Why does my waist hurt when I take a deep breath?

If you feel pain in your waist when you inhale, it may be a lumbar contusion. If there is no bump, it may be due to a disease, such as bone hyperplasia, herniated disc, lumbar fracture, lumbar muscle strain, kidney stones, urinary tract infection, etc. You can choose surgical treatment or non-surgical treatment, but it still needs to be decided based on the specific symptoms.

Common diseases

Lumbar bone hyperplasia, intervertebral disc herniation, lumbar hypertrophy, spinal stenosis, lumbar fracture, spinal canal tumor, acute and chronic lumbar trauma or strain, lumbar muscle strain, ankylosing spondylitis, etc. can all cause low back pain. Diseases such as urinary tract infection, urinary tract stones, tuberculosis, etc. can also cause low back pain. Reproductive organ diseases, such as cervicitis, salpingitis, pelvic inflammatory disease, chronic adnexitis, pelvic peritonitis, inflammation of the uterosacral ligament or connective tissue, are prone to complications of low back pain. Retroverted uterus, retroflexion, and uterine prolapse are one of the causes of low back pain in women. Serious reproductive organ diseases such as uterine fibroids, cervical cancer, ovarian cysts, etc. can cause compressive involved low back pain.

Differential Diagnosis

1. Kidney stones and ureteral stones

The low back pain caused by kidney stones is usually severe and radiates to the inner thigh. In severe cases, it is accompanied by symptoms of sweating and nausea.

2. Urinary tract infection

The low back pain in pyelonephritis is mostly on one side. In addition, it is accompanied by fever, percussion pain in the kidney area, hematuria, frequent urination, urgency, and pain when urinating.

3. Nephritis and nephrotic syndrome

Patients often experience dull discomfort, soreness and pain in the waist, but this type of waist pain is far less intense than the pain caused by pyelonephritis and kidney stones.

Treatment principles

1. Both surgical and non-surgical treatments are available. Surgical treatment should strictly follow the indications.

2. Steroidal anti-inflammatory drugs can reduce congestion and edema in cases of cumulative strain or sprain of soft tissues, and can shorten the course of treatment.

3. If the tenderness point is localized, local blockade is effective and rapid.