Discomfort in any part of the spinal space limits movement, reduces performance and significantly affects quality of life. Back pain can have different causes, which are not always associated with bone and articular structure. To determine the factors that cause the problem, you must see a doctor.
Types of back pain
There are two ways why this syndrome occurs. In the first case, back pain is caused by pathology of the musculoskeletal system. It covers bone tissue, joints and muscles, ligaments and tendons. The second cause that may be caused by strong pain in the back on the right or left side is an internal organ lesion. The inflammatory process is often accompanied by compression of the nerve root, which provokes the problem in question.
Back pain in spinal cord disease
The obvious factor causing discomfort is damage to the musculoskeletal system. If the back hurts between the shoulder blades, in the neck or lower back, it is important to pay attention to the intensity, duration and nature of the symptoms.
In diseases of the spinal cord, muscles, joints and ligaments nearby, pain has the following characteristics:
- Strong- discomfort difficult to tolerate without analgesics or anti-inflammatory drugs. Sensations are very noticeable, limiting mobility and flexibility.
- Paroxysmal- occurs at certain body positions or during certain movements. Very rarely the back hurts always.
- Sharp- sharp, stabbing, shooting. Feeling similar to sudden mechanical damage.
Back pain in diseases of internal organs
Swelling, inflammation, supuration cause an increase in the amount of soft tissue. This causes compression of the nerve roots and the ends located nearby, which causes pain under the left or right shoulder blades, in the neck, lower back or tailbone. The symptoms shown are less obvious, compared with the pathology of the musculoskeletal system. Although the entire back feels sore, the discomfort can be tolerated. They are durable, sometimes permanent.
Pain may be specific to this:
- sick;
- interesting;
- pressing;
- stupid.
Why does your back hurt?
After dealing with the characteristics and severity of the properties shown, it is important to determine its localization. It should be understood that the true cause of back pain cannot be determined on its own. For an accurate diagnosis, medical examination, laboratory and instrumental studies are required. Pain under the right shoulder blade, for example, can cause osteochondrosis and lung damage to this part of the body. Because multifactorial problems are problems described, it is dangerous to treat oneself.
Back pain over shoulder blades
Discomfort, stiffness and poor movement in the area of the shoulder girdle and neck are characteristic of osteochondrosis. Back pain may be felt on the left or right, depending on the location of the choking nerve root.
In addition to osteochondrosis, pathological symptoms occur for the following reasons:
- stretch;
- muscle gain;
- osteoarthritis;
- fibromyalgia;
- ankylosing spondylitis;
- spinal stenosis;
- myofascial syndrome;
- rheumatoid arthritis and psoriatic arthritis;
- polymyalgia;
- intervertebral hernia;
- neck injury;
- osteomyelitis;
- tuberculosis;
- acute thyroiditis;
- quality neoplasm, its metastasis;
- mechanical damage to the spine;
- diseases of internal organs (kidney, brain, heart, intestines, esophagus and others);
- lymphadenitis;
- syrup;
- meningitis.
Back pain in shoulder to shoulder
The middle part of the spine is the most common localization of stabbing, pulling, cutting sensations. In this case, it is important to clarify the side where you feel uncomfortable.
Pain under the right scapula from the back from the back can occur for the following reasons:
- heart and liver colic;
- subphrenic abscess;
- kidney function disorders;
- cholecystitis;
- tuberculosis.
If the back hurts in the left shoulder blade, the following pathologies are suspected:
- psychological problems;
- ulcerative gastritis;
- esophageal disease;
- myocardial infarction;
- inflammation of the pancreas;
- renal colic.
Back pain in the middle shoulder blade area often indicates disease of the musculoskeletal system:
- disc herniation;
- osteochondrosis;
- scapular injury;
- curvature of the spine;
- spondyloarthrosis;
- intercostal neuralgia;
- pterygoid scapula;
- disk highlighting;
- muscle cramps;
- humeral-scapular polyarthrosis;
- tumor, scapular osteomyelitis.
Less common pain in the middle of the back with pathology of internal organs:
- hepatitis;
- lung respiratory disease;
- cholecystitis;
- biliary dyskinesia;
- ulcer duodenum; ischemic heart disease;
- angina pectoris.
Back pain in the lumbar region
The portion of the spine presented has a maximum load, making it easy to damage. Severe back pain occurs mainly after strenuous exercise or physical exercise. Gradually disappear in the process of rest by itself.
Back pain in the lumbar region may have the following causes:
- rupture and deformation of the intervertebral disc;
- fractures of one or more vertebrae;
- inflammation of the joint capsule;
- osteochondrosis;
- fibrositis;
- rupture of vertebral ligaments;
- nerve end compression;
- osteoporosis;
- sacral radiculitis;
- scoliosis;
- lordosis;
- arthritis and arthrosis;
- spinal tumors;
- diseases of the genitourinary system;
- intestinal and renal pathology;
- Reiter Syndrome;
- epidural abscess;
- brucellosis intervertebral disc;
- beginning of the menstrual cycle;
- pancreatitis;
- urolithiasis;
- pielonefritis;
- cystitis and others.
Pain in the lower back below the waist
Discomfort in the coccyx area is rare separately, it is combined with an unpleasant sensation in the adjacent part of the spine.
Pain in the lower back occurs for the following reasons:
- broken tailbone;
- scoliosis;
- sprains ligaments, muscles;
- arthrosis; highlighting
- ;
- hernia;
- lordosis;
- osteochondrosis;
- ankylosing spondylitis;
- radiculitis;
- intestinal obstruction;
- inflammation of the appendix;
- renal pathology;
- chronic constipation;
- gastritis;
- pielonefritis;
- hepatitis;
- cystitis;
- pregnancy;
- menstruation;
- climax;
- urolithiasis;
- ovarian cysts;
- uterine fibroids;
- complementary inflammation;
- endometriosis and others.
What to do if your back hurts?
First, it is important to understand that it is not possible to independently determine the cause of the discomfort. Diagnosis and treatment of back pain is the privilege of a qualified specialist. Before seeing a doctor, you can reduce the discomfort with nonsteroidal anti-inflammatory drugs or analgesics. Complete therapy is performed by an experienced physician.
Which doctor should I go to if my back hurts
The first specialist recommended by the reception desk is a therapist. He will be able to guess why his back hurts, and refer him to a specialist. Depending on the reason, doctors from the department of the musculoskeletal system or internal organs are involved in therapy.
The following specialists treat severe back pain:
- vertebrologist;
- neuropathologist (neurologist);
- urologist;
- nephrologist;
- podiatrist;
- gynecologist;
- endocrinologist;
- cardiologist;
- gastroenterologist.
Ointment for back pain
Topical medication does not eliminate the trigger factor, but relieves temporary discomfort and helps to undergo effective treatment.
When the back muscles hurt, it is best to use locally irritating medications with a warming effect.
For bone, joint and ligament lesions, anti-inflammatory ointment is recommended for pain in the lower back, back or neck.
Injections for back and back pain
Clear symptoms interfere with normal life activities and the basics of self-service in daily life. To relieve a strong or unbearable sensation, you need an intramuscular pain reliever for back pain. Nonsteroidal analgesics relieve inflammation and block the sensitivity of nerve receptors, so they quickly relieve.
Exercises for back pain
Active physical activity in the acute period of any pathology is strictly prohibited. Pain under the scapula caused by a heart disorder can not only worsen due to gymnastics, but also become complicated by a heart attack. It is important to coordinate any activity with your doctor or perform it during the recovery period.
Exercises for the back and upper neck (repeat 3-5 times):
- Back pressure.Cover your hands at the back of your head with a "lock". Press them, trying to lower your head forward. Hold the neck muscles with a delay of 5-7 seconds.
- Forward pressure.Place your palms on your forehead. Press them, trying to throw your head back. Hold with the neck, lasting for 5-7 seconds.
- Side pressure.Press alternately on the head with the left and right palms. Hold by tightening the neck, the same as the previous point.
- Circular movement.Lower your chin to your chest. Slowly turn your head from left to right and back, as if rubbing your collarbone.
- Turn.Look in one direction, then in the other, lingering in each position for 5 seconds.
Exercises if the back hurts in the shoulder blades (repetition 5-10 times):
- Press.Lie on your back, cover your hands behind your head, bend your legs to your knees. Take a deep breath. As you exhale, simultaneously bend your elbows and knees to the abdomen until it touches.
- Climbers are running.Stand up straight, moving around the room according to the principle of "left hand, right foot". Continue for 10-20 minutes.
- Glute bridge.Lie on your back, bend your knees, stretch your arms across the body. Raise the pelvis up and down.
- Stretch.Stand with feet wider than shoulders. Without bending the back, stretch the chest alternately to the right and left knees.
- Fold.At the position from the previous point, lower the head as far as possible with the back straight.
Exercise for lower back pain (10-15 repetitions):
- Embrio.Lie down, bend your knees. Pull them by the hand to the chest, lingering for 10 seconds.
- Cats.Stand with four hands with your hands on the floor, bend your back down.
- Camels.Bend the spine to a similar position.
- Rotation.Starting position - as in the first exercise. Rotate the pelvis and legs to the left and right without lifting the lower back off the floor.
- Hunting dogs.Get all four. Stretch your right arm forward and straighten your left leg, holding for 5 seconds. Repeat for the other part.