of warmth, burning inside the abdomen;
• the victim may notice nausea, urge to defecate;
• respiratory failure: with a solar plexus injury, it is often difficult to inhale;
• pain in the solar plexus area can spread to the chest, there are dull pain in the heart area;
• if the pain is strong enough, then the victim takes a characteristic position: he lies on his side, bends his legs and brings them to his stomach.

With pain in the solar plexus caused by trauma, first aid is quite simple: you need to lay the victim down, help him start breathing normally. Most often, this is enough just to unbend his torso. You can massage your stomach a little in the area of ​​​​the solar plexus. Sometimes you have to use ammonia.
Neuritis

Neuritis is an inflammation of the nerves that make up the solar plexus. Specific

stomach ache

are very characteristic symptom for given state. The causes of neuritis can be very diverse: they occur in people who lead a sedentary lifestyle, are constantly exposed to excessive physical exertion, with intestinal infections, certain surgical diseases, etc.

With neuritis of the solar plexus, the following symptoms develop:

• there are acute paroxysmal pains in the area of ​​the solar plexus;
• the pains are very strong, by nature - stabbing, boring;
• pain occurs mainly between the navel and sternum, but can spread throughout the abdomen, give to the back;
• during pain attack the patient takes a position on his side, with the legs brought to the body, to reduce suffering;
• at the same time, a feeling of fullness or heat inside the abdomen may disturb;
• pain may worsen after intense physical exertion or stress.

Diagnosis and treatment of pain in the solar plexus caused by neuritis is performed by a neurologist. The diagnosis is established when other causes of abdominal pain are excluded.

Solar plexus neuritis is often referred to as plexitis.

In its manifestations and nature of pain in the solar plexus, neuralgia strongly resembles neuritis. The pain syndrome also occurs in the form of seizures, acute, quite pronounced, accompanied by unpleasant sensations in the stomach, intestines, and heart.

Pain in the solar plexus in neuritis and neuralgia is so similar that it is often difficult to distinguish these conditions from each other. They are diagnosed and treated by a neurologist.

More about neuralgia

Acute severe burning pain in the solar plexus with solarite Solaritis is the most severe lesion of the solar plexus, in which an inflammatory process and irritation develops in the solar node - an accumulation of nerve cells, from which almost all the nerves of the solar plexus depart.

Solaritis occurs if there is prolonged neuralgia or neuritis of the solar plexus, in which the patient does not visit a doctor and does not take any treatment measures. The disease can proceed in acute (for the first time there are acute pains in the solar plexus) or chronic form (long course in the form of seizures).

The exacerbation of chronic solaritis and the appearance of pain in the solar plexus can be triggered by various factors: excessive physical exertion, stress, hypothermia, diseases of the digestive system, etc.

The pain in the solar plexus that occurs during solaritis is very strong, has a burning, boring character. In some cases, it may continue long time, is aching, dull. In addition to the pain syndrome, solaritis develops the following disorders:

• dull or pressing pains in the chest and in the region of the heart;
• feeling of heaviness in the abdomen, general discomfort, bloating;
• the temperature of the human body is normal, but at the same time he feels heat inside;
• constipation, loss of appetite, belching, heartburn - all these disorders occur as a result of a disorder in the tone of the stomach, and resemble the symptoms of diseases of the digestive system.

For pain in the solar plexus caused by solaritis, patients usually turn to a neurologist. If there is no treatment, then severe damage to the nervous system can occur as complications.

For the treatment of pain in the solar plexus caused by solarite, mainly physiotherapy, massage, therapeutic and breathing exercises are used.

Nausea and pain in the solar plexus - manifestations of diseases of the digestive system Pain in combination with nausea can occur when the solar plexus itself is irritated. However, they are more typical for diseases of the digestive system: stomach, duodenum, pancreas.
Stomach diseases

Pain in the solar plexus can occur with such pathologies

Like gastritis, peptic ulcer, tumors.

Pain in the solar plexus with gastritis can vary greatly depending on which part of the organ is affected. If the mucous membrane of the fundus of the stomach is inflamed, then pain syndrome occurs almost immediately, or a short time after eating. If the lesion is located closer to the place of transition to the duodenum, then the pain occurs after a long time, on an empty stomach. With gastritis, pain in the solar plexus often has a aching, pulling character, is weakly expressed. Other characteristic symptoms:

• violation gastric digestion manifested in a feeling of fullness and heaviness, heartburn, belching, vomiting, loss of appetite, etc .;
• disruption of the intestines: a feeling of bloating, constipation, diarrhea;
• disorders of the nervous system: bad dream, anxiety, suspiciousness, fear of a malignant tumor of the stomach.

Stitching sharp pains in the area of ​​the solar plexus are characteristic of stomach ulcers. At the same time, the connection of pain with food intake also depends on which part of the stomach the ulcer is located in. Usually the patient can accurately indicate the place where he has pain. The same accompanying symptoms develop as with gastritis.

Tumors of the stomach, as a rule, are accompanied by pulling, pressing pains in the area of ​​the solar plexus. They can disturb the patient constantly, or occur in the form of exacerbations and subsidence.

A gastroenterologist is engaged in the diagnosis and treatment of pain in the solar plexus with pathologies of the stomach.

Diseases of the duodenum

For acute and chronic

duodenitis

Inflammation of the mucous membrane of the duodenum - characterized by pulling and aching pain in the solar plexus, occurring mainly on an empty stomach and at night. After eating they pass.

With duodenitis, the following symptoms are present:

• general weakness, malaise;
• nausea and vomiting;
• fever;
• pain may not bother the patient, but can be detected only when the abdomen is felt in the solar plexus area.

Duodenal ulcer characterized, as a rule, by more intense pain in the solar plexus. They occur on an empty stomach and at night. Exacerbation of the disease is observed in spring and autumn. Characterized by nausea and vomiting, constipation, diarrhea. Such pain disappears after eating, baking soda, drugs that reduce gastric acidity.

Pain in the solar plexus tumors of the duodenum not very pronounced. By nature, they are blunt, as with an ulcer, therefore, on early stages tumor process is very difficult to suspect. Other symptoms include nausea, vomiting, jaundice (in the later stages).

The final diagnosis for pain in the solar plexus associated with the pathology of the duodenum is established after examination by a gastroenterologist and appointment additional research(X-ray, ultrasound, gastroesophagoscopy).

Pain in the area of ​​the solar plexus in diseases of the pancreas An attack of acute or exacerbation of chronic pancreatitis (inflammation of the pancreas) has a very characteristic picture of pain syndrome. Pain in the area of ​​the solar plexus is always strong and sharp, occurs suddenly. The body temperature rises, the patient is worried about nausea and indomitable vomiting with bile, after which it does not get better.

Cause of pain in the solar plexus this case established during the ultrasound. If acute pancreatitis or exacerbation of a chronic patient is detected, they are hospitalized in a hospital.

Tumors of the pancreas may present with various pain syndromes. In some patients, pains in the solar plexus are pulling, aching, while in others they are very strong, appear sharply, sharply. Symptoms such as nausea and vomiting, bloating, diarrhea and constipation join. An accurate diagnosis is established after ultrasound, CT, biopsy, blood tests for tumor markers.

Diseases of the small intestine and abdominal cavity Pain in the solar plexus may be a manifestation the following diseases small intestine:
1. Intestinal infections

At the same time, pain in the solar plexus can be sharp and sharp, or prolonged, pulling, aching. All other manifestations of the infectious process are characteristic:

diarrhea loose stool

with mucus of a changed color, increased body temperature,

frequent bowel movements

Nausea and vomiting. With such symptoms, it is worth contacting an infectious disease specialist.

Postponed

peritonitis

- a surgical disease that is characterized by inflammation of the abdominal cavity. In this case, persistent neuralgia of the solar plexus can form.

3. spikes

in the abdominal cavity. With a massive adhesive process in the abdominal cavity, irritation of the nerves inside occurs. As a result, there may be paroxysmal sharp pains in the solar plexus, as in his neuralgia or neuritis.

4. Massive worm infestations.

For example, if the intestine contains a large amount

They can compress the internal organs and the solar plexus. There are dull pains.

5. Tumors of the abdominal cavity.

It can be neoplasms of the intestine,

liver kidney

etc. In this case, the pain syndrome increases gradually. These can be acute pains in the form of attacks, or chronic pulling, aching, pressing pains in the solar plexus.

6. Intestinal ulcers.

May take place when

dysentery

typhoid fever,

tuberculosis

intestines. With massive ulcerative lesion irritation of the solar plexus may be noted. Pain is combined with characteristic digestive disorders.

7. Prolapse of the abdominal organs.

At the same time, the nerves that approach them are irritated, pain occurs in the area of ​​​​the solar plexus of a different nature.

poisoning

The symptoms of this pathology strongly resemble the symptoms of an intestinal infection. At first, symptoms usually appear, such as

stomach ache

Nausea, vomiting, heartburn. Then the patient begins to worry about pain in the solar plexus, diarrhea, changes in color and consistency of the stool. The body temperature rises, the general condition is disturbed.

Various localizations pain in the solar plexusPain above the solar plexus

Pain above the solar plexus occurs in the lower chest, under the ribs. Among the main causes of this symptom are the following:

1. Pathologies of the esophagus

: tumors,

gastroesophageal reflux disease

erosion. Pain above the solar plexus with lesions of the esophagus usually increases during swallowing. There may be associated symptoms such as heartburn, belching, nausea and vomiting.

2. Diseases of the pleura

Which is a thin film covering the chest from the inside. Pleurisy, an inflammatory process, tumors of the pleura, can lead to the occurrence of pain syndrome. At the same time, there is a clear connection between the pain syndrome and respiratory movements. Other symptoms are often cough and shortness of breath.

3. Pneumonia

- pneumonia. The most important is the lower lobe

pneumonia

In which the lower parts of the lungs adjacent to the pleura are affected. As a result, pain may occur above the solar plexus, on the right or left. Sometimes, during the examination of such a patient, even an experienced doctor may suspect that he does not have a disease of the respiratory system, but a pathology of the organs of the abdominal cavity. During pneumonia, body temperature rises sharply, it is noted

Shortness of breath, the patient's skin may have a grayish-cyanotic tint.

4. Heart disease

Most often, pain above the solar plexus occurs with

ischemic heart disease

(atypical) and

heart failure

With angina pectoris, there is an acute, sharp, burning pain above the solar plexus, which, as a rule, gives to the sternum, and disappears within 5 minutes after taking the drugs

nitroglycerin

For heart failure - on the contrary, dull, aching, pressing pain is characteristic. Sometimes in the form of pain above the solar plexus, or directly in it, myocardial infarction is manifested. In this situation, the pain is even stronger, they do not go away after taking nitroglycerin and lead to a sharp deterioration in the patient's condition.

5. Diaphragm pathology.

Dominated

diaphragmatic hernia

Which can cause pain above the solar plexus.

6. Intercostal neuralgia.

In general, for such a condition as intercostal neuralgia, a slightly different pain syndrome is characteristic. But sometimes it can manifest itself in the form of pain above the solar plexus, which is given to the right or left half of the chest. The area of ​​​​the solar plexus itself does not hurt very much, and for only a few minutes. And then the pain spreads to the ribs.

Pain below the solar plexus

Sometimes pain occurs under the solar plexus, but not in the very bottom of the abdomen. This symptom may indicate the following pathologies:

Inflammatory diseases of the female genital organs: fallopian tubes and

ovarian oophoritis

Salpingoophoritis,

adnexitis

). Pain in these conditions is very often given to the area of ​​the solar plexus.

Inflammatory processes in the lower parts of the urinary system:

bladder

Ureters (

cystituurethritis
3.

Inflammatory processes in the colon and rectum (

proctitis

sigmoiditis).

Sometimes pain just below the solar plexus occurs with acute

appendicitis

The pain occurs below the solar plexus and around the navel, after which it shifts to the right iliac region. If the appendix is ​​not located quite correctly, then the pain constantly bothers only in the area of ​​​​the solar plexus. This happens relatively rarely, so it can mislead the doctor examining the patient.

The nature, strength and duration of pain below the solar plexus are determined by the specifics of the underlying disease.

Pain to the right of the solar plexus

Sometimes pains in the area of ​​the solar plexus are noted more on the right. This may be due to diseases of the following organs:

• The lower part of the esophagus (gastroesophageal reflux disease, erosions, esophagitis, tumors): the esophagus departs from the stomach more on the right, and therefore the pain gives in this direction.
• Head of the pancreas (pancreatitis, tumors): if not adequately treated, jaundice may develop over time as the enlarged head of the pancreas compresses the bile ducts.
• Gallbladder (cholecystitis, cholelithiasis, tumors): in general, the pathologies of this organ are characterized by pain under the right rib, but sometimes they appear slightly to the right of the solar plexus.
• Liver: hepatitis, cirrhosis, echinococcosis, tumors.
• With an unusual location appendix pain to the right of the solar plexus can give acute appendicitis.
• Right kidney and ureter (pyelonephritis, urolithiasis, hydronephrosis, tumors, omissions, excessive kidney mobility, etc.).
• Neuralgia of the intercostal nerve on the right.

Pain to the left of the solar plexus If pain in the solar plexus is noted somewhat on the left, then first of all it is worth suspecting pathologies from the following organs:

• Stomach (gastritis, peptic ulcer, tumors, etc.) - this organ occupies almost the entire left side of the upper abdomen.
• The tail of the pancreas (pancreatitis, tumors, etc.) - this part of the organ is on the left.
• Duodenum (duodenitis, ulcers, tumors, etc.).
• Left kidney and ureter (urolithiasis, hydronephrosis, pyelonephritis, tumors, prolapse and excessive mobility of the kidney).
• Neuralgia of the intercostal nerve on the left.

Diagnosis and treatmentSolar plexus collects nerve impulses from many organs. As can be seen from everything described above, pain in the solar plexus area may indicate a wide range of diseases, some of which are completely harmless, while others pose a certain health hazard. Basically, the following methods can be used to diagnose the causes of pain in the solar plexus area:

• Ultrasound examination of the abdominal organs.
• Computed tomography, magnetic resonance imaging.
• Radiography, including with contrast enhancement (before the procedure, the patient is given a drink of a contrast agent, which is clearly visible on x-rays).
• Laparoscopy - examination of the organs of the abdominal cavity through a puncture using a miniature video camera is carried out in cases where the cause of the pain cannot be identified in other ways.
• Analysis of feces, urine.
• Bacteriological studies for suspected infection.
• Esophagogastroduodenoscopy - examination of the esophagus, stomach and duodenum using endoscopic equipment.

But even with the application of all these techniques, it is far from always possible to immediately accurately identify the cause of pain in the solar plexus area. At similar symptoms need treatment directed at the underlying disease. It must be prescribed by a doctor.

If pain occurs in the solar plexus, the algorithm of the patient's actions may be as follows:1. If the pain is not very strong, then you can take painkillers and antispasmodics. After that, you still have to visit a therapist or gastroenterologist in order to understand the causes of the symptom and begin targeted treatment.

2. If the pain in the solar plexus is strong, sharp, sharp, then you should not take any action on your own - you need to call the ambulance team. If the patient has taken some medication before, then the symptom may decrease, and the doctor who arrives may overlook a severe surgical pathology.
What tests can doctors prescribe for pain in the solar plexus?

For the diagnosis of various diseases manifested by pain in the solar plexus, a wide range of different methods. But in each case, the doctor prescribes only a limited list of tests and examinations that are needed to identify the pathology he suspects. In this case, the list of tests and examinations is selected depending on the nature of pain and accompanying symptoms, since it is these factors that suggest which disease provokes pain in the solar plexus in this particular case.

When a person has paroxysmal stabbing pains in the solar plexus, sometimes spreading to the stomach and back, combined with a feeling of fullness and heat in the stomach, aggravated after stress or physical exertion, the doctor prescribes the following tests and examinations necessary to diagnose and distinguish between neuritis/neuralgia and abdominal adhesions:

• Chest x-ray (book now)(allows you to assess whether there is pressure on the solar plexus from other organs);
• Computer or magnetic resonance imaging (make an appointment)(allow to assess the condition and location of the organs of the chest and abdominal cavity, and on the basis of this to identify possible reasons inflammation or irritation of the solar plexus);
• Electroneurography (allows you to study the speed of signal propagation along the nerve);
• General blood analysis;
• Blood tests for suspected infections.

If a person has attacks of strong, burning, boring pains in the solar plexus, which are combined with pressing pains in the chest and heart area, a feeling of heaviness in the abdomen, heat inside the body, bloating, constipation, impaired appetite, belching, heartburn, then he prescribe the same examinations and analyzes above as for neuritis or neuralgia.

When there are sharp or nagging pains in the solar plexus that occur either on an empty stomach, or during a meal, or shortly after a meal, combined with a feeling of fullness and heaviness in the abdomen, with heartburn, bloating, constipation, diarrhea, anxiety, the doctor prescribes the following tests:

• General blood analysis;
• Fibrogastroduodenoscopy (FGDS) (enroll) or fibrogastroscopy (FGS);
• Computed or magnetic resonance imaging;
• Detection of Helicobacter Pylori in the material taken during FGDS;
• The presence of antibodies to Helicobacter Pylori (IgM, IgG) in the blood;
• The level of pepsinogens and gastrin in the blood serum;
• The presence of antibodies to the parietal cells of the stomach (total IgG, IgA, IgM) in the blood.

In addition, the above tests are also prescribed by a doctor for nagging pains in the solar plexus that occur on an empty stomach or at night, which decrease after eating, are combined with constipation, diarrhea, general weakness, malaise, nausea, vomiting and sometimes with fever, as they also indicate the pathology of the gastrointestinal tract.

In this case, most often, a general blood test, an analysis for the presence of antibodies to Helicobacter Pylori, and also fibrogastroduodenoscopy are performed, since this set of studies in a large number of cases makes it possible to diagnose an existing disease that caused pain in the solar plexus. In addition to the specified minimum set of studies, if technically possible, magnetic resonance or computed tomography can be performed, the results of which supplement and refine FGDS. An analysis of the level of gastrin and pepsinogens in the blood is rarely prescribed, since it is actually an alternative to FGDS, only non-invasive. Therefore, these tests are ordered if the patient cannot undergo an EGD and has the opportunity to pay for the study, usually conducted in a private laboratory. An analysis for antibodies to the parietal cells of the stomach is prescribed only when the development of atrophic gastritis is suspected, but the process is still at an early stage, and the result of EGD does not allow us to say with certainty whether there is atrophy of the mucous membrane.

When severe, sharp pain appears in the solar plexus area, which is combined with fever, nausea and vomiting with bile that does not bring relief, the doctor may prescribe the following tests and examinations to confirm pancreatitis:

• General blood analysis;
• General urine analysis;
• Biochemical blood test (amylase, pancreatic elastase, lipase, triglycerides, calcium);
• Urine amylase activity;
• Feces for scatology;
• Ultrasound of the abdominal organs (make an appointment);
• Magnetic resonance or computed tomography.

First of all, they prescribe and do a general blood and urine test, a biochemical blood test, a coprological examination of feces and ultrasound, since these studies allow diagnosing pancreatitis with sufficient accuracy. Magnetic resonance or computed tomography is prescribed only if there is doubt about the accuracy of the diagnosis after the studies.

When acute sharp paroxysmal or constant pulling-aching pains appear in the solar plexus, combined with diarrhea, fever, frequent bowel movements, nausea and vomiting, the doctor prescribes the following tests and examinations:

• General blood analysis;
• Analysis of feces for worm eggs;
• Analysis of feces for coprology and dysbacteriosis;
• Sowing feces on clostridia;
• Blood test for the presence of antibodies to clostridia;
• Blood test for mycobacteria (tuberculosis);
• Ultrasound of the abdominal organs;
• Colonoscopy (make an appointment) or sigmoidoscopy (make an appointment);
• Irrigoscopy (X-ray of the intestines with contrast agent) (sign up);
• Blood test for the presence of antineutrophil cytoplasmic antibodies and antibodies to saccharomycetes.

First of all, doctors usually prescribe a general blood test, fecal tests for worm eggs and coprology, ultrasound of the abdominal organs and colonoscopy / sigmoidoscopy, since these studies allow diagnosing the most common diseases that provoke the indicated symptom complex. If the examinations performed do not allow the doctor to put accurate diagnosis, then an irrigoscopy is prescribed. A blood test for antibodies to Clostridium is prescribed only in cases where there is a suspicion that diarrhea and pain are provoked by taking

antibiotics

If a person has dull pressing pains in the solar plexus, combined with bloating, irregular stools, general weakness and a tendency to allergic reactions, the doctor prescribes a blood and feces test for the presence of ascaris.

When the pain is localized above the solar plexus, felt when making respiratory movements, combined with shortness of breath and cough, the doctor may prescribe the following tests and examinations:

• General blood analysis;
• General urine analysis;
• chest x-ray;
• Sputum microscopy;
• Analysis of blood, sputum, bronchial washings for the presence of chlamydia (sign up), streptococcus, mycoplasma (sign up) and Candida fungus.

Common blood and urine tests, a chest x-ray, and sputum microscopy are usually ordered, as these tests can diagnose pleurisy and pneumonia. But if the treatment is ineffective, then tests for infections are prescribed to find out which microorganism provoked the infectious-inflammatory process and prescribe another, suitable treatment.

When pain above the solar plexus is constantly present, combined with heartburn, nausea, aggravated by coughing, physical activity, the doctor suspects a diaphragmatic hernia and prescribes a complete blood and urine test, ultrasound of the abdominal organs and x-rays with contrast of the abdominal organs. If technically possible, x-rays can be replaced by computed tomography or magnetic resonance imaging.

When the pain is localized just above the solar plexus, aggravated by swallowing, combined with heartburn, belching, nausea and vomiting, the doctor prescribes X-ray of the stomach and esophagus with contrast, as well as esophagogastroduodenoscopy (EGDS). These studies allow to identify erosion of the esophagus, assess the presence of its narrowing and, together with the symptoms, make a diagnosis of GERD.

When pain in the solar plexus indicates oncological disease(pain is pulling, aching, pressing, constantly present, combined with an aversion to meat, a feeling of fullness in the stomach with a small amount of food eaten, causeless weight loss, nausea, vomiting, bloating, constipation, diarrhea or loss of appetite), the doctor prescribes an x-ray of the abdominal organs , Ultrasound (make an appointment), and if possible - and computed or magnetic resonance imaging. These studies allow you to identify the location and size of the tumor. Additional for evaluation general condition body, the doctor prescribes a general blood test, a biochemical blood test, a general urinalysis and a coagulogram. Further, the oncologist can prescribe specific tests for tumor markers, which he selects in accordance with the type of tumor and the affected organ.

Which doctor should I contact for pain in the solar plexus?

Since pain in the solar plexus can be provoked various diseases and states, then if they are available, you need to turn to different specialists, whose competence includes the treatment of pathology that provokes pain. To understand which doctor you need to contact for pain in the solar plexus, you should study the accompanying symptoms.

First of all, you should know that acute, sharp, burning pain or dull, aching, pressing pain above the solar plexus, radiating to the sternum, passing when taking Nitroglycerin, requires an immediate call for an ambulance, as it indicates life-threatening conditions.

In case of acute paroxysmal stabbing pains in the solar plexus, felt between the navel and sternum, sometimes spreading to the stomach and back, combined with a feeling of fullness or heat inside the abdomen, aggravated after physical exertion and stress, you should contact neurologist (make an appointment), since such symptoms are characteristic of neuralgia or neuritis (plexitis) of the nerves that make up the plexus. Neuralgia is an irritation of the nerves, and neuritis is an inflammation of the nerves, but the clinical picture for neuralgia and neuritis of the solar plexus is very similar, and only a neurologist can distinguish between these diseases. However, if the neurologist does not confirm the diagnosis of neuritis or neuralgia, then you need to contact surgeon (make an appointment), since pains similar to neuralgic or neuritic ones often occur with adhesions in the abdominal cavity that have formed after operations or inflammatory processes.

Very strong, burning, boring pains in the solar plexus that occur in attacks, or constantly present dull aching pains, combined with pressing pains in the chest and heart area, a feeling of heaviness in the abdomen, heat inside the body, bloating, constipation, loss of appetite, belching, heartburn, require an appointment with a neurologist, since such a symptom complex indicates the development of solaritis. Solarite is an inflammation of the accumulation of nerve cells, from which all the nerves of the solar plexus depart. In general, solarite is pain in the solar plexus, combined with symptoms resembling diseases of the stomach and intestines.

Stitching sharp pains or pulling-aching pains in the solar plexus, arising either on an empty stomach, or during a meal, or shortly after a meal, combined with a feeling of fullness and heaviness in the abdomen, with heartburn, bloating, constipation, diarrhea, anxiety, require medical attention - gastroenterologist (make an appointment) or therapist (sign up), as they are caused by gastritis or peptic ulcer of the stomach.

If there are nagging pains in the solar plexus that occur on an empty stomach or at night, calming down after eating, combined with constipation, diarrhea, general weakness, malaise, nausea, vomiting, and sometimes with fever, you should contact a gastroenterologist or therapist, since such a symptom complex is usually caused by duodenitis or duodenal ulcer.

With a sudden onset of severe, sharp pain in the solar plexus, combined with fever, nausea and vomiting with bile that does not bring relief, it is necessary to consult a surgeon or gastroenterologist, since such a symptom complex indicates pancreatitis.

If the pain in the solar plexus is acute, sharp paroxysmal or constantly existing pulling-aching, combined with diarrhea, fever, frequent bowel movements, nausea and vomiting, then you should consult a doctor infectious disease specialist (sign up), since the symptom complex indicates food poisoning, intestinal infection (dysentery, cholera, etc.), typhoid fever or intestinal tuberculosis.

If there are almost always pulling, aching, pressing pains in the solar plexus, combined with an aversion to meat, a feeling of fullness in the stomach with a small amount of food eaten, causeless weight loss, nausea, vomiting, bloating, constipation, diarrhea or loss of appetite, you should consult a doctor. - oncologist (make an appointment), since such symptoms usually indicate the presence of a tumor of the stomach or duodenum.

If the pain is felt slightly above the solar plexus, aggravated by swallowing, combined with heartburn, belching, nausea and vomiting, then you should contact a gastroenterologist or therapist, since these symptoms are caused by erosions of the esophagus, GERD (gastroesophageal reflux disease).

Pain above the solar plexus that occurs when making respiratory movements, combined with shortness of breath and cough, requires treatment pulmonologist (make an appointment) or a therapist, as the symptoms indicate pleurisy or pneumonia.

Pain above the solar plexus, which is constantly present, is combined with heartburn, nausea, is aggravated by coughing, physical activity, requires a visit to the surgeon, as it is caused by a diaphragmatic hernia.

ATTENTION! The information posted on our site is a reference or popular and is provided to a wide range of readers for discussion. Medicines should only be prescribed qualified specialist based on medical history and diagnostic results.

An area the size of a human fist, located in the middle between the end of the sternum and the navel, along the midline of the abdomen, is a projection of the largest cluster of nerves in our body - the solar plexus.

Pain in the region of the solar (celiac, splanchnic) plexus - serious symptom. It can indicate both diseases of the abdominal organs, to which the plexus transmits commands from the brain, and inflammation of the cluster of nerves itself. The latter state is not at all safe: it "knows how" to reflexively stop a person's breathing.

Anatomy and Physiology

The abdominal cavity begins immediately below the costal arches. It is separated from the chest by a large diaphragm muscle stretched between the ribs like a tent, the task of which is to ensure human breathing. The diaphragm has a hole. Through it from the chest cavity passes the most major artery- aorta. Behind her at the level of the first lumbar vertebra there is a whole network of nerves originating from several ganglions.

The main ones are two semilunar ganglia (the so-called nerve nodes, which are a place where, covered with a membrane, the connection of nerve endings occurs). From them, like the rays of the sun, the nerves diverge to all the organs of the abdominal cavity, as well as to the diaphragm, adrenal glands and ovaries. Most of them are represented by parasympathetic fibers (there are also sympathetic and sensory nerves). Appearance this " abdominal brain and determined its name.

Pain in the area of ​​the solar plexus is a dangerous symptom: it may indicate the pathology of its constituent nerve fibers. Such a violation of the conduction of impulses is fraught with "shutdown" or "interruptions in work" of those internal organs that receive commands from the celiac plexus. The most dangerous if the branches leading to the diaphragm are affected - they can “turn off” breathing, which will require emergency assistance. Therefore, all you can do is to urgently seek medical help if you experience pain in the pit of your stomach.

Causes of pain syndrome

The main causes of pain in the solar plexus can be divided into 2 groups:

• The defeat of the nerve fibers themselves during their injury, bacterial or viral inflammation.
• Reactive pain due to disease of one of the abdominal organs, to which sensory fibers from the splanchnic plexus approach.

In the first type of pathologies, the work of one or more organs of the cavity may be disrupted, in the second case, pain in the plexus will be the result of organ pathology. Only specialists with medical education are able to determine what was primary and what developed as a result. Below we will consider the main symptoms in order to more quickly orient you in the consultation of which doctor you need.

Defeat of the most celiac plexus

These are: trauma to the solar plexus, solaritis (neuritis) and neuralgia of the solar plexus.

Pain in the solar plexus as a sign of a disease of the internal organs

The fact that it is not the solar plexus itself that is affected, but pain radiates here from the internal organs altered by the pathology, is evidenced by such signs as: the connection of the pain syndrome with food, urination, a change in character stool and so on.

Dependence of the diagnosis on the localization of pain

Approximately orient in the search for the disease will help localization of the pain syndrome.

Localization of pain - to the left of the plexus

Pain to the left of the solar plexus can occur with one of these pathologies:

• stomach ulcer or 12 duodenal ulcer;
• gastritis, gastroduodenitis;
• tumors of the stomach or duodenum 12;
• tumors or inflammation of the tail of the pancreas;
• urolithiasis;
• omission of the left kidney;
• intercostal neuralgia on the left;
• pyelonephritis.

Pain - to the right of the plexus

If the pain syndrome is located to the right of the midline connecting the sternum and navel, this may speak in favor of:

• appendicitis;
• cholecystitis;
• hepatitis A;
• cholelithiasis;
• right-sided intercostal neuralgia;
• liver tumors;
• inflammation, tumors or burns of the lower esophagus;
• pyelonephritis, hydronephrosis or stone - in the left kidney.

Soreness - below the solar plexus

Pain under the solar plexus is characteristic of diseases:

• Genital organs (mainly in women): fallopian tubes, ovaries.
• Bladder, ureters (more often such irradiation is typical for men).
• Large intestine (colitis, sigmoiditis, proctitis)

The painful area is located above the solar plexus

Pain above the plexus is typical for:

• Diseases of the esophagus (esophagitis, tumors, erosion, burns). An additional symptom in this case will be pain when swallowing, located behind the sternum. There will also be belching and nausea.
• Pathologies of the pleura (pleurisy, empyema). They develop as complications of pneumonia or tuberculosis. In their favor is evidenced by the connection with the breath.
• Pneumonia (usually lower lobe). Usually this pathology occurs with fever, muscle pain. If she has not been treated for some time, shortness of breath and a feeling of lack of air develop.
• Diseases of the heart. Here, the pain is associated with excitement or physical activity, relieved by taking nitroglycerin or with long-term use of drugs such as Anaprilin, Atenolol, Nebivolol. If the pain is severe, occurred after several years of attacks, removed by nitroglycerin, it may be a myocardial infarction.
• Diaphragm disease (most common) diaphragmatic hernia when the abdominal organs enter the chest cavity). In this case, there may be heart rhythm disturbances, difficulty breathing - after eating, especially if the person then took a horizontal position.
• Intercostal neuralgia. With this pathology, in the affected intercostal space, it is sometimes possible to detect a bubble rash of herpes zoster or to feel the strangulated vertebra with pressure on each individually. Symptoms of intercostal neuralgia will be the appearance of pain above the solar plexus on the right or left, which radiates to the left or right hand (respectively). It hurts to take a deep breath or cough. The temperature rarely rises; symptoms of intoxication (nausea, weakness, muscle or bone pain), which distinguishes this pathology from pleurisy.

What to do with pain in the solar plexus

If a pain syndrome occurs, which, in your opinion, is similar to solaritis or solar plexus neuralgia, a neuropathologist is urgently needed to help restore normal conduction of the plexus nerves. If the pain is more accompanied by diarrhea, fever, urine with blood or other symptoms, you need to visit a therapist who will refer you to the right specialists and prescribe the necessary studies.

The solar plexus is the largest nerve node, which is located at the top of the abdomen, where the anatomical middle, the center of the human body, is located. Consequently, the emerging pain in the area of ​​the solar plexus is often a projection of pain in other organs and systems of a person, a symptom of a number of very different diseases.
That is why, if your solar plexus hurts, you should immediately consult a doctor to find out the possible causes and start treatment as soon as possible.

Pain in the solar plexus: the main causes

So, if an adult or a child has pain in this area, then this may be the result of damage to both the nerve node itself and the irradiation of pain from other parts of the body. In this case, the organs can be anything, often very remote, which seriously complicates the diagnosis.

Pain in the solar plexus can have a paroxysmal or permanent form, by its nature there are:

• strong
• weak
• sharp,
• stupid
• sharp,
• pressing,
• aching,
• bursting,
• pulsating.

Remember that the nature of the pain syndrome correctly described by you can help the doctor quickly identify the true cause of its occurrence, make the correct diagnosis in a timely manner and effectively cure the detected disease.

Problems with the solar plexus

Injury

Injury to the nerve ganglion itself can be the result of serious physical exertion at work or in the gym. It often happens to athletes, especially beginners, because they have not yet learned how to properly distribute physical activity during training, as well as workers physical labor(loaders, slingers, blacksmiths, masons). At the same time, despite the fact that a cutting sharp pain in the solar plexus and takes your breath away, it is not always possible to talk about an injury. Often, pain is indicative of significant physical fatigue and passes if you stop immediately, catch your breath and rest a little.

If a person constantly experiences serious physical exertion, and, as a result, he regularly experiences pain in the solar plexus area, then over time this can develop into neuritis, according to at least, the risk of its occurrence is very high.

True trauma usually appears as a result of:

• strikes (boxing, classical wrestling, judo),
• hitting the ball (football, basketball),
• putting on a rigid, constricting form, tightening the belt strongly,
• fall,
• collision with a car, bicycle.

The resulting pain syndrome is so severe that a person cannot move, work or even breathe. It is also usually accompanied by:

• warmth in the stomach
• nausea,
• urge to defecate.

If the injury is very serious, then pain can spread throughout the abdomen and chest, as a result of which a person may feel a dull heartache.

First aid for such an injury is extremely simple: you need to lie on your side in the fetal position to catch your breath and restore breathing, then do a light abdominal massage in a circular motion hands clockwise. If a person has lost consciousness, ammonia will be required.

If a person does not regain consciousness or the pain does not disappear, but only intensifies, you should immediately call an ambulance or, if possible, take the victim yourself to an appointment with a traumatologist. The doctor will examine the patient, interview him, if necessary, prescribe an ultrasound scan, CT scan and other studies, based on the results of which he will make a diagnosis and prescribe the necessary treatment. For the period of diagnosis, with the permission of the doctor, you can take antispasmodics or painkillers.

Solarite

In acute solaritis, there is a sharp pain in the abdomen, blood pressure rises, intestinal motility is inhibited, and stool disorder is observed. The most painful point is somewhat to the left and above the middle of the abdomen. All this is called in medicine a solar crisis.

If the above symptoms appear, you should immediately go to an appointment with a neurologist. For diagnosis, it is very important to correctly collect an anamnesis, complaints of the patient. Also, the doctor performs palpation of the painful area, if necessary, prescribes ultrasound and CT.

If you ignore the symptoms acute stage, then the disease becomes chronic. With an old, running solarium, it is constantly present It's a dull pain in the area of ​​the solar plexus. Together with her, a person is constantly worried about a dull, pressing pain in the middle of the chest, a feeling of heaviness in the abdomen, diarrhea, heartburn, and metabolism.

Solarite treatment is carried out under the supervision of a neuropathologist, and also, depending on the etiology of the disease, a gastroenterologist, infectious disease specialist, traumatologist and other specialists. With solaritis, the doctor, as a rule, prescribes antispasmodics (Papaverine, Pentamine), treatment mineral waters, physiotherapy, mud, radon, coniferous baths.

As an addition, and only with the permission of a doctor, traditional medicine can be used to relieve pain:

• Collect swollen Birch buds, then pour 2 tablespoons of kidneys into 0.5 liters of vodka and insist in a cool dark place for three weeks. The resulting tincture is used to prepare compresses, which must be applied to the upper abdomen for half an hour.
• Rub black radish juice into the affected area.
• Boil a strong decoction of mint leaves, moisten a bandage or a soft cloth in it. Inside, to enhance the effect, you can put grated raw potatoes mixed with grated onions, or leaves house geranium. With the resulting base, a compress is made, which is applied in the evening before going to bed for half an hour on the upper abdomen.

If left untreated, solaritis can lead to complications in the form of damage to the entire nervous system. But with proper therapy, the risk of such a lesion is quite low.

Neuralgia

This is a lesion of the solar plexus, affecting the celiac nerves and a number of other branches of this node. With this disease, a person experiences sharp, burning pains, he has a feeling of fullness in the abdomen, a feeling of heat in it, intestinal cramps, belching, diarrhea.

Neuralgia develops as a result of:

• infectious disease (flu, syphilis, malaria),
• inflammation in the abdominal cavity (peritonitis),
• poisoning (food, alcohol, own feces),
• getting injured.

Pain in this case is localized along the midline of the abdomen "under the pit of the stomach" and can radiate to the spine, to the entire abdomen, to the chest area. Most often, the pains are paroxysmal, prolonged, painful. A person in this case, to mitigate the pain syndrome, instinctively takes the position of the embryo.

Neuralgia is diagnosed according to the patient's complaints about the nature, duration and localization of pain. Also, the neuropathologist examines the patient, palpates the sore spot, appoints a change general analyzes blood and urine.

In difficult cases, for diagnostic purposes, the following are used:

• electroneurography,
• x-ray,

Note that in this case, for a correct diagnosis, an examination of the heart, lungs, gastrointestinal tract and other organs may also be required.

Treatment of neuralgia is mainly medical and supportive. The doctor prescribes to the patient mud therapy, massage with anti-inflammatory and warming ointments, physiotherapy, acupuncture, laser therapy, vitamin therapy, baths with radon or hydrogen sulfide. AT severe cases surgery may be required, then resort to the help of a neurosurgeon.

As an adjunct to medical therapy, with the permission of the attending physician, you can use the following: folk remedies to help relieve pain:

• Pour a teaspoon of chopped willow bark with 200 ml of boiling water and simmer over low heat in a water bath for half an hour. Drink a tablespoon four times a day.
• Grate the horseradish on a coarse grater, collect it in gauze and put the resulting compress on the upper abdomen for half an hour.
• Apply geranium leaves to the sore spot and bandage, and then wrap the body with a woolen scarf. Such a compress can be done several times a day.

Diagnosis and treatment of neuralgia is the competence of a doctor. If you feel a burning pain in the upper abdomen, immediately go to an appointment with a neurologist, undergo a full examination and then strictly follow his instructions and recommendations.

Diseases of other organs

If pain to the left or right of the solar plexus appears along with nausea and vomiting, it is likely that the person has diseases of the stomach, duodenum or pancreas.

Stomach diseases

Most frequent illnesses stomach are gastritis, ulcer and malignant tumor. With gastritis, the pain syndrome most often has a mild, aching character; with an ulcer, acute and stabbing pains in the area of ​​the solar plexus, but a malignant tumor in the stomach is characterized by pulling, pressing pain, which can be constant or appear periodically. At the same time, all these diseases are accompanied by the same symptoms - nausea, vomiting, diarrhea, flatulence, loss of appetite, so what exactly a person whose body gives such signals could get sick with is determined by a gastroenterologist.

The disease is diagnosed in each case by a doctor by examination, collection of patient complaints, with the help of general and special studies of blood, urine, feces, ultrasound, CT, gastroscopy, radiography.

Tactical treatment consists in the appointment of antispasmodics and analgesics to reduce pain, while the cause that causes it is strategically treated. The basis of therapy for gastritis and ulcers is diet, in some cases it is necessary to take medications that normalize acidity. In advanced cases, it may be necessary surgical intervention. Gastric cancer is treated with chemotherapy and radiation therapy or, if indicated, surgery.

Diseases of the duodenum

If the solar plexus hurts when pressed, then we can assume the occurrence of duodenitis or bulbitis, i.e. inflammation of the duodenal mucosa. At the same time, pulling, aching pains in the left side appear periodically, which usually occur at night or on an empty stomach, and slowly disappear after eating. The pain syndrome is accompanied by weakness, nausea, vomiting, high body temperature.

A duodenal ulcer is accompanied by more pronounced pain than with inflammation, but mostly mild. They are a little more aggravated in the off-season: in spring and autumn. There are also symptoms such as nausea, vomiting, heartburn, belching, bloating, upset stool.

A malignant tumor of the duodenum in the first stages manifests itself similarly to an ulcer of this organ. For this reason, there is always a danger of not detecting an oncological disease in time.

Primary diagnosis is carried out by a gastroenterologist through a general examination, the final diagnosis is established using the following studies:

• radiography,
• duodenal sounding,
• gastroscopy,
• endoscopy,
• biopsy (prescribed in severe cases with suspected oncology)

A gastroenterologist or oncologist treats the underlying disease, and also applies symptomatic therapy (removal of spasms, pain relief).

A duodenal ulcer requires antibiotic therapy, drugs are prescribed that neutralize hydrochloric acid and protect the mucous membrane. Further, the patient should adhere to a strict diet.

Duodenal cancer involves surgical intervention, and in modern oncology, the patient can be offered three types of operations.

Diseases of the pancreas

They mainly manifest themselves in the form of inflammation (acute or chronic) and oncology.

With an attack of pancreatitis, severe dagger pain suddenly appears in the solar plexus and / or under the ribs, often of a girdle character. The temperature immediately jumps, the patient begins to feel sick, vomiting is possible, which does not bring him relief. In this case, it is necessary urgent hospitalization in a hospital where therapeutic starvation and extensive drug therapy are prescribed, up to narcotic analgesics, in severe cases, surgery may be required. The chronic form of pancreatitis is usually treated on an outpatient basis with a special diet, pain medications, and vitamin therapy.

With a cancerous tumor of the pancreas, pain is most often not pronounced, constant, aching. Although there are cases that it manifests itself paroxysmal and quite strongly. It is accompanied by stool disorders, nausea, vomiting, gas formation. Treatment includes chemotherapy and radiation therapy. If the disease is detected at stage I, an operation is possible with subsequent irradiation.

If you have suspicions of diseases of the pancreas, then you need to contact a gastroenterologist, who will need the results of general blood tests, urine and feces, blood biochemistry, radiography, CT, MRI, ultrasound to establish a diagnosis. If a cancerous tumor is suspected, a biopsy is prescribed, if it is confirmed further treatment is an oncologist.

Heart diseases

If, after even minor physical activity, there is Blunt pain above the solar plexus, accompanied by interruptions in the functioning of the heart and weakness, which subsides at rest, then this sign may indicate the presence of heart disease. The most common manifestations are cardiac ischemia, heart failure and myocardial infarction. In this case, it is necessary to apply for an appointment with a cardiologist, and at the slightest suspicion of a heart attack, be sure to call an ambulance.

To make a correct diagnosis, a cardiologist needs:

• electrocardiogram,
• Ultrasound of the heart muscle
• monitoring of the cardiogram during the day,
• blood analysis.

Cardiac ischemia is treated with drug therapy: statins, beta-blockers, nitrates, surgical methods used in severe cases. Further appointed special diet, exercise therapy, spa treatment, the patient must completely give up nicotine.

With heart failure, drug therapy is prescribed. At the same time, physical activity is necessarily limited, the doctor prescribes physiotherapy exercises, a special salt-free diet, and vitamin therapy.

Treatment of myocardial infarction is carried out in intensive care. The cardiologist prescribes painkillers, as well as drugs that reduce arterial pressure. After discharge from the hospital within six months, the patient passes rehabilitation period. He must completely give up nicotine, follow a salt-free diet. Some medications are prescribed for life.

Respiratory diseases

If the pain that occurs in the solar plexus increases with inhalation, then respiratory diseases are likely. The pain syndrome in such cases is accompanied by cough, shortness of breath, high body temperature, general weakness.

In order to diagnose the disease, you need to go to an appointment with a therapist, and then - to a pulmonologist. The doctor examines the patient, auscultates, collects his complaints, and then prescribes the necessary studies:

• radiography,
• chest ultrasound,
• general blood analysis,
• general urine analysis,
• examination and culture of sputum.

Most often, according to the results of studies, inflammation of the lower lobes of the lungs or pleurisy is diagnosed.

Pneumonia is treated with antibiotics, bronchodilators, and mucolytics. The doctor also prescribes a chest massage and breathing exercises.

Pleurisy is treated antibacterial drugs a wide range and anti-inflammatory agents. In severe cases, surgical intervention is possible to remove exudate, pleural puncture.

Diseases of the reproductive system

If aching, pulling, arching pains appear below the solar plexus and are accompanied by mucous, purulent or bloody discharge from the genitals, then this may indicate various inflammatory diseases in them.

In men, the testicles (orchitis, epididymitis, hydrocele, varicocele) and the prostate (prostatitis, prostate adenoma) are most often affected by various pathological processes. In women - ovaries (oophoritis, adnexitis) and uterus (endometriosis, ectopia, fibroids). Also, all genital organs quite often undergo the formation of benign and malignant tumors in them.

Diseases are diagnosed by male (urologists) and female (gynecologists) specialists on the basis of visual inspection and two-handed palpation, analyzes of urogenital smears, ultrasound of the small pelvis.

Treatment depends on the disease, but since almost all inflammatory processes are based on infection, antibiotic therapy is not complete without antibiotics.

Sometimes women experience solar plexus pain during pregnancy. Usually this is the norm, since the fetus presses on the area where this nerve node is located. However, you still need to consult your doctor.

When to call an ambulance?

It is important to understand that there can be a great many assumptions about the emerging pain syndrome. However, self-diagnosis and self-treatment in the absence of the necessary medical education should be completely excluded, this is the prerogative of the doctor only. At the same time, one must be able to quickly identify dangerous conditions - this can save a person's life.

So, emergency medical assistance is required:

• if suddenly, without visible reasons there was pain under the solar plexus or near it;
• if there are sharp, severe pains in the solar plexus, accompanied by nausea and dizziness;
• if the resulting pain leads to breath holding, loss of consciousness or convulsive seizures;
• if the victim is a small child, a pregnant woman or an elderly person.

While waiting for the arrival of the ambulance, you should clearly understand what to do:

1. It is necessary to lay the sick person on a sofa or bed on its side in the fetal position. In this position, the pain gradually dulls.
2. Then you can do a light massage, stroking your stomach in painful area clockwise, but in no case pressing it. Massage has a calming effect.
3. An adult can take an antispasmodic or pain reliever if he is sure of the origin of the pain syndrome, and for children it is better not to take risks and wait for the doctor to arrive.

As a rule, children, especially minors, in the presence of severe pain are hospitalized and are subsequently observed in a hospital. Adults are treated on an outpatient or inpatient basis, depending on the diagnosis.

As can be seen from the article, there are a great many reasons for the appearance of pain syndrome and only a doctor can determine why the solar plexus hurts. Do not try to do it yourself, do not self-medicate, do not use the advice of friends and acquaintances! After all, such pains are not at all harmless, often they can indicate the presence of a serious illness in a person, dangerous not only for his health, but also for life. Therefore, if you have a pain that is not even pronounced, you should definitely and as soon as possible seek medical help.

Note!

The presence of symptoms such as:

• smell from the mouth
• stomach ache
• heartburn
• diarrhea
• constipation
• nausea, vomiting
• belching
• increased gas production (flatulence)

If you have at least 2 of these symptoms, then this indicates a developing

gastritis or ulcer.

These diseases are dangerous serious complications(penetration, gastric bleeding, etc.), many of which can lead to

LETHAL

exodus. Treatment needs to start now.

Read an article about how a woman got rid of these symptoms by defeating their root cause. Read the material ...

Unpleasant sensations in the chest can disturb a person at different ages. The main thing is to determine in a timely manner what pathological process characterizes such a symptom. If there is pain in the solar plexus, this alarm signal of the body should not be ignored, since the consequences may be irreversible for health. Doctors remind that this zone concentrates great amount nerve cells located outside the central nervous system, so the resulting discomfort indicates the impact of a provoking factor.

Causes of pain in the solar plexus area in humans

Spasm of the diaphragm sometimes occurs in men and women, even children are prone to this unpleasant sensation in the abdominal cavity. Short-term acute pain under the rib for no apparent reason is not ruled out, but more often it is an eloquent symptom internal disease. To determine the etiology of the pathological process from the field of neuralgia, you need to consult a doctor, undergo complete diagnostics, study photos of patients and real stories illness.

Pressing pain in the chest and difficulty breathing

If the belt strongly squeezes the lower abdomen, or the patient received a sharp blow in the stomach, solar plexus injuries are not excluded, which for some time put the person out of action. The victim is tormented by an attack of burning pain, the intensity of which gradually decreases; shortness of breath, belching and stomach cramps. Impaired breathing is complemented by indigestion, vomiting, nausea. It is felt that the heart hurts, but in fact it aches under the ribs. Over time, the pain goes away, leaving pulling sensation.

Lump between the ribs in the solar plexus

If suddenly there is a dull pain in the chest when swallowing, the patient will most likely not pay attention to the malaise at first. Concerns for health arise when a neoplasm is detected during palpation: this is a progressing lipoma or atheroma. These wen are considered benign tumor require surgical intervention. Additional symptoms that make one suspect the disease are dyspepsia, disturbed breathing at night, an unpleasant feeling in the morning, overweight.

Burning in the solar plexus

If the discomfort in the chest in the middle progresses and already resembles a paroxysmal pain syndrome, the development of neuritis should not be ruled out. With this disease, the patient is worried about unbearable muscle spasms, the phase of sleep and wakefulness is disturbed. The pain in nature becomes sharp and stabbing when inhaled, does not disappear after taking painkillers. Heaviness in the solar plexus does not leave, short-term relief comes if you lie on your side with bent legs.

Pain when pressed

Abdominal pain in the solar plexus

If an unpleasant sensation occurs during palpation of the characteristic zone, doctors do not exclude chronic diseases of the digestive system that are asymptomatic. Among the prerequisites for pathology, doctors distinguish heavy food, causing heartburn, dyspepsia, a feeling of general discomfort. The patient can relieve the urge in the area of ​​​​the celiac plexus if he chooses therapeutic diet, reception enzyme preparations after meal. Similar feeling often occurs during pregnancy, but is short-lived and does not indicate pathological process.

Pain radiating to the back

With inflammation of the solar plexus nodes, the disease progresses and is prone to periodic relapses. At the same time, pain every time has various characteristics. It can encircle, radiating to the back. Sometimes the pain first affects the upper chest, deprives sleep and rest; then suddenly there is an attack in the lower abdomen. The center of pathology is difficult to find, but all disorders affect the digestive tract. The causes of the disease are emotional and physical overload, hypothermia, diseases of the digestive tract.

Treatment

Pain in the solar plexus area can occur in an adult and a child, the pathology requires immediate medical attention. First of all, a detailed diagnosis is needed, followed by the appointment of an adequate treatment regimen. If the cause of the pain is a blow to the solar plexus, drug therapy is not required, but it will not hurt to take a horizontal position. When other pathogenic factors take place, the doctor prescribes treatment strictly according to indications.

Solarita

With this disease, it is necessary to contact a neurologist who will offer A complex approach for a speedy recovery. The first step is to identify the root cause, especially if we are talking about toxic or infectious form. Physicians treat with medication primary diagnosis, and to suppress the progressive solarite medical measures include:

• massage course;
• therapeutic gymnastics;
• physiotherapy;
• breathing exercises;
• taking non-steroidal anti-inflammatory drugs.

Neuritis

This diagnosis requires a competent determination of the root cause with its subsequent elimination. If it is bacterial neuritis, without additional reception antibiotics can not be dispensed with, otherwise pain attacks will increasingly remind of themselves. When the main cause of pain is extensive myocardial pathology, doctors additionally recommend vasoconstrictor drugs. After the elimination of the main diagnosis, symptomatic treatment includes the following measures:

• physiotherapy procedures;
• massage course;
• breathing exercises.

If the underlying disease is finally eliminated, attacks of pain on the right or left side of the solar plexus will no longer disturb the patient.

Video: what to do if the chest hurts in the solar plexus

The celiac plexus is located around the upper part of the abdominal aorta under the diaphragm. Intertwined nerve fibers are grouped at the level of the XII thoracic vertebra, and extend downward to the renal arteries. In front, the celiac plexus borders on the pancreas. On both sides - with the adrenal glands. The celiac plexus consists of sympathetic and parasympathetic nerve fibers. They spread to all internal organs. The anatomical position is exactly in the center of the human body, the incoming and outgoing nerve fibers gave the name to the formation - the solar plexus. It concentrates the control center of the digestive, endocrine and excretory systems. Parasympathetic nerve fibers regulate the activity of the gastrointestinal tract and gallbladder. Sympathetic nerves transmit pain, nausea and hunger. When the solar plexus hurts, the reasons can be very diverse: from damage to the nervous tissue, to diseases of the internal organs, including those located at a sufficient distance from the celiac plexus.

The solar plexus hurts: causes

With a direct effect on the nerve fibers, the source of pain is the celiac plexus. Causes of damage to the nervous tissue:

• Neuritis;
• Neuralgia;
• Tumor.

Neuritis is inflammation of a nerve. The inflammatory process of the celiac plexus is called solaritis or plexitis. The causative agents of neuroinfections can be infectious or mechanical in nature. Infections are caused by viruses because some of them have the ability to attach themselves to neurons. Mechanical causes the appearance of pain in the epigastrium is caused by compression of the nerve fibers. It is caused by swelling of the nervous tissue itself, or of nearby organs.

Manifestations of plexitis:

• Sharp and severe pain in the solar plexus of a stabbing character;
• Feeling of heat in the abdomen;
• Forced position of the body - the patient lies on his side, curled up;
• Attacks of pain are repeated during physical exertion.

Neuralgia is pain due to exposure to nervous tissue by stimuli: mechanical, infectious, helminthic, traumatic. Often, pain in the epigastric region is initially mediated, then the inflammatory process is involved and nervous tissue. Unlike neuritis, with neuralgia, reflected pain is observed. With coronary heart disease, there is a dull pain in the solar plexus, and with an acute attack of angina, the pain intensifies. At the same time, the gastrointestinal tract suffers. Pathological impulses from the celiac plexus cause heartburn, nausea, diarrhea. In some cases, these symptoms are manifested in myocardial infarction.

The growth of the tumor, both of the nervous tissue (neurinoma) and of the surrounding organs, leads to compression of the nerve bundle. As a result, the solar plexus hurts, which can be caused by metastases of a cancerous tumor located in any internal organs, including the uterine appendages.

The solar plexus hurts: causes associated with the pathology of internal organs

Pain in the epigastric region appears as a result of a reflex reaction to high blood pressure. Since the nerve plexus is located around the aorta, baroreceptors transmit a signal not only to the heart, but also to the internal organs. This is how the adaptation reaction occurs. stressful situation. At the same time, stress means not only and not so much a mental disorder, but hemodynamic disorders in the body. Attacks of eclampsia in the pathology of pregnancy, in the first place, are characterized by pain in the solar plexus, nausea and impaired visual perception.

Most common causes pain syndrome in the epigastrium are disorders of the gastrointestinal tract:

• Inflammatory diseases: gastritis, duodenitis;
• Peptic ulcer of the stomach and duodenum;
• pancreatitis;
• Inflammatory processes in the small intestine;
• Pathology in the abdominal cavity.

With inflammation of the gastric mucosa, immediately after eating, a dull pain in the solar plexus begins, if it is inflamed duodenum, hungry pains are felt.

Perforation of a stomach or duodenal ulcer is accompanied by severe pain in the solar plexus of such intensity that it is called "dagger". Perforation of the intestine or stomach leads to the outflow of gastric juice into the abdominal cavity. Digestive secretion and hydrochloric acid irritate receptors that transmit a signal to the center - the celiac plexus.

At chronic course peptic ulcer, the solar plexus hurts when pressed, especially in the stages of remission. Reception medications, lowering acidity, quickly relieves pain.

With pancreatitis, in the first place, the nervous tissue of the celiac plexus reacts, since it is in close proximity to the pancreas. In fact, it is not located under the stomach, but behind it. The gland owes its name to anatomists who consider a person in lying position. Therefore, with pancreatitis, the solar plexus hurts, the reason for this condition is quite understandable. However, acute inflammatory disease pancreas epigastric pain is not limited. Since all the nerve processes of the celiac plexus are involved in the process, the pain is girdle in nature. Eating, regardless of its quality and quantity, instantly provokes severe pain in the solar plexus, which is similar in intensity to that with perforated ulcer stomach and duodenum.

The small intestine is also located in close proximity to the celiac plexus. In inflammatory processes, regardless of their causes, there is pain in the solar plexus, nausea causes reflex irritation of the central nervous system. A similar condition develops in humans with the development of seasickness.

The pathology of the abdominal cavity includes the following conditions:

• Adhesive disease;
• Peritonitis;
• Worm infestation (roundworm, echinococcus);
• Omission of organs (stomach, kidneys).

Outside of an exacerbation, the solar plexus hurts when pressed, and with an increase in the inflammatory reaction, the pain becomes unbearable.

Severe pain in the solar plexus in a healthy person

Against the background of absolute health, in the absence of any pathology, a person may feel pain in the epigastric region. A similar condition is noted with injuries. Most often sports. In an exceptional but rather common case, the solar plexus hurts, which is caused by wearing a belt tightened to the last buckle.

Manifestations of traumatic pain in the celiac plexus:

• Feeling of heat in the abdomen;
• Shortness of breath with difficulty breathing;
• Nausea with urge to stool;
• Darkening in the eyes.

In mild cases, the attack is accompanied by a temporary clouding of consciousness, in severe cases - a state of knockout. In case of injuries, first aid is provided on the sports ground, in case of diseases - in a medical hospital.

Video from YouTube on the topic of the article:

The solar plexus is one of the most vulnerable places on the human body. It contains many nerve nodes. Pain in this area can be different - dull, cutting, arising from breathing, sharp, aching. They can appear as a result of damage to any areas of the solar plexus, injuries or diseases of the internal organs. When such pain occurs, it is advisable to contact specialists to correctly diagnose the causes of the problem and determine the appropriate treatment.

Spasmodic pain in the solar plexus: causes

General

Causes of spasmodic pain in the solar plexus may be associated with damage to the nervous system, most often, it is neuralgia or neuritis. Their main symptom is severe pain radiating to the stomach or back, it can occur with increased stress, prolonged stay in sitting position, stressful situations.

Neuritis and neuralgia are pathologies peripheral nerves. There are several types of neuralgia according to the place of its localization. Neuritis can develop due to infectious diseases such as bronchitis. intestinal diseases, otitis media, tonsillitis, etc. It is manifested by a decrease in the sensitivity of a certain part of the body and can lead to paralysis.

If you suspect damage to the peripheral nerves, you should visit a neurologist. If this is not done in a timely manner, then a more severe pathology may develop - solarium. Its manifestations: severe spasms in the solar plexus, fever, digestive disorders, pain in the lower abdomen, constant aching pain in the chest and abdomen.

Solaritis can be acute or chronic. The last of them is exacerbated after hypothermia, illness, stress. Treatment for this disease is prescribed by a doctor, it includes antispasmodic drugs, neuroplegic drugs, as well as massage, baths, and more.

Another cause of pain in the solar plexus are bruises, injuries and increased stress. If, after an injury or blow to this area, severe pain occurs, breathing becomes difficult, weakness and dizziness appear, it is necessary to call emergency care. Such patients are advised to remain calm and try not to move for several days.

Muscle pain in the solar plexus occurs in athletes who overdo it in training. Overload and a strong overvoltage adversely affects the human condition. With the appearance of such pain, it is worthwhile to completely abandon sports for a while. After the disappearance of discomfort, you can return to training, but their schedule and intensity should be reviewed.

Diseases of the digestive system

Pain in the solar plexus can occur with diseases of the stomach and intestines, such as ulcers, intestinal infections, abdominal diseases, gastritis, colitis, pancreatitis, and more. The cause of pain can be severe heartburn, bloating, nausea, vomiting. If you do not establish in a timely manner what caused this phenomenon, and do not start treatment, you can get serious negative consequences.

Determination of causes by the location of pain

The location of the pain can tell a lot about its causes:

1. Pain above the solar plexus can occur with: pathologies of the esophagus (burns, erosion, reflux), diseases of the bronchi and pleura, pneumonia, heart disorders (ischemic disease, heart failure, angina pectoris, myocardial infarction), neuralgia, diaphragmatic hernia.
2. Pain below the solar plexus manifests itself: diseases of the genital organs in women, inflammation of the bladder, diseases of the large intestine, acute appendicitis.
3. To the right of the solar plexus, pain occurs with: tumors and inflammations of the pancreas, pathologies of the gallbladder, damage to the liver, right kidney, intercostal neuralgia and other diseases.
4. Pain to the left of the solar plexus appears as a result of pathologies of such organs as the duodenum, stomach, left kidney, tail of the pancreas.

Diagnostic procedures and tests

Since many pathologies can manifest as pain in the solar plexus, a full diagnosis is required when they occur. It may include the following procedures and tests:

1. Abdominal ultrasound.
2. X-ray examination with the use of a contrast agent.
3. Analysis of urine, blood and feces.
4. Laparoscopy.
5. CT scan.
6. Examination of the esophagus and intestines using fibrogastroscopy.

Treatment

What to do with spasms in the solar plexus?

If there is pain and spasms in the solar plexus, then you should contact a specialist to identify the causes of this, make a diagnosis and prescribe adequate treatment. For pain accompanied by diarrhea, blood in the urine, fever and other signs of serious abnormalities, you should immediately consult a doctor.

Pain in this area can occur in children and adults. The principles of treatment, the drugs used in this case and other methods of therapy depend on the causes that caused it. Therefore, you first need to diagnose by visiting a specialist. So, for pain after bruises or blows, drug treatment is usually not carried out, it is enough for the patient to spend several days at rest, preferably lying down.

Neuralgia requires carefully selected complex treatment. First with the help medicines relieve pain, and then connect methods such as physiotherapy, therapeutic and breathing exercises, special