Complaints of lower back pain accompanied by fever are common and occur with a variety of pathologies. They are not only inflammatory in nature, degenerative, non-infectious and other changes are possible. Among them are influenza, acute respiratory viral infections, meningitis and other viral infections, diseases of the genitourinary system, gynecological problems, complications of osteochondrosis, radiculitis, injuries of the muscles of the back and spine, Pott’s disease, osteomyelitis, gastrointestinal tract pathology, etc.
Types of pain
The pain can be localized, radiating and spilled. The source of local or localized is located in the lower back. Reflected pain arises from organs opposite the lower back due to the transmission of a pain impulse through the nerve channels. Irradiating originates from the lower back, can give to other parts of the body, such as the leg, crotch or buttock.
The intensity, duration and nature of the back pain can be sharp and dull, shooting, girdle, aching, pulling, permanent or temporary. The threshold of pain sensitivity is different for everyone. It depends not only on the pathology itself, but also on the mental characteristics of a person.
The most common pathologies and associated manifestations
Discomfort in the abdomen, which suddenly arises or builds up over several days, is sometimes added to lower back pain.
A frequent reason that the lower back hurts and the temperature rises to 37 ° C is chronic inflammation of the renal system. And this happens when there are problems with the ovaries. Then pain is added in the area of the appendages.
Pregnant women have lower back pain due to natural causes. But if there is a fever, then you need to be afraid of a miscarriage. In men, temperature and pain in the lower back and groin are often associated with prostatitis, epididymitis and urethritis.
Flu
Influenza and complications after it are a frequent respiratory infection, in which a temperature of 37 ° C is observed and it hurts the lower back (sometimes the temperature is higher - 38 ° C). Other symptoms include weakness, signs of general intoxication, cephalalgia, pain and sore throat, catarrhal symptoms, dry cough, chills, fever, aches in bones and joints, chills, vomiting, and nausea.
Pain with influenza is specific - they are localized in the sacro-lumbar region, aggravated by coughing. This may indicate a beginning complication - pneumonia or lung abscess, cardiovascular pathology.
Treatment consists of bed rest, taking antiviral, antipyretic, analgesic, anti-inflammatory drugs. And you also need a warm, plentiful drink, the intake of symptomatic remedies, and fortified nutrition. Bed rest is necessary in order not to get complications, for which the flu is quite generous.
ARVI
Low back pain and fever with chills in acute respiratory infections do not occur so often. But they indicate the body's fight against infection. Additional symptoms:
- runny nose;
- nasal congestion;
- headache;
- tickle;
- sore throat and cough;
- general weakness.
Treatment consists of taking analgesics, antipyretics, anti-inflammatory, vasoconstrictive, multivitamin.
Pyelonephritis
Pyelonephritis is an inflammation in the renal pelvis, giving many complications. There is aching, mild, low back pain and a temperature of 37 ° C. Although it is not high, it arises immediately.
Concomitant signs of lower back pain and fever are nausea, vomiting. When coughing and sneezing, the discomfort intensifies. There are often no difficulties with urination, so this is not the main symptom, so many patients do not pay attention to other manifestations of pyelonephritis. If untreated, the disease easily becomes chronic. It will proceed sluggishly, but with frequent relapses. Complications with improper treatment can be expressed in purulent discharge.
Low back pain, temperature and weakness can be accompanied by dull and aching sensations in the abdomen, turbidity of urine, lack of appetite. In acute inflammation, the temperature can reach 39 degrees. As you can see, the symptoms are rather nonspecific, so a doctor’s examination is necessary.
Treatment consists of bed rest, antibiotic therapy, diet and immunomodulators. It is important that therapy for pyelonephritis be started immediately, when the first signs occur. Hospitalization is indicated for severe process. After an acute period, mud therapy, balneotherapy, mineral waters, herbal medicine are useful.
Muscle injuries
Disproportionate physical stress and increased stress during training can lead to stretching of the back muscles. This phenomenon occurs very often in the lower back. Muscle pain is accompanied by cramping, sharp or dull pain.
Other manifestations include swelling of the affected muscle and its edema, hematomas in this area, dizziness, lower back pain with an increase in body temperature. Discomfort is aggravated by movements or lifting weights. The pain extends to the buttocks and back of the thighs.
Treatment:
- providing rest to muscles and the complete elimination of any loads;
- applying a pressure bandage or elastic bandage;
- cold compresses;
- massage;
- non-steroidal anti-inflammatory drugs and analgesics;
- physiotherapy.
Injury of the nerve roots is the second cause of non-inflammatory back pain. A similar phenomenon occurs during hypothermia of the lumbar region or due to sudden physical overload. The pain can be sharp and dull. It is associated with any muscle tension - coughing, sneezing, deep breath, etc.
Osteomyelitis and Spinal Tuberculosis
These ailments today are very rare, but dangerous when they appear. The main characteristic sign of spinal infection is aching lower back pain and a temperature of 37 ° C. In the acute period there is tremor and fever at 40 degrees. Additional manifestations:
- drowsiness and malaise;
- redness of the skin at the site of inflammation;
- decreased sensitivity and numbness in the limbs;
- the development of paralysis.
For diagnosis, X-ray, MRI, CT of the spine are used.
Treatment depends on the diagnosis:
- With discitis - the application of gypsum, antibiotics.
- With osteomyelitis - several continuous courses of antibiotics, often surgical intervention.
- With an epidural abscess, surgery and antibacterial agents.
- With Pott's disease (spinal tuberculosis, or tuberculous spondylitis) - etiotropic treatment with antibacterial therapy, vitamins, anti-inflammatory drugs.
Vertebral tuberculosis is treated only in a hospital. With his therapy, wearing a plaster corset is often used. Self-medication in any case is excluded.
Other violations
Discomfort of varying intensity, lower back pain and temperature can provoke pathologies such as:
- stomach ulcer;
- pathology of the duodenum;
- pancreatitis
- intervertebral hernia or pinched disc;
- spinal tumors;
- urolithiasis disease;
- thrombus in the renal artery;
- shingles;
- heart attacks and aortic aneurysm.
Tonsillitis, sinusitis
Inflammation of the upper respiratory tract is often accompanied by aches in the joints. And also there is back pain and a temperature of 37-39 degrees, migraine, cough, general weakness.
Treatment consists in irrigation of the throat with antiseptics, taking antibiotics, vasoconstrictive drops, mucolytics, inhalations. Pain in the lower back does not require special treatment.
Meningitis
Inflammation of the pia mater is often accompanied by a sharp headache, fever and pain in the lower back, back, joints. Other symptoms include:
- vomiting
- rash;
- cramps
- meningeal symptoms.
For diagnosis, lumbar puncture is used with the study of cerebrospinal fluid. Only inpatient treatment: antibiotics, corticosteroids, diuretics for relieving edema, general strengthening treatment.
Endometritis
Endometritis is an inflammation of the uterine mucosa. Symptoms
- abdominal pain with a return to the lower back, above the sacrum;
- temperature;
- discharge with a smell;
- painful urination and tachycardia.
With the transition to a chronic form, a violation of the cycle of menstruation, dyspareunia, uterine bleeding is observed.
Treatment:
- taking antibiotics, detoxification;
- symptomatic therapy;
- multivitamin intake.
As an adjunct, physiotherapy and hirudotherapy are indicated.
Genitourinary infections
For men, prostatitis and urethritis are characteristic, for women - cystitis, pyelonephritis and glomerulonephritis.
Aching pain in women in the lower back and a temperature of 37 degrees are often caused by cystitis. The symptoms are added weakness, weakness, blood in the urine, pain in the lower abdomen, nausea, pain when urinating. Urine becomes unpleasantly smelling, cloudy.
Treatment:
- diet;
- nitrofuran antibiotics;
- diuretics;
- heavy drinking;
- analgesics.
Prostatitis
In men, pain is noted, radiating to the lower back and groin, perineum. Concomitant symptoms: impotence, difficulty urinating, temperature within 38 degrees, tendency to constipation.
Similar symptoms may occur with urethritis. Often it occurs against the background of sexually transmitted pathologies.
Signs of urethritis:
- urine of a changed color;
- pain in the genitals;
- fever;
- difficulty urinating.
First aid
If there is no way to immediately see a doctor with lower back pain and temperature, you should try:
- take a tablet of analgin;
- apply cold for a short time;
- go to bed;
- create rest for the lumbar region.
Urgent medical attention
If lower back pain and temperature (even low) are accompanied by additional symptoms, then you should definitely call a doctor. It is especially dangerous if the patient has:
- vomiting
- abdominal pain;
- discomfort in the left hypochondrium;
- severe unilateral back pain;
- problems with urine output;
- decreased potency.
Treatments for fever and lower back pain
Therapy largely depends on the cause of the occurrence of such phenomena. Often prescribed:
- drug therapy;
- ;
- physiotherapy;
- manual therapy.
Physiotherapy includes the appointment of electrophoresis, electropuncture, SMT therapy, DDT - diadynamic currents, etc.
If symptoms arose against the background of a cold or hypothermia, rubbing the lower back with warming ointments can be used.
At temperatures massage, visiting the steam room and saunas are prohibited. Mustard and compresses are forbidden to use for psoriasis. With radiating pain, specific drugs are used to treat causative diseases.
Pain in the lower back and temperature are too common symptoms for a wide variety of ailments. No specialist will be able to give an answer without examination, because the list of pathologies with similar symptoms is significant.
Treatment of any lower back pain and temperature should take place after diagnosis and only under the supervision of specialists. Otherwise, there will certainly be complications. Self-medication and folk recipes without examination will only harm.
If the vertebrae are displaced, the doctor should be consulted first. Go through the diagnosis and do not go to the manual manager of your own mind. You must have pre-made MRI and CT scans. If the cause of the pain is not trauma, or there are dystrophic changes in the vertebrae, regular reduction of them at the sessions of the chiropractor will result in disability for you.