back pain

BACK PAIN ACCOMPANIED BY OTHER SYMPTOMS

Back pain varies widely. Some symptoms may suggest that back pain has a more serious cause. These include fever, recent trauma, weight loss, a history of cancer and neurological symptoms, such as numbness, weakness or incontinence (involuntary loss of urine). https://www.nhs.uk/conditions/back-pain/

Sometimes back pain usually is accompanied by other symptoms that may help point to its cause. For example:

  • Fibromyalgia – In addition to back pain, there are usually other areas of pain and stiffness in the trunk, neck, shoulders, knees and elbows. Pain may be either a general soreness or a gnawing ache, and stiffness is often worst in the morning. People usually complain of feeling abnormally tired, especially of waking up tired, and they have specific areas that are painful to touch, called tender points.
  • Degenerative arthritis of the spine – Together with back pain, there is stiffness and trouble bending over, which usually develops over many years.
  • Osteoporosis – This common condition is characterised by thinned, weakened bones that fracture easily. It is most common in postmenopausal women. When vertebrae become compressed because of fracture, posture may become stooped over or hunched along with back pain. At times osteoporosis is not painful unless a bone fractures.
  • Back sprain or strain – Back pain typically begins on the day after heavy exertion. Muscles in the back, buttocks and thighs are often sore and stiff. The back may have areas that are sore when touched or pressed.
  • Inflammatory arthritis, including ankylosing spondylitis and related conditions – In these disorders, there is a pain in the lower back, together with morning stiffness in the back, hips or both. There also can be pain and stiffness in the neck or chest or an extremely tired feeling. Other features may include psoriasis, eye pain and redness, or diarrhoea, depending on the specific disorder causing back pain. 
  • Spinal stenosis – pain, numbness and weakness affect the back and legs. Symptoms get worse when you are standing or walking, but are relieved by sitting or leaning forward.
  • Pyelonephritis – People with a kidney infection typically develop sudden, intense pain just beneath the ribs in the back that may travel around the side toward the lower abdomen or sometimes down to the groin. There also can be a high fever, shaking chills and nausea and vomiting. The urine may be cloudy, tinged with blood or usually strong or foul-smelling. There may be additional bladder related symptoms, such as the need to urinate more often than normal or pain or discomfort during urination.
  • Protruding disk – People with significant disk disease sometimes have severe pain in the lower back. If a disk compresses a nerve, the pain may spread down one leg. The pain gets worse during bending or twisting.
  • Cancer in the spinal bones or nearby structures – Back pain is consistent and may become worse when you are lying down. Numbness, weakness or tingling of the legs that continues to get worse. If cancer spreads to spinal nerves that control the bladder and bowel, there may be bowel or bladder incontinence (loss of control).
back pain, Middle back pain

CAUSES OF MIDDLE BACK PAIN & STEPS TO REDUCE THE RISK OF MIDDLE BACK INJURY

Middle back is the region of the back between the rib cage and base of the spine. In this region, there are 12 spinal disks, several vertebrae, muscles and ligaments. There are many causes of middle back pain ranging from injury to poor posture. Some of the causes of middle back pain are injury, age, arthritis, fractured vertebrae, kidney problem, herniated disks, muscle sprain or strain, poor posture, scoliosis, tumour. https://www.nhs.uk/conditions/back-pain/causes/

Not all cases of middle back pain are preventable, but the following steps may reduce the risk of injury:

  • Maintain a healthful weight. Being overweight puts extra stress on the back muscles.
  • Sleep on one side or on the back. People who sleep on their stomach may experience spinal misalignment. It is best to sleep on the back, or one side with a pillow between the knees.
  • Practice proper posture. Stand tall with the shoulders back and keep the pelvis in a neutral position.
  • Ergonomically optimise all workspace. Make sure computers are at eye level, look for a seat with armrests and lower back supports, and wear supportive shoes.
  • Lift with caution. Where possible, avoid heavy lifting or find someone to help. When lifting, keep the back straight and bend at the knees.
  • Try physical therapy. Ask the therapist for a personalised program to improve posture, core strength, and mobility.
back pain

LOWER BACK PAIN WHEN COUGHING

4 main causes of lower back pain when coughing

  • Herniated disk

– Disks are the cushions between the bones in your spine. A herniated disk (or rupture or slipped disk) occurs when the softer part of the disk pushes out of the harder part

  • Muscle strain

– A strain can affect a muscle or a tendon. In the back, the muscles or tendon can get pulled, torn or twisted.

  • Muscle sprain

– A sprain affects the ligaments that connect bones of a joint with a sprain, the ligament get stretched.

  • Muscle spasm

– Spasm and cramps happen when a muscle can’t relax after contracting.