What to do if your back muscles hurt badly. Muscle pain in the back: causes and treatment

The question that many people ask - why do the back muscles hurt for no reason - is incorrect, since the factor causing discomfort, there is always: from ordinary overexertion or an uncomfortable posture to a serious illness.

But these are only “trigger factors”: in fact, the patient usually has muscle tension caused by scoliosis, kyphosis, flattening of the natural curve of the back -.

Lumboischialgia is a pain syndrome that spreads not only in the back, but also in the buttock and back surface legs (except fingers), aggravated by movements, certain postures and walking.

With such a common disease as inflammation of the back muscles - myositis, the main symptoms are as follows:

• aching pain;
• muscle tension;
• pain on palpation (palpation).

If measures are not taken in time, the problem becomes chronic and can further lead to muscle atrophy.

What to do? If you lead an active lifestyle and do, over time you can relieve such sensations.

But they may have certain specifics, and only a doctor can understand the specifics of therapy.

Localization of pain

Trapezius muscle

Main manifestations:

• unpleasant sensations under the base of the skull, spreading to the temples, ear;
• posture - shoulders raised, neck tilted in the direction of tension, rotational movements of the head, hunched back or shoulders at different levels;
• the muscles between the shoulder blades hurt (pain/burning), especially when stretching your arms forward.

Rhomboid muscle

Disclaimer

The information in the articles is for general information purposes only and should not be used for self-diagnosis of health problems or for therapeutic purposes. This article is not a substitute for medical advice from a doctor (neurologist, therapist). Please consult your doctor first to know the exact cause of your health problem.

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Pain in the back muscles, in some people, may be a consequence of ordinary physical fatigue, a long stay in an uncomfortable, or as physiologists say, unnatural physiological position. This often happens in the summer with gardeners and gardeners who spend most of the day in a bent position over the beds. Poor posture in schoolchildren and office workers becomes one of the provocateurs of back pain in everyday routine almost all year round, regardless of the person’s age and gender.

For others, pain in the back muscles may be a signal of the resumption of a chronic process, which is certainly accompanied by pain from the back. Moreover, the disease does not necessarily have to cover the musculoskeletal structure of the back; an echo in the form of spinal pain can be damage to any organ in the body, regardless of its location.

There is a third category of people in whom pain in the back muscles is constantly present, changing only the degree of its intensity and the nature of its manifestation. This category includes patients who have had serious back injuries in their past, including the musculo-ligamentous system and damage to the spinal column itself. For example, herniated intervertebral discs can provoke the appearance of minor, aching pain in the affected area, or can cause serious pain attacks accompanied by loss motor activity, although they may not manifest themselves as any pain at all for a long time. A bruise of the spinal column will cause pain in the back muscles for a long time, and even after full recovery, there is a high probability of pain occurring in a certain position of the body or when making sudden movements.

Each reason that results in pain in the back muscles or in other parts of the body must certainly be considered in its entirety, without interruption from the action of external factors, a person’s lifestyle, his professional activity and the presence of concomitant diseases, which, first of all, can become provocateurs of painful back symptoms.

What causes back muscle pain?

Pain caused by severe muscle spasms may be called myafascial (dysfunctional disorders of the myafascial tissue), dorsalgia (a term specifically referring to pain in the back muscles) or myalgia (a general term for all muscle pain). Since in any case we are talking about muscle pain, in the text we will use general concept"myalgia".

Myalgia occurs as a result of a lack of oxygen in a pinched, twisted, overstrained muscle. This is possible, just the same, in the wrong position of the body, frequent neglect correct posture and other situations.

Musculofascial pain is also provoked by serious disorders, such as:

• vertebral osteochondrosis,
• scoliosis,
• hernias

Among the diseases, one of characteristic feature which serve as pain in the back muscles include:

• bruises, injuries, sprains of muscles and ligaments of the spinal region;
• inflammation of the back muscles themselves (myositis);
• radiculitis of the lumbosacral region;
• lumbago;

In addition, there are a number of diseases that are not related to the back muscles, however, are accompanied by pain in that area, often due to radiating symptoms:

• cardiovascular diseases, for example, coronary disease;
• kidney stones and cholelithiasis;
• many diseases of the pelvic organs;
• diseases hip joint;
• oncological damage to organs, including the spine.

A separate point should be made about stressful situations and nervous strain. According to many scientists, such emotional states themselves are not always capable of provoking severe muscle pain, but in the presence of one of the diseases in which increased tone muscles, the appearance of muscle spasms at times of stress increases many times over. Therefore, you should not exclude the emotional factor from the probable reasons why pain in the back muscles may occur.

How to recognize back muscles?

The most optimal diagnostic methods among instrumental ones include:

• X-ray examinations;
• magnetic resonance examination;
• computed tomogram.

It is imperative to take into account the data of clinical and biochemical blood test parameters.

Pain in the back muscles and methods of its treatment

The very first and necessary measure that should be taken when back pain occurs is to create rest and an even body position for the patient. By ensuring maximum rest, you can significantly reduce pain. After the person is laid down, it is necessary to use an anesthetic from among the antispasmodics. It’s good if there is a person with a medical education in your immediate environment. It is quite difficult to cope with muscle pain in the back on your own, unless we are talking about a patient for whom such a case is not a surprise.

As a rule, people suffering from constant back pain keep all the necessary medications “on hand” for quick pain relief and are even able to give themselves an intramuscular injection. But you should still trust such procedures to professionals, so as not to aggravate the situation by adding complications from an incorrectly performed injection.

It is generally preferable to treat patients with back pain in the acute phase at home, thereby ensuring maximum comfort for the patient without forcing him to make a lot of movements to receive an injection in the hospital treatment room. Such tactics of patient management are possible in the case of an uncomplicated disease, in other words, if the situation allows. If the case requires the presence of the patient in a hospital, where there will be access to all the necessary equipment, both therapeutic and diagnostic, then there is no point in insisting on home treatment.

The main emphasis in treatment, in addition to rest, is on drugs from non-steroidal anti-inflammatory drugs, analgesics and muscle relaxants. IN medical complex includes massages and physical therapy, physiotherapy. In some cases, cryotherapy courses are indicated.

In addition to conservative treatment, the use of surgical intervention cannot be ruled out. The decision about the need to switch to a surgical method is made either from the very beginning, when the situation leaves no choice, such as in the case of a spinal injury or a rupture of the back muscle through a rib fracture, or after complications arise due to effective treatment when a progressive disease cannot be stopped by drugs alone. This happens in cases with tumor-like neoplasms.

Modern methods of treatment have reached maximum heights and therefore even surgical intervention can be carried out with minimal damage to tissues, both external and internal. Postoperative recovery periods after such interventions are much faster and painless.

A healthy back is an indicator of wisdom

In order for the organs of our body to always be in a healthy state, we need to build the right attitude towards them. If nothing hurts in the body, this does not mean that it is completely healthy. Examinations, carried out comprehensively twice a year, will allow us to monitor all the processes occurring inside our body and, as they say, keep our finger on the pulse. An annual examination should become a necessary norm of behavior, without which further exploitation own body impossible. A technical inspection of a car is carried out at a strictly allotted time, and every driver knows that if he misses this time, he will certainly be punished in the form of a fine. From our body, such punishments follow in the form of various pains and diseases that were not identified in time.

Trained muscles are able to withstand greater loads than untrained muscles. You need to pay attention to your back not only when it has already started to hurt. Daily exercise, aimed at developing the muscles of the whole body, will take the average person no more than 20 minutes a day, but will allow you to saturate all the cells with oxygen, launch many chemical and organic processes in the tissues and raise vitality to the proper level.

Pain in the back muscles, like most diseases, is much easier to prevent than to treat, so learn to treat your body wisely and it will not ignore it.

Important to know!

Myofascial pain appears at moments when predisposing factors are combined with provoking ones. In terms of people uninitiated in anatomy, the whole muscle layer represented only by muscles. Many people do not realize that there are also ligaments and fascia, which are also an integral part of the muscular skeleton.

There are no people who have not felt pain in their back muscles. She can overtake anyone. Do back pain or muscle pain (another name – myalgia) serve as an indicator of pathologies only of the locomotor system or is it an indicator of troubles in different systems body?

Causes of pain

If pain occurs in the back muscles, there may be different reasons. The human back from the back of the head to the sacrum is completely covered with muscles and experiences great physical stress. So why do back muscles hurt?

Spinal diseases

Suffering from them 85% of the world's population. Affects the vertebrae, intervertebral discs, spinal cord, trunks, spinal nerve roots, veins, arteries, capillaries, ligaments, muscles. The most common diseases: osteochondrosis, spondylitis, ankylosing spondylitis, arthritis, arthrosis, scoliosis.

Let's take a closer look at osteochondrosis.

Ask your question to a neurologist for free

Irina Martynova. Graduated from Voronezh State University medical university them. N.N. Burdenko. Clinical resident and neurologist of the BUZ VO \"Moscow Polyclinic\".

Enemy of the spine
Osteochondrosis is a chronic disease of the spine, leading to degenerative lesions and destruction of bone tissue, intervertebral discs, and vertebral articular cartilage due to:

• hereditary predisposition;
• poor nutrition;
• excess weight;
• previous injuries;
• sedentary lifestyle;
• excessive loads;
• stress, etc.

Due to the anatomical transformation of the spine, its pathological mobility nerves are pinched, soft tissues, spinal roots and vessels.

Soreness occurs.

Symptoms:

• poor posture;
• decreased mobility in the vertebral joints (inability to straighten up 100%, turn the head);
• decreased skin sensitivity, numbness, tingling.

To relieve the load on the altered spine, the muscles reflexively tense (compress). Over time, constant tension provokes another type of pain – muscle pain.
Nature and location of pain
They are affected by the area of ​​distribution:

1. When veins and arteries are compressed, the pain is paroxysmal, burning, and throbbing. Localization is often one-sided - the back of the head, another part of the head.
2. With pain, the symptoms of which often resemble other diseases (internal organs, for example), the pain is either acute, similar to myocardial infarction, called lumbago (dorsago), or gradual, increasing, similar to pneumonia, but with the absence of cough and fever (dorsalgia) . Concentrated in the intercostal region, in the area of ​​the shoulder blades and upper abdomen.
3. When the pain in the lower back muscles is sudden, with lumbago. The lumbar and leg muscles hurt, radiating to the groin and pelvis.

In the complicated version, when the vertebrae fuse, the pain decreases or disappears.

Additional symptoms
With cervical osteochondrosis, in addition to the fact that the muscles of the back and neck hurt, there are symptoms of oxygen deficiency: dizziness, nausea, migraine, decreased vigilance, hand sensitivity and shoulder girdle, shortness of breath, limited cervical mobility. IN mature age Sudden loss of consciousness is possible, in a complicated version – paresis and paralysis of the arms.

With thoracic osteochondrosis - cough, “lump” in the throat, difficulty swallowing, bending, raising arms, hypertension, pain in the heart.

With lumbar osteochondrosis - a feeling of numbness of the skin, paresis and paralysis of the legs, in men - difficulties with urination and erection, in women - menstrual irregularities.

Which doctor to contact, diagnostics performed
Due to symptoms similar to other diseases, patients go to a general practitioner, cardiologist, or gastroenterologist. This takes time and causes complications. The specialized doctor is a neurologist.

2 diagnostic methods:

• laboratory: general and biochemical blood tests;
• instrumental: x-ray of the spine in 2 projections, MRI, CT and biopsy with microscopy.

Based on the research results, treatment options are selected.
Treatment of osteochondrosis
If muscle pain is present in your back, treatment is conservative and surgical. Conservative unites:

1. Drug treatment. Appointed at the time of crisis. NSAIDs, muscle relaxants, chondoprotectors, vitamins B, E, angioprotectors, glucocorticoids, and biogenic stimulants are used.
2. Physiotherapy. Thanks to electrophoresis, acupuncture, magnetic therapy, exercise therapy, etc., the healing process is faster.
3. Sanatorium-resort treatment. Effective during remission.
4. Diet. During a crisis, you need to eat in small portions, 5-7 times during the day, excluding fried foods, choosing boiled and steamed foods. Drink at least 1.5 liters of water per day.

If the methods are ineffective, surgical intervention is performed: the intervertebral hernia or intervertebral disc is removed and replaced with a silicone implant (prosthesis).

Diseases of internal organs

Sometimes muscle pain occurs due to diseases of the internal organs:

• Gastrointestinal tract (peptic ulcer of the stomach and duodenum, perforated ulcer, intestinal pathology);
• pancreas (chronic inflammation of the pancreas, chronic pancreatitis);
• gallbladder (acute cholecystitis);
• liver (colic);
• respiratory organs (pneumonia, pleurisy, bronchitis, tuberculosis);
• genitourinary system (prostatitis, renal colic), gynecological diseases (fibroids, inflammation of the uterine appendages, endometriosis);
• cardiovascular diseases (myocardial infarction, angina pectoris, coronary heart disease, aortic aneurysm).

The pain radiates from the organs to the back and is called radiating(reflected).

Type of pain, concentration
In case of disorders of the gastrointestinal tract, pancreas, gallbladder and liver, the pain is acute, localized in the abdomen, right side, radiating to the lower back and collarbone, slightly below the scapula. With hepatic colic, pain affects the right shoulder, shoulder blade, neck, and entire abdomen. When the prostate gland is inflamed, the pain is girdling.

With diseases of the gynecological and genitourinary apparatus, the muscles in the lower back hurt. Severe pain in the abdomen and genitals, radiating to the back on both sides, accompanied by frequent urination, indicates renal colic.

In case of respiratory diseases against the background of fever, the pain radiates to the back below the shoulder blades and to the chest, aggravated by coughing.

Back pain on the left, spreading to left hand and neck, indicates pathologies of the cardiovascular system.

Associated symptoms
Nausea, heartburn, vomiting, hyperhidrosis are tormented. Muscles abdominal wall shrink, making the stomach hard, “board-shaped”.

The patient moves little, assumes a fetal position, and breathes shallowly. Your temperature may rise.
Attending physician
First you need to see a neurologist and orthopedist. When diseases of internal organs are identified, treatment is carried out by a specialist: gastroenterologist, cardiologist, gynecologist, etc.
Diagnostic measures
X-ray examination and MRI are performed. UAC is prescribed.

An ultrasound of internal organs is performed. To exclude cardiovascular diseases, an electrocardiogram is prescribed; to assess the state of lung health, a pulmonary function test and chest x-ray are prescribed.
Prescribed treatment
The underlying disease needs to be cured.

To get rid of back pain, medications, ointments and gels with NSAIDs, irritating and local anesthetic medications are prescribed.

Mechanical damage

Having greatest distribution cause. Can be obtained:

• athletes during training due to incorrect calculation of gravity or working with weight;
• children with excessive mobility;
• by divers when hitting the water;
• pregnant women;
• young mothers when raising a child;
• when lifting heavy weights or increased physical activity;
• with intense movements;
• when falling, especially from a height, onto your back or landing on your feet, as a result of which you can get compression injuries to the vertebrae;
• in case of mechanical shocks from the outside - a blunt object, a blast wave, etc.

Main symptoms: back muscles hurt along the spine and at the site of injury, it swells.

Due to vascular injury, hemorrhage occurs in the soft tissues, bruises and bruises appear.

Type of pain, localization
Injuries due to spinal contusion lead to dull, diffuse pain at the site of injury, without a clear definition of concentration. In case of injuries leading to rupture of ligaments without displacement or to a fracture of the spinous processes, the pain is acute, concentrated in the area of ​​the spinous and transverse processes; in case of a fracture, in the area of ​​the injured process.
Additional symptoms
For injuries in the thoracic region - loss of sensation in the limbs, ataxia, pain in the heart area, when inhaling.

In case of damage to the cervical region - difficulty breathing, paresis, spasms, muscle paralysis, headaches, amnesia, neuralgia.

In case of damage to the lumbar region - paresis or paralysis of the legs, urinary disturbances (incontinence or retention), erectile dysfunction.

Who to contact, diagnostics
It is necessary to see a traumatologist, even if the damage seems minor. The effects of the injury may appear later.

A visual examination is carried out, anamnesis is taken, the course of the disease is studied, CT and radiography are prescribed. Based on the diagnostic results, further treatment is carried out by a neurosurgeon and a rehabilitation specialist.
Recommended Treatment
For minor injuries, bed rest and the use of anti-inflammatory and analgesic ointments and gels are indicated. Gradually, bed rest is replaced with small loads, trying not to overload.

Athletes can use ice compresses to reduce inflammation; if things are getting better, warm up the muscles. Physiotherapy and heat compresses help stabilize blood circulation and restore muscles.

In complicated cases that do not affect the spinal cord, they will help breathing exercises, 14 days after injury - moving limbs, massage, acupuncture, electrical pulse therapy. Medicines include nootropil and hormones.

For closed reduction and traction of spinal deformities, corsets and collars are used.

If the spinal cord is affected and conservative treatment is unsuccessful, surgical intervention is used to openly eliminate the deformity.

Helminthiasis, in particular echinococcosis

• upon contact with an animal carrying a helminth;
• while eating berries, vegetables, fruits contaminated with animal feces;
• with water from natural sources containing helminth eggs.

Spreading with blood throughout the body, it affects internal organs, forming single-chamber cyst capsules in the form of a bubble filled with liquid with tapeworm scolex. Cysts can contain up to 10 liters of fluid, reach several kilograms, and take many years to form. Overgrown cysts lead to gradual destruction of the affected organ, up to its atrophy. Rupture of the cyst can cause anaphylactic shock.

The cause of back muscle pain is most often echinococcosis of the spinal cord or kidneys.

Type of pain, location
The initial stage is asymptomatic. As the cysts grow, the situation changes.

With echinococcosis of the spinal cord, compression of the body and arch of the vertebra and spinal cord by the bubble causes a sharp, encircling pain, concentrated in the thoracic region, which increases during vigorous movements. The mobility of the spinal column decreases, the rectus dorsi muscles thicken, take on the appearance of a cushion, and during palpation the spinous processes of the spine are painful.

With echinococcus of the kidney, persistent dull pain appears, localized in the hypochondrium, radiating to the lower back.
Associated symptoms
With helminthiasis of the spinal cord, pain is felt in the limbs. With echinococcosis of the kidney - fatigue, lack of appetite, weight loss, poor health. At a later stage, renal colic, exacerbation of pyelonephritis, difficulty urinating, impaired kidney mobility are added, round tumors are palpated in the hypochondrium area.
Attending physician
People often turn to allergists, therapists, neurologists, and infectious disease specialists, which does not bring relief.

The treatment is surgery, the attending physician is a neurosurgeon.

Diagnosis of helminthiasis
The main methods are:

1. CT. Allows you to identify neoplasms in the spinal canal.
2. Myelography. A contrast agent injected into the arachnoid canal of the spine allows images (myelograms) to be taken.
3. Blood test for RPHA. Passive hemagglutination reaction.

For an accurate diagnosis, it is important to collect anamnesis about existing contacts with animals, consumption of water from natural sources, visits to forests, etc.

Treatment used
So what should you do if your back muscles hurt? Treatment of the spinal canal is the removal of the compressive vertebral arch (laminectomy), emptying the bladder, removing its outer shell, 5-minute treatment of the cavity with a 2.5% iodine solution, then with sodium thiosulfate salt.

Cysts of infected kidneys are removed, and if necessary, resection or nephrectomy is performed.

After surgical treatment, antihistamines are prescribed to avoid contamination.

Autoimmune diseases

One of the hardest reasons. Autoimmune myositis– inflammation of the striated muscles arising from perception immune system their cells muscle fibers for health-threatening pathogens and the destruction of their connective tissue membranes. One muscle may be affected (local myositis) or several (polymyositis). If the skin is affected, it is dermatomyositis.

Autoimmune myositis occurs independently and against the background of existing systemic pathologies: rheumatoid arthritis, lupus erythematosus, scleroderma.

The main symptoms are muscle weakness, muscle tension and swelling, muscle pain, limitation of movement - the sick person has difficulty getting out of bed and caring for himself.

Type and location of pain
The pain is dull, not intense. Intensifies with changes in temperature and movement. In some cases it disappears completely. Focused on the affected muscle area.
Supporting symptoms
A local increase in temperature is possible. When the muscles of the neck are affected, swallowing is difficult; the muscles of the thoracic region and diaphragm are difficult to cough and breathe.

With dermatomyositis, the skin becomes swollen and hyperemic. Purple-red spots or nodules and severe itching appear.
Who to contact, how to diagnose
Autoimmune myositis is diagnosed and treated by a rheumatologist. The patient is examined, existing complaints and the presence of systemic pathologies are clarified.

Electromyography is prescribed.

Treatment methods
Treatment includes the use of:

• steroidal anti-inflammatory hormones;
• immunosuppressants that suppress the immune response;
• extracorporeal treatment methods (EMT) – hemosorption, plasmapheresis;
• NSAIDs.

During exacerbation of the disease, metabolites, vitamins and antitoxic solutions are administered intravenously.

After relief of the condition, therapeutic massage and physiotherapy are usually prescribed.

Intoxication. Toxic myositis

Poisoning is possible both from internal toxins (endogenous intoxication) and external toxic substances - medicines, food, industrial chemicals, alcohol, drugs. Endogenous intoxication appears due to metabolic disorders associated with diseases of various internal organs, as well as due to diabetes mellitus and other endocrine diseases. Key Features:

• aches and weakness in muscles;
• rapid breathing;
• rapid pulse;
• dyspeptic disorders (nausea, vomiting, diarrhea);
• lack of appetite;
• sleep disturbance;
• decrease or increase in body temperature.

Alcohol poisoning disrupts coordination and the functioning of the locomotor system, which leads to an unsteady gait and decreased muscle tone.

Nature of pain, localization, additional symptoms
The pain is aching. Applies to the spine and neck area.

The patient feels weak and lethargic. At the second stage, irritation, pessimism, tearfulness increase, and body weight decreases.

At the third stage of intoxication, especially alcoholic intoxication, aggression and malice may appear. The sick person becomes indifferent to his own appearance and health. Alcohol poisoning leads to disturbances in consciousness, reflex inhibition, and in the final stage – to the destruction of the hypothalamus and vital areas of the brain, alcoholic coma and even death.
Which doctor should I go to?
Depending on the type and degree of intoxication, the help of different doctors is required:

1. Reanimatologist. It is needed for severe poisoning that threatens life, when it is necessary to urgently restore impaired functions of the respiratory organs and heart function.
2. Infectious disease specialist. Deals with food poisoning.
3. Toxicologist. Works with poisoning from drugs, industrial and biological poisons, household chemicals, drugs, alcohol.
4. Expert in narcology. Its cases include alcohol, drug, and tobacco intoxication.
5. Gastroenterologist. Any poisoning has a detrimental effect on the normal functioning of the gastrointestinal tract and can provoke dysbacteriosis.

It is necessary to seek the help of a therapist, he, in turn, will refer you to to the right doctor.

Diagnosis of intoxication, treatment methods
A blood test is taken for LII, FDC, the degree of blood hemolysis, and intoxication index (II).

If your back muscles hurt due to intoxication, what should you do? First you need to cleanse the body of toxins and normalize the functioning of all systems. Diuretics are prescribed to remove harmful toxins. Hemodez and drugs based on serum albumin, enterosorbents ( activated carbon, Polysorb), in the treatment of alcohol intoxication - Enterosgel.

Hemodialysis, hemosorption procedures, and in severe cases, blood transfusions are carried out.

Staying in an awkward position

With the development of IT technologies large number people spend significant time at the computer in an uncomfortable position, including office workers, students, and schoolchildren. At this moment the muscles responsible for supporting the spine do not work, and the spine itself experiences maximum physical stress. This leads to its gradual deformation.

Sometimes muscle pain in the back appears in the morning, after waking up. This means that the person slept in an uncomfortable position or on an uncomfortable bed. Muscle spasms can also occur when carrying a bag on one shoulder every day.
Nature of pain, localization, whether a doctor is needed
The pain is aching, located in the neck and back, between the shoulder blades. If staying in an uncomfortable position has not yet led to irreparable deformation of the spine, visiting a doctor is not necessary.

You can try to relieve the spasm yourself.

Getting rid of muscle pain
While sitting at the computer, you need to regularly take 5-15 minute breaks. It’s better to get up, stretch, warm up, and massage stiff muscles. This will improve blood circulation and relieve fatigue.

If the pain is associated with an uncomfortable posture during sleep or an uncomfortable bed, replace the mattress with an orthopedic one, and the pillow with a bolster. At night, it is useful to make lotions with a 10% saline solution, soaking a cotton cloth in it and applying it to the tense area.

Cover with a towel on top.

Congenital pathologies

Congenital pathologies are:

• missing (sacralization) or extra (lumbarization) vertebrae sacral region;
• congenital pathologies of the interarticular parts of the vertebral arch;
• flat feet of different types;
• different leg lengths;
• abnormalities of the hip joint, including pelvic asymmetry;
• osteochondropathy of the spine.

These diseases lead to improper formation of the spinal column.

Even with a slight difference in leg length from 3 to 5 mm over time spinal deformation occurs and pelvis, scoliosis develops, health worsens, and pain appears.

With flat feet, due to the fact that the gait does not spring, tension appears calf muscles, gradual distortion of the pelvis, pain.

Some defects can be treated, others cannot be treated, but in any case you need to see a doctor to prevent complications.
Nature of pain, localization
At first the pain is minor. It gradually becomes more intense, has an aching character, turning into an acute, burning sensation. Localization – lumbar region, sacral region, pelvis.

With flat feet and short leg syndrome, swelling, cramps, and pain in the legs appear.

Associated symptoms
Rapid fatigue, curvature of the spine (usually), pain in the hip joint, radiating to the leg, swelling, and increased pain with prolonged walking or sitting appear.
Which doctor treats and how does he diagnose?
A therapist, traumatologist, and orthopedist are needed. A visual examination is carried out, and fluoroscopy is prescribed for all types of pathologies.

For flat feet, podometry and plantography are done. For short leg syndrome, focus on the length of the trouser legs in a standing position.
Features of treatment
Treatments include massage and therapeutic exercises. For pathologies of the hip joint - mud therapy and hydrotherapy, for osteochondropathy - swimming and underwater leg stretching. For flat feet, osteochondropathy, and short leg syndrome, special orthopedic insoles or arch supports and orthopedic shoes with soles of different heights are needed.

Surgery is performed only in extreme cases.

This can be traction of the leg using the Ilizarov apparatus or, in case of flat feet, joint plastic surgery and tendon transplantation.

Physical activity

Sometimes muscle pain appear in the back area after strenuous physical work, sports, weight lifting. Muscles become torn and microcracks form on them. The process of producing lactic acid in the muscles begins, leading to swelling and soreness.

Causes of pain syndrome:

1. Stretching. Appears with weak back muscles due to heavy lifting.
2. Pinched nerves. Occurs when lifting a weight from a pose with incorrect position backs.
3. Sports activities. Pain occurs after sudden, vigorous movements, turns, or squats with weights, especially if exercise is not regular or the person is not physically fit enough.
4. Stress. According to psychologists, people in a stressful situation involuntarily slouch, which provokes an increase in the load on the lower back.

Representatives of both the stronger and weaker sex can feel pain during physical activity.

Type of pain, localization
The pain is usually severe, aching or sharp, unexpected, incapacitating. Occurs in the lumbar region.
Which doctor diagnoses and treats, method of diagnosis
Diagnosis is performed by a neurologist, surgeon, orthopedist, and traumatologist. Includes anamnesis collection, examination and questioning of the patient, if serious injuries are suspected - radiography and ultrasound of the joints and spine, CT scan of the spine, clinical blood test, general urine test.
How and what to treat
Treatment includes massage, exercise therapy, magnetic therapy, phonophoresis. From independent methods:

• for sprains – cold compress, rest;
• in case of pinched nerves - dry heat on the back, a warming belt made of dog hair, wrapping in a warm scarf, warming ointments, rest;
• when playing sports - painkillers, warm compress, rest;
• in case of stress - rest, in case of improvement - change of environment, visit a psychologist.

It is necessary to properly balance physical activity, review the training plan, improve physical condition with the help of special exercises.

Infectious and non-infectious inflammations

Due to hypothermia of the body under air conditioning, in a draft, wearing light clothing in chilly weather or the presence of an infection, inflammation of the spinal muscle of a non-infectious or infectious nature may occur - myositis.

Happening destruction (degranulation) of mast cells, which are found in many organs and systems of the body.

When destroyed, inflammatory mediators are formed - biologically active substances that lead to an increase in temperature, swelling, and soreness in the spinal muscles.

Type of pain, localization
The pain is aching, localized in the spine and neck. Infectious myositis can cause intercostal neuralgia, then the pain becomes sharp, one-sided, localized in the intercostal space of the chest.
Additional symptoms
Swelling appears headache, chronic fatigue syndrome (asthenia), limited mobility. As the condition worsens, thickening and changes in muscle tissue to the touch are observed.

Which doctors should you contact, diagnostic methods

You need to visit a therapist. After establishing the diagnosis, he will refer you to a neurologist or rheumatologist.

Diagnostic methods:

• suspicion of non-infectious inflammation - questioning the patient, examination;
• suspicion of infectious inflammation - blood test for rheumatic factor and antibodies, taking a biopsy of muscle tissue, electromyography.

Timely treatment will improve your health in a shorter period of time.
We are treated correctly
Some people believe that they can treat myositis on their own. But inflammation can be infectious in nature, which requires the use of drugs that have contraindications and side effects. Only a specialist can correctly prescribe them.

In addition, they use therapeutic exercises and physiotherapy.

Presence of a focus of chronic inflammation

Sometimes treatment doesn't help. The reason may be the presence of a focus of chronic inflammation in the body, which, at first glance, has no relation to the back muscles - caries, diseases of the paranasal sinuses, tonsils, pathologies of the small and large intestines, lungs.

Intoxication constantly emanating from the source of inflammation, spreading through the lymphatic vessels, leads to depletion of the immune system. The body blocks the problem with lymphangiospasms, which deprive the site of inflammation of blood and lymph fluid, but this leads to an insufficient supply of necessary substances to other tissues and stagnation of the lymphatic ducts. It is accompanied by severe pain and the formation of scars on tissues deprived of normal blood supply.

Over time, the lesion “breaks through” the blockade and covers the entire body, including the back muscles.

Nature and location of pain
The pain is episodic at first, then becomes continuous, increasingly intense. Depending on the focus of chronic inflammation, it is localized in the lower cervical and lumbosacral regions.
Associated symptoms
Associated symptoms include: trigeminal neuralgia, arm pain (brachialgia). Excruciating pain in the buttocks may be added, and the muscles of the lower back, back of the thigh, lower leg and back of the foot (sciatica) ache.
Diagnosis and treatment, which doctor will help
It is necessary to identify foci by interviewing and examining the patient, studying the medical history. If you suspect any disease, refer to the right doctor for tests, fluoroscopy, and ultrasound.

Diagnosis and treatment can be complicated by the presence of several inflammatory foci. If at least one lesion is not identified, treatment may not bring 100% results. All fires must be sanitized.

It is also necessary to treat the disease caused by them.

History of trauma

The patient has a history of previous injuries may be a factor in the development of future pain in the back. Any new injuries to the spine, even minor microtraumas, “layer” on existing pathological changes and can lead to their activation.
Which doctor treats, diagnosis
In this case, we need a therapist, traumatologist, and neurologist.

It is necessary to ask the patient about all previous injuries, even those that seem insignificant to him. This applies even to injuries in infancy, because back pain is significantly influenced by long-term traumatic consequences (delayed injury). Important are not only injuries to the back and tailbone, but also to the buttocks, head, fractures and dislocations of the limbs, which can change conditioned reflex motor reactions for a long time or for life.

It is necessary to find out the nature of the damage, methods and results of treatment. X-rays and MRI can help with this.

Information about your profession and sports activities is important. Some professions and sports are characterized by an increased rate of injury. The consequences of these injuries can significantly affect the appearance of pain.
Necessary treatment
We need to find out the causes of the pain. This will make it possible to develop a treatment plan by prescribing medications that enhance and complement each other.

At the same time, in order to reduce pain, you can use pain-relieving ointments and creams.

Recent infectious-inflammatory disease

There may be tonsillitis, flu, acute respiratory infections, pyelonephritis, cystitis, etc. Human immunity reduced after fighting infection and viruses, and even the slightest hypothermia or change in weather can cause inflammation and muscle tension.
What type of pain is it characterized by, where is it localized?
The pain is mostly episodic, aching, with sharp shooting pains, aggravated by palpation or physical exertion. Localized in the lumbar region with impact in the leg, in various other areas of the spine.
Additional symptoms
At first, the temperature may rise, body aches, dry throat, and watery eyes may appear.

All symptoms are irregular, which is fraught with loss of time and complications.

Which specialist to contact, diagnostic methods
The therapist is responsible for diagnosing and prescribing treatment. The diagnosis is made on the basis of anamnesis, a detailed interview and examination of the patient, and clarification of details about the period of manifestation and the nature of the pain.
Effective treatment
Warming therapy is effective. It is carried out using warming ointments, herbal teas, and wrapping in a warm woolen scarf.

Baths, saunas, and hot baths are contraindicated, since an infectious-inflammatory disease that is not completely cured, the symptom of which is high temperature, will put undesirable stress on the heart and blood vessels.

Causes of pain in the trapezius, iliopsoas and latissimus dorsi muscles

Eat on your back very important 3 muscles experiencing constant loads. What is the cause of pain in these muscles?
Trapezius muscle
This is a wide, flat, triangular muscle with the base directed towards the spine and the apex directed towards the crest of the scapula. The two trapezius muscles, located on either side of the back on the right and left, together form the trapezius shape, hence the name. The muscle that elevates the shoulders and moves the shoulder blades up and down, supporting the weight of the arms.
Cause of pain
The shoulders bear the heaviest loads, most of all when they are under tension. Stress points arise. Overload leads to injury to the trapezius muscle.

Stress points also appear as a result of compression. Example: a tourist carrying a heavy backpack. Another provoking factor can be a sudden movement of the head back and forth, or falling.

This often happens in road accidents.

Nature and location of pain
Pain appears in the neck and upper back. The nature and location are influenced by the locations of stress points:

1. In the upper group of muscle fibers. The pain in this case is intense, persistent, reminiscent of Mr. Localized on the neck at the base of the skull.
2. IN middle group. Localization - between the shoulder blades.
3. In the lower group. Localization - in the lower part of the neck.

Most often, stress points appear in the upper part of the muscle fibers.
Iliopsoas muscle group
Another name is the psoas muscles. Responsible for bending the torso and hips, maintaining the body in a straight position. Consist of the following muscles:

• lumbar – located near the lumbar vertebrae;
• iliac – located with inside iliac crest of the pelvic bone;
• small lumbar – located on the anterior surface of the large psoas muscle.

40 out of 100 people do not have the psoas minor muscle.

Cause of pain
Stress points occur due to overload. Tension in the legs allows the torso to flex at the hip. The muscle group is involved when walking, squatting, during sports, dancing, where the legs experience strong overloads.
Type of pain, localization
When the stress points are located in the upper part of the group, the pain, which increases while standing and subsides when lying down, is localized vertically along the vertebrae, on one side.

When tension points are located in the lower part of the group, pain occurs in the intestinal area and with outside upper thigh.

In this condition, it is not easy to keep the body straight.

Latissimus dorsi muscle
This is a wide, thin muscle in the middle and lower back, thickening in the armpit area. Responsible for the movements of the arms - down, back and for pressing the arms to the body.
Cause of pain
The latissimus muscle works actively during sports. Experiences overload and the formation of stress points when holding a large load with outstretched arms.
The nature and localization of painful sensations
Pain appears on the inside of the shoulder blade, affecting the middle back. May appear on the back, spreading to the arm, to ring finger And .

It can be so strong that you cannot raise your arm up or in front of you.

When should you urgently consult a doctor?

Sometimes Don't fight pain personally. Urgently go to the clinic or call an ambulance if:

• after an accident or a fall from a height, limbs go numb;
• in addition to the back, the lower leg and foot hurt;
• with pain in the lower back, the buttocks, thighs, groin area, and legs go numb;
• even when changing body position, the pain does not subside;
• the pain is so significant that the person cannot care for himself;
• In addition to weakness in the legs, urination and/or defecation became difficult;
• a sharp sharp pain is felt on the left side of the body;
• previously had a back injury;
• pain syndrome lasts more than 3 days;
• history of cancer;
• pain is more pronounced when bending over, in a horizontal position;
• A pregnant woman in the first trimester of pregnancy developed aching pain in the lumbar region, which goes away at rest or in a horizontal position, and in the third trimester - pain in the lumbar region with bloody discharge from the genital tract.

These options require immediate attention to specialists.

First aid to relieve pain

In the case when pain in the back muscles arose for the first time, due to stress, is not very pronounced, you can try to remove it yourself. It is necessary to accept a state of rest until the alarming symptoms pass partially or completely. Apply cold to the location for a couple of hours. Apply warming ointment to the concerned area. Additionally, you can apply a warm compress, but only if there are no muscle tears or sprained ligaments.

After this, if there is no serious damage, relief should come.

Be sure to watch the following video on the topic

Why do my back muscles hurt? The reasons are varied. Only specialists can diagnose them and choose the right treatment method. Therefore, you should not experiment with your health; it is better to immediately consult a doctor.

What to do if your back muscles hurt? Treatment and painful sensations in the back completely depend on the reasons. Since the spine is the main part of the human axial skeleton, pain in the back muscles occurs in many people. The source can be as simple as overwork, the symptoms go away on their own. So are a number of serious diseases, which can sometimes only be eliminated by surgical intervention. Back pain is called myalgia. Often myalgia is the first sign of pathology in the human body.

To understand why back muscles hurt, it is important to identify the causes of the disease. You should not do this yourself, in order not to wait for complications, it is better to consult an experienced doctor.

Overvoltage

Fatigue is the most common cause of muscle pain in various places along the spine, mainly in the lumbosacral region. Moreover, the muscle can become overstrained, as if from heavy physical activity, and from being in one uncomfortable position for a long time. For example, sitting, standing in an uncomfortable position, and even lying on a bad sleeping place.

Overwork causes the release of lactic acid - this is a consequence of myalgia. Such pain goes away on its own within a few days of good rest. If after 2 weeks the problem has not disappeared, it makes sense to think about another cause of the pain.

Myositis

It means inflammation of skeletal muscles as a result of:

The localization of the disease can be in any area of ​​the back. The most commonly affected areas are the cervical and lumbar regions. It happens that the back muscles along the spine hurt. The pain is local, intensifies with palpation, dermatological changes are possible. Treatment for myositis depends on its cause. As a rule, myositis is treated with medication in combination with physical therapy. Sometimes complications require hospitalization of the patient.

Osteochondrosis, arthritis and arthrosis of the spine are diseases that are characterized by inflammation and deformation of cartilage tissue. In this case, the nerve fibers are pinched by the intervertebral discs, which causes pain in the back muscles. Such ailments mainly affect people with a sedentary lifestyle and overweight. These diseases are very insidious, because they may not make themselves felt immediately.

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Osteochondrosis, in addition to pain in the back muscles, is accompanied by migraine. The pain syndrome is paroxysmal, lasting up to 6 hours in a row. Even strong painkillers cannot always cope with it. If the disease is not treated, it progresses and other symptoms are added. Such as high blood pressure, dizziness, numbness of extremities, loss of coordination.

Arthrosis and arthritis are characterized by pain symptoms when bending the torso. The pain is local: it drags, sometimes causes a feeling of stiffness. The patient feels better when he is at rest. With such complaints, you should definitely contact your therapist and osteopath.

As a treatment, a special manual therapy, diet and physiotherapy.

Diseases of internal organs

If - this may be a sign of respiratory and heart diseases. Pain in the lower back muscles is often a symptom of illness gastrointestinal tract. In this area, discomfort and pain syndromes can also be associated with the gynecological organs and urinary system. If for similar reasons your back muscles hurt, your doctor will tell you what to do. As a rule, treatment of the patient is prescribed internal organ, and myalgia goes away on its own.

Congenital pathologies

In the presence of various pathological asymmetries in the body, pain in the back muscles is possible due to compression of the nerve roots by intervertebral discs. For example, with short leg syndrome. Even mere millimeters of difference in leg length creates many problems with the spine. Similar disorders of the spinal axis also occur due to curvature of the pelvis and flat feet. often occur in people suffering from scoliosis.

It is characterized by deformation of the intervertebral disc and its displacement beyond the required boundaries. As with osteochondrosis, symptoms may not appear immediately. A hernia can be localized in any part of the spine, but most often the lumbosacral segment is affected.

Pathology occurs due to acquired or genetic curvature of the spine, metabolic disorders in the body of the disc, or injury. Severe muscle pain in the back occurs due to pressure of the disc on the nerve roots. It may be accompanied by numbness and weakness in the muscles. Depending on the location of the hernia, pain may include:

• In the lumbosacral region, the patient will feel pain in the lower back, buttocks, possibly even in the knees and feet.
• In the upper lumbar region, the pain sometimes radiates to the thigh.
• In the thoracic region, pain can occur in the arms, shoulders, shoulder blades and chest.

MRI helps identify the disease. Treatment is prescribed by a doctor. As a rule, this is massage, physical therapy, physiotherapy, wearing a corset, drug treatment, in difficult cases surgery is necessary.

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This is a displacement of the higher vertebra relative to the underlying one. Most often it occurs in the lumbosacral region, but can appear anywhere in the spinal column. The main symptoms are discomfort and pain in the lower back muscles, legs, numbness and weakness in lower limbs. This pathology mainly affects men who engage in heavy physical work. Spondylolisthesis can be congenital or acquired due to trauma.

This disease is diagnosed through a series of laboratory tests, MRI and electromyography. Treatment, depending on the severity of the disease, can be conservative or surgical. The first includes: taking anti-inflammatory drugs, decongestant therapy, strengthening muscle corset by using physical exercise and physiotherapy.

Compression fracture

Occurs due to mechanical trauma, and not only due to a local impact; a fracture can also occur when a person falls on his legs or buttocks, but also when a load falls on his back and shoulders. A compression fracture can also be a consequence of diseases of the bones and spine. If the fracture occurred for the first reason, the pain will be acute, if the pathology did not occur immediately, and due to the disease the myalgia will be aching and dull. Additional symptoms may include muscle tension, numbness of the skin, weakness in the limbs, and chest pain.

The cause is identified using x-rays of the spine in two projections, in some cases using MRI or computed tomography. Therapy mainly takes place in a hospital with spinal traction, and medications are also used to relieve pain. When the fracture heals, the patient must wear a special support corset and undergo restorative therapy.

Treatment and diagnosis

When pain in the back muscles occurs, it is important to identify the causes as soon as possible, without expecting complications. Until the source of the disease is known, treatment cannot be started so as not to worsen the situation. Even experienced doctors need to conduct a series of studies to determine the nature of back muscle pain. Depending on the complexity of the problem, diagnostics may include:

• Clinical examination;
• X-ray;
• Magnetic resonance therapy;
• Computed tomography;
• Laboratory research;
• Myofascial diagnostics.

In each situation, treatment tactics can differ significantly and even be completely opposite. Therefore, only a doctor should prescribe the correct course of therapy. If the pain is paroxysmal and you urgently need relief, an anesthetic ointment (there are many of these in the pharmacy) or a warming agent for external use with red pepper will help. After playing sports or other physical fatigue, my back muscles hurt, what should I do? A warm shower, a massage and a woolen belt will help.

If you feel a pull in your back, it is better to lie down, choosing comfortable position and rest a little. At rest it should become much easier. Non-steroidal anti-inflammatory drugs, painkillers and light massage also help. The cause of pain can be pinched nerve roots even with unsuccessful movement. This occurs especially often in the area between the shoulder blades. In such a situation, manual therapy will quickly help.

Prevention of pain

• Be sure to do exercises. If you do it yourself, ask how to do the exercises correctly. Incorrect execution of even the simplest elements can have the opposite effect.
• Your sleeping place should be as comfortable as possible, with a flat, hard mattress and not a high pillow.
• Try to maintain good posture at all times, especially when working at a desk or computer. The chair or armchair should support your back as ergonomically as possible.
• Avoid staying in one position for long periods of time. Take at least a little time to stretch.
• If you need to stand for long periods of time, find a support point to reduce the strain on your back.
• Lift things correctly, not with your back, but with your legs. This means squatting rather than bending over when lifting weights.
• When walking, your eyes should look at the level of the 2-3 floors, then you won’t slouch.
• Watch your figure. Excessive or excessive light weight does not add health.
• If you are wearing a heavy backpack, put it on correctly: on both hands immediately behind, placing it first on a chair.
• Swimming is very beneficial for the back muscles and spine.
• Follow a proper balanced diet. Lack of vitamins and minerals sometimes also provokes certain diseases.
• Don't get too cold. During the cold season, make sure that your clothes are warm and completely cover your back.

Your feedback on the article

Pain in the neck muscles is an SOS signal, a sign of a malfunction of one or more links cervical region spine. Which ones?

1. Nervous system - spinal cord and nerve roots.
2. Circulatory system - vertebral artery, blood vessels.
3. Skeletal system - processes, arches, vertebral bodies.
4. Intervertebral discs.
5. Soft tissues - ligaments, fascia, muscles.

Why do my back muscles hurt? Muscle tissue is penetrated by a huge number of nerve processes, which can be compressed by the muscles themselves during involuntary contraction (spasm).

Spasm also occurs if muscle tissue various external or internal irritants act - mechanical, infections, toxins. Back muscles hurt if:

• sprains;
• fiber rupture due to injury;
• inflammatory diseases;
• after sleep due to uncomfortable body position.

Nerves emerging from the cervical spine innervate the shoulders and upper extremities. Therefore, if there is pain in the neck, your shoulders and arms may hurt, especially after sleep. Doctors say that if your neck hurts today, expect pain in the muscles of your back and lower back to appear. This happens because the human spine is an interconnected structure. As soon as pathological changes appear in one of the sections, the underlying segments take over the functions of the affected area of ​​the spine.

Painless spasm

It should be noted that muscle spasm is not always accompanied by pain. There is a large list of professions in which a person has to be in a forced non-physiological position or perform monotonous, repeatable movements with his hands (for example, when knitting).

At the same time, the muscles of the neck and shoulders are in a state of contraction – spasm – for a long time. However, unpleasant symptoms such as pain may be absent. Muscle spasm is manifested by stiffness of movements, a crawling sensation, numbness of the arms, neck, and shoulders. In the mornings after sleep, the head feels heavy, the stiff neck has difficulty turning to the sides, and the shoulders hurt. Similar symptoms appear after sleep if you sleep all night with your hand placed under your head.

Cervical lordosis in young people also does not cause pain. Poor posture will make itself felt much later, when pain in the back muscles and stiffness of movement appear.

Spinal problems

With few exceptions, muscle spasms are associated with acute or chronic pain caused by spinal diseases:

• cervical osteochondrosis;
• Bechterew's disease or spondylosis deformans;
• inflammatory diseases.

Sometimes reasons neck pain seem banal and are not paid attention to. It is enough to sleep the night on a hard, uncomfortable pillow, and after sleep your neck becomes stiff, crunches, and hurts when you bend down and to the sides. Symptoms indicate developing cervical osteochondrosis.

At level 6 cervical vertebra The cervical region includes the vertebral artery, braided with fibers of the sympathetic nerve. When they are irritated, a spasm of the neck muscles and shoulders occurs. Severe pain literally falls on the patient’s head. Other symptoms are added - flashing spots before the eyes, pain in the cervical-occipital region, dizziness, nausea. Hernias form in the neck quite often. When they protrude into the lumen of the spinal canal, the consequences can be the most disastrous, symptoms:

• acute pain appears caused by compression of the nerve roots;
• blood vessels are compressed, venous stagnation occurs;
• muscle tissue swells;
• adhesions are formed.

The most severe complication of a hernia is paresis and paralysis of the upper limbs. Conservative treatment does not always help; the patient may require surgery.

The muscles of the back and shoulders hurt with spondylosis deformans. The disease is associated with the degeneration of intervertebral discs and the formation of bone growths along the edges of the vertebrae. At first the pain is minor and disappears when you warm up after sleep. As the spinal column ossifies, the back muscles along the spine ache. A persistent restriction of vertebral mobility develops.

Inflammatory diseases

Common manifestation cervical osteochondrosis– radiculitis or cervicobrachial radicular syndrome – inflammation of the roots extending from the spinal cord. Main symptoms of the disease:

• muscle tension in the neck and shoulders - spasm;
• pain in the arm, spreading from the neck along the affected root;
• forced head position;
• difficulty moving the neck after sleep.

Pain in the back muscles leads to reflex muscle spasm and curvature of the spine - cervical lordosis. Myalgia is another cause of acute pain in the neck and shoulders. The disease occurs after being in a draft or hypothermia. This pain is also called cervical lumbago. It often appears after sleep and radiates to the shoulder or arm.

Minor microtraumas that occur during sports training, fitness activities can lead to myositis of the trapezius muscle. In this case, pain and muscle weakness increase gradually. A spasm occurs in the muscle, as a result the blood supply to several arteries is disrupted. Over time, the muscle can atrophy.

What to do

What to do if there is pain in the back muscles? Do not delay your visit to a neurologist or therapist, get examined, determine the cause of the disease and follow the doctor’s instructions. Often, victims may mistake the pain that occurs with osteochondrosis for angina pectoris and are referred to a cardiologist for treatment. Why is there confusion?

The trapezius muscle of the back is attached at its base to the spine, starting from the upper part of the cervical region and ending with the shoulder blades. If there is trouble in the thoracic spine, contraction of the lower bundles of the trapezius muscle during lowering of the shoulder blades is accompanied by significant pain.

What to do and how to distinguish one disease from another? With angina, pain can occur at rest during sleep or after sleep. With chondrosis, it appears more often when moving. A heart attack can be treated with nitroglycerin. Pain in the back muscles is not relieved by this medicine.

Three quarters of spinal column diseases are the result of an unhealthy lifestyle. No treatment will help, and neck and lower back pain will periodically return if you do not change your behavior.

The spine ages prematurely, deteriorates, and the back often hurts:

• with physical inactivity that weakens the muscle corset;
• incorrect posture resulting from the habit of hunching;
• monotonous posture causing muscle spasm.

Therapy

Treatment of muscle pain in the neck and shoulders is often conservative. For spinal hernias, when there is a threat of paralysis, and other methods do not help, surgical treatment may be required. What to do to prevent surgery? Prevention and timely treatment are ways to avoid complications. The goal of conservative treatment is to relieve pain, swelling and muscle inflammation in a short time. For this purpose the following are used:

• analgesics;
• non-steroidal drugs;
• glucocorticosteroids;
• physiotherapeutic procedures.

Physiotherapy is available at home. The Almag device is approved by official medicine. Under the influence of an alternating magnetic field and heat, muscle spasms are relieved and pain disappears. All types of therapy must be prescribed by a doctor. The neck is too vulnerable to treat on its own. The blood supply and innervation of the brain depends on its functioning.

IN at a young age in the initial stage of the disease there is a possibility of reversing the pathological process. Older patients can fully count on the fact that timely treatment will, if not eliminate, then stop further occurrence of pain.