Night back pain in the supine position: why is a sore lower back?
The treatment can be administered only after a complete diagnosis and determine the cause and nature of the disease. Any action you cannot do by yourself without a medical examination.
A variety of reasons
The most common causes that lead to pain syndrome: osteochondrosis, scoliosis, hernia of the intervertebral discs. Rarer tumors and infectious lesions of the tissue.
Depending on the disease, the pain manifests itself in different ways. If the cause of the pain of renal colic or stomach ulcers, the feeling is constant, regardless of the nature of the activity (the person is lying or engaged in active activities).
If there is osteochondrosis of the thoracic, the pain experienced in the heart, then the patient erroneously believes that he has angina.
If the lower back hurts lying down
When there is pain and the person does not know what to do with it, he prefers to lie down, hoping that the discomfort will pass. But if the pain increases in the supine position, it is likely a disease of the musculoskeletal system, which is called ankylosing spondylitis.
Due to the fact that the spine cannot take a natural position, the man lying down feels the pain.
Ankylosing spondylitis is inherited, the push to develop give chronic infectious diseases. The pain is worse, if you keep a sedentary lifestyle.
The first sign is a feeling of stiffness in the spine, and when lying down lower back pain intensifies. Early diagnosis allows to completely cure the disease.
Primary pain syndrome
Doctors divide the primary and secondary pain syndromes, when it comes to back pain and lower back pain.
The primary syndrome of the low back pain includes musculoskeletal changes morphofunctional nature are.
These include the most common reasons, why there is pain:
- osteochondrosis (bone and cartilage between the vertebrae disks).
- spondiloarthrosis (lesion between the vertebrae of the joints, which affect the mobility of the spine).
Secondary pain syndrome
Secondary syndrome includes a greater variety of diseases for which back pain in the lumbar region:
- scoliosis (curvature of the spine);
- referred pain;
- osteoporosis and osteomalacia(loss of bone tissue);
- ankylosing spondylitis (inflammation of non-infectious nature);
- rheumatoid arthritis;
- isolated tumor or established metastasis;
- tuberculosis, epidural abscess, brucellosis (an infectious disease);
- stroke, a condition that leads to disruption of the spinal blood circulation;
- gastrointestinal disease (in particular, appendicitis or bowel disease);
- of disease in the pelvis (renal colic, venereal diseases);
- fracture of the lumbar vertebrae (the most dangerous and serious cause).
Lower back pain is also divided into acute and chronic. Each of them shows distinct reasons.
Not dangerous, but painful manifestation of acute pain is muscle strain. It occurs due to the formation of spasms in the long muscles.Most often the problem affects athletes and people working specialties. Pain localized in the lower back, but clearly felt in other parts of the body, the mobility of the person while confined to lying down the pain subsides.
To a sharp pain also lead to a spinal injury. The most dangerous injury is a fracture of the spine.
A fracture can be caused by a fall, but can happen at all quickly, for example, if a person suffers from Paget's disease, osteoporosis, hyperparathyroidism or he has a tumor.
Lead to pain and displacement of the intervertebral discs in the lumbar region. The mobility of the person will be severely limited.
The pain is caused by compression of the nerve roots. Additional symptoms:
- loss of sensitivity
- the reduction or complete absence of Achilles and knee reflexes;
- radicular pain.
The displacement of the vertebrae can lead to pathology nearby, which until recently was healthy. Disorders of the lower vertebrae leading to disease of the bladder and intestines.
Another reason why there is a sharp pain — facies syndrome. Between the vertebrae the disc is unaffected, a compression of the spine which exits the spinal canal. Between the vertebrae the hole is narrowed due to the narrowing between the vertebrae of the hole.
The pains can lead to such serious disease as an epidural abscess. In that case to do?
The disease can not be tightened, as it can lead to tragic consequences. It is necessary to immediately carry out all measures to eliminate compression of the spinal cord, surgery is sometimes needed.
In the region, beginning from the waist and finishing with knees, can give pain caused by diseases of the hip joint.
If backache in the lumbar region and the pain is present constantly, is whining or pulling in nature, this indicates other diseases than for acute pain.
The first reason is spondylosis deformans. The vertebrae of the lumbar spine undergo degenerative changes, the ligament weakens, starts bone overgrowth.
In the end, the bone growth start to put pressure on the nerve roots and there is aching pain. The symptoms may be numbness and weakness in the legs etc.
Chronic back pain can be caused by cancer or impaired metabolism.
In this case, you need to do against cancer therapy, to change the mode of day and feed to eliminate the root cause, everything else will be ineffective.
Another reason osteomyelitis when the infection penetrates the bone and causes inflammation.
Diseases leading to low back pain
Other diseases that cause pain in the lumbar
- facies arthropathy;
- spinal stenosis;
- herniated disc;
- myogenic pain;
- the gap fibrosum of the ring.
In women, the pain may be provoked by diseases of the small pelvis, such as endometriosis, cancer of the uterus and ovaries. In men, prostatitis or carcinoma of the prostate.
To give the lumbar region can and diseased kidneys, swelling in the stomach, the duodenum. The pain occurs with ulcerative colitis, tumors of the colon in diverticulitis.
If the pain extends not only to the lumbar, and thoracic spine, it is important to exclude the possibility of an aortic dissection.
Harmless causes may be physiological changes, such as the postpartum period or sudden weight, the effect of epidural anesthesia.
Treatment of such pain is not carried out, the patient can do nothing, the pain will go away itself after a while.
Before you begin treatment, you need to make the right diagnosis. First the doctor performs a clinical examination of the patient, then based on the results of ultrasound and MRI examinations.
On the basis of diagnosis for selected treatment programme, combining various methods.
First, the treatment aims to eliminate pain, to restore the patient to a comfortable life. After complete recovery from the disease (if possible) could take years.
If the cause of the disease was an injury, treatment will be conducted by the doctor-traumatology.
Depending on the cause of the pain, which must identify the physician/family doctor, the subsequent history of the disease can lead orthopedist, urologist, proctologist, gynecologist, cardiologist, gastroenterologist, pulmonology ,infectious, etc.
To facilitate the patient's condition is recommended to change the mattress on orthopedic. Pain eliminate pain heat ointments and gels, which additionally contains anti-inflammatory components.
Also, appropriate use of non-steroidal anti-inflammatory drugs. Muscle spasms relieve muscle, edema of the nerve root will eliminate diuretic and vascular equipment.
When the patient can return to normal life, the treatment continues with physical therapy, massage and medical gymnastics.
The treatment is performed and with the following non-drug methods:
- vacuum therapy;
- laser therapy;
- dry traction;
- electrical stimulation;
This treatment provides quick pain relief and also eliminates the cause itself, thus ensuring long-term results.