TLDR;
This video explains how to differentiate between kidney pain and back pain, two conditions that can sometimes be confused due to referred pain. It highlights the importance of understanding referred pain, where the source of the pain is different from where it's felt, and how it relates to both back and kidney issues. The video outlines key differences in the nature, location, and accompanying symptoms of each type of pain, as well as when to seek medical advice.
- Referred pain can make it difficult to distinguish between kidney and back pain.
- Key differentiators include pain location, urinary symptoms, body temperature, and the effect of movement on pain levels.
- Consulting a healthcare professional is crucial for accurate diagnosis and treatment.
Introduction: Kidney Pain vs. Back Pain [0:00]
Dr. Jeremy Andrews from West Chiropractic introduces the topic of differentiating between kidney pain and back pain, a common concern among patients. He addresses the question of whether pain is originating from the kidneys or if it's a back issue potentially affecting other parts of the body. The discussion begins with an explanation of referred pain and its relevance to diagnosing the source of discomfort.
Understanding Referred Pain [0:26]
Referred pain is defined as pain felt in one area of the body that originates from a different location. Sciatica is used as an example, where nerve compression in the lower spine causes pain down the leg. The sciatic nerve can be trapped by a disc prolapse, a tight piriformis muscle, or rotational instability in the lumbar spine, leading to pain that shoots down the leg. The video then poses the question of whether kidney pain or lower back pain can be considered referred pain.
Nerve Supply and Referred Pain from the Spine [1:34]
The nerves in the base of the spine supply the kidneys, digestive tract, colon, stomach, liver, bladder, and legs. It's crucial for these nerves to function optimally. Nerves exiting beneath the ribs supply the kidneys, and issues in this area can cause referred pain. Lower back problems can also lead to digestive issues as a knock-on effect or referred pain. If digestive issues are a concern, consulting a GP for tests is advised to rule out digestive disorders alongside structural issues in the lower back.
Distinguishing Kidney Pain from Back Pain [2:37]
Back pain is often described as a persistent, low-level dull ache, common in individuals with a history of lower back pain. Flare-ups can occur from everyday activities, causing sharp pain that may radiate down the legs, eventually settling back into a dull ache. Kidney pain can also manifest as a dull ache but can also present as a sharp, burning sensation, especially if there's an infection. Key differentiators include the location of the pain (higher up around the base of the ribs for kidney pain), urinary symptoms (increased urination or blood in the urine), elevated body temperature, and the lack of relief from movement or finding a comfortable position.
Self-Assessment and When to Seek Professional Help [5:10]
As a chiropractor, the speaker clarifies that they don't specialize in kidney pain but can assess lower back pain. If symptoms like blood in the urine or acute kidney pain are present, seeking a GP's advice is recommended. Simple self-tests include assessing pain levels during movement and identifying the pain's location. Pain that doesn't change with movement is more likely kidney-related, while pain across the buttocks suggests a lower back issue. Pain around the base of the ribs may indicate a kidney problem. Chiropractors often address the thoracolumbar junction to relieve lower back pressure and may refer patients to a GP if kidney issues are suspected based on movement tests, urine checks, and temperature assessments.
Conclusion and Additional Resources [6:57]
The importance of maintaining lower back stability is emphasized. Viewers are encouraged to subscribe to the channel and download a free book, with a physical copy offered within the country. The link is provided in the comments section.
