Back ache

There are primary and secondary pain sensations, each of these types can be caused by a wide range of conditions and diseases. In this article we will try to consider only the most basic ones.

Non-specific (primary). This type of pain is directly related to problems with the spine and surrounding tissues.

Causes of back pain associated with the spine:

• Scoliosis. Violation of posture, leading to a gradual curvature of the spine, displacement of the vertebrae and muscle tension.
• Osteochondrosis. The cause of the development of the disease is a decrease in the damping capacity of the spine: damage to the intervertebral discs, rupture of the fibrous ring and, as a result, damage to the core of the disc. Pain sensations are localized in the region of the part of the spine, in which pathological changes occur. So, with osteochondrosis of the thoracic spine, back pain is localized in the thoracic region (the back hurts between the shoulder blades and under the ribs), with osteochondrosis of the lumbar spine, a person feels pain inthe lumbar region.
• Intervertebral hernia. Due to damage to the intervertebral disc, the soft structures of the vertebrae protrude with the possibility of violation (normal and strangulated hernia). The pain is localized at the site of the hernia.
• Ankylosing spondylitis. It is characterized by back pain and limited mobility of the spine, which leads to a forced "forward bending" position in the patient.
• Osteomyelitis. The cause of the disease is an infectious process that has developed in the spine. The patient feels that the pain covers not only the spine, but also the back muscles.
• Spine injury. In this case, the cause of back pain is an injury and the accompanying complications. The intensity of painful sensations and their localization are directly related to the type of injury and the affected part of the spine.

In 40-50% of cases, the causes of back pain are damage to the joints and ligaments of the spine (skeletal pain). Another 3-5% of severe back pain is associated with damage to the roots of the spinal cord (root pain).

Back pain associated with pathological muscle changes:

• Fibromyalgia. The inflammatory process develops in the muscles surrounding the spine, is characterized by symmetry and can be chronic. In this case, the back muscles hurt along the entire spine. The important point is that the maximum pain occurs when pressing on certain places.
• Polymyositis. Hypothermia can cause the disease. As a result of the development of the disease, the patient experiences muscle weakness and pain, which increases when trying to make a bend.
• Polymyalgia rheumatica. The etiology of the disease is unclear. Infectious diseases that weaken immunity can serve as a trigger. It is manifested by pains that increase with the development of the disease, capable of covering all parts of the back. Severe back pain impairs mobility to such an extent that the patient is unable to move independently. A clear asymmetry is visualized in the back.
• Charcot's disease. Symptoms are caused by inflammation of peripheral nerves along the spine. As a result of the pathological process, in addition to quite severe pain, there is a change in the person's gait.

In 50 to 60% of cases of non-specific back pain, their location is in the muscles.

Specific (secondary pain). This type of pain, despite its localization in the back, often has no direct connection with diseases of the spine or the surrounding muscular skeleton. The causes of specific pain are extremely diverse, but the most dangerous are oncological diseases. Thus, pain that radiates to the back can be caused by a malignant tumor in the mammary glands, lungs or prostate, which causes spinal metastases.

Diseases that cause specific pain include:

• Pinched nerve roots in the chest. Most often this leads to the development of intercostal neuralgia. The pain in this case is localized at the site of pinching. So, intercostal neuralgia can manifest itself: pain under the shoulder blades, pain in the back under the ribs (on the side where the pinching occurred). The pain has a different degree - from aching to stinging. Most often, pain syndrome occurs when moving or pressing on the affected area. This fact is the main difference between intercostal neuralgia and diseases of the heart and lungs, which can also manifest as pain under the left (or right) shoulder blade of the back.
• Diseases of the gastrointestinal tract. Most often they cause pain on the right side, in some cases they can also pass to the left side of the body. Most pain is localized in the lumbar and sacro-lumbar regions. Sufficiently strong pain sensations are characteristic of pathologies associated with manifestations of diseases of the pancreas, colonic diverticulum, intestinal obstruction, retrocaecal appendicitis, etc.
• Ulcerative foci. Ulcerative lesions of the organs of the upper abdominal cavity (peptic ulcer of the duodenum and stomach) can manifest themselves in the form of pain in the thoracic and lower lumbar back. If the lower part of the abdominal cavity is affected (ulcerative colitis), the pain is localized in the lumbar region. The intensity of pain may be different, but the peak often reaches at night.
• Appendicitis. In acute appendicitis, in cases where the appendix (appendix) is located behind the cecum, the back hurts in the lumbar region. The pains are variable in nature and can range from aching, mild to sharp, intense.
• Kidney diseases. Very often they are manifested by pain in the lumbar region. Such manifestations are characteristic of pyelonephritis and chronic glomerulonephritis. The differentiation of pathologies that have a direct connection with the spine is made on the basis of an analysis of other clinical manifestations and research results.
• Urolithiasis disease. With renal colic, the back hurts in the lumbar region. The pain is pronounced, intense, arises suddenly and does not depend on the position of the body. The back hurts in the lower back and with staghorn nephrolithiasis. Manifestations of the pain syndrome are of low intensity, the pain is rather aching.
• Diseases of the female reproductive system and menstrual pain. In these cases, the pain is more often localized in the lower back.
• Tumors in the pulmonary system. In this case, the pain appears at the stage when the lungs experience the germination of peripheral tumor elements (metastases) in the pleural region and the chest wall. The nature of the pain is intense, debilitating.
• Cardiovascular illnesses. The most common causes of localized pain in the thoracic back are myocardial infarction and stroke. As a rule, these diseases are accompanied by pain between the shoulder blades.
• Inflammatory processes in the joints. Infectious arthritis can cause pain to radiate from the affected joint to nearby areas, including back pain.

For the most part, the causes of the manifestation of pain in the back are identical for both sexes, but it is necessary to highlight a number of diseases that differ in sexual predisposition.

back pain in men

Although the causes of back pain are generally the same for both genders, there are a number of conditions that men are more susceptible to due to their lifestyle.

These predisposing factors include:

• work involving the lifting and transport of heavy loads;
• motor sports (including various martial arts, powerlifting, etc. );
• bad habits.

Accordingly, diseases of the musculoskeletal and cardiovascular systems in men can occur more often than in women.

Specific "male" diseases that can cause back pain are various pathologies of the prostate.

Prostatitis is an inflammatory disease of the prostate. At the beginning of the disease, the pain syndrome is localized in the groin, scrotum and lower abdomen, but in the second stage and in cases where the disease has become chronic, the pain spreads to the back.

Localization of pain in this case can be either concentrated in the lumbosacral region, or spread to the entire back. This is due to the fact that the inflammatory process affects the nerve endings, which envelop this organ in large numbers.

The intensity of pain is directly related to the stage of the disease. Thus, in the acute phase, the pain is characterized as acute and short-term. In the chronic form, the pain syndrome is not very pronounced and often permanent.

Diagnosis and treatment in this case is carried out by a urologist.

back pain in women

In some cases, back pain in women can be of a specific nature associated with the characteristics of the body and the processes taking place in it. First of all, we are talking about the reproductive sphere.

As a rule, pain associated with gynecological diseases is localized in the thoracic and lumbosacral regions. The most common reasons include:

1. Menstrual cycle. During the period of menstruation, the hormonal background of a woman changes, which leads to the appearance of a number of negative manifestations. This is mainly due to a decrease in the level of progesterone, which is responsible for the intensity of the pain threshold. Reducing the pain threshold leads to the fact that even minor pain sensations become more pronounced. In addition, hormonal changes lead to irritation of the intestinal walls and fluid retention, which causes an increase in the volume of certain organs and, consequently, compression of the nerve endings of the lumbar spine. The combination of these factors causes the occurrence of back pain.
2. Pregnancy. In this case, low back pain can be divided into two groups: First trimester pain. If the painful sensations are accompanied by additional symptoms (bleeding, fever, etc. ), we can speak of the risk of miscarriage. Pain in the second half of pregnancy. Most often, such pains are associated with physiological changes, namely: the active growth of the fetus, which causes a change in the center of gravity in the position of the body, and the preparation of the pelvis for the upcoming labor activity.
3. Diseases of the reproductive system. Most of the pain is concentrated in the lumbar region, which is explained by the topography of the female reproductive organs. The most common causes of this manifestation of the pain syndrome are ovarian cysts, adnexitis, ectopic pregnancy, endometriosis, etc.
4. Menopause. During menopause, powerful changes and fluctuations in hormonal levels occur. Such restructuring of the body leaves an imprint on many systems of the female body. First of all, the skeletal system suffers, which, under the influence of hormonal changes, becomes more fragile and prone to various kinds of diseases.
5. Big breasts. The large size of the bust, combined with poorly supported underwear, creates an additional load on the spine, and as a result, the woman has back pain in the shoulder blades and lower back.
6. High heels. Wearing high-heeled shoes leads to the development of a number of diseases associated with pathological changes in the musculoskeletal system and back pain.

back pain with coronavirus

Coronavirus infection affects many organs, but the lungs are the first affected. Therefore, pain between the shoulder blades or under them is often a manifestation of inflammation that has developed in the lung tissue. Depending on which lung is most affected, the patient will feel pain under the left or right shoulder blade.

In addition to damage to the lung tissue, there is a general intoxication of the body and an increase in temperature, which can also cause pain (aches) in the back and limbs.

Back pain after the coronavirus is explained by the fact that the disease can not only damage the nervous system, but against the background of a general decrease in immunity, chronic diseases, including internal organs and the systemmusculoskeletal, worsen.

back pain after sleep

The reasons why your back hurts after sleeping can be:

• work associated with physical activity and weight lifting;
• lower back muscle tone;
• intervertebral hernia and osteochondrosis in history;
• prolonged hypothermia of the back;
• curvature of the spine, which led to muscle tension and uneven contraction;
• excess body weight, leading to an increased load on the back;
• stressful situations;
• uncomfortable bed.

Unpleasant sensations can have a different intensity and appear under the ribs, in the lower back, between the shoulder blades and under them.

To eliminate the pain that occurs after sleep, it is necessary to exclude all provoking factors and consult a doctor for treatment.

Back pain - which doctor should I contact?

The main diagnosis of pain in the back region is carried out by a general practitioner. If necessary, a certain number of additional examinations and the consultation of highly specialized specialists may be prescribed:

• neurologist;
• gastroenterologist;
• gynecologist;
• urologist;
• pulmonologist.

To make an accurate diagnosis, it is necessary to conduct a detailed analysis of the patient's condition. For these purposes, the doctor may prescribe a number of additional studies:

• Laboratory tests. Most often, this list includes general and biochemical blood tests, urine tests, feces, and in some cases, an analysis of hormone levels. These studies help to identify possible inflammatory processes and infections. If you suspect certain diseases or an oncological component, the doctor may prescribe a number of specific studies (biopsy, tumor markers, etc. ).
• Material search. They help to get a more visual picture of the course of the disease, which cannot be obtained by visual examination and palpation. The most commonly prescribed x-ray, MRI, ultrasound.

Back pain treatment

For the purpose of qualified treatment, internal consultation of specialists is necessary. Therapy is selected strictly on the basis of the diagnosis and taking into account the general condition of the patient. Self-treatment of back pain can lead to the progression of the disease or the transition to a chronic stage.

Back pain prevention

The main preventive measures mainly depend on what exactly caused the appearance of back pain. General recommendations include:

• healthy lifestyle;
• complete and healthy nutrition;
• reasonable amount of physical activity;
• timely treatment of identified diseases;
• regular passage of preventive examinations, including by specialists with a narrow profile.