Tag: Trigger Points

Identifying Lower Back Pain Symptoms

Lower back pain is a common complaint not only in old age but also among much younger adults. What truly cause this element may never be exactly diagnosed and even experienced physicians and experts may overlook some causes underlying the condition. The patient may also find it hard to distinguish the location of the pain and may often be confused on where to start pinching the section of the body to temporarily relieve the pain.

The typical lower back pain symptom is excruciating pain felt somewhere in the back. There is no telling how one would identify the cause of pain without really undergoing medical examination or x-ray. However, even these two may not suffice, as there is a host of symptoms that are not supported with anatomical abnormalities. But still the pain is real and not psychological.

The problem often arises here. Since physicians don’t find any physical symptoms with some forms of lower back pain, they may recommend their patients to a psychiatrist. Therefore, no true diagnosis is made therefor the condition is not properly addressed.

No one should be blamed for this, not even the doctor who emphasized that nothing is wrong.

Why this is the case is not yet comprehensively studied. But recent researches assert that trigger points may be responsible for this condition/s. Trigger points are individual areas in the body that are usually located nearest to the bones. The fact is, for each pain that is felt there are a number of trigger points responsible.

Most lower back pain would go away for around 3 months after the onset and will only recur as suddenly as it went. However there are symptoms that may indicate the severity of the condition and may require immediate medical intervention and surgery. The following symptoms may be as follows:

Cauda equina syndrome or sudden bowl movement, which may not be linked to other conditions rather than the actual pain felt at the lower back. This syndrome may also manifest as progressive weakness of the legs. There can be no known cause for this except that the sciatic nerve that is located at the lower back down to the legs is impaired or irritated.

Continuous low back pain

Severe abdominal pain

Sudden fever and chills without evidence of illnesses that normally come along with these two.

Unexplained weight loss

Unlike with other ailments, lower back pain symptoms may vary from case to case and the severity of the case is also dependent on the individual states.

How can Upper Back Pain be Helped

Upper back pain may not be as common as lower back pain but it may also induce severe pain and extreme discomfort. It is frequently caused by myofascial pain or muscular irritation and dysfunction on the joint. Degeneration on the upper back discs may occur but this condition is too rarely observed among upper back pain sufferers.

Both the myofascial pain and the joint dysfunction can best be helped with treatments in the forms of:

Active and passive physical therapy and daily exercise

Osteopathic or chiropractic manipulation

Massage therapy or deep massage

Acupuncture

Massage therapy

Injections with a local anesthetic on trigger points

Over the counter medications

Prescription drugs

The back bone is divided into several categories and each are at risk to different factors. As much as lower back pain is a condition that affects the lower portion of the spinal bones (lumbar), the upper back pain is mainly due to irregularities or impairments on the thoracic spine. While the lower spine and the neck are intended to allow us for greater mobility, the thoracic spine is designed to protect the internal organs that the section covers and to help the framework of the body to hold itself in its respective postures.

Because this section of the spinal chord are created for limited movement and more stability, it’s susceptibility to injuries and degeneration is much too less when compared with what the lower back is facing. Additionally, upper back may develop lesser disorders and like herniated spinal disks, degenerative disc disease and spinal stenosis.

Upper back pain may be the resultant of poor posture or extreme trauma. Interestingly enough, the most recent cases documented for upper back pain typically came from people who work continuously in front of computers. Upper back pain often occurs with neck and shoulder pain.

Rarely, thoracic disk disease is the cause for upper back bone. Though this often is the case with lower back pain, the case is the opposite with thoracic back pain since lesser mobility is created with this spinal bone part.

Another less occurring condition responsible for upper back pain is the trauma that may cause the fracture or extreme injuries on the thoracic vertebrae. In this case, there is no room for neglecting the condition. This needs immediate medical assistance via early diagnosis to measure the damage incurred and to formulate the ideal treatment plan.

Complications Concerning Middle Back Pain

Many symptoms of thoracic pain or middle back pain are rare and hardly distinguishable when compared with the more common types of back pain. Usually, middle back pain may be closely related to neck pain (or cervical neck pain) and chest pain. This is why signs of this condition may be misinterpreted as symptoms of other related ailments.

The reason why people have differing opinions on middle back pain is because most are only considered as referred pains. The pain that the sufferer feels is much different in location than that of the actual location. You and your doctor may never find the real cause of middle back pain if you look for them in the middle back. The same is true with lower back pain and upper back pain.

Contrary to what is popularly believed, middle back pain is simpler than what we were made to believe. It may be stimulated by the trigger points in the muscles at the back. These trigger points include erector spinae, infraspinatus, latissimus dorsi and multifidi, rhomboids, serratus posterior inferior, serratus posterior superior, subscapularis, and trapezius.

That long list of Latin terms may have complicated things for you but it will get even more complicated when the actual location of pain is displaced in the upper back and especially in the middle back. The following are few of the complications that we are to talk about:

The trigger points located at the scalene muscles that cover the front and the back of the neck may stimulate a continuing pain between the blades of your shoulders in the upper back. This fact is rarely known among people experiencing the actual pain. As it is, the pain may be a referred pain causing people to frequently misinterpret the pain in the shoulder blades as pain that occurs in other locations.

Often, there is a trigger point in the serratus anterior located under your arm that may cause frequent middle back pain. This pain may be felt at the tip of the shoulder blades. This condition is so subtle that even an expert on trigger points may overlook the symptoms.

There are also trigger points at the rectus abdominus or the stomach that may cause the excruciating middle back pain. This is often undiagnosable and even the best therapists may not be able to determine this condition. In this form of middle back pain, no therapy may be applied.

You see, the actual pain may be complex enough to make things hard both for the sufferer and the physician. If the condition is triggered on some other place undefined, it may even be harder to diagnose and treat.