Back pain — what to do?

Every day one or two of the patient and necessary. Regardless of age and sex, the activity and the body. What pain? This, and a protective reaction of the body and is very necessary, because if there is no pain that we can't learn in the body, there are violations that their health is threatened.

The mechanism of development of pains in the body and reflexes all of the pain receptors, the impulse and the first in the spinal cord, then, processed and transmitted to the brain. In this way, all the involved parts of the nervous system and the brain many pain centers at different levels. This Suggests that the perception of pain and very important to the body.

But it happens, that the damage to hi and no, I don't there is pain. Most often, this occurs during tumor processes or when there is a violation of the pain receptors. When due to the constant stimulation of the receptors and the nerve fibres, these fibres and centres in the brain are irritated, there is no chronic pain. To treat them and much more difficult, as it not only affects the tissues, organs and, where there are receptors, but the pain transmission of the cell dl·lules of the nervous system — the neurons.

Pain in the back can be caused by a variety of reasons. Here we can divide them according to the location (and mean location) of pain in different parts of the back and examine that might hurt at different levels, and that affects the entire spine. We do not relate to rare diseases: the causes describe the most common back pain found is surrounded on the practice.

1. Pain in the top part of the back

• First of all, you need to remove the dangerous condition – heart disease. For this reason, when the pain in the top part of the back, in the leaves, especially the one on the left, to un ECG (electrocardiography) to exclude syndrome coronary acute myocardial infarction, and if the person in the old age. Myocarditis inflammatory and other diseases of the heart, if the age of the young people.
• If the ECG sense pathology, dorsalgia think in this part of the back is called well torakalgiya (of poetry and of the constitution thorax – the chest) and one to say, the violation of the spine or the muscles associated with the spine. Thoracalgia can be caused by osteochondrosis of the spine damage with a the thoracic. This and the most common cause. Increase the pain occurs on movement, especially when turning. If you look in the back, you can see how tense the muscles around the hurt place. These pains associated with any particular event – has taken un weight, loss, nervous, there was a great tension in the back. Often accompanied by pain in the sternum, aching, worse at night, lying down. If the pain and fresh, appointed injections of analgesics, vitamins, muscle relaxants, everything that takes place within 3 days, weeks rarely. If there is un injury to the spine – herniated discs, damaged nerve roots, branch off the spine prolonged treatment. Here x-rays do I need to these patients and neurologists. Because the format and the chronic pain more difficult to deal with. In this stage, connect the strongest of drugs.
• And impossible to exclude the pathology of the shoulder joint arthritis or injuries. Take the pain sometimes in the back.
• Of internal organs at the level of the top part of the back are of the light. In the stomach when he starts the inflammation appears in the pleura – of the lungs and is rich in pain receptors. The pain and charm, breathing in the worst to reduce pain, people lie on the affected side. If you have fever, pain of the chest and the doctor has to suspect violations in the lungs. We take the two rays x, which, very often, good to see it all. The treatment and always in the hospital. Inflammation of the pleura – pleurisy can be destinations reasons. The cause can be bacteria, viruses, Mycobacterium tuberculosis and other infections.
• Pneumothorax spontaneous — 'entry of air in the pleura. Often y stanichnyj young people with a hereditary defect of the connective tissue (connective tissue dysplasia or JSP). What happens when the un strong cough during the SARS, a sharp deep inhalation, injury.

2. Pain in the middle sections of the back, in the lumbar region and above

• Osteochondrosis of the spine in the area of the lumbar spine is manifested as a lbp a sense irradiation, a pain in the leg, I lbp – when the pain's are clean, to the outer thigh. A pinched roots nerve. Therefore, the doctor checks the so-called "radicular symptoms" or symptoms of tension. The patient lies back and raises the other leg. When pinched nerve the pain in the leg can be raised only from the un angle.



• Around this level are the kidneys. Then, check doctor symptom pasternatskogo and said gently beat back in the region of the intention kidneys, and if there is pain, and said, the kidneys are sick. Often un and symptom of acute inflammation of the kidneys or Auditori Winterthur in the kidney. Therefore, in the algorithm of the examination of back pain, in the region of the back has to include the un of urine. When the inflammation of the kidneys, acute pyelonephritis or exacerbation of chronic illnesses sometimes high fever, pain in the lower back can be the lesser contact. In General, the analysis of urine increased the number of leukocytes – inflammatory changes.
• The Auditori Winterthur are not only in the kidney, but also in the gallbladder. Very often confused with the pain of a spinal disorder and the pain of the inflammation of the gallbladder. The gallbladder is located directly under the rib, and give the pain in the right half of the back. But this body and so insidious that the pain in case of cholecystitis can occur in the right shoulder, lower back and even leg. The stone can sit, not only in the gallbladder but also in the Bayou. The stone cannot be, and in the inflammation of the gallbladder and ducts, caused by, for example, lamblia, opisthorchis and other parasites. Normally inflammation of the gallbladder detected on palpation of the abdomen and the definition of a special plan for reflex symptoms of inflammation of the gallbladder. If there are signs of cholecystitis, and the envoy of the un patient to do an ultrasound of the abdomen and to the gastroenterologist. If cholelithiasis in the acute phase – this and the surgical treatment. Insidious and the disease, which may not be the temperature of the bitterness in the mouth, and loose stool, but only pain. This occurs when the long, when it formed a chronic pain.
• Inflammation of pancreas – pancreatitis. The pain radiates an often the back, just to the left. This happens when the inflammation covers the tail of the pancreas. If the inflammation and in the head, original works of art to give the pain in the lower back in the center. Here, everything is more clear, pancreatitis acute can continue to sense dyspeptic phenomena. Here, in addition to severe pain, more often, and "stabbing" abdominal pain can be nausea, vomiting. And, of course the pain always associated with the violation of the diet, the intake of alcohol and in combination with fatty foods. Acute work processes for surgeons. Because the pancreas can begin to digest the same, called in this necrotizing pancreatitis requiring and intervention. If a chronic process, the observation of gastroenetrology. And with the exception of the diet the fat.
• Herpes Zoster – the shingles. It is produced in the back area, often the waist. First pain, and original works of art of the cold sores in the form of bubbles small. Had to call the un of the type of herpes infection. Care usually un and a physiotherapist neurologist. The pain can be very strong, burning. This virus spreads along the nerve. Sometimes from the beginning of the pain until the eruption of the week and a difficult diagnosis to establish.

3. Low back pain

• The most common reason — manifestations of osteochondrosis. Violation or degenerative changes in the vertebrae at the level of the lumbosacral joint, the pain is experienced in the coccyx, up the spine.
• Gynaecological causes can give pain in the back (it all depends on the position of anatomically) inflammatory diseases of the female organs.
• Urolithiasis, if the stone passes through the ureter, often occurs in the lateral lower abdomen, but that could be from The back.
• Pathology of the hip joint (as in our case, which is given at the beginning of the article) arthritis, osteoarthritis, or even a hip fracture can give back.
• Diseases of the rectum – hemorrhoids, tumors, benign or malignant (if malignant tumor, that they give pain, not only in themselves, but that can be a pain from the metastasis in the spine, liver, lungs).
• Finally, the diseases of the prostate — this can be dysplasia benigne de la prostate can be prostate cancer. These develop diseases in adulthood, therefore, often occur for a long time, even sense visible symptoms, but the weakening of the body can metastasize to the lumbar region of the spine, in the lungs, local lymph nodes.

4. Some diseases that affect the entire spine or of its departments

• Low back pain – the most common and degenerative changes of the spine, which affects the spine. There is pain polysegmental low back. Your symptoms give symptoms in all parts of the spine, so that the diagnosis can be particular difficulties quite often this happens because of osteoporosis.
• Osteoporosis – a decrease in the content of calcium in the bones, more pronounced with the years. Men and women may be different reasons, but from the same. In women, menopause original works of art and linked to low levels of estrogen that are of child bearing age to regulate the metabolism of calcium, in homes, most often due to the lesions of the gastrointestinal tract, malabsorption and calcium. In osteoporosis are the bones fragile, fine. This also s applies to the spine. Hi-line has a hair fracture in a minor injury in advanced stages.
• Multiple myeloma belongs to the group of leukemias tumors or in the blood when he developed the tumor at the level of the bone marrow. Increases the number of cell dl·lules hematopoietic that grow cell dl·lules white, the pressure of the mass causes of pain in the bones. When the disease affects the flat bones, most often the perhaps minnesota), but can be a pain in the spine. Now the increase in the number of cases of leukaemia. It is diagnosed by the presence in urine of proteins Ben Jones, of the modification of proteins produced by the cell dl·lules tumour.
• Ankylosing spondylitis and other autoimmune diseases — when the inflammation of the vertebrae autoimmune diseases are, in nature, and they say occurs when the body's antibodies against its own cell dl·lules. There has been un increase of autoimmune diseases.
• Infectious Diseases of the spine – tuberculosis (may be combined with HIV infection), syphilis, osteomyelitis and very rare, but the doctor should consider and get to know them. Tuberculous osteomyelitis and difficult to diagnose, often diagnosis and finally never exhibited, but the treatment has to be serious. Tuberculosis and insidious that a disease any weakening of the immune system that can ex: a and l ' organism which manifested itself in unexpected symptoms. The last boss has seen two of these patients.

5. Persistent back pain can indicate a serious illness

When the following symptoms, the doctor suspected cancer, and has as a goal the un in-depth analysis:

• back pain bad are in the treatment of pain,
• the decrease in body mass
• vilella low-grade fever (37-37,5 degrees for a long time did not pass),
• anemia, decreased hemoglobin, externally, as can be seen the paleness or yellowness of the skin, bluish color of the lips, "circles" under the eyes,
• increase of red blood cells taxa of sedimentation (esr) in the General analysis of blood,
• the bleeding tendency.

The examination of algorithm for pain in the back

1. First of all you need to more of a routine le shows General blood analysis, General urine analysis. This will give us an idea of the condition of the body, inflammatory processes in the state of the urinary system. If we see the un change in the urine, then immediately suspect that the pain and the caused by kidney disease.

2. Biokhimicheskii blood count test-liver function (ALT, AST, bilirubin, alkaline phosphatase), CRP (C reactive protein), factor rheumatoid, indicators of inflammatory activity, the amount of protein, the proportion of the different types of blood protein and the albumins globulins, and other indicators, if the doctor suspected some kind of disease.

3. Tumor markers – if you suspect a neoplastic process.

4. Tests for infectious diseases: HIV, viral hepatitis, tubercules, syphilis.

5. X-ray of the spine shows changes in the spine, the presence of hernias of vertebral metastasis of tumors, of inflammation.

6. Computed Tomography of the spine and the internal organs – a very important part of the survey, and more than one x-ray visible changes in the tissues.

7. The MRI and more expensive I the informative method used to confirm the ct scan results. A possible to make a combination of a survey that capture the internal organs and the spine. This survey allows us to identify exactly the reasons d And of the internal organs.

8. If the doctor thinks about some rare disease, which assigns a survey of special (ca autoimmune disease, rare infections, in a more in-depth studies to determine the status of the"organism).

The treatment of back pain, of course, are prescribed depending on the cause. But we have to start always with analgesics – non-steroidal anti-inflammatory drugs or antispasmodics such.

Despite the variety of causes of back pain, our medicine advanced, sufficient to establish the un accurate diagnosis I started treatment. The most important thing – not to start the disease and to consult the un doctor if the pain does not disappear within three days, not to mention long intense pains.

Be healthy!