If you go to the doctor's laziness or not to the opportunity, people begin to diagnose themselves.As a result, we believe that the back hurts, and later, already with the doctor, it results: the reason is still in the stomach.Or vice versa: we cancel pain in problems with intestines, although the question, on the contrary, is on the back.We ask a neurologist what diseases can "disguise" 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 root (pinch or inflammation of the roots of the spinal cord), non -specific and specific skeletal muscle pains, associated with other specific problems.
Incribe nonspecific vertebrogenic lumbalgia: this is a lower back associated with the spine.That is, a person has a pathological muscle tension in the lumbar region, while the column has a defeat of the lumbar or sacral roots.Most of the time, this is protrusion, protuberance, hernias, ”explains the doctor. - The nonspecific pains are also due to other degenerative changes, osteoarthritis, pain occurs in small column joints that cause low back pain.
Back pain may also be due to pathological muscle tone (myofascial pain syndrome) is only muscle tension.
With what these pains can be confused with
There are a number of other diseases, due to which the pain can feel in the back, similar to the above.However, the real reason will be completely different.Such cases include:
- the metastasis item to the spine;
- pain reflected in some 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).
Separately, it is worth noting that back pain can be associated with pulmonary pathology.Especially now, due to pneumonia, ”emphasizes the specialist.
It seems that the back hurts, but in fact it is light.Therefore, consulting a doctor, mainly a neurologist, is important for the verification of the problem.
The neurologist will verify if the back really hurts or if this symptom is still associated with other diseases.
How to determine what exactly hurts
As we have already pointed out, it will not work to make a diagnosis without a doctor anyway.But you can try to assume a type of pain by its nature: for this you need to hear your feelings.
For example, when you go to bed, you feel pain, get up, leave.It is more like a syndrome of myofascial pain.If the back hurts, but "gives" in the leg, then this is a fairly root pain.Does pain in the back decrease or intensify during urination or menstruation?Very often, urinary bladder is the cause.If the pain feels mainly after having eaten or empty the intestines, then, probably, the reason must be sought in the gastrointestinal tract, says the neurologist.- Erings of pain often indicate 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 perform several exams.These include radiography, tomography (or CT, or MRI), electroneuromyography, if it is necessary to determine the degree of damage to the spinal cord roots, ultrasound of the internal organs, ultrasound of the genitals, if we are talking about a woman.
Of course, it is also worth doing a blood analysis, ”adds the doctor. Depending on several 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 inflammation indicator.
The neurologist says that, according to their experience, people "throw" very often diagnoses and, as a result, gain many pathologies that could be avoided with timely exam.
If pain syndrome lasts more than three days, this is an occasion to go to the doctor.If the pain radiates at the feet, then more than you need to register in a neurologist.Women with symptoms as concomitant 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 low back pain, although in this case there is no time to see how to seek medical help.