One of the
causes of back pain with uncertain localization, are static disorder. Unusually
for a long distance, an unusual posture can cause back pain and a healthy
person, in the event of such pain may play a role, and any violation of the
skeletal system, ligaments, muscles, joints and out of the chest. Scoliosis,
coke, any violation, accompanied by an asymmetry (a shortening of one leg, hip
dislocation, etc.) can lead to back pain in the same way as those disorders that
are accompanied by mixing the center of gravity, changes in normal load
(kyphoscoliosis, lumbar lordosis is a strong, obesity - especially large
deposition of fat in the abdomen, ascites, etc.). In such cases, ¬ reason for
pain is primarily the fact that instead of balanced tonus back muscles,
regulated the autonomic nervous system, neural compensatory reductions come as
the first cause fatigue, unpleasant condition, and then the pain. Such pain can
be eliminated by a simple (orthopedic) Correction: wearing corsage. May play a
role and workload resulting from the changes of position (ptosis), ligaments
attached to the vertebral column, or to the chest wall. The most common and
banal disorder that causes not only pain, but sometimes severe back pain - is flat.
If a young
patient complains of persistent back pain and fatigue, you should think about
the possibility of Scheuermann disease (a deforming juvenile osteochondritis of
spine). This is a benign condition may cause suspicion of tuberculous
spondylitis, as the wedge-shaped vertebrae become thinner, become narrower,
their closing plate machine twists ¬ rough as a result of disease of cartilage
disks between the call ¬ stones and disorders of ossification of vertebrae
(Fig. 173). The disease is no change in body temperature and increase the ESR.
The relevant section of the spinal column can be fixed, there will be slight
kyphosis, however, after 16 years of age progression of the disease pre ¬
kraschaetsya in adults observed only residual effects of the disease. But they
can cause pain in the back. Diagnosis help put detect ¬ assumed wedge-shaped
vertebrae.
Uncertain
nature of back pain can cause illnesses such as oc-teoporoz, osteomalacia, a
disease Recklinghausen's disease Paget's, spondylarthrosis. On the differential
diagnosis of these diseases will be discussed in the second volume.
How
Scheuermann's disease and other diseases of the spine If required to
distinguish from disease of the lungs and pleura, primarily from pneumonia,
pleurisy, pleuropneumonia. For them, as well as generally for back pain, ¬
GOVERNMENTAL associated with respiratory diseases, characterized by the
appearance of symptoms of the respiratory system: cough, expectoration, high
body temperature, etc.
