Usually back pain lying down quiet down or completely stops, so many patients accept such symptomatic manifestations for the usual fatigue after intense exercise. Quite a different clinical picture characterized by increased pain when the patient is resting in a horizontal position.
Often increasing pain is a sign of a serious disease which requires immediate therapy. With atypical symptoms, be sure to consult a specialist.
Factors and causes that lead
Clinicians distinguish two main groups of etiological factors that may influence the emergence of pain in the back, when the patients are at rest. The first refers to the physiological pain as a result of intense weight training, cutting excessive exercise, prolonged stay in a static position. The second group is also characterized by the development of symptoms of serious diseases of the skeletal system or the muscular and cartilaginous structures. The most frequent reasons are:
- pregnancy (II and III trimenon);
- weight gain;
- the later stages of the diseases of the skeletal system (arthritis, osteochondrosis);
- pathology of the urinary tract and reproductive system;
- malignant tumors of the internal organs;
- acute inflammatory diseases of the bone tissue;
- herniated discs localized in the sacral region of the spine.
The clinical picture is manifested individually for each patient, as well as the management of patients with increase of pain with the patient lying on his back. The nature of pain and its intensity depends on the degree or the duration of the pathological processes. Features pain the following:
- pulling, burning, sharp, dull, shooting;
- moderate, intense, weak, episodic;
- bilateral or unilateral;
- radiates with the various divisions of the spine (usually the lumbar, sacral, cervical parts);
- longer or the other.
It is important to consider criteria changes a pain when you change body positions, after application of certain drugs. Pain in the back in the supine position may depend on the time of day.
Inflammation of the urinary system and pyelonephritis
Pyelonephritis — a kidney inflammation of the rise of the urinary tract. Back pain when lying down on back attributable to the location of the kidneys. Anatomically they are located closer to the back, or under the hypochondrium. The pain caused by the extension of the fibro-parenchymatous layers of the renal structures. Pain in pyelonephritis drawing, felt, mostly during the nighttime hours. The tendency to increase the morbidity is manifested when a strong shaking, deep breath, riding a bike or riding a horse. During the examination the patient does not react to the sound of the kidneys in the back or light jumping on high heels.
Other symptoms are:
- change the color of the urine and abnormal impurities (turbidity, white flakes, the mucous component, an orange shade);
- frequent urination with pain, as in cystitis (and perhaps a complication of inflammation of the bladder);
- the increase in body temperature (valid for children up to 15 years).
Long pyelonephritis can cause serious complications in all renal structures is often the cause of chronic kidney failure.
Manifestations of the disease
To facilitate the emergence of "lies" back pain development of degenerative disc disease — pathological changes of bone and cartilaginous tissues in the intervertebral discs of any location. The disease is common in dystrophic tissue changes in the axial skeleton.
The lower part of the arms lies on the arms on the background of osteochondrosis is connected with irritation of the nerve roots located within the spinal column. Pain in osteochondrosis can be the following:
- firing (sharp, long);
- deep, long-lasting, nagging;
- sharp shooting radiating to the lower limbs.
The pain can intensify at night, especially when turning from side to side. The pain intensifies, and when falling asleep on a soft bed, with a sharp involuntary movements. Additionally, patients reported decreased sensitivity in the back, muscle weakness, a change in the conditions-reflex reactions, burning, tingling, or complete numbness.
Ankylosing Spondylitis
The disease refers to the special conditions that are characterized by nocturnal pain, otherwise it is called ankylosing spondylitis. Pathology is autoimmune in nature, occurs in the joints of the spine or sacroiliac joints joints.
In ankylosing spondylitis there is pain in the back lies on the back, mostly at night. Every movement facilitate the patient's condition. Additional symptoms are:
- the limitation of the articular mobility;
- stiffness in the lumbar spine;
- the curvature of the vertical axis of the spine according to the type of the scoliosis;
- reduction of growth;
- forced position of the body when pain in back.
Ankylosing spondylitis can occur in patients of all ages depending on the clinical history of the patients, and other factors that lead.
Ulcerative lesions in the duodenum
Peptic ulcer disease in the departments of duodenal ulcers is another cause of back pain. The appearance of the pain lies associated with hungry pains, when the mucous membrane is maximally exposed and subjected to the detriment of the appearance of the juice. A typical localization of pain — the area of the peritoneum, but considering the anatomy of the intestine, they can give and the dorsal divisions. Other symptoms are:
- the appearance of persistent dyspeptic disorders;
- gases or bloating;
- sour belching;
- violation of the chair.
Usually, after taking antacids, the pain subsides. The lack of a suitable treatment often leads to complications in the form of stomach or intestinal bleeding, perforation of the mucous membranes, disease of the mucous membranes of the intestines.
There are many reasons which can cause the intensity of the pain during night, sleeping on the back or lies on the day. To ignore such manifestations are dangerous due to the gradual progression of the disease and the development of serious complications, up to disability.
Treatment and prevention
The treatment begins with a thorough differential diagnosis to identify the underlying disease that determines the appearance of the pain.
During the treatment it is necessary to change the body position during sleep. To get this hard orthopedic mattress, cushion, padding back. During treatment, it is recommended to conduct physical therapy, massage. An active way of life is an important aspect for a successful recovery.
For the relief of pain requires a meeting of the analgesics (ointments, systemic drugs, balsams), various fats, compresses therapeutic compositions. Often is used by some recipes of traditional medicine.
The forecast of the "lies" of pain completely depends on the nature of the pathology, to the extent of the development of dystrophic processes, as well as the original cause. Usually with early diagnosis and compliance with all medical recommendations to significantly improve the patient's quality of life, lower risk of disability.