Pain in the back with inspiration and cough - causes, diagnosis and treatment


Inhalation is a rather complex physiological act. In addition to the lungs and bronchi, the diaphragm, musculature of the thorax, intercostal nerves, cervical and thoracic spinal nerves take part in it. The regulation of breathing is carried out at the highest level - in the brain and spinal cord. With the contraction of the intercostal muscles and the descent of the diaphragm, the volume of the chest increases, and the abdominal cavity, on the contrary, decreases. Together with the increase in the chest, lungs are stretched, in them air flows through the bronchial system, where gas exchange takes place.

Causes of

Due to various reasons leading to disorders of this debugged mechanism, there are back pains during inspiration. Most often, these disorders are caused by the following factors:

  • Diseases of the chest
  • Diseases of the abdominal cavity
  • Diseases of the musculoskeletal system with localization in the back, small of the back
  • Pathological inclusions in nearby tissues
  • Pregnancy.

If a deep backache hurts, this can indicate a developed pneumonia with pleurisy. The internal piles of the pleura facing each other become inflamed and thicken. During inspiration, they rub against each other, resulting in a characteristic pain. In addition to pain on the pathology of the respiratory organs, other signs indicate - fever, dyspnea, general weakness, cough. When coughing with time, muscle pain in the back can appear. The point is that the process of coughing can be accompanied by a heavy load on the musculature of the back and chest. As a result, lactic acid accumulates in the muscles, and when they move during inspiration, pain appears.

In diseases of the abdominal cavity, back pain is most often reflected. This means that the anatomical location of the organ( stomach, appendix, gallbladder) does not always coincide with the place of sensation of pain. Such a phenomenon physicians refer to as the projection zones of Zakharyin-Ged. During the inhalation, the diaphragm descends, intra-abdominal pressure rises, the pain intensifies. Approximately the same pattern is observed in a tumor process localized in various parts of the abdominal cavity.

But most often, the back hurts when breathing in diseases of the thoracic and upper lumbar spine, as well as nearby muscles and nerves. These diseases include:

Related article: back pain Why does the back hurt lower
  • Thoracic and lumbar osteochondrosis with intervertebral disc displacement
  • Spinal injury
  • Intercostal neuralgia
  • Thoracic and lumbar sciatica
  • Myositis.

These states develop as a result of various unfavorable factors - metabolic, supercooling, direct mechanical effects. As a result, peripheral nerves are damaged. When movements of the muscle-rib framework during respiration in these damaged nerves, a pain pulse is generated.

Diagnosis and treatment of

Before treating pain in the lower back when breathing, you need to find out their cause. Diagnosis should be comprehensive and cover all organs and systems. After the interview and external examination of the patient resort to instrumental research. Necessarily carry out electrocardiography, roentgenological examination of the organs of the thorax, spine. Diagnosis of diseases of the abdominal cavity is carried out using ultrasound. To study the mucous membranes resorted to in fibrogastroscopy. For the pathology of the spine, the most informative method is magnetic resonance imaging.

Regarding the treatment of pain that occurs in the lower back when inhaling, there is no single recommendation. It all depends on the cause that caused this pain. Therefore, even taking painkillers is not always justified. For example, the removal of pain can mask an emergency surgical pathology of silt and an inflammatory process in the lungs and pleura.

In other cases, anesthesia solves almost all problems. But most often anesthesia is just an integral part of complex treatment with the use of ointments, creams, massage, physiotherapy procedures, and, if necessary, surgical intervention. Therefore, if there were pains in the lower back, intensifying with inspiration, you need to immediately seek help from a medical institution.

We advise you to read an article about the most common causes of low back pain.