Usually back pain lying down subsides or stops completely, so many patients accept such symptomatic manifestations for the usual fatigue after intense exercise. A completely different clinical picture characterized by increased pain when the patient is resting in a horizontal position.
Often increased pain is a sign of a serious disease which requires immediate therapy. With atypical symptoms, be sure to consult a specialist.
Predisposing factors and causes
Clinicians distinguish two main groups of etiological factors that can influence the emergence of pain in the back, when patients are at rest. The first relates to physiological pain resulting from intense weight training, cutting excessive exercise, prolonged stay in a static position. The second group characterizes the development of symptoms of serious diseases of the skeletal system or the muscular and cartilaginous structures. Common causes are:
- pregnancy (II and III trimenon);
- increase of body weight;
- later stages of diseases of the skeletal system (arthritis, osteochondrosis);
- pathology of the urinary tract and reproductive system;
- malignant tumors of internal organs;
- acute inflammatory disease of 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 increasing pain with the patient lying on the back. The nature of pain and its intensity depend on the degree or duration of pathological processes. Features pain the following:
- pulling, burning, sharp, dull, shooting;
- moderate, intense, weak, episodic;
- bilateral or unilateral;
- radiating to the various divisions of the spine (usually the lumbar, sacral, cervical parts);
- prolonged or others.
It is important to consider criteria changes pain when you change body positions, after applying certain medications. Back pain in the supine position may depend on the time of day.
Inflammation of the urinary system and pyelonephritis
Pyelonephritis — a kidney inflammation of the ascending urinary tract. Back pain when lying down on back attributable to the location of the kidneys. Anatomically they are located closer to the back, at or below the hypochondrium. The soreness caused by the extension of the fibro-parenchymatous layers of the renal structures. Pain in pyelonephritis drawing, felt, mostly, in the night hours. The tendency to increase the morbidity is manifested when strong shaking, deep breath, riding a bike or riding a horse. During the examination the patient responds to the sound of the kidneys in the back or light jumping on the heels.
Other symptoms are:
- the change in color of urine and atypical impurities (turbidity, white flakes, mucous component, an orange tint);
- frequent urination with pain, as in cystitis (and possibly a complication of inflammation of the bladder);
- the increase in body temperature (true for children up to 15 years).
Long flowing pyelonephritis can cause serious complications in all renal structures is often the cause of chronic renal failure.
Manifestations of the disease
To facilitate the occurrence of "lying" back pain can 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.
Lower back pain lying on back on the background of osteochondrosis is associated 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, change in conditioned-reflex reactions, burning, tingling, or complete numbness.
Disease refers to special conditions that are characterized by nocturnal pain, otherwise referred to as 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 lying on back, mostly at night. Any 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 scoliosis;
- reduction of growth;
- forced position of the body when back pain.
Ankylosing spondylitis can occur in patients of any age depending on the clinical patient history, and other predisposing factors.
Ulcerative lesions in the duodenum
Peptic ulcer disease in the departments of duodenal ulcers is another cause of back pain. The appearance of pain lying associated with hungry pains, when the mucous membrane is maximally exposed and subjected to damage of the gastric juice. Typical localization of pain — the area of the peritoneum, but given the anatomy of the intestine, they can give and dorsal divisions. Other symptoms are:
- the emergence of persistent dyspeptic disorders;
- flatulence or bloating;
- sour belching;
- violation of the chair.
Usually after taking antacids, the pain subsides. The lack of adequate 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 intestine.
There are many reasons that may cause the intensity of pain during the night sleep on their backs or lying a day. To ignore such manifestations are dangerous due to the gradual progression of disease and 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 soreness.
During treatment it is necessary to change the body position during sleep. To get this hard orthopedic mattress, pillow, padding the back. During drug therapy, it is recommended to conduct physical therapy, massage. An active lifestyle is an important aspect for a successful recovery.
To relieve pain requires the appointment of analgesics (ointments, systemic drugs, balsams), various ointments, compresses therapeutic compositions. Often used some recipes of traditional medicine.
The prognosis of "lying" pain depends entirely on the nature of the pathology, the degree of development of dystrophic processes, as well as to the original cause. Usually with early diagnosis and compliance with all medical recommendations significant improvement of the patient's quality of life, lower risk of disability.