Pain in the sides and bottom of the back – a common phenomenon that can have dozens of causes, of diseases of the musculoskeletal system, ending the disorders of the abdominal organs and the urinary system.
With precision diagnosis of the pathology that is the cause of the discomfort in the back near the shoulders, you must first define the nature and characteristics of the discomfort. Which means pain that is perceived simultaneously on the two sides of the lower part of the back and the sides, or perhaps as involving a serious danger to the health?
The causes of the pathology
The pain that is felt at the same time on the side at the level of the bottom of the back and in various places, in medicine it is called reflects – the mechanism of its development is the stimulation of the various branches of the nerve.
For this reason, pain in the lower that radiates to other places, in some cases, indicates that the symptoms are so vague and confusing that even the patient is not capable of identifying its origin.
In the projection of the lower part of the back and the sides are different at the bottom of the lumbar spine, the kidneys, abdominal organs, reproductive organs of women, so that an accurate diagnosis of pain in the sides and bottom of the back should consult a doctor.
Discomfort in the lower back and sides can occur in healthy people due to hypothermia or excessive exercise, but in this case they are temporary and disappear after the rest.
Type
The nature of the pain syndrome has an important role in the determination of their causes – each of the abnormalities have clinical characteristics that should be considered in the diagnosis.
- A sharp pain characteristic of conditions that require treatment urgently to the doctor, and sometimes immediate medical attention. Indicates a serious pathological processes in the internal organs or structures of the spine – one of them can be attributed to hepatic and renal colic, gastrointestinal disease, renal and reproductive apparatus in the acute phase of a herniated disc, neuralgia.
- Discomfort appears in chronic diseases, often in diseases of the spine osteochondrosis, protrusion, scoliosis, etc., especially if it occurs after a long stay in one position or physical effort.
- Drawing pain syndrome is a common symptom of diseases of the reproductive system and the urinary system in women and the disorders of the liver.
- In addition, it is often observed in pregnant women (in the second and third quarter, due to the pressure of the growing fetus.
- Dull pain may indicate inflammatory or infectious processes in the gallbladder and kidneys, sometimes, in diseases of lumbar and sacral spine.
- A sharp pain attacks occur with the sciatica, protrusion and herniated discs, and renal and hepatic colic, cramps in the intestine and other organs.
- The discomfort that you feel continuously, it is often the evidence of inflammatory and infectious pathologies of the bladder, kidneys and reproductive system, can also be felt during pregnancy.
- Shingles pain syndrome, is a symptom of pancreatitis and other diseases of the digestive system, urinary system, gynecological diseases: intense pain in these cases, indicates a change of the course of the disease, is weak – chronic of the form.
The character of pain is a concept subjective, in order to determine the cause of the disease solely on this indicator it is impossible – it is necessary to consider additional symptoms and other factors.
Why run to the right and left sides
Diseases of the spine
Degenerative processes, trauma, and other pathologies of the vertebrae, intervertebral discs or surrounding structures (nerves, muscles) is one of the common causes bad feelings on all sides.
Often, in this case, you suffer from lumbar or sacral region of the spine, rarely the pain may go lower due to damage of the thoracic.
Displacement of a disc spinal
Spondylolisthesis is a displacement of a vertebral body relative to the other with the axis of the spine. In people, this condition is often called the "intervertebral disc displacement", but this designation is incorrect because you can only change the vertebrae.
Pathology develops for different reasons (injuries, age-related changes, improper loading, etc.) and leads to irritation of the nerve fibres or pinching that causes swelling, inflammation or acute back pain.
Osteochondrosis
Degenerative changes of the spine, or degenerative disc disease, most often observed in the elderly.
Due to the impact of negative factors, the processes of the nutrition of the cartilage of the spine is lost, making them lose their elasticity and ability to regenerate.
The main symptoms of lower back pain – limited mobility of the spine and a burning, aching or throbbing back pain, including the lower part of the back and the sides.
If symptoms persist, be sure to apply the visit to the doctor.
Vertebral Fractures
A fractured vertebral is a serious injury of the musculoskeletal system, it requires a long and complex treatment. The violation of the integrity of bone tissue occurs due to an external impact (strong impact, fall, etc.) and that is manifested primarily by pain syndrome.
Their characteristics depend on the extent and location of damage, but more often the pain syndrome is intense, in a natural environment, accompanied by neurological disorders – disorders of sensitivity in the extremities, headaches, etc.
Scoliosis
Scoliosis is a curvature of the spine, which makes the asymmetry of the shape and the alteration of the internal organs.
In the early stages of the disease is manifested by discomfort and pain in different parts of the back (when the lesions of the lumbar region are located in the sides and waist), increased fatigue, and restricted mobility of the spine, while running the pathological process, possible problems with urination and defecation.
Ankylosing spondylarthrosis
Ankylosing spondylarthrosis (Bechterew's disease) is a relatively rare pathology of the musculoskeletal system, which affects the inter-vertebral, shoulder and hip joints.
Symptoms include pain in the back and the sides, which are aggravated by muscle tension and shifts in climate, scoliosis, paresis and paralysis. The disease is incurable, progressing slowly but steadily and usually leads to disability.
Coccygeal hernia
Coccygeal hernia occurs less frequently than herniation in other parts of the spine, as the vertebrae of the lumbosacral stronger and more durable.
Develops because of a combination of factors, such as degenerative diseases of the musculoskeletal system, infections and inflammation of internal organs, trauma.
In this hernia the patient feels pain in the coccyx area and lower back that radiates to the flanks and the perineum, worse in sitting position and can not be removed analgesics.
From this herniation most often affects women, as the most common factor precipitating the disease are heavy labour.
Diseases of internal organs
The fight against the sensations in the lower part of the back and sides to pathologies of internal organs is called the second. Unlike the symptoms of diseases of the musculoskeletal system, which are not related to movements or change of position of the body, and accompanied by alterations of other systems of the body.
Diseases of the urinary system
Diseases of the urinary system that can cause pain in the sides, include inflammatory and infectious processes in the bladder, urinary the formation of stones, obstruction of the ureters.
According to the clinical course of the disease, the discomfort can be strong, with varying intensity, and often accompanied by disturbances of urination, fever, General weakness.
Kidney disease
Especially pain in the side disease of the kidneys lies in the fact that it's located a bit above the waist, often have surrounding the character, and given in the abdomen, the belly, the groin. Some of the diseases of kidney (polycystic, malignant tumors, pyelonephritis) are developing slowly and, therefore, are accompanied by a strong discomfort, and kidney pain, and the blockage of the ureter the pain is so intense that sometimes causes painful shock.
Cirrhosis of the liverCirrhosis – a serious disease that is characterized by death of tissues of the body and replace them fibrotic fibers and, often, leads to death. The pathological process may indicate pain in the lumbar region, which can be surrounding the character, but most often localized in the right side, bitter taste in the mouth (manifested in the morning), recurrent, disorders of defecation and the weight loss.
The pathology of the intestine
Disorders of the intestine, gallbladder, pancreas, and other organs of digestion manifest themselves through the discomfort of the stupid character in the abdomen, lower back and flanks, but in acute diseases can be acute and sharp pain.
As a general rule, are clearly associated with the ingestion of food (produced in the empty stomach, after a meal or eating certain foods) and accompanied by abdominal distension, increase of gas.
Especially in women
In women, pain in the sides are more frequent than in men because of the unusual anatomical location of the female body. In the abdomen of the female is situated the reproductive organs, which often cause discomfort in the pelvic region and genital infections and inflammation are developed more often than men.
For diseases of women
The pain in my sides is not uncommon for women during hormonal changes, disorders congenital (for example, the deformation or bending of the uterus).
Other causes regular pain – sexual infections, myoma, adnexitis, endometriosis and other inflammatory processes.
Additional symptoms of the above diseases – menstrual disorders, infertility, impairment of General health.
Many women have pain in the sides is the physiological norm during the period, in this case, she is pain in nature, can be easily removed by antispasmodics such admission and not accompanied by symptoms additional.
During pregnancy
During pregnancy the discomfort in my sides and lower back normally occurs after the first trimester, when the growing fetus puts pressure on the spine and the internal organs.
During the first few weeks of pregnancy, this symptom can be a sign of hormonal changes in the body, the weakening of the ligaments and muscles, as well as the start of a miscarriage, in this case, the pains are intensive, are accompanied by bleeding or bloody discharge from the vagina, weakness and deterioration of the General condition.
After the birth,
Pain in the lower part of the abdomen, flanks and lower back feel all women without exception – that they are part of the recovery processes of the reproductive system. Immediately after delivery can be very strong, but after a few days gradually disappear, and for two to four weeks to disappear completely.
Especially in men
Males causes pulling pain that radiates to the flanks, the abdomen, the groin and the legs tend to be hyperplasia prostate, prostatitis and, less frequently, cystitis and other illnesses of the bladder. Among other manifestations it is possible to note a difficulty to urinate, sexual dysfunction and impotence, cardiovascular diseases, sexually transmitted diseases, there are purulent discharge from the urethra.
When genital infections in man, the treatment has to go both partners, even in cases in which the symptoms in women are absent.
Methods of treatment
To self-medicate with frequent pains in the sides it is very not recommended, especially if accompanied by additional events any event can lubricate the picture of the disease, which complicates the diagnosis, or aggravate the patient's condition.
Physical therapy
Physiotherapy is a way to eliminate discomfort in diseases of the musculoskeletal and pain menstrual. Exercises should be performed gently, without overload the muscles too much, avoiding sudden movements and the strengthening of the pain.
During pregnancy and gynecological diseases, good effect is given breathing exercises and yoga, but before employment it is necessary to consult a doctor and take into account existing contraindications. You can also make a gentle massage with circular movements, or simply take a stroll in the open air.
Physical therapy
Physiotherapeutic methods are used only after the acute phase, accompanied by intense inflammatory and infectious process, fever and other symptoms, remains behind.
As medical procedures, patients are advised to electrophoresis with various drugs (analgesics, the improvement of the nutrition and regeneration of tissues), UHF, magnetic therapy, electrical stimulation, mud, paraffin and ozocerite applications. The specific method of exposure and the duration of treatment determines the physician depending on the clinical course of the disease and the General state of the patient.
Pain in the lower part of the back and the sides that can have different intensity and nature, but in the majority of cases it is an alarming symptom that requires prompt diagnosis and treatment.