Usually back pain in a lying down position subside, or completely terminated, and so many patients are taken as symptomatic manifestations of a normal fatigue after intense physical exertion. A completely different clinical picture characterized by increasing pain when the patient is resting in a horizontal position.
Often increased pain is a sign of a serious disease which requires immediate therapy. When they appear atypical symptoms, it is necessary to turn to a professional.
Precipitating factors and causes of
Doctors allocate two basic groups of etiological factors that may have an impact on the emergence of pain back pain, when patients are in a state of rest. The first relates to physiological headaches, which are a consequence of the intensive force load, the sharp increasing physical load, prolonged stay in a static position. The second group characterizes the development of symptoms of serious diseases of the skeletal system or muscular-cartilage structure. Common reasons are:
- pregnancy (II or III trimester);
- increase in body weight;
- late stage disease of the skeletal system (arthritis, osteochondrosis);
- pathology of the urinary tract and reproductive system;
- malignant tumors of the internal organs;
- acute inflammatory disease of bone tissue;
- intervertebral hernia with localization at the sacral spine.
The clinical picture is manifested individually for each patient, as well as the management of patients with growing pains in the position of the patient lying on his back. The nature of the pain and its intensity depends on the extent or duration of the pathological processes. The function of head of the following:
- drag, used, sharp, dull, shooting;
- moderate, weak, episodic;
- bilateral or unilateral;
- it radiates in various departments, the spinal pillar (usually in the lumbar, sciatic, cervical department);
- longer or more.
It is important to take into account the criteria changes pain during change in body position, after application of certain drugs. Pain in the back in the supine position may also depend on time.
The genitourinary system inflammation and pyelonephritis
Pyelonephritis — a kidney inflammation-based urinary tract. Pain in back when lying on the back explains the location of the kidneys. Anatomically they are located closer to the rear side, in level or below the level of the hypochondrium. Soreness is caused by and expansion of the fibro-layers of the parenchyma of the kidney structures. Pain in pyelonephritis drag, are manifested mostly in the night hours. The tendency to the strengthening of the soreness is manifested in the strong shaking, a deep inhale, cycling or horse riding. During the examination the patient responds to the knocking of the kidney from the back or light skipping on your heels.
Other symptoms are:
- change in urine color and non-standard dirt (turbidity, white flakes, slimy components, the orange shade);
- frequent urination with pain, as in inflammation of the bladder (maybe even complications in the form of inflammation of the bladder);
- increase in body temperature (typical of children up to 15 years).
Long flowing pyelonephritis can cause serious complications for all kidney patterns, often becomes a cause of chronic renal failure.
The manifestations of degenerative disc disease
Promote the emergence of "lying" back pain can development of degenerative disc disease — disorders of the changes to the musculoskeletal cartilage in the intervertebral discs of any localization. The disease is most common between dystrophic tissue changes in the axial skeleton.
Pain in the lower back in supine position on a background of degenerative disc disease is associated with irritation of the nerve roots located within the spinal column. Pain in osteochondrosis can be the following:
- shot (sudden, sustained);
- deep, permanent, pull;
- sharp radiating with radiation to the lower extremities.
The pain may be amplified in the night, and especially in the point of rotation with bok on the side. Soreness intensifies and falling asleep on the soft bed, the sudden involuntary movement. In addition, patients reported decreased sensitivity in the back area, the appearance of muscle weakness, changes shareware-reflective reactions, burning, tingling or complete numbness.
Bechterew
The disease belongs to the special conditions that are characterized by nocturnal pain, otherwise referred to as ankylosing spondylitis. Pathology wearing an autoimmune character, arises at the joints of the spine or sacroiliac joint joints.
When the disease ankylosing Spondylitis celebrate the pain in the back, lying down on his back, mostly at night. Any movement of the facilitate the patient's condition. Other symptoms are:
- limitation of joint mobility;
- stiffness of movements in the lumbar spine;
- the curvature of the vertical axis of the spine according to the type of scoliosis;
- the reduction of growth;
- forced posture, with pain in the back.
Ankylosing spondylitis can occur in patients at any age depending on the clinical history of the patient and other predisposing factors.
Ulcer pockets of the duodenum
Peptic ulcer in the department of duodenal ulcer is another cause of back pain. The emergence of pain lying down associated with hunger pangs, when the mucous membrane of the shell the maximum exposed and is exposed to the damage of the gastric juice. A typical localization of pain — the area of the peritoneum, but due to the anatomy of the large intestine, they can give and on the dorsal of the department. Other symptoms are:
- the emergence of persistent dyspeptic violations;
- flatulence or bloating;
- sour belching;
- violation of the chair.
Usually after ingestion of antacid medication soreness subsides. The lack of adequate treatment often leads to complications in the form of stomach or intestinal bleeding, perforation of the mucous membrane, disease of the mucous membrane of the large intestine.
There are many reasons that may cause the intensity of the pain syndrome during sleep on your back or lying day. To ignore such manifestations of dangerous, because of the gradual progression of the disease and the occurrence of severe complications, up to disability.
Treatment and prevention of
Treatment starts with performing a thorough differential diagnosis to identify the underlying disease that determines the emergence of pain.
During treatment it is necessary to change the position of the body during sleep. For this they acquire a firm orthopaedic mattress, pillow, cover under the back. During medical therapy is recommended to carry out therapeutic physical training, massages. Active lifestyle, also, is an equally important aspect of a successful recovery.
For the relief of pain requires the appointment of drugs against pain remedies (ointments, systemic preparations, balms), various ointments, poultices with medicinal songs. Often applying some of the recipes of folk medicine.
The view in the "lying" of pain depends entirely on the nature of the disease, the degree of development of dystrophic processes, but also on the causes. Usually in the early diagnosis and compliance with all medical recommendations of celebrating the significant improvement in the quality of life of the patient, reduce the risk of invalidization.