Pain in osteochondrosis in the right side: possible causes, and what disease can cause it. The main reasons for the appearance of pain in the right hypochondrium Can osteochondrosis give to the liver

If you feel pain, discomfort when turning the body to the side, then this may be evidence of diseases of the liver, kidneys, pancreas.

But most often, pain in the right hypochondrium, radiating to the back, indicates that patients develop osteochondrosis or the disease is in an exacerbation phase.

What hurts, why and how to treat can only be said by a doctor after examination, diagnosis.

Causes of pain in the side and back

If you feel pressure, sharp or dull pain from the back or right side, you should immediately go to the hospital.

Because the symptoms will only worsen, and there are several reasons for this:

Acute hepatitis with jaundice high temperature and fatigue. Usually inflammation develops due to poisoning with poisons, chemicals and medicines;
Pain that radiates to the back, on the right under the ribs, speaks of a lesion of the gallbladder, the presence of stones. But then there are signs such as pressing pain in the liver, high fever, nausea and discomfort in the shoulder, arm;
If it hurts on the right under the ribs or in the right side, giving a spasm to the shoulder, collarbone, then patients can be diagnosed with pancreatitis - inflammation of the pancreas;
Pain under the right hypochondrium may indicate heart failure;
Kidney disease, the appearance of stones in the genitourinary system;
Exacerbation of osteochondrosis of the lumbar, rheumatism or arthritis.

Photo gallery:

Osteochondrosis of the lumbar

Many are interested in the question of whether the liver can give pain to the right side and burst the side, and this is also observed if the appendix is located near this organ.

Since there are a lot of causes of pain on the right side, it is impossible to determine them and it is necessary to go to the hospital for diagnosis.

What needs to be done right away?

Girdle pain on the side often indicates the development of inflammatory processes, exacerbation of certain chronic diseases.

You need to act based on the main symptoms:

Acute pain under the right rib or side, which occurs suddenly and radiates to the back, usually indicates appendicitis, pancreatitis, so hurry to call an ambulance;
Aching, short-term, receding and spasmolytic pains bursting the side against the background of exacerbation of osteochondrosis or arthritis should be treated according to the prescribed therapy: medication, rubbing and ointments.

It is important to understand that it is strictly forbidden to take painkillers, self-medicate and self-diagnose, which causes complications, prevents a diagnosis and sometimes leads to death.

Diagnostics

To determine the cause of pain under the ribs on the right, when it gives to the back and arms, you need to go to the hospital and to a number of specialists:

Gastroenterologist;
Surgeon;
Infectious Therapist;
Orthopedist.

Of the standard tests, each patient must go through the following:

Visual inspection;
Ultrasound, tomography, radiography;

Related photos:

Visual inspection

But even then it is worth focusing on the general manifestations of pain on the right side under the ribs, in the back:

With the appearance of nausea, redness of the eyes, high temperature, it is better to start with a visit to the infectious disease specialist;
If you previously had problems with the kidneys, pain is observed during urination, it becomes frequent, and you suffer from high fever, then go to the surgeon;
In the presence of diseases of the stomach and digestive tract, vomiting or diarrhea, you need to be examined by a gastroenterologist;
Wrong posture during sleep, heavy physical exertion, hypothermia indicates the defeat of the right side of the lower back with osteochondrosis, which means you should go to an orthopedist or chiropractor.

Pain in the lower back with osteochondrosis: causes

If you feel pain not only under the right side, but also in the ribs, in the hypochondrium or back, then there are several reasons for their appearance:

Sedentary work, lack of physical activity;
Incorrect posture and accessories during sleep;
Displacement of the vertebral discs;
Great physical activity;
Obesity;
hypothermia;
Inflammatory processes in tissues;
Infectious and autoimmune diseases.

Video about the symptoms of osteochondrosis:

Classification of pain in the hypochondrium

You can determine the cause of discomfort, spasms and pain on the right side not only by focusing on the location of the organ, but also on the nature of the pain:

Aching manifestations speak of osteomyelitis, cartilage tissue proliferation due to osteochondrosis of the lumbar;
Long-term, recurring pain occurs due to injury, exercise, and a cold. It is especially manifested during movements, turning to the right side, when tilting;
Drawing pains and spasms occur due to hepatitis and other infectious processes in the body;
If acute pain occurs, you should immediately contact the surgeon for an x-ray and a diagnosis. Otherwise, there is a high probability of death, operations to remove the gallbladder, appendix.

Useful video:

Treatment of pain in the right side and back

Disease	Therapy
Osteochondrosis, arthritis and rheumatism	Taking painkillers and anti-inflammatory drugs, treatment with warming ointments, visiting massage and reflexology, therapeutic exercises.
Kidney pathology, urolithiasis	Treatment in a hospital, taking antibiotics, diet, reduced physical activity, taking vitamins.
	Treatment only under the supervision of a doctor, the development of an individual course.
Appendicitis, hernia and osteomyelitis	Immediate visit to the doctor, surgery, antibiotics, rehabilitation at the hospital.
	Urgent hospitalization, taking painkillers under the supervision of a physician, elimination of inflammation and its causes.

Only the attending physician can prescribe the correct therapy

The easiest way to get rid of inflammation, pain in the right side and hypochondrium, which causes osteochondrosis, displacement of the vertebrae or inflammation of the nerve.

Since then the patient is prescribed:

Therapeutic gymnastics and physiotherapy;
Massages;
Reflexology or acupuncture;
Taking anti-inflammatory drugs;
Diet, taking vitamins;
Dry heat and hardware procedures.

Conclusion

Whatever the nature of the pain you are not tormented, you should not postpone treatment or refuse the help of doctors.

Since discomfort in the right side, back or hypochondrium can indicate a serious violation in the activity of organs, deformation of the vertebrae and muscle tissue.

Then time does not play into the hands of the patient, reducing recovery rates.

Remember that taking painkillers and anti-inflammatory drugs only relieves general symptoms, but does not eliminate the cause of the disease.

Pain in the lower abdomen is a typical symptom of diseases gastrointestinal tract or urinary system. Therefore, most people turn to a doctor of the relevant specialization. But when the results of the examination indicate a normal state internal organs, both patients and doctors are at a loss: how can this be? In such situations, it is necessary to pay attention to the spine: in 10-20% of cases, the “culprit” of abdominal pain is the pathology of the musculoskeletal system.

What is the relationship between osteochondrosis and pain in the lower abdomen?

Pain in the abdomen is a concomitant symptom of lumbar, thoracic (much less often) osteochondrosis, since in these sections there are nerve endings of the spinal cord that connect the spine with organs abdominal cavity and small pelvis.

Over the years, the intervertebral discs are destroyed: they lose their strength and elasticity. This leads to excessive mobility of the vertebrae and the formation of bone growths on their body, the appearance of pathologies in the joints, muscles and ligaments (compression of the paravertebral structures occurs). With degenerative processes in the thoracic region, in the region of 5-7 vertebrae, the roots are compressed, which are responsible for the nerve supply of the intestines, gallbladder, spleen and stomach. Their constant irritation with overgrown osteophytes causes pain that mimics diseases of the gastrointestinal tract.

The mechanism of pain in the lower abdomen with lumbar osteochondrosis is based on such compression and reflex syndromes:

Root- manifests itself both in the early and later stages of the disease (when a protrusion or lateral intervertebral hernia has formed). When displaced, the degenerative disc compresses the nerve roots and blood vessels, thereby impairing the outflow of venous blood and the transmission of nerve impulses from the spinal cord to the brain (spasm, inflammation or paralysis of the spinal nerves occurs). This leads to pain in certain parts of the body. If the first three roots are pinched, the person feels pain in the lower back, front and inner thighs, lower abdomen and groin area.
Lumboischialgia (sciatica)- a complex of symptoms that occurs as a result of pinching of the sciatic nerve by deformed vertebrae, intervertebral hernia. The syndrome manifests itself in different ways. As a rule, the patient feels shooting pains in the back, radiating to the thigh and buttock. However, a compressed sciatic nerve can also cause spasms of the pelvic muscles: pain appears in the groin, lower abdomen.

Pinching of the sciatic nerve. The figure shows:
1. Nerve irritation
2. Herniated disc
3. Inflamed joint
4. Sore muscle
5. A herniated disc puts pressure on the nerve endings of the spinal cord
6. Sciatic nerve

Another cause of pain in the lower abdomen with pathology in the lumbar region is compression myelopathy (compression of the spinal cord). In this case, the patient has a change in sensitivity in the muscles of the thigh, buttock and lower leg.

How pain manifests itself

In 15% of patients with osteochondrosis, the occurrence of pain in the abdomen is associated with degenerative processes in the tissues of the spine. In this case, the pain:

felt on the surface of the body and abdominal muscles, but sometimes it is deep;
has aching, dull, arching or cutting character;
worries constantly;
aggravated by bending over, changing body position, walking, deep breathing and coughing;
can be unilateral, combined with lumbar, spinal pain.

Spasms of the abdominal muscles can occur both in the pathology of the thoracic and lumbar regions. But in the second case, the pain is more pronounced.

With destructive processes in the bone, cartilage tissues of the spine, pain in the abdomen is accompanied by:

heartburn, nausea and even vomiting;
feeling of heaviness in the hypochondrium;
stool disorder (constipation, diarrhea);
excessive gas formation in the intestines.

With osteochondrosis, the clinical manifestation of pain in the lower abdomen is often perceived as signs of appendicitis, colitis, cholecystitis or adnexitis, diseases of the genitourinary system. However, with a disease of the internal organs, the patient also has other symptoms (see table)

Cause of abdominal pain	The nature of the pain	Difference from pain in the abdomen with osteochondrosis
Duodenal ulcer	Local, may appear at night or with a "hungry" stomach; has a moderate character, but periodically worsens (in spring, autumn); accompanied by nausea and gag reflexes, impaired stool.	Occurs after eating (after 2 hours); decreases after taking painkillers, antisecretory drugs; on palpation, pain is felt in the pyloroduodenal region.
Adnexitis	Sharp, aching and pulling; radiates to the lower back, sacrum, legs, intestines and groin; felt on palpation during a gynecological examination.	Accompanied by irregular menstrual cycle, pain when urinating, fever, abnormal vaginal discharge.
Cholecystitis	Acute, felt on the right, in the lower part of the thoracic spine, radiates to the lower abdomen; has concomitant symptoms: nausea, flatulence	Increases after taking fatty and fried foods, carbonated drinks; Stopped by medications (antispasmodics); The patient complains of a feeling of bitterness in the mouth, frequent belching.
Appendicitis	Dull, aching (sometimes has an acute character); first appears in the navel, but then descends down the abdomen; aggravated by movement (walking, turning to the left side), coughing, sneezing.	On palpation, muscle tension in the iliac region is felt; accompanied by lack of appetite, fever.
Infectious diseases (dysentery, salmonellosis, amoebiasis)	Constant, aggravated by palpation.	Associated with the following symptoms: diarrhea with impurities of blood, mucus; high body temperature; weakness.
Diseases of the urinary system	Sharp, occurs to the right or left of the spine;	In addition to abdominal pain, the patient develops: fever, burning sensation when urinating. The urge to go to the toilet becomes more frequent, the color of the urine changes.

It is difficult to recognize the exact cause of abdominal pain without consulting a doctor. If a false diagnosis of osteochondrosis is made, diseases of the gastrointestinal tract and genitourinary system will progress, causing complications: bleeding, peritonitis, adhesions in fallopian tubes, infertility, dehydration. Therefore, at the slightest discomfort, you should consult a specialist. He will determine what provoked the appearance of the pain syndrome (pathology of the internal organs or spine) and prescribe the appropriate treatment.

If pain occurs in the lower abdomen before the arrival of the doctor, the patient can do the following:

Lie on your back and put your hand on your stomach. Then we slowly press on it with our fingers, remembering the nature of the pain (bursting, sharp, aching) and the place, pressing which causes the greatest discomfort.
If possible, we get up and do inclinations, a few steps, to determine whether the pain increases.
We remember when the pains in the lower abdomen appeared: after stress, hypothermia, physical activity, or suddenly. It is also important to note whether the pain syndrome is accompanied by nausea, fever, or stool disorder.

Self-identified features of pain will help the doctor make a faster diagnosis. Proof of the vertebrogenic origin of pain in the lower abdomen are symptoms of irritation of the nerve roots and loss of functions of different parts of the body:

numbness, pallor and dry skin;
violation of tendon reflexes, muscle weakness;
decrease in superficial sensations;
excessive sweating;
tingling in the body, limbs.

Vertebrogenic abdominal pain mimics various diseases abdominal and pelvic organs. However, this does not exclude the possibility of the development of true trophic disorders.

Organ pathology or osteochondrosis: how to find out why the stomach hurts?

It is possible to identify the cause of pain in the lower abdomen only after the patient has undergone such types of examinations:

Ultrasound of the abdominal cavity and small pelvis - is prescribed in order to confirm (refute) their pathology.
Radiography of the spine (in lateral and direct projections) - allows you to assess the condition of the vertebrae: the degree of their displacement, the presence of osteophytes.
CT and MRI are the most informative methods for examining tissues. They make it possible to examine the intervertebral discs (clarify their edges) and the ligamentous apparatus, to find out the place of infringement of the spinal roots.

The relationship between pain syndrome and osteochondrosis is confirmed if the diagnostic results showed:

normal condition of internal organs;
reduction in disk density;
the presence of osteophytes on the vertebrae;
destruction of cartilage inside the facet joints;
the formation of protrusion, intervertebral hernia;
spinal deformities (scoliosis, lordosis, kyphosis).

In severe cases, to make an accurate diagnosis, it may be necessary to consult highly specialized specialists (gynecologist, infectious disease specialist, neuropathologist) and additional examination, which includes:

blood urinalysis (general and advanced);
bacteriological culture of feces;
endoscopic examination of the stomach, intestines;
coprogram.

After a comprehensive examination, the doctor draws conclusions about the mechanism of abdominal pain, chooses a treatment method.

With osteochondrosis, pain in the lower abdomen appears due to a violation of the transmission of impulses from damaged spinal roots. However, with the progression of the disease in patients, changes in the tissues of internal organs are often detected, the diseases are in no way related to each other. Therefore, it is important to undergo differential diagnosis in time to determine the cause of the pain syndrome and begin taking therapeutic measures.

How to get rid of pain?

When the cause of pain in the abdomen is compression of the nerve roots, only complex treatment of the spine will help get rid of discomfort. Its main goals:

eliminate muscle spasms;
reduce swelling and inflammation in areas of damage to bone, cartilage tissue;
relieve nerve compression.

Therapy for osteochondrosis complicated by pain in the lower abdomen includes:

Taking medications. As a rule, appoint:

painkillers and anti-inflammatory drugs;
medicines that normalize blood circulation and metabolism in the affected tissues;
chondroprotectors and muscle relaxants.

Physiotherapy procedures. To relieve pain (of any localization) with osteochondrosis help:

magnetotherapy;
electrophoresis;
laser therapy;
paraffin applications.

Classical and segmental-reflex massage- are indicated during the period of subsiding of symptoms of osteochondrosis. The positive effect of their use is as follows:

improves blood circulation in bone and cartilage tissues;
pressure on the nerve roots, arteries decreases (muscle spasms disappear);
pathological reflexes disappear;
the work of all body systems is restored.

Therapeutic exercise(do not use in the acute period of the course of the disease). The effect of training:

back and abdominal muscles are strengthened;
the flow of blood and nutrients to the affected tissues of the spine improves;
blocked vertebrae are released;
congestion in the pelvis disappears.

Based on the treatments described above, the following list can be displayed.

If, with osteochondrosis, pain in the lower abdomen and back is not amenable to conservative treatment and is often exacerbated, accompanied by dysfunction of the pelvic organs (impaired urination and defecation) and ponytail syndrome, it is recommended surgical intervention. During the operation, intervertebral disc prosthetics are performed and osteophytes that compress vessels and spinal roots are removed.

Osteochondrosis is a comprehensive disease: it can cause pain in the lower abdomen, chest, heart, upper and lower extremities. By following the recommendations for treatment, you can not only prevent the occurrence of such complications, but also remove the main symptoms of the disease, slow down the development of degenerative-dystrophic processes in the spine.

Pain in the side with osteochondrosis appears due to dystrophic processes in the cartilaginous tissues of the spine. Unpleasant sensations can resemble angina pectoris and ailments in the heart area.

In the initial stages, unpleasant symptoms do not appear. When the distance between the vertebrae decreases significantly, stiffness in movements and pain in the side are felt.

Osteochondrosis can affect different parts of the spine with corresponding syndromes.

With chest disease, tingling may occur in the side. Patients experience symptoms similar to cardiac pathologies. A similar syndrome can be caused by osteochondrosis. Nerve compression can cause pain beyond the affected area. Most often, stabbing discomfort occurs with sudden movements or uncomfortable postures.

Cardiac colic does not arise from sudden movements, unlike pain in the pathology of the spine. Often heart disease is accompanied by nausea in the morning. Only an experienced doctor can distinguish them from spinal ailment.

If the patient is constantly worried about pain in the back or side, this symptom may be caused by osteochondrosis or postural distortion:

overstressed muscles and their spasms;
tingling in left and right sides;
too much noise in the ears;
dizziness;
"stars" before the eyes;
numbness of the limbs;
migraine;
stiffness during movements due to osteochondrosis;
back pain of aching and stabbing character;
rapid fatigue with small physical activity.

If the patient often has pain in the side or spine, you should immediately contact a neurologist. The disease will develop rapidly without timely treatment.

Osteochondrosis occurs from a sedentary lifestyle or from constant muscle strain. If no action is taken, the syndromes can seriously interfere with life.

Differences in pain in the right and left side

Osteochondrosis, which causes pain in the left and right side, may indicate a disease of the thoracic and lumbar spine. Unpleasant sensations can be of a different nature:

aching;
tingling;
cutting;
long-term;
short-term;
sudden;
sharp.

Conventional painkillers help stop tingling in the side, but do not treat the root cause of the pathology. Localization of discomfort may be remote from the spine, patients mistakenly assume that they have heart disease. With the manifestation of this symptom of osteochondrosis, it is important to immediately seek medical help. In the absence of adequate therapy, the heart, respiratory, digestive and nervous systems may suffer.

It is imperative to pay attention to pain in the left and right side.

How to cure side pain

With the manifestations of symptoms of osteochondrosis, you should immediately contact a neurologist. The specialist will prescribe an adequate scheme of complex therapy. To remove the constantly disturbing pain, it is necessary to begin treatment of the pathology of the spine. Medicines are usually prescribed:

Chondroprotectors are a group of drugs specifically designed to restore damaged and cartilage tissue.
If the patient has severe colic, he must definitely take powerful painkillers. It is best if they are in injections or a quick local effect - they will help the body recover normally without experiencing stress from discomfort in the side.
are needed in order to establish blood supply in the area affected by osteochondrosis. With such an impact, all the necessary nutrients to the intervertebral discs.
Ointments and gels will help in a short time to remove discomfort and improve the blood supply to the diseased area.
B vitamins are needed to speed up recovery nervous system and the ridge as a whole.

It is possible to cure pain in the left and right side with osteochondrosis in a complex with taking medicinal drugs and physiotherapy procedures. Symptoms will disappear only with full recovery.

Comprehensive treatment for osteochondrosis

Osteochondrosis requires complex treatment. In order to get rid of pain in the sides, you need to attend procedures, take medications and use ointments.

Therapeutic charge. In order for the stabbing symptoms to go away, you need to practice exercise. Therapeutic gymnastics is developed by professionals, individually for each patient. Remember that you can not perform exercises during remission and exacerbation of the disease.
Physiotherapy helps to relax the muscles and promotes rapid recovery of the spine, relieves pain.
Acupuncture is one of the effective methods for osteochondrosis. Thanks to the point effect on the ridge, it improves metabolic processes and back muscles relax.
Therapeutic massage helps to relax the muscle corset, relieve pain in the side. If it is not possible to contact specialists, you can do self-massage.
Proper nutrition. Remove everything from your diet harmful products and fix your meal. It is important to pay attention to the drinking regimen.

Thanks to complex treatment the patient will be able to remove pain in the left and right side, get rid of osteochondrosis.

The occurrence of pain - body alarm signal. If you have pain in the right side from the back, pay close attention to the symptom and take care of its elimination. It is possible to independently determine the cause of the pain that has arisen only approximately; to make an accurate diagnosis, you need the help of a doctor. If you are not sure which doctor you need, make an appointment with a therapist. He will direct you to an examination and outline a plan for further actions.

For unbearable, acute, sharp pain, call an ambulance. You may need urgent medical attention!

Listen to your body and determine where exactly it hurts, where the pain gives off and if there are additional symptoms. With problems with the spine or muscles, pain occurs in any part of the back and depends on the location of the problem. Often it is situational and occurs after physical exertion or an uncomfortable body position. Acute inflammatory processes of the internal organs, as a rule, are accompanied by additional symptoms: weakness, nausea, cough, fever. In the initial stages of the disease, there may be no special manifestations, except for the pain syndrome, therefore, for early detection of the disease, it is important to consult a doctor.

The place of pain characterizes the organ to which attention should be paid:

Ask your question to a neurologist for free

Irina Martynova. Graduated from the Voronezh State Medical University. N.N. Burdenko. Clinical intern and neurologist of BUZ VO \"Moscow Polyclinic\".

Upper back on the right under the shoulder blade. Here, diseases of the respiratory system and spine manifest themselves.
The middle part of the back on the right under the ribs. This is the zone of the lower parts of the lungs, digestive system, pancreas, gallbladder, liver.
The lower back on the right near the waist is the area of the urinary system, the right kidney.
Loin right - possible problems with intestines, gynecology, urinary system.
The whole back on the right - the digestive system, spine, muscles.

Expert opinion

Astafiev Igor Valentinovich

Neurologist - City Pokrovskaya Hospital. Education: Volgograd State Medical University, Volgograd. Kabardino-Balkarian State University them. HM. Berbekova, Nalchik.

If the pain appears only in the morning and disappears after an hour, pay attention to the bed. Perhaps you sleep in an uncomfortable position or it's time to change your mattress.

Watch a video about it:

Possible reasons

Respiratory diseases

Peculiarity - increased pain when taking a deep breath. For treatment, they turn to a therapist who, if necessary, will refer you to a pulmonologist.

Pleurisy is inflammation of the pleura. The pain is stabbing or cutting in nature, increases with deep breathing, sudden movements and weakens if you lie on your sore side. Additional symptoms: cough, fever, shortness of breath. Diagnosed by radiography, ultrasound. Antibiotics, various medical manipulations, and sometimes surgery are used for treatment.
Pneumonia - inflammatory process respiratory sections of the lungs. The pain is felt under the shoulder blade or under the ribs, aggravated by deep breathing, coughing. In rare cases, at the initial stage of the disease, there are no other symptoms, then the temperature rises, coughing, sputum production, and weakness appear. It is treated with antibiotics prescribed by a doctor.
Pneumothorax is an accumulation of gases in the pleural cavity of the lungs. The pain is very strong, sharp, stabbing, radiates to the arm, shoulder, intensifies and coughs. A person wants to sit or take a semi-lying position, shortness of breath and cold sweat, panic appear. Diagnosed by X-ray and pulmonary puncture. Urgent medical help needed!
Lung cancer. Unbearable and constant severe pain occurs only in the last stages of cancer, if the tumor grows into the pleura.
Lung infarction - necrosis of part of the lung and soaking this organ with blood when the artery is clogged with a thrombus. The pain is very strong, sharp, cutting on the right under the shoulder blade. Additional symptoms: shortness of breath, tachycardia, hemoptysis. We urgently need to call an ambulance!

Diseases of the digestive system

As a rule, they are accompanied by additional symptoms: abdominal pain, nausea, vomiting. Your GP may refer you to a gastroenterologist.

Flatulence is the accumulation of gases in the intestines. The pain is dull, pulling, accompanied by bloating. Appears after taking certain products (legumes, soda, etc.), as a result of intestinal diseases or neurosis. Painful symptoms are eliminated with antispasmodics, sorbents and defoamers.
Appendicitis is an inflammation of the appendix. If the process is located behind the caecum, then pain does not occur in the abdomen, as happens in most cases, but in the lower back from the bottom right. The pain is acute, constant, radiates to the leg, groin, pelvic region. If you lie on your left side, it will intensify. Additional symptoms: nausea, weakness, sometimes the temperature is above 38 degrees. Urgent surgery required!
Intestinal colic is a spasm of the intestinal muscles. The pain in the lower part of the lower back is burning, cramping: it either intensifies, then decreases, after a while it passes into the abdomen. Additional symptoms: weakness, frequent urination, nausea, diarrhea. Possible causes: poisoning, stress, intestinal diseases, gastritis. With intestinal colic, antispasmodics are taken and a heating pad is applied.

Expert opinion

Mitrukhanov Eduard Petrovich

Doctor - neurologist, city polyclinic, Moscow. Education: Russian State Medical University, Russian Medical Academy of Postgraduate Education, Ministry of Health of the Russian Federation, Volgograd State Medical University, Volgograd.

Severe intestinal colic may indicate serious illnesses, in which in no case should you use a heating pad, but you need to urgently call an ambulance!

Acute cholecystitis is an inflammation of the gallbladder. Pain in the right side of the abdomen, in the hypochondrium, radiates to the area below the right shoulder blade. It can pass on its own after a while (half an hour to an hour). Occurs more often at night or in the morning, after eating fatty foods or alcohol. Additional symptoms: bitter taste in the mouth, nausea, vomiting of bile, white coating on the tongue. Diagnosed by blood tests, urine, feces, ultrasound of the gallbladder. treated with surgery or medicines be sure to follow the diet.
Acute pancreatitis is inflammation of the pancreas. Pain in the side of the abdomen, radiates to the lower back on the right. In rare cases, sensations from the abdomen are absent and are felt only in the back, in the central part on the right. The pain is dull, cramping: it intensifies, then weakens. Additional symptoms: nausea, vomiting without relief, the face becomes grayish, bloating. If the pain gets worse, call an ambulance! While waiting for the doctor, you can take an antispasmodic. In chronic pancreatitis, there is a dull pain in the right side from the back after overeating or.

Diseases of the urinary system

The most common cause of pain in the right side from behind, if it is not associated with the spine and muscles. Your GP will refer you to a urologist or nephrologist.

Retroperitoneal hematoma or retroperitoneal hemorrhage - internal hemorrhage with damage to the abdominal organs. It occurs as a result of an injury: a fall from a height, a blow to the stomach. Pain in the back and in the abdomen depends on the degree of damage: from the absence of symptoms to pain shock. It is diagnosed by the results of ultrasound, computed tomography and radiography. Requires medical attention!

Sometimes the onset of kidney and urinary system disease is manifested only by pain in the lumbar region without additional symptoms!

Nephroptosis is a displacement of the kidney. At the beginning of the disease, pain in the right side from the back is unstable, dull. Appears in an upright position of the body, mainly after a strong cough or physical exertion. It goes away if you lie down. In the future, pain increases, renal colic may occur. It is diagnosed by palpation, ultrasound in the supine and standing position, MRI. The first degree of kidney prolapse is treated with conservative methods: gymnastics, bandages, sanatorium treatment, massage. Second and third degrees may require surgery.
Renal colic is a blockage of the upper urinary tract. The pain is strong, cramping in the waist area on the right, radiates to the pubic area, and later spreads to the entire lower back. Body temperature may rise, vomiting, bloating may occur. Before the arrival of ambulance doctors, you can drink or inject antispasmodics. If there are no other symptoms besides pain, a warm heating pad helps well. While waiting for the doctor, you should lie down so that the kidneys are higher than the bladder (semi-sitting position of the body).
Urolithiasis - urolithiasis - the formation of stones in the urinary system. Depending on the location of the stones, pain may occur in different parts back: in the renal calyx - dull pain deep in the lower back, in the renal pelvis - radiates to the right hypochondrium, in the upper ureter - acute intolerable pain in the lower back when moving, can spread to the area from the hypochondrium to the groin. In the presence of a stone in the lower ureter - severe pain in the lower lumbar region with the transition to the genitals. Diagnosed by urinalysis, ultrasound, MRI. It is treated conservatively or surgically (at the doctor's choice). Doctors often prescribe herbs: dill, violet, calendula, cinquefoil, lingonberry leaves, St. John's wort, sage, bearberry, dog rose and others. The pharmacy sells special herbal kidney collections.
Hydronephrosis is an enlargement of the renal pelvis. The pain is aching, does not depend on the position of the body. Urine may darken and turn reddish - this is a sign of the presence of blood. The pain is aching, sometimes symptoms of renal colic, weakness, nausea are felt. Diagnosed by ultrasound and radiography. It is treated in a hospital, urine is required to reduce pressure in the kidney.
Pyelonephritis is a bacterial inflammation of the kidneys. The pain is aching, dull, sometimes does not depend on the position of the body, may be similar to renal colic. Additional symptoms: frequent urge to urinate, swelling of the face and extremities. Diagnosed by blood and urine tests, ultrasound, computed tomography, x-rays. It is treated with antibiotics, which the doctor must prescribe based on the results of the tests.
Kidney abscess - purulent inflammation. Rare: as a consequence of pyelonephritis or urolithiasis. The pain is sharp, sharp. Symptoms are similar to pyelonephritis, in addition chills, thirst may appear. Call an ambulance and an urgent operation!

Problems with the spine, spinal cord

The peculiarity of this type of pain is that they increase or subside depending on the movements and position of the body. The doctor can refer to an orthopedist, neuropathologist, chiropractor.

- dystrophic disorders in the articular cartilage. The pain is dull, depending on the location, it radiates to the shoulder, arm or legs, and buttocks. It is difficult for a person to bend over, straighten his back. With physical exertion, sudden movements, a long static posture, the sensations intensify, and at rest they subside. To alleviate the condition, relieve muscle spasm and inflammation. In the treatment, anti-inflammatory drugs, painkillers, warming ointments are used, often doctors prescribe physiotherapy: paraffin baths, phonophoresis, laser therapy. With osteochondrosis, therapeutic massage is useful.
- deformity of the vertebrae due to growth bone tissue. The processes compress the surrounding nerve endings and cause aching, dull, one-sided pain, which does not depend on the position of the body and the time of day. If you press on the painful area during palpation, there will be an acute backache. With the lumbar form, numbness of the legs sometimes occurs. Diagnosed by x-ray, MRI. It is treated with painkillers, anti-inflammatory drugs, massage and electrophoresis are useful.
Intervertebral - protrusion of the intervertebral disc. Characterized by constant pulling, aching pain which increases towards the end of the day. With sudden movements, a feeling of backache, acute lightning-fast pain is possible. The sensations intensify when turning to the side, bending over and subside when lying down. To alleviate the condition, you can take an anesthetic (paracetamol, analgin, novocaine). Treatment is aimed at relieving pain and inflammation, exercise therapy and massage are prescribed. Surgical intervention is rare and for serious indications.
Radiculopathy () - damage to the roots of the spinal cord. In most cases, it is the result of osteochondrosis, intervertebral hernia or stenosis (narrowing of the spinal canals). The pain is severe - sharp or dull, radiates to different parts of the spine. Loss of sensation in some parts of the back muscles is characteristic, this process is accompanied by numbness or tingling, a burning sensation. Treatment is aimed at identifying and eliminating the causes of symptoms. To alleviate the condition, they take an anesthetic, do a massage, use special ointments (Bystrumgel, Voltaren). From folk remedies a bath and applying natural wool to a sore spot help.

The pain has a different character, occurs for various reasons, is not always easily determined.

The main thing - see a doctor quickly. Many diseases are treated much easier, less time consuming and cheaper in money if they are detected on early stages appearance. Take care of your health!

Remember

Back pain on the right can be observed due to pathologies of various body systems.
First of all, determine the localization of pain, the relationship of the occurrence with any factor and the accompanying symptoms.
Diseases of the respiratory system. Bronchitis, pneumonia, pleurisy, pneumothorax, lung infarction, oncology. The main difference is the occurrence of pain on inspiration, accompanied by shortness of breath and cough. Diagnosis - blood test, chest X-ray.
Diseases of the digestive system. Flatulence, appendicitis, intestinal obstruction, cholecystitis, pancreatitis. Abdominal pain can radiate to the lower back, there are dyspeptic symptoms, heartburn, belching, nausea, vomiting, bloating, bitterness in the mouth, plaque on the tongue. Diagnosis: blood and stool tests, FGDS, ultrasound.
Diseases of the urinary system. Nephroptosis, pyelonephritis, renal colic, hydronephrosis, kidney stones. Pain is accompanied by changes in urine, swelling, temperature. Diagnosis - urine and blood tests, ultrasound, radiography, MRI.
Diseases of the lumbar spine. All stages of osteochondrosis, sciatica. The pain is aching, dull, with a pinched nerve - intense and shooting. There are pains, burning, tingling and numbness in the lower extremities. Diagnosis - examination, X-ray, MRI, blood tests.
See a therapist for an examination. Treatment is established after determining the disease that caused the pain.

Osteochondrosis is considered one of the fairly common diseases of the adult skeletal system.

Pain in osteochondrosis manifests itself in various parts of the body, has specific symptoms, and can be similar to other pathologies.

The development of pain syndrome begins as a result of the destruction of proteins and polysaccharides of the intervertebral disc, which are responsible for the strength, support, and protective functions of its connective tissues. The process of disintegration of the substances necessary for the spine leads to a gradual deformation of the disk, a decrease in its elasticity and depreciation, the appearance of cracks, which occurs with the drying of the gel-like substance of the nucleus.

The protrusion of the disc creates pressure on nearby vessels, parts of the spinal cord, nerve endings and causes pain.

A disease in which a deformed disc protrudes behind the spine through cracks, while maintaining the integrity of the fibrous ring, is called protrusion. When the ring ruptures, a hernia is formed. A change in the shape of the disc increases the load on the spine, the affected areas are covered with a fixed bone growth, the human motor activity is significantly reduced.

With the development of osteochondrosis, the spine loses its flexibility, and constant fatigue is felt. Nerve roots, experiencing compression of a deformed disc, cause severe pain in a person. The painful syndrome is not limited to a certain area, but spreads along the upper or lower limb depending on the location of the affected disc. As a result, the sensitivity of the muscles decreases, their weakness and decrease in volume occur.

Pain is classified according to its localization in the spine and has its own characteristics according to the types of osteochondrosis:

cervical;
cervicothoracic;
breastfeeding;
lumbar;
lumbosacral.

The disease is combined, that is, it can develop in several parts of the spine.

With cervical

Deep pains are observed most often in the morning. With tension, coughing, the symptom also intensifies. The sensations are aching or stabbing in nature. During an exacerbation, it is difficult to turn your head, speak, chew, the pain becomes "shooting" and can last for several weeks if you do not take action.

Pain syndrome in cervical osteochondrosis spreads in the ear, throat, jaw, face, eyes, frontal part, hands, fingers, head, hypochondrium on the right side, upper shoulder girdle, shoulder blades.

There may be dizziness, increased blood pressure, decreased hearing and vision, tinnitus, fainting, numbness of the tongue. However, the patient often experiences anxiety, panic.

With cervicothoracic

Turning the neck, prolonged immobility exacerbate pain that can be disturbing on one or both sides.

Cervical-thoracic osteochondrosis, the symptoms of which occur in the form of pressing pains on the left side of the chest and arms, is similar to angina pectoris. Therefore, to exclude adverse diagnoses, you should consult a cardiologist.

Pain can spread to the shoulder, arm, head, abdomen, ribs, the area between the shoulder blades.

Additional symptoms are also characteristic:

adoption of a forced position in which pain is minimal;
dizziness, nausea, headaches, toothaches;
feeling of increased fatigue;
instability of blood pressure;
visual impairment;
dry skin, weakness of nails;
tinnitus, dots and spots before the eyes;
diarrhea, constipation.

With breast

Uncomfortable posture, curvature of the spine to the side (scoliosis) often give rise to osteochondrosis of the thoracic region, the symptoms of which are manifested by sudden movements, turns, deep breathing, coughing, raising a hand, trying to bend over.

Pain occurs between the ribs, shoulder blades, in the chest, aggravated at night. The intensity of pain is similar to angina pectoris or heart attack, there is a feeling of compression, numbness, goosebumps in the chest.

Osteochondrosis of the thoracic spine, the symptoms of which can be manifested by acute pain in the left side, is due to the pressure of the autonomic nerve endings associated with the metabolism in the body.

Pain in the stomach, intestines, abdomen, pancreas, liver, lungs, esophagus, pharynx - all this also characterizes thoracic osteochondrosis, the symptoms of which should be distinguished from other diagnoses with a complete examination of the patient. As an additional symptom of the disease, a violation of male sexual function may occur.

With lumbar

This type of osteochondrosis is more common than others. At first, the patient experiences pulling, aching sensations after physical or mental stress. Over time, lumbar osteochondrosis, the symptoms of which will be discussed in more detail, responds with shooting pain.

There is stiffness of movements, problems with bending, unbending the body, lifting weights, short-term muscle spasms. Increased pain delivers standing still, sitting position, coughing, sneezing, voice loads. Patients report relief when walking, lying down.

Osteochondrosis of the lumbar, the symptoms of which manifest themselves in different parts of the body, is characterized by constant pain not only in the lower back, but also in the legs and groin.

Discomfort spreads to the buttocks, pelvic organs, calves, thigh, foot, lower abdomen. There is damage to the knees and hip joints, weakening of foot reflexes with complete or partial loss of sensitivity.

With lumbosacral

This diagnosis is expressed by pains, as in the previous case, and they are also observed in the region of the sacrum.

Remedies directed against pain do not cure osteochondrosis, but help a person temporarily cope with severe discomfort.

To do this, you need to completely relax the spine, taking a horizontal position and placing small pillows or rolled towels under the neck and lower back. In this case, the legs should be bent at the knees. To consolidate the effect, drugs with the smallest side effects- non-steroidal anti-inflammatory drugs (NSAIDs). These include: diclofenac, indomethacin, nimesulide, piroxicam.

Relieve acute pain

For very severe pain, wrap the affected area with a blanket or apply a heating pad or hot water bottle through clothing to create heat. Then you need to lie on the floor or on your stomach. For pain in the neck, you need to put a splint of cotton and cardboard, as with injuries. If you're worried rib cage, it is tightly wrapped with an elastic bandage. When the pain radiates to the lower back and leg, a small roller is placed under the lower back and knee.

Be sure to take an analgesic (you can use a rectal suppository), apply to sore spot cream or ointment for osteochondrosis. A good helper is novocaine blockade, which is performed by the doctor by injecting around the affected area. This method has low toxicity, but it is not used in case of individual intolerance.

Relieve pain in a short time

A massage, a plaster to improve blood circulation and pain relief can quickly get rid of the pain of osteochondrosis.

If medicines don't help

When the drugs do not have the desired effect, call an ambulance. The doctor will make the necessary dose of injection, and in case of pain of an acute nature that does not respond to drugs, novocaine blockade is administered, which was mentioned above.

Treatment

Medicines for osteochondrosis to relieve pain bring relief, but do not eliminate the disease itself, the treatment of which consists of several stages:

drug therapy;
physiotherapy;
special physical exercises;
diets;
sanatorium treatment;
if necessary, surgical intervention.

Medications

After the elimination of acute pain, the patient is prescribed drugs to restore cartilage tissue (chondoprotectors), relax muscles, increase metabolism, and restore normal blood supply.

Osteochondrosis, the symptoms and treatment of which depend on the location and stage of the disease, can be slowed down by the appointment of physiotherapy. After the end of the procedures, exacerbations are observed much less frequently. So, laser therapy improves blood supply, tissue repair is activated. Detensor therapy (traction of the spine) anesthetizes, prevents the development of the disease.

Electrotherapy enhances blood circulation, increases tissue nutrition. Reduces the process of bone growths and removes salts by the method of shock wave therapy. With the help of magnetic therapy, tissues are protected from destruction, the activity of movements and the work of internal organs are restored.

The therapeutic effect of balneotherapy lies in the nutrition of receptors, nerve centers with minerals while taking special baths, showers, and using pools.

There are many other physiotherapy methods: acupuncture, manual therapy, zonal or point vibromassage, ultrasonic, reflex and thermotherapy.

Lumbar, cervical, thoracic osteochondrosis, the symptoms and treatment of which have a common basis, can be controlled by physiotherapy exercises in consultation with the doctor. If classes are carried out regularly, then the manifestations of the disease will significantly decrease.

For example, it is useful to hang on the crossbar or wall bars, holding on to the equipment only with your hands. For the cervical region in this position, tilts, head rotations are performed. When treating the thoracic part of the spine, it is necessary to pull up. The lumbar region is strengthened by lifting the legs or swinging them to the sides and in circles. At the same time, you need to hold on to the crossbar with your hands, and the torso and legs remain in a hanging position.

If osteochondrosis has developed, the hernia often begins to bother, then the doctor prescribes a set of exercises along with the main treatment, which should be performed slowly, smoothly, starting from the healthy side, gradually moving to the patient.

Spa treatment

To prevent further development patients are advised to effective treatment in sanatoriums and health resorts. Against the background of healing air, metabolism improves, the process of destruction of cartilage tissue stops, and immunity increases.

Diet

It is of great benefit for maintaining the body with osteochondrosis diet food based on the balance of proteins, fats, carbohydrates, preference in the menu of cereals, dairy products, vegetables, fruits, fish, lean meat.

Surgical treatment of osteochondrosis

In cases where conservative treatment methods fail, surgery is used to remove the hernia or replace the affected disc with a prosthesis to relieve pressure on the vertebrae.

To prevent acute pain, the further development of the disease, one should take its prevention seriously:

do not overcool or overheat the body;
take a contrast shower;
evenly distribute the load on the spine;
do not lift weights abruptly, do not carry heavy objects in front of you;
do not carry a load of more than 10 kg;
sleep on a flat semi-rigid bed;
engage in physiotherapy exercises, morning exercises and swimming;
eat properly;
change the position of the body during work;
try to lean less;
sit on chairs and armchairs with the highest possible back;
wear comfortable shoes;
avoid stressful situations;
give up smoking.

Useful information

In order for osteochondrosis to act sparingly on the body, certain rules must be followed.

The weight of the body will not put pressure on the spine if hard seats are used. At the same time, the height of the chair should correspond to the length of the lower leg so that the legs are on the floor. The required seat depth is about 2/3 of the thigh length. Legs are located on the floor freely, without bending. You should sit with a straight back and turned shoulders without bending over.

When driving a car, a roller should be placed between the lower back and the back of the chair to fix the curve of the lower back. When watching TV, it is not recommended to sit or lie in one position for a long time.

How to stand

This position creates a huge load on the lumbar spine, so you need to change your position, alternately leaning on your left and right legs, raise and lower your heels, move if possible, take your shoulders back.

How to lift and move weights

Exacerbation of osteochondrosis and the formation of a hernia in the lumbar region is often due to lifting and carrying heavy loads. At the same time, sudden movements, turns of the torso aggravate acute pain. To protect the spine from overload, you should distribute the load in two hands.

If you need to lift weights, you need to wear any wide belt and never bend your back.

Additional rules

You need to sit on a chair or chair smoothly, without jerking. Sweeping, abrupt movements when sitting down on the seat negatively affect the integrity of the spinal discs, especially the thoracic region.