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Pulling pains in the back: bottom, right, left side
Last reviewed: 23.04.2024
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Many people know the state when the back stupidly aches. It does not completely turn off a person from a working state, but significantly reduces the quality of his life. In the beginning, there is a hope that this will soon pass by itself, then, usually, grinding with warming and changing drugs and alternative drugs are used. If the pulling back pain does not go away for a long time, the decision to contact the specialists matures, find out the reason and finally get rid of it, although this should be started.
Causes of the pulling back pain
All joints, spinal discs, ligaments, and muscles have nerve endings that react to their various pathologies with painful sensations. Causes of back pain can be experienced injuries, various tumor and infectious processes. Most often, the symptoms signal an osteochondrosis of the spine. This disease is typical for people leading a sedentary lifestyle or, on the contrary, experiencing constant significant physical exertion. But not so simple.
Risk factors
It turns out that back pain can be completely unrelated to the musculoskeletal system. The risk factors and the mechanisms of their occurrence largely depend on the sex, its physiology:
- pulling back pain in women - can occur during menstruation, pregnancy, diseases of the reproductive and urinary systems, menopause, from walking in high heels, carrying heavy bags in their hands, overweight;
- pulling pain in the lower back in men - their lifestyle often contributes to the development of pathologies that cause back pain. At risk of doing hard physical labor, athletes, those that do not do it at all and little moves, obese people who abuse alcohol, drugs, nicotine. In addition to the prerequisites for more frequent injuries, stretching the muscles than in women, the risk factor for them is chronic prostatitis, kidney problems, and tumor processes in the digestive system.
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Symptoms
The general definition of "back pain" in detailing reveals its different localization, often not corresponding to the focus of the disease. Therefore, it is important to be examined in a medical institution and establish the true cause of the occurrence of pain. Guidance for suspicion of one or another health problem is the nature of the symptoms.
Back pain and pulls leg
Most often, such symptoms are characteristic of compression of the spinal roots. This is due to the destruction of the intervertebral discs and joints, the vertebral body - all that is called osteochondrosis. Echoes of pain in the leg indicate the localization of the pathological state of the spine in the lumbosacral region of the spine. That he is responsible for the functions of the legs.
Special cases of manifestations of degenerative processes of the spine can be sciatica (the main pain is concentrated in the buttock), lumbago or backache, caused by hypothermia and great physical exertion.
Other causes of back pain with kick in the leg include gynecological problems in women, renal pathologies, and some surgical diseases.
Pulling pain in lower back
Sometimes the pulling pain below the waist locks the movement, does not allow to make a full step, or even surrenders to the legs. Such sensations can be caused by several factors:
- osteochondrosis, which often leads to a sedentary lifestyle;
- stretching the back muscles;
- displacement of the vertebral discs;
- overweight, negatively affecting the posture and, consequently, the spine;
- pathology of the kidneys (in the right side of the back of the right kidney, in the left - the left);
- pregnancy in women.
Nagging pain in the back and abdomen
It can be an extremely dangerous condition, when not only pulls back, but there is also a pulling pain in the abdomen. This indicates the following possible diseases, except for osteochondrosis:
- appendicitis - most often it is characterized by acute pain, but it can also be aching. Seeing a doctor is necessary because rupture of the inflamed process is fraught with sepsis of the abdominal cavity;
- cystitis, urethritis - inflammation of the urinary system causes a pulling pain in the back and lower abdomen, but it is also evidenced by flakes, blood clots in the urine;
- intestinal infections - in addition to pain, mucous and blood inclusions are found in calla. This is the reason to immediately consult a doctor in order not to bring to the blood infection. The transfer of pain in the cramping is just about this and reports;
- inflammation of the intestine - most of the pain is localized in the lower abdomen, but can be given to the groin and lower back;
- colitis - chronic pathology announces itself dull pain, fever, abdominal distension;
- urolithiasis - if the stone does not move, it stupidly hurts in the back and abdomen, its promotion causes acute pain;
- neoplasms in the digestive and genitourinary system.
Pulling back pain above lower back
This kind of pain can be felt by people of different ages, from young to old, and the spine is not always the cause. Pulling, aching in the back under the shoulder blades - often reflecting diseases of internal organs:
- under the left shoulder blade - pathologies of the heart (angina pectoris, myocardial infarction, etc.);
- under the right shoulder blade - cholecystitis, peptic ulcer, appendicitis;
- between the shoulder blades - esophagus, inflammation of the lungs, pleurisy;
- in the area of the kidneys - urological, gynecological problems.
Often, the localization of pain does not coincide with the anatomical location of the organs causing them.
Evidence of the real relationship of manifestations to the musculoskeletal system - the spine and muscles, is more acute and intense pain, depending on the movements. Her sensation, as a rule, coincides with where the source is. It may be:
- chest osteochondrosis;
- back injuries;
- muscle fiber inflammation, which causes a pulling back pain in the back muscles;
- lesions of muscles and bones of different nature.
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Nagging back pain after sleep
People often feel pain after sleep. If this happens occasionally, the reason may be quite banal: unsuccessful posture in a dream, a sharp turn, hypothermia. The systematic manifestation of it should alert and force to consult a doctor, because behind this may be a lot of dangerous diseases:
- intervertebral disc protrusion;
- spinal hernia;
- spinal cord tumors;
- spinal curvature;
- rheumatism;
- arthritis and arthrosis;
- muscle stupidity;
- reflection of pains of internal organs, etc.
Nature of pain
A description of your condition, nagging and aching, or severe back pain is important for diagnosing a disease. The doctor will not rely on some subjective feelings of the patient, but the nature of the pain suggests where to send the examination.
Who to contact?
Diagnostics of the pulling back pain
In the arsenal of modern medicine there are enough means to establish the causes of the disease state. The doctor to determine the history will ask many questions about the nature of pain, their localization, whether they are associated with movements, chronic, recent diseases, injuries, whether there are difficulties with urination, and send women first to a gynecologist. In the prone position, he will ask to bend each leg, and then both knees, lift them. Even if the expert's assumptions were initially erroneous, additional clarifying studies are being made: analyzes, diagnostics with the help of various instruments.
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Analyzes
Patients with complaints of back pain will be prescribed a general analysis of blood, urine, biochemical analysis of blood. They will demonstrate whether changes occur in the body. Increased leukocytes, ESR indicate an inflammatory process. Changes in the biochemical formula will indicate the state of the liver, kidneys, pancreas, heart.
To determine the pathologies of the gastrointestinal tract, stool analysis is prescribed. Cytological examinations are not excluded - vaginal smear, saliva.
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Instrumental diagnostics
Signs of nerve damage are determined with a neurological hammer (on and under the knee), and muscle sensitivity with a pin.
If you suspect spinal injury or osteoporosis, they will be sent to X-ray examination, in other cases it is considered not sufficiently informative, especially in the first 30 days.
Magnetic resonance, computed tomography have a greater diagnostic value, they are able to determine the pathology of the discs, ruptures of the ring, hernia, but also more expensive. Often they do not give an answer to the cause of the pain.
Ultrasound, electrocardiography can provide enough information in the framework of instrumental diagnostics.
Treatment of the pulling back pain
The list of possible diagnoses is extensive, so there can be no single treatment protocol. There are several areas of therapy:
- anesthesia (injections in the form of blockades of the source of pain are common);
- elimination of dystrophic and inflammatory processes;
- increase immunity;
- getting rid of the cause of pain by existing methods, including medication, surgery, physiotherapy, etc.
Medicines
They relieve inflammation, pain, lower the temperature during painful pulling back pain analgesics (analgin, paracetamol) or nonsteroidal anti-inflammatory drugs (NSAIDs): diclofenac, ibuprofen, naproxen, etc.
Paracetamol - tablets of the drug are of two types: contain 0.2 g or 0.5 g of the same active substance. The recommended dose for adults and children after 12 years is 0.5g-1g every 4-6 hours, but not more than 4g during the day. Children 6-12 years old (under 6 years old are not prescribed) 0.2-0.5 g with the same frequency. The maximum is 2g per day. The duration of treatment is determined by the doctor individually.
Overdose and prolonged use can lead to liver damage. Side effects are rare, but they can be caused by an allergic reaction, nausea, stomach pain, shortness of breath, pain in the heart.
Ibuprofen - inhibits the synthesis of prostaglandins - lipid physiologically active substances that increase sensitivity to pain mediators. Apply no more than 5 days. Assign children from 6 years old with a body weight of at least 20kg, the dose is calculated as follows: 20-30mg per kilogram of body weight per day. This is an average of one 200mg tablet. After 11 years and adults are recommended 2 pieces.
The drug should not be taken with aspirin, other NSAIDs, be careful with simultaneous treatment with corticosteroids, blood pressure lowering agents.
Long-term therapy with ibuprofen can cause gastric bleeding, anemia, headache, edema, shortness of breath, heart failure, nausea, flatulence.
Another way to get rid of back pain is muscle relaxants: tolperisone, tizanidine, baclofen.
Tolperisone injection. It inhibits the conduction of impulses, blocks spinal reflexes, due to which anesthetic and antispasmodic action is obtained.
The drug is not prescribed to children, but adults receive intramuscular injection of 1 ml twice, intravenously slowly at the same dose once a day.
As a result of treatment with tolperisone, allergic reactions, insomnia, depression, dizziness, drowsiness, tinnitus, and diarrhea can occur.
Among the tools aimed at eliminating back pain, a large arsenal of external remedies, which are used both in complex therapy of diseases, and independently. These are balsams, gels, creams, ointments: fastum gel, voltaren, diklovit, finalgon, hondroksid.
Fastum gel is a drug of anelgeziruyuschego and anti-inflammatory action. Apply to the skin in the area of pain with a thin layer 1-3 times a day. There is no data on the effect on the body of children and pregnant women, therefore, this category of patients is better to avoid it.
Caution requires application to people with renal, hepatic, heart failure. The gel does not apply to skin lesions, hypersensitivity reactions. Among the adverse reactions possible itching, burning skin, urticaria.
Vitamins
When back pain applied vitamins B1 (benfotiamin), B6 (pyridoxine), B12 (cobalamin). They belong to the neuropaths - reduce the ability of the nerve to transmit impulses, thereby reducing the sensitivity of the affected area.
Physiotherapy
In the field of physiotherapy treatment of the back there are many methods:
Electrophoresis based on medicinal substances - their introduction using an electric pulse;
- phonophoresis - ultrasound is used for the same purpose;
- laser therapy - bundles of infrared, ultraviolet and red spectrum relieve pain and inflammation;
- magnetic therapy - a low-frequency magnetic field suppresses pain syndrome, relieves puffiness;
- reflexology - acupuncture, exposure to electric impulses;
- physiotherapy;
- massage.
Alternative treatment
It is good to resort to alternative treatment already knowing your diagnosis, in this case it is less likely to harm yourself. If the study found a violation of the functions of the spine, muscles, then you can apply the following recipes:
- dilute the blue clay with warm water to a creamy state, add a teaspoon of honey and aloe juice. Mix well, put on a sore area, cover with food film, wrap with a woolen item. Keep an hour, remove, wipe well with a towel, warm;
- use Vietnamese balsam for rubbing, tie a woolen scarf over tightly;
- for a compress, rub potatoes, horseradish in equal parts, decant the liquid, add a spoonful of honey, everything else as usual. Mass bakes, but it is desirable to sustain about an hour;
- lubricate the back with honey, apply a tissue napkin, and mustard plasters soaked in warm water, warm it.
Herbal medicine
For the treatment of neuralgia, sciatica herbs are used:
- steam horseradish leaves in hot water and attach to the back, wrapped over film and heat;
- having problems with back pain, in the summer to prepare such a drug: put a dandelion flower tightly in a jar, pour vodka and insist in a dark place for 10 days. If necessary, rub the painful areas with tincture;
- rub back birch buds with oil.
Homeopathy
In homeopathy, there are also drugs used to eliminate the pulling back pain. Here are some:
Arthro-gran - prescribed for pain in the joints, arthrosis, arthritis, lumbar radiculitis, muscle strain. Granules anesthetize, relieve swelling, improve blood supply to tissues, normalize mineral metabolism.
Regardless of the intensity of pain, 5 granules are placed under the tongue and dissolve until fully dissolved a quarter of an hour before meals or an hour after. And so from one to three times a day. Reducing pain allows you to reduce the dose to 3 pieces. The drug can be taken from the age of three, up to 12 years in the amount of 3 granules at a time.
No adverse effects were identified, there are no restrictions even during pregnancy.
Arthrophon - homeopathic tablets with anti-inflammatory and analgesic effects. At one time one piece is absorbed with a frequency of 4-8 times per day. With the improvement of the state, the dose is reduced up to 3 times.
The tool can not be combined with alcohol. During pregnancy, its effect has not been investigated.
Discus compositum - treats osteochondrosis, neurological and rheumatological diseases of the spine. The solution for injection is injected subcutaneously, intramuscularly at 2.2 ml (1 ampoule) 1-3 times a week, starting at the age of 6 years. The course of treatment can last up to 6 weeks. From the side effects allergic manifestations were observed. In the early stages of treatment, an exacerbation is possible, which quickly passes and does not require cancellation.
Incena - drops for the treatment of various degenerative diseases of the musculoskeletal system and soft tissues, accompanied by pain.
It is applied three times a day, starting from one year old, in doses of:
- 1-4 years - 1-3 drops, divorced in a spoonful of water;
- 5-12 years - 5-7 drops in the same volume of water;
- after 12 years - 10 drops, it is possible in pure form.
The drug is taken between intervals of food, for some time you need to hold it in your mouth before swallowing.
There are no contraindications. Regarding pregnant women, its effect has not been studied, so the doctor must assign benefits and risks before prescribing.
Revma-gel - in its composition 3 active components, aimed at eliminating pain during lumbago, muscle strain, rheumatism. The gel is applied three times a day on painful areas by light rubbing, starting from the year of life of children. Duration of treatment is 2 weeks. In some cases, skin reactions were observed in the form of redness and rash.
Surgery
The most common cause of surgery for back pain is a herniated disc in cases where it squeezes the spinal root or spinal cord. This method is resorted to when the complex conservative treatment has not brought results.
For secondary pains, surgery is possible in the case of tumors, appendicitis, gynecological and other life-threatening pathologies of internal organs.
Complications and consequences
Based on all the above reasons for the appearance of pulling back pain, there can be a variety of consequences and their complications, especially if they are secondary. Untimely treatment of heart attack, appendicitis, ulcer perforation, pleurisy carries a real threat to life and can end in death. With the treatment of problems of the spine, bones, muscles it is also better not to delay, in order to prevent irreversible consequences.
Prevention
The main preventive remedy for back pain is a mobile lifestyle, which includes playing sports, long walks, moderate physical labor. It is important to choose a comfortable chair when sitting, and an orthopedic mattress for sleeping.
Every 40 minutes, it is recommended to get up from the table and do simple exercises: side bending, squats. It improves blood circulation in the back muscles. Women in everyday life should refuse high-heeled shoes and leave it only for solemn occasions.
When lifting weights, it is necessary to use special belts for fixing the waist.
It is also important to organize proper nutrition with a decrease in salt in your diet, an increase in the amount of fruits, vegetables, and abundant drinking.
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Forecast
Timely diagnosis and treatment reduce the likelihood of the disease becoming chronic, increasing the social prognosis of patients.