Back pain after medical manipulation and surgery

Neither the pain intensity nor its localization is a sufficient diagnostic sign. To find the pathological causes that caused pain syndrome, or to exclude them, it is necessary to go to a medical institution and undergo a survey. Ignore the pain, especially not passing a few days, not worth it, and timely treatment will help to avoid dangerous complications.

Pain after back massage

Often, people who visit the masseur, complain of pain after the sessions, especially the first. React to this in different ways, some - immediately stop massage, others - consider pain a normal phenomenon, on the contrary, the absence of pain is for them a sign of unprofessionalism of the masseur. So who is right? Why do pains appear?

Specialists distinguish three main types of massage for the effect on the muscles of the back:

1. Relaxing. After this exposure, pain in the muscles should not arise. It has a superficial character and does not affect the deep layers of muscle tissue. It is done to relax the muscles after considerable physical exertion, with the enslavement of muscles of psychogenic origin or with various diseases of the spine. As a result, the patient should experience only a pleasant relaxation in the body, he must have a peaceful state and a good mood. Sickness and stiffness in the body as the effects of a relaxing massage testifies to an incorrect procedure.
2. Tonic. This species is used to bring the musculature into working condition. There is a stimulation of the muscle tissue, it is akin to training. After such a massage in the muscle tissue produced lactic acid, the so-called syndrome of delayed muscle pain (krepature). His patient, after a session, usually feels the next morning, after an overnight rest, when the metabolic processes in the tissues of the body are activated. Back pain usually goes through two or three sessions. If the pain does not go away, but intensifies, you need to stop the procedure, since this is an alarming sign that the masseur is not qualified enough or the massage is not properly prescribed. Signs of trouble are also pain immediately after the massage or an hour or two after.
3. Acupressure points are made for acupuncture points. In this case, the procedure itself is painful, but if it is carried out properly, it quickly becomes easier. The pain in the back after the massage indicates that the acupuncture points are incorrectly defined and there was an increase in muscle spasm, or the massage therapist made a mistake and massaged the wrong points.

In addition, a violation of the rules of the massage can cause pain in the back. Massage for chronic diseases is carried out only in the latent period. During a relapse or an acute illness (including trauma), the procedure can not be performed, the muscles become even more rigid, an edema appears that clamps the nerve endings (radicular syndrome). Massage is contraindicated in spinal hernias of large size. The procedure is not performed on the spine and in areas directly above the vital organs of the peritoneum, the heart, the kidneys. Contraindications for the conduct are also violations of the integrity of the skin, dermatological diseases, hemophilia, the presence of tumors, osteomyelitis, bone tissue tuberculosis, venereal and mental illnesses, the second half of pregnancy.

Back pain after epidural anesthesia

When an operation is planned on the organs located in the lower part of the human body, anesthesia is performed by injecting into the spine. This is a much more gentle type of anesthesia than general anesthesia. So anesthetize most gynecological and urological interventions, surgery for foot injuries, on the rectum.

Back pain after epidural as well as spinal anesthesia, differing only in the depth of administration of the anesthetic, is mainly caused by irritation of the tissues from the injection. The nature of such pain is moderate, it is felt, as a rule, no more than 48 hours from the operation.

The presence of a vertebral hernia in a patient is not a contraindication for spinal anesthesia, however, a factor that increases the likelihood of the onset of pain syndrome is.

When a prick in the spine can get into the vascular, resulting in a hematoma, the spinal cord ligaments are injured and stretched, reflex muscle spasms arise, the nerve endings are irritated with the solution of the injected anesthetic substance. Hazards do not represent all this, but it stimulates the development of painful sensations, which will take place after a while by themselves.

The patient's suspicion, his fear and expectation of pain also plays a role in the perception of pain.

The real danger is represented by the unfair attitude of the staff to the observance of the rules of aseptic and antiseptic. This does not happen often, but the human factor can not be dismissed. In this case, an infection may develop, which is facilitated by the placement of the catheter for a sufficiently long time. Infection of the injection site leads not only to pain, but also to common symptoms of inflammation - fever, malaise, headache. The taking of timely measures is then of great importance in preventing the purulent inflammation of the spinal cord.

[1], [2], [3], [4], [5], [6], [7]

Back pain after anesthesia

One in ten patients undergoing surgery under general anesthesia feels back pain when they regain consciousness. This is a fairly frequent complication, especially after long operations, due to the fact that, under anesthesia, the patient lies motionless on the smooth surface of the operating table and develops "fatigue" of the back muscles. Painful sensations are localized in the lumbar region.

Symmetrical muscular pains in the cervical region and shoulders, which take place on the third and fourth days after the operation, are a reaction to the use in the emergency surgery of the muscle relaxant Ditilin.

[8], [9]

Back pain after surgery

After any surgical intervention, regardless of the volume and technique (minimally invasive or open), pain may appear. Naturally, the more damaged tissue in the operation, the more severe pain may occur after surgery.

Postoperative pains in the back appear, primarily in operations performed on the spine, organs, the anatomical localization of which has this - the pancreas, gall bladder, lungs. Irradiate in the back pain after surgery on the organs of the peritoneum and small pelvis, surgical delivery. Often the cause of pain syndrome is the use of spinal anesthesia. Basically, the pains are felt during the healing of injured tissues, however, they can appear much later. Sometimes the patient is worried about chronic postoperative pain. The reasons are very different - sprouting, pinching of the nerve, development of pain memory and others.

Back pain after removal of the hernia of the spine, neoplasm, replacement of the intervertebral disc, removal of compression and loosening of the spinal column is not uncommon. Operations designed to eliminate pain in one or more parts of the spine can result in increased pain. These pains even have a special name - syndrome of the operated spine. The problem of postoperative pain is still being studied by specialists around the world, in about a fifth of cases their causes remain unknown. Immediately after operations at the site of its stabilization is broken, because of this there is radicular syndrome, inflammation, neoplasm, there are proliferations of scar tissue, which causes constant or periodic pain in the back. In the rehabilitation period after the operation, patients are prescribed physiotherapy, physical therapy, respiratory gymnastics, medication, wearing special corsets, and give recommendations on ways to reduce postoperative pain.

Back pain after removal of the gallbladder has a special name postcholocystectomy syndrome, the cause of which is, in principle, the same reason that led the patient to the operating table. Disturbances in the metabolism and chemical composition of bile remained, the organ was removed, its functions were not performed, which affected the work of neighboring organs involved in the digestion process. The main manifestation of postcholocystectomy syndrome is the dysfunction of the sphincter of Oddi, which controls the flow of bile and pancreatic juice into the duodenum. Pain that radiates to the back manifests itself as a pancreatic type of dysfunction. Often the only way to eliminate pain is another surgical intervention.

[10], [11]