Definitely a couple of patients every day. Regardless of age, gender, and physical activity. What is there? A protective reaction of the body, we find out it's a pain because it's very necessary there is a disturbance in the body, what your health is threatened.
Development mechanism pain, similar to pain receptors in the body and then processed in the momentum of reflexes in the spinal cord are transmitted to the brain before me. Divisions of the nervous system and pain centers in the brain, these roads, including all different levels. What this says, what it is very important for perception of pain to the organism.
But what if there is harm and no pain. Typically, this behavior is the result of violation when there is tumor processes, or pain receptors. Time constant irritation receptors and the nerve fibers themselves and the fiber of the Centers in the brain, irritation of the skin if you experience chronic pain. To treat them much more difficult, because here not only to admire where organ and tissue receptors, but the donor cells in their eyes, the nervous system — neurons.
There are several reasons that may cause back pain. Share them here localization (i.e. ground) in different departments and analysis of pain dorsal root at different levels, and this affects the entire spine. Ourselves concern rare diseases: a recipe of the most common causes of back pain, a common practice.
1. The sections of upper back pain
- First of all, to eliminate the most dangerous situation – heart disease. Therefore, the sections of the upper back pain in the area of the wings, especially on the left, determination ECG (EKG) to exclude acute coronary syndrome, myocardial infarction, if a person is old. Myocarditis and other inflammatory heart disease, if you are young.
- If Cardiogram without pathology, dorsalgia think this called back right torakalgiya (Latin thorax – thorax) violation for which the vertebral column, or spine, on Nov. Torakalgija osteochondrosis of the spine is damaged if can cause thoracic. This is the most common reason. Increased pain when moving, especially when turning. You have to look for that back, as we have seen, in the areas of the body tense muscles. What pain is this a specific event – raised, Violence, lost, nervous, a great weight on his back. It is usually accompanied by pain, and the area connects, aching, lying in the growing night. The pain is fresh assigned, injections, pain killers, vitamins, relaxant Nov, everything passes, within 3 days, rarely a week. If the damage itself is the backbone of disc herniation, damaged roots, nerves and movement in the spine – long-term treatment. Needs to be done here, x-rays and in patients with lead. Because of chronic pain, which is difficult to cope with. At this stage, more potent drugs are connected.
- Shoulder joint pathology cannot be ignored – arthritis or injury. Sometimes you back to your eyes.
- The internal organs such as the upper back at the level of the light. Inflammation of the pleura passes when sick starts to spin – shell lightweight, rich in pain receptors. The pain is strong, reinforced a breath to reduce the pain, borne by diseased people aside. Temperature and chest pain – doctor suspects disorders, lung. What we do X-ray, in which, generally, it will be observed. Always therapy in the hospital. Inflammation of the pleura – pleural effusions — sometimes for various reasons. That can cause bacteria, viruses, TB, tuberculosis, and other infections.
- Spontaneous pneumothorax — entry of air in the pleura. Young people usually statichnyj a hereditary defect of the connective tissue (connective tissue dysplasia or JSP). Strong coughing during SARS, sudden deep breath, an injury.
2. The middle sections of the pain in the back, in the lumbar region and above
- Back pain the spine at the level of the user's leg without pain lumbalgia irradiation of infertility l – a pain when it spreads down the outer thighs. This is the jam nerve roots. For this reason, the doctor, the so-called "radicular signs or symptoms, tension. The patient lies on the back foot and the second and invigorating. You can remove a nerve impingement foot because of pain, just at a slight angle.
- Is located approximately at the level of the kidney. Symptom Pasternatskogo the doctor here, so they beat him a little more, a kidney and a pain in the field of readmission, so a kidney patient. This symptom is usually acute kidney infection or kidney stone disease. Therefore, the algorithm must tread the survey of pain and in the lumbar region, urinalysis. During kidney infections, acute pyelonephritis, or acute and chronic, sometimes high fever, low back pain may be the slightest touch. In general, urine analysis, promotion, the number of white blood cells and inflammatory changes.
- There are gems, just the kidneys, at the same time the gall bladder. Very often inflammation of the gall bladder pain mixed pain and spine pathology. The gallbladder right under the ribs and to the right half back. But this body is so cute, pain, cholecystitis on front, right shoulder, lower back and even keep pace. Stone can be "SIT", not just the gall bladder, but here goes. It may be, could be stone, and inflammation caused by gall bladder and ducts, for example, ointments, and other parasites opisthorchis. Usually symptoms abdominal palpation to detect inflammation of the gall bladder inflammation of the gallbladder in the determination on specific reflex. The symptoms of a cholecystitis, abdominal ultrasound and send the patient to a gastroenterologists. Already during the acute phase of the disease kolelitiyazis if this surgical treatment. This disease is insidious what could be the temperature, got in the mouth, loose stools, and it is just a pain. This for a long time, established when the chronic pain.
- Pancreatitis – pancreatitis. The pain generally returns in the back, already just left. When this happens, inflammation of the pancreas tail covers. If he's the head of inflammation in the area to give on the right and in the middle of the waist. Here everything more clearly, without leakage of acute pancreatitis digestive events only. Here, have this severe pain, often this "dagger" may be pain in the abdomen, nausea, vomiting. And, of course, your eyes always that the disorder is associated with a diet that this technique strong alcohol, along with fatty foods. Sharp processes – business for the surgeons. You can begin to digest the pancreas itself because pancreatonecrosis post-operational, and require emergency intervention. The process chronic – gastroenterology this observation. Out of your diet and fatty.
- Herpes zoster – shingles. The middle back in the area, most often the waist. The pain that appears first, then a herpetic rash in the form of small bubbles. That is called a type of herpes infection. Treatments often a therapist and a neurologist. Pain can be very powerful, burning. The spread of this virus as it progresses nervous. It's hard to diagnose until the rash of head ache sometimes and week passes.
3. Low back pain
- The most common cause symptoms of degenerative disc disease of the spine. Or lumbosacral vertebral joint degenerative changes at the level of the violation, the pain returns, for up pozvonochnika coccyx or post.
- Gynecological reasons it can give you back pain (depending on the anatomical position) and inflammatory diseases female organs.
- Urolithiasis, the kidney stone passes, often with lower abdominal side, but maybe from the back.
- Pathology, hip joint , such as (in our case, a first article sample), arthritis, arthrosis, hip fracture can even back pain.
- The disease of the rectum – hemorrhoids, tumors, benign or malignant (malignant tumor if, they have, not only by themselves but it can be a pain, and metastases, spine, liver, lung).
- Eventually, the disease the prostate — benign prostatic dysplasia could this be, maybe prostate cancer. This disease to develop in adulthood, therefore often experiencing for a long time, even with no symptoms, but metastasis to the lumbar spine that can give the body weakening, lung, local lymph nodes.
4. Some diseases or the effects of the entire spine sections
- Low back pain that is common degenerative changes in the spinal column, hit all sections of the spine. There Polymetal osteochondritis. It gives the backbone of all sections of the symptoms its symptoms, therefore diagnosis may be a special difficulty, it happens very often due to osteoporosis.
- Osteoporosis – reduction of calcium in the bones yourself more age. Men and women, sometimes for different reasons, but the flows are equal. Then who have low estrogen levels due to menopause in women of child-bearing age that regulate the metabolism of calcium, most commonly in men due to lesions, disorders of the gastrointestinal system and absorption of calcium. Fragile bones osteoporosis is made thin. This is the spine. The slightest injury to occur during the advanced stages.
- Multiple myeloma – leukemia or tumors belong to the group of blood, a tumor develops at the level of the bone marrow. The number of cells increases, blood, leukocyte one grows, pressure on the mass which causes bone pain. The effects of this disease to flat bones, most often are connected, but they can be pain and the spine. Now that has grown the number of cases of leukemia. His presence modified Jones protein in the urine producing a protein in diagnostic tumor cells.
- Ankylosing spondylitis and other autoimmune diseases — an autoimmune inflammation of the vertebrae is worn character, so antibodies against its own cells produced by the human body. Already observed in autoimmune diseases.
- Infectious diseases of the spine, tuberculosis (can be combined HIV), syphilis, osteomyelitis is very rare, but the doctor know about them and think about them. Tb difficult to diagnose osteomyelitis, the most common diagnosis is not certain, fair, but the treatment really should be done. Tuberculosis is an insidious disease, any weakening of the immune body secretly and unexpected symptoms. Two types of patients are watched in the last year.
5. Persistent back pain may indicate a serious illness
The following symptoms a doctor suspects directs and Oncology in-depth survey:
- bad pass back pain treatment, pain medications,
- body weight reduction
- low-grade fever (37-37,5 degrees, won't for a long time),
- anemia, low hemoglobin, when viewed from the outside, it looks like this zeltusnost pallor or ' skin color, cyanotic lips, "circles" under the eyes,
- increased erythrocyte sedimentation rate (ESR), general blood analysis,
- tendency to bleed.
The survey of back pain algorithm
1. First things first, you need to pass routine tests – blood count, urinalysis. This gives us an idea about the situation to the body's inflammatory processes in the urinary system is possible. We change a urinalysis, kidney disease is the cause of pain immediately suspicious.
2. Biohimicheskii count blood count, liver function tests (ALT, AST, bilirubin, ALP), PSA (C-reactive protein), rheumatoid factor activity indicators of inflammation, the amount of protein many different kinds of blood protein, albumin and globulin, and other indicators of a doctor, a suspicious disease.
3. Tumor markers – cancer suspected process.
4. Tests for infectious diseases: HIV, viral hepatitis, tubercules, syphilis.
5. X-ray of the spine shows the changes in the spine, the presence of hernia, spine, metastasis, tumors, inflammatory events.
6. CT spine and internal organs – a very important sinav him better and more X-rays that are seen in the changes in the tissues.
7. MR – expensive and more informative method is applied, in order to improve the results of Computed Tomography. Can be done Combined survey, capture, internal organs and the spine itself. This survey provides an internal and what exactly to reveal the cause organ damage.
8. A doctor thinks, what a rare disease, one assigns special survey (for autoimmune diseases, is a rare infection, more in-depth research to determine the status of body).
Treatment for back pain, depending, of course, causes are assigned. But here we go we always for pain non-steroidal anti-inflammatory drugs or antispasmodics.
Though sufficiently advanced to install our medicine back pain for various reasons, correct diagnosis and treatment to continue. Most importantly, not to run the disease and consult a doctor, if your pain continues for three days, let alone long lasting intense pain.
You must be healthy.