Back pain — what to do?

Every day is a two or patient is required. Regardless of age, gender, activity and a test. What is the pain? It is a body defense reaction to a very necessary, because if there is no pain, you learn that you can not make a organization violations is that the health is in danger.

A mechanism of development of pains in the body, like the reflexes, pain receptors, the impulse, the first is a spinal cord, processed and forwarded either to the publisher. Thus, all affected parts of the nervous system, and the book pain centers on many different levels. This suggests that it is very important the sensation of pain an organization.

But that didn't happen, what injury there is no pain. Most often it occurs it's a process, a tumor, or if there is a violation of the pain receptors. When due to constant receptor stimulation, as well as nerve fibers, ezek, and a fiber center of the book irritated there chronic pain. Them To treat more difficult, because it's not just a affected organs or tissues, where there are receptors, but the pain transmitter cells, of the nervous system a neurons.

Pain in a back is caused by different look for. Here we divide them according to localization (i.e. the location), a pain, a different parts of a back, to examine, to be, to hurt the different levels and the whole affecting spinal. We do not a apply to rare diseases: describe the most common causes of back pain met the floor.

1. Pain in the upper part of the back

• The first is that you need to eliminate the dangerous condition – heart disease. So, when the pain in the upper part of the back of the blades, especially the left deal a EKG (ecg) to exclude acute coronary syndrome, myocardial infarction, if the people in old age. Myocarditis, and other inflammatory diseases of the heart, from a young age.
• If the ECG without pathology, think of dorsalgia in this section a back in accordance with the so-called torakalgiya (Latin word thorax – chest), i.e., violation of the spine or the muscles associated with a spine. Thoracalgia caused by osteochondrosis of a spine injury to the chest. This is the most common cause. Pain occurs when the movement, especially when turning. If you look at the back, you can see the muscles tense around a sore spot. Ezek the pain associated with any special event – take up the weight, lost, nervous, there was a great strain on the back. Often accompanied by pain in the sternum, aching, worse at night lying down. If you have a pain, a freshly appointed injections of analgesics, vitamins, muscle relaxants, everything takes place within 3 days, rarely weeks. If the injury to the spine herniated discs, damaged nerve roots, which branch of a spinal prolonged treatment. Here it is necessary that the x-rays ezek and the patients ' neurologists. Because I developed chronic pain more difficult to cope with. At this stage, connect the stronger drugs.
• It is impossible to exclude the pathology of the shoulder joint arthritis or injuries. Sometimes your back hurts.
• The internal organs at the level of a top or the light. The pain starts when an inflammation of the pleura– a lung, a rich in pain receptors. The pain is severe, worse when breathing to reduce the pain of the people in the side lying affected. If fever, chest pain – doctor suspects a violation of the lungs. Take the x-rays, which are most often, it's good to see it all. The treatment in the hospital. The inflammation of a pleura – pleura inflammation of the may be different, the selection the reasons. Because bacteria, viruses, Mycobacterium tuberculosis, and other infections.
• Spontaneous pneumothorax — entry of air in the pleura. Often y stanichnyj that a youth is a hereditary defect in the connective tissue (connective tissue dysplasia or JSP). This is what happens when a strong cough during the SARS a sharp, deep inhalation, injury.

2. Pain is a central part of the back, the lumbar region above

• Osteochondrosis of a backbone at the level of the lumbar spine is manifested, mint lumbalgia pain without radiation to the legs, lumbalgia – if the pain extends to the outer thigh. A pinched nerve roots. That's why the doctor checks the so-called "radiculáriszt symptoms" or symptoms of tension. The patient lies raised back with another leg. When the nerve pain in the leg can be increased, just at a slight angle.



• Around this level is located in a kidney. Then the doctor will check symptom pasternatskogo i.e., gently beat back to the light blue of the planned region of the kidney, and if there is no pain, this means that a patient's kidney. Often a symptom of acute inflammation of the kidney or the kidney stones. Therefore, the algorithm is the examination of pain in the lumbar region, a back up should include a urine test. If the inflammation of the kidney, acute pyelonephritis or exacerbation of chronic, sometimes high fever, pain in the lower back can be the slightest touch. In general, the analysis of urine increased the number of white blood cells – inflammatory lesions.
• The stones are not only the kidney but also in the gall bladder. Very often confuse the pain in the spine disease and pain gallbladder inflammation. Gallbladder is located, Is below a rib, or better pain give me back my half. But this is a test of insidious, the pain in case of cholecystitis would be better to give a shoulder, the lower back, and feet. A stone sitting can be, not only the gallbladder, but in a Swamp. Stone can't be to cholecystitis, and the wires caused by, for example, lamblia, opisthorchis, as well as other parasites. Usually inflammation of gallbladder miss a's touch, and a special definition of reflex symptoms cholecystitis. If there are signs of cholecystitis, and the patient sent to ultrasound, a's, and a gastroenterologist. If cholelithiasis phase, the acute – surgical treatment. Insidious this disease is, that it can't be the temperature, the bitterness in the mouth, loose stools, but only the pain. This occurs when a long, when a developed chronic pain.
• Inflammation of the pancreas – pancreatitis. The pain often radiates to the back, one just left. This is what happens when one or inflammation spread to the pancreas. If the inflammation of the head, then give me pain in a lower part of the middle. Everything here is pure, acute inflammation of the pancreas just cannot go on any longer without dyspeptic symptoms. Here, in addition to severe pain, often a "stabbing" abdominal pain can be nausea, vomiting. Of course, the pain is always associated with the violation of the diet, the intake of alcohol in combination with fatty foods. Acute processes – the work of surgeons. Because one can start with the pancreas, to digest is that this is called necrotizing pancreatitis requires emergency intervention. If a process is a chronic one observation gastroenetrology. An exception to a diet fat.
• Herpes Zoster – shingles. Sometimes the back area, often with a waistband. The first pain, then herpes in the form of a little bubbles. Called one of the types of herpes infection. Treatments therapist is usually a neurologist. The pain is very strong, burning. It's a virus spreading along the nerve. Sometimes from the beginning of the pain until a rash week is a hard diagnosis to determine.

3. Low back pain

• The most common reason — manifestations of osteochondrosis. Violation of degenerative or level changes in the vertebrae lumbosacralis joint, the pain is experienced at the coccyx a spinal column.
• Gynecological look can give pain a back (all depends on anatomical position) inflammatory diseases of the female organs.
• Urolithiasis, if a stone passes through a ureter, often occurs in the lower have side, but it could be from the back.
• Pathology of the hip joint (as in our case, which gave the beginning of an article), arthritis, arthrosis, or even a hip fracture can give you back pain.
• Diseases of the rectum – hemorrhoids, tumors, benign or malignant (if malignant tumor pain, not only for themselves, but it can be a pain, a metastases, a spine, liver, lungs).
• Finally, the diseases of the prostate — this can be a benign dysplasia of prostate can be prostate cancer. Ezek diseases develop in adulthood, therefore, it often occurs that for a long time without the symptoms are visible, but a weakening of the body metastasize to the lumbar spine, the lungs, the local lymph nodes.

4. Some diseases, affect the entire spine or a departments

• Low back pain is the most common degenerative changes in the spine which affects the spine. There polysegmental lower back pain. The symptoms of ad symptoms in all parts of the spine, so it can be a certain diagnosis difficulties very often this happens due to the osteoporosis.
• Osteoporosis – a decrease in the calcium content of the bones, more pronounced with age. The men, women, different mind of a look, but the same. Women after menopause is linked to low estrogen levels, which is of child-bearing age, regulates the calcium metabolism of the men is most commonly due to lesions of the gastro-intestinal tract and malabsorption of calcium. In osteoporosis the bone is fragile, thin. This applies to the spine. There are hairline cracks in the smallest injury to the advanced stages.
• Multiple Myeloma group, the leukemia is a blood or tumors, when a tumor develops on one level, a bone marrow. Increases the number of hematopoietic cells, which grow white cells, the pressure of a mass causes pain in the bones. When a disease affects the flat bones, most commonly a, but can be a pain in the spine. The most a larger number of cases of leukemia. Diagnosed the presence in the urine protein In Jones, the modified protein, which is produced in tumor cells.
• Ankylosing spondylitis-as the disease , and other autoimmune diseases — if you have an inflammation of the vertebrae autoimmune in nature, i.e., when the body produces antibodies against your own cells. There was no interest in growth of autoimmune diseases.
• Infectious diseases of the spine – tuberculosis (combined with HIV-infection), syphilis, osteomyelitis is very rare, but the doctor should consider, I know them. Tuberculous osteomyelitis is difficult to diagnose, often with a diagnosis she never showed, finally, but a treatment serious. Tuberculosis is an insidious disease which is all the immune system weakens, this will give you a test obviously unexpected symptoms. Last year I saw two such patients.

5. Persistent pain suggests serious disease

If the following symptoms are suspected the doctor said that the cancer, and the purpose of a thorough investigation:

• back pain, or bad for the treatment of pain,
• the decrease in body mass
• low-grade fever (37-37,5 degrees, which for a long time didn't go through),
• anemia, decreased hemoglobin, from the outside it looks like your paleness, or a yellowness skin, bluish color of the lips, the "circles" under the eyes,
• increase in the erythrocyte sedimentation rate (ESR) of the general analysis of the blood,
• the bleeding tendency.

A test of The algorithm pain back

1. First you need to give a routine about tests – general blood test, general urine test. This gives us an idea of a test status, inflammatory processes urinary condition in the system. If we see that the change in the urine, you should immediately suspect that the pain is caused by kidney disease.

2. Biokhimicheskii blood, count liver function tests (ALT, AST, bilirubin, alkaline phosphatase), CRP (C-reactive protein), rheumatoid factor, indicators of inflammatory activity, of a protein content, the proportion of the different types of blood protein – albumin and globulin, or other indicators, if the doctor suspects a disease.

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

4. Tests of infectious diseases: HIV, hepatitis, tubercules, syphilis.

5. X-ray of a spine shows that the changes in a spinal column, the presence of hernias a vertebral metastasis of a tumor, an inflammation.

6. CT scan of the spine and internal organs – a very important survey, it's more than an x-ray visible changes in the tissues.

7. MRI is more expensive, but informative method used to confirm the CT scan results. It is possible that a survey conduct combined to capture the internal organs and the spine. This is a survey allows you to know to identify the exact look for damage to the internal organs.

8. If you think the doctor is a rare disease, to order a special survey (the autoimmune disease, rare infections, deeper investigations, the state determines a test).

The treatment of pain, of course, the required depending on the case. But maybe we should start all the painkillers – non-steroidal anti-inflammatory drugs, or preparations.

Despite the different causes of back pain, medical science has advanced enough to create an accurate diagnosis and begin treatment. Most importantly – don't start a disease, consult a doctor and if the pain doesn't go away within three days not to mention a long, strong pain.

Be healthy!