If you experience pain in the muscles of the back, the causes can be varied. The person's back from the nape to the sacrum is fully covered by the muscles and an intense physical effort. So why hurt spinal muscles?
The pain and the popping in the joints over time can lead to terrible consequences - local or total restriction of movements in the joint until the disability. The people, taught by bitter experience, to cure the joints enjoy the natural environment, which recommends that the rheumatologist.
Diseases of the spine
Of them suffers a 85% of the population of the Earth. Affect the vertebrae, intervertebral discs m? s, the spinal cord, stem, roots, spinal nerves, veins, arteries, capillaries, ligaments, muscles. Most frequent of the disease: osteochondrosis, spondylitis, disease behtereva, arthritis, arthrosis, and scoliosis.
The enemy of the spine
The osteochondrosis is a chronic disease of the spine, leading to degenerative lesions and destruction of bone tissue, intervertebral discs, vertebrate of cartilage in the joints due to:
- hereditary predisposition;
- the malnutrition;
- the excess of weight;
- wounds;
- sedentary life style;
- excessive loads;
- stress etc
Due to the transformation anatomy of the spine, their pathological mobility alter the nerves, the soft tissue of the medulla loins, and the vessels.
Occurs pain.Symptoms:
- the violation of the position;
- the reduction of the mobility of the vertebrates of the joints (inability to straighten out at 100%, turning the head);
- the reduction of the sensitivity of the skin, numbness, a tingling sensation.
For the lifting of the load in a change of the spinal column a reflex of the muscles are tightened (reduced). With time, the constant tension causes the other muscular pain. The nature and the location of the pain Influences area of distribution:
- In the case of the degenerative disease of the cervical disc, when compressed, the veins and arteries, the pain paroxysmal, burning, sharp. The most frequent localization unilateral – in the nape of the neck, the other part of the head.
- When osteochondrosis, the symptoms that are often reminiscent of other diseases of the internal organs, for example), the pain is acute or of a similar nature with the myocardial infarction, or gradual, growing, similar to pneumonia, but the absence of cough and fever. Focuses on qui inter matter of costs, in the area of the leaves and the upper part of the abdomen.
- When the lumbar spine osteochondrosis, pain in the muscles of the lumbar area and sudden, with shot. The pain of the lumbar muscles and of the foot, with the impact on the groin and the pelvis.
In the complicated variant, when the intergrowth of the vertebrae, the pain decreases or disappears.
The symptomatology
The osteochondrosis of cervical, in addition to the pain of the muscles of the back and neck, there are symptoms of oxygen deficiency: dizziness, nausea, migraines, reduction of the surveillance, the sensitivity of the hands and the shoulder, shortness of breath, limitation of mobility of the cervix. In adulthood, it is possible to the sudden loss of consciousness, in a complicated case, paresis and paralysis of the hands.
When the osteochondrosis — cough, "snow" in the throat, difficulty swallowing, slopes, raising the hand, hypertension, pain in the heart.
When the lumbar spine osteochondrosis — sensation of numbness of the skin, paresis and paralysis of the legs, the men – difficulty urinating, and the erection in the of women, the violation of the menstrual cycle.
To what doctor to go done the diagnosis
Similar with other diseases of the symptoms of the patients go to the doctor, a cardiologist, a gastroenterologist. This takes time, causes complications. Medical profile is the neurologist.
2 method of diagnosis:
- laboratory: general and biochemical blood tests;
- instrumental: an x-ray of the spine in 2 projections, mri, ct and biopsy with microscopy.
The results of the research will choose the options of therapies. The treatment of osteochondrosis If it is present, the muscle pain in the back, the conservative and surgical treatment. Conservative in common:
- The pharmacological treatment. It is assigned at the time of the crisis. Used nsaids, muscle relaxants, hondoprotektory, vitamins of group b, E, angioprotectors, glucocorticoids, biogenic stimulators.
- Physiotherapy. Thanks, electrophoresis, acupuncture, braces, physical therapy and others, the healing process goes faster.
- Sanatorium treatment. Indeed, in the period of remission.
- Of the diet. In the period of crisis, it is necessary to eat small portions 5 to 7 times during the day, avoiding fried, choice of boiled and steamed food. Drink at least 1.5 liters of water a day.
When inefficacia methods performed the surgery: removed intervertebralis tonsillar or intervertebral disc replacement of silicone implant (prosthesis).
Diseases of the internal organs
Sometimes the muscle pain occurs in the background of diseases of internal organs:
- The digestive tract (stomach ulcer and duodenum, probodnaya ulcers, the pathology of the intestine);
- pancreas (chronic inflammation of the pancreas, chronic pancreatitis);
- of the gallbladder (acute cholecystitis);
- the liver (colic);
- of the respiratory tract (pneumonia, pleural effusion, bronchitis, tuberculosis);
- urinary of the machine (prostatitis, renal colic), gynecological diseases (fibroids, inflammation of the appendages, uterine, endometriosis);
- cardiovascular diseases (myocardial infarction, angina, coronary artery disease, aortic aneurysm).
The type of pain, the concentration of
In case of violations of the gastrointestinal tract, the pancreas, the gallbladder and liver, the acute pain, the localization stomach, the right side, with irradirovaniem in the back and chest, a little below the scapula. When hepatic colic pain covers the right shoulder, the paddle, the neck, around the belly. To the inflammation of the prostate gland pain around.
In the gynecological diseases and urinary system hurt the muscles of the lower back. Strong pain in the belly and the genitals, diffundit in the back with the two parties, in the background of the rapid urination, demonstrates the failure of renal colic.
In the diseases of the organs of respiration in the bottom of the heat wave the pain diffundit in the lower back of the blades and in the chest, scelesto cough.
The pain in the back to the left, is free from defects in the left arm and the neck, the evidence about the cardiovascular pathology.
A by-product of the symptoms
Having nausea, heartburn, vomiting, hyperhidrosis. The muscles of the abdominal wall contract, causing the stomach hard.
Mechanical damage
Has the increased dissemination of the cause. You can get:
- athletes in training due to an incorrect calculation of the gravity or the weight;
- children with excessive mobility;
- divers on the impact on the water;
- pregnant women;
- young mothers with elevation of the child;
- the weight lifting or high physical effort;
- when intense movements;
- in the event of a fall, especially with the height of the back or land on your feet, so that you can get the compression to the injury of the vertebrae;
- when mechanical shocks from the outside with a blunt object, explosion, etc
The main symptoms are: pain of the muscles of the back along the spine and in the place of the injury, it becomes swollen. Due to the injury of the vessels and bleeding occurs in the soft tissue, bruising, and hematomas.
Type of pain, location
Damage due to an injury of the spine lead to the forceful stroke of pain at the site of the injury, without a clear definition of the concentration. In case of damage, leading to rupture of the ligaments without displacement or fracture of the spinous process, the sharp pain, focusing on the area of the spinous and transverse appendages, when the crisis in the field in replacement of the injured).
The symptomatology
In the case of damage in the chest of the sphere — the loss of sensitivity in the extremities, ataxia, pain in the area of the heart, to inspire.
Who to go to, diagnosis
It is necessary to access the reception of the traumatologist, even if the damage appears insignificant. The effects of injury may appear later.
Performed visual inspection, the collection of the clinical history, the study of the evolution of the disease, designated by the tc, the x-ray. After the diagnosis of a post-treatment leading neurosurgeon and semper. The recommended treatment When non-essential damage shows bed rest, the use of anti-inflammatory and analgesic ointments and gels. Little by little, the bed rest replace small loads, trying not to be restarted.
Helminths, in particular echinococcosis
Infrequent cause. Echinococcosis – parasitic diseasecaused by the larval stage tsepnja Echinococcus. The infection occurs:
- in case of contact with the animal carrier of helminths;
- at the time of eating contaminated with the feces of the animals, forest fruit, vegetables, fruits;
- with the water from natural sources that contains the eggs of the helminth.
Spreading with the blood into the body, affects the internal organs, forming odnokamernye capsules-cysts in the form of a bubble Cysts can contain up to 10 liters of liquid, to achieve several kilos, form more than a year. Grown cysts lead to progressive destruction of the affected organ, until the moment of atrophy. The rupture of a cyst may cause anaphylactic shock.
The cause of the muscle aches of the back more often is the echinococcosis of the spinal cord or kidneys.
The type of pain, location of
The initial phase of asymptomatic. With the increase of the cysts, the situation changes.
When Echinococcusoz of the spinal cord, crushing of the bubble of the body and the handle of the vertebra and the spinal cord receives around a sharp pain concentrated in the chest area, the largest at the time of the vigorous movements. The mobility of the spine decreases the direct of the back muscles to thicken, take the form of a roller, during the palpation of the spinous offshoots of the spinal column painful.
A by-product of the symptoms When helminthiasis of the spinal cord feels pain in the extremities. When Echinococcusoz the kidneys, fatigue, lack of appetite, loss of weight, feeling of discomfort. At a later stage, are added to renal colic, the exacerbation of the pyelonephritis, difficulty urinating, the violation of the mobility of the kidneys, is palpated tumor of circular shape and in the area of hypochondrium. Doctor Often, people go to allergists, therapists, neurologists, infektsionistam, that does not bring relief.
The treatment is surgery, the primary care physician is a neurosurgeon.
The diagnosis of helminthiasis
The main methods are:
- Ct. It allows you to identify neoplasms in the spinal canal.
- The myelography. Introduced in intercavernous the canal of the vertebral column contrast medium allows you to take pictures (myelogram).
- An analysis of blood . The reaction passive hemagglutination.
The treatment is given
Therefore, it is necessary to do if the pain of the muscles of the back? The treatment of spinal canal is the removal of the compress the handle of the vertebra (laminectomy), the emptying of the bubble, the removal of their exterior cladding, treatment of the cavity is 2.5% iodium solution, then salt of sodium thiosulfate.
Infected cysts of the kidneys remove, if necessary, passed to the resection or nephrectomy. After a surgical treatment to avoid semination are assigned to the antihistamines.
Autoimmune diseases
One of the worst causes. Autoimmune myositis – inflammation of the cross-striped musculature that occurs due to the perception by the immune system cells of the muscle fibers by threatening the health of the pathogen and the destruction of her connective tissue of shells. Can be affected by a muscle (local myositis) or several (polymyositis). If you are affected skin, this dermatomyositis. Autoimmune myositis occurs independently and in the fund's existing system pathologies: rheumatoid arthritis, systemic lupus erythematosus, scleroderma.
Main sintomatologa are muscle weakness, stiffness and swelling of the muscles, pain in the muscles, the restrictions of travel – acquired difficult to get out of bed, it caters to itself.
The type and location of pain
The pain is dull, not aggressive. Is reinforced when the temperature changes, the movements. In some cases, disappears completely. Focuses on the scope of the affected muscles.
Auxiliary of the symptoms
It is possible the increase of the local temperature. When pascebantur the muscles of the neck, difficult swallowing, muscles of breast-feeding, and of the division and the iris — it makes it difficult to cough, the breathing.
When Dermatomyositis the epidermis becomes edematous. Arise, crimson-red spots or nodules, itching. Who to go to, how is it diagnosed Autoimmune myositis diagnosed and treated the doctor rheumatologist. An inspection of the sick, the clarification of the claims and of the availability of the system pathologies. Is assigned to the emg.
Treatment methodsTreatment contains in itself the use of:
- steroids anti-inflammatory hormones;
- immunosuppressive drugs, which stop the reaction of the immunity;
- extracorporeal treatments, hemosorption, plasmapheresis;
- The nsaids.
At the time of aggravation of the disease is injected intravenously vitamins and antitoxic solutions. After facilitating the state usually prescribed massage therapy, and physical therapy.