Why does the lower back hurt and how to get rid of pain in the lower back? How to determine the cause of lower back pain What causes back pain

Back pain has been one of the most common patient complaints in emergency medicine and outpatient appointments in recent years. Such pains are not a separate nosological unit, but a clinical manifestation of a number of diseases. Of particular importance to this symptom is the fact that often with acute pain, motor activity is significantly limited and people's ability to work is reduced.

The main cause of back pain is diseases of the spinal column, in addition to them, such a clinical manifestation can be caused by pathologies of internal organs, professional features (long sitting at a table or in a driver's seat, hard physical work), trauma or pregnancy. In most cases, it is possible to find out the cause of pain by carefully examining the patient, sometimes additional examinations are required to establish a diagnosis. The relief of pain syndrome depends on the underlying disease and the characteristics of its course, treatment is selected individually for each case.

Medical statistics show that more than half of the world's population suffers from back pain. Moreover, in childhood, such a symptom indicates diseases of the internal organs and is quite rare, as they grow older, back pain is more common, and in old age, almost everyone encounters it, and only about 25% of those suffering from this pathology seek advice from a doctor .

What is the risk of back pain?

In most cases, untimely started or inadequately prescribed back pain therapy leads to a chronic process. Chronic back pain is a very common cause of decreased performance in people aged 40 to 55 and is characterized by:

• permanent character;
• increased during movement and physical activity;
• limitation of motor activity;
• development of a feeling of stiffness in the back.

The chronic process is characterized by a recurrent course with frequent episodes of exacerbations, provoked by prolonged hypothermia, physical activity or being in one position. Exacerbations are replaced by periods of remission, in which there is no pain at all or is minimally expressed.

In most cases, back pain does not pose a direct threat to a person’s health or life, but there are serious pathologies of the spine and internal organs that manifest this symptom and require immediate medical attention.

If the symptoms described below appear, you should immediately visit (or call at home) a doctor, without trying to relieve the pain syndrome on your own:

1. Constant pain appeared in the back, especially at the age of younger than 18 and older than 50 years.
2. Constant pain is the result of injury, overexertion, or bruising from a fall.
3. The pain was accompanied by a violation of the sensitivity of the skin in the thighs and perineum, as well as a decrease in the muscle strength of the limbs. .
4. The pain is accompanied by urinary or fecal incontinence.
5. The pain syndrome does not go away in the supine position and often occurs at night.
6. The presence of constantly increasing pain for several days.
7. In addition to pain, there is a general malaise and an increase in body temperature.

Back pain in general diseases

Common diseases that are manifested by the presence of back pain include sciatica and a herniated disc. The severity of the pain syndrome in these diseases depends on the stage of their course and the sensitivity threshold of the patient.

Radiculitis

Radiculopathy or radiculitis is a symptom complex that develops as a result of compression of the roots of the spinal cord and is manifested by motor and autonomic disorders against the background of severe pain. Allocate cervical, thoracic and lumbar (lumbosacral) sciatica.

Clinical manifestations

It manifests itself as a pronounced pain syndrome with localization at the site of infringement and intensification when making movements and coughing (even with slight coughing). The pain can be of a different nature (aching, dull or sharp), appear periodically or be constant. In most cases, pain radiates to the upper or lower extremities. In addition to pain, the disease is characterized by muscle weakness and impaired sensitivity in the limbs.

Herniated disc

A protrusion or protrusion of fragments of the intervertebral discs into the canal of the spinal column is called a herniated disc. Most often, the disease occurs in people from 25 to 50 years old, the risk group includes drivers, people who spend a long time sitting and those who are forced to lift weights daily.

Clinical manifestations

The main symptom is pain, which at the beginning of the disease is dull and intermittent in nature and increases with physical exertion, coughing and prolonged exposure to one position. As the pain progresses, it increases and radiates to the arm, buttock, or thigh, depending on the location of the hernia.

In addition to pain develop:

• violation of motor activity;
• change in posture - development or kyphosis;
• the appearance of a violation of sensitivity;
• muscle weakness;
• in advanced form, diarrhea or constipation, urinary incontinence, and the development of impotence join the symptoms.

Causes of pain in people over 50

Almost every elderly person experiences pain in the spine, the most common cause of such a symptom is the following diseases:

• osteoporosis;
• spondylosis;
• spinal neoplasms.

Osteoporosis

Osteoporosis is a systemic disease with constant progression, characterized by damage to human bone tissue, which is manifested by a decrease in its density and a violation of its structure.

Types of osteoporosis

There are 4 forms of the disease:

1. Senile - develops in people over 65 years of age due to age-related changes in the strength and structure of the skeleton.
2. Climacteric - women suffer from it, it begins to develop during menopause due to changes in the hormonal background of the body.
3. Secondary - develops as a complication of various diseases: diabetes, oncology, Crohn's and Bechterew's diseases, chronic hepatitis, rheumatoid arthritis, thyroid pathologies.
4. Corticosteroid - the cause of its development is the long-term use of hormonal drugs.

Clinical manifestations

The disease is characterized by an asymptomatic or almost imperceptible onset, similar in symptoms to osteochondrosis. Often, pathology is detected already with injuries characteristic of it, or rather fractures that can occur with minimal load or slight bruising.

It is very difficult to notice the disease at an early stage, it usually manifests itself with the following symptoms:

• pain in the lumbar region or thoracic spine, which appears with prolonged static load and with a sharp change in weather conditions;
• hair and nails become brittle;
• possible development of non-inflammatory periodontal diseases;
• change in posture and decrease in height;
• leg cramps at night.

Spondylosis

Chronic degenerative-dystrophic lesion of the spine, caused by deformation of the vertebrae and the appearance of bone outgrowths and spikes (osteophytes) on their surface.

Clinical manifestations

In the early stages, it manifests itself as a slight limitation of the mobility of the spine. With the progression of the disease due to the fixation of the area subject to overload, a pronounced pain syndrome develops. Acute, unbearable pain is accompanied by muscle tension, limited mobility due to the gradual straightening of the physiological curves of the spine.

Tumors of the spine

Neoplasms on the spinal column are a rather rare disease. However, any tumor of the spine, including a benign neoplasm, has a severe course, accompanied by a violation of motor activity and sensitivity, and often leads to the patient's disability.

Clinical manifestations

• pain - initially unexpressed, as the tumor grows, it becomes painful, almost unbearable, weakly and not for a long time is stopped even by powerful painkillers, in some cases it is not possible to remove the pain syndrome at all;
• neurological disorders - the gradual disappearance of sensitivity and motor activity;
• the presence of external signs;
• with malignant neoplasms, cancerous intoxication develops, and then cachexia;
• with a large tumor size, a violation of the functioning of internal organs is possible.

Causes of pain in people under 50

Very often, the following pathologies become the cause of pain in the lumbar region or thoracic spine that occurs at a young or middle age:

• sacroiliitis;
• osteomyelitis of the spine;
• spondylolisthesis;
• fibrositis.

sacroiliitis

The inflammatory process localized in the sacroiliac joint is called sacroiliitis. The cause of the development of this disease can be trauma, increased stress on the joint for a long time (during pregnancy, work associated with lifting weights or constant sitting), congenital anomalies, metabolic disorders, neoplasms.

Clinical manifestations

The pain is localized in the pelvic region and spreads along the sciatic nerve from the affected side, may increase with pressure on the iliac wing and flexion of the limbs. With severe pain, the patient takes a forced position with legs bent at the knees. In addition to pain, there may be an increase in body temperature, the development of purulent abscesses and a pronounced intoxication syndrome.

The disease is usually treated in surgical departments.

Spinal osteomyelitis

Osteomyelitis is a purulent infectious disease that affects bone tissue, periosteum and bone marrow. It can be acute (appearing for the first time) or chronic (long-term and characterized by periods of exacerbation and remission).

Clinical manifestations

1. It begins with chills, fever (often up to 40.0) and increased heart rate.
2. After 2-4 days, local pain develops over the site of the lesion, local edema and hyperemia (redness) of the tissues, and limitation of motor activity.
3. In chronic osteomyelitis, there are traces of fistulous passages on the skin (rounded wounds with purulent discharge).

If there is a suspicion of the development of osteomyelitis, it is urgent to seek help from a doctor. The surgeon deals with the treatment of such a pathology.

Spondylolisthesis

Spondylolisthesis is the displacement of a vertebra forward as a result of congenital nonunion of the arch with the body or degenerative-dystrophic changes in the intervertebral disc. In most cases, it develops when the fifth lumbar vertebra is displaced.

Clinical manifestations

The main manifestation is chronic pain in the lumbar region due to slippage of the vertebra and infringement of nerve endings. The pain often radiates to the gluteal region and intensifies when trying to unbend. May be accompanied by pain in the legs, muscle weakness and numbness of the limbs.

Fibrositis

Fibrositis is a nonspecific inflammatory process characterized by fibrous and fatty degeneration of fibrous connective tissue. The exact cause of the disease has not yet been clarified. It is more common in middle-aged women.

Clinical manifestations

• moderate or severe persistent, aching back pain;
• headache;
• pain in the neck and shoulders;
• soreness and stiffness of the spine in the morning;
• sleep disturbance;
• irritability.

Soreness intensifies in the cold season when outside, after excessive exercise, after emotional stress, in the morning.

Pain of musculoskeletal origin

The musculoskeletal system, which allows you to keep the body in space and move, has spatial and pain sensitivity. Damage to any, even the smallest element of this system by injury or disease causes the development of pain. Various injuries, excessive physical activity, as well as displacement of the articular processes of the vertebrae lead to the development of an inflammatory process in the tissues of the spinal column, which causes pain.

Pain radiating to the back and lumbar (stenosis)

With stenosis (narrowing of the spinal canal or openings of the exit of the roots of the spinal nerves), as a result of which compression of the nerve fibers occurs, the pain that appears in the back then radiates to the leg, while the gait of the sick person changes, he limps. The pain is dull and constant.

The reason for the development of this disease is age-related changes, so young and middle-aged people are not susceptible to its occurrence. For treatment, an operative method is used, called decompression surgery, in which the arches of the vertebrae are dissected.

Post-traumatic back pain

Back injuries can be caused by:

• a sharp lifting of weights often causes the development of stretching or tearing of muscle fibers or ligaments;
• the fall;
• blow or injury;
• mechanical impact.

Along with the appearance of pain in the event of an injury, a spasm of muscle fibers develops, which disappears in a period of several hours to several days, depending on the severity of the damage. In severe injuries, muscle spasm can last for several weeks. Immediately after the injury, the pain is sharp, which after some time is replaced by aching.

Back pain during pregnancy

In some women, constant pulling pain in the lumbar region appears already during the first months of pregnancy and does not go away until childbirth. The cause of pain is the increased secretion of relaxin, a hormone responsible for preparing the birth canal for the passage of the child, namely for softening the ligamentous apparatus of the sacral region. Since relaxin acts on all ligaments, and there is an increased load on the spine of a pregnant woman, chronic pain in the lumbar region may develop.

How to relieve the symptoms of back pain during pregnancy:

• do not wear high heels;
• all movements must be performed smoothly;
• you can not lift weights;
• in case of an urgent need to lift something heavy, try to distribute the weight on both hands, do not bend over and do not jerk;
• do not bend down to the floor, you need to kneel down;
• no need to remove high-placed objects.

Causes of pain above the lower back

The main causes of pain localized above the lower back are:

• osteochondrosis;
• myofascial syndrome;
• uncomfortable workplace;
• posture disorder.

Osteochondrosis

A degenerative-dystrophic process that leads to a change in the normal structure of the cartilaginous tissue of the spinal column is called osteochondrosis. Allocate cervical, thoracic and lumbosacral osteochondrosis. Often the disease is accompanied by protrusion of the vertebral disc and intervertebral hernia.

Clinical manifestations

Features of the symptoms of the disease depend on its localization:

1. Cervical osteochondrosis is manifested by pain and stiffness of movements in the neck and arms, headaches, with compression of the vertebral artery, dizziness, hearing impairment, and fainting may appear.
2. In the thoracic form of the disease, there is an acute pain in the back and chest (feeling of a stake), heart pain, difficulty breathing.
3. Lumbo-sacral localization is characterized by pain in the lumbar region, radiating to the legs and aggravated during movement, backache, numbness of the extremities, disorders of the genitourinary system may appear.

Myofascial Syndrome

Myofascial syndrome is a disease characterized by sharply painful excessive tension of the muscles of the spinal column. The main reason for the development is the static overload of the muscular frame of the spine for a long time (being in an uncomfortable position).

Clinical manifestations

The pain is localized on one or both sides of the spine, aggravated by pressure, overwork, injury, or sudden hypothermia. Pain sensations can vary in severity from a slight almost imperceptible discomfort, to severe excruciating pain for several days.

Uncomfortable workplace

An uncomfortable workplace and limited mobility throughout the working day can cause the development of many diseases that manifest as back pain. A long time spent in a non-physiological position causes the development of denerative-dystrophic processes in the tissues and structures of the vertebrae, which can lead to osteochondrosis, intervertebral hernia and other pathologies.

Posture disorder

Often, back pain appears due to acquired anatomical disorders of the spinal column. In some cases, a violation of posture is not only a cosmetic defect, but a rather serious disease. Scoliosis (curvature of the spine in a lateral direction) does not manifest itself as a pain syndrome until the age of 30-35, then it can cause severe pain. Changes in the natural curves of the spine affect its function and the health of the whole organism as a whole.

Causes of back pain

The development of pain in the lumbar region can be triggered by the following pathologies:

• displacement of the vertebrae;
• lumbago;
• prolapse of the vertebral disc.

Displacement of the vertebrae

Spondylolisthesis (displacement of the vertebrae) is more often acquired than congenital. Clinical manifestations of the disease are due to the stage of its development:

1. One or more vertebrae are displaced by no more than a quarter, it is asymptomatic, occasionally mild pain can be observed.
2. The displacement of the vertebra occurs by 50%, this is manifested by the appearance of stable aching pains and muscle weakness;

• Displacement by three quarters, characterized by constant severe pain, weakness of muscle fibers, impaired functioning of internal organs, impaired posture and gait.

1. Complete displacement of the vertebra - severe pain, weakness, violation of the usual position of the body, the development of pathologies of internal organs.
2. Sagging of the vertebra develops, which provokes compression of the spinal cord and can cause it to rupture, in addition to pain, paralysis may appear.

Lumbago

Lumbago or backache - after a sudden movement or load, an attack of acute pain develops, which does not allow a person to straighten up and take his usual position. In most cases, lumbago occurs in men after 30-35 years. The cause of the development of such attacks are chronic diseases of the spine, characterized by displacement of the vertebrae.

Patients characterize acute pain during the development of an attack as an electric shock. In order to alleviate painful sensations, a person takes a forced position (knee-elbow, lying on his back with legs bent at the hip joints, lying on his stomach with a cushion or pillow placed under his stomach). The pain is accompanied by tension in the muscle fibers and lasts 5-7 days.

Spinal disc prolapse

A prolapsed intervertebral disc often leads to acute pain, which is aggravated by any movement. Often, the pain is accompanied by numbness of the skin at the site of injury and a feeling of crawling. In case of failure of conservative therapy, surgical treatment is prescribed.

Causes of lower back pain

Back pain below the waist can be triggered by ankylosing spondylitis or renal colic.

Bechterew's disease

Approximately 9 out of 10 cases of Bechterew's disease occur in men aged 30 to 40 years. This pathology is characterized by damage to the small joints connecting individual vertebrae, which leads to a decrease in elasticity and the development of fragility of the spine. The disease is manifested by chronic, moderate pain in the lumbar region, which worsens at night and subsides in the afternoon.

Renal colic

With renal colic, acute, cutting pain occurs mainly on one side. The pain syndrome may be accompanied by a violation of urination and a slight increase in body temperature.

Diagnostics

To diagnose back pain, first of all, an examination by a neurologist is necessary, he will be able to determine the development of disorders of the spine, nervous and muscular systems. Then you will need to pass a general analysis of urine and blood in order to exclude kidney pathology and the inflammatory process.

Of the additional methods of examination are used:

• X-ray examination of the spine;
• Magnetic resonance imaging;
• CT scan.

Back pain treatment

In order to permanently get rid of back pain, it is necessary to cure the causative disease. However, symptomatic treatment for all major diseases manifested by back pain necessarily includes pain relief, and acupuncture and manual therapy will help get rid of pain from additional methods of treatment.

Relief of pain syndrome

If bed rest is observed, back pain progresses, so it is not recommended, and if necessary, its appointment should be tried to minimize the time spent in bed. For a while, until the pain subsides, it is necessary to limit physical activity and start wearing a corset or a special belt.

Medical therapy:

1. Drugs of general action in tablets and injections - non-steroidal anti-inflammatory drugs (diclofenac, mexilocam, xefocam), muscle relaxants (tizanidine, tolperisone), chondroprotectors are prescribed for degenerative-dystrophic processes.
2. Topical preparations - ointments and gels based on non-steroidal anti-inflammatory drugs.

Physiotherapy - after consulting a doctor, you can take physiotherapy procedures based on warming with dry heat.

Manual therapy

When performed correctly, manual impact on the spine and surrounding tissues leads to a quick and effective removal of a pain attack, correction of local disorders. Only a doctor can prescribe manual therapy sessions after an X-ray examination or MRI of the spine.

Contraindications to the use of the technique

• with the development of a hernia or damage to the intervertebral discs;
• after severe diseases of the cardiovascular system (heart attacks or strokes);
• in the presence of malignant neoplasms;
• with thyroid diseases and osteoporosis;
• during an exacerbation of pathology;
• in diseases leading to impaired blood coagulation.

Acupuncture (acupuncture)

With moderately severe back pain, the cause of which is excessive muscle tension and a violation of the psycho-emotional state, acupuncture has a pronounced positive effect. It is believed that the basis of its action is the ability to increase the synthesis of endorphins, the action of which is similar to morphine.

Contraindications to the appointment of acupuncture

Despite the fact that Chinese medicine positions this procedure as permitted for any disease, it is not recommended:

• with diseases of the cardiovascular system;
• with malignant and benign neoplasms, including history;
• if necessary, surgical treatment;
• with pathologies of the kidneys or liver;
• during pregnancy and lactation;
• in diseases leading to impaired blood coagulation;
• during acute infectious diseases.

To prevent the development of pathologies accompanied by the appearance of back pain, it is necessary to conveniently arrange a working and sleeping place, maintain posture, periodically warm up during monotonous work or the need to stay in one position for a long time, do not wear high heels for more than two hours in a row, and when standing for a long time, try to find a fulcrum for the back, do not subject the spine to excessive or sudden loads. It is also very important to try to maintain a normal weight.

Back pain has haunted mankind since the beginning of bipedalism.

Especially often they appear in people whose lifestyle and professions are associated with a long stay in one position.

In these cases, there is wandering back pain, which baffles the person himself and the attending physician, because it is very difficult to determine the cause and source of the problem.

However, the diagnosis must be passed in any case, since the cause of pain can be quite serious pathologies.

What kind of diseases are discussed can be found further in this article.

Classification and nature of pain

The term "wandering back pain" refers to painful sensations that "walk" throughout the body, giving to the chest, back, jaw.

Pain can vary:

• acute;
• dull;
• aching;
• paroxysmal;
• encircling;
• stabbing.

The following types of pain are divided by time:

• short-term;
• long;
• constant;
• periodic;
• passing;
• wavy.

Pain is also divided into acute and chronic.. Acute occurs suddenly, it is piercing, restricting movement. Gives to the arms or thighs. Chronic pain has a constant or paroxysmal character, a mild manifestation. Often accompanied by muscle weakness, loss of sensation in the legs. The patient may experience a violation of posture, forced lameness, asymmetry of the spine.

Often, examinations do not reveal any problems in certain organs., but the person's health and quality of life is deteriorating. It becomes more difficult to work and exercise. Prolonged sitting causes suffering. Sleep and appetite may also be disturbed, which will eventually lead to depression.

The reasons

The causes of wandering pains lie in diseases of the back and diseases of the internal organs. There are also psychological triggers.

Diseases of the spine

Various pathologies of the spine cause wandering pains. In this case, the symptoms appear in the lower back, cervical region.

Among the diseases are:

• Inflammatory diseases of the spine(osteochondrosis, osteoporosis, kyphosis). Especially with a compression fracture caused by bone fragility.
• Hernias, protrusions. Such pains are acute, paroxysmal in nature, accompanied by weakness and partial loss of sensation in the limbs.

• Bechterew's disease. There is inflammation of the joints and ligaments of the back. The pain is localized in the lumbar region, accompanied by a feeling of tension. It usually starts at night and gets worse in the morning.

• Malignant tumors spine or metastatic cancer of other organs. Pain usually appears in the later stages of the disease.
• infectious diseases: osteomyelitis, poliomyelitis, tuberculosis of the spine. Often the pain appears with the flu.
• cervical artery syndrome. This is a pinched nerve root, which causes paroxysmal pain, often accompanied by dizziness, fainting.

• Stress and overwork. It causes nervous and muscular tension, which then manifests itself as a pain syndrome of unknown origin.

Also, pain syndrome can be triggered by muscle tension due to excessive physical activity or prolonged stay in one position. Usually such pains overtake a person at night and have a aching character.

Video: "What is the danger of vertebral artery syndrome?"

Diseases of the internal organs

Sometimes back pain has nothing to do with spinal problems, but is a consequence of pathologies of other organs. Among these diseases:

• Pyelonephritis, or inflammation of the kidneys. The disease is accompanied by back pain.
• Stones in the kidneys, the gallbladder can provoke paroxysmal sharp or dull pains that radiate to the back, shoulder.
• Bowel obstruction. The pain is girdle in nature, accompanied by bloating.
• ovarian cysts, endometriosis, inflammation of the appendages in a woman. Here, the focus of pain is located in the lumbar region. The intensity of manifestations depends on the severity of the disease.
• pancreatitis, pancreatic necrosis. In this case, there is a strong girdle pain, aggravated in the supine position.
• Pneumonia or bronchitis. Pain in the thoracic spine appears when coughing.

Pregnancy can often be the cause of the pain. Firstly, during this period, the load on the spine increases, and secondly, the child puts pressure on the vessels, compresses the nerve endings. Usually in pregnant women, pain is localized in the lumbar region. If a woman has neurological problems, then the pain can shoot into the leg.

Diagnostics

The vagueness of symptoms makes it difficult to make a diagnosis. The doctor should conduct a detailed survey of the patient about the nature, localization, time period of pain, the patient's chronic diseases or spinal injuries.

Diagnosis requires consultation of a neurologist, surgeon, cardiologist, gastroenterologist. Each doctor decides on the necessary research methods.

For the diagnosis of diseases of the spine prescribed:

• X-ray.
• CT or MRI.

If there are suspicions of diseases of the internal organs, then an ultrasound of the abdominal cavity, small pelvis is done.

You can identify inflammation using a blood test, urine test, which will show an increase in white blood cells. A blood test for tumor markers will rule out or confirm a malignant process in the body.

If there is a suspicion of tuberculosis, pneumonia, then an x-ray of the lungs is performed. Cardiogram and ultrasound of the heart reveals pathologies in the cardiovascular system.

Treatment

And did you know that…

Next fact

The choice of treatments for back pain depends on the underlying cause. It is necessary to eliminate or remove the symptoms of the underlying disease, and then treat the consequence.

Medical treatment of diseases of the spine

If the cause of back pain is osteochondrosis, sciatica, kyphosis, then it is quite possible to get by with conservative therapy. Conservative treatment involves taking non-steroidal anti-inflammatory drugs for the relief of pain. Assign in the form of injections, tablets and ointments, patches.

Usually a combination of several types is used. These drugs include: Nurofen, Diclofenac, Nise. It is preferable to use ointments and patches, since tablets have a negative effect on the digestive system, heart, and kidneys.

Muscle relaxants are prescribed to weaken muscles: Mydocalm, Sirdalud, Baklosan. With severe pain, the doctor conducts a blockade with glucocorticosteroid hormones with anesthetics (lidocaine, novocaine). To improve the nutrition of cartilage tissue take chondroprotectors(Chondrolon, Chondrex, Teraflex), vitamins.

If the cause of pain in the spine is stress, it is possible to prescribe antidepressants that regulate chemical processes in nerve cells, thereby relieving pain.

Treatment of diseases of internal organs with the help of drugs

The choice of drugs and treatment regimen is carried out by the doctor in accordance with the disease that caused the pain syndrome.

So pyelonephritis, cholecystitis, inflammation of the appendages involves taking antibacterial and anti-inflammatory drugs. For the treatment of ovarian cysts, endometriosis is prescribed hormonal agents. Pneumonia is treated with antibiotics.

Surgery

In some cases, pain cannot be eliminated with conservative methods. In these situations, they resort to a prompt solution to the problem.

Operation is indicated in the following cases:

• Large vertebral hernia with complications.
• Stones in the kidneys, gallbladder of considerable size, accompanied by inflammation.
• Pancreatic necrosis.
• Complicated ovarian tumor, advanced endometriosis.
• Oncological neoplasms.

For each ailment, a different method of surgical intervention is chosen. Currently, minimally invasive operations are used, involving minimal incisions and a short recovery period. In the case of extensive organ damage and malignant tumors, the only way out is abdominal surgery. Sometimes a total resection of the diseased organ is performed.

Other treatments

Often, wandering pains can be relieved with the help of physiotherapy, massage or physiotherapy exercises.

Such methods are used in cases where pain is caused by:

• muscle spasm;
• osteochondrosis of the initial stage;
• violation of posture;
• stress or fatigue.

The purpose of the appointment of physiotherapy- removal of muscle tension, restoration of damaged tissues. Most often prescribed:

• Electrophoresis. Under the influence of electricity, medicines are injected through the skin into the affected area.
• Ultrasound. With the help of ultrasonic waves, drugs are delivered to a specific area. At the same time, blood flow is restored, metabolic processes are improved.
• Acupuncture. Thin needles act on active points, nutrition and blood circulation of tissues improves.
• Paraffin applications. Paraffin is heated to 55-60 degrees and applied to diseased areas. Relieves pain, reduces inflammation.
• Darsonval. Affects the focus of pain with the help of high frequency alternating currents. As a result, blood circulation, tissue nutrition improves, inflammation foci resolve.
• Physiotherapy. The doctor selects a set of exercises that relieve muscle spasms and strengthen the muscular corset. Classes are held under the supervision of a specialist.

After stopping the pain syndrome and relieving the acute course, the patient is prescribed a therapeutic massage to relieve muscle tension and improve nutrition in the tissues.

Video: "A set of exercises to restore mobility of the spine"

Folk remedies

Among folk remedies, it is possible to use anti-inflammatory herbs and fees.

Traditional medicine can only be used as an addition to the main treatment. As monotherapy, they have too little therapeutic effect.

The most widely used soothing and anti-inflammatory herbs:

• valerian, motherwort,
• chamomile,
• plantain,
• coltsfoot.

With cholecystitis, choleretic herbs and fees are prescribed, which stimulate the outflow of bile and alleviate the patient's condition.

These are corn stigmas, highlander bird, calamus marsh. The use of traditional methods can cause unwanted side effects. Therefore, it should be prescribed by the attending physician. Self-use is prohibited.

Prevention

Taking into account the multifactorial nature of back pain, generalized recommendations can be made for the prevention of the problem.

• Healthy lifestyle.
• Rejection of bad habits.
• Sufficient physical activity.
• Strengthening immunity.
• The fight against excess weight.
• Proper nutrition.
• Regular preventive check-ups.

Compliance with the above rules will prevent a malfunction in the body, the appearance of chronic diseases. Therefore, a person will not face such a problem as wandering pain.

Conclusion

Wandering back pain This is not an independent disease, but a symptom of some disease in the body. Moreover, these are not only diseases of the spine, but also pathologies of other organs. Often the cause of pain can be a banal overexertion and stress.

To get rid of the problem, it is necessary to reliably diagnose and treat the root cause, while simultaneously stopping the pain syndrome. Treatment can be conservative and surgical, it all depends on the scale of the disease.

If the pain is caused by stress or overwork, a person just needs to relax, distract from difficulties, then the problem will disappear by itself.

Back pain is an unpleasant manifestation of many diseases or a strong overstrain of the back muscles for other reasons. In most cases, this pathology occurs against the background of various changes in the structure of the joints of the spine, as well as adjacent muscles, nerve endings, or skin over the spine. In addition, such a symptom accompanies some diseases or dysfunctions of the internal organs.

The location of pain sensations can tell a lot about which internal organs are damaged. Thus, pain in the lower back indicates that the bone tissue of the spine may have been affected, the person develops, the nerves of the bone marrow, the organs of the abdominal cavity and the small pelvis are affected.

Pain in the upper back is manifested against the background of various diseases of the aorta, oncological or benign neoplasms in the chest, when coughing, and also against the background of inflammation of the spine. But much more often back pain occurs due to heavy loads on the joints and ligaments of the spine.

But if discomfort spreads to both sides of the back, and additional symptoms are expressed, for example, an increase in body temperature up to 38 degrees, constant nausea, pressure on the lungs when coughing, and indigestion, you should immediately contact a medical institution for treatment, since the combination signs may indicate serious internal disorders.

Etiology

Pain in the back is not uncommon for a perfectly healthy person, but it is several times more common in diseases. The main causes associated with disorders in the functioning of the body are various violations of the integrity of the spinal column. This group of pathological causes includes the following diseases:

• in which the bone marrow is affected;
• cancerous growths or metastases spread to the spine, causing pain in the lower back;
• the formation of hernias in the intervertebral discs;
• displacement of the vertebrae;
• varying degrees;
• fractures or other injuries of this organ;
• spinal canal stenosis;
• - damage to cartilage;
• - chronic muscle pain, accompanied by many unpleasant symptoms. There is not only pain in the upper back, but also in the lower.

Causes of pain syndrome that are not associated with diseases of the spine or changes in its structure:

• pelvic bleeding;
• compression of the nerves in the sternum leads to back pain when inhaling;
• gynecological diseases are often characterized by discomfort in the right side or in the lower back as a whole;
• accumulation of a large amount of blood in the retroperitoneal space;
• ailments of various pelvic organs;
• aortic dissection;
• peptic ulcer - causes back pain between the shoulder blades;
• kidney dysfunction;
• disorders of the gastrointestinal tract and genitourinary system cause back pain on the right or left (at the projection site of the affected organ);
• violations of the organs localized in the abdominal cavity;
• rheumatological diseases;
• neoplasms in the lungs will be manifested by pain when inhaling or coughing;
• diseases of the cardiovascular system cause a person pain in the side, most often the left;
• education - pain in the lower back is manifested;
• - with such an ailment, pain radiates to both sides;
• infectious diseases accompanied by lung damage.

In most cases, these causes can excite back pain below the waist.

Factors due to which pain may appear in a healthy adult or child:

• prolonged exposure to cold temperatures;
• working conditions in which a person is forced to lift weights for several hours in a row;
• sudden movements;
• with a strong cough (there is pain in the back above the waist);
• being in an uncomfortable position, possibly during sleep or on long trips;
• the flow of menstruation;
• injuries or fractures, and not necessarily the spine. Due to fractures, pain from the damaged area often radiates to the back;
• incorrect posture;
• increased body weight;
• age category - back problems can occur at any age, but for people of middle and old age, this symptom is most common, since chronic diseases can occur in the body, some processes slow down, which causes pain in the back muscles (it may not take a long time ).

Separately, it is worth considering back pain during pregnancy. A woman throughout the entire period feels heaviness in the back and pain in the chest when coughing, due to the growing fetus and the pressure that it creates. Due to the displacement of the torso, the muscles of the lower back and pelvis tighten in order to support the weight. These are the reasons why back pain occurs.

Varieties

Depending on the reasons, this unpleasant feeling can be localized in various places:

• back pain above the waist - can be of a periodic or chronic nature, mainly due to harmless factors, among which are improper organization of the workplace or heavy lifting;
• pain sensations directly in the lumbar region - appear against the background of displacement or herniation of the intervertebral discs. Soreness can be so severe that there is pain in the back when inhaling and coughing, but in a horizontal position everything passes;
• pain below the waist - may occur due to hypothermia of the body or heavy loads on the back. If this symptom manifests itself in any disease, you should immediately call an ambulance. This type is characterized by unpleasant sensations in the right side, which often radiate to the lower limbs;
• soreness in the shoulder blades - back pain on the left comes with or psychological problems. It often spreads to unusual places such as the right arm, neck, or groin. On the right side - with the formation of stones or other pathologies of the kidneys. Pain directly in both shoulder blades is expressed due to tumors or;
• back pain on the right - gives a signal about problems with breathing, or oncology in the lungs or bronchi, as well as organs involved in the excretion of urine;
• back pain on the left - speaks of problems with the heart and respiratory system;
• pain in the lower back is the most common type of discomfort, since it can be expressed due to a large number of diseases, for example, with a cold cough or under the influence of external factors. What is characteristic, if such pains spread to the side and continue for more than three months, this means that the disorder has flowed into a chronic form;
• pain in the upper back - more often caused by cancerous growths or metastases in the lungs or spine.

Symptoms

Symptoms of back pain of different localization may vary, depending on the causes of occurrence. The most common symptoms of back pain include:

• limitation of working capacity and motor functions of a person due to varying intensity of pain and its spread in different directions, other organs or limbs;
• frequent urge to urinate, especially if the back pain is due to problems with the kidneys or urinary tract;
• in some cases, there is fever;
• a sharp decrease in body weight;
• diarrhea;
• weakness and pain in the muscles of the back;
• bouts of nausea ending in vomiting;
• pressure in the chest, heart and lungs;
• the appearance of a sharp pain in the lungs when coughing;
• feeling short of breath;
• constant anxiety;
• distraction of attention;
• decreased visual acuity and hearing.

Since the main symptom is pain, it can be of a different nature. In some cases, it can be sharp and sharp, in others it can be constant and pressing. Often, the pain spreads in different directions, internal organs or places where it, in principle, should not be, for example, the face, neck, lower jaw. In some cases, the pain syndrome worsens after eating, or, conversely, stops, may occur in a dream, due to an incorrect position, or pass on its own as soon as a person assumes a horizontal position.

It is because of this instability of the manifestation and the wide range of causes of occurrence that no action should be taken for self-treatment. Such an important process should only be carried out by specialists in a clinical setting.

Diagnostics

Before starting treatment, the therapist needs to conduct a series of examinations to determine the possible cause of the expression of pain, its type and location. In order for the attending physician to get a complete picture of the course of this uncomfortable sensation, the patient needs:

• provide full information about the symptoms that accompany back pain, when they first appeared and how intense;
• express suggestions about what could have led to such a sensation, for example, menstruation, an uncomfortable sleeping position or body position during work, coughing or sudden movements, and also allow the specialist to get acquainted with a complete list of all diseases of a particular patient for a lifetime;
• tell where the pain occurs, and to which organs or sides of the body it spreads. This is very important for determining the diagnosis, since different localization of soreness can indicate various diseases;
• undergo a general examination, in which the doctor will palpate the spine;
• pass and to determine the pathological process or kidney disease;
• perform x-rays - which will help detect abnormalities in the structure of the spine, chest and lungs;
• undergo a CT and MRI examination - to detect possible pathologies of internal organs;
• examine muscles using electromyography;
• to perform a study of bones by introducing a contrast agent into the body. Where it will accumulate, there is a violation;
• be examined to determine the density of bone tissue;
• additionally consult with such specialists as a neurologist, rheumatologist, orthopedist and vertebrologist.

After receiving all the test results, the doctor will prescribe an individual treatment for each patient.

Treatment

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

• apply a cold compress to the area of ​​\u200b\u200bthe back where the pain was localized;
• ensure complete immobility to prevent further damage. The victim must take the most comfortable position of the body;
• take painkillers;
• completely eliminate any load.

After arrival at a medical facility, treatment is carried out, the basis is the therapy of the underlying disease, which may consist of:

• anti-inflammatory drugs;
• warming ointments;
• drugs that eliminate spasm with intense pain in the lower back, since it is this type of pain that is most common in patients;
• drugs that increase the production of cartilage tissue components;
• physiotherapy treatment (heating);
• therapeutic massage;
• manual methods of therapy, but they can only be used as prescribed by the attending physician, because if such treatment is carried out incorrectly, it is likely to aggravate the situation;
• acupuncture - similar to the previous paragraph, applied with the permission of the doctor;
• medical intervention - it is carried out only in some cases, for example, with oncology or the need to install an intervertebral prosthesis;
• wearing a special corset that will reduce the load on the spine and lower back.

Prevention

Preventive methods to avoid the occurrence of back pain are:

• timely treatment of major diseases of the spine, lungs, kidneys and abdominal organs;
• refusal of strong physical exertion and hypothermia of the body, especially in pregnant women;
• maintaining correct posture during work and study;
• providing comfortable conditions for sleep;
• correction of increased body weight;
• limitation of sudden movements of the back;
• preventive examinations in the clinic for early detection of pathologies that cause back pain.

Is everything correct in the article from a medical point of view?

Answer only if you have proven medical knowledge

Earth. Moreover, in juvenile residents, this ailment is much less common and is mainly associated with a disease of the internal organs. In old age, almost every person complains of back pain. Unfortunately, only 30% of sick people turn to doctors for help with such a problem. Therefore, over time, back pain becomes chronic, which leads to a significant limitation in human performance. In most cases, severe back pain occurs due to damage to the joints, ligaments or discs of the spine due to excessive physical exertion. However, this kind of pain can also occur as a result of diseases of the internal organs.

Causes of severe back pain

The appearance of sharp pains in the back is the reason for the immediate appeal to a specialist. Do not self-medicate, as this can aggravate the situation.

Treatment of severe back pain

It must be remembered that wearing corsets and fixing belts is only a temporary way to treat back pain. Prolonged use of these drugs leads to chronic pain in the spinal region.