Usually the pain in the back lying down, regress or completely finished, so many patients take the events that are symptomatic for the normal tiredness after an intense physical effort. A completely different clinical picture, characterized increase in pain, when the patient is at rest in a horizontal position.
Often the amplification of the pain is a symptom of a serious disease which requires immediate therapy. When you see the atypical symptoms should necessarily consult a specialist.
Trigger factors and causes
Clinical divided into two main groups of etiological factors that may influence the occurrence of back pain, when the patients are in a state of rest. The first refers to the physiological headaches that are the result of an intense load power, a strong physical effort, a long stay in a static position. The second group characterizes the development of the symptoms of serious diseases of the bone or muscle-cartilage structures. The common causes are:
- pregnancy (II and III quarter);
- the increase in body mass;
- later stages of diseases of the skeletal system (arthritis, backache);
- pathology of the urinary tract and reproductive system;
- malignant tumors of the internal organs;
- inflammatory diseases acute of the bone tissue;
- hernia, with the location in the sacral spine.
The clinical picture is manifested individually for each patient, exactly as keeping the patients with growing pain in the patient lying on his back. The pain and its intensity depends on the degree or duration of the disease processes. Pain characteristics are the following:
- pulling, burning, sharp, dull, shooting;
- moderate, intense, delicate, occasional;
- bilateral or unilateral;
- radiant in the various departments of the spine (usually the lumbar, sacral, cervical departments);
- lasting or other.
It is important to take into account the policy changes of pain when you change the position of the body, after the application of some drugs. The back pain in the supine position may depend on the time of day.
Inflammation of the genitourinary system and pyelonephritis
Pyelonephritis — inflammation of the kidneys ascending urinary tract. The back pain when lying on the back explained the position of the kidneys. Anatomically they are located near the back, at the level or below the hypochondrium. The pain caused and the extension fibro-parenchymal layers of the kidney structures. Pain pyelonephritis pulling, are felt, especially in the night hours. The tendency to increase the pain occurs when a strong shock, a deep breath, bike or catania horse riding. During the examination the patient reacts to a blow to the kidneys from back pain or pulmonary jumping on the heels.
Other symptoms are:
- the change in color of urine and atypical impurities (turbidity, flakes white, slimy, component, solid orange);
- frequent urination with pain, such as cystitis (perhaps a complication in the form of inflammation of the bladder);
- the increase of the temperature of the body (typical for children up to 15 years).
Long flowing pyelonephritis can cause serious complications in all kidney structure, it often becomes a cause of chronic renal failure.
The manifestations of degenerative disc disease
Promote the creation of "bumps" the back pain can development of degenerative disc disease — pathological change of the tissue osteocartilagineo in the intervertebral discs any location. The disease is common among the degenerative changes of the tissue in the axial skeleton.
Back pain lying on your back on a background of degenerative disc disease is the cause of irritation of the nerve roots located within the spinal column. Pain osteochondrosis can be the following:
- shoot (strong, durable);
- deep, long-lasting, pulling;
- sharp shooting radiating to the lower limbs.
The pain may increase during the night, especially at a time of tilting with boca on the side. The pain intensifies, and to go to sleep on a soft bed, with sudden involuntary movements. In addition, patients notice a reduction of the sensitivity in the back, the appearance of muscle weakness, change the conditional-reflex responses, burning sensation, tingling sensation or total numbness.
Ankylosing Spondylitis
The disease refers to the particular to the states, which are characterized by local pain, otherwise referred to as ankylosing spondylitis. Pathology wearing the autoimmune in nature, occurs in the joints of the spine or sacro-iliac articulated joints.
In the disease of Bechterew, is celebrated on the back pain is lying on your back, especially at night. Any movement can facilitate the patient's status. Other symptoms are:
- limitation of joint mobility;
- stiffness in the lumbar area of the spinal column;
- the curvature of the vertical axis of the vertebral column for type of scoliosis;
- the reduction of growth;
- forced position of the body for the back pain.
Ankylosing spondylitis can occur in patients of any age, depending on the clinical history of the patient and of other predisposing factors.
Azwenne outbreaks in the duodenum
Peptic ulcer in the departments of the duodenum is another reason for the appearance of back pain. The onset of pain lying associated with the hunger pains, when the mucosa is more exposed and subjected to damage the gastric juice. The typical location of the pain — the area of the peritoneum, but given the anatomy of the intestine, can give and dorsal divisions. Other symptoms are:
- the appearance of persistent dyspeptic violations;
- flatulence or abdominal bloating;
- acid regurgitation;
- the violation of a chair.
Usually after taking antacids pain disappears. The lack of an adequate therapy often leads to health complications such as stomach or intestinal bleeding, perforation of the mucous membranes, the disease of the mucous membranes of the intestine.
There are many causes that can cause the intensity of the pain during the night's sleep on your back or lying down day. Ignore these demonstrations is dangerous because of a gradual progression of the disease and the development of serious complications, up to disability.
The treatment and prevention
The treatment begins with a careful differential diagnosis to the identification of the underlying disease, which determines the onset of pain.
During the treatment it is necessary to change the position of the body during sleep. To get this hard orthopedic mattress, cushion, lining under the back. During the medical therapy, it is recommended physiotherapy, massage. An active lifestyle is also an important aspect of successful healing.
To relieve the pain requires the appointment of pain medication (ointments, systemic drugs, and spices), various ointments, compresses with his compositions. Often apply some recipes of traditional medicine.
Anticipation to "read" the pain is completely dependent on the nature of the disease, the degree of development of processes, dystrophic, and also from the underlying cause. Usually during the timely diagnosis and to comply with all medical recommendations observed a significant improvement of the quality of life of the patient, reducing the risk of disability.