Why hurt the shoulders and back on the sides – отдающие pain in the lower part of the

Pain in the hips and lower back – a frequent phenomenon, which can have dozens of causes, starting from diseases of the musculoskeletal system, after the disorders of the work of the organs of the abdominal cavity and мочевыводящей system.

In order to accurately diagnose патологию, call an unpleasant feeling in the back of the area of the blades, it is necessary first of all to determine the nature and characteristics of the discomfort. What means pain, which manifests itself simultaneously on both sides in the lower part of the back and the sides, or whether a similar condition will result in serious danger to the health?

The causes of the pathology

The pain that is felt suddenly from the side is back and in a few places, in medicine called to reflect the mechanism of its development is раздражении several branches of the nerve.

For this reason, pain in the lower part отдающая to other places, in some cases, points to the symptoms is so blurred and unclear that even the patient himself is not able to accurately determine their source.


Projection of the lower part of the back and hips are different entities – this is the lowest division of the lumbar pillar, kidney, organs of the abdominal cavity, sexual organs in women, therefore, for the determination of an accurate diagnosis in болевом syndrome in the hips and lower back, consult your doctor.

Discomfort in the lower back and hips can occur in healthy people due to hypothermia or excessive physical exertion, but in this case, they are temporary and will disappear after a rest.

Types of

Character болевого syndrome plays an important role in determining its causes – each of the disease has the characteristics of the clinical streams that need to be taken into account when determining the diagnosis.

  • Acute pain is typical for conditions that require quick treatment to the doctor, and sometimes immediate medical help. This is indicative of serious pathological processes in the internal organs or structures of the spine – to their number can be attributed to the hepatic and renal colic, diseases of the digestive system, kidney and reproductive system in the phase of exacerbation, hernia of the spine, neuralgia.
  • Discomfort appears when chronic патологиях, most commonly in diseases of the spine – osteochondrosis, протрузия, scoliosis, etc., and especially, if it appears after a prolonged stay in one position or physical exertion.
  • Тянущий pain syndrome is a common symptom of diseases of the reproductive and urinary system in women, and also disruption of the functioning of the liver.
  • In addition, it is often observed in pregnant in the second-third trimester due to the pressure of the growing fetus.
  • The dull headache may indicate inflammatory or infectious processes in the gallbladder and kidneys, sometimes disease of the lumbar and sacral spine.
  • Sharp pain seizures observed during rheumatic pain, протрузия and грыжах of the intervertebral disc, and also kidney and liver коликах, спазмах in the intestines and other organs.
  • The discomfort, which manifests itself constantly, often indicative of inflammatory and infectious патологиях bladder, kidney and reproductive system, can also manifest during pregnancy.
  • Crawler painful, usually serving a symptom of pancreatitis and other diseases of the digestive tract, мочевыводящей system, gynecological diseases: intense pain in similar cases speak about the acute course of the disease, weak – of the chronic form.

The character of the pain is subjective, so to determine the cause of the disease, only on this indicator it is impossible – it is necessary to consider other symptoms and other factors.

Why is given on the right and left side

Diseases of the spine

Degenerative processes, injuries and other pathology of the vertebrae, the intervertebral disc or surrounding structures (nerves, muscles) – the most common causes of discomfort on the sides.

Most often in this case suffer from lumbar or sciatic separation of the spinal pillar, the less often the pain can move lower because of damage to the breast department.

Offset vertebral discs

Spondilolistezom represents a shift of the vertebral body in relation to another with a deviation of the axis of the spine. The people of this state often referred to as the "shift of the intervertebral disc", but this formulation is misleading, because shifts can exclusively vertebrae.

Pathology develops due to various reasons (injury, age-related changes, improper load, etc.) and leads to irritation of the nerve fibers or their complete ущемлению that causes swelling, inflammation or acute back pain.


Degenerative changes in the spine, or degenerative disc disease, is most commonly observed in people older age.

Due to the influence of negative factors on the processes of nutrition of the cartilage of the spine are violated, thus they lose their elasticity and ability to regenerate.


The main symptoms of degenerative disc disease – restriction of motion of the spine and a burning, gnawing or throbbing pain in the back, including, in the lower back and hips.

At the onset of the symptoms necessarily apply visit to the doctor.

Fractures of the vertebrae

Fractures of the vertebrae – a serious injury to the musculoskeletal system, which requires long-term and complex treatment. Violation of the integrity of bone tissue occurs due to external exposure (a strong blow, a fall from a height, etc.), and manifests itself in the first place болевым syndrome.

Its properties depend on the extent and localization of damage, but the most painful, intense, опоясывающего character, accompanied by neurological disorders – disorders of sensation in the limbs, headache, etc.


Scoliosis represents a pathological curvature of the spinal column, which causes the asymmetry of the characters, and disruption of the work of the internal organs.

In the early stages of the disease is manifested by discomfort and болевым syndrome in various departments of the back (when поражениях lumbar they локализуются in the hips and lower back), increased утомляемостью and disorder of the momentum of the spine, when neglected патологическом process are the possible problems with urination and дефекацией.

Ankylosing spondylarthrosis

Ankylosing spondylarthrosis (Bechterew) represents a relatively rare патологию of the musculoskeletal system, which affects between позвоночные, shoulder and тазобедренные joints.

The number of its symptoms include pain in the back and the sides, which are more intense when the tension of the muscles and the change of weather, curvature of the spine, paresis and параличи. The disease is incurable, progressing slowly but steadily, and usually leads to disability.

Oil hernia

Oil hernia is observed less often, than hernia in other parts of the spine, because the vertebrae of the sacral department of a more robust and durable.

It develops as a result of the basic set of factors, which include degenerative diseases of the musculoskeletal system, infections and inflammation of internal organs, injuries.

In such грыже ill feel severe pain in the tailbone and lower back, which отдаются in the hips and crotch reinforced in the sitting position and are not removable обезболивающими drugs.


Since this hernia is the most commonly, women suffer, because the most common factor that causes the disease acts a difficult birth.

Diseases of the internal organs

Fighting feelings in the lower back and hips when патологиях internal organs are called secondary. Unlike the symptoms of diseases of the musculoskeletal system that are not associated with the movement or change of position of the body, and are accompanied by disorders of the functioning of other bodily systems.

Disease мочеиспускательной system

Disease мочеиспускательной system that can cause pain in the hips, include inflammatory and infectious processes in the urinary bladder, formation of stones, закупорку the ureters.

Depending on the clinical mainstream pathology, discomfort may be sharp, have different intensity, and most often it is accompanied by disorders of urination, increased temperature, general weakness.

Kidney disease

Features of pain in the hips when патологиях kidney lies in the fact that they are локализуются a little bit of a higher waist, often they have a belt of the character and give the underbelly, the area of the navel, groin area. Some diseases of the kidney (polycystic disease, malignant tumors, pyelonephritis) are evolving slowly, and therefore are not accompanied by a strong discomfort, and kidney pain, and blockade of the ureter the pain is so intense, that sometimes causes pain shock.

Cirrhosis of the liver

Cirrhosis of the liver – severe disease, which is characterized by loss of tissue, organ, and reimbursement of their fibrotic fibers, and often results in death. The disease process may indicate pain in the lower back that can wear a belt character, but most often локализуется in the right side, bitterness in the mouth (manifested in the morning), recurrent bowel disorders, and weight loss.

Pathology of the intestines

Interruption of work of intestines, gall bladder, pancreas and other organs of digestion are manifested by unpleasant sensations dull character in the region of the abdomen, lower back and hips, but during exacerbation of the disease it is possible to sharp and sudden pain.

They are usually clearly linked to food intake (they are on an empty stomach, after a meal or ingestion of certain foods) and are accompanied by вздутием of the abdomen, increased gassing.

Especially in women

In women, pain in the hips are observed more often than in men, due to anatomical features of the female body. In the abdominal cavity of the fairer sex are reproductive organs, which often provoke discomfort in the pelvic area and sexual of infection and inflammation in them develop more often than in men.

In female diseases

Pain in hips – it is not uncommon for women during the change of hormonal levels, congenital disorders (for example, refusal or загибе of the uterus).

Other causes of persistent painful sensations – the sexual infection, uterine fibroids, adnexitis, endometriosis and other inflammatory processes.

Other symptoms of the above diseases, disorders of the menstrual cycle, infertility, disruption of the overall well-being.


In many women the pain in the hips is the physiological norm during menstruation – in this case, the pain of the character, it is easy to remove the intake antispasmodics, and is not accompanied by other symptoms.

During pregnancy

During pregnancy discomfort in the hips and lower back usually occurs after the first trimester, when the growing fetus starts to put pressure on the spine and internal organs.

In the first weeks of bearing a child such a symptom can be a symptom of hormonal changes in the body, weakening of the ligaments and muscles, and also incipient abortion – in this case, the pains are intense in character, accompanied by bleeding or кровянистыми secretions from the vagina, weakness and deterioration of the general condition.

After giving birth

Feelings of pain in the lower abdomen, hips and lower back feel all women without exception – are a part of the regenerative processes in the reproductive system. Immediately after delivery may be strong enough, but after a few days the gradually subside, and after two to four weeks to disappear completely.

Function in men

For the representatives of the male gender reasons тянущих pain, отдающих in the hips, lower abdomen, groin and legs, as a rule, are prostatic hyperplasia, prostatitis, less often, inflammation of the bladder and other diseases of the urinary bladder. Among other manifestations can be described shortness of excretion of urine, sexual dysfunction and impotence, diseases, sexually transmitted infections, there are purulent discharge from the urethra.

In genital infection in men, treatment should undergo both partners, and even in those cases where the symptoms of the disease in women is missing.

Methods of treatment

Engage self-heal during the frequent pain in the hips is not recommended, especially if they are accompanied by other manifestations – all the activities can lubricate the picture of the disease, затруднив diagnosis or worsen the condition of the patient.

Physical therapy

Therapeutic physical training is one of the ways to eliminate the discomfort when патологиях musculoskeletal and menstrual pain. Exercises should be performed gently, not нагружая muscles too strongly, to avoid sudden movements and gain болевого syndrome.

In pregnancy and in gynecological diseases, good effect to give breathing exercises and yoga, but before the exercises it is necessary to consult with your doctor and consider the existing contraindications. In addition, you can do light massage – a circular motion, or just for a walk in the fresh air.


Rehabilitation methods are used only after the acute period, сопровождающийся intense inflammatory and infectious process, elevated temperature and other symptoms, remains behind.

As therapeutic procedures for patients with recommended electrophoresis with different active substances (pain medication, improve nutrition and regeneration of tissues), UHF, magnetic therapy, electrical stimulation, mud, paraffin and озокеритовые application. The specific methods of action and the duration of the course determines the physician depending on the nature of the clinical course of the disease and the general condition of the patient.

Pain in the lower back and hips can have a different intensity and character, but in most cases they are a disturbing symptom, which requires timely diagnosis and treatment.