On the right side and it goes to the leg. Right side hurts, radiates to hip

Discomfort in the right side is more common in women than in men. Children are no exception. The pain prevents full movement and is characterized by unpleasant sensations, which indicates pathology. This part of the body is associated with organs in which disorders occur. Why it hurts, how to deal with it, read on.

Depending on the manifestations of pain, the problem that caused it is distinguished. The duration of sensitivity in the side is:

  • acute (sudden and unexpected, lasts relatively short time)
  • chronic (constant, over a long period of time)

Pain feels like:

  • pulling
  • aching
  • stabbing
  • sharp (dagger)
  • burning
  • pulsating
  • like contractions

By the nature of the attack:

  • sudden
  • gradual, constantly increasing

Localization is present:

  • in the side
  • above
  • from below

Discomfort often radiates to other parts of the body:

  • sacrum
  • lower back

Symptoms are often accompanied by:

  • temperature
  • physical weakness
  • drowsiness
  • vomiting
  • severe dizziness
  • sweating
  • pain.

A person may feel like there is pain in one part of the body. But pain can be associated with other organs.

If such manifestations occur, immediately contact a professional. The doctor will answer what is causing the discomfort in the right side. After examination, tests, doctor's appointments, it is possible to get rid of pain. Treatment directly depends on the cause.

If the pain in the right side radiates to the leg, the range of possible pathologies narrows. But a trip to the doctor is not ruled out.

Reasons

When the right side is exposed to unpleasant sensitivity, think about the presence of pathologies:

  • appendicitis
  • gynecological problems:
  • increased pressure of hollow organs
  • postoperative pathology of the peritoneum
  • adhesive process
  • inguinal hernia
  • ovarian apoplexy

Diseases, what to do with them

The side is disturbing for reasons that lead to serious consequences requiring consultation with a doctor.

Appendicitis. A common disease is called “acute abdomen”. The pain is unbearable. You should not ignore it; consult a doctor immediately. The symptoms do not begin with sharp sensations, then the sensations intensify. This is due to inflammation and stretching of the appendix.

At first it is not possible to determine the location of the pain. Then the sensitivity will become clearer. Subsequently, the unpleasant sensations move lower, radiating to the groin and rectum. The pathology is accompanied by abdominal tension, temperature (up to 39 degrees), vomiting and sweating are not excluded. Often the sensitivity is transferred to the leg. Specialized treatment (surgery) is required. You cannot ignore the pain; call a doctor immediately.

Increased pressure of hollow organs - increased intracavitary pressure. Accompanied by throbbing pain.

Postoperative pathology of the abdominal cavity. Accompanied by throbbing pain extending to the right lower limb. The resulting pus or blood enters the clusters of nerve endings in the leg. The sensations may affect the leg and other areas. Depends on the direction of the accumulated liquid spill.

Suppuration of the uterine appendages. Pulsating sensations in the lower abdomen, with a return to the leg, often indicate a destructive process. The syndrome is often accompanied by fever, nausea, dizziness, and weakness. Cold sweat, increased heart rate, low blood pressure, stool problems, flatulence. If some of the symptoms are present, discomfort radiates to the lower limb, consult a doctor who will prescribe appropriate treatment.

Inguinal hernia. Accompanied by sharp sensations in the side. Appear after lifting weights or physical stress. Subsequently it radiates to the lower limb. A characteristic sign of the disorder is a protrusion in the side, which disappears in a supine position.

Apoplexy of the ovary. A disease caused by sudden hemorrhage into the ovary. Leads to rupture of the ovary, spilling blood into the abdominal cavity. Women under 40 years of age suffer from apoplexy. More often, disturbances are observed in the right ovary, unpleasant sensitivity and bleeding occur. If bleeding predominates - anemic form of the disease, pain - painful.

If the symptoms appear equally, it is a mixed form of the disease. The disease is prone to sudden onset with acute, strong sensations. It often radiates to the lower back, rectum, and thigh. Nausea, vomiting, and fainting cannot be ruled out. Heavy bleeding is accompanied by a decrease in pressure and collapse. The ovary has the shape of a ball. Treated under the guidance of a doctor.

Ovarian cyst. A cavity filled with fluid that can increase the size of the gland. Often the ovary does not hurt. Discomfort manifests itself as follows:

  • affects the right or left side;
  • pulling and aching nature of discomfort;
  • provoked by sexual intercourse;
  • the analogue is a feeling of heaviness;
  • menstrual irregularities.

It is possible that the abdomen will become enlarged if the cyst enlarges.

If the cyst is painless, when the pedicle is twisted, expect:

  • sharp pain in the abdomen and rectum;
  • nausea, vomiting;
  • increase in temperature;
  • pain manifests itself in the right or left ovary;
  • disturbance of well-being.

If you have symptoms, consult your doctor.

Treatment and contraindications

Self-medication is excluded, it will aggravate the situation and lead to irreparable consequences.

  • First of all, consult a doctor who will assess the situation and prescribe appropriate treatment;
  • to relieve pain, do not use hot (heating pad) or cold compresses;
  • You cannot take painkillers, this will relieve the sensation in the side, but will not get rid of the cause. Having dulled the symptoms, it is more difficult for the doctor to determine what is wrong;
  • start treatment after determining the diagnosis;
  • Discuss all manipulations with your doctor.

Unpleasant sensitivity in the side, radiating to the lower limb, is the result of a number of pathologies that require professional treatment. The pain cannot be ignored.

You should consult a doctor. To cope with the symptom, you need to overcome the outbreak. The earlier treatment is prescribed, the more successful the outcome will be. Self-medication is unacceptable. Wrong actions lead to dire consequences. By consulting a doctor, you can cope with the pain and forget about the discomfort.

People may feel differently about their ailments. Some are accustomed to running to the doctor with the slightest ailment, while for others, even the most severe pain cannot force them to see a specialist. Meanwhile, pain is always a signal of alarming problems in your body. For example, ? Do you know what to do in this case and what are the causes of such pain? Of course, a final diagnosis can only be obtained after an examination. We can only try to outline an approximate list of problems.

Why does my side hurt and radiate to my leg?

Side pain is an extremely loose concept. No doctor can answer the question of why my side hurts. Even for an approximate diagnosis, it is very important to know exactly the localization of pain: on the right or left, its location relative to such landmarks as the inguinal fold, navel, midline of the abdomen, approximately how many centimeters, down or up, vertically or horizontally. Pain in the abdomen, side or lower back. Finally, it is very important to know whether pain in the side occurs on its own or is it associated with some kind of physical activity, as well as the nature of these pains - constant, periodic, stabbing, cutting, aching, burning, and so on.

What to do if you have pain in your side? Of course, consult a doctor, because pain in the side can be a very worrying sign.

Why does my right side hurt?

There can be many reasons why your right side hurts. In this case, the pain can have different localization and different character. Burning, stabbing or acute pain in the right side is usually caused by an inflammatory process developing here, the cause of which is:

perforation of a stomach or duodenal ulcer;

volvulus.

If the pain is caused by damage to the diaphragm, for example, with a hernia, then it intensifies when coughing or sneezing, or when breathing deeply, and can also radiate to the shoulder area.

When describing pain in the right side, its exact location is of great importance.

Pain in the right side above is usually associated with the following diseases:

  • stomach and duodenal problems;
  • pancreatic diseases;
  • diseases of the right kidney;
  • liver diseases;
  • diseases of the biliary tract;
  • right lower lobe pneumonia;
  • abdominal form of myocardial infarction.

If your right side hurts in the middle, then this may indicate the following problems:

  • volvulus or intussusception;
  • inflammation of the appendix;
  • diseases of the right kidney.

Finally, if you feel pain in your lower right side, it could be:

  • kidney damage;
  • damage to the uterine appendages;
  • bladder diseases;
  • inguinal hernia.

Why does my side hurt and radiate to my leg?

The most common cause of pain in the front right side and radiating to the leg is an inguinal hernia. It is characterized by transient acute pain that usually appears after physical activity. Often, you may notice a protrusion at the site of pain, which disappears after you take a lying position.

Very often, throbbing pain in the lower abdomen that radiates to the leg occurs with acute appendicitis.


If your side hurts and radiates to your leg, and the pain is localized in the back, then this may indicate the presence of the following diseases:

  • neuralgia is a symptom of tension in the nerve trunk - usually the pain intensifies if you raise the straightened leg;
  • stones in the urinary system;
  • intra-abdominal bleeding caused by perforation of a stomach or duodenal ulcer, intrauterine pregnancy, ovarian apoplexy, trauma, etc.

Why does my left side hurt and radiate to my leg?

Pain in the left side that radiates to the leg is usually caused by problems with the organs located here. First of all, this applies to the spleen. These could be:

chronic lympho- or myeloid leukemia;

splenic infarction;

volvulus of the spleen;

acute enlargement of the spleen:

splenic cyst.

Pain in the left side, radiating to the leg, can be caused by all kinds of diseases of the small or large intestine, as well as the genitourinary system.

Why does the lower side hurt and radiate to the leg in women?

Representatives of the fair sex have many specific diseases. The appearance of throbbing pain radiating to the leg in the right or left side from below may indicate such an unpleasant pathology as purulent processes developing in the uterine appendages, for example, in the ovaries. Most often they arise as complications after untreated adnexitis - an inflammatory process in the appendages caused by some kind of infection.

My side hurts and radiates to my leg - what to do?

As you have already understood from all of the above, it is impossible to give a definite answer to this question. Therefore, if you feel regular or constant pain radiating to the leg in the right or left side, regardless of their exact location, you should not try to diagnose yourself - you should consult a doctor as soon as possible, especially if the pain does not go away but intensifies or accompanied by an increase in temperature. In many cases, it can truly be a matter of life or death.

When there is pain in the right side, we first of all think about appendicitis. Indeed, this is a common reason, but not the only one.

Reason 1. Appendicitis

Appendicitis (inflammation of the appendix of the cecum) is one of the most common causes of pain in the right side of the abdomen: up to 10% of people experience it. Most often this happens between the ages of 10 and 30 years. As a rule, it all starts with a dull pain in the epigastric region (where the stomach is located), which worsens within a few hours and goes down below the navel and to the right. The temperature rises, nausea begins, diarrhea and vomiting are possible.

WHAT TO DO. While lying in bed, try raising your right leg or turning onto your left side: if it is appendicitis, the pain should get worse. Don't hesitate and call an ambulance. The inflamed appendix must be removed as soon as possible so as not to lead to peritonitis - purulent inflammation of the peritoneum. If the blood test shows an elevated white blood cell count, you will be sent straight to the operating room.

Reason 2. Cholecystitis

If pain occurs after you eat something fatty or fried, cholecystitis is likely - inflammation of the gallbladder. In an acute process, severe pain occurs in the right upper abdomen; it radiates to the back and right shoulder blade, accompanied by nausea and repeated vomiting of bile. When lightly tapping the ribs, the pain radiates to the right hypochondrium.

WHAT TO DO. Call an ambulance: acute cholecystitis, like appendicitis, is an emergency surgical pathology. In the emergency department, the doctor will do an ultrasound, and if the bladder is full of stones and inflamed, you will have to go to the operating room. If there is an exacerbation of chronic cholecystitis, you will have to adhere to a strict diet and take medication for some time, and when the symptoms subside, in the so-called “cold period”, remove the bladder laparoscopically.

Cause 3. Renal colic (urolithiasis)

It occurs when a stone either blocks the outlet of the kidney into the ureter or gets stuck directly in the latter. This causes severe spasmodic pain in the right half of the body, forcing the patient to look for a position in which it hurts least.

WHAT TO DO. Call an ambulance. While waiting for her, you can take a warm bath and drink a couple of antispasmodic tablets. In the emergency department, they will give you an X-ray and ultrasound and choose the optimal treatment tactics: this could be installing a stent in the ureter, a session of shock wave therapy (“crushing stones”), or an attempt at conservative treatment.

Reason 4. Pyelonephritis

Inflammation of the kidneys, or pyelonephritis, is one of the common causes of pain in the right half of the body. Often develops as a complication of urolithiasis. The pain may radiate to the lower back, groin or leg. Almost always accompanied by fever, chills, nausea and even vomiting.

WHAT TO DO. Make an appointment with a therapist or urologist as soon as possible: a urinary tract infection can quickly spread throughout the body and cause severe intoxication. You need to take a general urine test, do an x-ray and an ultrasound. The doctor will prescribe antibiotics and uroseptics that will help get rid of the infection. In some cases, a urine culture is taken to find out which pathogen is causing the problem.

Reason 5. Gynecological.

Women especially have many causes of pain in the right side. This can be either a harmless ailment during ovulation or a sign of various inflammatory diseases of the genital organs. With chronic inflammatory processes in the appendages, there is pain in the lower half of the abdomen. More often the pain is dull, aching, and can go away and reappear, especially if you have a cold. An ovarian cyst can manifest itself in a similar way.

Another option is acute pain in the right lower abdomen that occurs unexpectedly during sexual intercourse, or even when you are lying down and doing nothing. The attack is accompanied by rapid breathing and heartbeat, nausea, and pallor. Causes may include cyst rupture, follicular apoplexy, or ectopic pregnancy.

WHAT TO DO. If you have chronic aching pain, make an appointment with a gynecologist as planned: he will prescribe a full course of treatment that will prevent the formation of adhesions and relieve possible problems with fertility. If there is sudden paroxysmal pain, consult a doctor immediately: he will do an ultrasound and decide whether surgery is needed.

Reason 6. Hepatitis

Is the pain concentrated in the upper right half of the abdomen under the ribs, accompanied by itching and small spider veins on the skin? This could be hepatitis (inflammation of liver cells). If the skin, tongue and whites of the eyes have acquired a yellow tint, there is no doubt. There are many types of hepatitis: acute and chronic, viral, medicinal, alcoholic, fatty…

WHAT TO DO. Contact a hepatologist or infectious disease specialist immediately. First of all, the doctor will prescribe a full examination that will help determine the cause of hepatitis. The test results will determine what treatment you receive.

Reason 7. Intercostal neuralgia

Compression or irritation of the intercostal nerves most often occurs in middle-aged and elderly people. Typically, discomfort occurs after you turn around suddenly, sleep in an uncomfortable position, sit in a draft, or work out too hard at the gym. The pain is burning, which is why doctors may initially suspect a heart attack or angina. Fortunately, intercostal neuralgia is much less dangerous.

WHAT TO DO. Contact a neurologist. Now there are a huge number of medications that will help quickly relieve pain and inflammation. Sometimes the doctor can perform a therapeutic blockade and inject directly into the damaged nerve: you will feel the effect instantly.

Reason 8. Constipation, colitis

Poor nutrition, lack of fiber and fluid, physical inactivity can cause stagnation of feces, and this, in turn, causes pain in the abdomen, including on the right side. But if, after normalizing nutrition and stool, the pain does not go away, intensifies, or other symptoms are added to it, it may be colitis.

WHAT TO DO. consult a gastroenterologist. He will ask you to take blood and stool tests, prescribe a diet and frequent small meals. Treatment includes laxatives, intestinal microflora agents and other drugs.

Thank you

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

One of the common reasons for anxiety and visiting a doctor among patients is pain in right side or back. This symptom accompanies the development of many diseases of various organs. Some of them are very dangerous and can lead to death. That is why, if you experience pain in the side on the right, you must consult a doctor to determine the causes.

Pain localized in the right side varies in nature and location for different diseases.

Character of pain in the right side

In some cases, the localization of pain corresponds to the location of the affected organ. The pain can be of different types: dull and aching, sharp and sharp, constant or periodic. This pain occurs when the pancreas is damaged (pancreatitis).

Sometimes pain appears if the peritoneum is involved in the inflammatory process. At the same time, its location is well determined. It is more often characterized as burning, sharp or stabbing. The intensity increases when changing position, running, walking, or raising your arm.

If you feel such pain in the right side, then it is necessary to exclude surgical diseases:

  • appendicitis;
  • perforation of a stomach or duodenal ulcer;
  • intussusception and volvulus.
If pain occurs when the diaphragm is damaged (hernia may be the cause), then it intensifies with breathing and coughing, and radiates to the arm (shoulder area).

One of the manifestations of pain in the right side may be umbilical colic. It manifests itself as a sharp, periodic, cramping pain, which is caused by increased peristalsis or intestinal distension. Occurs more often during or after eating. It is felt in the area near the navel, with nausea, pallor, and vomiting. Colitis and enterocolitis are accompanied by the appearance of umbilical colic. Prolonged and severe colic-type pain in the right hypochondrium indicates diseases of the liver and biliary tract (hepatitis, cholecystitis, biliary dyskinesia).

“Referred” pain should be placed in a separate category. This is pain from the internal organs, which is carried out on certain areas of the skin. In diseases of the liver and gallbladder, it can radiate to the scapula, and in diseases of the pancreas and duodenum, it radiates to the back and lower back, and is also felt under the ribs on the right and left.

Localization of pain in the right side

1. Pain in the right side above:
  • diseases of the stomach and duodenum;
  • liver diseases;
  • diseases of the biliary tract;
  • diseases of the right kidney;
  • pancreatic diseases;
  • right lower lobe pneumonia;
  • appendicitis;
  • abdominal form of myocardial infarction.
2. Pain in the right side in the middle:
  • volvulus or intussusception;
  • appendicitis;
  • diseases of the right kidney.
3. Pain in the lower right side of the abdomen:
  • kidney damage;
  • damage to the uterine appendages;
  • bladder diseases;
  • appendicitis;
  • inguinal hernia.

When does aching pain occur in the right side of the lower abdomen?

If you have pain in the right side of the lower abdomen, the pain is aching, dull, then you should suspect some diseases.
In women, these may be the following pathologies:
  • pyelonephritis;
  • glomerulonephritis;
  • appendicitis;
  • right-sided adnexitis;
  • ovarian cyst;
  • dyskinesia of the biliary tract of the hypotonic type;
  • gallstone disease.
Also, pain in the lower right side may indicate the moment of ovulation of an egg from the ovary.

Men most often experience pain in the lower right abdomen due to the following diseases:

  • pyelonephritis;
  • glomerulonephritis;
  • appendicitis;
  • cholelithiasis;
  • urolithiasis;
  • dyskinesia of the biliary tract of the hypotonic type.
But quite often in men, the cause of such pain can also be an inguinal hernia.

Diseases accompanied by pain in the right side

Diseases of the stomach and duodenum

Gastritis. It is characterized by dull, mild periodic pain in the right side under the ribs and sternum, appearing more often two hours after eating, or on an empty stomach in the morning. Patients complain of decreased appetite, belching of sour air, constipation or diarrhea.

If there is a dull aching pain in the right side under the ribs and sternum, which can appear 1 to 2 hours after eating or on an empty stomach, combined with vomiting, heartburn, sour or bitter belching, loss of appetite, diarrhea or constipation, the doctor prescribes the following examinations:

  • General blood test;
  • Fibrogastroduodenoscopy (FGDS) (sign up);
  • Computed or magnetic resonance imaging;
  • Detection of Helicobacter Pylori in material collected during FGDS;
  • The presence of antibodies to Helicobacter Pylori (IgM, IgG) in the blood;
  • Level of pepsinogens and gastrin in blood serum;
  • The presence of antibodies to gastric parietal cells (total IgG, IgA, IgM) in the blood.
The same studies and tests above are prescribed for pain in the right side that appears several times a day, subsides on its own, has any character (aching, cramping, stabbing, cutting, dull, etc.), which can be combined with heartburn, belching, nausea, vomiting, constipation.

In practice, in most cases, the doctor prescribes a general blood test, a blood test for the presence of antibodies to Helicobacter Pylori and fibrogastroduodenoscopy, since these examinations make it possible to diagnose gastritis and duodenitis with high accuracy. Computer or magnetic resonance imaging may be prescribed instead of fibrogastroduodenoscopy if technically possible, if a person cannot undergo FGDS. An analysis of the level of pepsinogens and gastrin in the blood is usually prescribed as an alternative to FGDS if it is possible to perform it, but in practice this study is not used very often, since it almost always has to be done in a private laboratory for a fee. But an analysis for antibodies to gastric parietal cells is prescribed only if atrophic gastritis is suspected, and often instead of an FGDS when a person cannot undergo it.

If there is a sharp cramping pain in the right side, appearing with pain in the navel area, occurring periodically after or during meals, combined with nausea, vomiting, rumbling in the abdomen, bloating and pale skin, the doctor prescribes the following tests and examinations:

  • General blood test;
  • Analysis of stool for worm eggs;
  • Stool analysis for scatology and dysbacteriosis;
  • Stool culture for clostridia;
  • Blood test for the presence of antibodies to clostridia;
  • Ultrasound of the abdominal organs;
  • Colonoscopy (make an appointment) or sigmoidoscopy (sign up);
  • Irrigoscopy (intestinal x-ray with contrast agent) (make an appointment);
  • Blood test for the presence of antineutrophil cytoplasmic antibodies and antibodies to Saccharomycetes.
First of all, the doctor prescribes a general blood test, stool tests for worm eggs and scatology, ultrasound of the abdominal organs and colonoscopy. These studies usually make it possible to make a diagnosis and begin treatment. However, in doubtful cases, irrigoscopy may be additionally prescribed. If it is suspected that pain in the right side is associated with taking antibiotics, a stool culture for clostridia and a blood test for the presence of antibodies to clostridia are prescribed. If irrigoscopy, colonoscopy or sigmoidoscopy cannot be done for some reason, and the patient is suspected of ulcerative colitis or Crohn's disease, then a blood test is prescribed for the presence of antineutrophil cytoplasmic antibodies and antibodies to Saccharomycetes.

Pain in the right side, combined with itching and yellowing of the skin, decreased appetite, weakness and a slight increase in body temperature, requires contacting an infectious disease specialist or hepatologist, since such symptoms indicate a high risk of hepatitis. The doctor must first prescribe blood tests to detect hepatitis, such as:

  • Blood test for the presence of antibodies to the hepatitis B virus (Anti-HBe, Anti-HBc-total, Anti-HBs, HBsAg) by ELISA;
  • Blood test for the presence of antibodies to the hepatitis C virus (Anti-HAV-IgM) using the ELISA method;
  • Blood test for the presence of antibodies to the hepatitis D virus (Anti-HAD) using the ELISA method;
  • Blood test for the presence of antibodies to the hepatitis A virus (Anti-HAV-IgG, Anti-HAV-IgM) using the ELISA method.
In addition, a biochemical blood test (bilirubin, AST, ALT, alkaline phosphatase, total protein, albumin) and a coagulogram (APTT, TV, PTI, fibrinogen) are required.

If antibodies to hepatitis C or B viruses are detected in the blood, the doctor prescribes a blood test to determine the presence of the virus using the PCR method, which will assess the activity of the process and select treatment.

With a dull aching pain in the upper part of the right side, radiating to the shoulder and scapula, which intensifies with stress, changes in weather, when eating fatty and rich foods, alcohol, carbonated drinks or shaking, becoming stabbing and cutting, and is combined with nausea, vomiting or bitter belching, the doctor prescribes a general blood test, a general urinalysis, ultrasound of the abdominal organs, retrograde cholangiopancreatography, as well as a biochemical blood test (bilirubin, alkaline phosphatase, elastase, lipase, AST, ALT). If technically possible, computed tomography or magnetic resonance imaging is also prescribed.

In case of intense sharp, cutting, dagger pain in the right side, which is combined with darkening of the urine, itching of the skin and light-colored feces, the doctor must prescribe a general blood and urine test, a biochemical analysis of stool (amylase in the blood and urine, pancreatic elastase, lipase, triglycerides, calcium), scatology, ultrasound of the abdominal organs, and, if technically possible, MRI. These studies allow you to diagnose pancreatitis.

For periodic pain in the right side and at the same time in the groin, radiating to the leg, provoked by physical activity, the doctor prescribes a general blood test, ultrasound of the abdominal organs, and also performs an external examination and, in some cases, performs an X-ray of the intestines and urinary organs with contrast.

When pain in the right side is localized in the back, combined with pain in the lower back, pain when urinating, swelling in the face, headache, fever, blood in the urine, the doctor must prescribe Kidney ultrasound (sign up), general urine analysis, determination of the total concentration of protein and albumin in daily urine, urine analysis according to Nechiporenko (), Zimnitsky test (), as well as a biochemical blood test (urea, creatinine). In addition, the doctor may prescribe bacteriological culture of urine or scraping from the urethra to identify the pathogenic causative agent of the inflammatory process, as well as determination by PCR or ELISA of microbes in scraping from the urethra. If glomerulonephritis is suspected, the doctor may additionally prescribe the following tests:

  • Antibodies to the basement membrane of the glomeruli of the kidneys IgA, IgM, IgG (anti-BMK);
  • Antineutrophil cytoplasmic antibodies, ANCA Ig G (pANCA and cANCA);
  • Antinuclear factor (ANF);
  • Antibodies to phospholipase A2 receptor (PLA2R), total IgG, IgA, IgM;
  • Antibodies to complement factor C1q;
  • Antibodies to endothelium on HUVEC cells, total IgG, IgA, IgM;
  • Antibodies to proteinase 3 (PR3);
  • Antibodies to myeloperoxidase (MPO).
When the pain is localized in the upper right side, combined with high fever, cough, shortness of breath, profuse sweating, painful hiccups or chest pain when swallowing, the doctor will first order a general blood test, a general urine test, Chest X-ray (make an appointment) and microscopy of expectorated sputum. If the disease is difficult to treat, then the doctor may prescribe tests of blood, sputum and bronchial swabs for the presence of chlamydia, gardnerellosis, fecal bacteroids, etc.), to identify which they donate vaginal discharge, scraping from the urethra or blood;
  • Colposcopy (make an appointment).
  • If there is very severe pain in the right side, which is combined with blistering rashes in the rib area, the doctor may prescribe a blood test for antibodies to viruses of the herpes family. However, with this pathology (shingles), tests are usually not prescribed, since the visible picture and the patient’s complaints are enough to make a diagnosis.

    In addition, if pain in the right side periodically appears and disappears on its own, regardless of the accompanying symptoms, the doctor may prescribe a stool or blood test to detect helminths (ascaris or pinworms).

    Before use, you should consult a specialist.

    A healthy, normally functioning joint is shaped like a hemisphere, and the head of the femur is covered by the acetabulum. The articular capsule is attached around its circumference. The mobility of the hip joint, the most powerful in the human body, is quite extensive:

    • Diseases and symptoms of the hip joint
    • Folk remedies for hip pain
    • bending,
    • extension,
    • casting,
    • lead,
    • rotation.

    The support is on the head of the femur. When supporting on one limb, the load on the head is equal to four body weights. That is, if a person weighs 70 kg, when leaning on one lower limb, the load is 280 kg. Pelvic movements are aimed at maintaining balance and maintaining stability. The role of the femoral head ligament in this complex mechanism is very significant:

    • unloading the upper sector of the head of the bone,
    • reduction of energy costs when walking,
    • reducing tension in the hip joints,
    • walking automation,
    • ensuring forward movement of the total mass,
    • maintaining the body in an upright position.

    To improve blood circulation and avoid hip joint disease, it is recommended to engage in physical activity and perform at least simple exercises:

    • lying on your back and bending your knees, spread them to the sides, like a “butterfly”;
    • lying on your back, alternately with a raised straight leg, perform movements to the sides with a large amplitude, a more complex option is “scissors”;
    • lying on your back, raise your legs one by one;
    • sitting on a chair with a straight back, bend over, trying to touch the floor with your arms outstretched forward;
    • standing with support, swing back and forth.

    Diseases and symptoms of the hip joint

    Of the most common traumatic injuries, a femoral neck fracture is considered the most dangerous. This is a very thin part of the thigh, which becomes more fragile with age, which is why this disease is so common among older people. In other cases, pain in the hip joint can be associated with various factors. As the disease progresses, the joint fluid decreases, the surface of the joint is deformed, and the cartilage is damaged.

    The most common and typical problem is arthritis. With age, it primarily affects the hip joint. The pain radiates to the hip and groin, especially when walking. When standing up from a sitting position, a “lumbago” occurs.

    If you feel aching pain in the right hip joint or the left, or both at once, deforming arthrosis most likely begins to develop. At the next stage of this disease, a person feels pain when standing up, turning the body, or starting to move. The pain radiates to the groin and knee. The muscles around the pelvic thigh are constantly tense, so pain in the joint can also be observed at night.

    Inflammation of the fluid sac (bursitis) most often affects the trochanteric fluid sac. In this case, pain is felt in the buttocks area. The pain intensifies if you lie on the affected side. Less commonly, the iliopectineal and ischial bursae become inflamed.

    People who undergo severe physical activity are susceptible to tendon inflammation. In a calm state, pain in the hip joint is not felt. Influenza virus, staphylococcus and other infections can cause septic arthritis. In this case, swelling, fever, and acute pain when moving or touching appear. With tuberculous arthritis, the pain is initially aching, and gradually the entire area begins to swell, causing severe pain in the hip or knee.

    Diseases of the hip joint in children

    For boys 3-14 years old, Perthes disease is typical, in which blood circulation to the femoral head is impaired. The cause may be infectious diseases, excessive load on the joints, congenital pathology, or trauma. Boys who weigh less than 2.1 kg at birth are especially susceptible to this disease. First there is pain in the knee, and then the pain in the hip joint intensifies. A blood test shows the presence of infection.

    In children 12-15 years old, juvenile epiphysiolysis occurs - dystrophy of the bone tissue of the head. The cause may be disturbances of the endocrine system, bone metabolism, and growth hormones. Most often, both hip joints are affected, starting with pain in the groin or hip joint. Then there is a noticeable change in hip mobility.

    Treatment of hip diseases

    The choice of hip treatment options depends on the individual's anatomy and the cause of the pain. Medications include painkillers without aspirin, anti-inflammatory drugs, and drugs designed to improve sleep. Exercises that increase joint strength and muscle flexibility can help reduce hip pain. Remembering that the hip joint bears the full weight load, you need to monitor your weight and, if necessary, lose excess weight. Applying heat or cold to the joint temporarily relieves pain.

    Sometimes, to avoid stress, a cane or special insoles are used to level out the function of the leg. Stability and mobility of the joint are improved with the use of fixation bandages. While symptoms of hip disease appear, you should avoid strenuous physical activity. Forced loads must be alternated with rest.

    Folk remedies for hip pain

    When your leg hurts in the hip joint, it’s not enough to just give it a rest. Most likely, these are the first “bells”, and in order to prevent serious consequences, it is necessary to take a number of measures. The effect comes only from an integrated approach and regular fulfillment of all conditions. A favorable outcome largely depends on the consciousness and endurance of the patient himself. Here are a few of the most popular remedies if you first choose treatment with folk remedies:

    • apply a warming compress of cabbage leaves, smeared with buckwheat honey at night, wrapping it all in cellophane and a warm towel;
    • before meals, take 50 drops of tincture: 50 g of lilac flowers are poured with 400 ml of vodka for 10 days;
    • Rub the following ointment well into the sore joint: white of 2-3 eggs, 50 ml of alcohol, 50 g of mustard powder, 50 g of camphor, mixed until smooth;
    • The shells remaining from the eggs can be finely crushed and mixed with yogurt or milk. This paste can be applied as a compress, wrapping the area in warmth.

    We must remember that hip joint disease, in addition to a traumatic disease, develops gradually. Therefore, it is easier and more productive to fight it in its infancy. You need to lead a healthy lifestyle, eat healthy and well, swim, and always be in a joyful mood. Never be discouraged or give up.

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    Symptoms and treatment of lumbago require knowledge and, of course, the qualifications of the treating specialist. Among those over 40, there are few people who have not experienced signs of this disease; the disease is very common. At the moment of the greatest manifestation of its symptoms, a person usually cares about only one thing - how to get rid of pain and return to normal life.

    How does the disease manifest itself?

    Lumbago disease manifests itself unambiguously, it is difficult to confuse it with anything else. Pain in the lumbar region appears suddenly and sharply. This is the difference between lumbago and radiculitis, a related disease that has its own differences in manifestation and genesis. The popular name is very figurative, and most importantly, clearly describes the disease: as if someone had shot the back below the waist, causing acute, unbearable pain in it, intensifying with every movement of the body.

    In this case, the pain can spread beyond its source. It is felt in the back muscles, radiates to the buttocks and legs. Sometimes pain can be projected to the front of the body, for example, to the lower abdomen.

    Sharp, severe pain occurs from irritation of the sciatic nerve. This happens in people who already have a history of a disease called “sciatica,” which means chronic inflammation of the sciatic nerve.

    Typically, severe muscle tension in the lumbar region occurs spontaneously in response to a pain symptom. This creates tension in the muscles of the buttocks and thighs. Sometimes spasm of the lower extremities may occur.

    The worst pain lasts for the first 30 minutes. Some are forced to endure acute pain for several hours. After some time, the person’s pain goes away, but does not go away, but insidiously returns at night, when the person loses vigilance and begins to toss and turn.

    Usually, after a week, the symptoms of lumbago disappear, but complete recovery usually occurs within a month or even two. This does not happen by itself, the disease must be treated. However, a person experiences such severe pain that the thought of treatment does not leave him for a minute.

    Diagnosis of lumbago can be carried out not only by signs of the manifestation and localization of pain, but also by how pain sensations change with changes in body position.

    Relief usually occurs when a person:

    • lies on his back with his legs pulled up to his stomach;
    • lies on the stomach, under which there is a pillow;
    • moves from a lying position to a sitting position, leaning on his hands.

    Thus, the diagnosis of lumbago is based on a set of symptoms, the manifestation of which is usually beyond doubt.

    Causes of attacks of lumbago

    This disease has a mechanism and causes. In fact, these are different phenomena. The mechanism for the development of lumbago is always the same: at the moment of displacement or deformation of the vertebrae and intervertebral discs, irritation occurs of the nerve endings concentrated in the fibrous ring and tendons connected to these vertebrae. This is the mechanism for the appearance of pain and spasms in the muscles surrounding the spine.

    However, this mechanism arises for a number of reasons:

    1. Damage to intervertebral discs. Each of them consists of central and peripheral structures. In the center there is a soft nucleus pulposus, which softens the pressure on the vertebrae during movement. The peripheral part of the discs is a dense fibrous ring. During too much physical impact, a tear of the fibrous ring, displacement of intervertebral discs, and rupture of ligaments can form. As a result of all these processes, the nucleus pulposus flows into tissues located outside the fibrous ring and the vertebra.
    2. Vertebral displacement. The cause of displacement is usually osteochondrosis, which provokes intervertebral deformities. As a result, one of the vertebrae is displaced, subjecting not only the vertebrae themselves to deformation, but also their processes. They form bone outgrowths, so-called osteophytes, which cause damage to the intervertebral discs. All these displacements affect the condition of the ligaments - they become deformed and torn. These tears are often microscopic in nature, which nevertheless gives rise to serious consequences.
    3. Congenital anomalies of the vertebrae. Congenital pathologies arising in the lumbar vertebrae occur in approximately 25% of all people on the planet.

    Anomalies can manifest themselves in a variety of ways. For example, splitting of the vertebral arches may occur, which causes the onset of inflammatory processes and severe pain.

    Anomalies also include the so-called lumbarization. It represents the appearance of an extra vertebra in the lumbar region. The nervous system of the spine, as well as the structure of the tendons and muscles, are not designed for this excess. It is this discrepancy that causes painful attacks.

    1. Transformation of intervertebral joints. This can happen for various reasons, but the leading ones are destructive processes that occur with rheumatism, arthritis, injuries, etc.
    2. Fusion of the first and second lumbar vertebrae. This leads not only to pain, but also to loss of mobility in the lumbar region. Most often, such processes are associated with age-related changes.
    3. Malignant and benign neoplasms in the lumbar region. Of the benign neoplasms, osteoma and osteoblastoma, as well as hemangioma, a vascular tumor that forms inside the vertebra itself, lead to an attack of lumbago. Malignant neoplasms that can cause pain include myeloma and osteosarcoma.
    4. Infections that cause the disease spondylitis, which is an inflammatory process in the spine.

    Thus, an attack of lumbago may indicate relatively harmless and easily removable pathologies, but it may be an indicator of the onset of very serious diseases.

    So, if lumbago appears frequently, is poorly eliminated and is very difficult to tolerate, consult a doctor and request a mandatory examination.

    Additional diagnostics

    In addition to assessing symptoms and medical history, the following methods are used in diagnosis:

    1. The doctor applies finger pressure to Valya’s 9 pain points. They are located along the sciatic nerve, forming clusters around its roots. This is a painful procedure, since the specialist’s task is to deliberately provoke a pain reaction, which will reveal the preliminary cause of lower back pain.
    2. To clarify the location of pain, the doctor usually asks the sick person to perform a series of test exercises. They allow you to outline actions for further examination of the patient.
    3. X-ray examination. It is necessary in order to exclude or confirm the occurrence of neoplasms, congenital or acquired pathologies, transformation of joints, fusion of vertebrae, etc.
    4. Computed tomography. Using this procedure, you can get a more accurate picture of the disease. Tomography allows you to take pictures of sections of the spine in problem areas in a three-dimensional image.
    5. Magnetic resonance imaging. MRI allows you to examine soft tissues in the spinal cord, intervertebral discs, and nerve roots.
    6. Spine scintigraphy. It is carried out using isotopes, which serve as an identification mark. The isotope in the form of a special preparation is administered intravenously to the person being examined. The movement of marker isotopes is monitored using a gamma camera. Isotopes usually accumulate in areas of inflammatory processes. Places that are bypassed by isotopes are also risk areas, since this is where neoplasms are formed.
    7. Electroneuromyography. This method is somewhat similar to the preliminary palpation procedure, only the instrument is electricity, which acts on the peripheral nerve in order to stimulate it. This identifies areas where nerve roots are pinched.
    8. Blood and urine tests are required. They give a general idea of ​​the state of the body and the severity of inflammatory processes.

    Methods and means of treatment

    How to treat lumbago and is it possible to cure it completely so that attacks do not recur? If it really is just a lumbago, then it can be cured. However, this requires prevention, as well as constant care for the condition of your spine.

    When the first pain appears, the person should be laid on a flat and hard surface. Depending on the location of the pain, he is placed on his back with his legs raised on an elevation, on his side with his legs tucked to his stomach, on his stomach with a pillow placed under him.

    Before being examined by a doctor and prescribing a treatment course, it is prohibited to: massage, try to relieve muscle spasms with physical exercise, or warm up the sore area. It is better to provide the patient with complete rest for 2-3 days, eliminating any stress.

    If the diagnosis of lumbago is confirmed, treatment should begin with the correct selection of medications.

    Medicines should relieve pain and muscle spasms. Tizanidine, Pentoxifyline, Spasmolitin, Tetrazepam are usually prescribed as antispasmodics.

    For severe pain, novocaine blockade is performed with the introduction of corticosteroids. To do this, Novocaine injections with hormonal anti-inflammatory drugs are given around the lumbar spine.

    This blockade is carried out in medical institutions. It acts quickly, especially if the cause of lumbago is physical activity.

    However, it is not recommended to often resort to such a potent remedy, since this can lead to the development of more severe pathological processes.

    Treatment of lumbago at home is often long-term. The sore spot is treated with compresses, rubbing, ointments, etc. All these external agents are designed to improve blood circulation, relieve swelling that always accompanies inflammation, and minimize or completely eliminate inflammation.