Back pain in recent years is one of the most common complaints of patients in emergency medicine and outpatient admissions. Such pains are not a separate nosological unit, but a clinical manifestation of a number of diseases. The particular seriousness of this symptom is attached to the fact that often with acute pain, physical activity is significantly limited and the ability to work of people is reduced.

The main cause of back pain is a disease of the spinal column, in addition to such a clinical manifestation can cause pathologies of internal organs, professional characteristics (prolonged sitting at the table or in the driver’s seat, hard physical work), injury or pregnancy. In most cases, it is possible to determine the cause of the pain by carefully examining the patient, sometimes additional tests are required to establish the diagnosis. Relief of pain syndrome depends on the underlying disease and the characteristics of its course, treatment is selected individually for each case.

Medical statistics show that more than half of the world’s population suffers from back pain. Moreover, in childhood, this symptom indicates diseases of internal organs and is quite rare, as they grow older, back pain is becoming more common, and in old age almost everyone faces it and only about 25% suffer from this pathology to seek medical advice. .

What is the danger of back pain? In most cases, an untimely or inadequately prescribed therapy for back pain leads to a chronic process. chronic back pain is a very common cause of reduced performance of people between the ages of 40 and 55 and is characterized by:

  • constant character;
  • increased movement and physical activity;
  • restriction of motor activity;
  • development of stiffness in the back.

The chronic process is characterized by a relapsing course with frequent episodes of exacerbations provoked by prolonged hypothermia, exercise, or being in the same posture. Exacerbations are replaced by periods of remission, in which pain is absent altogether or is minimally expressed. In most cases, back pain does not pose a direct threat to the health or life of a person, but there are serious pathologies of the spine and internal organs that manifest themselves with this symptom, which require an immediate appeal to a specialist.

Pain in the back with common diseases

Common diseases that are manifested by the presence of back pain include sciatica and hernia of the spinal disc

The severity of pain in these diseases depends on the stage of their progression and the patient’s sensitivity threshold.


Radiculopathy or radiculitis is a symptom complex that develops as a result of compression of the roots of the spinal cord and manifests itself as motor and autonomic disorders against the background of a strong pain syndrome. Cervical, thoracic and lumbar (lumbosacral) radiculitis is distinguished.

Clinical manifestations

It is manifested by a pronounced pain syndrome with localization at the site of infringement and an increase in the performance of movements and coughing (even with light coughs). The pain may be of a different nature (dull, dull, or acute), appear periodically, or be permanent. In most cases, the pain radiates to the upper or lower limbs. In addition to pain, the disease is characterized by muscle weakness and impaired sensitivity in the limbs.

Herniated disc

The protrusion or prolapse of intervertebral disk fragments into the spinal canal is called a herniated disc. Most often, the disease occurs in people from 25 to 50 years old, the risk group includes drivers, people who spend a long time sitting and those who are forced to lift weights daily.

Clinical manifestations

The main symptom is pain, which at the onset of the disease is dull and is intermittent and increases with physical exertion, coughing and prolonged stay in the same posture. As the progression of pain increases and radiates to the arm, buttock or thigh, depending on the location of the hernia.