Pain right behind his back at the bottom of below / above the waist, the waist, under the shoulder blade, ribs. What could it be, what to do

Pain in the neck, back are the most common reasons for seeking medical attention. In most cases, pain that appears to the right, behind due to diseases of the spine. But other reasons, domestic, may underlie the disease.

Causes of

Back pain occurs suddenly, piercing the back, or appear invisible, pulsing and growing stronger every day. The origins of its origin rooted in the skeletal system, joint, muscle, in the nerve endings, the consequences may be minor or serious.

Pain right behind his back is fairly common problem, often minor, caused by "mechanical" diseases with which go to the doctor and 90% of cases.

These pains appear as a consequence of changes in the mechanics of the spine:

1. Poor posture, resulting in reduced muscle flexibility.
2. Muscle spasms and tension, sprains, or combinations thereof.
3. Tissue injury.
4. Problems with the skeletal system.

Pain caused by mechanical damage, are serious, if they were squeezed nerve roots of the spinal cord.

Among the other major factors that influence the back pain, there are:

1. Aortic dissection.
2. Acute meningitis.
3. Abdominal aortic aneurysm.
4. Angina.
5. Myocardial infarction.
6. Ectopic pregnancy.
7. Pneumonia.
8. Pyelonephritis.
9. Infection.
10. Primary tumors.

Back pain may not always be the sole indicator of developing the disease. they are often accompanied by other symptoms: general fatigue, poor physical condition, psychological stress.

possible diseases

Most often the pain that appeared in the back, due to changes that have arisen on the surface of the skin, subcutaneous tissue, muscle, ribs, nerve endings in the lungs. The type and intensity of the pain depends on the person, and the root causes. It may be acute, quickly passing or chronic, lasting more than 6 months.

Traumatic injuries:

1. Right-hand rib injury. Bruises, lacerations or fractures cause severe or moderate pain spreading across the right side of the back.
2. Traumatic damage to the blade. After the injury, scapular fracture pain is felt in the upper right.
3. Injury to the subcutaneous tissue. Incisions and discontinuities result in damage to the subcutaneous tissue. Such injuries cause bleeding, infection. Subcutaneous bleeding leading to hematoma, and infection can cause the development of cellulite.

   

4. Paravertebral muscle injury. Rupture of the muscles surrounding the spine and ribs, accompanied by muscle spasm that causes moderate to severe pain.
5. thoracic spine injury. This occurs in the case of rupture of the thoracic intercostal nerve in penetrating wound.
6. Damage to the lungs. Abnormalities in the parietal and visceral pleura, which is covered with light, causing bleeding. The pain, which arose on the right side, accompanied by difficulty breathing.

Pain right from behind, is often associated with disorders in the thoracic and paravertebral intercostal muscles. Muscle spasm can be due to lifting weights, overvoltage, improper posture.

1. muscle spasm. Fatigue, muscular overstrain caused strong reduction of their leads to muscular spasm that expressed a strong pain in the upper back.
2. Fibromyalgia. A condition caused by the abnormal function of the proteins actin and myosin responsible for muscle contractile function. It is characterized by pain in the upper back on the right.

Pain in the right side of the back, caused by diseases of the facet joints, infection of the bone:

1. Osteomyelitis. Infectious process develops in a vertebra, causing severe pain.
2. Osteoarthritis. Osteoarthritis affects the facet joint and causes aches, extending right back.

Back pain caused by peripheral nerve disease:

1. Intercostal neuralgia. For disease characterized by compression of the nerve roots extending in the left and right side of the thorax of each along the intercostal space. Causes inflammation different: the common cold, low back pain, virus, stress. There is a sharp pain, stinging or aching, may be permanent or temporary.
2. Pain in the chest. This type is caused by pinching or irritation of the thoracic spinal nerve.

Disease in the lungs:

1. Pleurisy. Sided pleural inflammation causes pain on the right side of the back, complemented by a feverish state.
2. Pneumonia. Pulmonary infection is the cause of pain right from the back. Additional symptoms: fever, cough, chest pain, fever, shortness of breath.
3. Lungs' cancer. Developing a tumor in the right lung produces pain in the chest, it extends to the region of the back.

Diseases of the liver, pancreas, gall bladder:

1. Hepatitis. Discomfort occurs in the right upper back.
2. Gallstone. Pain in the abdomen is given in the back of her right-hand side.
3. Cholecystitis. Sharp pain in the right upper quadrant and extends to the right side of the back under the shoulder blade. Additional symptoms: vomiting, discoloration of the skin, loss of appetite.
4. Stones in the kidneys. Right-stone causes of colic in the right side of the back, the condition is accompanied by fever.

Diagnostics

The pain, which arose from behind, right from the back, may be as a result of injury, and internal disorders. This will determine the therapist or surgeon based on history and physical examination. Particular attention is paid to the state of the spine, and the analysis of neurological symptoms with the assessment of the spinal cord.

For the diagnosis of the survey is conducted:

1. Determined number of leukocytes in the blood. Elevated levels indicate growing sided pneumonia, hepatitis, cholecystitis, pyelonephritis.
2. It turns out the erythrocyte sedimentation rate. Increased frequency ESR appears in chronic infection, anemia.
3. With a total survey conducted auscultation of the lungs, palpation of the abdomen.
4. When rectal examination taken a stool sample for the presence of blood in men studied prostate, women - a small basin.
5. Determine the state of bone, muscle, ligaments, the initial development stage of the cancer by using X-ray, MRI, CT.
6. Ultrasonography. Ultrasound examination of the lungs, the kidneys, the pancreas, the liver helps to diagnose abnormal state bodies.
7. Electromyography study. In the process of diagnosis identifies abnormalities in the muscle fibers.

And also checks the pulse of the lower extremities.

When to see a doctor

The appearance of symptoms of anxiety, in which should go to the clinic:

1. Acute, unbearable pain in the back.
2. The pain lasts more than 6 weeks.
3. Fever.
4. Irregularities in the digestive tract, blood in the stool or urine.
5. Nocturnal back pain.
6. Sudden weight loss.
7. Pain without explanatory reasons in individuals older than 56 years.

Symptoms of spinal pain, which is not particularly alarming:

1. Amplifying syndrome in weight lifting, voltage and decreasing when at rest.
2. Maintain the sensitivity of the vertebrae and nerve endings on palpation.

With self-treatment, it is desirable not to increase the dose of anesthetic drugs, but if symptoms do not disappear after taking drugs, should consult a doctor.

prevention

Any disease is easier to prevent than to cure.

To maintain a healthy back should be remembered:

1. Before the start of physical exercise should be good to stretch and warm up your muscles.
2. Keep the posture.
3. which is to adhere to healthy lifestyles, the idea is to eat healthy foods, do not overeat, do not exceed the specified weight.
4. If possible, buy a sleeping things for good and full of sleep. The mattress and pillow should be a certain rigidity and shape.
5. To reduce pain during sleep can put a pillow between your knees to relieve stress on the back.
6. Wear comfortable shoes, especially during long trips.
7. Try not to overload the muscles physical work.

therapies

Pain right behind his back, if there is no accompanying warning signs, treated with conservative methods.

treatment is carried out in the event of acute musculoskeletal pain:

• drugs, preferably analgesics;
• warm / cold packs;
• exercises to strengthen the lumbar;
• with the help of the rehabilitation course.

When detection of diseases in the internal organs is the treatment of the primary disease.

Medications

Pharmacotherapy is available in case of severe inflammation, acute pain associated diseases. Many drugs, such as NSAIDs, are available in the form of injections for both injections and in tablet form. This is done in order to remove by injecting the acute attack, and then continue with treatment using the tablet.

drugs group	kind of pain	name of product	Cost in rubles.
NSAIDs	From mild to moderate to severe, with severe radicular symptoms	Celebrex	150
Mydocalm	270
muscle relaxants	To remove spasms, myofascial pain syndrome, only given to patients with muscle spasms are not used more than 72 hours.	Norfleks	700
Baklosan	220
Cymbalta	800
Neurontin	1000
antibiotics	Pain caused by pneumonia, cholecystitis, pyelonephritis	ofloxacin	20
amoxicillin	50
injections Application limited to 2-3 days	Chronic pain caused by spinal, intercostal nerve diseases	meloxicam	480
diclofenac	60
Mydocalm	450
ointments	moderate pain	Finalgon	350
Nayatoks	200
gels	Fastum gel	250
Dolobene	450
Creams	Cream-based comfrey	75
plasters	Pepper patch	20
Versatis (lidocaine)	600

It is desirable to take a dose preparations consulting a physician. Of great importance are drug release forms. They can be in tablets, capsules and syrups, however dosage in each individual case, and also depend on the half-life of the drug. Alcohol, coffee and smoking increase the toxicity of certain drugs NSAIDs.

Traditional methods

Numbness, tingling, light pain relieved by cooling. In the first 24 hours must be applied to the back of the cold compress. Despite the fact that the heat warms and relaxes muscles and relieves pain, it at the same time contributes to the development of the inflammatory process. After cooling can impose a thermal compress, which enhance blood flow and relax muscle.

Most herbal oils have analgesic and anti-inflammatory properties, therefore, recommended for massages:

1. Heat 2-3 tbsp. l. almond or olive oil.
2. Add 5 drops of eucalyptus or other base oil.
3. Lightly rubbing the affected area, the mixture was rubbed into the skin for 5-6 min.
4. Repeat the procedure 2-3 times a day.

ginger root is often used in the treatment of back:

1. Grind root, dilute it with a few drops of oil, rubbed all to a state of pulp.
2. Apply the mixture on the diseased portion of the back, leave for 15-20 minutes.
3. Rinse with warm water. Repeat procedure 1 every day for several days.
4. Ginger can be added to tea, sliced. Tea with ginger necessary to insist a few minutes, or it boiled 2-3 min., And then use the beverage to the destination. The infusion is drunk 3-4 times a day.

Healing properties of cayenne pepper has long been known. At its base are made gels, ointments.

You can prepare the mixture at home:

1. Mix 2 tbsp. l. pepper 1 tbsp. oil (coconut, grape, almond).
2. Heat the mixture in a double boiler 5-10 min. (Unless steamers this can be done on a gas stove in a pair).
3. Add ½ st. beeswax, all mix well until it dissolves.
4. Cool the mixture in the refrigerator and stir again.
5. More cool for 20 minutes.
6. Transfer to a glass jar and store in the refrigerator.
7. This ointment is treated spin. To do this, the affected area apply a little ointment and leave for a few minutes.
8. The procedure is repeated 4 times a day for a week.
9. Before applying the ointment should conduct an allergy test on peppers.

Other methods

Among other techniques in the treatment of back pain include:

1. Immobilization and rest:

• within 1-2 days of bed rest is assigned;
• advised to reduce physical activity;
• the use of special braces, orthopedic pillows.

2. After the end of the acute period are assigned special exercises, which are held under the supervision of a physical therapist:

• Exercises to strengthen the lumbar, an exercise program should be started as early as possible;
• the complex includes exercises that strengthen the muscles of the back, abdominal wall, straighten posture.

3. manual therapy It helps to reduce the pain caused by muscle spasms, but is not recommended for those who have corrupted disks or who suffer from osteoporosis.

As additional methods commonly used electrophoresis, therapeutic baths, massage.

possible complications

Chronic pain can lead to complications:

1. Muscle weakness. Prolonged physical inactivity weakens muscles, causes them to atrophy.
2. Articular weakness. Ligaments, tendons, joints become stiff in the absence of physical activity.
3. May reduce the amount of minerals in the bones, which leads to loss of bone density in osteoporosis.
4. Left untreated sliding spinal disc will continue to put pressure on the nerves that eventually will lead to irreversible consequences, such as loss of motor and sensory functions of the lower limbs, incontinence urine.
5. As a result, all can lead to disability.

In patients who have persistent back pain, depression develops.

In most cases, the pain from behind, on the right is shown as temporary discomfort. However, you should find out the cause, so it does not complicate life and reduced its quality.

Author: Anna Belyaeva

Registration of the article: Vladimir the Great

Video of the causes of back pain

The causes of back pain: