If you go to the laziness doctor or not, people are starting to diagnose.Consequently, we think that the back hurts, and later, already with the doctor, it turns out: reason is still in the stomach.Or vice versa: we radiated pain on problems with the intestines, although the question, on the contrary, is in the back.We asked a neurologist what diseases can be "disguised" for back pain.There were many options: it is better not to neglect the consultation with the specialist.
Back pain: what could be the reason
The pain in the back itself is divided into a radicular (pinching or inflammation of the roots of the spinal cord), non-specific and specific skeletal pain, associated with other specific problems.
Non -specific, in particular vertebrogen low back pain - it is pain in the lower back associated with the spine.In other words, a person has pathological muscular tension in the lumbar region, while the spine has a defeat of the lumbar or sacred roots.Most often, it's projection, protrusion, hernies, ”explains the doctor.- Non -specific pain is also due to other degenerative changes, osteoarthritis, pain occurs in the small joints of the spine which cause pain in the lower back.
Back pain can also be due to the pathological muscular tone (myofascial pain syndrome) is only a muscle tension.
With what these pain can be confused
There are a number of other diseases, due to which you may feel pain in the back, similar to the above.However, the real reason will be completely different.Such cases include:
- the departure of metastases in the spine;
- Pain reflected in certain diseases of the gastrointestinal tract, pancreas, intestines;
- metabolic diseases (such as osteoporosis);
- Pathology of female genital organs;
- Pyelonephritis (renal infection);
- Problems associated with bladder (cystitis).
In addition, it should be noted that back pain can be associated with pulmonary pathology.Especially now, due to pneumonia, ”underlines the specialist.
It seems that the back hurts, but in fact it is light.Consequently, the consultation of a doctor, mainly a neurologist, is important for verifying the problem.
The neurologist will check if your back really hurts or if this symptom is always associated with other diseases.
How to determine what is exactly wrong
As we have already noted, it will not work anyway to make a diagnosis without a doctor.But you can try to assume a type of pain by its nature - for that, you need to listen to your feelings.
For example, when you lie down in bed, feel pain, get up - it leaves.It's more like myofascial pain syndrome.If the back hurts, but "gives" in the leg, then it is a rather radicular pain.Does pain in the back decrease or intensifies 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, probably, the reason should be sought in the gastrointestinal tract, says the neurologist.- Erring of pain more often indicates problems with the pancreas or a consequence of herpes.
The doctor will determine the cause by examining the patient, after which, if necessary, he will carry out various examinations.These include radiography, tomography (or CT or MRI), electronography, if it is necessary to determine the degree of damage to the roots of spinal cord, ultrasound of internal organs, ultrasound of the genitals, if we are talking about a woman.
Of course, it is also worth doing a blood test, ”adds the doctor.According to various indicators, you can see the image: if liver enzymes are not in order, it is worth examining the liver, if uric acid is not normal, then this can be an indicator of inflammation.
The neurologist says that, according to his experience, people "draw" very often with diagnoses and, therefore, many pathologies that could be avoided with a timely examination.
If pain syndrome lasts more than three days, it is an opportunity to go to the doctor.If the pain radiates to the feet, then you should register for a neurologist.Women with concomitant symptoms such as a change in body temperature, pain during urination, menstruation, should also visit the gynecologist.There are patients who and acute appendicitis are canceled for back pain, although in this case, there is no time to see how to ask for a doctor.