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, Pain between shoulder blades

BACK PAIN BETWEEN SHOULDER BLADES (INTERSCAPULAR PAIN)

Possible causes of back pain between shoulder blades https://www.nhs.uk/conditions/shoulder-pain/:

(1) Shingles
Depending upon which nerve roots the virus affects, shingles can cause pain nearly anywhere in the body and may occur well before a rash is noticed. The pain may be most pronounced in the region between your shoulder blades but tends to concentrate on one side of your body.

(2) Epidural anaesthesia
People who have an epidural for labour or a C-Section sometimes experience intense interscapular pain. This pain resolves when the drip is slowed down and this pain goes away after labour.

(3) A vertical compression fracture in the thoracic region.
Compression fractures, often due to osteoporosis, may cause interscapular pain.

(4) Scoliosis
Scoliosis of the thoracic spine may cause pain between shoulder blades.

(5) Pulmonary Embolism
Pulmonary emboli occur when clots in the leg (deep vein thrombosis) break off in the leg and travels to the lungs. The pain is often sudden in onset, sharp and may be associated with severe shortness of breath, although sometimes people notice only mild discomfort.

(6) Acid Reflux
Gastroesophageal reflux (acid reflux) may cause referred pain to the back in the region between the shoulder blades. Other symptoms include chest pain, hoarseness and difficulty swallowing.

(7) Nerve entrapment
Nerve entrapment on rhomboid muscles can cause pain between the shoulder blades.

(8) Gallbladder disease
Referred pain from gallbladder disease often occurs as a stabbing pain between the shoulder blades and may be associated with pain on the right upper quadrant of the abdomen and nausea.

(9) Muscle strain
The most common cause of pain between the shoulder blades is a muscle strain. This can result from poor posture (especially leaning forward with prolonged sitting or standing), excess lifting and activities that involve twisting.

(10) Trauma
Example of this is trauma on the shoulder.

(11) Arthritis
Arthritis in the neck or even the ribs may cause interscapular pain.

(12) Herniated or Bulging Discs

(13) Heart Attack

(14) Cancer
Lung cancer can cause referred pain between the shoulder.

back pain

BELOW ARE 10 STRUCTURAL PROBLEMS THAT MAY CAUSE BACK PAIN

  1. Muscle spasm and strained muscles or ligament. Activities that can lead to muscle strains or spasms include; lifting something improperly, lifting something too heavy, making an abrupt and awkward movement.

2. Injuries on the back, fractures and falls can cause back pain.

3. Ruptured disks. Each vertebra in the spine is cushioned by disks, if the disk ruptures, there will be more pressure on a nerve resulting in back pain.

4. Bulging disks. In much the same way as ruptured disks, a bulging disk can result in more pressure on a nerve.

5. Sciatica. A sharp and shooting pain that travels through the buttock and down the back of the leg caused by a bulging or herniated disk that is pressing on a nerve. Sciatica can also cause numbness, tingling and weakness in the lower back, buttocks, legs and feet.

6. Arthritis. Osteoarthritis can cause problems with the joints in the hips and lower back.

7. Spinal stenosis. A narrowing of space around the spinal cord.

8. Abnormal curvature of the spine. If the spine curves in an unusual way, back pain can result. An example is a scoliosis in which the spine curves to the side.

9. Osteoporosis. A condition where the bones, including the vertebra of the spine, become brittle and porous making compression fracture more likely.

10. Kidney problem. Kidney stones or kidney infection can cause back pain. https://www.nhs.uk/conditions/back-pain/causes/

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.