Back pain under the ribs: causes, treatment

When we encounter such a phenomenon as pain, for some reason we always believe that it can only be associated with that part of the body or a specific organ that is located in the zone of localization of pain sensations. Doctors who are well acquainted with such a concept as reflected (irradiating) pain look at the symptom in a slightly different way. So back pain under the ribs, which most of us associate with either kidney disease or sciatica, can actually have many other causes. It is not surprising that doctors are interested not only in the exact localization of pain, but also in other symptoms, eating habits on the eve of the onset of pain, the strength of physical activity, the presence of injuries in the past, etc.

Causes of the back pain under ribs

When a patient comes to the doctor and complains of pain under the ribs from the back, it is not so easy for a specialist to immediately understand what exactly hurts a person. Where it hurts: under the lower rib or under the ribs of the chest from behind, i.e. Inside the chest? Is it a superficial pain that extends along the muscles and skin, or is a large organ located deep inside? What character does the pain have: shooting, sharp or aching and dull?

It is very important to clarify all these points in order to narrow the circle of possible causes of pain, and there may be several of them:

• All kinds of back injuries: bone fractures, and in particular ribs, punctures and cracks in the posterior segments of the ribs, bruises (especially with hematomas), injuries. With fractures of the ribs, especially if they are displaced, bone fragments can damage the lungs, then the pain takes on a special character that patients cannot always accurately describe in words.
• Diseases of the spine (degenerative pathologies: osteochondrosis, herniated discs, spondylosis, as well as infectious and inflammatory diseases of the spinal column: spondylitis, arthritis, etc.).
• neurological problems. Most often we are talking about intercostal neuralgia (thoracalgia), which occurs as a result of compression or irritation of the nerve roots that pass between the ribs. Risk factors can be considered: diseases of the spine (osteochondrosis, scoliosis, spondylitis, ankylosing spondylitis), injuries, sudden movements, exposure to drafts (colds). Sometimes the cause of neuralgia is great physical exertion, a long stay in an uncomfortable position, metabolic disorders, stress.

A cold and prolonged compression of the nerve can lead to its inflammation, and then neuritis is diagnosed.

• Oncological diseases. Tumors located along the passage of peripheral nerves can also compress the nerve endings. This causes pain in the back under the ribs, like neuralgia. But cancers of the internal organs located in the chest and lower back can also be accompanied by radiating pain, the intensity of which does not depend on the position of the body.
• Diseases of the digestive system. All organs of the gastrointestinal tract, with the exception of the upper segments of the esophagus and intestines, are located in the chest cavity and the lumbar region. Pain can be given to the back with inflammation of the pancreas, diseases of the liver, stomach, gallbladder.
• Infectious and inflammatory diseases of the respiratory system, more precisely the lower respiratory tract (bronchitis, pneumonia, lung abscess, diaphragm damage, etc.).
• Diseases of the kidneys. It can be both inflammation of the organ and kidney stones, as a result of which patients suffer from renal colic.
• Cardiovascular diseases. Pain under the ribs from the back from the back can be a symptom of myocardial infarction or spinal stroke, which is caused by compression, blockage or rupture of the vessels of the spinal cord. In the back, pain can also be given in angina pectoris, resembling those in osteochondrosis.
• Diseases of the spleen. With the disease of this mysterious organ, the functions of which are not fully understood, pains arise that easily radiate to the back.
• Injuries to internal organs, especially with the formation of hematomas in the retroperitoneal space (most often these are injuries to the liver, kidneys, adrenal glands, spleen and duodenum).

But what about sciatica, which is often attributed to acute pain in the back under the ribs? This term does not mean a separate pathology, but a syndrome that includes motor, autonomic and pain disorders during compression and inflammation of the roots of the spinal cord. In other words, it is spinal neuritis. And the localization of pain depends on the location of the segment of the spinal cord, from which the affected nerve root departs.

Back pain under the ribs is not necessarily associated with some disease, because there are many muscles in the back that sometimes experience banal fatigue. Active training for an unprepared person or excessive physical activity (carrying heavy objects, working in the garden, etc.) can provoke the appearance of incomprehensible pulling pains in the back and lower back, which disappear if the muscles are allowed to relax and rest.

Pain of this etiology passes quickly, but if there was muscle strain, for example, with a sharp lifting of weights, then a longer rest will be needed.

Pathogenesis

Back pain under the ribs can have various causes. Depending on the cause, the nature of pain may also change. If we are talking about nerve damage (it can be a wound, rupture, compression or inflammation of the nerve fiber), the pain is usually acute (stabbing, shooting). But if during inflammation such pains are constant and tolerable, then neuralgia is characterized by a pain syndrome, the intensity of which depends on the position of the body (at its highest point it becomes unbearable, restricts movement).

Nerve fibers can be compressed by both bone tissue and cartilage, ligaments, and muscles. For example, in myositis, the pathogenesis of which is associated with inflammatory processes and swelling of muscle tissue, back pain may occur as a result of compression of the nerve roots by edematous muscles. With prolonged compression, the nerve fiber can become inflamed (aseptic inflammation), which will also be accompanied by constant pain.

With back injuries, both rupture of the nerve fiber and its compression are possible. Most often, the nerve is compressed by damaged muscles, which swell when bruised. In the muscles and subcutaneous tissue, a seal may form, which first has a red and then a bluish tint (hematoma). This seal can also compress the small nerves responsible for the innervation of this zone, with impaired sensitivity, pain and movement disorders.

Tumors in the back and spine are not always inflammatory, but their effect on nerve fibers is similar to hematomas. In addition to nerves, such seals also compress nearby blood vessels, which causes tissue ischemia, including nervous tissue. This is the second reason for persistent pain in trauma and tumor processes.

Often the cause of back pain under the ribs is muscle hypertonicity. The focus of hypertonicity is considered to be the zone of aseptic inflammation resulting from tissue compression and ischemia, and hematoma. But the causes of locally increased muscle tone can be more serious. For example, such a symptom may be indicative of vascular diseases of the brain or spinal cord, CNS pathologies, trauma, demyelinating diseases such as multiple sclerosis. In the latter case, the myelin sheath of the nerve fibers is destroyed, which disrupts the bioelectrical conductivity in them. The delay in the signal from the central nervous system about muscle relaxation is accompanied by squeezing of nerve fibers and blood vessels by tense muscle tissue, resulting in severe pain.

Small painful lumps in the muscles are called trigger points. Any impact on them is accompanied by unbearable pain.

The localization of pain in case of damage to internal organs is very difficult to describe in words. After all, the lesion (usually inflammation) is located inside, and what we feel in the back is referred pain. All internal organs have innervation, their work is regulated by the autonomic (autonomous) nervous system. But they also have receptors that transmit information about the state of various organs to the central nervous system. With inflammation and swelling of the tissues of the organ, as well as with their ischemic or ulcerative lesions, we feel pain as a response to irritation of the nervous system. Some waves of nervous excitation can also reach the back, which is why we indicate it as a pain zone, although in fact the localization of the lesion can be completely different.

As you can see, pain under the ribs in the back can occur both in response to inflammation of the tissues, and when they are damaged. The cause of acute pain can be compression of the nerves and blood vessels of the back by healthy or pathological tissues. Pain from internal organs can also radiate to the back.

Such an ambiguous symptom as back pain under the ribs can occur at any age, but according to statistics, people of working age most often complain about it. Hard physical work and poor working conditions, the wrong approach to sports, dietary errors, infectious and inflammatory diseases are all risk factors for the onset of pain in young people.

Physical inactivity, oddly enough, is also beginning to firmly take its place as one of the main causes of back pain in young people. The reason for such statistics can be considered universal computerization and the emergence of specialties that involve long-term work in a static position. At the same time, back pain appears both in those who stand for a long time and in those who work in a sitting position, because in this position the load on the spine is even greater.

In the elderly, such complaints are most often associated with degenerative diseases and physical inactivity. But hypodynamia here has other reasons. A person moves little due to pain in the legs, lower back and many other diseases that have accumulated over the course of life.

In children, aching pain in the back under the ribs can occur with diseases of the lower respiratory tract (usually with pneumonia), acute inflammation of the kidneys (pyelonephritis, glomerulonephritis), impaired functionality of the central nervous system, which is often congenital (foci of muscle hypertonicity are noted in cerebral palsy, Therefore, children often complain of pain in the back and lower back).

Diagnostics of the back pain under ribs

How many times have we heard about the dangers of self-diagnosis. But is it really that dangerous? If we are talking about the fact that the patient independently diagnoses himself and prescribes treatment, the result of such an attitude towards his health can have the most unpredictable and often negative consequences. But in the case of an attentive attitude to one's body, when a person listens to his feelings and notes from features, in order to then help the doctor make the correct diagnosis, self-diagnosis can only be welcomed.

Back pain under the ribs is an ambiguous symptom. Behind it, many pathologies can be hidden. And to make it easier for the doctor, we can provide him with as accurate information as possible about this and other symptoms. In other words, listen to your feelings, understand what causes their changes, in which area the pain is most pronounced and appears more often than in other areas.

Self-diagnosis will be of great value if carried out according to a plan that includes the following questions:

• what preceded the appearance of the pain syndrome (trauma, eating spicy food, sudden movement, etc.),

• on which part of the body the pain syndrome is most pronounced,
• whether the source of pain is located near the surface of the body or the symptom comes from the inside,
• the pain is localized or spreads to other parts of the body,
• what character does the pain have: constant or paroxysmal, acute or dull, etc.
• whether there are other pathological symptoms,
• what methods and medicines were used to relieve pain before going to the doctor, and what was the result of the treatment?

With acute unbearable pain, no therapeutic experiments can be carried out. Moreover, if appendicitis is suspected, even anesthesia is prohibited. In such situations, you need to urgently call for emergency care and fully trust the professionalism of doctors. The doctor can learn about situations preceding the onset of pain from relatives and eyewitnesses.

Information about the nature of pain and possible causes will help the doctor navigate during the physical examination. Some important information will be given by palpation of the pain localization zone (the doctor can detect the presence of seals in the tissues, the tension of the walls of the organs, muscle tone, etc.) and auscultation (listening, in which the work of the heart and respiratory system is assessed).

During a physical examination, if osteochondrosis is suspected, in addition to fingering, the doctor may resort to percussion (tapping) of the area of pain localization, which makes it possible to determine the area of distribution of pain. With the help of a needle, the sensitivity of a part of the body with pain syndrome is determined.

The doctor also evaluates the symmetry of the right and left sides of the back, the presence of skin defects on it. He is interested in the patient's gait, range of motion (simple physical exercises are offered), changes in the intensity of the pain syndrome during different movements and respiratory acts.

The information of the medical card can also be useful, because the pain syndrome is often a complication of an already existing disease.

Laboratory diagnostics in the event of the appearance of non-specific symptoms, which include back pain under the ribs, is of particular value. A clinical and biochemical blood test will allow you to find out if the symptom is associated with an inflammatory pathology or if we are talking about dystrophic changes associated with metabolic disorders. Urinalysis allows you to evaluate the work of the kidneys and urinary system, to identify sand and other uncharacteristic inclusions. The analysis of feces and vomit is prescribed less frequently, but it is necessary to exclude erosive and ulcerative diseases of the gastrointestinal tract. Analysis of sputum and pleural fluid is necessary to identify the causative agent of diseases of the respiratory system.

If oncological diseases are suspected, a biopsy of the affected tissues is prescribed, followed by a histological examination.

It is clear that the need to prescribe all these studies is an extremely rare situation. Usually, the doctor prescribes tests in various combinations based on the patient's history and symptoms. Some tests are prescribed by a general practitioner, who should usually be contacted with complaints of back pain. Direction to specific research is given by highly specialized specialists. Given the fact that the causes of back pain can be different, the therapist can refer the patient to a consultation with different doctors: a neurologist, a surgeon, a gynecologist, a gastroenterologist, a pulmonologist, a cardiologist, a urologist, etc.

But the matter is usually not limited to laboratory diagnostics. If gastrointestinal diseases are suspected, the patient is prescribed ultrasound of the abdominal organs and fibrogastroduodenoscopy (FGDS - endoscopic examination of the stomach and duodenum 12, which allows a biopsy and assessment of the acidity of gastric juice). If a kidney pathology is suspected, ultrasound is prescribed, for liver diseases - liver ultrasound and elastography, if acute appendicitis is suspected, an ultrasound or X-ray examination of the pelvic organs is urgently performed, which makes it possible to exclude diseases of the reproductive system (especially in women).

In pneumonia and other diseases of the lower respiratory system, the most informative are x-rays of the lungs, computed tomography or magnetic resonance imaging of the chest.

The condition of the spine and spinal cord is assessed using radiography, CT and MRI of the relevant departments. In the presence of symptoms of ischemia, a study of blood vessels is carried out: angiography, which is carried out as part of an X-ray study, computed and magnetic resonance imaging, duplex scanning of vessels of various calibers (ultrasound Dopplerography).

Instrumental diagnostics is carried out on the basis of an analysis of the existing symptoms, when the doctor has a preliminary diagnosis ready, i.e. When the specialist decided which organ could be responsible for the appearance of back pain.

Differential diagnosis

Differential diagnosis is a complex analysis of information obtained as a result of various studies and in the process of collecting an anamnesis. Such an analysis is necessary to make a definitive diagnosis.

Since back pain under the ribs can appear with various diseases and the localization of the symptom does not always indicate the localization of the diseased organ, making a diagnosis with such a symptom can present certain difficulties. The doctor must clearly differentiate pain in osteochondrosis from an attack of angina pectoris, exacerbation of appendicitis from gynecological diseases with similar symptoms, renal colic from exacerbation of pancreatitis, back pain in diseases of the respiratory system from incipient myocardial infarction.

These diseases, so different in nature, can have similar symptoms, so it is very important to take into account the overall picture of the disease, as well as the results of laboratory and instrumental studies that will help narrow down the range of possible diagnoses. Even in critical situations, doctors try to conduct the maximum possible examination of patients in order to take into account its results in the course of treatment at the time of or after emergency care. Otherwise, there is a high risk of a doctor's mistake, which can sometimes cost the patient's life.

Treatment of the back pain under ribs

As we have already noted, back pain under the ribs can have different localization and intensity. In principle, both weak and severe pains are worth paying attention to. But it just so happens that until you specifically press down, few people seek advice and help from a doctor. And when it grabs so hard that it’s hard to breathe, you have to call an ambulance.

Yes, but it takes time for an ambulance to get to its destination, which means that before it arrives, the sick person or people next to him will have to solve the problem of acute pain on their own.

Pain first aid. The most suitable drugs for pain relief are analgesics and antispasmodics. And here it is very important to choose the right drug. If we are talking about pain of a neurological nature and painful periods, antispasmodics and combined drugs (antispasmodic plus analgesic) will be the most relevant. Antispasmodics are also effective in renal or hepatic colic.

It is not worth resorting to the help of muscle relaxants without the knowledge of a doctor. These are unsafe drugs, an overdose of which can cause respiratory and cardiac arrest. With pain caused by spasms of muscles and blood vessels, heat helps well, which must be applied to the painful area. Such treatment will somewhat ease the pain and allow you to wait for the arrival of the doctor.

By the way, thermal treatment helps to relieve pain and fatigue caused by hard physical labor. Although it is not associated with pathological processes in the body, it delivers no less unpleasant minutes.

And yet heat is a method that can not be applied in all cases. With purulent inflammation, warming up can only complicate the situation. The most dangerous imposition of heat on the abdomen with appendicitis. This can provoke a rupture of the caecum even before the arrival of the "ambulance" and the development of peritonitis. If appendicitis or peritonitis is suspected, it is undesirable to either warm up the stomach to relieve pain, or take painkillers that make diagnosis difficult, with the exception of antispasmodics that do not lubricate the overall picture of the pathology.

When it comes to inflammatory diseases, it is more effective to use non-steroidal anti-inflammatory drugs, which provide an analgesic effect, to relieve pain. But here we must take into account the fact that most of them have a strong irritating effect on the mucous membrane of the stomach and intestines. Antispasmodics act softer, therefore, with exacerbations of gastritis or gastric and duodenal ulcers, they are recommended for pain relief or drugs with a combined effect (for example, Spasmalgon, Spasmil).

They help to safely relieve pain during exacerbations of inflammatory and ulcerative diseases of the gastrointestinal tract such drugs as "Omez" or its analogue "Omeprazole", "Almagel", "Phosphalugel" and other drugs with antacid and enveloping action, which are preferable to any painkillers. These drugs not only relieve pain, but also have a therapeutic effect.

In the absence of suitable drugs, one-time use of Paracetamol or Ibuprofen, which are considered drugs with a minimum of side effects, can be used.

In heart disease, all of the above drugs do not bring the desired effect. The most relevant for angina pectoris is taking one tablet of Nitroglycerin, which usually completely stops the attack. With myocardial infarction, the drug does not completely remove the pain, but only slightly alleviates it. The second tablet of "Nitroglycerin" can be given only after a quarter of an hour, if by that time the ambulance is not yet in time.

The use of heat in myocardial infarction is also not justified in any way, moreover, this measure often only aggravates the patient's condition, provoking suffocation. It is enough to seat a person in a comfortable position or lay it down, but so that the head is higher than the legs, if possible, give a sedative (Corvalol, Valocardin, Valerian) do not relieve the pain symptom, but calm the nerves, as a result of which the pain is not felt so acute ), provide air access by unbuttoning the collar, exposing the chest, etc.

With acute pain associated with osteochondrosis and diseases of the spine, even local treatment helps to relieve discomfort - applying warming, distracting and analgesic ointments to the affected area. In this case, the back should be additionally insulated. Inside, you can take any analgesics to speed up the effect.

You need to understand that if the cause of pain under the ribs from the back is a disease of the internal organs, local treatment of the back area will not help in any way. After all, the source of pain is located deep inside, and we suffer from reflected pain.

Calling an ambulance, we mention the symptoms of the disease and its possible causes, it would be useful to ask about those safe methods that will help the patient survive the pain before the doctor arrives, and not act blindly.

Complex treatment. Back pain under the ribs is just one of the symptoms of many diseases. At the same time, the removal of pain syndrome is only a stage of an integrated approach to the treatment of the disease, which makes it possible to alleviate the patient's condition.

Pain is the reaction of the body, thanks to which we learn about the disease and its possible localization. At the diagnostic stage, it has a certain value. In the future, it only complicates the treatment, exhausting the patient, so it must be removed, while simultaneously carrying out medical procedures. In this case, the choice of procedures depends on the diagnosis.

We will not dwell on the features of the treatment of various diseases for which back pain is one of the symptoms, but only show how seriously doctors take this symptom.

If pain from the back under the ribs is caused by degenerative changes in the spine (osteochondrosis), complex treatment is prescribed, which is carried out in two stages. First, pain in the spine is eliminated, and then they proceed to the restoration of damaged tissues of the intervertebral discs and the prevention of exacerbations of the disease. At the first stage, the drugs of choice are NSAIDs (less often glucocorticosteroids in injections), local distractions and analgesics in the form of creams and ointments. It is proposed to wear a special corset that reduces the load on the spine, physiotherapy treatment: electrophoresis with painkillers, electrotherapy, laser therapy, shock wave therapy, water and thermal procedures, as well as non-traditional methods: acupuncture, acupressure.

At the second stage of treatment, relaxants, chondroprotectors, B vitamins and vitamin-mineral complexes come to the fore. The range of physiotherapy treatment is expanding. The complex of procedures includes massage, shock wave therapy, hirudotherapy, physiotherapy exercises.

With complications of osteochondrosis, when conservative therapy has not yielded results, surgical treatment is prescribed. The indication for it is stenosis of the spinal canal, in which the spinal cord passes, as a result of a hernia or protrusion of the intervertebral discs, spondylolisthesis (displacement of the vertebrae relative to each other).

The treatment of neuralgia is somewhat simpler, but also involves an integrated approach. In addition to analgesics, antispasmodics and lidocaine blockades, muscle relaxants that relieve muscle spasms are also prescribed to relieve pain. Diuretics are used to relieve tissue swelling. Local treatment is carried out with anti-inflammatory ointments and drugs that improve tissue trophism. It is mandatory to take B vitamins, which have a positive effect on the nervous system.

Of the physiotherapeutic methods, electrophoresis with analgesics and anesthetics is used, transcranial electroanalgesia, diadynamic therapy, fluctuorization, UHF therapy, ultrasound, darsonvalization, magnetotherapy, laser therapy. They also carry out therapeutic paraffin applications, sessions of mud, hirudo and reflexotherapy.

The treatment of myocardial infarction is also not limited to a surgical operation called "coronary angioplasty" or "coronary bypass grafting." Additionally, treatment is carried out aimed at eliminating pain (administration of morphine, the use of neurolepanalgesia), the removal of anxiety (tranquilizers), and the prevention of hypoxia (oxygen mask). Mandatory: antiplatelet therapy (acetylsalicylic acid preparations), the introduction of anticoagulants (heparin), thrombolytic therapy (streptokinase, aldeplase), the appointment of beta-blockers (metoprolol, propranolol, etc.).

With ischemia of the heart and angina pectoris, a similar treatment is carried out, which is supplemented with anti-herpentic drugs, cardiac glycosides, decongestants, antiarrhythmic drugs.

Of the methods of physiotherapy for cardiopathies, the most applicable are hydrobalneotherapy, electrotherapy, massage, physiotherapy exercises, which are individually prescribed in the recovery period.

Consider the treatment of inflammatory diseases of the respiratory tract using the example of pneumonia. In this case, back pain is not acute. And not every patient will pay attention to it in the absence of other symptoms. But pneumonia often occurs in a latent form, and we carry it on our feet, provoking multiple complications. However, a person who is attentive to himself and his feelings can be disturbed by pain, which will be the reason for visiting a doctor.

Pneumonia is an infectious disease that can be caused by various types of bacteria, viruses and fungal microflora. It is clear that in the treatment of various forms of pneumonia, different medications will be used to combat the causative agent of the disease. Without this, inflammation cannot be stopped in any way, and a long-term inflammatory process can irreversibly change lung tissue.

Antibiotics are traditionally used to fight bacterial infections. Treatment of pneumonia of fungal etiology involves the use of antimycotic agents. But the elimination of viruses is considered the task of the organism itself, and antiviral drugs with an immunostimulating effect can help it in this. If antibiotics are prescribed for a non-bacterial infection, then the disease has become complicated due to the active reproduction of opportunistic microflora against the background of a decrease in the body's defenses.

The main requirement in the treatment of inflammation of the lungs is bed rest during the first days of the acute period, to which is added a plentiful warm drink, cough medicines (for dry cough) and mucolytics and expectorants (for wet cough), bronchodilators for shortness of breath, if necessary, antipyretics facilities. No heating pads on the lung area, especially when it comes to the bacterial nature of the disease.

Anti-inflammatory and painkillers are prescribed by a doctor. But usually the pain symptom of pneumonia is not so strong, rather tiresome in its constancy.

Physiotherapy is also a component of the complex treatment of pneumonia and may include: UHF and inductotherapy, decimeter and centimeter wave therapy, magnetic field exposure, inhalation treatment, ultraviolet and infrared radiation, laser therapy, electrophoresis and other methods. In the acute period, kinesitherapy is indicated, which is subsequently combined with exercise therapy and prevents congestion in the lungs.

We will not dwell on the treatment of diseases of the gastrointestinal tract, liver, excretory system, where back pain under the ribs is a non-specific or characteristic manifestation of the disease. These topics are discussed in detail in other articles that carry large amounts of information. At the same time, both the drugs used and the approaches to the treatment of the same diseases may differ depending on the etiology of the disease, the age of the patient, and the individual characteristics of the organism.

Medications

Without being distracted by the complex treatment of various diseases with back pain, we will consider some drugs that help eliminate discomfort. In most pathologies, these are analgesics, antispasmodics, NSAIDs. With heart disease - the first aid is "Nitroglycerin".

Popular non-narcotic analgesics that can be purchased without a doctor's prescription include: "Acetylsalicylic acid" and salicylic acid derivatives, analgin, amidopyrine, paracetamol, etc. These drugs have analgesic and some antipyretic effects, are designed to relieve pain of mild to moderate intensity. Paracetamol is considered the safest for all categories of patients.

This budget drug, proven over the years, today has many forms of release, which makes its use even more convenient and safe (even with stomach ulcers and pregnancy). The drug is available in the form of tablets of various dosages, capsules, syrups, suspensions, suppositories for rectal use.

Tablets and capsules for patients over 12 years old are allowed to take a maximum single dose of 1.5 g, while the daily dose should not exceed 3-4 g. For children 3-12 years old, the daily maximum is 1-2 g. Take pills with an interval of 4 -6 hours, without chewing, drinking water.

Rectal suppositories are allowed to be used from the age of 1, while the daily dosage is calculated as 60 g per kilogram of the child's weight. For patients older than 3 years, the daily dose corresponds to the dosage of tablets. Put candles at the same interval.

Syrup is most often treated for children from 3 months to 12 years old, but therapy for older patients is quite acceptable. Babies up to 1 year old can be given no more than 5 ml of syrup, babies 1-5 years old can increase the dose to 10 ml, children under 12 years old are given 10-20 ml of syrup at a time. Dosage for adolescents and adult patients is not more than 40 ml of syrup. The multiplicity of reception is 3-4 times a day, taking into account the fact that 5 ml of syrup contains 120 mg of paracetamol.

Contraindications to taking the drug are hypersensitivity to the drug, as well as severe diseases of the liver and kidneys with a violation of their functionality. Rectal suppositories are not recommended for those who have inflammatory diseases of the rectum. During pregnancy and during breastfeeding, the analgesic should be used with caution after consulting a doctor. The same can be advised for patients with liver diseases (high doses have a toxic effect on the organ), as well as with nephrolithiasis (the drug can provoke renal colic).

Side effects of the drug can be considered: changes in the composition of the blood, effects on the central nervous system (excitation or drowsiness), symptoms from the gastrointestinal tract (nausea, epigastric pain) and the excretory system (purulent-inflammatory diseases of the kidneys), allergic reactions. Severe symptoms are usually the result of prolonged use of the analgesic or high doses of the drug.

The second group of drugs for relieving back pain under the ribs are antispasmodics (drugs that relieve muscle spasm and pain). These drugs are more widely used because they do not distort the overall picture of serious diseases.

Well-known antispasmodics include: "Drotaverine", its foreign analogue "No-shpa", "Papazol", "Buscopan", "Difacil", etc. A little later, combined drugs appeared on the shelves of pharmacies that simultaneously act on the pain syndrome of different etiologies (Baralgin, Spazmalgon, Spazmil, Renalgan, Spasgan, etc.), which allows them to be used even in case of pain, the cause of which has not been precisely determined.

For example, the drug "Renalgan" as an antispasmodic can be prescribed for renal and hepatic colic, spasms of the stomach and intestines, dysmenorrhea (painful periods). But it also has an analgesic effect, which makes it possible to use it to relieve pain not only of a spastic nature.

The drug is produced in the form of tablets and is intended for the treatment of patients over 15 years of age. The maximum daily dose in this case is 2 tablets, and the course of treatment is limited to 3 days.

Unlike many analgesics and antispasmodics, the combination drug has a decent list of contraindications. In addition to individual intolerance to the components of the drug, these include: obstruction of the stomach and intestines, reduced tone of the muscles of the urinary and gallbladder, severe liver and kidney diseases, identified disorders in the composition of the blood, blood diseases, deficiency of the G-6-PD enzyme. To this list, you can add angle-closure glaucoma, bronchial asthma, collapse, arrhythmia, tachycardia, prostate pathology with impaired urination. The drug is not given for suspected appendicitis or other acute surgical pathology.

The medicine also has a list of diseases in which the drug should be used with extreme caution. It is also worth familiarizing yourself with it before taking the medicine or offering it to the patient.

Among the side effects of the drug, it is worth mentioning a certain likelihood of exacerbation of gastrointestinal pathologies, epigastric discomfort, stool disturbances, heart rhythm disturbances, a decrease in blood pressure, changes in blood composition, reversible and irreversible disorders of the kidneys, decreased vision, liver malfunctions (jaundice, hepatitis ), a decrease in the amount of sweat secreted, fainting. Allergic and anaphylactic reactions are not excluded.

Despite warnings, the drug is well tolerated by most patients, including those diagnosed with gastrointestinal diseases.

The third group of painkillers are non-steroidal anti-inflammatory drugs. These are drugs against inflammation and pain, which have long overtaken analgesics in popularity. Although this applies mainly to Analgin. Many drugs from the group of analgesics are included in the list of NSAIDs. So "Aspirin" (acetylsalicylic acid) belongs to the category of NSAIDs with pronounced anti-inflammatory activity, and "Paracetamol" - to NSAIDs with a weak anti-inflammatory effect. "Baralgin", the active ingredients of which are analgesic and antispasmodic, are classified as combined NSAIDs.

Non-steroidal drugs used for pain syndrome also include Ibuprofen, Ketorolac, Ketoprofen, Diclofenac, Meloxicam, Indomethacin and other drugs with antipyretic, anti-inflammatory and analgesic effects.

In the event of back pain under the ribs, the hand reaches for the widely advertised Diclofenac drug (other NSAIDs may be no less effective), which is available in the form of an injection solution, tablets, ointment and gel, suppositories, eye treatment solution. And I must say not in vain. The drug has many indications for use, including inflammatory diseases of internal organs, diseases of the spine, and neurological problems.

The injectable drug is used intramuscularly for a two-day course, injecting 75 mg of the drug every 12 hours to treat moderate pain. Further, it is recommended to switch to oral medication or treatment with rectal suppositories.

Tablets for patients over 12 years of age are allowed to give a maximum dosage of 150 mg per day. Children under 7 years old - no more than 25 mg per day, up to 12 years old - up to 75 g per day.

The same dosages are tedious to adhere to in the treatment of rectal suppositories. You need to put them two or three times a day.

Ointment and gel are used for local treatment of pain in diseases of the spine, injuries, muscle and joint pain. Ointment and 1% gel are applied to the body in a dosage not exceeding 4 g. Gel with a higher dosage is used carefully (no more than 2 g per application). The multiplicity of application of the drug on the body is 3-4 times a day.

The drug in any form of release can not be used in case of hypersensitivity to any NSAIDs and the development of an allergic reaction against the background of the use of NSAIDs in the past. Intramuscular administration and oral administration of the drug are not recommended for exacerbation of erosive and ulcerative diseases of the gastrointestinal tract, blood pathologies, bleeding and bleeding disorders. Do not use in the treatment of children under 15 years of age. Caution must be observed in bronchial asthma, anemia, severe heart failure, severe edema, hypertension, impaired liver and kidney function, diabetes mellitus. The rectal form of the drug is prohibited in inflammatory diseases of the rectum.

"Diclofenac" is highly undesirable to prescribe during pregnancy and while breastfeeding.

Local forms of the drug should not be applied to the wound surface, scratches, cuts.

The main side effects of the drug are: disorders of the gastrointestinal tract, sleep disorders, the appearance of convulsions, edema, the appearance of tinnitus, impaired hearing, vision and taste sensations, malfunctions of the kidneys and respiratory system, increased blood pressure, exacerbation of cardiovascular pathologies, up to before a heart attack, allergic and skin reactions.

As you can see, with heart disease and myocardial infarction, Diclofenac can hardly be recommended by a doctor, so it should not be taken to relieve referred back pain against the background of cardiopathy. In this case, the ambulance drug is "Nitroglycerin", and in the future, narcotic analgesics are prescribed to relieve severe pain.

"Nitroglycerin" does not apply to analgesics. It is a nitrate vasodilator that regulates the tone of blood vessels and the work of the heart, redistributes pressure in the vessels, helps to relax the muscle tissue of the bronchi, gastrointestinal tract, bile ducts and urinary tract. The drug is prescribed mainly for stopping angina attacks and reducing pain in myocardial infarction (first aid).

The medicine is used in the form of capsules for the treatment of adult patients. The tablet is placed under the tongue and kept there until complete dissolution or disappearance of the pain syndrome. Re-administration of the drug is possible no earlier than after 5-15 minutes, given that the effect of the first tablet lasts half an hour. If the pain does not completely go away after 2-3 tablets, this is a sign of myocardial infarction.

Contraindications to the use of niroglycerin are associated with hypersensitivity to nitrates, shock and some cardiovascular disorders: cerebral ischemia, low blood pressure and collapse, high intracranial pressure, stroke, aortic stenosis. Do NOT give the drug for pulmonary edema of a toxic nature, as well as in case of a recent head injury.

Side effects of the drug are considered: headaches, impaired visual acuity, fainting, lowering blood pressure, cyanosis or flushing of the face, nausea, vomiting, epigastric pain. Possible: exacerbation of coronary artery disease, hot flashes, respiratory disorders, tachycardia, disorientation, allergic reactions.

The choice of an effective and most importantly safe drug for back pain under the ribs is a very important task. After all, you need to relieve pain without harming human health and without blurring the overall picture of the disease if the patient is taken to the hospital for further examination. This does not mean that you need to sit idly by. You just need to listen more carefully to your body and take into account the condition of the other person in case of first aid, and not use the first drug that comes to hand that can relieve pain.

Alternative Treatment

We tried to consider almost all the possible causes of pain in the back under the ribs and even the complex treatment of some of them, but according to statistics, the pain syndrome of such localization in 90-95% of cases occurs as a result of diseases of the spine. Most visits to the doctor are associated with osteochondrosis and sciatica, followed by scoliosis, spinal hernia, and myalgia. Diseases of the internal organs, with the exception of the kidneys, are usually accompanied by pain in the abdomen and chest in front, and irradiation of pain in the back is considered the exception rather than the rule.

Alternative medicine, based on this, pays more attention to the means of relieving back pain in pathologies of the musculoskeletal system, whether it is degenerative changes or an inflammatory process as a result of a cold. With an infection (especially bacterial), alternative remedies are ineffective, because to combat it, it is necessary to take herbs with the appropriate effect in large dosages. And herbs that are effective against bacteria usually have noticeable toxicity. So it turns out that the treatment of infection can result in severe intoxication.

But back to such a symptom as back pain under the ribs. What does alternative medicine offer for its treatment? Firstly, this is a local effect of compounds with irritating, distracting, warming and anti-inflammatory effects. Such an effect does not have a pronounced therapeutic effect, if not combined with the treatment of the body from the inside. Nevertheless, as an ambulance for excruciating pains, they are quite a worthy replacement for pharmacy medicines. By the way, many pharmacy ointments and rubbing for back pain are made on the basis of natural products and herbal extracts.

The use of such funds is combined with additional warming of the sore spot, which enhances the analgesic effect, although even the warming itself can reduce the intensity of pain, and sometimes completely remove it.

Here are some examples of effective alternative local remedies for osteochondrosis, sciatica, myalgia and some other diseases with back pain:

• Horseradish is a popular plant with a pungent taste that, when applied topically, is both irritating and distracting. For the treatment of pain, both the root and the leaves of the plant are used (preferably in combination). A slurry is made from the root, and the leaves are used as a whole. First, horseradish root gruel is placed on a piece of natural tissue and applied to the back in the focus of pain. The gruel is covered with a cloth and a hot iron is carefully applied to it, heating the mixture inside. Such treatment can be sustained for 3-5 minutes. But during this time, the pain noticeably subsides.

Next, the horseradish gruel should be removed and fresh, washed leaves of the plant should be applied to the skin. Be sure to insulate the back, using, if possible, fabrics made of natural wool. The exposure time is from 15 to 30 minutes. With each subsequent procedure, the duration can be increased.

• To whom this treatment option seems cruel, you can try another recipe, where horseradish is one of the components of the healing paste. To prepare it, you again need to grate the horseradish root, add the same amount of grated raw potatoes and a little honey to the composition. A thoroughly mixed paste is applied to the diseased area in a thick layer (about 1 cm) and covered with a film. Put a warm cloth on top.

The compress makes the skin feel like it's baking, but there is no need to be afraid of this. Remove the composition after an hour, then wipe the skin with warm water. As in the first case, 1 procedure per day is enough.

• Black radish is another medicinal product that can be used for back pain. It is used in the same way as the horseradish root in the form of a gruel, which is applied over the tissue to the focus of pain. From above, it is recommended to cover the structure with a film and insulate. When the compress begins to burn strongly, it is removed and the back is wiped with a damp cloth. Treatment can be carried out up to 2 times a day.
• Dough is not only a raw material for delicious pastries, but also an excellent remedy for back and lower back pain. For medicinal purposes, dough made from rye or combined flour (wheat-rye) is more suitable. It is made without the addition of yeast and kept warm for some time (acidified). It is easier to use a steep, but soft dough, which is laid out in a thick layer on the back over double-folded gauze.

It is more expedient to fix such a compress on the body and leave it overnight. Sometimes garlic slurry is mixed into the dough. In this case, a burning sensation appears, and it is not recommended to keep the dough on the body for a long time.

As warming agents, preheated salt, sand, cherry seeds in a linen bag are used, such agents do not irritate the skin, but only warm it up, which gives relaxation and reduces pain. Woolen things also have a warming effect (especially if it is sheep wool). A belt can be made from woolen fabric, which can be fixed on a sore spot. The effectiveness of such a belt is increased if it is preliminarily kept for one and a half hours in a warm saline solution, and then dried. "Salty" wool can be worn on the body for several days, which helps with chronic pain, which is difficult to remove in 1-2 procedures.

Back pain under the ribs can be relieved through various home-made ointments and rubbing or using ready-made pharmaceutical products, for example, the Golden Star balm (in a simple way, an asterisk), which has an anti-inflammatory, local anesthetic, warming, antiseptic effect, improves blood circulation and trophism fabrics.

The “Pchelovit” rubbing ointment also has a good analgesic effect, which contains bee venom (suppresses pain, improves blood circulation, slows down the course of degenerative processes in the joints of the spine), propolis (an excellent biostimulant and anti-inflammatory agent), essential oils (fir, rosemary, lavender have anti-inflammatory effect), camphor, turpentine (warming and trophic effect).

A variety of warming agents with locally irritating (distracting), anti-inflammatory and warming effects can be made independently from improvised means, if you know their properties. For example, an analgesic effect can be provided thanks to the essential oils of mint, lemon balm, fennel, camphor, menthol, mustard.

Particular attention should be paid to hot red pepper (an excellent irritant and warming agent that quickly relieves pain). It can be used as an alcohol tincture (equal parts of alcohol and crushed pepper pods are infused for a week and used for rubbing and compresses, mixed 1: 1 with vegetable oil) or added to various ointments (it is easier to use ready-made powder).

The anti-inflammatory effect, due to which pains caused by swelling and inflammation of the tissues are relieved, is ginger (you can use ready-made powder or gruel from a fresh root), propolis, essential oils of rosemary, fir, bodyaga, cabbage leaves.

Vaseline, butter or ghee, lard, badger fat can be taken as the basis of homemade ointment. For rubbing, you can use ready-made alcohol tinctures, vegetable oils.

Kerosene-based products have become very popular. In them, kerosene is chosen as an auxiliary component that improves the penetration of medicinal substances deep into the tissue. For example, many people know about the anti-inflammatory and analgesic effect of table beets, but rubbing with juice or a compress from gruel will not give such a pronounced effect as a mixture of beet cake with kerosene. The composition is applied to the sore spot over the fabric, covered with a film on top, fixed and left overnight. By morning, the pain usually subsides.

Acupuncture helps to quickly relieve back pain, but not everyone has knowledge about it. A replacement for such a reflex effect is the Kuznetsov applicator, which can be purchased at a pharmacy or made independently from metal caps from glass bottles. You need to make holes in the covers and sew them onto the fabric at a distance of 6-8 mm. If such an applicator is placed under the buttocks, it helps to relieve tension and back pain during sedentary work.

With severe back pain, the finished applicator is applied to the painful area and pressed for 40-60 seconds.

Herbal treatment

Herbal medicine is an integral part of alternative medicine. Knowing the properties of medicinal plants and their effect on the body, it is possible to make recipes that will help if back pain under the ribs is caused by inflammatory and degenerative diseases of the back and spine, as well as in case of diseases of the internal organs.

So, with osteochondrosis of the spine, great help can bring:

• Parsley. A decoction of the root of the plant is taken orally 2 times a day for a tablespoon.
• Melissa. The leaves of the plant are mixed in equal proportions with orange peel, 2 tsp. The mixture is brewed with 2 cups of boiling water and infused for 1 hour, after straining, 2 tsp are added to the warm composition. Honey and valerian tincture. For 1 reception drink 1 glass of infusion, daily dose 2 glasses. The course of treatment is 1 month.
• Pine needles. 200 grams of raw materials are poured into 1 liter of boiling water, insisted and taken twice a day, 1 glass.

These herbs help reduce the inflammation and swelling that comes with degenerative diseases. With inflammation of the nerve and muscle tissues, you can take an infusion of adonis (1 tsp of dry raw materials per glass of boiling water, insist and take 1 tbsp 3 times a day).

A popular method of treating various back pains in the countryside (especially with sciatica) is considered to be “beating” with nettles. This requires young sprigs of nettle, which cause a burning sensation even when lightly touched. These branches need to be lightly walked over the sore spot.

Nettle can also be taken orally. It helps with many diseases of internal organs, improves immunity, normalizes metabolism. Dry leaves of the plant are also suitable for internal use. 1 tbsp raw materials need to pour a glass of boiling water, insist and drink 1 tbsp. Three times a day.

With inflammation of the kidneys, pain helps to relieve the infusion of the hernia. It is advisable to use fresh grass (1 tsp of crushed raw materials per 1 cup of boiling water, insist until cool). The finished product is drunk no more than 4 times a day, 1 tablespoon, no more, because the plant is considered poisonous.

Chamomile tea, infusion of St. John's wort, sage, yarrow, nettle, decoction of flax seeds helps relieve pain in the digestive system.

For pain caused by cardiovascular diseases, you can use the following recipes:

• Add 15 drops of valerian and hawthorn tincture to a small amount of water, put in your mouth, hold and swallow.
• Infusion of lemon balm (1 tbsp per 150 g of boiling water) take 100-110 g 3 times a day.
• Infusion of wood lice (2 handfuls of herbs per 1 liter of boiling water, leave for 6 hours) should be taken similarly to infusion of lemon balm half an hour before meals.
• Fir oil (rubbed into the heart area).
• Tincture of white step grass (alcohol 10 parts, raw herbs 1 part, leave for a week in a dark place) take 30 drops, diluted with water. Multiplicity of reception 3 times a day.

For compresses for back pain, you can use fresh leaves of burdock and horseradish, infusions of chamomile, elderberry, thyme, St. Valerian.

From a home plant golden mustache, you can prepare a tincture on the pharmaceutical preparation "Bishofite" (about 20 pieces of plant nodules are taken for 1 glass of liquid preparation and infused for 2 weeks). This tincture is good for exacerbation of diseases of the spine. It can be used both as a rub and as a compress.

Pain in the muscles of the back due to a cold can be treated with birch leaves, which are applied to the back as a compress. In pharmacies, you can ask for birch oil (a remedy for the buds of a plant), which is used as a rub for back pain under the ribs.

 In such situations, a tincture of dandelion flowers is also useful, which can be harvested for future use. A medicine is prepared from a full jar of flowers with inflorescences and half a liter of alcohol or vodka. Infuse it for 1.5 weeks, after which it can be used as an anti-inflammatory and analgesic rub.

Homeopathy

Homeopathic doctors were also puzzled by the treatment of back pain of various etiologies. To date, in their arsenal there are many homeopathic remedies that help relieve pain, but these drugs are prescribed based not only on the localization of pain and a ready diagnosis, but also on some features of the patient's body. After all, homeopathy is not a medicine, but a means of stimulating the internal forces of the body to fight the disease. And since our body is individual, such an individual approach is also required for the choice of homeopathic remedies.

But the homeopath, armed with a complex of knowledge, should be engaged in the selection of effective drugs. We can only talk about what homeopathic remedies can be prescribed for back pain under the ribs.

Aconite is a drug prescribed for exacerbation of osteochondrosis and back pain of a cold nature, it helps well with acute, tearing pains in the lumbar region. Sulfur, as a remedy for inflammation and swelling of tissues, is indicated for pinched nerves (neuralgia).

Cocculus indicus helps with first-time paralyzing pains in the lower back, combined with symptoms such as a dull ache in the shoulders and arms.

Natrium carbonicum is prescribed for night pains in the back, localized in the region of the left shoulder blade. With similar symptoms, Nux vomica may also be prescribed, especially if the patient's condition improves from heat, and worse from cold.

With pain in the region of the first thoracic vertebra, subsiding during walking and aggravated in the sitting position, Zincum metallicum is indicated.

Calcarea fluorica and Rhus toxicodendron are drugs prescribed for chronic pain in the spine, aggravated by physical exertion and overwork, and Kalium carbonicum also helps with pain in the kidneys, when the patient thinks that his legs may be paralyzed.

With a feeling of heat in the lower back, Acidum picrinicum can be prescribed, and with spinal pains radiating to the thigh and perineum, Dioscorea villos and Agaricum.

With traumatic injury to the spine and shooting pains in the back, Arnica and Hypericum will be the drugs of choice.

Of the complex homeopathic remedies for back pain, you should pay attention to "Tsel-T" and "Traumeel". The first in its action is similar to NSAIDs, and the effect of the second is closer to the action of corticosteroids. That is, these are drugs with a proven anti-inflammatory effect, so they can be purchased even in ordinary pharmacies.

We have considered mainly those drugs that homeopaths prescribe for diseases of the musculoskeletal system. But back pain can also be reflected, ie. Caused by diseases of the internal organs. In this case, the list of appointments will be completely different, because in order to relieve pain, it is necessary to treat not the back, but the focus of the disease, i.e. Kidneys, liver, stomach, pancreas, heart, organs of the reproductive system, etc.

Prescribing drugs in homeopathy, as in traditional medicine, is based on a preliminary diagnosis, otherwise the treatment may not only have no effect, but in some cases even harm the patient.

Complications and consequences

Back pain under the ribs, not associated with physical exertion and pregnancy, is considered by doctors as a possible symptom of various diseases. At the same time, the danger may not be the symptom itself (unless the pain is of such strength that a person is not able to endure, as is the case with injuries and accidents), but the diseases that are characterized by it. Therefore, it is important to understand that the earlier the disease is detected, the less negative consequences it will have and the lower the risk of all kinds of complications.

For example, gastritis, in which back pain occurs rarely and rather indicates an advanced disease, if left untreated, can easily turn into a stomach ulcer. An ulcer, in turn, requires a special diet and therapeutic and preventive procedures to prevent exacerbation of the disease and perforation of the ulcer. Perforation of an ulcer is a risk of earning peritonitis, which is considered a very dangerous disease that requires emergency care and often ends in the death of the patient. It turns out that if you do not pay attention to the symptoms of gastritis, among which there may be back pain that changes its character and intensity, you can live up to peritonitis. Not to mention its consequences.

If back pain is caused by neuralgia, there seems to be no great danger to health, but a constantly compressed nerve can become inflamed and the disease will turn into neuritis. If earlier it was not about nerve damage, it was simply squeezed by swollen muscles, but now there are deforming changes directly in the nerve tissues. As we know, nervous tissue is restored with great difficulty and not always. Damage to the nerve entails a decrease in the sensitivity of the region of the body innervated by it, a violation of the motor ability of the back muscles, as a result of which the movement of the hands is also difficult. The longer the inflammatory process lasts, the more serious its consequences will be.

Osteochondrosis, for which back pain under the ribs is one of the main symptoms, is a very insidious disease. Dystrophic changes in the tissues of the cartilage of the intervertebral discs, if nothing is done, gradually leads to displacement and protrusion of the discs (herniated discs), shortening of the spinal column, as a result of which the spinal cord, which is inside the bone skeleton of the spine, and internal organs suffer.

Gradually, the patient is diagnosed with impaired functioning of the pelvic organs (reproductive and sexual functions, urinary organs suffer), gastrointestinal tract (first of all, the stomach and intestines suffer), inflammation of the sciatic nerve is often diagnosed. Bone outgrowths appear on the segments of the spine, making it difficult to move (in the cervical and lumbar sections of the spinal column), squeezing nearby nerves and blood vessels. With pathology of the lumbar region, paralysis of the lower extremities can develop.

Needless to say, ignoring back pain as one of the symptoms of myocardial infarction or appendicitis is in itself fraught with life-threatening consequences.

Whatever the cause of back pain under the ribs, it is very important to identify it as early as possible in order to prevent unpleasant, and often life-threatening consequences and complications.

Prevention

Back pain under the ribs can cause so many different reasons that it may seem as if it is simply impossible to protect yourself from this scourge. In fact, everything is not so bad. It is possible that such a tragedy as an injury to the back or internal organs cannot always be prevented, but it is quite possible for everyone to reduce the risk of degenerative and inflammatory diseases of the back and internal organs.

Let's see what preventive measures can help us avoid excruciating back pain:

1. The first is physical activity. On the one hand, excessive load on the back is a risk factor for pain. But on the other hand, with the right approach to work and sports, you can not be afraid of such an outcome. On the contrary, moderate work at home, at work, in the garden, as well as sports activities help maintain the tone of the back muscles, strengthen the spine, which reduces the risk of displacement of the vertebrae.

If a person has to work standing or sitting for a long time, it is necessary to do active unloading of the spine, including simple exercises: body turns, bends, arm movements, etc. It would seem that it could be better than lying down and relaxing, but such a rest can help relieve pain, but does not train the back and does not help it stay healthy. On the contrary, a bedridden person develops new diseases, back pain and other unpleasant symptoms.

There is such a useful activity for the back as swimming, during which all the muscles of the back work and train. This activity, among other things, gives pleasure and contributes to the hardening of the body, and modern conditions make it possible to swim all year round (in open reservoirs and pools of open and closed type).

Daily walks are a great opportunity to get some air and stretch your back. They are available to both healthy people and those who suffer from diseases, but are not bedridden. This is a good prevention of congestion in the body.

As for exercises to strengthen the back, this can include not only exercises to strengthen and stretch the muscles of the back, but also exercises that develop the abdominal press, complexes for the neck and limbs, and relaxation exercises. You need to deal with your health comprehensively, because everything in the body is interconnected. No wonder, some scientists believe that most of the diseases come from an unhealthy spine, and it starts from the head and stretches almost to the anus.

1. The second point can be called rational nutrition. In our diet, there should be not only vitamins, but also a sufficient amount of minerals that are included in the composition of muscle and bone tissue, provide nerve conduction, and proper metabolism in the body.

Salt, on the other hand, cannot be called a useful mineral in nutrition, it does not contribute to the health of the joints, so you should not abuse it. Another thing is that it can be used as an antiseptic.

As for mineral complexes, you should not use them without special need. An excess of minerals can be just as dangerous as their deficiency.

Nutrition should provide for the needs of the body, and not satisfy our perverted desires. Maybe fresh, boiled, baked, stewed foods and do not have the same rich taste as fried, smoked, salted or pickled, but they are much healthier and safer for our stomach.

Eating such foods, limiting salt and chemical additives in meals, following a diet (you need to eat at least 3 times a day), avoiding fast food snacks and pastries, avoiding alcohol helps maintain a healthy gastrointestinal tract, and this reduces the likelihood the appearance of back pain caused by pathologies of the gastrointestinal tract. This approach to nutrition reduces the risk of developing diseases of the liver and kidneys, pancreas and gallbladder.

1. Since a person spends a significant part of his life in a dream, it is worth taking care of your bed, which will provide a good rest. And it is possible only on condition that the back is optimally relaxed. A bed for good rest should include a suitable pillow (preferably orthopedic), a mattress of medium hardness. Shell mesh is not the best choice for back health.
2. High heels, poor posture, unhealthy lifestyle (physical inactivity and bad habits), lifting and carrying heavy objects and the wrong approach to this (you need to lift weights from a squatting position, and not bending over) negatively affect the health of the spine, which means you need to reconsider your attitude towards these moments.

Back pain under the ribs is not always the result of overexertion of the spine. The appearance of such a symptom often indicates certain problems in the body, which can only be identified and eliminated by a doctor working in close cooperation with the patient. Our attention to our feelings and well-being, which helps to identify the disease at an early stage, is first of all necessary for us ourselves, because this is our health. And doctors are called upon to help us preserve it, which is impossible without the desire of the patient himself.

Forecast

Back pain under the ribs is not a disease, but a symptom of a possible disease. It is possible to make some predictions regarding this condition only after an accurate diagnosis has been made. And even if you remove the pain syndrome with the help of pharmaceutical preparations or alternative recipes, there is no guarantee that the situation will not happen again. Painkillers can only completely get rid of the pain of tension, while most diseases in which back pain is possible require long-term complex treatment so that a person can forget about an unpleasant symptom for a long time.

The most difficult in terms of treatment are stomach ulcers, myocardial infarction, oncological diseases, as well as any pathologies that occur in a chronic form. And the point is not even the lack of effective therapeutic methods, but the high risk of recurrence of the disease and the need for repeated surgical interventions on vital organs.

If we compare the pain during overwork of the back and the pathological symptom in various diseases, it becomes clear that in the first case, the treatment prognosis is almost 100 percent favorable. If the pain is provoked by a disease, the prognosis will depend on various factors: the nature and severity of the disease, the age of the patient, the individual characteristics of the body, the justification of the prescribed treatment and the fulfillment of the doctor's requirements.

Thus, we can say that the prognosis of spinal pain in most cases is individual and must be considered separately in each specific situation.