BACK PAIN

This section will be very short, because it will be discussed only about the pain that really rasprestranyayutsya only the breast area. It will not speak about the causes of pain in the shoulder joint, the frequent back pain and sacral region. Will describe the causes and differential diagnosis is only pain, localized in the back, in the strict sense of the word of the line of the shoulder joint to the line of the lower thoracic vertebrae.

Pain in this area may be due to disease of bone, cartilage, spine, ligaments, fascia, and various muscle membranes of the spinal cord and spinal nerves coming from here, due to diseases of op ¬ ganas not only breast cells ki, and the abdominal cavity, as well as congenital and acquired disorders of static associated with limb and pelvic bones system. And finally, back pain can be caused by diseases of muscles and the skin surface.

Inspection and palpation of the back allow the patient to deter ¬ of many diseases that cause pain. The naked eye can discern already mentioned shingles, any inflammatory skin disease claims more ¬ back (carbuncles, erysipelas, etc.), some traumatic disease. Radicular pain, ¬ schiesya propagating in a particular segment, as in the cases of area and hyper ¬ paths corresponding to ill abdominal organs can be identified easily by palpation, and even better conduct of parallel lines on the skin of the back tip of the needle. Palpation can detect pulsed ¬ schuyu aneurysm pushes on the transmission to the neighboring parts of the body, real or ¬ inflammatory rheumatic diseases of the muscles, the local disease vertebrae ¬ sources (cancer, tuberculosis, etc.), pain emanating from the edges. If the surface area located on the pain which the patient complains, palpation, and pressure is not painful, it means that the pain due to disease of some internal organ, which gives irradiation on the surface.

An examination of a patient complaining of back pain, it is important to carefully percussion area of ​​the spine with your fingers or a hammer to test reflexes. Soreness of the individual vertebrae in the percussion often helps to make the correct diagnosis when no other specific symptoms.

Among the causes of back pain often appear anomalies and diseases of the spine. They should be distinguished from those pains, which cause the disease ¬ ryh is an organ of the chest or abdomen.

Finally, it should be borne in mind the possible pain of the back muscles.