Whether you go to the doctor's laziness or not the opportunity, people begin to diagnose themselves.As a result, we think the back hurts, and later, already with the doctor, it turns out: the reason is still in the stomach.Or vice versa: we write the pain of problems with the intestines, though the question, on the contrary, is in the back.We asked a neurologist which diseases could be "disguised" for back pain.There were many options: it is best not to neglect consultation with the specialist.
Back pain: what may be the reason
Pain in the spine itself is divided into radicular (pinching or inflammation of the spinal cord roots), non -specific skeletal and specific muscle pain, associated with other specific problems.
Non -specific include vertebrogen lumbalgia - this is a lower back pain associated with the spine.That is, a person has a pathological muscle tension in the lumbar region, while the spine has a loss of lumbar or sacral roots.Most often, this is extension, extension, hernia, ”explains the doctor. - Non -specific pains are also due to other degenerative changes, arthrosis, pains appear in the small spine that cause pain in the lower back.
Back pain can also be due to the pathological muscle tone (myofascial pain syndrome) is only muscle tension.
What can these pains be confused
There are a number of other diseases, due to which you may feel the pain in the back, similar to the above.However, the real reason will be completely different.Such cases include:
- removal of metastases in the back;
- reflected pain in some diseases of the gastrointestinal tract, pancreas, intestines;
- Metabolic diseases (such as osteoporosis);
- Pathology of female genitals;
- pyelonephritis (kidney infection);
- Problems related to the bladder (cystitis).
Separately, it is worth noting that back pain can be associated with lung pathology.Especially now, because of pneumonia, ”the specialist points out.
It seems that the back hurts, but it's actually easy.Therefore, consulting a physician, mainly a neurologist, is important for verifying the problem.
The neurologist will check if your back really hurts or this symptom is still associated with other diseases.
How to determine what hurts exactly
As we have already noticed, it will not work to make a diagnosis without a physician anyway.But you can try to get some kind of pain by its nature - for that you need to hear your feelings.
For example, when you lie down in bed, feel pain, get up - leave.More as a myophassic pain syndrome.If the spine hurts but "gives" to the leg, then this is quite radicular pain.Does back pain decrease or intensify during urination or menstruation?Most often, the urinary bladder is the cause.If the pain is felt mainly after eating or emptying the intestines, then, surely, the reason should be sought in the gastrointestinal tract, says the neurologist.- Erings of pain most often indicate problems with the pancreas or the consequence of herpes.
The doctor will determine the cause by examining the patient, after which, if necessary, he will perform various examinations.These include radiography, tomography (or CT, or MRI), electroneuromography, if necessary to determine the degree of damage to the spinal cord roots, ultrasound internal organs, ultrasound of genitals, if we are talking about a woman.
Of course, it's worth doing a blood test, ”the doctor adds. Depending on the various indicators, you can see the photo: if the liver enzymes are not okay, it is worth examining the liver, if uric acid is not normal, then this may be an indicator of inflammation.
The neurologist says that according to his experience, people "withdraw" with diagnosis very often and as a result gain many pathologies that can be avoided with a timely examination.
If the pain syndrome lasts more than three days, this is a case to go to the doctor.If the pain radiates to the legs, then even more so you need to register for a neurologist.Women with such symptoms at the same time as a change in body temperature, pain during urination, menstruation, should also visit a gynecologist.There are patients who and acute appendicitis are also written for back pain, though in this case there is no time to see how to seek medical help.