Why does your back hurt after walking and standing or lying down for a long time at night? Prevention and treatment. Methods for diagnosing and treating diseases that manifest as nighttime back pain

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 serious illnesses, so you need to 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 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.

To prevent and treat JOINT DISEASES, our regular reader uses the increasingly popular NON-SURGERY treatment method recommended by leading German and Israeli orthopedists. After carefully reviewing it, we decided to offer it to your attention.

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

By doing morning exercises, you 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 in a lying position; 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 are 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:

1. 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 a “petitioner” pose: half-bent legs and arms, a bowed head and a hunched back. The disease has negative effects on the kidneys, heart and lungs.
2. Rheumatoid arthritis
   The disease begins to take over small joints in the limbs and gradually moves to larger ones - vertebrates. His characteristic features– discomfort when lying down, pain and stiffness in the morning, muscle atrophy, spinal deformities. Other organs and systems are affected: heart, lungs, eyes, nervous system, skin, etc.
3. 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, V 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, is necessary complex therapy, including taking medications, 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 reason pain syndrome became household reasons, you can easily get rid of it. There are several effective ways:

1. Buy an orthopedic pillow and mattress.
2. Do morning exercises for your back.
3. Use special simulators that relieve discomfort: Lyapko and Kuznetsov applicators.
4. Introduce more sports and physical activity into your life.
5. Take baths in the evening with the addition of rosemary or fir oils.
6. 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 can be a sign of serious diseases, the successful fight against which requires urgent treatment.

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

• You have 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 parasympathetic nervous system human, inhibiting 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 back is caused by:

• Heart and respiratory diseases
• Lung cancer

You can differentiate it from thoracic osteochondrosis:

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

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

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

Pain in the lower chest and lumbar region backs can cause gastrointestinal diseases

1. Ulcer of the stomach and duodenum (pains in the middle part, left and right, and even radiates to the heart area)
2. Tumors back wall stomach, retroperitoneum and duodenum
3. 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
4. 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 indicates:

• Kidney pathologies ( kidney stone disease, nephritis, tumors)
• Colitis
• Diverticulitis
• Gynecological female diseases
• Problems prostate gland etc.

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

• Burning, unpleasant painful sensations during or after urination
• 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 not a simple disease: it is caused by a failure 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.

Other systemic disease- rheumatoid arthritis

Unlike ankylosing spondylitis, rheumatoid arthritis Young and middle-aged women are more likely to suffer

The pathology first destroys the small joints of the extremities, 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 when lying down occurs due to congestion, it can still be an alarming sign.

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

Good health to you!

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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 medical attention.

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

• pain in the sacral region occurs due to 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 pathology of the organs of the upper half of the 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 may be caused by an ulcer or tumor in the posterior wall of the stomach or duodenum, especially when the process spreads 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 is felt in the lower back due to inflammatory diseases of the 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 against the backdrop of an attack by 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 overweight, insufficiently comfortable sleep, heavy workload 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, lying on your back, can cause quite significant discomfort and reduce the quality of life, disrupting night sleep. There are quite a few reasons for this condition. For effective pain relief, you need to understand why the corresponding symptom occurred.

Physiological causes of pain when lying on your back

Almost every person has experienced back pain while lying down at least once in their life. This does not mean that he is developing a disease. The cause of this condition is often the following factors:

• Excessive physical activity.
• Uncomfortable position for lying down. Back pain after sleep is a fairly common symptom when the body is positioned incorrectly during rest.
• Overwork or prolonged stay in a horizontal position.

These reasons are easily identified and eliminated. The result is a pain-free back. The absence of pathology is evidenced by the episodic nature of the pain syndrome and its low intensity, as well as a clearly traceable connection with violations of occupational or rest hygiene.

Pathological causes of pain syndrome

Chronic or high-intensity pain syndrome may indicate the development of the disease. There are many pathologies that cause pain.

Aching back pain even in a supine position it can be caused by ankylosing spondylitis (ankylosing spondylitis). The pathology is also accompanied by spinal deformation.

Chronic back pain lying down is one of the symptoms of osteochondrosis, degenerative processes of intervertebral discs, damage to muscles or ligaments.

If back pain radiates to right leg or left , it is logical to think about pinching or defeat sciatic nerve, intervertebral hernia in the lumbar spine, spinal canal stenosis.

In addition to musculoskeletal diseases unpleasant symptom in a lying position can be triggered by diseases of the internal organs. When back pain radiates to the right side, you should think about cholecystitis or peptic ulcer stomach. Pain in the right hypochondrium from behind from the back often signals acute pancreatitis. In women, this symptom sometimes accompanies inflammatory diseases ovaries.

Pain and pain relief

Obviously, there are quite a few reasons for the occurrence of the corresponding symptom. Effective pain relief largely depends on high-quality diagnosis of the main provoking factor.

Patients often ask their doctor what to do about back pain. For pain relief the following are most often used:

• Nonsteroidal anti-inflammatory drugs (ibuprofen, paracetamol and others).
• Antispasmodics(drotaverine, papaverine).
• Narcotic analgesics (at serious injuries or oncological processes).

In addition to drug treatment, it is widely used manual therapy, various types of massage, acupuncture. One of effective methods The treatment for pain is physiotherapy. It has been proven that the influence electric current, ultrasound or magnetic field has a beneficial effect on reducing the severity of pain.

"Mercury" is a compact physiotherapeutic device suitable for both home use, and for use in medical institutions.

It is capable of generating electrical impulses of a given strength. It is installed different modes impact on the human body to select the maximum suitable type physiotherapeutic influence.

The use of the Mercury device allows:

• receive treatment without constant financial costs;
• be treated safely, without side effects;
• eliminate pain as it occurs, without visiting a doctor (subject to a previously established diagnosis);
• eliminate pain at any time of the day without leaving home;
• reduce the dosage of painkillers or completely abandon them.

It is advisable to use Mercury in combination with other therapeutic methods to achieve quick and high-quality results.

Back pain is one of the most common problems in modern medicine. Doctors such as neurologists, orthopedists, and traumatologists often hear from their patients complaints of discomfort, chest pain, etc. Back pain when lying on your back can signal the development of many diseases of the musculoskeletal system or internal organs. In this case, you need to get diagnosed and start treatment as quickly as possible. But often such a symptom occurs due to common physiological or everyday factors. If they are eliminated or at least the degree of their pathological influence is reduced, back pain will go away on its own.

The most common conditionally benign causes of back pain

So, there are 2 main types of factors that contribute to the occurrence of back pain in a lying position. The first type, which is also the most common, is different options negative impact on bones, joints, muscles:

If in a particular case the above factors are absent, or after eliminating them the back pain does not go away, you should consult a doctor.

Pathological causes of pain when lying on your back

The back may hurt when lying down various reasons. Sometimes pain radiates to the lower back due to pathologies of internal organs, in other cases it is directly in the spine itself or the tissues surrounding it. The most common pathological causes of back pain at night are:

• Diseases of the kidneys or urinary system. Lying on your back makes it most difficult for the kidneys to do their job;
• Diseases musculoskeletal system – , vertebral hernia, osteomyelitis, damage to the muscular system in the back. Spinal injuries, fractures in the pelvis, sacrum;
• Diseases of organs located in the pelvic or abdominal area - pathologies of the internal genital organs, pancreatitis, cholecystitis, aneurysm abdominal aorta, stomach ulcer, gastritis;
• Diseases of the heart and cardiovascular system, lungs.

Some patients are interested in why their back hurts at night. It is impossible to answer this question precisely, however, there are several factors that can explain such symptoms. Firstly, during the day the back does not hurt because the internal organs do not hurt. Some diseases manifest themselves at night, for example, gastritis. Secondly, if the muscles are tense during the day, then they may not hurt, but during the period of relaxation, just the opposite. Well, during pregnancy, the uterus puts pressure on the back the most when the woman is lying on her back.

How to determine its cause based on the nature and location of pain

By listening to your body, you can try to determine the most probable cause occurrence of pain syndrome. The nature of the sensation (pain) and the likely problem:

1. Aching is a disease of the urinary system or muscle strain.
2. Point – arthrosis or rheumatism.
3. Strong, sharp, sharp, shooting – oncological or infectious-inflammatory diseases of internal organs. And if the pain is felt in the bone, it means a bruise, a fracture in a certain area of ​​the musculoskeletal system.
4. Cramping, pulling, pressing - most likely the cause is pregnancy.

Depending on the location of the unpleasant sensations, the following patterns of diseases can be determined:

1. In the lumbar region - diseases of the genital organs or urinary system, injuries, fractures, muscle strains, unsuitable mattress.
2. In the abdominal region - pathologies of the digestive system.
3. Diseases are possible in the thoracic spine cardiovascular system, lungs.
4. IN cervical spine spine – various bone deformities, diseases of the bone or joint tissue of the spine. Less commonly, intracranial pressure disorders.

In order to more accurately determine the cause of back pain, you need to first consult a therapist. And then, depending on the characteristics of the clinical picture, the doctor will refer the patient to a doctor of a more narrow specialization. You can, if possible, seek advice directly from a vertebrologist - a specialist in pathologies of the musculoskeletal system.

Methods for diagnosing and treating diseases that manifest as nighttime back pain

To begin with, the doctor will listen to complaints, conduct an external physical examination of the patient, special attention focusing on the spine. The following diagnostic procedures may be prescribed:

• To ensure the integrity of bones and joints - x-ray;
• To diagnose the condition of the muscular system and internal organs - MRI, CT, ultrasound;
• To identify possible infectious and inflammatory oncological processes in the body – general clinical and/or biochemical tests blood and urine;
• To exclude diseases of the cardiovascular system - ECG.

You may also need to consult such specialists as a neurologist (to exclude pinched nerves), gynecologist, urologist, gastroenterologist, or oncologist.

Treatment methods for back pain directly depend on the diagnosis made by the specialist. If it's all about musculoskeletal dysfunction, complex therapy will be required. The doctor may prescribe massage, swimming. And also drug treatment– prescribing anti-inflammatory, painkillers, and multivitamin medications. And medications to restore, maintain, and strengthen the health of the musculoskeletal system.

If back pain occurs as contributing factor for pathologies of internal organs, etiological treatment will be aimed at eliminating primary disease. Drugs will also be prescribed for symptomatic therapy and alleviation of the patient’s condition.

“It hurts when I lie on my back” - patients can turn to a therapist or surgeon with such a complaint. As a rule, the back hurts less when lying down, but in some cases painful sensations are only getting stronger.

In young people, pain is most often caused by a twisted body position during sleep, an incorrectly selected surface, overexertion or physical activity. Women during pregnancy, especially later, experience a strong load on the lumbar region, which can also provoke pain while being in a horizontal position.

Older people most often experience pain in the back and lower back due to degenerative changes in the structure spinal column. The most common reasons:

• osteochondrosis;
• radiculitis;
• spondylosis;
• intervertebral hernia (protrusion of the intervertebral disc).

In addition to these reasons, pain in the back and lower back can be provoked by severe scoliosis, rheumatoid arthritis, pathological processes of internal organs: kidney diseases, tumors of the pelvic organs, prostatitis. Some infectious diseases affecting the spine can also cause severe pain in the back:

• rheumatism and rheumatoid arthritis;
• osteomyelitis;
• tuberculosis.

Compression fractures of the spine should be placed in a separate group. 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.

Acute lower back pain

In a supine position, acute pain in the lumbar region can be caused by:

1. Renal colic - characterized by unbearable pain, radiating to the groin area, lower abdomen (iliac region), inner surface hips.
2. Pathologies of women reproductive system (inflammations, tumors, cysts) and prostatitis in men they can cause severe pain in the sacral area, which persists in a supine position.
3. Exacerbation of lumbar osteochondrosis accompanied by severe pain, unabated when lying down. Often exacerbations of osteochondrosis are confused with radiculitis. Main distinguishing feature- with exacerbation of osteochondrosis, mobility is severely constrained, and the condition of lumbago (lumbago in the back) is characteristic.
4. Radiculitis - the pain intensifies with movement, but the person can move independently. When the nerve roots of the lower back are affected, the pain tends to radiate to the lower extremities.
5. Excessive exercise may also be accompanied by lumbago and myalgia (inflammation of the back muscles). A person can lie in any position, but the unpleasant sensations still persist. Often lumbago and myalgia are caused by hypothermia against the background of overheating (after sweating, the person went outside, turned on the air conditioner, and undressed).
6. During pregnancy , especially in the later stages, women may feel nagging or sharp pain in the lower back. In this case, pain persists both in the position of lying on the back and lying on the side. The reason is insufficient endurance of the back muscle corset and lack of microelements. When a woman is on early stages complains of back pain that does not go away during rest, one may suspect a threatened miscarriage or a missed abortion.

Acute pain in the thoracic spine

If there is pain in the thoracic region, and relief does not occur even when lying down, then the following conditions can be suspected:

1. Tumors and cartilaginous formations on the shoulder blades.
2. Neuromuscular myopathies caused by scoliosis or osteochondrosis.
3. Pathological conditions of the lungs:
   • pneumothorax - compression of the lung due to the accumulation of air in pleural cavity, which causes a pressure shift;
   • edema - acute pulmonary failure;
   • pleurisy - inflammation of the pleural layers (in this case, acute pain is felt when breathing, and can be localized in the back and sternum).
4. Myocardial infarction - in this condition, pain is felt behind the sternum, and only radiates to the area of ​​the thoracic vertebrae, in left hand and scapula area.
5. Acute pancreatitis is an inflammation of the pancreas, in which the pain is more of a girdling nature: from the area of ​​the right hypochondrium to the right scapular region, radiates to the back.
6. Intercostal neuralgia is pinching of the nerve roots of the sternum. It is difficult to inhale, the pain persists even in a horizontal position, and radiates to the back. Lying on your back, you feel compression of the sternum, as if you were somehow sitting on top.
7. Scoliosis is the most common cause of back pain when lying down. Every second person suffers from spinal curvature. This is due to physical inactivity, incorrect back position during sedentary work. It also hurts during physical exercise, because the load is distributed unevenly.

Pain throughout the back

Pain throughout the entire spine (neck, thoracic region, lower back, sometimes even the sacrum) most often develop due to:

• incorrect body position during sleep (for example, with a small sleeping place);
• excessive stay in bed (due to illness or other reasons);
• due to an overly hard or soft mattress.

In this case, the person feels tension, pulling or aching pain in the muscles even after a full night's rest and good sleep. Exercise, swimming or massage will help relieve symptoms.

Before a night's rest, when a person has already gone to bed and began to fall asleep, the manifestations of pain in the back and lower back may indicate an existing disease of the spine located on the early stage. Exacerbation in the evening and at night is due to a decrease in the production of “pain-killing” enzymes by the adrenal cortex. When the body prepares for sleep, hormone synthesis decreases, causing pain to worsen.

Typically, back pain while lying down subsides or stops completely, so many patients mistake such symptomatic manifestations for normal fatigue after intense physical activity. Completely different clinical picture characterizes increased pain when the patient rests in a horizontal position.

Often, increased pain is a sign of a serious illness that requires immediate treatment. If atypical symptoms appear, you should definitely contact a specialist.

Provoking factors and causes

Clinicians distinguish two main groups etiological factors, which can influence the appearance of back pain when patients are at rest. The first refers to physiological pain, which is a consequence of intense power load, sudden excessive physical activity, long stay in a static position. The second group characterizes the development of symptoms of serious diseases of the skeletal system or muscle-cartilaginous structures. Common reasons are:

• pregnancy (II or III trimesters);
• weight gain;
• late stages of diseases of the skeletal system (arthrosis, osteochondrosis, chondrosis);
• pathology urinary tract and reproductive system;
• malignant tumors of internal organs;
• acute inflammatory diseases of bone tissue;
• intervertebral hernias localized in the sacral spine.

The clinical picture manifests itself individually for each patient, just like the management of patients with increasing pain when the patient is lying on his back. The nature of the pain and its intensity depend on the degree or duration pathological processes. Features of pain are as follows:

• drawing, burning, sharp, dull, shooting;
• moderate, intense, weak, episodic;
• bilateral or unilateral;
• radiating to various parts of the spinal column (usually to the lumbar, sacral, cervical regions);
• continuous or fragmentary.

It is important to consider the criteria for changes in pain when changing body position, after applying some medicines. Back pain when lying down may also depend on the time of day.

Important! Night or morning pain often becomes the determining criterion in the preliminary diagnosis of back discomfort in a patient. Among pathological reasons The following are especially distinguished, which are accompanied by a characteristic clinical picture.

Inflammation of the genitourinary system and pyelonephritis

Pyelonephritis is an inflammation of the kidneys of the ascending urinary tract. Back pain when lying on your back is explained by the location of the kidneys. Anatomically, they are located closer to the back, at or below the hypochondrium. The pain is also caused by the expansion of the fibrous-parenchymal layers of the renal structures. Pain with pyelonephritis is nagging and is felt mainly at night. There is a tendency for increased pain to occur with strong shaking, deep breath, cycling or horseback riding. During the examination, the patient reacts to tapping the kidneys from the back or light jumping on the heels.

Other symptoms are:

• change in the color of urine and atypical impurities (turbidity, white flakes, mucous component, orange tint);
• frequent urination with pain, as with cystitis (a possible complication in the form of inflammation of the bladder);
• increased body temperature (typical for children under 15 years of age).

Long-term pyelonephritis can provoke serious complications in all renal structures, often causing chronic renal failure.

Manifestations of osteochondrosis

The development of osteochondrosis can contribute to the occurrence of “lying down” back pain - pathological change osteochondral tissue in intervertebral discs any localization. The disease is common among dystrophic tissue changes in the axial skeleton.

Lower back pain lying on your back due to osteochondrosis is associated with irritation of the nerve roots located inside the spinal column. Pain with osteochondrosis can be as follows:

• shooting (sharp, prolonged shooting);
• deep, long-lasting, pulling;
• sharp shooting with irradiation to the lower extremities.

The pain may intensify at night, especially when turning from side to side. The pain also intensifies when falling asleep on a soft bed, or with sudden involuntary movements. Additionally, patients note a decrease in sensitivity in the back area, the appearance muscle weakness, changes in conditioned reflex reactions, burning, tingling or complete numbness.

Important! Osteochondrosis usually affects the lumbosacral spine, later stages contributes to disruption of the functionality of the patient’s digestive or reproductive system.

Ankylosing spondylitis

The disease belongs to vertebrogenic conditions, which are characterized by nocturnal dorsalgia, otherwise known as ankylosing spondylitis. The pathology is autoimmune in nature and occurs on the joints of the spine or sacroiliac joints.

There is back pain when lying on your back, mainly at night. Any movement alleviates the patient's condition. Additional symptoms are:

• limitation of joint mobility;
• stiffness of movement in the lumbar spine;
• curvature of the vertical axis of the spine like scoliosis;
• decrease in height;
• forced body position for back pain.

Ankylosing spondylitis can occur in patients of any age, depending on the patient's clinical history and other predisposing factors.

Pay attention! At the same time, the heart parts may be affected ( infectious myocarditis, arrhythmia, pericarditis), kidneys (amyloidosis), large vascular structures(aortitis), optic nerves(aka, iridocyclitis).

Ulcerative lesions in the duodenum

Peptic ulcer in the duodenum is another cause of back pain. The appearance of pain while lying down is associated with hunger pains, when the mucous membrane is exposed to the maximum and is damaged gastric juice. The typical localization of pain is the peritoneum, but given the anatomy of the intestine, it can also radiate to the spinal regions. Other symptoms are:

• the appearance of persistent dyspeptic disorders;
• flatulence or bloating;
• sour belching;
• stool disorder.

Usually, after taking antacid medications, the pain subsides. The lack of adequate therapy often leads to complications in the form of gastric or intestinal bleeding, perforation of the mucous membranes, malignancy of the intestinal mucous membranes.

There are many reasons that can provoke the intensity of pain while sleeping on your back at night or lying down during the day. It is dangerous to ignore such manifestations due to the gradual progression of the disease and development serious complications, up to and including disability.

Treatment and prevention

Treatment begins with a thorough differential diagnosis to identify the underlying disease that determines the occurrence of pain.

During treatment, it is necessary to change the position of the body during sleep. To do this, purchase a hard orthopedic mattress, pillow, and back pads. During drug therapy it is recommended to carry out physical therapy, massage. Active image life is also an important aspect of successful recovery.

To relieve pain, it is necessary to prescribe painkillers (ointments, systemic drugs, liniments, balms), warming ointments, compresses with medicinal compounds. Some traditional medicine recipes are often used.

The prognosis for “bed-down” pain depends entirely on the nature of the pathology, the degree of development of dystrophic processes, as well as on the root cause. Usually when timely diagnosis and compliance with all medical recommendations There is a significant improvement in the patient’s quality of life, and the risks of disability are reduced.

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