What to do if your back hurts?


Quite often you can hear complaints of pain in the back. And this is normal, since it is she who accounts for most of the daily load, vital organs are located near the spine.

A person can be haunted by various unpleasant symptoms: pain between the vertebrae, in the middle of the spine, strange sensations in the back, aches and heaviness. In some cases, this is only evidence of overwork or sleeping in an uncomfortable position. However, such discomfort may indicate the presence of injuries or complex developing diseases.

With age, almost every person knows what treatment is needed if discomfort is felt in the sore spine, shoots, pain in the back or in the very middle of it wandering, pressing, sharp or stabbing. Ointments and gels are most often used for recurring encounters with similar symptoms to relieve the condition before going to the doctor. An alternative would be patches containing therapeutic substances and releasing them over several hours or days.

To understand the reason, for example, why the vertebrae hurt when pressed on the back, or certain bones in the back, you need to see a doctor and undergo a thorough examination.Sometimes very minor identified violations can signal the development of severe pathology.

Examination by a neurologist will help to find out the cause of back pain

The reasons

Doctors and scientists have developed a real map of back pain, a diagram that describes the types and locations of discomfort, depending on the possible cause. This had to be done because there are dozens, if not hundreds of changes that make our main supportive body part feel bad.

If you have ever thought about what can hurt from the back, because of which the spine crunches and starts to hurt, whether it speaks of a disease, and why it has developed, then just take a look at the list of reasons.

Your back may hurt because of:

  1. Prolonged stay in an uncomfortable position: driving, sitting in a work chair.
  2. Excessive or incorrect loads. Especially often this occurs in novice athletes after the gym or when resuming training after a long break.
  3. Excess body weight.
  4. Severe pregnancy and labor.
  5. Osteochondrosis.
  6. Protrusions of the intervertebral discs.
  7. Hernia formation.
  8. Congenital and acquired diseases leading to severe deformity.
  9. Arthritis.
  10. Vertebral tuberculosis.
  11. Postponed fractures or cracks. Other injuries.
  12. The formation of a tumor inside the spinal canal.
  13. Diseases of adjacent internal organs.
  14. Urolithiasis disease.
  15. Diseases of the female reproductive system.

The only correct answer to the question of what to do when the spine hurts very strongly on the sides or in the middle of the back on a specific side all the time, in order to understand the reasons why this happens, is to visit a therapist or neurologist and complete an examination.

Pain types

Acute back pain due to overexertion or injury

It’s not enough to just say, "My back hurts, " to identify a specific problem.

There are several types of pain, according to the characteristics of which, the strength and frequency of manifestation, specialists during the initial examination determine a possible diagnosis.

Main types of back pain:

  • Sharp and strong. Indicate overstrain, damage to muscles, ligaments, or the presence of an injury.
  • Shooting in the leg. Often occur with a herniated disc that irritates or pinches the nerve root.
  • Aching.Often they talk about the occurrence of a focus of inflammation, they also appear in the presence of neoplasms.
  • Chronic.They are a sign of a long-term disease, for example, osteochondrosis. Such symptoms usually require several courses of supportive care.
  • Moved (reflected).A person feels pain in the neck, chest or lower back, but in fact there is a pathology of the internal organs, which are located near the spine.

What does the localization of back pain in the center between the vertebrae mean, as evidenced by the occurrence of pinpoint pain when pressed in the middle of the back, a sign of which will be an illness when it is stabbed in one place? These questions remain unanswered until careful investigation. After all, the same type of pain can indicate completely different diseases.

If you experience long-term back pain, you should consult a doctor

In what cases should you see a doctor?

In fact, to find out why the spine often hurts every day, the middle of the back constantly aches inside, if it hurts for a long time in the middle for no reason, and what can be done about it, it is possible only by contacting the clinic and undergoing an examination. Otherwise, using painkillers or folk remedies, it is only possible to harm yourself, significantly worsening the condition.

There are cases when it is necessary to consult a doctor urgently, as it can be a serious life-threatening condition that is fraught with further disability.

You need to see a doctor immediately if you experience the following symptoms:

  1. Due to pain, sensation is lost in the lower or upper limbs, completely or in a specific part.
  2. At the same time, the lower back, legs and feet in the joints hurt.
  3. Symptoms appeared after an injury, even with a minor blow or an unsuccessful fall.
  4. Severe pain does not disappear for three days or longer, receding only for the duration of the action of painkillers.
  5. Lower back pain is accompanied by frequent or infrequent urination, numbness of the perineum (these signs require immediate medical attention! )

There are many reasons why one vertebra hurts in the middle of the back when pressed, in the middle part, where the spine, or in the area in the center there is constant aching pain, it is possible to understand exactly what it is only after passing the diagnosis. Such well-being is a symptom of even a compression fracture, so you should not delay visiting a doctor.


X-ray is a necessary diagnostic method if the back hurts

What should a person do if in the middle part, in the middle, on one side, or even all over the back, there is a walking, shooting in the spine, sharp or dull pain, how to find out your diagnosis? The answer is simple and logical: contact the experts. After all, it is possible to determine exactly what exactly is happening to you only with the help of modern laboratory tools.

After coming to a therapist or a neurologist with a complaint that back pain in the middle or throughout does not stop, in order to make a diagnosis, the cause will first be identified.

After a preliminary survey and a thorough examination, when the doctor has a preliminary opinion, the patient is prescribed hardware and laboratory tests.

To find out the causes of severe poking pain in the back, above the waist in the middle, to understand what the terrible symptoms indicate andwhat to do, how to treat, what drugs to use in this condition, several diagnostic methods are used:

  • Blood analysis.Detects deficiency or excess of certain substances. A blood test can be used to determine the presence of infections in the body or infection with a virus. And a serious lack of iron can serve as one of the symptoms of developing oncology.
  • Radiographyallows you to examine in detail the area in which you feel especially strong discomfort and identify deviations in the structure of the bones. Even the degree of coloration of the bones allows you to determine their condition and, if necessary, take timely measures to strengthen them.
  • ultrasoundorgans that have a direct effect on the spine and can cause pain in the spinal region.
  • Bone scanit is necessary when there is a suspicion of the presence of a compression fracture of the bones due to developed osteoporosis or the presence of neoplasms that violate the usual location and integrity of tissues.
  • Electromyographyallows you to determine the state of the nervous tissue. It is our nerves that transmit signals of pain, so if something happens to them, then getting rid of this unpleasant feeling will not work until a complete cure.
  • CT(computed tomography) allows you to determine the presence of fractures of the vertebrae and the nature of violations of the structure of the skeleton in this area.
  • MRI- the most accurate and complete research method. It allows not only to see in detail the condition of the back bones, but also to detect collapsing intervertebral discs, hernias, tumors, the presence and degree of nerve compression, inflammatory changes and the consequences of injuries.

After receiving the results, it will no longer be a mystery to the doctor why there are strong point stabbing sharp aching pains in the spine in the middle of the back, the causes of the condition and how to treat the patient in order to get rid of discomfort and restore ease of movement.

Manual therapy for back pain


After determining the diseases of the spine associated with the back, taking into account the symptoms and causes, a treatment is selected. In each case, it is strictly individual. Most often, the doctor, deciding what to do, based on the causes of pain in the middle of the spine, prescribes the most gentle treatment.

Conservative therapy or surgery is used, followed by recovery.

Conservative treatment- This is the use of drug and non-drug methods aimed at getting rid of the symptoms and completely eliminating the cause of the disease that has arisen. Most often, doctors combine several types of therapy to get the best result. However, it should be borne in mind that for each patient, even with the same symptoms, for example, wandering back pain, there may be different causes, and hence the treatment.

There are several types of therapy.

Medical treatment

If you have pain in the middle of your back, with pressure along the entire spine or in specific areas, the pain is sharp, sharp, strong, aching, regardless of the cause, certain medicines will be prescribed. At least on a regular basis, painkillers will be used for symptomatic treatment.

These can be non-steroidal anti-inflammatory drugs (NSAIDs) or other drugs aimed at reducing pain. In some cases, the application will be short-lived, but with other diagnoses, you will have to drink a long course. In addition to NSAIDs, tablets and capsules from the group of muscle relaxants are often used to reduce muscle tone, as well as B vitamins.

Ointments and gels help get rid of back pain

Ointments and gels

Another "helper" in such problems is the means of external influence. While the doctor finds out the reasons why the spine hurts in the middle of the back in a specific area or all when pressed, and decides what to do to reduce the pain effect, local substances are additionally prescribed.

Ointments and gels- These are dense substances that are applied to the affected area, and then absorbed. They are easy to use in home treatment, almost anyone can independently apply the remedy to a disturbing place.

There are several types of ointments used to relieve pain:

  1. Anti-inflammatorywith analgesic effect.
  2. With the effect of vasodilatation,promoting blood flow to the smeared place.
  3. Chondroprotectorsused to maintain and restore cartilage tissue.
  4. Combined drugs, which anesthetize, relieve inflammation and have a healing effect.


Sometimes, when it is decided what to do and how to treat, when the whole back or one vertebra hurts in the middle or another area, on the sides, in the middle of the back, additional symptoms determine the reasons for what it can be and why it brings such suffering.

In such cases, in order to save the patient from painful sensations, potent drugs are used - injections directly into the sore spot, sometimes blockades, which allow you to completely extinguish the pain symptom and conduct full-fledged studies and treatment.

Blockade in a sore spot in the middle of the back

Distinctive features of injections that help to cope with discomfort are:

  • The speed of action is almost instantaneous.
  • Extremely high efficiency due to the high concentration of medicinal substances.
  • Only a professional in special conditions has the right to administer drugs.
  • The need to prescribe a remedy by a doctor, taking into account the individual characteristics of the patient, since the likelihood of side effects is high.

In such cases, in order to save the patient from painful sensations, potent drugs are used - injections into the buttock or directly into the sore spot (blockades), which allow temporarily extinguishing the pain symptom and conducting full-fledged studies and treatment.

Treatment of back pain with physical therapy


When a doctor is asked why the back constantly aches and hurts very much, often all over, as if in an illness, what it can be from and what should be done, if this happens, and medicines do not always help, then physiotherapy is prescribed.

These are aids that complement medical treatment, helping to quickly restore health and maintain it at the required level.

Depending on the diagnosis and the individual characteristics of the patient, they may prescribe:

  1. Certain types of massage.
  2. Implementation of physical therapy courses.
  3. Hardware physiotherapy.
  4. Classes with a special trainer.
  5. Acupuncture (reflexology).
  6. Manual therapy or osteopathy.

The listed methods of physiotherapy are effectively combined with each other and are applicable in an integrated approach with pills, injections and blockades.

At the same time, what to do in case of diseases, if the back hurts and aches, and what problems can be with it if the prescribed procedures are not performed, only the attending physician can tell. It is highly not recommended to independently prescribe any physiotherapeutic effect for yourself, since there is a high probability of a significant deterioration in the condition.

Surgical intervention

Sometimes back pain requires surgery

Sometimes after determining what in the middle of the back hurts in the very middle when pressed, or why the entire spine suffers greatly, the only decision on what to do if you want to stay healthy is surgery.

In such situations, before medical and physiotherapeutic treatment, surgical intervention of varying degrees of complexity is performed. The essence of the operation is to remove a hernia, install metal elements in collapsing vertebrae, or remove growths and tumors that negatively affect nerves and compress large vessels.

Often operations are performed after serious injuries to restore the functions of the spine and the entire musculoskeletal system. This is a forced measure, which is resorted to only if conservative treatment definitely does not give a result.

After surgical correction, it is often impossible to do without additional rehabilitation measures, which consist in ensuring the normal mobility of the affected department.

To avoid back pain during sedentary office work, it is necessary to take breaks


In order for complaints of back pain to no longer arise in your life, as well as questions about why your back hurts a lot, what to do if this happens, you must constantly follow preventive measures. Just a few simple rules will keep you healthy for decades. And not only the musculoskeletal system.

There are four main principles that allow you to protect yourself from discomfort in the back:

  • Take time to exercise regularly every day. This is not about any particular sport, but about general strengthening complexes, the main task of which is to strengthen and maintain the good condition of all muscle groups. Classes should be given 20-30 minutes daily. It can be gymnastics or running in the morning, swimming in the pool, yoga, even walking at an active pace.
  • Compliance with water-salt balance. It is necessary to drink enough fluids to avoid dehydration with a lack and excessive stress on the kidneys and edema with an overabundance. At the same time, preference should be given to pure water, since most popular drinks (tea, coffee, sweet soda) give an additional serious burden on the kidneys.
  • Eat properly. By limiting the amount of fatty, salty, spicy foods you eat, you will not only lose weight, but also reduce the load on most internal systems. Properly cooked food, rich in protein, nutrients, vitamins and trace elements, will maintain health, especially in adulthood, better than any medicine.
  • Visit a doctor regularly. This is especially true for a growing, only emerging organism and in adulthood, when various diseases can develop due to stress, constant stress and predisposition. Passing once a year an examination in the clinic, you can make sure of your health, get the necessary advice and identify diseases in the initial stages, when they are easy to cure.
Physical activity is an excellent prevention of back pain

In order not to find out in the doctor's office why the back may hurt, why the spine aches and discomfort is felt, pricks, what needs to be done so that it does not hurt, you need to follow a few more rules.

They are aimed specifically at maintaining the health of the human spine:

  1. Constantly watch your posture. When a person stoops, he provokes the development of deformation of the spinal column.
  2. When carrying heavy things, carefully distribute the load between both hands evenly so that you do not feel tension in only one side and there is no visual distortion of the back.
  3. Sedentary office work requires regular breaks for mobile activities. Once an hour, do a small 5-minute exercise, get up and walk around to stretch your muscles.
  4. Choose an orthopedic hard mattress and a pillow prescribed by a doctor for sleep.
  5. Avoid awkward postures while sitting, especially if you are going to spend a lot of time in that position. Do not put an extra load on the spine and do not distort it in the process.
  6. Lift the weight correctly. Do this without bending, but straining your knee joints. Sit down on the object and lift it from this position with a straight back to prevent injury.
  7. In your free time, engage in physical activity that promotes balance, coordination and proper breathing. The most accessible ways are walking outdoors at a fast pace, yoga, Pilates, swimming, dancing.

If, following all the rules, your back suddenly and sharply hurts, immediately consult a doctor to find out why this happened and what to do next. Self-use of painkillers and delaying a visit to a specialist can harm your health in the future.