Back pain is such a common problem that you may not need to see a doctor every time. Indeed, most back pain goes away on its own in a few days. But sometimes the pain can be very severe or last for a long time. In this case, a doctor’s examination may be required. So which doctor to go to for back pain? In fact, internal organ problems such as heart, lung, liver, pancreas, stomach and musculoskeletal related causes such as muscle stiffness, back calcification, osteoporosis can cause back pain . Initially, the source of the problem may not be known. In this article, we discussed which part of the back pain may be related according to the nature of the complaints and other accompanying findings.
Which Department to Go to for Back Pain?
In case of muscle pain, a physical therapy and rehabilitation specialist can be examined. Orthopedics and traumatology department is examined for back pain that starts after traumatic events such as falling. In severe traumas, emergency service should be applied without delay. If the sudden onset of back pain is accompanied by symptoms such as shortness of breath and chest pain, there may be a risk of heart attack. If a heart attack is suspected, the emergency room should be contacted immediately. An internist can be consulted for long-standing, worsening, non-movement related back pain that wakes you up at night and is accompanied by weight loss.
When Should a Person with Back Pain Apply to the Emergency Department?
In case of sudden onset of shortness of breath, clouding of consciousness or fainting, high fever, sudden onset of chest pain, palpitations (irregularity in heart rhythm), blood coming from cough, emergency should be applied immediately.
Musculoskeletal Problems That Cause Back Pain
The most common cause of back pain is musculoskeletal problems. Muscle strain or spasm, popularly gripes known as myofascial trigger points back, scapula , one common cause of neck pain. Sitting for a long time, heavy activities such as snow shoveling, intense exercise than usual, psychological stress can cause muscle pain. In muscle pain, applying pressure to that muscle causes pain and sensitivity. Pain may increase with neck, shoulder and back movements.
Compression of nerve roots due to neck hernia or spinal calcification is another problem that can cause back pain. In this case, the pain usually spreads from the neck to the back and arm, and a sharp, electric shock-like feeling may occur.
Scoliosis does not usually cause back pain, however, it may give symptoms such as a hunched or flattening on the back, and a low one shoulder. If calcification (degeneration) is added in advanced scoliosis, pain may occur.
Back pain can also occur as a result of trauma. Due to falling on the back, soft tissues may be crushed or fractures of the back vertebrae may occur. Although there is no trauma in people with osteoporosis, a compression fracture (compression fracture) may occur in the back vertebrae.
Internal Organ Problems That Cause Back Pain
Lung infections such as pneumonia can cause back pain. The person is accompanied by signs of infection such as weakness, fever, cough, sputum, and shortness of breath.
A clot in the pulmonary vein (pulmonary thromboembolism) is another problem that can present with back pain and shortness of breath. Since the most common clots in the leg veins come to the lungs, there may be symptoms such as swelling, pain and redness in the leg. Being inactive for a long time, smoking and using birth control pills are risk factors.
Another infection that causes back pain is inflammation of the bones of the spine. Infections involving the spine can be seen in people whose immune system is weakened due to chronic diseases or certain medications, or after surgery. There are symptoms such as fever, chills, chills, weakness. Values associated with inflammation in the blood rise.
Although the gallbladder is located in the abdomen, it can cause back pain with a mechanism called referred pain. Problems such as gallstones, gallbladder inflammation and gallbladder rupture (rupture) may occur. There may be symptoms such as tenderness and jaundice by pressing on the gallbladder in the abdomen.
Lung tumors, cancers involving the spine can cause back pain. In this case, the pain usually increases as time goes on. The pain is severe when you go to bed at night. It can wake you from sleep. It has little to do with movement. There may be additional complaints such as weight loss and fatigue.