Back pain causes

Orthopedics
The most common reason for a dorsalgy is a malfunction of the joints in the spine. These are the spinal joints, which communicate with the vertebral bodies themselves, and with which the ribs and the transverse processes of the thoracic spine are connected. Approximately 90% of all chronic (recurrent or persistent) back pain is nonspecific – i.e: a doctor can give no ultimate findings that adequately explain the symptoms. The remainder is distributed as specific low back pain due to the following diseases:

Degenerative spinal disorders such as osteochondrosis;
Vertebral fractures (especially in osteoporosis);
Spondylolisthesis, usually in the lower lumbar spine;
Herniated discs;
Anatomical leg length differences with resultant disruption of the statics;
Spinal stenosis (within the meaning of a too narrow spinal canal);
Instability of the spine;
Inflammation or inflammatory diseases of the spine, such as of ankylosing spondylitis;
Vertebral tumors (primary tumor, and – frequently – metastases)
Internal Medicine
For back pain the presence of internal diseases must always be considered.  Respiration can be a pain, pleurisy (pleuritis), pain with exercise, coronary artery disease and pain could all have been caused by a duodenal ulcer.  Biliary colic often radiates into the right shoulder and sometimes in the back, even the pain of pancreatitis can be projected in the back.

A strong emerging acute pain between the shoulder blades is symptom of aortic dissection, including heart attacks and pulmonary embolisms can all present themselves in the form of sudden back pain.  Pain in the lumbar spine can also point to pyelonephritis and renal or ureteral stones.

Shingles also can cause before the onset of typical skin vesicles, vague pain. In addition, gynecological diseases can cause discomfort in the lumbar region. Similarly, an acute Lyme disease can usually trigger wandering back pain.

Psychosomatics
As with all areas of the spine, psychosomatic problems may play a role in the genesis of pain: the spine is an important “effector organ”.  Phrases like: “Somebody has to bear heavily on something,” “Has anyone broken the backbone”, “Someone had to bow and scrape” are references from the vernacular, referring to this connection.

Pain with no organic background may occur as a conversion from depression. Recent studies have demonstrated the effectiveness of psychotherapy: behavioral results in both acute and chronic low back pain to more effective pain relief and functional improvement.
Manual medicine
Even in the non-specific, low back pain can be found regularly blocking, especially in the lumbar spine and the sacroiliac. These may be primary or secondary.