This week I have had a conversation with a patient worried that his back pain might be a sign of kidney trouble. His pain was right under his lower rib, where the kidney is located, which is why he thought it was the source of his pain.
Today I thought it would be helpful to share the key signs to help identify when pain is musculoskeletal (coming from bones, tendons, ligaments, muscles or joints):
- Position dependent - Musculoskeletal pain is usually worse is some positions than others (it will hurt more when you bend, twist or turn over for example).
- Relievable - Some positions will reduce or eliminate your pain.
- Onset - Musculoskeletal pain can be gradual or immediate but is usually related to a physical activity like awkward lifting or overexerting yourself.
- Location of pain - Musculoskeletal pain is usually localised to a specific area and is tender to the touch.
As my patient’s pain displayed all of the above characteristics I was very confident that it was musculoskeletal.
The other significant indication that his pain was not kidney related was the lack of kidney symptoms. There was no change in frequency or nature of urination, no blood in the urine and no fatigue.
If you have concerns about whether your pain is musculoskeletal or could be a sign of something more serious, don’t be afraid to get in touch. All our osteopaths have completed an intensive four year Masters degree in Osteopathy. During these studies we learn about the anatomy, physiology and pathology of ALL the systems in the body, not just the musculoskeletal system.
By asking questions and performing examinations we can tell you if your symptoms warrant further investigation (and refer you if needed), or if you are worrying unnecessarily - like my patient.
Shane Morris
Leyton Osteopaths