Pain syndrome accompanies many diseases. There is a common misconception that shingles pain in the back occurs only with diseases and injuries of the spine. However, experienced rheumatologists and therapists draw patients’ attention to the fact that the cause of pain may be diseases of the internal organs. Specialists at the Yusupov Multidisciplinary Hospital provide daily medical care to patients experiencing this symptom. Comprehensive treatment programs are based on highly accurate diagnostic data, which increases the effectiveness of the chosen therapy.
Shingles in the back: causes
Girdle pain in the abdomen and back is most intense; it can be short-term or long-lasting, depending on the causes of development. It is difficult to independently determine the cause of pain, since the appearance of this symptom can occur due to various disorders:
- Spinal diseases are characterized by increased pain when moving. As the pathological process progresses, other symptoms appear: numbness, increased sweating, tingling and burning in the affected area. In addition, these signs may indicate compression of the nerve roots;
- intercostal neuralgia appears with injuries, prolonged stay in a stationary position, or muscle strain. With this disease, the girdle pain is localized under the ribs or between them, so breathing is difficult;
- lung diseases, which are accompanied by fever, cyanosis of the skin. Diseases such as pneumonia and pulmonary tuberculosis can cause serious consequences if left untreated;
- urolithiasis disease;
- ectopic pregnancy;
- heart attack;
- diseases of the digestive system, characterized by pain under the ribs; this symptom can be combined with nausea, vomiting and fever.
If you have back pain, you need to consult a general practitioner who will examine the manifestations of the pathological condition and prescribe diagnostic measures. The multidisciplinary Yusupov Hospital employs experienced rheumatologists, who are most often approached for help by patients experiencing shingles pain in the back. Specialists are ready to develop an individual treatment program for each patient and begin its implementation after receiving consent from the patient.
Diagnostics
Orthopedic traumatologists are usually involved in determining the cause of pain in the ribs. To determine the nature of the pathology, objective methods and additional studies are used. The diagnostic search program includes:
- Survey.
The doctor clarifies the time and conditions for the onset of pain, the duration and dynamics of pain, and their relationship with external circumstances. Identifies other complaints (difficulty breathing, weakness, fever). - Physical examination
. Includes external examination, palpation, percussion and auscultation of the chest. Allows you to determine the localization of pain, the presence of deformation, swelling, local hyperemia, skin changes, other disorders, assess breathing, and the boundaries of the lungs. - X-ray of the ribs.
Indicated for injuries and tumors of the ribs. Confirms fractures, changes in bone structure. If there is a suspicion of concomitant damage to the chest organs, it is supplemented with chest X-ray, the results of which can detect focal and diffuse pathological processes in the lungs and pleural cavity. - Neurological examination
. Recommended for neurological origin of the disease. Allows you to localize the source of pain impulses, diagnose diseases of the nerves and spinal column, and determine the further direction of the examination.
In case of herpes zoster, an additional examination by a dermatologist is prescribed; in case of oncological diseases, a consultation with an oncologist is prescribed. To clarify the nature of changes in bones, cartilage and soft tissue structures when radiography is insufficient, a CT or MRI of the chest is performed. For tumors, a biopsy is performed followed by cytological or histological examination.
Multiple rib fractures
Girdle pain in the abdomen and back
Synchronous pain in the back and abdomen is a dangerous symptom, as it occurs rarely. Pain in the abdomen and back at the same time can indicate diseases of the digestive system, for example, with a peptic ulcer, it appears after eating and is accompanied by nausea and vomiting. Unbearable pain in the abdomen and back is observed during exacerbation of pancreatitis; pain can spread to the area of the shoulder blades or heart.
Inflammation of the appendix can occur suddenly; the pathological process is indicated by symptoms such as nausea, a slight increase in temperature, diarrhea and pain that simultaneously appears in the abdomen and back. The danger of appendicitis is that when the appendix ruptures, peritonitis can occur, so only surgical treatment is performed.
Simultaneous pain in the back and abdomen in women is observed with gynecological diseases:
- ectopic pregnancy;
- development of fibroids;
- endometrial proliferation;
- twisting of the legs of a cyst or fibroids;
- spontaneous termination of pregnancy.
Pain syndrome is also observed in women after childbirth. The localization of pain in the back and abdomen is explained by the fact that during labor the muscles experience severe strain.
Patients seeking help at the Yusupov Hospital can be confident that specialists will accurately determine the cause of the pain syndrome and select the most effective and safe methods to eliminate the problem.
Pancreatitis is a threat to life
Acute pain in the epigastrium can be a symptom of pancreatitis - inflammation of the pancreas. This organ can sluggishly signal a problem with regular, mild pain. And this means it’s time for an examination.
But if the pain in the epigastrium has become almost unbearable, plus stool disturbances and vomiting develop, in some cases an increase in temperature, then this means acute pancreatitis. And this is an indication for urgent hospitalization.
Pancreatitis usually occurs when pancreatic secretions (pancreatic juice) stagnate. The duct that should carry secretions into the duodenum is blocked by a stone, cyst, swelling or pus. But the juice continues to be produced and enthusiastically digests the gland itself. Therefore, in acute pancreatitis, delay is literally death.
Oddly enough, pancreatitis often attacks young people who lead an active lifestyle, love to eat, sometimes drink, and, most importantly, are subject to constant stress.
| Interesting! | |
| Vegetarians are less likely to suffer from peptic ulcers than people who eat meat. If the "ulcer" increases the fiber content in the diet, this will reduce the frequency of exacerbations of the disease. Lately, doctors have been “prescribing” fiber even during exacerbations of ulcers. | |
Problems with the pancreas can be diagnosed in advance - before the development of acute pancreatitis - using a simple ultrasound and blood test. If an ultrasound shows any problems with the pancreas, the doctor may prescribe a computed tomography scan - a study that gives a layer-by-layer image of the gland and allows you to examine in detail the essence of the problem.
Ways to identify the causes of girdle pain
Modern diagnostic methods make it possible to determine the cause of pain localized in the back and under the ribs. When patients who have experienced back pain come to the Yusupov Hospital, the existing symptoms are studied, after which an examination is prescribed.
The main diagnostic measures for back pain are:
- urine and blood tests. The Yusupov Hospital has its own laboratory, so the results are delivered to the attending physician in the shortest possible time;
- Ultrasound of internal organs to detect pathological changes;
- examination of substances discharged from the lungs to exclude diseases of the respiratory system;
- X-ray of the upper limbs and lungs;
- gastroscopy.
Patients may be referred for additional consultation to other specialists at the Yusupov Hospital, a cardiologist, a neurologist, or a rheumatologist. Self-medication for back pain can provoke serious consequences, since without special equipment and knowledge it is impossible to accurately identify the cause of the disease and its manifestations.
High-quality treatment for pain in the back and under the ribs
Specialists at the Yusupov Hospital prescribe comprehensive treatment to eliminate the girdle pain under the ribs and in the back, as well as possible disorders. For some diseases, the patient needs emergency care, which specialists from the Yusupov Multidisciplinary Hospital are ready to provide. Round-the-clock operation of clinics allows diagnosis and hospitalization immediately after treatment.
Medicines are used to treat pain and its causes. Experts draw the attention of patients to the fact that painkillers and medications to relieve spasms have a temporary effect, in addition, they can complicate diagnosis. To eliminate pain, medications in the form of ointments, injections and tablets can be used.
If the patient’s health and life are in danger, surgeons at the Yusupov Hospital can perform surgical intervention. With this method of treatment, experts prefer minimally invasive techniques, after which recovery occurs faster.
Shingles in the back can appear due to insufficient physical activity; rheumatologists recommend leading an active lifestyle, observing personal hygiene rules, and also paying attention to the psychological state to prevent diseases. The Yusupov Hospital employs specialists who develop nutrition programs taking into account the client’s taste preferences.
At the Yusupov Hospital you can receive a wide range of medical services. Specialists pay attention to each patient and accompany him during the treatment process and make the necessary adjustments. If you are concerned about pain in the back area, do not delay visiting a specialist. An appointment with a general practitioner and other specialists can be made by calling the Yusupov Hospital.
Treatment
Help before diagnosis
If the pain syndrome is minor and the general condition is satisfactory, it is recommended to limit physical activity for several days and use local anesthetics, warming and anti-inflammatory drugs. If the skin is damaged, ointments and gels should not be applied. If you feel weak, have a fever, or experience severe pain, shortness of breath, cough, or hemoptysis, you should urgently seek medical help.
Conservative therapy
The conservative treatment plan is determined by the nature of the pathology. In most cases, rest is recommended, breathing exercises and physiotherapy are prescribed. In some cases, massage and manual therapy are indicated. Drug therapy may include:
- Analgesics
. For moderate pain, tablets are used; for severe pain, medications are administered intramuscularly. In the later stages of cancer, narcotic drugs are required. - Antibiotics
. For pleurisy, purulent periostitis, osteomyelitis, antibiotic therapy is indicated. First, broad-spectrum drugs are used, then the treatment regimen is adjusted taking into account the sensitivity of the pathogen. - Hormonal agents
. Pain due to intercostal neuralgia and Tietze syndrome is successfully eliminated by blockade with corticosteroids. Blockades are performed when other methods are ineffective; the course includes no more than 3 injections of the drug. - Cytostatics
. Medicines are prescribed for malignant tumors, destroy cancer cells, and slow down the growth of tumors. They can be used as monotherapy or a combination of several agents.