Usually pain in the back lies a mine or completely stop, so many patients accept such symptomatic manifestations for the usual fatigue after intense exercise. A completely different clinical picture characterized by increased pain when the patient rests in a horizontal position.
Often increased pain is a sign of serious illness that requires immediate treatment. With atypical symptoms, be sure to consult with a specialist.
Predisposing factors and causes
Doctors distinguish two main group of etiological factors that can affect the occurrence of back pain, when patients are at rest. The first relates to the physiological pain resulting from intense physical exercise, cutting excessive exercise, prolonged stay in a static position. The second group indicates the development of symptoms of serious diseases of the skeletal system or the muscular and cartilaginous structures. Common causes are:
- pregnancy (II and III trimenon);
- increase in body weight;
- the later stages of the disease the skeletal system (arthritis, osteochondrosis);
- pathology of the urinary tract and reproductive system;
- malignant tumors of internal organs;
- acute inflammatory disease of bone tissue;
- herniated discs localized in the sacral part of the spine.
The clinical picture is manifested individually for each patient, as well as keeping the patients by increasing the pain the patient is lying on his back. The nature of pain and its intensity depends on the degree or the duration of the pathological processes. Characteristics of pain the following:
- pulling, burning, sharp, dull, shooting;
- moderate, intense, weak, episodic;
- bilateral or unilateral;
- broadcast on different parts of the spine (usually the lumbar, sacral, cervical parts);
- the longer or the other.
It is important to consider criteria changes in pain when you change body positions, after the use of certain medications. Back pain in the supine position depends on the time of day.
Inflammation of the urinary tract and pyelonephritis
Pyelonephritis — a kidney inflammation of the ascending urinary tract. Pain in the back, when lying on the back refers to the location of the kidneys. Anatomically located closer to the back, at or below the hypochondrium. The pain caused by the extension of the fibro-parenchymatous layer of the kidney structures. Pain in pyelonephritis drawing, felt, especially in the night hours. The tendency to increase the morbidity is manifested when a strong shake, a deep breath, riding a bike or riding a horse. During the investigation the patient responds to the sound of the kidneys in the back or light, jumping on the heels.
Other symptoms are:
- the change in color of urine and atypical impurities (turbidity, white flakes, the mucous component, an orange shade);
- frequent urination with pain, as in cystitis (and perhaps a complication of inflammation of the bladder);
- increasing the temperature of the body (applies to children up to 15 years).
Long running pyelonephritis can cause serious complications in all kidney structures, which is often the cause of chronic kidney failure.
The manifestations of the disease
To facilitate the emergence of "lies" back pain can development of degenerative disc disease — pathological changes of bone and cartilaginous tissues in the intervertebral discs from any location. The disease is common in dystrophic tissue changes in the axial skeleton.
Lower back pain, lying on his back, on the basis of osteochondrosis is connected with irritation of the nerve roots located in the spine. Pain in osteochondrosis can be the following:
- shooting (sharp, long);
- deep, long-lasting, nagging;
- sharp shooting radiating to the lower limbs.
The pain can intensify at night, especially when turning from side to side. The pain intensifies and when he fell asleep on the soft bed, with a sharp involuntary movements. In addition, patients reported decreased sensitivity in the back, muscle weakness, changes in conditioned-reflex reactions, burning sensation, tingling, or complete numbness.
Ankylosing Spondylitis
Disease refers to the special conditions, which are characterized by nocturnal pain, otherwise referred to as ankylosing spondylitis. Pathology is autoimmune in nature, that occurs in the joints of the spine or sacroiliac joints of the joints.
Ankylosing spondylitis is back pain lying on your back, especially at night. Every movement easier for the patient's condition. Additional symptoms are:
- limitation of the articular mobility;
- stiffness in the lumbar spine;
- the curvature at the vertical axis of the spine depending on the type of scoliosis;
- the reduction of growth;
- forced position of the body when pain in the back.
Ankylosing spondylitis can occur in patients of all ages, depending on the clinical patient history, and other predisposing factors.
Ulcerative lesions in the duodenum
Peptic ulcer disease in the departments of duodenal ulcers is another cause for back pain. The phenomenon of pain lies associated with hungry pains, when the mucous membrane is maximally exposed and subjected to damage of the gastric juice. A typical localization of pain — in the area of the peritoneum, however, due to the anatomy of the intestine, they can give and dorsal divisions. Other symptoms are:
- the emergence of persistent dyspeptic disorders;
- the bloating or distension;
- sour belching;
- violation of the chair.
Usually after this, the antacids, the pain subsides. Lack of proper treatment often leads to complications in the form of stomach or intestinal bleeding, perforation of the mucous membranes, disease of the mucous membrane of the intestine.
There are a lot of reasons that may cause the intensity of the pain at night sleep on their backs or lying on the day. To ignore such manifestations are dangerous due to the gradual progression of the disease and the development of serious complications, up to disability.
The prevention and treatment of
Treatment begins with a thorough differential diagnosis to identify the basic disease, which determines the appearance of the pain.
During treatment it is necessary to change the position of the body during sleep. To get this hard orthopedic mattress, pillow, padding on the back. At the time of treatment with medications, it is advisable to perform physical therapy, massage. An active lifestyle is an important aspect of successful recovery.
For the relief of pain requires the appointment of analgesics (ointments, systemic drugs, balsams), various ointments, compresses, therapeutic compositions. Often used some of the recipes of traditional medicine.
The prognosis of the "lies" of pain depends entirely on the nature of the pathology, the degree of development of dystrophic processes, as well as to the original cause. Usually by early diagnosis and compliance with all medical recommendations to significantly improve the patient's quality of life, lower risk of disability.