The pain in the back, in the supine position: all the possible causes

Usually, the pain in the back lying disappears or stops completely, as a result, many patients take these as symptomatic of the manifestation of the usual fatigue after a physical stress intense. A completely different clinical picture, characterized by increased pain, when the patient rests in a horizontal position.

pain in the back

Often, increasing pain is a sign of a serious disease which requires immediate therapy. At the onset of the atypical symptoms must necessarily apply to a specialist.

The triggering factors and the causes of the

The clinicians are two of the main groups of aetiological factors, which may influence the onset of pain in the back, when the patients are in a state of rest. The first refers to the physiological state of pain resulting from an intense power load, high physical activity, a prolonged stay in a static position. The second group characterizes the development of severe symptoms of bone disease or disorders of musculo-cartilaginous structures. Common causes are:

  • pregnancy (II) or (III) quarters);
  • the increase of the mass of the body;
  • last stages of diseases of the skeletal system (osteoarthritis, low back pain);
  • the pathology of the urinary tract and genital;
  • malignant tumors of the internal organs;
  • the inflammatory diseases of the bone tissue;
  • the hernia repair with the location in the sacred department of the vertebral column.

The clinical picture is manifested on an individual basis for each patient, exactly as the management of growing pains in the position of the patient lying on the back. The nature of pain and its intensity depend on the extent or the duration of the pathological processes. Characteristics of the pain:

  • pullers, tingling, acute, obtuse, throbbing;
  • moderate, intense weakness, episodic;
  • bilateral or unilateral;
  • radiating to in the different departments of the spine (usually the lumbar, sacral, cervical, departments);
  • long or other.

It is important to consider the criteria for modification of pain at the change of the position of the body, after the application of certain drugs. The pain in the back in the supine position may vary depending on the time of day.

The inflammation of the genito-urinary system and pyelonephritis

Pyelonephritis is an inflammation of the kidneys ascending from the urinary tract. The pain in the back while lying on the back, explains the situation of the kidneys. Anatomically they are located more near the back, at the level or below the hypochondrium. The pain caused by the extension of fibrocystic disease-parenchymal layers of the structures. The pain in pyelonephritis proofers, are felt mainly in the hours of the night. The tendency of the strengthening of the pain manifests itself with severe vibration, a deep inspiration, cycling or skating on the horses. During the examination, the patient reacts to hitting the kidneys in the back or the lungs of a jump on the heels.

Other symptoms are:

  • the change in color of urine and atypical impurities (cloudiness, white flakes, viscous component, the shade of orange);
  • frequent urination with pain, such as cystitis can be a complication in the form of an inflammation of the bladder);
  • the increase of the temperature of the body (this is typical for children up to 15 years).

Continuous circulating pyelonephritis can cause serious complications on the kidneys of the structure, is often the cause of chronic kidney failure.

The manifestations of the degenerative disease disk

Contribute to the emergence of "imbecile" of back pain can development of degenerative disc disease, — pathological changes in the bones-cartilage in the intervertebral discs of any localization. The disease is more common among the degenerative changes of tissue in the axial skeleton.

causes of pain in the back

The pain in the lower back lying on your back, on the bottom of the degenerative disc disease due to irritation of the nerve roots located within the spinal column. The pain osteochondrosis can be the following:

  • pulling (hard, long);
  • deep, lasting, pulling;
  • net pulling towards the lower end.

The pain may intensify at night, especially at the time of the reversal of boca on the side. The pain intensifies, and at the onset of sleep, on a bed, when involuntary movements. Advanced, patients have reported a decrease in the sensitivity in the back area, the appearance of muscle weakness, a change of shareware reflex reactions, a burning sensation, tingling or numbness full.

Ankylosing Spondylitis

The disease refers to states that are characterized by pain in the night, otherwise called ankylosing spondylitis. The pathology of the door to be autoimmune in nature, occurs on the joints of the spinal column or the sacroiliac joint articular joints.

The case of the disease of Ankylosing spondylitis is celebrated on the pain in the back lying on the back, especially at night. All movement to facilitate the patient's condition. Additional symptoms are:

  • the limitation of the mobility of a joint;
  • the stiffness of the movements in the lumbar spine;
  • the curvature of the vertical axis of the spine depending on the type of scoliosis;
  • a decrease in the growth;
  • force the position of the body, back pain.

Ankylosing spondylitis can occur in patients of any age, depending on the clinic the patient's history and other predisposing factors.

Lesions of the households in the duodenum

Peptic ulcer in the departments of duodenal ulcer is a cause of the onset of back pain. The onset of pain lying related to the hunger pains, when the mucosa to maximize the exposure and is subjected to damage intestinal juices. Typical of the location of the pain — the area of the peritoneum, but given the anatomy of the intestine, they can give and spinal departments. Other symptoms are:

  • the appearance of pollutants dyspeptic of the violation;
  • flatulence or bloating;
  • belching acid;
  • the violation of the chair.

Usually, after intake of antacid medications the pain subsides. The absence of adequate treatment often leads to complications in the form of gastric or intestinal bleeding, perforations on the mucous membranes, disease of the mucous membranes of the intestine.

There are many reasons that may cause the intensity of the pain and sleep on your back or lie afternoon. Ignoring such events is dangerous due to the gradual progression of the disease and serious complications, up to disability.

The treatment and prevention

The treatment begins with a careful differential diagnosis to identify an underlying disease process, which determines the onset of the pain.

During treatment, you need to change the position of the body during sleep. To do this, acquire hard orthopedic mattress, pillow, and lining in the back. When a drug treatment is recommended physiotherapy, massage. An active lifestyle is also an important aspect of successful recovery.

For the relief of pain requires the allocation of analgesics (ointments, systemic medications, balms), various ointments, compresses with compositions. Often apply the recipes of traditional medicine.


The prognosis of the "imbecile," the pain entirely depends on the nature of the pathology, the degree of development degenerative process, as well as the root cause. Usually, when the diagnosis is timely and in compliance of all firms in the recommendations noted a significant improvement in the quality of life of the patient, reduce the risk of disability.