Nocturnal back pain in the prone position: why is it painful the back?
Treatment can be prescribed only after a complete diagnosis and determine the cause and nature of the disease. No action you cannot do on your own without a medical examination.
The variety of reasons
The most common causes, the cause of the pain syndrome: osteochondrosis, scoliosis, herniated discs. A lot of rare tumors and infections in the tissue.
Depending on the disease, the pain manifests itself differently. If the cause of the pain in renal colic or gastric ulcer, the feeling is constant, regardless of the type of the activity (the person is lying or active activity busy).
If there is an osteochondrosis of the thoracic, then the pain in the heart, then the Patient believes erroneously that he has Angina.
If the loin hurts in the supine position
If there is pain and the person does not know what to do with her, he prefers to lay down, in the hope that the discomfort. But if the pain is worse in the prone position, then it is probably a disease of the musculoskeletal system, the so-called ankylosing spondylitis.
Due to the fact that the spine can assume a natural Position, the man lying down the pain feels.
Ankylosing spondylitis is inherited, the impetus for the development of chronic infectious diseases. The pain is worse, if you lead a sedentary way of life.
The first symptom is a feeling of stiffness in the spine, and also if pain increases in the lower back lying down. Early diagnosis allows to cure the disease completely.
Primary Pain Syndrome
Physicians share primary and secondary pain syndromes, when it comes to pain in the back and loins.
The primary syndrome of lumbar pain in muscular and skeletal changes that carry the morpho-functional character.
The most common causes, why the pain develops:
- Osteochondrosis (lesion of bone and cartilage tissues between the vertebrae disc);
- spondiloarthrosis (defeat between the vertebrae of the joints, the influence on the mobility of the spine).
Secondary Pain Syndrome
Secondary syndrome includes a greater variety of diseases, the back pain in the lumbar area:
- Scoliosis (curvature of the spine);
- radiating pain;
- Osteoporosis and osteomalacia(the defeat of the bone tissue);
- Ankylosing spondylitis (inflammation of the infectious nature);
- rheumatoid Arthritis;
- localized Tumor or the metastases;
- Tuberculosis, epidural abscess, brucellosis (infectious diseases);
- Stroke, a condition that leads to a disturbance of the cerebrospinal circulation of the blood;
- Diseases of the digestive tract (in particular, appendicitis, or disease of the intestine);
- Disease in the pelvic area (kidney, colic, venereal diseases);
- Fracture of the lumbar vertebrae (the most dangerous, and for good reason).
Back pain is also divided into acute and chronic. Each of them shows the individual reasons.
Harmless, but painful Manifestation of acute pain is a muscle strain. It happens due to the formation of spasms in the long muscles.The most common Problem of athletes and people suffering is called the work. To feel pain localization in the lower back, but clearly, and in other parts of the body, the mobility of people is limited to the pain lie subsides.
To lead to a sharp pain and injuries of the spine. The most dangerous injury is a fracture of the spine.
The fracture can be caused by a fall, and may occur and go completely unnoticed, for example, if a Person suffers from Paget's disease, osteoporosis, hyperparathyroidism, or a Tumor.
To cause pain and displacement of the intervertebral discs in the lumbar area. The mobility of the people is severely restricted.
The pain itself is compression called nerve roots. Other Symptoms:
- Violation of the sensitivity;
- Reduction or complete absence of the Achilles and knee reflexes;
- radicular pain.
The displacement of the vertebrae can result in pathology in the vicinity, which were to last healthy. Injury to the lower spine lead to diseases of the urinary bladder and of the intestine.
Another reason why acute pain — facies syndrome. Between the vertebrae disc is not touched, only happens to the compression ratio of the spine, the pure from the spinal canal. Between the vertebrae the hole narrowed by the narrowing between the vertebrae the hole.
Lead to pain and such a severe disease, such as epidural abscess. What to do in this case?
With the disease you can't tighten, because it can lead to tragic consequences. You must, without delay, all measures for the elimination of spinal cord compression, and sometimes surgery.
In the field, starting with the lumbar spine, up to the knees, pain due to diseases of the hip joint.
To whine when back pain in the lumbar area and the pain is constantly present, or the drag is on, it indicates a different disease than acute pain.
The first reason — the spondylosis deformans. The vertebrae of the lumbar spine undergo degenerative changes, the decay bands, begins a bony overgrowth.
In the end, bone growth start to put pressure on the nerve roots and enters a pressing pain. To the symptoms of numbness and weakness in the legs, etc. are added,
Chronic lower back pain can be processes by the oncological diseases or injury to the metabolism.
In this case, you must therapy against tumors, change the mode of the day and nutrition to eliminate the cause, everything else would be inefficient.
Another reason — Osteomyelitis when the infection inflammation invades the bones and causes.
Diseases to pain in the lower back
Other diseases to pain in the lumbar spine
- facies arthropathy;
- Spinal canal stenosis;
- Herniated disc;
- myogenic pain;
- Gap fibrosum rings.
In women, the pain provoked by diseases of the small pelvis, such as endometriosis, cancer of the uterus and to the egg and sticks. In men, Prostatitis or prostate.
In the area of the lumbar spine and the kidneys are diseased, Tumor in the stomach, the duodenum. The pain occurs when ulcerative colitis, tumors of the colon, diverticulitis.
If the pain extends not only to the lumbar spine, but also on the chest Department, then the possibility of aortic dissection, it is important.
The causes can be harmless, physiological changes, e.g., week, bed, or sharp-Set mass, the influence of the epidural anesthesia.
The treatment of this pain is not carried out, the Patient can not do anything, the pain of self fades away after a certain period of time.
The treatment of the lumbar spine
Before you start the treatment, you must make the correct diagnosis. First, the doctor performs a clinical examination of the patient, and further based on the results of the ultrasound and MRI examinations.
On the basis of the diagnosis, the treatment program, the combination of different methods.
In the first line of treatment aims at the elimination of a painful syndrome, to return the patient to live a comfortable life. Because a complete cure of the disease (if possible) can last for years.
If the cause of the disease, an injury, the treatment will perform, doctor-trauma surgery.
Depending on the cause of suffering, the need to identify the Internist/family doctor, the further history of the disease can lead to the orthopedist, urologist, proctologist, gynecologist, cardiologist, internal medicine, pneumology ,infectious diseases, etc.
To facilitate the condition of the patient the mattress on orthopedic is recommended. Pain pain relievers warming ointments and gels, in which, in addition contains anti-inflammatory components.
Also, it is not advisable-steroidal anti-inflammatory drugs. Muscle spasms to move muscle relaxants, and swelling of the nerve root, eliminate diuretics, and medicines.
If the Patient is to return back to a normal life, the treatment with physiotherapy, Massage and physiotherapy.
The treatment is not carried out with the aid of the following non-drug methods:
- Vacuum Therapy;
- Laser therapy;
- manual therapy;
- dry traction;
- pharmaco puncture;
- magneto puncture.
Such a treatment offers rapid pain relief, but also eliminates the real cause, so the long-term result will be.