Back pain in a horizontal position. Working in a sitting or standing position

The modern pace of life often drowns out the body's warning signals. One of the most unpleasant, but necessary signals is pain. This indicator manifests itself especially strongly at night, when the rhythm of life begins to slow down and a person has the opportunity to stop and concentrate on himself. It is interesting that increased pain at night is not only a consequence psychological effect. This phenomenon has a well-founded physiological mechanism. This article and why nightly back pain occurs when lying down at night will be discussed in this article.

First of all, it is necessary to clarify what belongs anatomically to the back. This is necessary in order to represent the projection internal organs and exclude their violations as the cause of pain. The back is the back side of the torso (the torso is the part of the body that does not include the head, neck and limbs). Upper limit the back is cervical region, lower - lower back. The back is formed by the vertebrae rear parts ribs and soft tissues. The so-called retroperitoneal space extends from the diaphragm to the small pelvis. The organs located in it are surrounded by fatty tissue.

Retroperitoneal (retroperitoneum - retroperitoneal space) include: kidneys, adrenal glands, ureters, ascending and descending colons, descending and horizontal parts duodenum and pancreas (the retroperitoneal space also contains great vessels). Any disturbances in the structures that form the wall of the back of the body and in the organs that project to the dorsal region can cause back pain.

Features of the occurrence and course of night pain

The main factors that increase pain at night are psychogenic and endocrine. Firstly, a person’s attention throughout the day is occupied by aspects of his active life. Both mental and physical work, are distracting factors from pain. The daily production of adrenal hormones predominates during the day. The adrenal glands produce glucocorticoids, which are anti-inflammatory and analgesics. At night, the level of these hormones decreases. Consequently, during the day the pain is weaker and the so-called pain threshold in a person is higher (this means that the pain sensation must be stronger than at night to cause discomfort in a person).

Causes of back pain

This article will focus on back pain. Below are some that cause such discomfort. Attention is paid to diagnosis, treatment and prevention.

Osteoarthritis

– degenerative dystrophic disease, which mainly affects articular surface cartilage. The disease can affect any element of the joint (the joint consists of subchondral bones, synovial capsule and membrane, ligaments, as well as muscles that surround the joint).

The clinical picture of osteoarthritis consists of arthralgia (pain in the affected joint), stiffness of movement, recurrent synovitis and inflammation of the perisynovial muscles.

It is one of the most common types of osteoarthritis. Coxarthrosis causes back pain. Pain in this disease is assessed by the Lequesne algofunctional index. The index is calculated using a questionnaire, which includes, among other things, a question about character night pain. If there is no pain at night, then 0 points are given. If the pain occurs when moving at night, then 1 point is given, if it hurts without movement - 2 points. The index evaluates pain when standing, when walking, and when getting out of bed in the morning. The main diagnostic method for osteoarthritis is. Management of a patient with osteochondrosis is based on physiotherapy, exercise therapy, restrictions on lifting weights and intensity of movement, and an orthopedic regimen. All measures are aimed at reducing the rate of progression of osteoarthritis. TO surgical methods includes endoprosthetics.

Ankylosing spondylitis

Otherwise called Strumpell-Bekhterev-Marie disease. The disease is chronic. Pathogenesis is based on immunopathologies. There is a correlation with Klebsiella strains. There is a family predisposition.

Ankylosing spondylitis mainly affects cartilaginous joints axial skeleton, such as the sacroiliac, intervertebral and others. Inflammatory processes occur in these joints, which, as a result, form scar tissue. Consequently, the clinical picture will be dominated by stiffness and pain. However, since the immunological mechanism is leading in pathogenesis, extra-articular manifestations are possible. For example, pericarditis or iridocyclitis.

On initial stages Ankylosing spondylitis can be diagnosed using MRI. Then only on radiographs. Ankylosing spondylitis is especially characterized by increased pain at night. The disease has no cure, so treatment measures will be aimed at relieving pain and inflammation, as well as stopping the development of the problem. For this we use:

NSAIDs (non-steroidal anti-inflammatory drugs);
glucocorticoids;
immunosuppressants.

Newer means are tumor necrosis factor inhibitors. Massages, physiotherapy, physical therapy are used, spa treatment, manual therapy, hardening. The mattress should be hard, and sleep should be complete (it is not recommended to place a bolster or pillow under the neck in the initial stages. This can lead to pathological cervical lordosis).

Rheumatic arthritis

Rheumatic arthritis is the result of a cross-reaction with hemolytic streptococcus after a sore throat. As the name suggests, joint damage is caused by rheumatism. The disease occurs more often in women. Rheumatic arthritis affects the joints symmetrically. The disease is accompanied by high fever and damage to the mitral heart valve. The painful sensations are fleeting. It is noteworthy that the classic manifestation of rheumatism is significantly reduced due to active use antibiotics during infectious diseases.

Rheumatism is diagnosed laboratory methods. Treatment is based on the use of antibiotics, NSAIDs and steroids. Rheumatic arthritis responds instantly to NSAIDs. The prognosis is favorable because the joints are not deformed.

Rheumatoid polyarthrosis

Rheumatoid polyarthrosis, unlike rheumatic polyarthritis, manifests itself more moderately. The pain is not so intense, the process affects mainly small joints, and then moves on to larger ones, for example, the hip. The disease can lead to joint deformation. Stiffness and swelling are characteristic. Atrophy of the muscles surrounding the joint is possible.

This disease is characterized by extra-articular manifestations, since the pathogenesis is also based on immunological processes. Rheumatoid polyarthrosis is diagnosed using laboratory methods, for example, by assessing rheumatoid factor. Treatment is aimed at eliminating extra-articular manifestations, eliminating infection, if any, and using anti-inflammatory drugs. Plasmapheresis is also used. As a preventive measure, it is necessary to consume sufficient quantity calcium.

Gout

Gout is characterized by acute relapsing. The pathogenesis is based on a decrease in the excretion of urates by the kidneys and their accumulation in tissues in the form of crystals. The result of this accumulation is tophi - gouty nodes. Gout is more characterized by monoarthritis, which is accompanied by high temperature and intense pain. Subsequently, urolithiasis, urological infections, renal failure due to nephrosclerosis, which, in turn, will additional factors back pain.

The diagnosis of gout is made when crystals are present in synovial fluid or other fabrics. There are other epidemiological criteria. The mainstay of treatment for gout is anti-inflammatory drugs (eg, colchicine) and dietary modification. Products with increased content purine (eg meat and fish). Alcohol is also contraindicated. Hyperlipidemia and increased arterial pressure are risk factors for gout, so prevention is based on eliminating these factors.

Osteoporosis

– progressive metabolic syndrome, as a result of which catabolic processes in bone tissue predominate over anabolic ones. The result of increased catabolism is a decrease in bone density and pathological fractures. There is a genetic predisposition. Risk factors may be:

low weight;
high growth;
female;
old age;
ethnicity.

In addition to constitutional factors, endocrine factors play a huge role (for example, infertility, early menopause). Smoking, excessive alcohol intake, insufficient calcium in the diet, lack of vitamin D, inadequate physical activity (physical inactivity or excess exercise) are modifiable factors on which preventive measures are based. The disease is associated with the use of certain drugs (glucocorticoids, anticoagulants, anticonvulsants), and with diseases (for example, Cushing's disease or malabsorption). Osteoporosis can be a complication of ankylosing spondylitis or rheumatoid arthritis.

The disease progresses very slowly. Back pain may be associated with lumbar vertebral fractures. Pain attack most often associated with hypertonicity of the spinal muscles after a fracture and at night, instead of intensifying, a horizontal position relieves pain. Subsequently, stooping appears.

TO instrumental methods Diagnosis of osteoporosis includes radiography and tomography. Biochemical methods and biopsy examination are also used. Drug treatment based on drugs that inhibit bone resorption (estrogens, calcitonin, etc.), stimulate bone formation (for example, parathyroid hormone), or have a multifaceted effect (calcium and vitamin D preparations).

Histological examination

The above reasons are the most common for back pain, but there are others. The pathogenesis of some causes may not even affect the musculoskeletal system.

Malignant neoplasms

The cause of pain when malignant neoplasms There may be primary or secondary tumors of both internal organs. Secondary tumors are more typical of the spine, i.e. . In this case, the above remedies will not be enough to relieve pain. For malignant tumors they are used narcotic substances. The diagnosis depends on the clinic. Instrumental and biochemical methods are used.

Old injuries and surgeries

The causes of pain at the site of old injuries or during operations may be degenerative processes of previously damaged structures. Scar tissue, which forms at the site of injury or surgery, compresses the gradually recovering nerve fibers. Obviously, in this situation there will be no more surgery. the right decision for post-operative pain. In such cases use conservative methods pain relief and neurostimulation.

Psychogenic pain

Psychogenic pain can occur against the background of depression, which intensifies at night. The main treatments are antidepressants and sleeping pills. A doctor can prescribe them. Their excessive use is not only associated with a host of contraindications, but can also become addictive and become ineffective drugs.

Pain due to poor sleep hygiene

Sleep hygiene is a set of measures aimed at ensuring full and healthy sleep. Sleep hygiene includes everything from the number of hours you need to get enough sleep to your sleeping position, mattress and pillow. If the pain is associated with an uncomfortable posture and subsequent numbness in the limbs and back, then the very fact of this posture may be associated with an incorrectly chosen pillow or an insufficiently firm mattress. It would be best to consult with an orthopedist and purchase an orthopedic mattress and pillow. Pain relief with analgesics is also acceptable, since pain prevents you from getting enough hours of sleep. And this is another factor in poor sleep hygiene.

Pyelonephritis

Pyelonephritis is a nonspecific inflammatory disease of the kidney, which mainly affects the renal tubular system. Pyelonephritis is most often a consequence of hematogenous spread of infection from another source. Less commonly, the cause may be an ascending infection from the lower part of the urogenital tract. Since the kidney parenchyma itself does not have pain receptors, pain occurs during exudative and infiltrative inflammatory processes, which result in stretching of the kidney capsule. The disease is characterized by aching pain (acute with concomitant nephrolithiasis), fever, weakness, and nausea.

As diagnostic methods laboratory methods are used: biochemical analysis urine, general analysis blood, bacteriological examination. The instrumental methods used include ultrasound, X-ray methods(overview and excretory urography, retrograde pyelourethrography, radionuclide methods). Classic treatment is the use of such combinations of antibiotics as: penicillin and aminoglycosides, or fluoroquinolines/cephalosporins. Used infusion therapy, anti-inflammatory drugs are used. Physiotherapy, antiplatelet agents and anticoagulants are recommended.

The following invasive methods are used: catheterization of the ureter on the side of the pathology, nephrostomy and nephrectomy. Antioxidants are prescribed.

Duodenal ulcer

Pain from a duodenal ulcer may radiate to the back. This is explained anatomical features this organ. The pain is called “hunger pain” because food serves as a protective barrier against the effects of digestive juices. It is logical that it will intensify at night, because at night usually a person does not eat, but sleeps. The ulcer is characterized by accompanying dyspeptic symptoms:

belching;
nausea;
vomit;
bloating;
constipation

The following diagnostic methods are used:

blood analysis;
stool analysis;
functional studies;
radiology;
endoscopy;
biopsy;
examination of the mucous membrane for Helicobacter pylori, the presence of which is associated with most cases of peptic ulcers;
electrogastroenterography;
antroduodenal manometry.

The patient should eat fractionally. Food should be chopped and light. Fried and fatty foods are excluded. Pain can be relieved with antisecretory drugs, antacids or antispasmodics.

How to independently determine the cause of pain?

Of course, only a doctor can determine why a person’s back hurts at night, but every patient wants to first understand what’s wrong with his health. The table below shows symptoms characteristic of diseases of certain body systems. From it you can understand which area is affected by the pathological process and what the patient should prepare for when getting rid of it.

Table No. 1. Pathologies, causing pain at night time.

Type of pathologies	Nature of pain and other characteristic symptoms
Spinal diseases	easing of pain 15-20 minutes after waking up and getting up; lumbago and increased discomfort with sudden movements and even mild physical activity; the pain becomes stronger if a person does not move for a long time; signs of pathological processes are observed in internal organs and various anatomical zones innervated by nerves extending from spinal cord, the area that is affected by osteochondrosis.
Kidney diseases	the pain becomes stronger with a light tap on the lower back; the pain practically does not become weaker during the day and does not intensify with physical activity; signs of intoxication, hyperthermia are possible; insufficient or excessive secretion urine, and it becomes darker; back pain in the morning above the lower back.
Autoimmune processes	the pain feels nagging; not only the spine itself is affected by pathology, but also large joints; hyperthermia and intoxication are observed.

Differential diagnosis

The differential diagnosis is based on the features clinical picture diseases. For example, with ankylosing spondylitis there are no lesions of symmetrical joints and rheumatoid nodules characteristic of rheumatoid arthritis. Rheumatoid arthritis causes joint deformation and rheumatic arthritis- No. A duodenal ulcer can be suspected in the presence of dyspeptic symptoms, and pyelonephritis can be suspected in the presence of concomitant urological disorders with systemic manifestations malaise and fever. Immunopathological diseases are mainly diagnosed by laboratory methods. Dystrophic and degenerative - instrumental.

Prevention and treatment

Absolutely all people who have problems with the spine are recommended to have a hard sleeping surface and a properly chosen pillow. This allows you to save correct posture. Bed linen must be of high quality and non-synthetic. Synthetics create static electricity, which can promote involuntary muscle contractions. Muscles that are tense at night will hurt in the morning.

The diet depends on the cause of back pain. If you have gout, you will have to limit foods rich in purine, and if you have osteoporosis, foods should be rich in calcium. One more preventive measure is wearing comfortable shoes. It is recommended to walk in heels for no more than two hours. It is useful to practice swimming and yoga, and drink filtered water.

Therapeutic massage and physiotherapy are prescribed only by a doctor. For example, manual therapy is contraindicated for cardiovascular diseases, infectious diseases, old age. And acupuncture - for kidney diseases, pregnancy, acute respiratory diseases. Acupuncture is very effective for psychosomatic pain.

Regarding medical supplies It is important to mention that for each disease the medications will be different, so you should not generalize or take the first painkiller you come across. It is necessary to find out exactly the cause of this problem and only then decide on the drug. Although, of course, it is better to do this with a specialist who, based on the patient’s tests, will accurately determine the appropriate remedy.

It is also not always worthwhile to be treated with the help of folk remedies - there is a high probability of harming yourself, because a certain remedy can be harmful for a particular organ. Moreover, a person may not know that he is allergic to some component of a folk remedy - then when using it, the patient’s situation will worsen even more.

Video - Exercise to get rid of back pain at night

Conclusion

If you have back pain at night, it is best to contact your local doctor, who, depending on the cause, will refer you to a specialist with a more narrow focus. If back pain is a consequence of a spinal disease, then the patient is redirected to a vertebrologist, if there is rheumatism, then to a rheumatologist and cardiologist (due to concomitant cardiac pathologies), if there is pyelonephritis, then to a nephrologist, and if there are neoplasms, then to an oncologist. It follows that relieving back pain on your own and self-medicating is irrational.

If your lower back hurts while lying on your stomach, do not ignore the pain and associated symptoms: They may indicate health problems. A timely visit to a doctor and professional consultation will help begin treatment and prevent even more serious problems. The nature of lower back pain in the supine position (when you lie on your stomach or back) can already tell a lot and indicate what, where and for what reasons it hurts:

aching nature of the pain - possible overtraining and muscle overload, as well as problems with the genitourinary system;
severe shooting pain, which is accompanied by an increase in temperature, may be associated with cancer;
local pain and point painful sensations are usually associated with arthrosis and rheumatism. The frequency and nature of pain are one of the main characteristics that help in making a diagnosis and prescribing treatment.

Reasons why the lower back hurts when lying down

Often, pain in the lumbar region indicates chronic diseases that either did not manifest themselves before, or the patient did not pay attention to them. There are two categories of reasons: problems caused by discomfort; diseases (chronic and recent). Treatment is selected according to the causes of problems.

Hard surface, awkward position

Discomfort and pain in the lower back occur when the sleeping place is chosen incorrectly - an old sofa or bed, a non-orthopedic or old mattress, pillows that create tension in all parts of the spine and, accordingly, cause pain. Prolonged physical activity, incorrect exercise technique or incorrectly selected weights when strength training, playing sports in shoes that are not designed for this - this and much more in most cases leads to injuries and pain in the lumbar region and other parts of the spine. Cause pain awkward position in a dream, prolonged stay in a supine position, as well as late pregnancy.

Diseases and pathologies

Recently emerged and chronic diseases lead to the fact that a person begins to experience pain in the lumbar region and other parts of the spine.

Osteochondrosis, arthrosis, scoliosis

Pain syndrome with osteochondrosis occurs in the lumbar region and is constant, while the pain often moves up the back or radiates to the legs. Pain can appear both at rest and after physical activity. If the illness has become prolonged or chronic form, then pain is possible even when coughing. With scoliosis, back pain appears constantly (when bending over, with an intervertebral hernia, during prolonged sedentary work, etc.) and leads to disruption of muscle function and tissue damage.

Ankylosing spondylitis

This chronic illness, in which pain occurs in the spine and joints, worsens at night when a person goes to bed, and subsides during movement.

Pyelonephritis

With inflammation of the kidneys, lumbar pain intensifies both after movements and in a quiet position. Hypothermia is also a cause. Sometimes sharp pain appears even when pressing on the lower back. An increase in body temperature is also observed.

Duodenal ulcer

Along with specific symptoms, the disease is characterized by painful sensations, especially when feeling hungry. The pain begins in the right hypochondrium, and then moves to the back and right arm.

Injuries and bruises

Unpleasant/painful sensations are typical for both newly received injuries and bruises and for long-standing injuries. The nature and duration of such back pain varies depending on the causes.

Oncological diseases of internal organs

Pain syndrome in oncology is characterized by:

acute pain that occurs when tissue is damaged (for example, after surgery);
chronic pain with constant tissue damage;
sharp sudden increase chronic pain with the intervention of external factors.

Rheumatoid arthritis

This is a chronic inflammatory disease that affects the joints and tissues of the spine and spreads over time to the internal organs. Pain in the lumbar region indicates damage to the joints of the spine. Why does your lower back hurt when you lie on your back? The reasons vary, but an increase in attacks at night clearly indicates the seriousness of the problem and requires medical intervention. If the pain is localized in the lower back, this may indicate problems in the pelvic organs, if abdominal area– about disorders in the gastrointestinal tract, etc.

How to relieve pain?

To reduce or completely remove pain, you need to know the cause of the pain. In order to find out the cause of the pain, you need to make an accurate diagnosis, and this will require the help of a specialist. The doctor will order tests and diagnostic examinations, and then give recommendations or prescribe treatment. What to do if the diagnosis is still unknown, but pain is present? There are a number of recommendations that you need to adhere to carefully: you can apply cold or, conversely, warm to the sore spot, but the main thing is not to overheat the sore spot. In some cases, light physical activity helps, for example, leisurely walking, light stretching, but you should not swing your legs or pump your abs. It is not recommended to take any actions without precise confidence in their correctness. The best solution will consult a doctor.

Which doctor should I contact?

To find out why your lower back hurts when you lie on your stomach or back, you need to consult a professional. It could be a doctor general practice or a therapist who will give a referral to a specialist. If there are problems in the spine and back muscles, then you need to go to genitourinary system– see a urologist or gynecologist. A general blood and urine test, x-ray, MRI or ultrasound may also be required. Seeing a doctor in a timely manner means taking care of your health, sound and healthy sleep.

Anyone who has experienced back pain knows that it becomes less intense when lying down.

Bed rest is an integral requirement for the treatment of spinal diseases. However, it happens that it does not save you from unpleasant sensations and even contributes to their intensification. In this case, you need to seriously think about your health. Discomfort indicates the presence of serious illnesses, so you should immediately go to the doctor and undergo medical examination.

Back pain while lying down - main causes

There are two types of reasons for the appearance of unpleasant sensations during a night's rest. The first is ordinary discomfort, which does not pose a serious problem and is associated with everyday reasons. These include:

excessive physical activity during the day, leading to severe fatigue;
uncomfortable position chosen for sleeping;
mattress too hard;
constant stay in a lying position.

Many patients reason like this: “when I sleep, I don’t feel anything.” This is a misconception. At night, the adrenal glands produce less anti-inflammatory hormones, so discomfort that goes unnoticed during the day becomes more pronounced after going to bed.
In many cases, pain when lying down indicates the presence of serious problems with health:

diseases of internal organs and systems;
Bekhterev's disease;
rheumatoid arthritis;
arthrosis at a late stage.

To determine the cause of discomfort, you need to conduct an initial self-diagnosis and be sure to consult a doctor.

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Diseases of internal organs and back pain

Diseases of the internal organs cause a dull and nagging pain that is concentrated in that part of the spine that is connected through the spinal cord to the affected area of the body.
The following patterns exist:

discomfort in the sacral region cause disturbances in the functioning of the pelvic organs;
lower back pain due to problems in the lower abdominal cavity;
Discomfort in the sternum is caused by pathologies in the upper abdominal cavity.

Doing morning exercises, you thereby ensure the health of your back for many years

Unpleasant sensations in the back do not depend on the movements of the spine and do not affect the elasticity of the muscles. They do not pass in a lying position. Their intensity varies depending on the functioning of the affected organ. For example, it may intensify during urination, defecation, etc.
Discomfort is usually accompanied by other symptoms that indicate the nature of the problem: nausea, vomiting, bloating, constipation, etc.
Unpleasant sensations in the lower back or lower thoracic region may be associated with problems with the stomach or pancreas (gastritis, ulcer, malignant tumor). They do not go away while lying down; their frequency depends on meals.
Discomfort on the right or left side of the spine is a consequence of pathologies of the pancreas. Diseases of the female genital organs or urinary system– a factor in the occurrence of lower back pain.

If discomfort in the back that does not go away while resting in horizontal position and sleep, is a consequence of diseases of internal organs; self-medication is strictly prohibited. You need to get diagnosed by a doctor and choose the right therapy.

Systemic diseases and night discomfort in the back

Unpleasant sensations in different parts of the spine can be caused by three severe systemic illnesses:

Ankylosing spondylitis
Initially, it affects the sacral region, and then spreads throughout the entire spine. The peculiarity of the discomfort is that it occurs mainly at night, leading to a feeling of stiffness in the morning. It takes time for a person to “diverge.”
Gradually, the disease progresses, leading to fusion of the joints, as a result of which the spine ends up in a hard “case”. The person freezes in the “petitioner” pose: half-bent legs and arms, bowed head and hunched back. The disease has negative impact on the kidneys, heart and lungs.
Rheumatoid arthritis
The disease begins to affect small joints in the limbs and gradually moves to larger ones - the vertebral joints. His characteristic features– discomfort when lying down, pain and stiffness in the morning time, muscle atrophy, spinal deformities. Other organs and systems are affected: heart, lungs, eyes, nervous system, leather, etc.
Arthrosis
The third and fourth stages of the disease are characterized by constant pain. It bothers a person not only when moving, but also at rest, in a lying position, during night sleep. Weather sensitivity develops, and patients complain that their joints “twist” due to weather changes. The patient's range of motion is noticeably reduced compared to healthy person In severe cases, complete loss of ability to work is possible.

If discomfort in the back that does not go away when lying down is caused by systemic diseases, complex therapy is required, including medication, physiotherapy, exercise therapy and other methods. Self-medication and folk remedies in this case they are powerless.

How to get rid of common back discomfort

If the pain syndrome is caused by everyday reasons, you can easily get rid of it. There are several effective ways:

Buy an orthopedic pillow and mattress.
Do morning exercises for your back.
Use special simulators that relieve discomfort: Lyapko and Kuznetsov applicators.
Introduce more sports and physical activity into your life.
Take in evening time baths with the addition of rosemary or fir oils.
Use lotions (alternate cold and hot) that help relax the back muscles.

Unpleasant sensations in the back at night are an alarming sign. If you feel pain even while lying down, you should undergo a medical examination. Discomfort may be a sign of serious illness, successful fight which requires urgent treatment.

Do you often face the problem of back or joint pain?

You sedentary image life?
You can’t boast of a royal posture and try to hide your stoop under clothes?
It seems to you that this will soon go away on its own, but the pain only gets worse...
Many methods have been tried, but nothing helps...
And now you are ready to take advantage of any opportunity that will give you the long-awaited well-being!

Anyone familiar with relentless back pain knows that it subsides somewhat if you lie down. Gentle bed rest is the very first thing necessary condition exacerbation treatment. But if the pain does not go away even in a lying position, then even a person who is not fixated on his health should be concerned. Why might such a situation arise?

Back pain when lying down can occur for both ordinary and more serious reasons.

There may be two options here.

First. During the day you walk as if nothing had happened, and nothing hurts, but at night all your joints are twisting, your back is aching, or your chest is stabbing.

Common causes of back pain:

Physical daily activity and overload
Uncomfortable sleeping position
Surface too hard to sleep on
Constantly lying down

You can eliminate such problems using:

The appearance of night back pain is also explained by the work of the human parasympathetic nervous system, which inhibits the functioning of internal organs at night. The adrenal glands produce less corticosteroids - hormones with anti-inflammatory analgesic effects. Therefore, any pain “undetected” during the day has a habit of becoming more active at night.

When pain while lying down is severe

Second option. The pain does not go away day or night and does not go away when lying down

This situation is less favorable, as it may indicate serious urgent problems and advanced diseases:

Diseases of internal organs
Ankylosing spondylitis (ankylosing spondylitis)
Rheumatoid arthritis
Deforming arthrosis of the third or fourth stage

How to determine what was the cause of the pain symptom in the supine position?

Diseases of internal organs

Pain in the upper thoracic region back is provoked by:

Heart and respiratory diseases
Lung cancer

Differentiate it from thoracic osteochondrosis Can:

Taking an ECG
Listening to your breath
After taking an x-ray
Having done a general blood test

Pain symptoms combined with:

Arrhythmia, changes in pulse
Sputum
Increased white blood cells (leukocytosis) - with pneumonia, pleurisy or bronchitis
Decreased white blood cells (leukopenia) - for lung cancer

Back pain symptoms - lower area chest and upper lumbar regions cause:

Pain in the lower thoracic and lumbar back can cause diseases of the gastrointestinal tract

Ulcer of the stomach and duodenum (pains in the middle part, left and right, and even radiates to the heart area)
Tumors back wall stomach, retroperitoneum and duodenum
Pancreatitis (gives girdle pain):
- in the back and chest on the right and under the ribs - with inflammation of the head of the pancreas
- on the left - with inflammation of the body of the pancreas and its tail
Cholecystitis (pains more under the ribs and on the right side)

Additional symptoms:

Nausea and vomiting
Heartburn, bloating
Flatulence
Change taste preferences etc.

Back pain in the lumbar and sacral regions talk about:

Kidney pathologies ( kidney stone disease, nephritis, tumors)
Colitis
Diverticulitis
Gynecological female diseases
Prostate problems, etc.

When you have lower back pain, the following specific symptoms can help clarify the picture:

Burning, unpleasant painful sensations during or after urination
The wandering nature of pain caused by the advancement of the stone
Cloudy urine, change in color, presence of blood in it
Constipation and disorders
Pulling or sharp pains lower abdomen and other symptoms

Ankylosing spondylitis - a cause of back pain

Ankylosing spondylitis usually begins in the lumbosacral back.

Back pain when lying down occurs due to fusion and immobility of the vertebrae

This is a complex disease: it is caused by a malfunction of the immune system, as well as hereditary factors

Inflammation of the joints gradually spreads to the entire spine. The joints fuse together and become immobilized, spinal column severely deformed. It is not surprising that taking a lying position, and any change in position, leads to increased pain.

This disease mainly affects young men.

Other systemic disease - rheumatoid arthritis

Unlike ankylosing spondylitis, rheumatoid arthritis affects young and middle-aged women more often

The pathology first destroys the small joints of the limbs, and then larger ones are involved, including the vertebral ones.

Features of this disease that make it similar to deforming arthrosis:

Morning stiffness and joint pain
Decreased mobility
Muscle atrophy
Curvatures and deformations

But unlike arthrosis, rheumatoid arthritis also affects internal organs:

Heart and lungs, gastrointestinal tract, kidneys
Anemia and dry skin appear
Are affected blood vessels, vision, nervous system

Although most often back pain in a lying position occurs due to stagnation, yet they can also be a worrying sign.

In this case, the problem can only be dealt with by eliminating the disease that caused it..

Good health to you!

Video: Exercises for back pain

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Back pain while lying down may indicate diseases of the internal organs. The appearance of pain in the lumbar region at night during sleep can be caused by damage to the spine due to ankylosing spondylitis (ankylosing spondylitis). In any case, back pain while lying down requires urgent appeal to the doctor.

Usually occurs with diseases of internal organs nagging pain in the back, extending to those segments of the spinal cord that innervate the affected organ:

pain in sacral region occurs with pathology of the pelvic organs;
in the lower back - for diseases of the organs of the lower abdominal cavity;
in the lower part of the thoracic spine - with organ pathology upper half abdominal cavity.

Pain associated with diseases of the internal organs is usually not affected by movements of the spine, nor is it accompanied by muscle stiffness. This pain does not go away in a supine position, but its intensity can change with changes in the functioning of the internal organs in which the pathological process is located (during intestinal motility, urination, etc.) Symptoms from the affected organ are often present, for example, bloating, nausea, vomiting , frequent urination with pain when salt crystals or small stones move along the ureter. With a stomach ulcer, patients complain of heartburn, nausea, and vomiting, which usually do not occur with radiculitis.

Pain in the lower thoracic or upper lumbar back can be caused by an ulcer or tumor of the posterior wall of the stomach or duodenum, especially if the process extends beyond the peritoneum. With an ulcer, pain can be associated with food intake (occurs several times after eating or goes away after eating).

In diseases of the pancreas (pancreatitis, cyst, tumor), pain may be more pronounced to the right of the spine if there is pathology in the head of the gland, or to the left if its body or tail is affected.

Pain radiates to the lower back when inflammatory diseases female genital organs, colitis, diverticulitis, kidney diseases, urolithiasis, with prostate cancer metastases in bottom part spine.

The appearance of sudden pain in the lower back in a patient taking anticoagulant drugs may indicate retroperitoneal bleeding.

With ankylosing spondylitis, back pain occurs due to inflammatory process amid the attack immune cells on intervertebral discs, ligaments and tendons of joints. Inflammation ends with the replacement of elastic tissues bone tissue, which leads to impaired mobility of the spine and joints.

Back pain, weakness

Most of the adult population of the world suffers from back pain. Up to seventy-five percent of people complain about its various forms. Of which only sixty percent are over thirty-five years of age.

Back and arm pain

Every person experiences back pain in their life. Sudden or unsuccessful movement excess weight, not enough comfortable sleep, heavy load or poor posture - these are the reasons that provoke it.

Pain on the right side of the back

Many people who suffer from chronic pain try to drown them out with the help of antispasmodics or special ointments. This should under no circumstances be done, since in most cases, what seemed like a simple cold or injury may turn out to be indirect signs much more terrible diseases.

Back pain is one of the common problems in modern medicine. Patients often ask a therapist or traumatologist: why does your lower back hurt when you lie on your back? After all, as a rule, when a person lies down, the muscles relax and the pain weakens.

However, not everything is so simple; there are conditions and pathologies in which the lower back hurts when lying down. Let's look at the causes, symptomatic treatment and methods of prevention. similar conditions.

Night back pain causes significant discomfort and reduces quality of life. There are many factors that cause this condition.

Conventionally, they can be divided into two groups:

Physiological pain, which are the result of intense force or sudden excessive physical activity, prolonged stay in a static position. In women, such pain can be caused by menstruation and pregnancy, especially in the later stages.
Development of symptoms of serious diseases of both the musculoskeletal system and internal organs. In these cases, you should consult a doctor, undergo an examination and receive adequate treatment.

Diseases of bones, joints and muscles

If pain occurs in the supine position, then after excluding factors that contribute to muscle tension, you should think about pathological processes in the spine.

Most often, pain syndrome occurs due to degenerative-dystrophic changes in the structure of the spinal column.

The most common reasons:

osteochondrosis;
intervertebral hernia or protrusion;
spondylosis.

With osteochondrosis, it is painful to lie on your back in the lower back, this is due to irritation spinal roots giving rise peripheral nerves, and reflex muscle spasm. Increased intensity may occur at night pain, especially when a person turns over or sleeps on a soft bed.

Ankylosing spondylitis usually begins in the lumbosacral back. Inflammation of the joints gradually spreads to the entire spine. The joints are fused together and rendered harmless, the spinal column is severely deformed. It is not surprising that lying down leads to increased pain.

In addition to these diseases, pain can be caused by severe scoliosis, rheumatoid arthritis, infectious diseases spine: tuberculosis and osteomyelitis.

Should be placed in a separate group compression fractures spine. Depending on the severity and location of the fracture, pain may not be felt at all, occur only at night, or be present all the time.

Tumors arising in the spine (primary) are quite rare. They are most often benign and slow growing, usually appearing in young people. Most spinal tumors spread from another area of the body.

Other reasons

Other causes of lower back pain that occurs at night include diseases of the internal organs:

renal pathologies (nephrolithiasis, pyelonephritis, tumors);
duodenal ulcer;
diverticulitis;
gynecological women's diseases(inflammation, tumors, cysts);
prostate diseases.

For diseases of internal organs, they help clarify the picture additional symptoms, by which a specialist can easily determine the cause of pain in the lower back.

When visiting a doctor, patients often say that they cannot sleep on their stomach and their lower back hurts. This is due to the fact that in this position the back muscles are quite tense, not allowing them to relax properly. Sleeping on your side is better for your spine.

Diagnostic methods

To diagnose the disease, it is necessary to contact a therapist, who, if necessary, after examinations, will refer the patient for a consultation with narrow specialists: neurologist, orthopedist, oncologist, etc.

For precise setting diagnosis requires an extensive examination using laboratory and instrumental techniques:

spine.
CT or MRI.
Ultrasound of internal organs.
Gastroduodenoscopy.
General blood and urine tests.
Blood biochemistry (rheumatic tests, acute phase indicators, creatinine, urea, electrolytes).
Urine tests according to Zimnitsky and Nechiporenko.

When to see a doctor

Sometimes pain in the lumbar region can signal serious illness. People who experience any of the following symptoms, it is recommended to seek emergency help:

Losing control over bladder and intestines.
Recent weight loss is not associated with lifestyle changes such as diet and exercise.
Fever and chills.
Severe, aching pain in the abdomen.

Symptomatic treatment

Treatment of back pain is carried out comprehensively after determining the root cause. The range of activities includes drug therapy and physiotherapeutic procedures. Symptomatic treatment is aimed at eliminating certain symptoms, and not at treating the disease itself.

Medicines

If the pain is caused by degenerative-dystrophic diseases of the spine, then the following drugs are prescribed:

Nonsteroidal anti-inflammatory drugs: Ibuprofen, Diclofenac, Indomethacin and others. These drugs are used in tablets and injections, as well as in the form of ointments and gels applied to painful areas of the back.
Muscle relaxants to reduce muscle spasms: Mydocalm, Sirdalud, Baclofen.
B vitamins (B1, B6, B12) - are used for back pain as moderate painkillers, since, being neurotropes, they have a beneficial effect on nerve cells, relieve inflammation: “Neurobion”, “Trigamma”, “Milgamma”.
Chondroprotectors - regulate metabolism in cartilage tissue, stop the process of destruction in bone and cartilage tissues: “Structum”, “Dona”, “Teraflex”.
Psychotropic drugs - used in complex therapy to relieve pain, as they enhance the effect of analgesics and cause relaxation muscle musculature: “Carbamazepine”, “Amitriptyline” and others.
With strong pain syndrome They do novocaine blockades.

If back pain is caused oncological pathology or a disease of internal organs, then the patient is prescribed the appropriate groups of drugs and a separate treatment regimen is developed.

Important! Self-assign medicines impossible, because they wrong technique may cause various side effects and general deterioration of the condition.

Physiotherapy

Physiotherapeutic procedures are widely used for back pain. They reduce pain and swelling of tissues, improve blood circulation, and stimulate muscle fixation.

The type of procedure, its parameters, duration of exposure, number of sessions are prescribed by the doctor depending on the disease, severity of pain, age of the patient, and the presence of concomitant diseases.

The following physiotherapeutic methods are used:

darsonvalization;

Curative medicine occupies a special place in physiotherapy. Its importance is often underestimated, but without a full-fledged muscle corset it is impossible to cure back pain and prevent relapses of osteochondrosis.

Prevention methods

How to sleep properly without back pain? If back pain has become a daily occurrence for you, start by changing your bed and mattress. The bed should be hard with a strong orthopedic base, and in case of problems with bone base spine, place a thick wooden shield under the mattress.

The bed should not sag under your weight in the lumbar region, but it should conform to the curves of your body according to the shape of your spine.

There are poses that can relieve pain in various diseases of the spine. One of the best is the following:

lie on your side;
leave the lower leg straight;
the leg on top should be bent at the knee joint;
the hand on the bottom is placed under the pillow;
the hand that is on top is placed on the bed or torso.

This pose is suitable for almost anyone who suffers from back pain. It is also recommended to lie on the side that hurts. The roots in this position are compressed less due to the expansion of the intervertebral spaces.

To prevent lower back pain from being caused by everyday causes, follow these recommendations:

do morning exercises for your back;
use special simulators that relieve discomfort: Lyapko and Kuznetsov applicators;
bring more sports and physical activity into your life;
avoid long-term wearing uncomfortable shoes;
watch your weight.

To detect diseases of internal organs on early stage, need to be taken regularly preventive examinations and do not self-medicate, but if necessary, obtain qualified medical assistance.

Conclusion

Back pain at night can be caused by: physiological factors, and serious diseases of the spine and internal organs.

When similar symptoms You should reconsider your lifestyle, change your bed or mattress, play sports, see a doctor and get examined. The sooner the patient begins treatment, the faster and easier it will be to get rid of back pain.

He knows that it calms down somewhat if he lies down. Gentle bed rest is the very first necessary condition for treating an exacerbation. But if the pain does not go away even in a lying position, then even a person who is not fixated on his health should be concerned. Why might such a situation arise?

There may be two options here.

First. During the day you walk as if nothing had happened, and nothing hurts, but at night all your joints are twisting, your back is aching, or your chest is stabbing..

Common causes of back pain:

Physical daily activity and overload
Uncomfortable sleeping position
Surface too hard to sleep on
Constantly lying down

Such problems can be eliminated using:

The appearance of night back pain is also explained by the work of the human parasympathetic nervous system, which inhibits the functioning of internal organs at night. The adrenal glands produce smaller amounts of corticosteroids, hormones with anti-inflammatory analgesic effects. Therefore, any pain “undetected” during the day has a habit of becoming more active at night.

When pain while lying down is severe

Second option. The pain does not go away day or night and does not go away when lying down

This situation is less favorable, as it may indicate serious urgent problems and advanced diseases:

Diseases of internal organs
Ankylosing spondylitis (ankylosing spondylitis)
Rheumatoid arthritis
Deforming stage 3-4

How to determine what was the cause of the pain symptom in the supine position?

Diseases of internal organs

Pain in the upper thoracic back is caused by:

Heart and respiratory diseases
Lung cancer

Taking an ECG
Listening to your breath
After taking an x-ray
Having done a general blood test

Pain symptoms are combined With:

Arrhythmia, changes in pulse
Sputum
Increased white blood cells (leukocytosis) - with pneumonia, pleurisy or bronchitis
A decrease in white blood cells (leukopenia) - for lung cancer

Painful symptoms in the back - the lower thoracic and upper lumbar regions cause:

Ulcer of the stomach and duodenum (pains in the middle part, left and right, and even radiates to the heart area)
Tumors of the posterior wall of the stomach, retroperitoneum and duodenum
Pancreatitis (gives girdle pain):
- on the right and - with inflammation of the head of the pancreas
- - with inflammation of the body of the pancreas and its tail
Cholecystitis (pains more under the ribs and)

Additional symptoms:

Nausea and vomiting
Heartburn, bloating
Flatulence
Changes in taste preferences, etc.

Back pain in the lumbar and sacral regions indicates:

Renal pathologies (nephrolithiasis, nephritis, tumors)
Colitis
Diverticulitis
Gynecological female diseases
Prostate problems, etc.

When, then such specific symptoms can help clarify the picture:

Burning, unpleasant painful sensations during or after urination
The wandering nature of pain caused by the advancement of the stone
Cloudy urine, change in color, presence of blood in it
Constipation and disorders
Nagging or sharp pain in the lower abdomen and other symptoms

Ankylosing spondylitis - a cause of back pain

Ankylosing spondylitis usually begins in the lumbosacral back.

This is a complex disease: it is caused by a malfunction of the immune system, as well as hereditary factors

Inflammation of the joints gradually spreads to the entire spine. The joints fuse together and become immobilized, the spinal column is severely deformed. It is not surprising that taking a lying position, and any change in position, leads to increased pain.

This disease mainly affects young men.

Another systemic disease is rheumatoid arthritis.

Unlike ankylosing spondylitis, rheumatoid arthritis affects young and middle-aged women more often

The pathology first destroys the small joints of the limbs, and then larger ones are involved, including the vertebral ones.

Features of this disease that make it similar to deforming arthrosis:

Morning stiffness and joint pain
Decreased mobility
Muscle atrophy
Curvatures and deformations

But unlike arthrosis, rheumatoid arthritis also affects internal organs:

Heart and lungs, gastrointestinal tract, kidneys
Anemia and dry skin appear
Blood vessels, vision, nervous system are affected

Although most often pain in the back when lying down occurs due to congestion, they can still be an alarming sign.