What Causes Right Low Back Pain?

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Right back pain can be caused by a variety of systemic, orthopedic, or neurological causes. Dealing with any type of back pain can be difficult because while the pain can be excruciating, it is often not that big of a problem.

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Back pain is usually nonspecific, which means that tests and exams cannot or cannot identify the cause. Causes of nonspecific back pain can range from soft tissue damage or muscle imbalance to pain originating in other areas, including trigger points in nearby (and distant) muscles.

But, as a rule, this is not associated with serious diseases that can be detected with the help of tests, or serious problems in the spine, such as a herniated disc, which puts pressure on the root of the spinal nerve. Things can get more unsettling if you notice that your pain is confined to one side or the other. Some causes, like horsetail, are a medical emergency.

Systemic causes

Serious health problems sometimes cause right back pain, although this is rare. In these cases, even if you feel it in your back, it is likely that the problem that really needs treatment is in another part of your body.

For this reason, you work with your healthcare provider and perhaps a specialist is also key. Seeing a chiropractor, taking pain relievers, and waiting for the pain to subside, and / or trying to exercise may not completely solve the problem, especially if the pain is caused by a systemic health problem or an organic problem.

Below is a list of common systemic and / or serious causes of right back pain.

Cysts and tumors

Two potentially very serious causes of right back pain are cysts and tumors. Although they differ from each other from a medical point of view, they have in common that they can put pressure on the spine.

Cysts are associated with degenerative changes in the spine. They can put pressure on the spinal nerve root, which can cause symptoms of radiculopathy. Radiculopathy is suggested for pain, weakness, numbness, tingling, electrical sensations, and / or tingling in one leg.

Other symptoms of a spinal cyst can include neurogenic claudication, which causes cramps and discomfort in the legs, especially when walking for distances other than short. Neurogenic claudication is associated with posture and often accompanies spinal stenosis.

Horsetail symptoms, while rare, can also be caused by a cyst pressing against the spine. Horsetail can cause bowel or bladder dysfunction, progressive leg weakness, and other symptoms.

Immediate horsetail surgery is generally recommended. When horsetail symptoms develop, it is important to seek medical attention as soon as possible.

On the other hand, tumors can press on the spinal cord, which is different from the spinal nerve root. Whether it is or not, and the type of symptoms you will experience, depending on the location of education.

Symptoms include back pain that can radiate to other areas, difficulty walking, numbness, decreased sensitivity to pain, bowel or bladder problems, muscle weakness, and more.

Spinal tumors can be benign or malignant. However, speaking with your healthcare provider as soon as possible is your best course of action if you have the symptoms listed above or discover that you have a spinal tumor.

Kidney stones

Kidney stones, a mineralized material, often calcium produced in the kidneys, is a common cause of back pain not related to the spine. Small ones can pass through urine and be very painful. Small kidney stones can also be transmitted without any symptoms.

Due to the location of the organ located in the upper abdomen, next to the back muscles, kidney stone pain can be felt on the left or right side of the back.

If kidney stones hurt, they will likely feel sharp and localized in the area described above. You may experience abdominal discomfort and / or pain when urinating, as well as other symptoms. In such cases, it is best to consult a doctor to solve the problem.

Gallstones

Gallstones are similar to kidney stones. The main difference between the two is that gallstones are made of hardened digestive fluids that form in the gallbladder, rather than minerals in the kidneys. The gallbladder is located below the liver and both organs are located only on the right side of the body.

Like kidney stones, gallstones are hard, crystallized particles that form in the organ and can cause problems. When symptoms of gallstone disease appear, they can include, among other things, pain under the right shoulder blade.

Gallstones are most likely associated with a high-fat diet, so one way to avoid pain in your right back (and stomach) is to change your diet. As with kidney stones, it is best to see a doctor to remove gallstones.

Orthopedic and neurological causes.

Back pain on the right can come from the spine. Here is a partial list of what may have happened there .

Disc herniation

A herniated disc occurs when the hard outer covering of a shock-absorbing cushion, located between two adjacent bones in the spine, wears out or breaks. In many cases, the soft, liquid matter extends from the inside to the outside of the disk structure.

In itself, this is not so bad, but if the leaking substance touches the nearest root of the spinal nerve, it can cause pain. In fact, this is often the case.

As you can imagine, the spinal nerve root is very sensitive; Anything you come in contact with can cause irritation and symptoms of radiculopathy . These include pain, weakness, numbness, electrical sensations, and the like that occur in one leg.

These symptoms are inherently one-sided; Herniated discs are usually "posterolateral," which means that the exit direction of the soft matter that comes out is a combination of the back and the side. (Back means back; side means side).

Although many people undergo microdiscectomy surgery for a herniated disc, it is generally recommended that they have six weeks of physical therapy first. This can relieve symptoms and help avoid a more invasive procedure. But if the pain, weakness, numbness, and / or the feeling of electricity don't go away, surgery may be a good option for you.

Facet joint pain and spinal arthritis

The facet joints are the connecting joints located at the back of the spine; together they give integrity to the spine by limiting excessive movement. There are right and left facet joints at each level of the spine. The facet joints are also known as zygomatic joints.

The facet joints are often the site of bone spurs and other arthritic changes. These changes are often associated with wear and tear and, at any level, can occur in one facet joint but not in others. Therefore, when they develop on the right side, they can cause back pain on the right side.

Other symptoms include numbness, tingling, electrical sensations, and / or weakness spreading through a limb.

Sacroiliac joint dysfunction

Like the spinal discs, the sacroiliac joint has two regions, right and left, that can move and / or be a site of pain. However, unlike a herniated disc, the two sides are often connected; In other words, if you have excessive movement or blocking on one side, you can feel it there, but you can also feel something on the other side.

Another type of sacroiliac pain caused by inflammation is arthritis known as ankylosing spondylitis . Ankylosing spondylitis is a progressive, debilitating condition that, over time, can cause the entire spine to come together. In this case, the inflammation begins in the sacroiliac joints.

Symptoms of sacroiliitis include stiffness, pain, and stiffness. If you do, it is recommended that you try to get a diagnosis as soon as possible; Early diagnosis can facilitate long-term treatment of this serious condition.

Scoliosis

Scoliosis is a deformity in which one or more areas of the spine deviate from the midline; the result is an S or C curve from side to side when viewed from the back of the body.

Also, one side of the back, where the curve meets, becomes convex, with the spine closer to the outside of the body; the other side becomes concave. Curves are created by rotating the vertebrae.

Scoliosis can also cause muscle imbalances. On the concave side, the muscles can become tight and sore, and on the convex side of the curve, they can become overstretched and weak. Muscles that are overstretched tend to tense, which also causes pain.

For adults, avoiding a specific exercise program to treat scoliosis can make the deformity worse.

Muscle imbalance and trigger points

To help you sit, stand, walk, run, and stay active, your body's muscles, bones, and joints have a strange way of "stealing from Peter to pay Paul," so to speak. All of this is done to maintain balance and move.

But for some reason (and there are many possible ones), the established balance is often not the most ideal, leading to the fact that some muscles become very tense, while others – too extended and tense. In this case, you may develop painful spasms or trigger points on one side of your body or the other.

The most commonly affected muscles are the square muscle of the lower back, which is the lateral muscle, and the gluteus medius , which is located on the side of the thigh and plays a key role in preventing excessive side-to-side movement. . Both can cause pain in the right (or left) back, depending on the nature of the imbalance.

When to contact a healthcare provider

If the pain keeps you awake at night, lasts for more than a week, or if symptoms return instead of the first time, it's best to see your healthcare provider. The same is true if you have had an injury or cancer.

Keep in mind that these are just some of the signs that your back needs medical attention; there are several others.

Diagnosis and treatment

Because pain can be so pessimistic, some healthcare professionals may be overly careful when diagnosing and treating it. In addition to the standard medical history and physical exam, your healthcare professional may order a full battery of imaging tests.

But in recent years, experts have recommended not taking the photos first, unless you've been in an accident, fallen, suffered another spinal injury, or have neurological symptoms.

Neurological symptoms include things like pins and needles, pain, weakness, numbness, and / or electrical sensations spreading up one leg. (You may be familiar with them by their non-medical name, sciatica .)

An overzealous healthcare professional may also prescribe narcotic (opioid) pain relievers as first-line treatment, even before physical therapy and home exercise. But this may not be necessary.

Opioids are very hard drugs and are associated with the risk of addiction. Think for a moment: Is your back pain really so bad that you need the most powerful medicine?

Working with a physical therapist on a home exercise program is often a great complement and / or alternative to strong medications. In fact, it often returns patients to their previous state without any pharmacological help.

Finally, because back pain can be excruciating, some healthcare providers may refer you to surgery prematurely. Again, giving physical therapy a chance to work (meaning you have to exercise daily) before attributing it to ineffectiveness can help you avoid the knife.

Get the word of drug information

In general, right back pain is not usually severe. However, it is worth exercising your discretion and consulting with your healthcare professional about symptoms that persist, bother you, or disconcert you. If there is indeed a serious problem at the root of your right-sided back pain, it is best to get a diagnosis and start treatment as soon as possible.

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