Normally, the pain in the back lying ceases, or ceases completely, so that many patients take it as symptomatic of the manifestation of fatigue after an intense physical activity. And another, very different, the clinical picture is characterized strengthening of the pains, when the patient is at rest in the horizontal position.
Often, the strengthening of pain is a symptom of a serious disease which requires immediate therapy. When you see the atypical symptoms, you should go to a specialist.
Triggers and causes
Doctors distinguish two main groups of etiological factors that may influence the occurrence of pain in the back, when the patients are in a state of rest. The first relates to physiological, headaches, are the result of the intense force of loading, cutting, excessive physical load, stay in a static state. The second group is characterized by the appearance of serious symptoms of diseases of the osseous system, or muscle-to-cartilage structures. Common causes are:
- pregnancy (II) or (III quarter);
- the increase of the mass of the body;
- subsequent to the stage of disease of the skeletal system (osteoarthritis, osteochondrosis);
- pathology of the urinary tract and the sexual system;
- malignant tumors of the internal organs;
- acute inflammatory bone disease;
- intervertebral hernia repair with the location in the sacrum department of a backbone.
The clinical picture is manifested individually for each patient, as well as the treatment with the reinforcing of the pain in the position of a patient lying on his back. The nature of pain and its intensity depends on the degree or the duration of the pathological processes. Characteristics of the pain, the following:
- pulling, burning, acute, obtuse, shot;
- moderate, intense, weak, occasional;
- agreements or other arrangements, bilateral or unilateral;
- radiating in different departments of the spine (normally in lumbar, kresttsoviy, neck departments);
- long or the other.
It is important to take into account the criteria of the changes of pain when you change the position of the body, after the application of certain medications. The back pain in a supine position, you can rely on and the time of day.
The inflammation of the urinary system and pyelonephritis
Pyelonephritis is the inflammation of the kidneys ascending from the urinary tract. The pain in the back when lying on the back explains the location of the kidneys. Anatomically they are closer to the back, at the level or below the hypochondrium. The pain caused, and the extension of fibrozno-parenchymal layers of the renal structures. The pain in pyelonephritis pull, feel mainly in night hours. The tendency to increase the pain manifests itself with a strong shaking, inspires a deep, bike ride, or a ride on the horses. During the exam, the patient responds to the beat of the kidney by part of the back, or in the lungs of breaks in the heels.
Other symptoms are:
- the change of color of urine and atypical impurities (increase of the turbidity, white scales, mucus component, a tone of orange);
- frequent urination with the disease, as if the cystitis (possible complication in the form of inflammation of the bladder);
- the increase in temperature (typical of children up to 15 years).
Continuous flows of pyelonephritis can lead to serious complications in all kidney structure, often becomes a cause of chronic renal failure.
Manifestations of the degenerative disc disease
Contribute to the emergence of the "lying" back pain can be the development of degenerative disc disease — pathological change of the cartilaginous tissue in the intervertebral discs of any location. The disease is common between the calcifications of the changes of the fabric in the axial skeleton.
The pain in the lower back in supine position at the bottom of the degenerative disc disease is due to irritation of the nerve root, located in the interior of the spinal column. Pain to the osteochondrosis can be the following:
- shot (sharp, long);
- deep, long-lasting, pull;
- acute shooting with the irradiacin in the lower extremities.
The pain may increase at night, especially in the moment of turning from side to side. The pain intensifies, and when falling asleep in the soft bed, with sudden involuntary movements. In addition, patients notice a reduction of the sensitivity in the back area, the appearance of muscle weakness, the change of the probation reflex reactions, burning sensation, tingling or numbness.
The Disease Behtereva
The disease refers to the special states that are characterized by the life of dolores, otherwise known as ankylosing spondylitis. The pathology is an autoimmune that occurs in the joints of the spine or sacroiliac joints joints.
In the disease behtereva held the back pain in a supine position, mainly for the night. Any movement that facilitate the state of patient. Additional symptoms are:
- limitation of motion of the joint;
- stiffness in the lumbar region of the spine;
- curvature in the vertical axis of the spinal column by the type of scoliosis;
- the decrease in the growth;
- forcing the position of the body to the back pain.
Ankylosing spondylitis can occur in patients of any age, depending on the clinic the patient's clinical history and other predisposing factors.
Ulcerative foci in the duodenum
Peptic ulcer disease in the departments of duodenal ulcer is another cause of the appearance of pain in the back. The onset of pain being related with the hunger pains, when the mucus maximum is naked and exposed to damage in the juice. Typical of the localization of the pain — the area of the peritoneum, but taking into account the anatomy of the intestine, can give and in spinal departments. Other symptoms are:
- the occurrence of contaminants dyspeptic violations;
- flatulence or abdominal bloating;
- acid regurgitation;
- the violation of the chair.
Normally, after taking antacids pain goes away. The lack of a suitable treatment often leads to complications in the form of gastric or intestinal hemorrhage, perforation of the mucous membranes, the disease of the mucous membrane of the intestine.
There are many causes which can cause the intensity of the pain syndrome during the night's sleep, in the back or lie day. To ignore such manifestations dangerous because of the gradual progression of the disease and development of severe complications, even disability.
Treatment and prevention of
The treatment begins with the completion of a thorough differential diagnosis to identify an underlying disease that determines the onset of pain.
During the treatment it is necessary to change the position of the body during sleep. To do this, acquire hard a layer of extra padding, a pillow under the lining of the back. During the therapy with medications, it is recommended to perform physical therapy, massage. An active lifestyle, it is also important to the aspect of healing.
For the relief of pain requires the allocation of analgesics (ointments, systemic medications, balms), the variety of ointments, compresses, medicinal compositions. Often applied some of the recipes of folk medicine.
The prognosis of the "lying down" pains depends entirely on the nature of the pathology, the degree of development of calcifications of the processes, as well as the cause of origin. Normally, when the timely diagnosis and compliance with all medical recommendations is observed a significant improvement of the patient's quality of life, decrease the risk of disability.