If you go to the doctor's laziness or not the opportunity, people begin to diagnose themselves.As a result, we think that the back hurts, and later, already with the doctor, it turns out: the reason is still in the stomach.Or vice versa: we delete the pains of problems with the intestine, although the question, on the contrary, is in the back.We asked a neurologist which diseases can be "masked" for back pain.There were many options: it is better not to neglect the consultation with the specialist.
Back pain: what reason could be
The pain in the back itself is divided into root (pinch or inflammation of the roots of the spinal cord), non -specific pains for the skeletal and specific muscle, associated with other specific problems.
Non -specific includes vertebogenic low back pain: this is a back pain associated with the spine.That is, a person has a pathological muscle tension in the lumbar region, while the spine has a defeat of lumbar or sacral roots.Very often, this is the protrusion, the protrusion, the hernias ", explains the doctor. - Even the non -specific pains are due to other degenerative, arthrosis changes, pain occurs in the small joints of the spine that cause pain in the lower back.
Back pain can also be due to pathological muscle tone (myofascial pain syndrome) is only a muscle tension.
With what these pains can be confused
There are a number of other diseases, due to which you can feel the pain in the rear, similar to the one above.However, the real reason will be completely different.Such cases include:
- the departure of the metastases in the spine;
- Pain reflected in some diseases of the gastrointestinal tract, pancreas, intestine;
- metabolic diseases (such as osteoporosis);
- Pathology of the female genital organs;
- Pyelonephrite (renal infection);
- Problems associated with the bladder (cystitis).
Separately, it is worth noting that back pain can be associated with lung pathology.Especially now, due to pneumonia, "underlines the specialist.
It seems that the back hurts, but in reality it is light.Therefore, consulting a doctor, 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 then to determine what exactly it hurts
As we have already noticed, it will not work anyway to make a diagnosis without a doctor.But you can try to take on a type of pain by its nature, for this you have to listen to your feelings.
For example, when you lie in bed, feel pain, get up - leave.It is more similar to a myofascial pain syndrome.If the back hurts, but "gives" to the leg, then this is a rather root pain.Does pain in the back decrease or intensify during urination or menstruation?Very often, the urinary bladder is the cause.If the pain is felt mainly after eating or emptying the intestine, then, the reason should probably be sought in the gastrointestinal tract, says the neurologist.- Erings of Pain more 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 various exams.These include X -ray, tomography (or CT or MRI), electroneuromiography, if it is necessary to determine the degree of damage to the roots of 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 making a blood test, "adds the doctor. Depending on 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 inflammation indicator.
The neurologist states that, according to his experience, people "pull" with diagnostics very often and consequently earn many pathologies that could be avoided with a timely exam.
If pain syndrome lasts more than three days, this is an opportunity to go to the doctor.If the pain radiates to the feet, then it is necessary to enroll in 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 deleted for back pain, although in this case there is no time to see how to look for medical assistance.