Content
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1Pain in the upper back
- 1.1Muscular Overstrain
- 1.2Osteochondrosis of thoracic or cervical parts
- 1.3Dysfunction of the joints
- 1.4Angina pectoris
- 1.5Aortic wall rupture
- 1.6Pericardial edema
- 1.7Thrombus formation in the lungs
- 1.8Pneumonia
- 1.9Panic attack
- 1.10Constriction, spasm of the esophagus
- 1.11Stones in the gallbladder
- 1.12Stomach ulcer
- 1.13Gastritis
- 1.14When should I go to the doctor?
- 1.15First aid for pain
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2Causes and treatment of pain in the upper back
- 2.1Why does the back cause discomfort?
- 2.2The spine is a source of discomfort in the back
- 2.3Pain as a result of inflammation of internal organs
- 2.4Heart, you do not want peace
- 2.5The mechanism of manifestation of pain
- 2.6Method of treatment
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3Pain in upper and lower back
- 3.1Main reasons
- 3.2Diseases of internal organs
- 3.3Methods of treatment
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4Causes of pain in the upper back
- 4.1Why does my upper back hurt?
- 4.2What are the symptoms?
- 4.3Problems with the spine
- 4.4Diseases of the heart and blood vessels
- 4.5Diseases of the respiratory system
- 4.6Diseases of the digestive system
- 4.7Renal insufficiency
- 4.8Muscular Overstrain
- 4.9Panic attack
- 4.10Diagnostics
- 4.11Treatment
- 4.12Prevention
- 4.13Risk group
Pain in the upper back
Pain in the upper back can indicate both problems with the muscles or spine (cervical and thoracic parts), as well as diseases of the internal organs (heart, lungs, even stomach).
Thesedisease should be distinguished, because with problems with internal organs, the patient usually needs urgent hospitalization with further examination and treatment.
The article will help to understand why it hurts the upper back.
Muscular Overstrain
Description
Muscles are involved in all processes associated with movement. It is they that drive the bones and the rest of the body. And sometimes the muscles are too tired after the hard work associated with the load on the shoulder girdle.
The result is pain in the upper back.
The nature of pain
Painful sensations of overworkgrab the upper body: shoulders, neck, chest, shoulder blades.
With a particularly intense load, unpleasant sensations can be transferred to the spine. Pain - weak or medium, aching.
With severe stretching or microdamaging, the pain can be burning.
Additional symptoms
General fatigue.
Who and how diagnoses?
Therapist, traumatologist, sports doctor, masseur.
Methods: patient interview, palpation.
Treatment
Relaxation, massage, warm or hot bath (to taste).
Osteochondrosis of thoracic or cervical parts
Description
Osteochondrosis -degenerative disorders in the vertebrae- in the upper part of the spine is rare, the main proportion of diseases falls on the lower divisions.
Of the upper parts, the neck often suffers, on the thoracic region there are isolated cases.
The nature of pain
Pain in the upper back is worn at rest and subacute in movement characters. It is located near that vertebra, which was struck.
Additional symptoms
Painful sensations can be given in the hand.
Symptoms of cerebral circulation disorders are possible.
Who and how diagnoses?
Neurologist, surgeon. Methods: MRI.
Treatment
Conservative: exercise therapy, manual therapy, stretching. NSAIDs are prescribed to relieve pain.
In severe cases, surgery is indicated.
Dysfunction of the joints
Description
The ribs of the thoracic region have joints that fasten them to the spine. With pathologies (dysfunction) of these joints, the patient has a pain in the upper back, as the normal motor function of the ribs and vertebrae is impaired.
The nature of pain
Painful sensations are lomiting.
Located in the middle of the thoracic spine, spreading higher.
Additional symptoms
Limited movement of the chest.
Who and how diagnoses?
Rheumatologist. Methods: anamnesis, CT, MRI.
Treatment
Physiotherapy exercises, painkillers.
Angina pectoris
Description
Angina pectoris (aka ischemic heart disease)is caused by insufficient circulation in the heart muscle.
The condition can arise through the fault of viral diseases, but most often the cause is atherosclerosis.
A narrow lumen of the artery leads to the fact that the heart does not receive the oxygen it needs in sufficient quantity.
An attack of angina usually occurs after physical or emotional stress and passes after resting or taking nitroglycerin.
The nature of pain
The back hurts above, behind the breastbone. Sensations are strong, burning. May spread to the neck, be given in the right side or arm.
Additional symptoms
Panic fear (cardio phobia), pallor of the skin, abundant sweat.
Who and how diagnoses?
Cardiologist. Methods: ECG, Echo-CG.
Treatment
Change in lifestyle, symptomatic therapy (short-acting nitrates, beta-blockers).
Aortic wall rupture
Description
When germinating in the aorta (the largest artery), plaquesthe blood begins to flow into the walls, exacerbating the situation. When all 3 walls are broken - the patient has extensive blood loss, leading to a rapid deterioration of the condition and death.
The nature of pain
Rapidly developing acute, pressing pain in the upper back right or center.
Additional symptoms
Weakness, symptoms of mass blood loss, a feeling of pressure in the chest.
Who and how diagnoses?
Any doctor (aortic wall rupture is an emergency condition).
Treatment
Surgical intervention - stitching or prosthetics of the aorta.
Even with timely assistance, mortality from aortic rupture is 40%. Therefore, if there is sharp pain in the sternum or back, urgently need to call an ambulance.
Pericardial edema
Description
Pericarditis is a condition in whicharound the heart accumulates fluid. It presses on the heart and the surrounding organs.
Most often the cause is infectious diseases.
The disease can be complicated by two consequences: the compression of the organs and the rupture of the pericardium (the envelope around the heart, in which the liquid accumulates).
The nature of pain
The back hurts from above, it is a little more to the right of a backbone. Painful sensations - weak aching, itching, pressing. Feel inside the trunk.
Increase when driving.
Additional symptoms
Temperature, incomplete breath.
Who and how diagnoses?
Therapist, cardiologist. Methods: ultrasound of the heart.
Treatment
Depends on the cause that caused the swelling.
Basically - diuretics, antibiotics.
Thrombus formation in the lungs
Description
Thromboembolism of the pulmonary artery (PE) -pathology in which a thrombus obstructs the arteryor its branches. When the branches are affected, the disease can be asymptomatic, with the stenosis of the central artery developing symptoms of lack of oxygen.
The nature of pain
When thrombosis of the artery pain in the upper part of the spine is acute, develops rapidly. Symptoms are similar to a ruptured aortic wall.
When thrombosis of small arteries pain symptoms develop slowly, often - only visible during exercise.
Additional symptoms
Hypoxia.
Who and how diagnoses?
Therapist, first aid doctor. Methods: anamnesis, analyzes (provided that there is time), ultrasound, CG, X-ray, angiography.
Treatment
Anticoagulants, reperfusion therapy.
If the condition is life threatening, remove the blood clot.
Pneumonia
Description
Pneumonia isinflammation of the lung tissue.
It can have both infectious and non-infectious causes, spread to a part of the lung or to the entire lung, one share or both.
Usually pneumonia is caused either by the direct entry of pathogens into the lung, or by the inhalation of small foreign objects that provoke inflammation with the attachment of pathogens to the process.
The nature of pain
Slowly developing pain in the upper back, which then flow onto the chest. Pain sensations are weak.
Sometimes, when recovering, the lung, which used to hurt, starts to itch.
Additional symptoms
High temperature, symptoms of general intoxication, shallow breathing.
Who and how diagnoses?
Therapist. Methods: fluorography, sputum examination.
Treatment
Antibiotics.
Cleaning the teeth at home and at the dentist reduces the risk of developing pneumonia by half.
Panic attack
Description
At a panic attack the personfeels an unexplained alarmabout yourself and your environment. The causes of panic almost always lie in psychology, but the disease has many somatic (bodily) manifestations. One of them is pain in the upper back.
The nature of pain
Pain is formed by muscle overstrain in the upper spine.
Tense, stiff, weak or medium strength.
Additional symptoms
Nausea, chills, palpitations, insomnia, numbness of limbs.
Who and how diagnoses?
Psychiatrist, psychotherapist, psychologist. Methods: anamnesis, exclusion of other pathologies.
Treatment
Psychotherapy, antidepressants, sedatives. Pain sensations in the upper spine are not specially treated, they go together with the underlying disease.
Constriction, spasm of the esophagus
Description
Esophagus problemsare associated with stomach diseases.
Esophagus may narrow by itself due to gastritis, ulcers, or other causes from the same area.
The nature of pain
Pain sensations begin in the central part of the spine and spread upward. Strong, sharp, burning. Are located behind a backbone.
Additional symptoms
Diseases of the stomach, discomfort along the esophagus, heartburn.
Who and how diagnoses?
Gastroenterologist.
Methods: analysis, X-ray, probe.
Treatment
Diet, supporting medicines, eliminating the root cause.
Stones in the gallbladder
Description
In the gallbladder due to stagnation or excess of saltcan occur stones. They block the bile passages, causing painful pain that spreads throughout the torso.
The nature of pain
Strong pain can be felt both in the stomach and in the cervical spine.
Additional symptoms
Nausea, eructation, bitterness.
Who and how diagnoses?
Gastroenterologist.
Methods: ultrasound.
Treatment
Dissolution of stones, medicamentous or ultrasound. If it is impossible to dissolve, remove the gallbladder.
Stomach ulcer
Description
Ulcers on the inner shell of the stomachlead not only to digestive problems, but also to pain. The latter can irradiate upwards, from which the back will begin to hurt.
The nature of pain
Painful sensations - cutting, strong.
If located on the right side - can resemble angina.
Additional symptoms
Bloody vomiting, heaviness in the stomach after eating, heartburn.
Who and how diagnoses?
Gastroenterologist. Methods: probe, x-ray, analysis of stomach contents.
Treatment
Anisecretory preparations, vitamins, moxibustion.
Gastritis
Description
Gastritis -inflammation of the gastric mucosa. It is divided into acute and chronic. The main cause of acute gastritis: irritation due to too sharp or hot food. Chronic: the bacterium Helicobacter pylori.
The causes of back pain are the same as in the case of an ulcer: the pain radiates upward.
The nature of pain
Burning pain in the upper back can reach the neck.
Additional symptoms
Weakness, irritability, heartburn, belching.
Who and how diagnoses?
Gastroenterologist. Methods: anamnesis, tests, probe if necessary.
Treatment
Special diet.
Be sure to watch the video with a set of exercises that can help
When should I go to the doctor?
When the pain feels suspicious, too strong or last more than a few days.
Remember that pain does not occur just like that - the symptom is a disease that requires treatment.
First aid for pain
If the pain is not strong and not repetitive, but now it is necessary to remove it, non-steroidal anti-inflammatory drugs can help. But this is an extreme method.
It is better to let your body rest, because the most frequent cause is overwork.
Not bad helps massage, but it should only perform a competent masseur, since unprofessional interference can aggravate the course of the beginning pathology (osteochondrosis, for example).
The pain that is located in the upper back is a sign of a disease of the muscles, spine or internal organs. In none of these cases should one engage in self-medication, as the latter either will lead to nothing or worsen the course of the disease.
Diagnosis of the disease and prescribe the treatment should be the attending physician.
A source: http://zdorovya-spine.ru/boli/v-spine/v-verhnej-chasti-spiny.html
Causes and treatment of pain in the upper back
The appearance of soreness in the back can be provoked by various causes.
Pain in the upper back signals problems that are the result of diseases that occur inside the body and in the spine.
Medical practice indicates a variety of factors responsible for the appearance of soreness in this part of the ridge, so first you need to understand the etiology of the problem.
Why does the back cause discomfort?
To consider the causes of pain in the upper back follows in two aspects.Initially, it is necessary to address the factors that cause pathology as a consequence of diseases of the spine. And then go deeper into the causes emanating from the ailments inside the body.
The spine is a source of discomfort in the back
Changes in the trunk of the spine, which occur under the influence of many factors, lead to the appearance of diseases. These pathologies are manifested by sharp pains in the back, numbness of the extremities, edema. What ailments of the ridge are the causes of the pain syndrome?
The first place among diseases of the spine is occupied by osteochondrosis. The disease leads to changes in the structure of the cartilage and adjacent vertebrae. Another disease that arises from unstable vertebrae and characterized by the formation of bone growths is spondylosis.
Another of the misfortunes, leading to severe consequences and characterized by pain in the back, include osteoporosis. This disease causes thinning of the structure of bones, which are destroyed even under the weight of their weight.
In addition, the scoliosis, expressed by the congenital or acquired curvature of the shape of the ridge, can cause back pain. The protrusion and the hernia of the upper part of the ridge are characterized by pain intensity, since in these cases the roots of the nerves are impaired.
Tumors and osteomyelitis are also the causes of soreness in the back area.
Pain as a result of inflammation of internal organs
One of the factors causing the pain in the back from above can be pneumonia. The intensity of these sensations is low, but the duration is considerable.
Pain in the back between the shoulder blades occurs with pleurisy or pneumonia. Pathology is characterized by the appearance of cough and pain in the back.
With inflammation of the pleura, mucus is coughing up.
Acute right pain is caused by exacerbation of cholecystitis. Soreness and discomfort affect the right side of the hypochondrium and last from an hour to three days. Pain radiates to the right shoulder and shoulder blade.
Provoke backache in the back can be stones located in the gallbladder. Their movement provokes intensity of pain, spasms.
The pain in the upper back on the left is a consequence of acute pancreatitis. The causes of these sensations are associated with inflammation of the pancreas. Soreness is characterized by intensity and radiates to the left side of the back, and the waist also suffers.
A sharp back pain resembling a lumbago can be caused by a spinal cord injury. Nerve injuries in the chest provoke the appearance of pain, especially when inhaled. Intercostal neuralgia is accompanied by pain under the scapula, which is intensified when inhaled.
In addition, pain causes renal colic. The same symptoms also signal the thrombosis of the artery of the kidney. If the patient has felt pain that spreads from the waist upward, then this way about himself declares hematoma behind the peritoneum.
Heart, you do not want peace
Diseases of the cardiovascular system also determine the causes of discomfort in the back. Myocardial infarction caused by occlusion of the coronary artery reflects pain under the scapula on the left and shoots into the left arm. The ischemia of the heart is manifested in the same way.
In heart diseases, the left side of the sternum suffers, especially acutely pains are reflected under the scapula. Under the influence of arterial pressure there is such a phenomenon as an increase in the left ventricle.
Thickening of the wall leads to the fact that the left side of the heart increases and this provokes the appearance of tenderness in the chest. Often there is aching pain, increasing with loads.
As the pathology develops, soreness can be constant and accompany the patient until he turns to help.
Discomfort under the scapula characterized by angina, pericardial edema and other pathologies of the heart. In addition, pain in the upper back can be a consequence of trauma or a tumor.
The mechanism of manifestation of pain
The main lever to the appearance of pain syndrome in medicine is the stimulation of receptors in the zone of the shoulder blades and shoulder girdle. The provocation of pain can also be caused by the proximity of the inflammation focus to these receptors.
With the development of pathology in the tissue area leukocytes, which synthesize mediators of the disease - prostaglandins, rush. These substances provoke:
- irritation of nerve endings;
- hyperemia;
- swelling of the tissue.
Edema is formed due to the release of plasma into the intercellular cavity from the vessels. At the same time, the nerve fibers and receptors are squeezed, the pain expands.
In the stomach and intestines, the appearance of pain is associated with muscle spasms in the walls of these organs.
Diagnostics
Given that the causes of pain are varied, the main task of the doctor is to identify a disease that provoked discomfort. The methods of diagnosis are different, so the results of the research and complaints of the patient will make it possible to collect a complete picture of the disease.
X-ray, computed tomography determine with accuracy the presence of degenerative changes in the spine. To establish an inflammation or other deformations in the organs of the abdominal cavity can be done with the help of ultrasound.
Cardiac pathologies are identified by cardiogram and other examinations. In addition, doctors prescribe blood tests that determine the degree of inflammation.
Method of treatment
Having determined which disease caused the back pain, you can take up the treatment. Because pain is the result of inflammation, which is caused by various factors (not only a nerve infringement, or a change in the vertebral structure), it is necessary to eliminate the lesion focus.
Reduce the degree of the inflammation process allows drugs that in their composition have components that suppress the affected area.
Physiotherapy can strengthen the effect of drugs, accelerate the process of tissue regeneration, as well as reduce the intensity of pain.
Depending on the disease, specialists prescribe ultrasound, magnetotherapy, electrophoresis.
Effectively, the recovery of the spine and the elimination of pathologies are affected by the hood.
Massage is fast and healthy on the lesion. Relaxing, warming effect ensures the inflow of blood into the inflammation zone, causing the body to fight with pathology.
Soft massage of the trapezius muscle allows you to relax the muscles of the muscles, increase blood circulation. When performing massaging movements, it is very important to stretch the neck and shoulder area.
The disappearance of pain does not indicate a complete recovery, it is important to consolidate the result. In this case, its therapeutic effect will have gymnastics. Specially designed exercises allow you to strengthen muscle tissue. It is very useful to use the movements of the hands, which work on the shoulder muscles.
Tilting and rotating the head strengthens the circulation of blood, warming the upper back. In this case, there is a relaxation of the muscles, a spasm is removed. Lifting the shoulders also drives the blood and reduces tension in the back.
Prevention of pathologies that cause back pain is designed to prevent the development of diseases.Gymnastics, the right position of the back during work, nutrition - a measure aimed at improving the condition of not only the back, but the whole body as a whole.
A source: http://drpozvonkov.ru/pozvonochnik/drugie-bolezni/prichiny-i-lechenie-bolej-v-verxnej-chasti-spiny.html
Pain in upper and lower back
Pain in the upper back, which is accompanied by a lesion of the chest, is observed quite often.
This symptom may be the result of diseases of the spine or internal organs that are located in this area.
In any case, when these symptoms occur, you need to see a doctor. If you do not do it in time, there is a risk of developing dangerous complications.
Main reasons
Pain in the upper back and chest is quite often the result of traumatic injury, incorrect posture or increased loads.
Often the discomfort at the top of the spine occurs in those people who are used to spending a lot of time at the computer. In this case, often there are pain in the shoulder or neck.
Another common factor leading to such symptoms is muscle tension.
The point is that the shoulder girdle is attached to the scapula and the posterior region of the thorax by sufficiently large muscles. They are able to strain and provoke pain during exercise.
In addition, irritation of the muscle tissue and pain from above can occur with injuries that are caused by insufficient strength or increased stress. The top of the back often hurts after sports injuries, traffic accidents, muscle strain.
However, the most common reason for pain in the upper back is chest and neck osteochondrosis. In this case, discomfort in the spine is supplemented by other manifestations.
These include headaches, dizziness, pain in the neck, pressure disorders. Also, a person can feel discomfort in the shoulder, hands and fingers.
After the magnetic resonance imaging the doctor can identify protrusions or hernias in the cervical region.
There may also be manifestations of spondylosis and spondylarthrosis. Often a narrowing of the spinal canal appears in a person.
Since the thoracic region has low mobility, it rarely develops a hernia, stenosis, or instability.
However, if the patient has kyphosis, scoliosis, or Sheierman Mau's disease, the risk of a hernia or protrusion increases significantly.
Diseases of internal organs
The upper back often hurts due to various pathologies of internal organs. Also, uncomfortable sensations often arise due to damage to the cardiovascular system. They include the following:
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- Angina pectoris or attack. In this case, the main symptom is pain in the chest. It manifests itself in the form of strong compression or compression. Also, discomfort can be given to the hands, back, shoulders.
- Rupture of the aorta wall. If this large vessel is damaged, severe pain occurs in the chest and upper back. As a rule, discomfort is of high intensity.
- Pericardial edema. With this disorder, pain occurs in the center of the chest.
The upper back often hurts and with various lesions of the lungs. They include the following:
- thrombus formation in the lungs;
- collapse of the lung;
- inflammation of the lungs - in this case there is a sharp pain in the chest, which increases with deep breaths or coughing;
- swelling of the mucous membrane located around the lungs - there is an acute pain syndrome, which is significantly worse when coughing or strong breaths.
For other reasons that provoke unpleasant sensations at the top of the back, you can attribute the following:
- panic attack - this condition is characterized by increased respiration;
- inflammatory process in the region of the connection of the ribs with the bones of the chest;
- shingles, which provokes a strong tingling and pain from a certain side - it can stretch from the chest in the direction of the back.
Quite often the upper back hurts with various disorders in the work of the digestive system. In this case, the problems lie in the following:
- spasm or narrowing of the esophagus;
- stones in the gallbladder - in this case the pain increases after the intake of fatty foods;
- heartburn;
- stomach ulcer;
- gastritis.
Methods of treatment
To cope with the pain at the top of the back, you need, first of all, to adjust the position of the body during sitting. To do this, it is recommended to keep the head as straight as possible, to pull back the shoulders, to press the back to the back of the chair.
At the same time it is recommended to put the nails exactly on the floor. Also, you should move as much as possible. If the preventive measures do not help, you need to see a doctor. After conducting a thorough diagnosis, the specialist will select adequate therapy.
It will be different depending on the causes of the disease.
If the pain on the top of the back led to muscle tension, the doctor will recommend such methods of therapy:
- performance of medical exercises;
- acupuncture;
- massotherapy;
- means of physiotherapy.
Since the pain syndrome is caused by the state of the muscle tissue, rehabilitation programs are aimed at doing exercises to strengthen it. Anesthetics help to remove discomfort.
If muscle irritation is observed, the inflammatory process may develop. In this situation, anti-inflammatory drugs are often prescribed.
If the cause of discomfort is osteochondrosis or an intervertebral hernia, a person should also do exercises and massage. In such a situation, non-violent spinal traction is shown.
Thanks to this procedure, it is possible to restore the height and nutrition of the disc, to eliminate the inflammatory process, to reduce the volume of the hernia. In addition, anti-inflammatory and pain relievers will help alleviate unpleasant sensations in the development of this pathology.
To eliminate spasms of muscle tissue, muscle relaxants are usually used. In the more rare cases, when there is a pronounced pain syndrome, the doctor can prescribe local injections of corticosteroid hormones.
However, medical methods of treatment usually do not bring the desired results, because it is so important to start complex therapy in time. In some cases, there is a need for surgical intervention. The operation is performed with a strong pain syndrome and ineffectiveness of conservative treatment within six months. Evidence may also be the progression of neurological disorders.
Pain sensations in the area of the upper back can indicate a variety of violations. In most cases, this condition is a consequence of traumatic injuries or degenerative processes in the spine. Also the cause can be covered in various diseases of internal organs. To cope with this problem, you need to contact your doctor in a timely manner. After detailed diagnosis, the specialist will select adequate therapy.
A source: http://lechuspinu.ru/grudnoy_otdel/boli-v-verhnej-i-grudnoj-chasti-spiny.html
Causes of pain in the upper back
Pain in the upper back is a symptom that anyone can experience, regardless of age and occupation.
Many problems associated with discomfort in the back, speak of pathological processes in the spine, that is, in the risk zone - the activity of the musculoskeletal system. Self-medication in this case can lead to disastrous results.
Let's try to find out what are the features of pain in the upper back and what needs to be done in a specific situation.
Why does my upper back hurt?
In the event that the upper back hurts, it is commonly believed that degenerative processes are localized in the thoracic region of the spine. The main causes of pain in the upper part can be different, we bring the most common:
- mechanical injuries;
- stretching;
- stress caused by physical stress;
- rachiocampsis;
- sedentary lifestyle.
Pain in the upper back can cause the following diseases associated with pathology in the joints and spine, the so-called vertebrogenic diseases:
- cervical osteochondrosis - a disease caused by deformation of intervertebral discs and cartilage;
- arthrosis - an ailment that indicates degenerative processes in the joints;
- displacement of vertebral discs - the pain is caused by the deviation of the vertebrae relative to the axis of the ridge in the upper spine;
- osteoporosis - increased fragility of bones.
Often, the causes of pain in the upper spine are associated with diseases of the internal organs. These may include the following ailments:
- diseases of the cardiovascular system (ischemia, atherosclerosis, stenocardia, pericarditis) - are caused by insufficient circulation in the heart muscle;
pathology of the respiratory system (inflammation, collapse, pulmonary edema, pneumonia, pneumothorax, pleurisy); - diseases of the digestive system (inflammation of the gallbladder, peptic ulcer, gastritis) - pain is localized in the stomach and hypochondrium, but gives up, so it can hurt and up back;
- inflammation of the pancreas - pain can also spread to the upper part of the trunk, particularly the shoulder and shoulder blade.
One must be attentive to the accompanying states of the body and even the psyche. Pain in the upper back can be associated with non-obvious factors. Here are a few examples:
- panic disorder - this condition is accompanied by difficulty breathing, which can cause pain in the upper back;
- shingles - causes discomfort behind the sternum, pain syndrome is localized only on one side;
- Heartburn - usually the pain accrues after eating.
As it can be seen, an accurate diagnosis of the symptom alone is difficult. Pain in the upper back can be caused by different factors. Therefore the most correct decision will be to undergo examination in the hospital. Only a doctor can choose the appropriate treatment.
What are the symptoms?
To better understand the signals that are given by the body, it is necessary to determine which sensations are causing pain at the top of the back. The diagnosis depends on the difference in pain parameters:
- character (acute, dull, lumbago, pulsation);
- place (right, left, middle of thoracic region);
- spread (can be point or give in some area of the upper body);
- strength (intense, weak, increasing);
- intervals (seizures or constant);
- reaction to the attendant factors (motion, load, respiration, cough).
So, certain parameters of pain will help to understand what kind of nature the ailment has. Now we need to figure out which area the disease belongs to. We have identified the distinctive features characteristic of diseases that cause pain in the upper back.
Problems with the spine
The provoking factor is a pinched nerve root, which causes tension in the muscles of the neck and chest. The most common diagnosis is osteochondrosis of the cervical and thoracic spine. Concomitant symptoms:
- there is no sensation of pain in rest;
- numbness;
- decreased sensitivity of the skin;
- poor motor activity;
- Pain gives in hand and shoulder;
- weakness, a feeling of reduced muscle tone;
- redness or pallor of the skin.
If the pain in the upper back accompanies similar symptoms, you need to tell the doctor about it.
He will conduct a survey in the office or write a referral to a narrow specialist (traumatologist, neurologist).
The percentage of likelihood that the pain is associated with vertebrogenic diseases will increase if in the process of palpation there are curvatures of the spine: scoliosis, kyphosis.
Diseases of the heart and blood vessels
Diseases from this area are considered if the back hurts from above and from the left. Such sensations can be traced in the scapula and arm, cervico-collar zone, jaws and even cause toothache. In addition, pay attention to the presence of the following symptoms:
- pressing pain intensifies when moving;
- constant change in blood pressure;
- blushing of the face;
- a feeling of anxiety and fear;
- the appearance of sweat;
- incomplete breath;
- increased heart rate.
If all the signs coincide, and seizures last only a few minutes, it can indicate angina. The outbreak is usually caused by an external factor (physical activity or emotional shock).
If the symptoms of heart disease can not be eliminated with the help of medication, then this is a serious cause for concern.
The development of the disease can be life threatening, therefore, it is urgent to call an ambulance.
Diseases of the respiratory system
In inflammatory processes that occur in the lungs and other respiratory organs, pain occurs in the upper back. This is also indicated by the following factors:
- cough;
- increased pain when coughing;
- heat;
- expectoration;
- uneven breathing.
The point in the diagnosis will be put by the doctor after listening to the lungs. The presence of wheezing and other noises will indicate a malfunction in the respiratory system.
Diseases of the digestive system
Many diseases from this area can be manifested not only by pain directly in the organs of the abdominal cavity, but also spread to the upper part of the trunk. Accompanying ailments:
- unpleasant sensations in the esophagus;
- indigestion disorder;
- nausea;
- bitter taste in the mouth;
- lack of appetite.
Note that the localization of the pain response may depend on the specific nature of the disease. With cholelithiasis, pain is concentrated in the neck, with pancreatitis the pain is shrouded in nature.
Renal insufficiency
Unpleasant sensations, signaling about the defeat of the kidneys, are not limited to colic in the lumbar region. Severe pain can spread above both the right and left sides. Most often this happens with pyelonephritis. A few more reasons that directly point to this:
- darkening of the color of urine;
- pain when urinating;
- chills;
- edema;
- increased blood pressure.
Some symptoms can lead to a dead end and at first glance point to heart or respiratory disease. In this case, you need to undergo an examination with a doctor and take laboratory tests. It is advisable to do this without delay, otherwise the disease will go to a chronic stage.
Muscular Overstrain
The patient should analyze what factors could have influenced the appearance of pain. This can be a sharp turn of the head, heavy weights, uneven weight distribution, physical exercises. What says about this:
- pain covers the shoulders, neck, chest and shoulder blades with the transition to the spine;
- sensations of aching, burning;
- weakness.
Panic attack
This disease is more likely from the field of psychotherapy, but it has many somatic symptoms. This and back pain caused by overstrain of the muscles of the spine. In addition, there is:
- cardiopalmus;
- tremor;
- sweating of limbs;
- nausea;
- problems with falling asleep.
Since back pain is not the main symptom of a panic attack, they go on as they cure.
Diagnostics
If several days in a row the upper back hurts - this is a serious reason to consult a doctor. What will be the diagnosis and treatment, depends on the specific disease. Probably, it is necessary to be checked up at the cardiologist, the neuropathologist or the traumatologist. Most likely, the following work will be done:
- collection of anamnesis - the doctor will ask a few questions about your well-being. The patient should help collect all information, tell about his lifestyle, chronic diseases and bad habits;
- referral to analyzes - laboratory studies of the biomaterial will show which assumptions should be excluded and which ones should be confirmed;
- additional examinations - perhaps the doctor believes that the cause of pain in the degenerative processes of the internal organs, therefore he can prescribe a referral to an electrocardiogram if he suspects angina pectoris or kidney ultrasound if everything indicates a pyelonephritis.
These are ordinary methods: anamnesis and tests are prescribed for any even simple examinations.
Treatment
Let's talk about the treatment of pain in the upper back, if the problem is still with the joints or tissues.
If the pain is very strong, then anesthetics are prescribed for a quick withdrawal of the syndrome. Sometimes prescribed anti-inflammatory drugs.
If the cause of discomfort is osteochondrosis or a herniated disc, the following procedures are recommended:
- Physiotherapy - strengthens muscles, joints, restores working capacity, eliminates inflammation and reduces the volume of hernia.
- Massage - this treatment of the spine is shown immediately after the cessation of pain, that is, after a course of physio. Has a therapeutic effect, in consultation with a massage therapist, you can do self-massage at home.
- LFK is a complex of exercises aimed at improving the patient. It is developed taking into account the diagnosis and at the initial stage has a low intensity of exercises with a tendency to increase.
- Acupuncture is an ancient oriental acupuncture procedure. The healing effect is achieved with the help of needles placed on the reflex points. The procedure is well combined with a massage.
- Vacuum - the essence of can massage is that the vacuum helps to evenly distribute blood circulation throughout the treated area. Thus, the cause of the disease is eliminated. The procedure is good and as a preventive measure.
Prevention
Ideally, you need to take preventive measures before you run into the disease.
That is, if you have a sedentary job, you need to allocate a couple of hours a week to a gym or jog.
But if they once faced with ailment, then this is a serious reason to not allow this situation any more. For this you need to do:
- Follow the posture.
- Do exercises and gymnastics in the mornings, warm up every two hours of work at the computer.
- Do not lift the weight if the body is not ready for this. Spread the weight between the sides of the body.
- Watch for food.
- Check how comfortable the bed is. If necessary, change the pillow and purchase an orthopedic mattress.
- Avoid sharp turns of the head or movements of shoulders.
- Sign up for the sports section. It's better to go swimming. This type of exercise well balances the load and strengthens the muscles of the shoulder girdle.
Risk group
There are people who need first of all to pay attention to preventive measures.
- People of advanced age. Over time, bone and muscle tissue weakens and thinens. Therefore, you need to strengthen them with simple methods - more movement and regular intake of vitamin D and calcium, as well as multivitamins. Self-massage is also very useful.
- Pregnant. Future mothers often suffer from back pain. Changes in the body lead to the displacement of organs, and the increasing abdomen imparts a load to the musculoskeletal system.
- Office workers, drivers, operators. Eight hours five days a week to spend sitting at the computer or in the car - this is practically the verdict for the spine.
So be sure to warm up during the day and try to walk more in your free time.
Unfortunately, most people who have had a backache are suffering from relapses. Therefore, preventive measures and the revision of one's lifestyle are so important. Over time, recurrent diseases are more difficult to treat, so this is just the case, when it is easier to prevent.
A source: https://MoiPozvonochnik.ru/otdely-pozvonochnika/pozvonochnik/bol-v-verhnej-chasti-spiny