Possible causes of back pain, treatment

Possible causes of back pain, treatment

Severe pain between the shoulder blades, in lumbar or sacral spine is a real problem of the 21st century. Therefore, according to the official world statistics of the World Health Organization (WHO), the pain syndrome that occurs in the lumbar spine is the number 1 factor among all the reasons that cause the disability of active adults.

The most important of all the fundamental causes that trigger a back pain is abnormalities in the muscular system that supports the spine. Muscles can support the spine:

  • ineffectually;
  • asymmetrically; which causes an uneven support of the dorsal spine, and the latter reacts with pain.


The back muscles create a kind of corset that supports the spine. If the muscles lose their tone, they get tired faster than usual, and, as a result, the dorsal spine feels an increased load. In this case, its intervertebral discs, joints, ligaments suffer.


In fact, any muscle disorders and changes in joints and vertebrae may cause a back pain.


If the muscle fibers that support the spine develop asymmetrically, then in this case some muscles are constantly tense, while others, on the contrary, are weakened. Weakened muscles do not receive sufficient load and therefore become even weaker. In the end, we can observe:

If wondering why the back hurts in the lumbar region, sacrum or between the shoulder blades, one should remember about the factors that can significantly aggravate pathological changes in the spinal muscles, which are:

If a child has a back pain when inhaling, this may indicate diseases of the chest and abdominal organs. Such pains are called reflected pains and are considered a signal of occurrence of problems with liver, biliary tracts, stomach, lungs, etc.


In addition, the back often hurts in women during pregnancy, as the muscles tighten to keep the spine upright.

It should be remembered that back pain is not a disease, but a symptom that can manifest in many diseases of the spine and surrounding tissues. That is why a patient must understand that "miraculous injections for a back pain that radiates to the leg" or "universal pills so that it does not hurt between the shoulder blades" do not exist; the specific cause of the pain syndrome should be identified and eliminated, then the discomfort will disappear.

Some therapeutic methods are symptomatic, that is, they eliminate pain for a while, but not the cause of its occurrence, such as, for example, a plaster for aching back pain.


Treatment methods largely depend on the stage of the disease that provoked the pain syndrome. So, at the stage of acute exacerbation of radicular syndrome (radiculitis pain), exercise therapy is limited, since it may worsen the patient’s condition.


A qualified doctor should do any prescriptions for back pains, even if it is, for example, a symptomatic treatment of a pain in the muscles of the back with ointment containing safe pain medications.

It often takes a lot of time, effort and financial investment to get rid of the diseases that provoke the occurrence of back pains. It is much easier to prevent such diseases. For this, the muscles of the back, which support the spine and ensure its normal musculoskeletal function, must be constantly maintained in proper condition. You should not wait for the moment when problems with the spine make you think about which doctor to consult with in case of an acute back pain.


The first method of such prevention is physical exercise. Exercises are selected individually by an exercise therapy doctor. Physical activities may be as follows:

All the possible causes of back pain are limited to hypodynamia. Therefore, not only regular exercise is good for the spine and its muscles, but also normal daily physical activity is important:

The conditions for night rest of a person are important. The bed should not be neither too soft nor too hard (if there is not any doctor’s recommendation to sleep on a hard surface).


You can find more information on the treatment of the disease on our website


Article author: - Pavel Nosulich

Publication date: 26.05.2020

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Updated: 29.12.2024
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Doctors who advise on this issue:
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Kovalenko Inna Dmytrivna
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Dubina Svitlana Pavlivna
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Matiash Yurii Oleksandrovych
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