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 area of localization of pain sensations. Doctors who are familiar with such a concept as reflected (irradiating) pain look at the symptom somewhat differently. So, pain in the back under the ribs, which most of us associate with either kidney disease or radiculitis, can actually have many other causes. It is not surprising that doctors are interested not only in the exact localization of pain, but also other symptoms, the peculiarities of food intake on the eve of the onset of pain, the strength of physical activity, the presence of injuries in the past, etc.

Causes back pain under the ribs

When a patient comes to the doctor and complains of pain under the ribs from the back, it is not so easy for the specialist to immediately understand what exactly hurts. Where does it hurt: under the lower rib or under the ribs of the chest from behind, i.e. inside the sternum? Are we talking about superficial pain spreading along the muscles and skin, or is a large organ located deep inside? What is the nature of the pain: shooting, sharp or aching and dull?

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

• All kinds of back injuries: bone fractures, particularly rib fractures, chips and cracks in the posterior segments of the ribs, bruises (especially with hematomas), wounds. In case of rib fractures, especially if they are displaced, bone fragments can damage the lungs, then the pain takes on a special character, which 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 due to compression or irritation of the nerve roots passing between the ribs. Risk factors include: diseases of the spine (osteochondrosis, scoliosis, spondylitis, Bechterew's disease), injuries, sudden movements, exposure to drafts (colds). Sometimes the cause of neuralgia is heavy physical exertion, prolonged 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 peripheral nerves can also compress nerve endings. This causes back pain under the ribs similar to neuralgia. But cancerous diseases of internal organs located in the chest and lumbar region can also be accompanied by radiating pain, the intensity of which does not depend on the position of the body.
• Digestive system diseases. 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 lumbar region. Pain may radiate to the back due to inflammation of the pancreas, diseases of the liver, stomach, and gallbladder.
• Infectious and inflammatory diseases of the respiratory organs, more precisely the lower respiratory tract (bronchitis, pneumonia, lung abscess, diaphragmatic damage, etc.).
• Kidney disease. This can be either inflammation of the organ or kidney stones, as a result of which patients suffer from renal colic.
• Cardiovascular diseases. Pain under the ribs from behind the back may be a symptom of myocardial infarction or spinal stroke, the cause of which is compression, blockage or rupture of the spinal cord vessels. Pain in the back may also be felt in angina pectoris, similar to that in osteochondrosis.
• Diseases of the spleen. When this mysterious organ, whose functions are not fully understood, is ill, 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 radiculitis, which is often blamed for acute back pain under the ribs? This term does not mean a separate pathology, but a syndrome that includes motor, vegetative and pain disorders due to compression and inflammation of the spinal cord roots. In other words, this is neuritis of the spine. And the localization of pain depends on the location of the spinal cord segment 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 in 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 pass if the muscles are allowed to relax and rest.

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

Pathogenesis

Back pain under the ribs can have various causes. Depending on the cause, the nature of the pain may also change. If we are talking about a nerve lesion (this could be an injury, rupture, compression or inflammation of the nerve fiber), the pain is usually acute (stabbing, shooting). But if such pain is constant and bearable during inflammation, 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, restricting movement).

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

In back injuries, both a rupture of the nerve fiber and its compression are possible. Most often, the nerve is compressed by damaged muscles, which swell when bruised. A compaction may form in the muscles and subcutaneous tissue, which first has a red and then a bluish tint (hematoma). This compaction can also compress small nerves responsible for the innervation of this area, 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 nerve tissue. This is the second cause of persistent pain in injuries 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, which occurs as a result of compression and tissue ischemia, and hematoma. But the causes of locally increased muscle tone can be more serious. For example, such a symptom can be an indicator of vascular diseases of the brain or spinal cord, pathologies of the central nervous system, injuries, demyelinating diseases such as multiple sclerosis. In the latter case, the myelin sheath of nerve fibers is destroyed, which disrupts bioelectric conductivity in them. A delay in the signal from the central nervous system about muscle relaxation is accompanied by compression of nerve fibers and 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.

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

As we can see, pain under the ribs in the back can occur both in response to tissue inflammation 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 complain about it most often. Heavy physical work and poor working conditions, an incorrect approach to sports, nutritional errors, infectious and inflammatory diseases - all these are risk factors for the appearance of pain syndrome in young people.

Hypodynamia, oddly enough, is also beginning to firmly take its position as one of the main causes of back pain in young people. The reason for such statistics can be considered the general computerization and the emergence of professions that involve long-term work in a static position. At the same time, back pain occurs 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 old people, such complaints are most often associated with degenerative diseases and physical inactivity. But physical inactivity here has other causes. A person moves little because of pain in the legs, lower back and many other diseases that have accumulated over time.

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), dysfunction of the central nervous system, which is often congenital (foci of muscle hypertonicity are observed in cerebral palsy, so children often complain of pain in the back and lower back).

Diagnostics back pain under the ribs

How many times have we heard about the harm of self-diagnosis. But is it really so dangerous? If we are talking about a patient making a diagnosis and prescribing treatment on his own, the result of such an attitude to his health can have the most unpredictable and often negative consequences. But in the case of a careful attitude to his body, when a person listens to his feelings and notes their 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. It can hide many pathologies. And to make the doctor's task easier, we can provide him with as much 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 it is carried out according to a plan that includes the following questions:

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

• in which part of the body is the pain syndrome most pronounced,
• whether the source of pain is located near the surface of the body or the symptom comes from within,
• the pain is local or spreads to other parts of the body,
• what is the nature of the pain: constant or paroxysmal, sharp or dull, etc.
• are there other pathological symptoms,
• What methods and medications were used to relieve pain before you saw a doctor, and what was the result of the treatment?

In case of acute unbearable pain, no medical experiments should be carried out. Moreover, if appendicitis is suspected, even pain relief is prohibited. In such situations, you should immediately call an ambulance and completely 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 the pain and possible causes will help the doctor navigate during the physical examination. Some important information will be provided by palpation of the pain localization zone (the doctor can detect the presence of tissue seals, tension in the organ walls, muscle tone, etc.) and auscultation (listening, which evaluates the work of the heart and respiratory system).

During a physical examination, if osteochondrosis is suspected, in addition to fingering, the doctor may resort to percussion (tapping) of the area of localization of pain, which makes it possible to determine the area of distribution of pain sensations. Using a needle, the sensitivity of the area 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 with different movements and breathing acts.

Information from the medical record may also be useful, since pain syndrome is often a complication of an existing disease.

Laboratory diagnostics in case of non-specific symptoms, which may include back pain under the ribs, are of particular value. Clinical and biochemical blood tests will help determine whether the symptom is associated with an inflammatory pathology or whether it is a matter of dystrophic changes associated with metabolic disorders. Urine analysis allows assessing the functioning of the kidneys and urinary system, identifying sand and other uncharacteristic inclusions. Analysis of feces and vomit is prescribed less often, 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 cancer is suspected, a biopsy of the affected tissues is prescribed followed by 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 medical history and existing symptoms. Some tests are prescribed by a general practitioner, to whom one should usually turn with complaints of back pain. Referrals for specific studies are given by highly specialized specialists. Given the fact that the causes of back pain can be so different, the general practitioner can refer the patient for consultation with different doctors: a neurologist, surgeon, gynecologist, gastroenterologist, pulmonologist, cardiologist, urologist, etc.

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

In case of pneumonia and other diseases of the lower respiratory tract, the most informative are chest X-rays, computed tomography or magnetic resonance imaging of the chest.

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

Instrumental diagnostics is carried out based on the analysis of existing symptoms, when the doctor has a preliminary diagnosis, i.e. when the specialist has determined which organ may be responsible for the occurrence of back pain.

Differential diagnosis

Differential diagnostics is a comprehensive analysis of information obtained as a result of various studies and during the process of collecting anamnesis. Such analysis is necessary for making a final 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, diagnosis with such a symptom may present certain difficulties. The doctor must clearly differentiate pain with osteochondrosis from an attack of angina, an exacerbation of appendicitis from gynecological diseases with similar symptoms, renal colic from an exacerbation of pancreatitis, back pain with diseases of the respiratory system from the onset of myocardial infarction.

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

Treatment back pain under the ribs

As we have already noted, back pain under the ribs can have different localization and intensity. In principle, both weak and strong pains are worth paying attention to. But it turns out that until it really gets to the point, few people seek advice and help from a doctor. And when it gets to the point where it's hard to breathe, you have to call an ambulance.

But it takes time for the ambulance to get to its destination, which means that until it arrives, the patient or people near him will have to deal with the problem of acute pain on their own.

First aid for pain. 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 neurological pain and painful periods, the most relevant will be antispasmodics and combination drugs (antispasmodic plus analgesic). Antispasmodics are also effective for renal or hepatic colic.

You should not resort to muscle relaxants without consulting a doctor. These are unsafe drugs, an overdose of which can cause respiratory and cardiac arrest. For pain caused by muscle and vascular spasms, heat, which should be applied to the painful area, helps well. This treatment will ease the pain somewhat and allow you to wait for the doctor to arrive.

By the way, thermal treatment is quite good at relieving pain and fatigue caused by heavy physical labor. Although it is not associated with pathological processes in the body, it causes no less unpleasant moments.

However, heat is not a method that can be used in all cases. In case of purulent inflammation, warming up can only complicate the situation. The most dangerous thing is to apply heat to the abdomen in case of appendicitis. This can provoke a rupture of the cecum even before the ambulance arrives and the development of peritonitis. If appendicitis or peritonitis is suspected, it is undesirable to warm up the abdomen to relieve pain or take painkillers that complicate diagnosis, with the exception of antispasmodics that do not blur the overall picture of the pathology.

If we are talking about inflammatory diseases, it is more effective to use non-steroidal anti-inflammatory drugs to relieve pain, providing an analgesic effect. 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 more gently, therefore, in case of exacerbations of gastritis or ulcers of the stomach and duodenum, they or drugs with a combined effect (for example, "Spazmalgon", "Spazmil") are recommended to relieve pain.

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

In the absence of suitable medications, you can use Paracetamol or Ibuprofen as a one-time treatment, which are considered to be drugs with minimal side effects.

In case of heart diseases, all the above-described drugs do not bring the desired effect. The most relevant for angina is taking one tablet of "Nitroglycerin", which usually completely stops the attack. In case of 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 the ambulance has not yet arrived by that time.

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

In case of acute pain associated with osteochondrosis and spinal diseases, even local treatment helps to relieve discomfort - applying warming, distracting and pain-relieving ointments to the affected area. In this case, the back should be additionally insulated. Any analgesics can be taken internally to speed up the effect.

It is important 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.

When calling an ambulance, we mention the symptoms of the disease and its possible causes; it would be a good idea to also inquire about safe methods that will help the patient survive the pain until the doctor arrives, rather than acting blindly.

Complex treatment. Back pain under the ribs is just one of the symptoms of many diseases. At the same time, pain relief is only a stage of a complex approach to treating the disease, which allows to alleviate the patient's condition.

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

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

If the back pain under the ribs is caused by degenerative changes in the spine (osteochondrosis), complex treatment is prescribed, which is carried out in two stages. First, the pain in the spine is eliminated, and then they move on to restoring the damaged tissue of the intervertebral discs and preventing exacerbations of the disease. At the first stage, the drugs of choice are NSAIDs (less often glucocorticosteroids in injections), local distracting and analgesic agents in the form of creams and ointments. Wearing a special corset that reduces the load on the spine, physiotherapy is offered: electrophoresis with painkillers, electrotherapy, laser therapy, shock wave therapy, water and heat treatments, 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 physiotherapeutic treatment is expanded. The complex of procedures includes massage, shock wave therapy, hirudotherapy, and therapeutic exercise.

In case of 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).

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

Physiotherapeutic methods include electrophoresis with analgesics and anesthetics, transcranial electroanalgesia, diadynamic therapy, fluctuation, UHF therapy, ultrasound, darsonvalization, magnetic therapy, and laser therapy. They also perform therapeutic paraffin applications, mud, hirudo, and reflexotherapy sessions.

Treatment of myocardial infarction is also not limited to a surgical operation called "coronary angioplasty" or "aortocoronary bypass grafting". Additional treatment is aimed at pain relief (morphine administration, neurolepanalgesia), anxiety relief (tranquilizers), and hypoxia prevention (oxygen mask). The following are mandatory: antiplatelet therapy (acetylsalicylic acid preparations), administration of anticoagulants (heparin), thrombolytic therapy (streptokinase, aldeplase), and beta-blockers (metoprolol, propranolol, etc.).

In case of cardiac ischemia and angina pectoris, similar treatment is carried out, which is supplemented with antiherpetic agents, cardiac glycosides, decongestants, and antiarrhythmic drugs.

Of the physiotherapy methods for cardiopathies, the most applicable are hydrobalneotherapy, electrotherapy, massage, and therapeutic exercise, which are individually prescribed during the recovery period.

Let's consider the treatment of inflammatory diseases of the respiratory tract using pneumonia as an example. In this case, the 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 endure it on our feet, provoking multiple complications. Nevertheless, a person who is attentive to himself and his feelings may be worried by the pain, which will be the reason for visiting a doctor.

Pneumonia is an infectious disease caused by different 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 pathogen. Without this, the inflammation cannot be stopped, and a long-term inflammatory process can irreversibly change the lung tissue.

Antibiotics are traditionally used to combat bacterial infections. Treatment of pneumonia of fungal etiology involves the use of antifungal agents. But the elimination of viruses is considered the task of the body itself, and antiviral drugs with an immunostimulating effect can help it with this. If antibiotics are prescribed for a non-bacterial infection, it means that 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 pneumonia is bed rest during the first days of the acute period, to which is added plenty of warm drinks, cough medicines (for dry cough) and mucolytics and expectorants (for wet cough), bronchodilators for shortness of breath, and antipyretics if necessary. No heating pads on the lung area, especially if the disease is bacterial in nature.

Anti-inflammatory and painkillers are prescribed by a doctor. But usually the pain symptom of pneumonia is not so strong, rather it is 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 therapy, ultraviolet and infrared irradiation, 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 contain large amounts of information. At the same time, both the drugs used and the approaches to treating the same diseases may differ depending on the etiology of the disease, the patient's age, and the individual characteristics of the body.

Medicines

Without being distracted by the issues of complex treatment of various diseases with back pain syndrome, let us consider some drugs that help eliminate unpleasant sensations. For most pathologies, these are analgesics, antispasmodics, NSAIDs. For heart diseases, the first aid is "Nitroglycerin".

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

This budget drug, proven over the years, is now available in many forms, 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 different dosages, capsules, syrups, suspensions, suppositories for rectal use.

Tablets and capsules for patients over 12 years of age are allowed to be taken in 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. Tablets are taken at intervals of 4-6 hours, without chewing, with water.

Rectal suppositories are approved for use from 1 year, with the daily dosage calculated as 60 g per kilogram of the child's weight. For patients over 3 years old, the daily dose corresponds to the dosage of tablets. Suppositories are inserted at the same intervals.

Syrup is most often used to treat children from 3 months to 12 years old, but it is quite acceptable to treat older patients. Infants under 1 year old can be given no more than 5 ml of syrup, children 1-5 years old can be given 10 ml, children under 12 years old are given 10-20 ml of syrup at a time. The dosage for adolescents and adult patients is no more than 40 ml of syrup. The frequency of administration is 3-4 times a day, taking into account that 5 ml of syrup contains 120 mg of paracetamol.

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

Side effects of the drug include: changes in blood composition, effects on the central nervous system (excitement or drowsiness), symptoms from the gastrointestinal tract (nausea, pain in the epigastrium) and excretory system (purulent-inflammatory kidney diseases), allergic reactions. Severe symptoms are usually a consequence of long-term use of the analgesic or taking high doses of the drug.

The second group of drugs for relieving back pain under the ribs are antispasmodics (drugs that relieve muscle spasms and pain syndrome). These drugs have a wider application, since they do not distort the overall picture of serious diseases.

Well-known antispasmodics include: "Drotaverine", its foreign analogue "No-shpa", "Papazol", "Buscopan", "Difacil", etc. Somewhat later, combination drugs appeared on pharmacy shelves that act simultaneously on pain syndromes of different etiologies ("Baralgin", "Spazmalgon", "Spazmil", "Renalgan", "Spasgan", etc.), which allows them to be used even in cases of pain, the cause of which is not precisely determined.

For example, the drug "Renalgan" as an antispasmodic can be prescribed for renal and hepatic colic, stomach and intestinal spasms, dysmenorrhea (painful menstruation). 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 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: gastric and intestinal obstruction, decreased muscle tone of the urinary and gall bladder, severe liver and kidney diseases, identified abnormalities in the blood composition, blood diseases, and deficiency of the enzyme G-6-PD. This list can include closed-angle glaucoma, bronchial asthma, collapse, arrhythmia, tachycardia, and prostate pathology with impaired urination. The drug is not given if appendicitis or other acute surgical pathology is suspected.

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

Among the side effects of the drug, it is worth mentioning a certain probability of exacerbation of gastrointestinal pathologies, discomfort in the epigastrium, stool disorders, heart rhythm disorders, decreased blood pressure, changes in blood composition, reversible and irreversible kidney dysfunction, decreased vision, liver dysfunction (jaundice, hepatitis), decreased sweating, fainting. Allergic and anaphylactic reactions are also possible.

Despite the 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 mainly concerns Analgin. Many drugs from the analgesic group are included in the list of NSAIDs. Thus, Aspirin (acetylsalicylic acid) is classified as an NSAID with pronounced anti-inflammatory activity, and Paracetamol is classified as an NSAID with a weak anti-inflammatory effect. Baralgin, whose active ingredients are an analgesic and an antispasmodic, is classified as a combined NSAID.

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.

When back pain occurs under the ribs, the hand just reaches for the widely advertised drug "Diclofenac" (other NSAIDs may be no less effective), which is available in the form of an injection solution, tablets, ointment and gel, suppositories, and a solution for treating eyes. And it must be said for good reason. The drug has many indications for use, including inflammatory diseases of internal organs, diseases of the spine, and neurological problems.

The injection drug is used intramuscularly for a two-day course, administering 75 mg of the drug every 12 hours to treat moderate pain syndrome. It is then recommended to switch to oral administration of the drug or treatment with rectal suppositories.

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

The same dosages should be followed when treating with rectal suppositories. They should be used two or three times a day.

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

The drug in any form of release cannot be used in case of hypersensitivity to any NSAIDs and the development of allergic reactions 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 blood clotting disorders. Do not use in the treatment of children under 15 years of age. Caution should be exercised in case of bronchial asthma, anemia, severe heart failure, severe edema, hypertension, liver and kidney dysfunction, diabetes mellitus. The rectal form of the drug is prohibited for inflammatory diseases of the rectum.

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

Local forms of the medicine should not be applied to wound surfaces, scratches, or cuts.

The main side effects of the drug are considered to be: gastrointestinal disorders, sleep disorders, seizures, swelling, tinnitus, hearing, vision and taste disturbances, kidney and respiratory system problems, increased blood pressure, exacerbation of cardiovascular pathologies, including heart attack, allergic and skin reactions.

As we can see, in case of heart diseases and myocardial infarction, "Diclofenac" can hardly be recommended by a doctor, so it should not be taken to relieve reflected back pain against the background of cardiopathies. In this case, the first aid drug is "Nitroglycerin", and later, narcotic analgesics are prescribed to relieve severe pain.

"Nitroglycerin" is not an analgesic. It is a nitrate vasodilator that regulates the tone of blood vessels and heart function, redistributes pressure in the vessels, and promotes relaxation of the muscle tissue of the bronchi, gastrointestinal tract, biliary tract, and urinary tract. The drug is prescribed mainly to relieve angina attacks and reduce pain during myocardial infarction (pre-hospital care).

The medicine is used in capsule form to treat adult patients. The tablet is placed under the tongue and kept there until it is completely dissolved or the pain syndrome disappears. Repeated administration of the drug is possible no earlier than after 5-15 minutes, taking into account 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. The drug is also NOT given in case of toxic pulmonary edema, as well as in case of recent head injury.

Side effects of the drug are considered to be: headaches, visual impairment, fainting, decreased blood pressure, cyanosis or facial hyperemia, nausea, vomiting, epigastric pain. Possible: exacerbation of coronary heart disease, hot flashes, respiratory failure, tachycardia, disorientation, allergic reactions.

Choosing 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 a person's 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 should sit back and do nothing. You just need to listen more carefully to your body and take into account the condition of another person in the event of first aid, and not use the first drug that comes to hand that can relieve pain.

Folk remedies

We have tried to consider almost all possible causes of pain in the back area under the ribs and even complex treatment of some of them, but according to statistics, 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 radiculitis, followed by scoliosis, herniated disc, myalgia. Diseases of internal organs, with the exception of the kidneys, are usually accompanied by pain in the abdomen and chest in front, and irradiation of pain to the back is considered rather an exception to the rule.

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

But let's return to such a symptom as back pain under the ribs. What does traditional medicine offer for its treatment? Firstly, it is a local effect with compounds with an irritating, distracting, warming and anti-inflammatory effect. Such an effect does not have a pronounced therapeutic effect if it is not combined with treatment of the body from the inside. Nevertheless, as an emergency aid for excruciating pain, they are a worthy replacement for pharmacy drugs. By the way, many pharmacy ointments and rubs for back pain are made on the basis of natural products and extracts of medicinal herbs.

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

Here are some examples of effective folk remedies for local action against osteochondrosis, radiculitis, myalgia and some other diseases with back pain:

• Horseradish is a popular plant with a pungent taste, which when applied topically has an irritating and distracting effect. Both the root and the leaves of the plant are used to treat pain (preferably in combination). A gruel is made from the root, and the leaves are used whole. First, a gruel of horseradish root is placed on a piece of natural fabric and applied to the back in the area of pain. The gruel is covered with a cloth and a hot iron is carefully applied to it, warming the mixture inside. This treatment can be maintained for 3-5 minutes. But during this time, the pain noticeably subsides.

Next, remove the horseradish pulp and apply fresh, washed leaves of the plant to the skin. Be sure to warm your back, using natural wool fabrics if possible. The exposure time is from 15 to 30 minutes. With each subsequent procedure, the duration can be increased.

• If 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 need to grate the horseradish root again, add the same amount of grated raw potato and a little honey to the composition. The thoroughly mixed paste is applied to the sore area in a thick layer (about 1 cm) and covered with a film. A warm cloth is placed on top.

The compress makes the skin feel like it's burning, but there's no need to be afraid of it. 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 horseradish root in the form of a gruel, which is applied over the fabric to the site of pain. It is recommended to cover the structure with film and insulate it from above. 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 adding yeast and kept warm for some time (soured). It is easier to use steep but soft dough, which is spread in a thick layer on the back over gauze folded in two or three.

It is more appropriate to fix such a compress on the body and leave it overnight. Sometimes garlic gruel 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.

Preheated salt, sand, cherry pits in a linen bag are used as warming agents; such agents do not irritate the skin, but only warm it, which provides relaxation and reduces pain. Woolen items (especially sheep wool) also have a warming effect. A belt can be made from woolen fabric, which can be fixed to the sore spot. The effectiveness of such a belt increases if it is pre-soaked in a warm saline solution for an hour and a half, and then dried. "Salty" wool can be worn on the body for several days, which helps with chronic pain that is difficult to relieve in 1-2 procedures.

Back pain under the ribs can be relieved by using various homemade ointments and rubs or by using ready-made pharmacy products, for example, the balm "Golden Star" (simply "star"), which has anti-inflammatory, local anesthetic, warming, antiseptic effects, improving blood circulation and tissue trophism.

The ointment-rub "Pchelovit" also has a good pain-relieving effect; it contains bee venom (relieves 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 an anti-inflammatory effect), camphor, turpentine (warming and trophic effect).

Various warming agents with local 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 achieved thanks to 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 in the form of 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).

Ginger (you can use ready-made powder or gruel from fresh root), propolis, essential oils of rosemary, fir, sponge, and cabbage leaves have an anti-inflammatory effect, which relieves pain caused by swelling and inflammation of tissues.

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

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

Acupuncture helps to quickly relieve back pain, but not everyone knows 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. Holes need to be made in the caps and sewn onto the fabric at a distance of 6-8 mm. If such an applicator is placed under the buttocks, it helps relieve tension and back pain during sedentary work.

For severe back pain, place the prepared applicator on the painful area and press for 40-60 seconds.

Herbal treatment

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

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

• Parsley. A decoction of the plant root is taken orally 2 times a day, one tablespoon at a time.
• Melissa. The leaves of the plant are mixed in equal proportions with orange zest, 2 teaspoons of the mixture are brewed with 2 cups of boiling water and infused for 1 hour, after straining, 2 teaspoons of honey and valerian tincture are added to the warm mixture. Drink 1 glass of infusion per dose, the daily dose is 2 glasses. The course of treatment is 1 month.
• Pine needles. 200 grams of raw material is poured with 1 liter of boiling water, infused and taken twice a day, 1 glass at a time.

These plants help reduce inflammation and swelling that accompany degenerative diseases. For inflammation of nerve and muscle tissue, you can take an Adonis infusion (1 teaspoon of dry raw material per glass of boiling water, infuse and take 1 tablespoon 3 times a day).

A popular method of treating various back pains in the countryside (especially with radiculitis) is considered to be "beating" with nettles. For this, you need young branches of nettles, which cause a burning sensation even when lightly touched. You need to lightly walk over the sore spot with these branches.

Nettle can also be taken internally. It helps with many diseases of internal organs, increases immunity, and normalizes metabolism. Dry leaves of the plant are also suitable for internal use. 1 tbsp. of raw material should be poured with a glass of boiling water, infused and drunk 1 tbsp. three times a day.

In case of kidney inflammation, pain can be relieved by infusion of hernia. It is advisable to use fresh grass (1 teaspoon of crushed raw material per 1 glass of boiling water, leave 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, and flax seed decoction help 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.
• Melissa infusion (1 tbsp. per 150 g of boiling water), take 100-110 g 3 times a day.
• Chickweed infusion (2 handfuls of herbs per 1 liter of boiling water, leave for 6 hours) should be taken in the same way as lemon balm infusion, half an hour before meals.
• Fir oil (rub into the heart area).
• Tincture of the herb white bryony (alcohol 10 parts, raw herb 1 part, leave for a week in a dark place) take 30 drops, diluted with water. Frequency of administration 3 times a day.

For compresses for back pain, you can use fresh burdock and horseradish leaves, infusions of chamomile, elderberry, thyme, St. John's wort, ointments based on horse chestnut (the powder of the herb should be mixed with melted lard and camphor) and tansy, tinctures of eucalyptus, burdock, Adam's root, valerian.

From the house plant golden mustache, you can prepare a tincture on the pharmacy drug "Bishofite" (for 1 glass of liquid preparation take about 20 pieces of plant nodes and insist for 2 weeks). Such a tincture helps well with exacerbation of spinal diseases. It can be used both as a rub and as a compress.

Back muscle pain 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 made from the buds of the plant), which is used as a rub for back pain under the ribs.

In such situations, tincture of dandelion flowers will also come in handy, which can be prepared for future use. The medicine is prepared from a full jar of flowers with inflorescences and half a liter of alcohol or vodka. It is infused for 1.5 weeks, after which it can be used as an anti-inflammatory and pain-relieving rub.

Homeopathy

At one time, homeopathic doctors were also concerned with the treatment of back pain of various etiologies. Today, they have many homeopathic drugs in their arsenal that help relieve pain, but they prescribe these drugs 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 body's internal forces to fight the disease. And since our body is individual, such an individual approach is also required to the choice of homeopathic drugs.

But the selection of effective drugs should be done by a homeopath, armed with a set of knowledge. We can only tell you 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 pain in the lumbar region. Sulfur, as a means of relieving inflammation and tissue swelling, is indicated for pinched nerves (neuralgia).

Cocculus indicus helps with new onset paralyzing pain in the lower back, combined with symptoms such as dull pain in the shoulders and arms.

Natrium carbonicum is prescribed for nighttime back pain localized in the area of the left shoulder blade. Nux vomica may also be prescribed for similar symptoms, especially if the patient's condition improves with heat and worsens with cold.

For pain in the area of the first thoracic vertebra, which subsides during walking and intensifies in a sitting position, Zincum metallicum is indicated.

Calcarea fluorica and Rhus toxicodendron are drugs prescribed for chronic pain in the spine, which increases with physical exertion and fatigue, and Kalium carbonicum also helps with pain in the kidneys, when the patient feels like his legs are about to go numb.

If there is a feeling of heat in the lower back, Acidum picricinum may be prescribed, and for spinal pain radiating to the thigh and perineum, Dioscorea villosa and Agaricum may be prescribed.

For traumatic spinal injury and shooting back pain, the drugs of choice are Arnica and Hypericum.

Among the complex homeopathic preparations for back pain, it is worth paying attention to "Zel-T" and "Traumeel". The first is similar in its action to NSAIDs, and the effect of the second is closer to the action of corticosteroids. That is, these are products with proven anti-inflammatory action, so they can be purchased even in regular pharmacies.

We have mainly considered those drugs that homeopaths prescribe for diseases of the musculoskeletal system. But back pain can also be reflected, i.e. caused by diseases of the internal organs. In this case, the list of prescriptions will be completely different, because to relieve pain, it is not the back that needs to be treated, but the source of the disease, i.e. the kidneys, liver, stomach, pancreas, heart, reproductive system organs, etc.

Prescribing medications 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 related to physical activity and pregnancy, is considered by doctors as a possible symptom of various diseases. In this case, it is not the symptom itself that may be dangerous (unless the pain is so strong that a person is unable to bear it, as happens 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 fewer 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 is more likely to indicate an advanced disease, can easily develop into a stomach ulcer if left untreated. An ulcer, in turn, requires a special diet and treatment and preventive procedures to prevent exacerbation of the disease and ulcer perforation. Perforation of an ulcer is a risk of getting 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 ignore the symptoms of gastritis, which may include back pain that changes in nature and intensity, you can live to see peritonitis. Not to mention its consequences.

If back pain is caused by neuralgia, there is no great danger to health, but the constantly compressed nerve can become inflamed and the disease will develop into neuritis. If earlier there was no talk of nerve damage, it was simply compressed by swollen muscles, now there are deforming changes directly in the nerve tissues. As we know, nerve tissue is restored with great difficulty and not always. Nerve damage entails a decrease in sensitivity of the area of the body innervated by it, a violation of the motor ability of the back muscles, as a result of which hand movement 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 lead to the displacement and protrusion of the discs (herniated discs), shortening of the spinal column, as a result of which both the spinal cord, located inside the bone skeleton of the spine, and the internal organs suffer.

Gradually, the patient develops dysfunctions of the pelvic organs (reproductive and sexual functions, urinary organs suffer), gastrointestinal tract (primarily the stomach and intestines suffer), and sciatic nerve inflammation is often diagnosed. Bone growths appear on the spinal segments, impeding movement (in the cervical and lumbar spine), compressing nearby nerves and blood vessels. With pathology of the lumbar spine, paralysis of the lower extremities may 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 pain in the back 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 be caused by so many different reasons that it may seem as if it is simply impossible to protect yourself from this misfortune. In fact, everything is not so bad. Perhaps such a tragedy as a back or internal organ injury cannot always be prevented, but everyone can reduce the risk of degenerative and inflammatory diseases of the back and internal organs.

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

1. First of all, it is physical activity. On the one hand, excessive strain 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 around the house, at work, in the garden, as well as sports activities help to maintain the tone of the back muscles, strengthen the spine, which reduces the risk of vertebral displacement.

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: torso turns, bends, arm movements, etc. It would seem that what could be better than lying down and relaxing, but such rest can help relieve pain, but does not train the back and does not help it stay healthy. On the contrary, a person confined to bed 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, brings pleasure and helps to harden the body, and modern conditions make it possible to swim all year round (in open water bodies and open and closed pools).

Daily walks are a great way to get some fresh air and stretch your back. They are available to both healthy people and those who suffer from illnesses but are not bedridden. This is a good preventative measure against stagnation in the body.

As for exercises to strengthen the back, here you can include not only exercises to strengthen and stretch the back muscles, but also exercises to develop the abdominal press, complexes for the neck and limbs, and relaxation exercises. You need to take care of your health in a comprehensive manner, because everything in the body is interconnected. It is not for nothing that some scientists believe that most 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. Our diet should contain not only vitamins, but also a sufficient amount of minerals that are part of muscle and bone tissue, provide nerve conductivity, and proper metabolism in the body.

Salt cannot be called a mineral useful in nutrition, it does not contribute to the health of 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 take them without special need. Excess of minerals can be as dangerous as their deficiency.

Nutrition should provide for the needs of the body, and not satisfy our perverted desires. Fresh, boiled, baked, stewed products may not have the same rich taste as fried, smoked, salted or marinated ones, but they are much healthier and safer for our stomach.

Eating such products, limiting salt and chemical additives in dishes, following a diet (you need to eat at least 3 times a day), refusing to snack on fast food and baked goods, and refusing alcohol helps maintain the health of the gastrointestinal tract, and this reduces the likelihood of back pain caused by gastrointestinal pathologies. 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 sleeping, it is worth taking care of his bed, which will provide a good rest. And it is possible only if the back is optimally relaxed. A bed for a good rest should include a suitable pillow (preferably orthopedic), a mattress of medium hardness. A shell mesh is not the best choice for the health of the back.
2. High heels, poor posture, an unhealthy lifestyle (lack of exercise and bad habits), lifting and carrying heavy objects and the wrong approach to this (heavy objects should be lifted from a squatting position, not bent over) have a negative impact on the health of the spine, which means you need to reconsider your attitude to these issues.

Back pain under the ribs is not always a consequence of spinal strain. The appearance of such a symptom often indicates certain problems in the body, which can only be identified and eliminated by a doctor working closely with the patient. Our attention to our feelings and well-being, which helps to identify the disease at an early stage, is primarily needed by ourselves, because this is our health. And doctors are called upon to help us maintain 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 any predictions regarding this condition only after an accurate diagnosis. And even if you relieve the pain syndrome with the help of pharmaceutical drugs or folk recipes, there is no guarantee that the situation will not repeat itself. Painkillers can completely get rid of tension pain only, but most diseases that can cause back pain require long-term complex treatment so that a person can forget about the unpleasant symptom for a long time.

The most difficult to treat are gastric ulcers, myocardial infarction, oncological diseases, and any pathologies that occur in a chronic form. And it is not even a matter of the lack of effective therapeutic methods, but of the high risk of relapse of the disease and the need for repeated surgical interventions on vital organs.

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

Thus, it can be said that the prognosis for spinal pain is in most cases individual and should be considered separately in each specific situation.