The painful feeling in the upper right back of the lower back may be accompanied by diseases of various organs and systems of the human body. It is necessary to find out the exact cause of the discomfort symptoms, which can only be done by experts through comprehensive diagnosis. The specificity of treatment depends on the diagnosis.
Soreness in various parts of the back is a common symptom. It can indicate various injuries or diseases. Only experts can use various diagnostic methods to find out the exact cause of pain. Give appropriate treatment after diagnosis.
Possible causes of back pain in the upper right of the lower back
Pain is accompanied by various injuries and diseases. Its features at the upper right of the waist are the pathological features of the musculoskeletal system and the internal organs in the projection of the corresponding segment.
Osteochondrosis
This disease is characterized by degenerative malnutrition. Back pain in the upper right of the lower back may be caused by damage to the lower vertebrae of the thoracic spine or the upper vertebrae of the lumbar spine. On the one hand, when a nerve root is squeezed or squeezed, it usually produces pain.
In the case of osteochondrosis, the pain is continuous and aggravates with exercise, sudden exercise, sneezing, and coughing.
Pathology may be accompanied by the following signs:
- Numbness, pain in limbs;
- Muscle cramps;
- Reduced range of motion;
- Damage to nerve roots is accompanied by shooting pain, impaired sensitivity, decreased reflexes, and hypotension.
Intervertebral disc herniation
This pathology usually develops in the context of osteochondrosis and implies that the intervertebral disc bulges in one direction. In this case, not only the affected area but also the nerve innervation will produce a painful sensation.
The following symptoms were also observed:
- Numbness, tingling, burning pain in lower limbs;
- Decreased sensitivity and loss of tendon reflexes;
- Muscle weakness, decreased muscle tone;
- Internal organ rupture in the projection of the affected area;
- may lose physical exercise.
Myositis
This pathology implies skeletal muscle inflammation. The pain in the upper right of the lower back may be caused by the disease in the corresponding area. Pain is aggravated by muscle movement and sensation.
Other signs are pathological features:
- Muscle weakness;
- The skin is slightly congested;
- The affected area is slightly swollen;
- The general manifestations are: low-grade fever or fever, headache.
Tuberculosis of the spine
This disease is a form of bone tuberculosis. One or several vertebrae will be affected. On the one hand, pain usually occurs when vertebral fragments compress a nerve root. The painful sensation spreads to the legs, abdomen, and torso.
Pathology also has the following manifestations:
- The tension of the back muscles;
- Movement restrictions;
- As the disease progresses, the affected area will be bent;
- If there are multiple lesions, the trunk may be shortened.
Scoliosis
This pathology implies a lateral curvature of the spine. The pain of scoliosis can occur under the background of damaged nerve roots and tissue atrophy.
The following signs are also characteristic of the pathology:
- The blades are placed asymmetrically;
- One shoulder is higher than the other shoulder;
- If you lean forward, you will see the curvature visually.
Appendicitis
This term covers inflammation of the appendix located in the abdominal cavity. In this case, the pain is acute and localized to the abdomen. Gradually, coughing, laughing, and deep breathing will exacerbate the pain and tics. The pain may spread to the upper back of the lower back and then to the right leg. This is usually seen when the appendix is behind the cecum and wrapped around the kidney and ureter.
In addition to pain, the following signs of appendicitis can also be distinguished:
- High temperature;
- Disgusting;
- Vomiting;
- Possible stool retention or diarrhea;
- Fast heartbeat.
Pyelonephritis
This pathology indicates non-specific inflammation of the kidney (the renal tubular system of the organ is affected). When the right kidney is involved, there will be pain at the upper and upper waist. It can be painful and dull, varying in intensity, or it can be paroxysmal.
Pathology is usually accompanied by general symptoms:
- The temperature rises to 40 degrees;
- General weakness;
- chills;
- Loss of appetite;
- Nausea and less vomiting.
Pancreatitis
This disease is inflammatory and affects the pancreas. The pain may occur in the right back and affect the entire abdominal cavity. In this case, it has an ear-piercing nature, manifested in the cut form of a dagger.
The following symptoms are characteristic of acute pathological forms:
- Nausea, vomiting; Loss of appetite;
- Bloating;
- The skin turns white or yellow;
- Low blood pressure and rapid heartbeat.
Cholecystitis
This pathology affects the gallbladder and is inflamed. With the onset of the disease, pain will occur in the lower right cartilage and the upper right back of the lower back.
The severe pain prevented the patient from lying down and breathing difficulties. This situation usually occurs after eating certain foods. The patient may also suffer from nausea, vomiting and bile.
Stomach ulcer
Peptic ulcer is a local defect of the organ mucosa. Its main symptom is upper abdominal pain, but it can radiate to the right back.
The painful feeling is sharp, like a dagger. They may be accompanied by the following symptoms:
- lose weight;
- Heartburn;
- The sour taste is ching;
- Nausea, vomiting after eating.
Pneumonia
The disease affects the lungs, is inflammatory, and its origin is usually infectious. If the right lung is affected, the pain may develop from the back.
may be accompanied by the following signs:
- The temperature rises sharply;
- Weakness and increased fatigue;
- First dry, then moist with cough and cough;
- Shortness of breath.
Tumor
The tumor is benign or malignant. When a tumor begins to squeeze adjacent tissues and nerve roots, it usually produces pain as it grows.
The pain is dull and depressing. It may be accompanied by the following symptoms:
- Loss of appetite;
- lose weight;
- Increased fatigue;
- lethargy;
- pale skin;
- Anemia;
- Hematuria;
- Secondary temperature.
Which doctor should I go to?
General complaints should be referred to the doctor. He will check the clinical situation, perform routine checks, and send it to the stenosis specialist if necessary. It could be:
- Nephrologist;
- surgeon;
- orthopedic doctor;
- Nephrologist;
- Gastroenterologist;
- Pulmonologist;
- phtriciatrician;
- Oncologist.
During the treatment process, you may also need the help of other experts: chiropractors, massage therapists, physical therapy coaches, physical therapists.
Diagnosis
The diagnostic function depends on the specific situation. The compulsory measures are to collect memories of illness and life and conduct physical examinations.
The list of required research may include the following laboratory and instrument technologies:
- Blood and urine tests: routine, biochemical, bacterial culture, blood tests for tumor markers;
- Ultrasound scan;
- X-ray;
- Computer tomography;
- Magnetic resonance imaging;
- Comparative study;
- Endoscopy;
- Biopsy (usually used to check the contents of organs);
- Gastrointestinal electrography.
Treatment
The treatment function depends on the diagnosis. Some problems can only be solved by basic methods-surgical intervention. This is suitable for acute appendicitis and pathology that cause severe complications or that should not be treated conservatively.
In most cases, a conservative approach is sufficient. A whole set of measures are needed, including medication, physical therapy procedures, physical therapy exercises, massage, and diet.
General recommendations
It is necessary to observe bed rest in the case of various pathological exacerbations. In the future, one should avoid overloading the body and mind.
Many diseases, especially those that affect internal organs, require dieting. Its function depends on the diagnosis, but there are some general rules:
- Exclude harmful products. This applies to carbonated drinks, fried, fatty, spicy, salty foods, pickles, fast foods. It is also necessary to give up spicy spices, canned food, and semi-finished products.
- Eat small amounts. These parts should be small. It takes 5-6 meals a day, and at least 2 hours should pass in between.
- For cooking, choose cooking, including steaming, stewing, baking, and slow stewing. If eating and drinking are not prohibited, some foods can be fried, but only in vegetable oil.
- Follow your drinking habits. If there is no other doctor’s prescription, you need to drink 2-2. 5 liters of fluids every day. Usually it should be pure water. You should refuse coffee, strong tea, kvass and other carbonated drinks.
- Eliminate alcohol completely.
Eating habits must be followed to reduce general conditions, reduce the intensity of disease manifestations, and increase the risk of disease. The duration of the therapeutic diet depends on the individual characteristics of the case. Sometimes this kind of food should become a way of life.
Medications
The main content of conservative treatment of most diseases is drugs.
There are many possible causes of back pain on the upper right side of the lower back, so completely different medications may be required:
- Non-steroidal anti-inflammatory drugs. These drugs are used to relieve inflammation and pain.
- Glucocorticoids. Such drugs can also reduce inflammation and pain, are more effective, but are used for short-term due to the high risk of side effects.
- Analgesics are used to relieve pain. If severe pain occurs, anesthetics or drug prohibition may be required, which can only be used in a hospital setting.
- Muscle relaxants and antispasmodics. Such drugs can be used for muscle tension and cramping pain.
- If it is an infectious disease, widespread or severe inflammation, and secondary infection is required, antibiotic treatment is required. To select antibiotics, analysis is performed to identify pathogens and their sensitivity to drugs. At the same time, probiotics are prescribed to normalize the intestinal flora, which is affected by antibiotic treatment.
- If it is a peptic ulcer, antisecretory drugs are needed. These can be M-anticholinergics, H2-blockers, gastrin receptor blockers, proton pump inhibitors. Prostaglandins are also used, which are antiulcer drugs.
- If the cartilage structure is damaged, they will use chondroprotective agents.
- Vitamin and mineral therapy, immunostimulant.
Each case requires a separate method, which also applies to the choice of drugs. In one case, effective drugs may be harmful to another pathology. In this regard, only doctors can prescribe drugs after a clear diagnosis.
Physical Therapy
Physical therapy is usually included in the conservative treatment of various diseases. With their help, you can relieve pain and inflammation, activate various internal processes in the body, and enhance its immune defense capabilities.
For low back pain, the following treatment methods can be specified:
- Electroacoustic or electroacoustic therapy with drugs;
- UHF treatment;
- Cryotherapy;
- Dynamic therapy;
- Laser therapy;
- darsonvalization;
- Magnetic therapy;
- balneotherapy;
- Mud therapy;
- Paraffin wax application.
The effectiveness of the physical therapy program is due to its use. The number of treatment courses is determined by the attending doctor according to individual circumstances and can be adjusted during the treatment.
Actively use physical therapy after surgery. Certain procedures can speed up recovery and reduce the risk of complications.
Massage
For pathologies of the musculoskeletal system, massage is usually required. In most cases, they prefer vacuum or point technology. To achieve results in multiple treatment sessions, and to maintain this effect, repeated massages are required.
Traction
Spine traction may also be needed. It can be done manually or using hardware methods. No matter which technique is chosen, the traction must be carried out several times.
Exercise therapy
Many pathological treatments include physical therapy exercises. In the initial stage, it is best to perform under the guidance of an expert, but in the future, certain exercises can be performed at home. The permitted elements and loads must be discussed with the attending physician.
If you have back pain above the right lower waist, you should consult a doctor who will make the necessary diagnosis and determine the cause of the discomfort. Prescribe treatment based on diagnosis-measures taken by yourself may be ineffective and unsafe.