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Health

Sharp pains in the back area: in the lower back, between the shoulder blades, left and right

, medical expert
Last reviewed: 23.04.2024
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Today, more and more often you have to deal with such a problem as a sharp pain in your back. It is not always possible to determine the precise cause of this pathology. The reasons can be many - from genetic and congenital pathology to trauma, inflammatory process. The pain can be directly in the back, or in other areas, but give in the back. In any case, when such complaints occur, you should immediately go to a doctor who will determine the cause, make a diagnosis, select the treatment.

Causes of the sharp back pain

Usually sharp pain indicates an acute process, or traumatic injury. If you did not get a back injury, it could be an inflammatory process, a pinched nerve, a displacement of the vertebra. Rupture of a ligament, a stretching of a muscle. But sometimes it happens that the reason lies not only in the back itself. Inflammatory or infectious processes can occur in the kidneys, liver, spleen, lungs, and even in the pleura area, while the pain irradiates along the nerve fiber, and renders in the back.

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Risk factors

The risk group includes people who are engaged in heavy physical work with a predominant load on the lower back. This includes people who suffer from diseases of the spine, paravertebral muscles, acute or chronic radiculitis, damage to the vertebrae and the intervertebral space. Also, people who are overcooled, stay in drafts, spend a lot of time in damp premises, basements, or just outside in the cold season. Of special interest are people with diseases of the musculoskeletal system.

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Symptoms

It is located in various areas: from the side, in the center of the back, along the spine. Often confined to a specific, clearly delineated area, or spread throughout the back, and it is impossible to clearly identify its source. It all depends on the cause of the pain.

  • Sharp back pain in the spine

It may indicate trauma to the spine, pinching of the nerve, herniation of the intervertebral disc, or displacement or damage to the vertebrae. Also, the cause can be muscle inflammation, pinching, stretching, trauma. Depending on the level of the localized pain in the vertebrae, such a part of the spine is subject to damage.

  • Sharp back pain in the lumbar region

The process can proceed in two directions: an inflammatory process in the back, in the lumbar region, or inflammation in the kidneys, which gives back, the lower back. It can be cystitis, pyelonephritis, nephritis, glomerulonephritis, which manifests a fairly pronounced pain syndrome, in which pain irradiates from the focus of inflammation to other areas of the body.

  • Sharp pain in the back above the lower back

The diaphragm, the lower respiratory tract, the pleura can be higher. Do not exclude such diagnoses as pleurisy, pneumonia, bronchitis, emphysema, abscess. It is often associated with inflammation of the upper and lower respiratory tract, nervous diseases and heart failure.

  • Sharp back pain right

Can indicate the development of the inflammatory process in the kidney area. In this case, the right kidney is most often involved in the inflammatory process. Also, such a pain on the right can develop in liver diseases, for example, in hepatitis, hepatic and renal failure, cirrhosis.

  • Sharp back pain in the shoulder area

You can suspect heart disease: angina, atherosclerosis, myocardial infarction, ischemic heart disease. Such feelings are noted by people suffering from heart failure. Also in the region of the scapula, pain occurs when the pneumonia develops (in the region of the scapula, the projection of the apex of the lungs is located). Often the cause is a bacterial or viral infection that accompanies the inflammatory process. An important role in the maintenance of inflammation is played by cytomegalovirus infection, herpes, from bacterial infection - streptococcal. Less commonly - staphylococcal infection. Often, this type of pain is due to a recent angina.

  • Sharp back pain under the scapula

This may be a sign of inflammation or injury in the area of the upper extremity belt, scapula, collarbone. Often, such pain is a pain syndrome of inflammatory genesis, the main etiological factor of which is considered insufficient mobility, which entails an inflammatory and infectious process. In this process, bone and muscle structures are involved, including vertebrae and intervertebral discs.

  • Sharp back pain under the ribs

The reasons can be many, and in almost every case they are strictly individual. For example, pain can be a consequence of frequent stress, neuropsychic stress, and also the consequence of the development of allergic, infectious, inflammatory, and even intoxicating diseases.

  • Sharp pain in right side of back

In most cases, this pain is not in the back area, but in the kidney region that gives back, and it is not always possible to distinguish the source. Often the pain develops against the background of the general supercooling of the body, the development of inflammation of muscles and tissues with the involvement of other tissues in the inflammatory process. In this case, it is not necessarily the inflammatory process that is affected by the right kidney. Often, the left is inflamed, but the pain radiates to the right side.

  • Sharp pain in the back with inspiration

It can be associated with recent diseases of the lungs, bronchi, upper and lower respiratory tract. It is a consequence of inflammatory and infectious processes, spasm of the respiratory tract, excessive accumulation of exudate and surfactant in the alveoli and the walls of the respiratory tract. It is often observed as a residual phenomenon after a history of pneumonia, a prolonged wet cough. Stagnant phenomena. Such pain can still persist for a long time after the transferred pneumonia and pleurisy (from 2 weeks to 2-3 months), because in the body at this time, there are restorative processes.

  • Sharp pain in back and abdomen

The reasons can be many, and it is impossible to determine which of them caused pain in each particular case. At least, this can not be done without visiting a gastroenterologist. He will conduct an inspection. Most likely, you will need a diagnostic examination. One of the most effective methods is ultrasound examination of the abdominal cavity, X-ray examination of the stomach and intestines, gastroscopy. Based on the results obtained, it will be possible to judge the cause that caused the pain.

  • Sharp pain in the back and chest

The cause may be nerve pincers, intercostal neuralgia, chest damage, inflammation in the lungs, bronchi, fluid accumulation in the pleural cavity, and many infectious diseases, for example, croup, tuberculosis. It is advisable to consult a pulmonologist or a therapist, as well as chest x-ray or digital fluorography, which will reveal the pathology, if any.

  • Sharp pain in the back muscles

Perhaps, there was a stretching, pinch or rupture of the muscle. Pain can be caused by a sharp or excessive strain on the muscles of the back, overtraining, hypothermia. Sometimes there is an erroneous impression that the muscles ache. Such feelings - a symptom of poisoning or internal intoxication, there is accumulation of toxins in the blood, deposition in the muscles.

  • Sharp pains in the stomach and back

It was provoked by exacerbation of gastritis or ulcers, the transition of gastritis to a ulcerative form, or pre-ulcer state. In addition, the cause can be in appendicitis, peritonitis, and even the development of the pathology of the liver and pancreas. Women often cause ectopic pregnancy, pathology of the ovaries and the genitourinary system.

  • Sharp pain in the back and neck

It can be a consequence of pinching or displacement of the vertebra, development of intervertebral hernia, arthrosis, osteochondrosis. An effective treatment is massage, swimming in the pool, water procedures (hydrotherapy), as well as therapeutic gymnastics.

  • Sharp pain in the back gives in the leg

It can be a sign of defeat of the sciatic nerve. For the treatment various medications, ointments, exercise therapy, massage, water procedures are used.

Long since the treatment of such pains, the Kneipp method has been used. This method is based on hardening and water exposure to the whole organism. This helps to increase the body's resistance and endurance, normalizes metabolic processes. Used foot baths, head, back and neck douches, washing, full body dousing, compresses, steam baths.

  • Sharp pain in the back when the weight is lifted

Associated with rupture of ligaments, overvoltage of the musculoskeletal system, as well as displacement of the vertebrae, clamping of nerves, intervertebral discs.

  • Sharp back pain when sneezing 

The consequence of an infectious or inflammatory process, a general decrease in the body's resistance, metabolic, allergic and autoimmune disorders. An effective remedy is the aloe juice, which should be buried in the nose.

  • Sharp back pain during sleep

It is necessary to undergo a comprehensive diagnosis, as there can be many reasons. But the greatest danger is that such pains can result in a night stop of breathing, sudden cardiac arrest

  • Sharp pain on the left, in the left side of the back

In the treatment of any pain, the herbs that provide complex anti-inflammatory, analgesic, immunostimulating effects on the body have proven themselves well . Fast hydrotherapy sessions help to remove the pain. By hydrotherapy means the external use of water in order to provide therapeutic effects on the body, or with a preventive purpose. At the same time, water acts as the main acting factor. At the same time, the organism is also tempered, which entails a general improvement in the state of health, an increase in the endurance of the organism and its resistance to infectious and inflammatory processes. When treating pain in the back, use contrast shower, swimming in the pool, Charcot's douche, therapeutic baths, underwater massage, Jacuzzi, hardening. At home, you can make douches, wipes, wet wraps, showers and baths. They can be contrasting, indifferent, cold hot, warm. Sometimes, instead of water, decoctions of medicinal herbs are used.

The nature of pain

The pain can be different - acute and chronic, sharp and blunt. It can cut, stab, burn. Sometimes it's just aching, long-lasting discomfort to a person. And sometimes it becomes sharp, paroxysmal, depriving the person of the opportunity to move, work. It all depends on what caused the pain.

First you need to see a doctor, find out the cause of the pathology, then go through the prescribed treatment. As a basis, drug treatment is used. Also, various methods of physiotherapy are used. Physiotherapy is especially effective in complex treatment. Electrophoresis is used, with which drugs are injected directly into the damaged tissue. Such procedures work well with mechanical and manual methods of action. It is recommended to alternate with massage, sessions of manual therapy.

  • Sharp stitching in back

Usually this is the consequence of damage to the nerves, muscles, internal organs. Precisely determine the cause can only be based on diagnosis. The main treatment is prescribed by a doctor. But there are means that will help to quickly remove the pain and recover. Well-proven thermal wraps that are applied to the affected area.

Diagnostics of the sharp back pain

When the first signs of pain appear, listen to the sensations, and try to determine the source of the pain yourself. If you believe that the pain comes from the muscles or lower back (back, spine, intervertebral disks), it is worth to consult a surgeon, vertebrologist, or even a traumatologist. The doctor will definitely inspect and diagnose. Do not forget to tell the doctor about the presumable causes of the pain, accurately describe the source where the pain is localized, try to describe your feelings as accurately as possible. This can be an important diagnostic information, and will help the doctor choose the treatment, determine the exact diagnosis, as accurately as possible, assign additional tests and studies.

If you are inclined to the fact that the source of pain is still in deeper layers, in the kidneys, urinary tracts - it is better to turn to a nephrologist for examination of the kidneys. If in doubt - still refer to the nephrologist, because the kidney disease is quite serious, and even the slightest pathology can not be started. It is better to be safe. In addition, preventive examinations should be held at least 1-2 times a year.

If there are no such doctors in your clinic, contact the therapist. He will solve your problem by sending a consultation to the right specialist, having assigned a survey plan. At the doctor's appointment, classical methods of research are used: patient interview, collection of anamnesis (life, illness), examination using classical research methods (percussion, auscultation, palpation).

The basic sounds are listened to by auscultation, which can be very informative for the diagnosis: rales, noises, whistles. With the help of the palpation method, the doctor will feel the painful areas, and will be able to identify foci of inflammation, hematomas, seals, and other pathologies. This can be very important for diagnosing. By the method of percussion (tapping), the doctor can also identify areas of inflammation, puffiness, on the basis of which a further diagnosis will be made. Then a plan for further investigation will be drawn up.

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Analyzes

Do not do without standard tests - a clinical analysis of blood and urine. Urine analysis is particularly important.

An important part of the blood test is that it is possible to judge the direction of the main processes - inflammation, cancer, allergic, or autoimmune process in the body. Another important parameter is the "granularity" and the presence of inclusions in the blood. For example, the presence of curved, distorted and damaged cells in the blood can indicate intoxication, which occurs, for example, after prolonged use of certain drugs, drugs, chemotherapy or antibiotic therapy. Further examination is required, for example, detection of oncomarkers, biopsy, and so on.

Important information can give even such indicators as the amount of urine, and its color. For example, if you have approximately 100 ml of urine, you can assume normal, free urination. By the amount of urine, we can judge the retention of urine, dysuria, which indicates severe kidney damage.

The color of urine is also an important diagnostic feature. In pathology, it can acquire a dark color, or contain impurities. Red, scarlet color - the most dangerous (a sign of damage, bleeding, tumor development, and even necrosis, tissue death).

Transparency is an important sign. With pathology, it can become turbid. To clarify the information, microscopic examination of the sediment is carried out.

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Instrumental diagnostics

Such methods of research as ultrasonic diagnostics, X-ray examination, computer and magnetic resonance imaging are used. These methods allow to determine the anatomical and physiological characteristics of the kidneys, to track the processes in the dynamics, to diagnose. You may also need a review urography, a puncture with a biopsy, a radioisotope scan.

Differential diagnosis

The basis for differential diagnosis is the need to differentiate diseases that have similar characteristics. For example, in this case it is important to differentiate the kidney disease from inflammatory diseases of the muscles and lower back, from lumbulgia, radiculitis, pinching of nerves, myositis, intervertebral hernia, trauma. At the same time, instrumental research methods, as well as palpation, testing of the main reflexes acquire special significance.

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Treatment of the sharp back pain

Treatment of back pain requires an integrated approach. The most effective is etiologic therapy aimed at eliminating the cause of pain. But this is not always possible in the early stages, as sometimes the diagnosis can be delayed. Learn more about the treatment of severe back pain.

Complications and consequences

The main consequences are irradiating pain, which quickly spreads and progresses. Sharp pain in the back can be a sign of the development of inflammation, infection, a tumor. Therefore, if you ignore it, you can start these processes. Also, the pain can go to a chronic form.

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Prevention

The basis of prevention is timely diagnosis, timely treatment of various diseases, inflammatory processes, sanation of foci of infection. The measures of prevention also include the observance of the necessary level of physical activity, the optimal motor regime, the observance of the correct and vitaminized nutrition, the optimal drinking regime.

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Forecast

Treatment can be effective only if the exact reason for the sharp pain in the back is clear  . Eliminating this cause, you can completely get rid of the pain. But if you do not determine the cause, often treatment is ineffective, and the condition can progress, limiting work capacity, and leading to disability.

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