If you go to the doctor or not, people start to diagnose.As a result, we believe that the back hurts, and later, with the doctor, it turns out: the reason is still in the stomach.Or vice versa: we write off the pain of bowel problems, although the question, on the contrary, is at the back.We asked a neurologist what diseases could be "concealed" for back pain.There were many options: it is better not to ignore the consultation with the specialist.
Back pain: What could be the reason
The pain in the back itself is divided into radicular (pinching or inflammation of the roots of the spinal cord), non -specific pain in the skeletal muscles and specific, associated with other specific problems.
Non -specific, they include vertebrogenic lumbargia - it is pain in the lower back associated with the spine.That is, a person has a pathological muscle tension in the lumbar region, while the spine has a lesion of lumbar or sacral roots.Most often it is convexity, convexity, hernia, "explains the doctor." Non -specific pain is also due to other degenerative changes, arthrosis, pain occurs in the small joints of the spine, which cause pain in the lower back.
Back pain can also be due to pathological muscle tone (myofascial pain syndrome) is only muscle tension.
What can these pains go wrong with
There are a number of other diseases that you can feel the back, similar to the above.However, the real reason will be completely different.Such cases include:
- the departure of metastases to the spine;
- reflected pain in some diseases of the gastrointestinal tract, pancreas, intestines;
- metabolic diseases (such as osteoporosis);
- Pathology of the female genital organs;
- pyelonephritis (kidney infection);
- Bladder problems (cystitis).
It is worth noting that back pain can be associated with lung pathology.Especially now, because of pneumonia, "the specialist emphasizes.
It seems like the back hurts, but it's actually light.Therefore, counseling with a doctor, mostly neurologist, is important for checking the problem.
The neurologist will check that your back is really hurting or this symptom is still associated with other diseases.
How then to determine what exactly hurts
As we have noted, he will not work to make a diagnosis without a doctor anyway.But you can try to absorb the kind of pain from his nature - you have to listen to your feelings.
For example, when you lie in bed, you feel pain, get up - leave.This is more recently as a syndrome of myofascial pain.If the back hurts but "gives" in the leg, then it is quite radicular pain.Does back pain decrease or increase during urination or menstruation?Most often the reason is the bladder.If the pain is felt mainly after eating or emptying the intestines, probably the cause should be sought in the gastrointestinal tract, says the neurologist.- Pain erygies more often show problems with pancreas or a consequence of herpes.
The doctor will determine the cause by examining the patient, and then, if necessary, will carry out different examinations.These include radiography, tomography (or CT or MRI), electroneuromyography, if it is necessary to determine the degree of damage to the spinal cord, ultrasound of the internal organs, ultrasound of the genitals, if we are talking about a woman.
Of course, it is also worth taking a blood test, "adds the doctor. Depending on different indicators, you can see the picture: if the liver enzymes are not in order, it is worth examining the liver if uric acid is not normal, then it can be an indicator of inflammation.
The neurologist says that, according to his experience, people "attract" with diagnosis very often, and as a result, they earn many pathologies that could be avoided by timely examination.
If the pain syndrome lasts more than three days, it is an occasion to see a doctor.If the pain radiates at the legs, then you need to register for a neurologist even more.Women with such concomitant symptoms as changes in body temperature, pain during urination, menstruation, should further visit the gynecologist.There are patients who also have acute appendicitis are written off for lower back pain, although in this case we do not have time to see how to seek medical attention.