Back pain — what should I do?

Each and every day, one or two of the patient is necessary. No matter the age, the gender, the activity of the body. What is the pain? For the protection of the body of the response, which is quite a requirement, if it is not because of the pain that you can't get to know that there is a breach in the body and thus their health is at risk.

The mechanism of development of pains in the body, just like all of the pain to the level of the receptor, the impulse is the first in the spinal cord, and then the process is being sent to the brain. In this way, all the involved components of the nervous system to the brain centres of a pain on many different levels. It suggests that the perception of pain, it is very important for the body.

However, that doesn't happen, what a shame it is not in any pain. The most commonly occurs between the age of the processes, or if there is a violation of the pain receptors. When, due to the constant stimulation of the receptors in the nerve fibres, the fibres in the centre of the brain, so the nerves, is a chronic pain. To address them, it is much more difficult, because it not only interferes with the bodies in the tissue where there are receptors, but it is a pain-transmitting cells of the nervous system — the neurons.

Lower back pain may occur for a variety of reasons. Here, we can share them, depending on the localisation (e.g. of the city), and the pain in various parts of the view to the rear which could be caught on a variety of levels, and that the impact on the whole of the spinal column. We do not refer to a single disease: a description of the most common causes of pain in the back facing the ground.

1. The pain is in the upper part of the back

• First of all, you need to eliminate an unsafe condition – a disease of the heart. So, when the pain is in the upper part of the back, in the blades, especially the left, they will run an EKG (electrocardiography), in order to exclude an acute coronary syndrome, myocardial infarction, if the person is in old age. Myocarditis in other inflammatory diseases of the heart, where it is the age of the young people.
• If the ECG without pathology, I think dorsalgia, back into that part of it properly called the torakalgiya (the word, from the Latin-american thorax – the chest), i.e., a violation of the muscles of the spinal column or associated with the spinal column. Thoracalgia can be the result of osteochondrosis of the spine with injury of the chest wall. It is the most common cause. Increased pain occurs upon movement, especially when turning. If you look back, you can see how tense the muscles around the painful spot. Those aches and pains are related to any particular event, picking up a weight, lost, nervous, there was a great pressure on your back. Often accompanied by pain in the sternum, aching, worse at night lying down. When the pain is fresh, be appointed injections of painkillers, vitamins, muscle relaxants, all of which shall be carried out within a period of 3 days to weeks and is rarely. If it is an injury of the spine – herniated discs, damaged nerve roots, which branch off the spine of the long-term treatment. Here, it is necessary to do x-rays on patients as neurologists. Because of the caused to the chronic pain more difficult to cope. At this stage, to connect to more powerful drugs.
• It is not possible to exclude a pathology of the shoulder joint , or arthritis of the injury. Sometimes, they give the pain in the back.
• The internal organs of the back, on the upper level of the light. The pain When it begins, when there is an inflammation of the case of the pleura – of the lungs, which is rich in the receptors to pain. The pain was excruciating, worse when breathing to reduce the pain of the people who are affected by the site. If you have a need for the fever in the pain in the chest, – the doctor has suspected a breach in the lung. We take x-rays, which is the most common, and good to see all of it. The treatment is still in the hospital. Inflammation of the pleura – pneumonia, and therefore may be referred to a variety of reasons. The cause can be bacteria, viruses, Mycobacterium tuberculosis, other infections.
• Spontaneous pneumothorax — entry of air into the pleura. Often y stanichnyj the young people with hereditary defects of connective tissues (connective tissue or dysplasia WELL). If it does happen, when a strong cough during the SAR, a sharp deep inhalation, injury.

2. The pain in the middle sections of the back, in the region of the back in the

• Osteochondrosis of the spine at the level of the lumbar part of the spinal column, which is honored as the pain, lumbalgia, without irradiation in the leg, lumbalgia, when the pain goes you make to the external side of the thigh. That is the root of a pinched nerve. So, the doctor checks the so-called "radicular symptoms" or the voltage of the symptoms. The patient lies back on yourself it puts one foot to the other. When the pinched nerve pain in the leg is raised only to a certain angle.



• Approximately at the same level are located in the kidneys. Then to the doctor to check a symptom of pasternatskogo, i.e. to gently beat it back into the region, dedicated to the kidney disease, in the if there is no pain, it means both kidneys are affected. It is often a symptom of acute inflammation of the kidney disease or kidney stones. Therefore, in the algorithm of the examination of the pain in the part, must be lumbar for the back include of the urine. When the kidney infection, acute pyelonephritis or exacerbation of a chronic and, sometimes, high fever, pain in the lower back can be at the slightest touch. In General, the analysis of the urine an increase in the number of leukocytes – inflammatory changes.
• The stones, therefore, does not only the kidney but also in the gall bladder. Very often confused with the pain of the iz of the spinal column disorder of the pain, the inflammation of the gall bladder. The gallbladder is located under the right rib, in the giving of pain in the right half of the back. However, the body is so insidious, the pain in the event that cholecystitis is determined to the right shoulder, lower back and even your legs. The stone can be seated not only in the gallbladder but also in the bayou. The stone is not for smes to be in order to inflammation of the gall bladder in to the water, due to, for example, lamblia, opisthorchis other parasites. Typically, the inflammation of the gall bladder detected on palpation of the abdomen, in the definition of a special reflex of the symptoms of inflammation of the gall bladder. If there are signs of cholecystitis, and the patient was sent to do an ultrasound of the abdomen the gastroenterologist. If cholelithiasis in the acute phase, that is, the treatment of surgical. Insidious, is that it is an illness that is not for smes to be white, in the bitterness of your mouth, loose stools, but just a pain. If it happens after a long time, when it has developed chronic back pain.
• Inflammation of pancreas – pancreatitis. The pain often radiates to the back, to the left. If it does happen, when there is an inflammation of the covering the tail of the pancreas. If there is an inflammation in the head, then the pain in the lower part of the back to the right toward the center. Here are all of the more obvious, acute pancreatitis just isn't to continue on without dyspeptic phenomena. Here, in addition to severe pain, often by "stabbing" pains in the abdomen, so that it can be nausea, vomiting. In the course of pain is always associated with the violation of the diet is the consumption of alcohol combined with the acidity of the food. An acute process, – the work of the surgeons. Because of the pancreas start to digest itself, this is called necrotizing pancreatitis, in requiring the necessary action. If there is a process of chronic observation of gastroenetrology. In the diet, with the exception of the fat.
• Herpes Zoster – shingles and shakes. Takes pride in the safety area, often the waist. The pain of the First one, and then in the form of a cold sores, small bubbles. Named for one of the types of herpes infections. Healing is usually on the neurologist. The pain can be very intense, burning sensation. The virus spreads along the nerve. Sometimes, from the beginning, no rash the pain of a week the diagnosis is difficult to establish.

3. The pain in the back

• The most common reason for manifestations of osteochondrosis. Violation of the degenerative vertebra, or a change in the level of the lumbosacral joint, with pain in the coccyx, not the spine.
• Where can I find more reasons you can give pain in the back (all depending on the anatomical position of the) inflammatory female diseases of the body.
• Urolithiasis, where the stone passes through the ureter, it appears the side, often in the lower part of the abdomen, but it can also be one-way.
• The pathology of the hip joint , such as in this case, which is set out at the beginning of the article), arthritis, arthrosis, or even be able to give a fracture of the hip back pain.
• Diseases of the rectum – hemorrhoids, benign tumors, or malignant, if malignant tumor is that they give pain, not only in itself, but it can be iz and metastases of pain in the spinal cord, the liver, and the lungs).
• Finally, the diseases of the prostate gland that may be benign dysplasia can be the prostate cancer of the prostate. The disease develops in adults in the era, so it is often run for long periods of time, even without visible symptoms, however, may be the weakening of the body metastasize to the lumbar spine, the lungs, the local lymph nodes.

4. Some of the diseases that affect the whole of the spinal column, or to have his or her service

• Low back pain – the most common is degenerative lumbar spinal region against the change, which affects the spinal column. There is a polysegmental pain in the lower back. Its symptoms are given of the symptoms in [the spirits of trades] of the parts of the spinal column, and therefore the diagnosis of a specific problem may be the very often it happens that due to osteoporosis.
• Osteoporosis – reduction in the presence of calcium in the bones, the more and more pronounced with increasing age. A man in a woman's way can be for a variety of reasons, but it is the same. In women after the menopause in women is associated with low levels of estrogen, and thus of child-bearing age tend to regulate the metabolism of calcium, and in men, most commonly due to damage to the gastrointestinal tract the malabsorption of calcium. In osteoporosis, the bones so fragile, thin. That is also true for the spine. There, so the hair breaks at the slightest damage in the advanced stage.
• Multiple myeloma belongs to a group, or leukemias tumors in the blood when a tumor developed at the level of the bone to the brain. Hematopoietic Increase in the number of cells, which grow white cells to the pressure of the weight causes pain in the bones. The disease affects just as the bones, most commonly the abdomen, but it can be a pain in the spine. Now, it is the number of occurrences of the increase of leukemia. If there is a diagnosis of the presence of protein in the urine of Ben Jones, a modified protein-producing tumor cells.
• Ankylosing spondylitis in the the other autoimmune disease — when inflammation of the vertebrae in both auto-immune in nature, that is, when the body produces antibodies against its own cells. There have been an increase of autoimmune diseases.
• Infectious diseases of the spine – tuberculosis (may be combined with an infection by the HIV virus), syphilis, osteomyelitis is a very rare, but a doctor considered he must know about them. Tuberculous osteomyelitis is difficult to diagnose, and often the diagnosis is finally never exhibited, but it must be treatment of severe. Tuberculosis (tb) is an insidious disease, to which any weakening of the immune system, so that they can enter into the body is honored and is in extraordinary symptoms. The year of the Last two I've seen in such patients.

5. Persistent back pain can be a serious show illness

The following symptoms of a doctor to cancer suspected, and is intended for the in-depth master:

• the pain in my back, bad to the treatment of such pain,
• weight loss
• a low-grade fever (37-37,5 degrees, that is, for a long period of time does not pass),
• anemia, decreased hemoglobin, out the paleness yellowness example, or of the skin, bluish color of the lips, the "circles" under the eyes,and the
• the increase in the rate of erythrocyte sedimentation (ESA) the General analysis of blood
• the bleeding tendency.

The algorithm is a test for pain in the back

1. You will First need to download the routine of the text – the Generic analyze of blood, the General analysis of urine. That will give us an idea about the state of the body, the inflammatory processes of the state of the urinary system. If you see the urine in the changes, and then immediately believe that it is a pain, which is caused by kidney disease.

2. Biokhimicheskii blood count liver function of the text (the ALT, AST, bilirubin, alkaline phosphatase), CRP (C-reactive protein), rheumatoid factor, indicators of inflammatory activity, the amount of the protein, the relationship between the different types of blood proteins – albumins, the globulins, in the other indicators, where a doctor suspected some kind of disease.

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

4. The text for the infectious diseases: HIV, viral hepatitis, tubercules, syphilis.

5. An X-ray of the spine of the share of changes in the spinal cord, the presence of a hernia vertebral metastasis of tumors, of inflammation.

6. A CT scan of the spine within the of the internal organs – is very important to study more than the x-ray-visible changes in tissues.

7. An MRI of the more expensive, it is an informative way can be used to confirm the CT scan results. Yes, it is possible to perform a combined survey, which covers the internal organs of the spine. This survey allows us to accurately identify the reasons for the damage to the internal organs.

8. If the doctor thinks that some of the rare diseases, shall be granted to a particular survey, (an autoimmune of the disease, a rare infection, a more in-depth study to determine the condition of the body).

The treatment of pain in the back, of course, as required, depending on the cause. But always start with the medications to relieve pain – non-steroidal anti-inflammatory medications, or antispasmodics like that.

In spite of the different causes of back pain, the medicine of our own is sufficiently advanced to establish an accurate diagnosis to start of treatment. What is the most important, is not a disease in the beginning to consult your health care provider if the pain subsides within a period of three days, not that long to mention the intense pain.

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