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Health

Back pains in the left leg, hand and heart

, medical expert
Last reviewed: 23.04.2024
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Discomfort soreness never appears just like that. Having listened to the signals of our own organism, we often can not only correct our health in time, but also, perhaps, save our life.

Back pains in the left leg

More often than not, people complaining of the mentioned disadvantage become patients of orthopedists or vertebrologists. Without going into details of symptoms, we list the main pathological changes in the structural elements of the spinal column in the lumbar region and below can lead to the emergence of left-side pain in the back irradiating to the leg.

  1. Facet syndrome is an infringement of the synovial membrane of the capsule of the vertebral joint, and even pinching at the level of the neck, which occurs most often in the direction of the lower limb.
  2. Disruption of calcium metabolism in bone tissue, depression and bone embrittlement (osteoporosis).
  3. Exspiration of osteophyte (spondylitis).
  4. Shift of the upper vertebra relative to the one located below (spondylolisthesis), more often it is congenital, less often - acquired as a result of a fracture of the vertebral stem.
  5. Narrowing (stenosis) of the spinal canal - mainly develops in the elderly.
  6. Bulging or protrusion of the disc.
  7. Intervertebral hernia or prolapse.
  8. Vertebral fractures.
  9. Ankylosing spondylitis (ankylosing spondylitis) - inflammation of the joints of the spine, characterized by night pain.
  10. Congenital abnormalities (sacralization, lumbalization, neurofibromatosis, deforming osteodystrophy, and others).
  11. Oncopathology.

Painful left-sided sensations radiating to the leg appear when the spinal cord and peripheral nerves of the lower limbs are injured. The most common causes may be:

  1. All kinds of neuropathies - sciatic, femoral, tibial nerves, polyneuropathy of various etiologies (tunnel syndromes).
  2. Neuralgia of the sciatic nerve as a complication of herpes zoster.
  3. Epidural hematoma or abscess.
  4. Primary and secondary neoplasms.
  5. Radicular neuromas.
  6. Infectious lesion of the vertebrae (osteomyelitis, tuberculosis).
  7. Spinal syphilis.
  8. Chronic meningitis
  9. Post-traumatic regional complex pain syndrome (sympathetic dystrophy).
  10. Plexitis of the lumbosacral nerve plexus.
  11. The formation of cavities in the spinal substance (syringomyelia).
  12. Pelvic vein obstruction or constriction and intermittent claudication.
  13. Acute violation of spinal circulation.

Other diseases manifested by pain in the left side of the back, giving to the leg, can be inflammation, neoplasm, tuberculosis of the left kidney, ureter, coxarthrosis, peptic ulcer, blockage of the left femoral artery, effects of injections in the left thigh, in women - of the left ovary or fallopian tube , ectopic pregnancy and this list is not yet complete. Understanding the cause of such pain is not easy, sometimes you need to get advice from many specialists.

If we analyze which parts of the leg suffer from pain, we can assume what causes it is caused. But to establish an accurate diagnosis and prescription of drugs for the treatment of this will not be enough.

In the lower limb radiates pain from the lower regions of the back. When sensations are reflected in the upper (femoral) part of it, then it is worth being examined for the presence of:

  • protrusion, hernia, spondylosis, stenosis in the lumbosacral vertebrae;
  • neoplasms of spinal structures in the same place;
  • bursitis of the tendons of the gluteal muscles;
  • neuropathy of the sciatic nerve (back of the thigh to the foot);
  • vasculitis.

Lampace pains (across the entire lateral surface of the lower limb) can provoke:

  • prolapse of the upper lumbar vertebrae;
  • burning intolerable pains - compression of the lateral cutaneous femoral nerve in a tunnel formed by the external fascia of the thigh or by bundles of the inguinal ligament (vertebral paresthetic meralgia, Rota-Bernhardt syndrome).

Intense pain in the back, radiating to the left leg is often observed in patients undergoing treatment with blood-thinning drugs (anticoagulants). The reason for this is blood sweating with the formation of a hematoma in the retroperitoneal space. In parallel, the femoral muscles can atrophy.

Back pain to the left, giving way to the leg, may be present in the symptom complex of diabetic asymmetric neuropathy.

Irradiation from the lumbar region to the frontal surface above the knee may indicate dysfunction of the quadriceps femoris. In this case, it is difficult for the patient to tighten the lower limb to the chest, bending it at the hip joint, and straighten it at the knee.

Irradiation in the knee of the lumbar pain syndrome indicates problems in the hip joint or tumors in the pelvic organs (ovaries, prostate gland).

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Back pain to the left gives to the arm.

Sensations irradiating to the upper limb are usually caused by pathological changes in the region of the cervical and thoracic vertebral departments.

Protrusions, hernias, spinal canal stenosis, disc dislocation and osteophyte proliferation, as well as neoplasms, sprains and fractures can manifest themselves as pain spreading along the entire length of the arm up to the fingers, the main focus of which is felt in the back.

The subscapular bursitis (inflammation of the articular sac) is manifested by a significant pain syndrome in the focus, giving in to the shoulder joint, limited movement, numbness of the shoulder and upper arm.

Plexitis of the cervical or brachial (most common) nerve plexus: the focus of acute pain is localized at the site of injury and spreads to the entire upper limb. Pleksalgiya especially a lot of torment delivers at night and when driving. Over time, progressive muscle weakness is noted, movement in the shoulder and elbow joints becomes difficult, and sometimes the patient cannot fully act with the hand.

In addition to pathological changes in the structures of the musculoskeletal system, pain in the left back can give to the hand for heart disease - inflammation of different parts of the heart muscle: pericardium, endocardium, myocardium. The most dangerous condition in this case is myocardial infarction. Pain, in contrast to neuralgia and radicular syndromes, are not shooting and drilling in nature, but burning or pulling.

Pricking and burning sensation in the left side of the back with numbness of the upper limb manifests a dissecting aortic aneurysm. Pain migrates from the upper body to the level of the loin.

Pathologies of the lower respiratory tract - left-sided pneumonia, abscess, pleurisy can cause these pains. Their presence is usually accompanied by cough, shortness of breath, fever, while there is pain in the back when inhaling to the left.

Torn spleen in half of the patients can be felt at the beginning of a significant soreness under the scapula to the left, giving in to the shoulder. A large cyst of this organ sometimes manifests itself with pains in the shoulder and discomfort under the ribs on the left side, sticking pain on inspiration, shortness of breath and coughing.

The infarction of the spleen with the defeat of a large area is manifested by severe pain extending to the lumbar region and shoulder, aggravated during breathing, coughing, movement.

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Back pain to the left gives to the heart.

This localization of pain is most often triggered by intercostal neuralgia in osteochondrosis. Such pains can be distinguished from the heart by some signs:

  • press your fingers along the pain - the nervous origin will intensify and even arise again if calmed down;
  • there is an intensification of pain during deep breaths, bends and / or bends;
  • inability to lie on the left side - immediately begins to hurt.

Intervertebral hernia and lower respiratory tract pain can also be confused with heart.

Inflammation of the ganglia of the stellate ganglion is accompanied by pain in the upper back, sometimes radiating to the heart. At the same time, some patients experience heart rhythm interruptions in themselves, although in fact such sensations are false, since only nerve fibers are affected.

Vertebral and myogenic syndromes, intercostal neuralgia can be felt alone as a slight discomfort, numbness. The patient involuntarily limits the movements that cause him suffering. But not breathing is not possible, so patients often complain that they feel pain in the back while inhaling to the left. This symptom is most characteristic for the infringement of the nerve roots, painful breath, especially deep, has a shooting character.

Cardiogenic bouts of pain are usually accompanied by other symptoms - weakness, arrhythmia, change in pulse rate, shortness of breath. They are stopped by heart remedies (except a heart attack). Chest pain in the left and in the back in such cases occurs after physical exertion, agitation, and not when changing position. When angina pain is almost always dull and oppressive, or the patient feels a burning sensation in the retrosternal space. Attacks do not last more than a quarter of an hour, they even go by themselves. A longer attack is resolved by an infarction, therefore a person suffering from angina pectoris should always carry an antianginal medication, such as nitroglycerin.

Symptoms of another fairly common cardiac pathology - cardiomyopathy most of all resemble the impairment of the nerve roots of different genesis in the thoracic spine. The pains pricking are localized in the left behind the sternum. Concerned about tired people after physical exertion. But if the pain of neurogenic origin arises immediately when an unsuccessful turn or lift of a large weight, then the heart pain - after prolonged exertion, when it seems that the forces are already running out. If the patient has had time to rest, then the pain that has arisen, for example, in the morning after yesterday's overload should rather be attributed to neurogenic ones. However, hardware diagnostics (electro or echocardiography) will help to clarify the diagnosis.

Cardiac catastrophe - myocardial infarction requires emergency medical intervention in the very first hours. It can also manifest itself as back pain on the left, extending to the heart, left shoulder, elbow, and lower jaw. Heart attack pain lasts more than a quarter of an hour. A man is embraced by the feeling of approaching death, and this scares him. It weakens, breathes heavily, there is tremor in the body, sweating rises. There may be diarrhea and vomiting.

Gastric or intestinal colic can give to the heart area, sometimes heartburn is confused with an attack of angina. They are similar to the presence of a burning sensation and a pressing sensation in the retrosternal region. But with heartburn, symptoms of dyspeptic disorders are usually present, especially after consuming non-too-dietary foods.

It hurts in the chest and in the back with diseases of the lower respiratory tract, however, with bronchopneumonia, tuberculosis, dry pleurisy, dull pain is characterized by persistence. In addition, the patient usually coughs, weakens, suffers from shortness of breath and sweating, he may have a low-grade or even febrile temperature. Respiratory diseases manifest even though any symptoms other than pain.

Back pain when inhaling on the left can be a symptom of pneumothorax (air penetration into the pleural cavity). It can be both traumatic and spontaneous. In addition to pain, this condition is accompanied by attacks of dry cough, increased pulse and breathing. The patient's skin turns pale, and he feels panic attacks. Pneumothorax - an acute condition that requires emergency care, in most cases - operational.

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Left abdominal and back pain

Suddenly starting and not letting go pain syndrome, felt in any part of the abdomen and giving way to the back, can be a symptom of an “acute abdomen”. On the left, as a rule, the pancreas, the strangulated left-sided hernia, the kidney, the intestine (diverticulitis, intestinal infections), the spleen, an atypically located appendix can hurt. In patients, the pathology of the left ovary and / or fallopian tube, endometritis, threatened miscarriage, or ectopic pregnancy can be added to this list. Problems specific to the male sex - diseases of the prostate gland and / or the left testicle. The nature of the pathologies of the above organs can be different - inflammation, neoplasms, strangulation, ruptures, complications of injuries and operations.

The radicular syndromes associated with degenerative-dystrophic processes in vertebral structures can also manifest as backflows felt in the abdomen and back on the left side.

Soreness can manifest abruptly and unexpectedly, which indicates an acute process. The painful aching, but quite tolerable pains usually accompany chronic disease. In addition to pain, patients often complain of nausea, vomiting, heartburn, weakness. Acute inflammatory processes can be accompanied by a significant increase in temperature.

Diseases of the left kidney are a very common cause of pain in the left and in the abdomen and back without gender differences. Let us briefly discuss some of their manifestations.

Nephritis - inflammatory processes often cover both paired organs and pain does not have a specific left-sided location, however, it is still impossible to exclude inflammation of one kidney. A quite mild pain of a pressing character is usually localized in the back, on the side and given in the lower abdomen. A patient may have a fever, frequent urination, he becomes sick, and vomiting often occurs.

Such pathologies as stone formation, kidney prolapse, tumors often have one-sidedness. A sufficiently severe pain in nephrolithiasis is localized in the area of the affected kidney, it is felt in the back area, it increases with physical exertion. Approximately the same symptoms are characteristic of a kidney prolapse. New growths are often asymptomatic for a long time, the appearance of pain is not a very favorable sign, indicating a growth of a tumor that affects pain receptors or nerves.

Intestinal problems (sigmoid colon, small intestine, ulcerative colitis, irritable bowel syndrome, left-sided obstruction) are manifested by soreness that can be felt in the lower left quadrant of the abdomen and given to the back. This direction of irradiation is due to the increased formation of gases and their poor discharge. The accumulation of gases causes spasm of the paravertebral muscles in a given place.

Pain in the intestine on the left, radiating to the back, can be a manifestation of diverticulitis - an inflammatory process in the colon. It can be acute and complicated by suppuration, when protrusions filled with feces remain inflamed. In surgery, diverticulitis is called “left appendicitis,” because the symptoms are similar, but usually felt from the opposite side. Requires emergency surgery.

Pain to the left of the navel and radiating to the back or region of the heart may be intestinal colic. Appear suddenly, character stitching. Accompanied by weakness. Pass themselves in about 20 minutes. Previously, patients usually ate raw plant foods, drank coffee. Good help antispasmodics, for example, but-shpa.

Left-side strangulated hernia - acute pain, up to loss of consciousness. Additionally, nausea and vomiting may occur.

Various musculoskeletal disorders in the vertebral area can be manifested by sharp backshots radiating to the lower abdomen. A characteristic feature - often occur when changing the position of the body, physical overload.

Pain in the back muscles to the left

Myalgia can be the result of overstressing (stretching, spasming) muscle fibers due to prolonged positional inconvenience, or unusually high loads (non-specific), and the manifestation of painful processes in vertebral structures - specific. Muscle aches can develop on either side of the spine. Their left-sided localization provides damage to structures and organs located on the left side of the body.

The musculo-tonic syndrome is manifested by the tone of the paravertebral muscles in the area corresponding to a specific part of the spine. Soreness and muscular tension are felt at the location of the lesion. At the same time, the pain is local and is not given anywhere. It appears during movements in which the affected muscle is involved, it does not hurt at rest, therefore the patient involuntarily and consciously tries to restrict movements causing painful sensations.

Constant stay in certain uncomfortable positions, spinal diseases, injuries, various types of overload, including due to lack of fitness, lead to the fact that the muscles experience constant hypoxia, myocyte cell membrane permeability, intracellular exchange processes are disturbed, and seals appear in overloaded areas (trigger point pain). Myofascial pain syndrome develops. This condition is characterized by constant pain in the muscles, even though the patient is moving, even though he is at rest. Irradiation of pain appears in the shoulder, arm, abdomen, leg, depending on the location of the trigger points. When probing, points (areas) of increased muscular tension are revealed - muscle strands that are very sensitive to touch, causing a painful impulse and its spread through the nerve fibers (irradiation).

The source of acute pain, aggravated by probing the affected muscles and when performing movements with their participation, are active trigger points. They provide constant pain. This is the acute stage of myofascial pain syndrome.

Subacute stage - next. Part of the trigger points goes into a latent (latent) state and pain occurs only when moving with the participation of affected muscles.

The next stage is chronic, when most or all of the trigger points are in a latent state and the syndrome takes on the character of permanent moderate discomfort.

For the treatment of myofascial syndrome, the establishment of the root causes of muscle damage is of great importance. From this position, primary (overload, stretching, positional violations, etc.) and secondary (pathologies of vertebral bone, cartilage and articular elements, as well as internal organs) are distinguished.

Pain lying on your back left

When a person has a backache, he wants to lie down on a comfortable mattress and lie down. The back muscles relax and the pain usually subsides. This is a more familiar situation.

But it happens that the pain does not go away, and sometimes even occurs just in bed, during rest - at night or in the morning. Sometimes a person wakes up with a pain in his back, she retreats when he moves.

This situation can arise for many reasons. The most innocuous of them are daytime overloads, an uncomfortable position of the body or an unsuitable sleeping place: a too hard, soft or clumpy mattress, a disease that permanently chained a person to bed. It is easiest to correct such reasons - to dose the load, to purchase orthopedic bedding (mattress, pillow), to make massage, applications, therapeutic gymnastics.

For some people, the parasympathetic nervous system works in a specific way. During sleep, their adrenal glands reduce the production of corticosteroid hormones, which reduces the threshold of sensitivity and in the morning the person feels that the body is sore, although then, in the afternoon, there are no such sensations.

The pain occurs at night in the prone position in the initial stages of ankylosing spondylitis. Non-passing pain on the left, even when a person goes to bed, can be disturbed by heart, lung, left kidney diseases, pancreatitis, when the inflammatory process is concentrated in the body and tail of the pancreas, peptic ulcer, when the back wall of the stomach or the left duodenum is affected, the diverticulitis , problems with the genital organs, both male (prostate gland) and female. Neoplasms of the same localization and retroperitoneal space can also manifest themselves with pain.

To each pathology there correspond, in addition to soreness, other specific symptoms: cardiac - disturbance of rhythm and heart rate, shortness of breath, pulmonary - cough, digestive - heartburn, flatulence, nausea, reaction to dietary errors, urinary and urinary disorders.

Temperature and pain on the left back

Such a symptom as the presence of elevated, sometimes to febrile, body temperature indicates the presence of an inflammatory process, in which endogenous substances are formed in the body - pyrogens, which stimulate the center of thermoregulation.

Inflammation with pain felt in the left side of the back can be caused by various causes - infections of the bone and muscle tissue, internal organs, arranged so as to cause this localization of pain.

For osteochondrosis, radiculopathy, muscle syndromes, hernias, protrusions, an increase in temperature indices is not typical.

Acute myositis is manifested by a triad: pain syndrome, intense edematous muscular cord and elevated general temperature (usually with purulent myositis). In the absence of pus, hyperthermia is local in nature - the affected area is hot, swollen and hyperemic. Occurs on the background of purulent-inflammatory or autoimmune processes in the body, in the presence of ossification in the spine, with parasitic infections. Risk factors for its occurrence - trauma, hypothermia, various infections.

Acute arthritis, osteitis - damage to the articular, cartilaginous, bone tissue, synovial membrane of pathogenic pathogens - bacteria, viruses, fungi. The joint swells, reddens, reacts to palpation with a sharp pain.

Back pain and fever can cause flu and an acute viral infection.

Inflammation of the left kidney, genital organs in men and women, pancreas, lungs, cardiac muscle, and many others can manifest as back pain and fever to febrile values.

These symptoms are absolutely not specific, so very different diseases can declare themselves, so an urgent need to see a doctor is necessary. A fever, especially a high, unfavorable symptom may accompany a dangerous condition. A small subfebrile level of 37.2-37.3 in combination with back pain can be caused by tuberculous lesions of spinal structures or osteomyelitis. Such diseases can be fatal.

Coughing and sneezing pain in the back left

When we cough or sneeze, the rib cage makes a rather sharp movement, and if it is accompanied by pain in the left side of the back, and each time, attention should be paid to this circumstance. Even under the condition that in the absence of coughing and sneezing, nothing bothers you.

Such a symptom may be the first signal of the body about the development of osteoporosis - a thinning of the structure of the bone tissue of the vertebrae or osteoarthrosis - degeneration of intervertebral joints.

In the presence of intercostal neuralgia, the process of coughing and sneezing becomes almost impossible due to severe unbearable pain. To suffer and wait until it passes is not worth it.

Tumors located on the left side of the body of internal organs develop asymptomatically and do not manifest themselves for a long time. However, we all know that early diagnosis increases the chances of a favorable prognosis. The first clues about their development can be regular pain when coughing, sneezing or deep, sharp breaths.

Pain localized in the area of the ribs, giving way to the shoulder and forearm with sudden movements of the chest, may indicate inflammation of the costal cartilage.

With myositis of the paravertebral muscles, coughing and sneezing is accompanied by sharp pain.

Osteochondrosis, prolapses, protrusions, radiculopathy, stenosis of the spinal canal can first manifest pain when making deep and sharp breathing movements, including coughing and sneezing.

trusted-source[14], [15], [16], [17]

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