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Kidney Pain Versus Back Pain

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Back pain generally affects the middle of the lower back, while kidney pain is felt in the higher back and is deeper.

Medically reviewed by

Dr. Yash Kathuria

Published At December 19, 2023
Reviewed AtDecember 19, 2023

Introduction:

Kidney pain can be often confused with back pain by people most of the time. Back pain can be frequently felt at the mid-region of the back, over the spine, and most of the time affects the lower back. Spine-associated problems can also cause back pain, sometimes radiating down to the legs. This pain is mostly felt higher on the back and usually feels deeper. Mostly, kidney pain symptoms are felt under the ribs, either to the right or left of the spine. It might also radiate to other areas, such as the abdomen or groin. Hip pain is sometimes confused with kidney pain, but hip pain is felt much lower on the back than kidney pain.

What Is Kidney Pain?

Kidney pain (renal pain) is discomfort located near the kidneys. Kidneys are structures that are bean-shaped. These two bean-shaped organs are located just below the ribcage on both sides of the spine. Kidney pain does not mean there is a problem always with the kidneys. It can indicate an issue somewhere in the urinary system.

What Are the Causes of Kidney Pain?

Kidneys are connected to the bladder and ureters (the tubes that carry pee from the kidneys to the bladder). Issues with any of these areas can cause pain and discomfort. Some possible causes of kidney pain are:

  • Kidney stones: Kidney stones are formed by the deposition of minerals or compounds inside the body. The stones might sometimes be as small as a grain of sand or larger than a pearl. Small stones might flush out from the body on their own. However, larger stones might get stuck in the urinary tract, preventing urine from passing through. In either case, severe kidney pain can occur.

  • Urinary retention: With this condition, a person cannot empty the bladder. This can be caused suddenly or gradually over time.

  • Ureteral stricture: This condition refers to a narrowing of the ureter. The ureters (tubes that transport urine from the kidneys to the bladder). Ureteral stricture can be seen on one or both sides.

  • Kidney infection (pyelonephritis): This condition occurs when bacteria infect the kidneys. Its symptoms are fever, chills, back or side pain, nausea, vomiting, etc.

  • Polycystic kidney disease: People who inherit this condition have fluid-filled sacs (cysts) inside their kidneys. As the cysts grow in size, the kidneys become enlarged, which can result in causing pain. As a result, they might not function appropriately.

What Are the Common Symptoms of Kidney Pain?

People with kidney pain may experience different symptoms. Some of the most frequent kidney pain symptoms are:

  • A constant, dull ache in the back.

  • Pain in the sides, under the rib cage, or in the abdomen.

  • Severe or sharp pain that is seen in waves.

  • Pain that spreads to the groin region.

  • Kidney pain is frequently accompanied by nausea or vomiting, especially if the pain is because of kidney stones.

How Is Kidney Pain Treated?

Kidney pain due to some kidney conditions can be treated by medications such as:

  • Antibiotics: These medicines are recommended in case of a kidney infection.

  • Blood pressure medication: These medications are prescribed to high blood pressure patients caused by polycystic kidney disease.

  • Immunotherapy drugs: These are required in the treatment of kidney cancer.

  • Kidney transplant: Transplantation of a kidney is done in severe cases of kidney disease.

What Is Back Pain?

Back pain is more frequently seen than kidney pain and generally occurs due to a back muscle, bone, or nerve problem. Back pain can occur anywhere on the back but is most commonly located in the lower back or buttocks region. Muscle pain is throbbing in nature. If any nerve has been injured or irritated, the pain is a sharp burning sensation that might travel down the buttock via the lower leg or even foot.

What Are the Causes of Back Pain?

Various reasons can cause back pain. These range from genetic problems to injuries or nerve problems. Some of these conditions are

Spine Irregularities: An abnormal spine curve resulting from conditions such as scoliosis, which can result in back pain.

  • Injury or Strain: Falling, being in an accident, or picking up something heavy can hurt the muscles, the tendons, the connective tissues between the muscles and bones, or the spine.

  • Osteoarthritis (OA): This is seen when the cartilage between the joint breaks down, resulting in stiffness and pain as the bones rub against each other.

  • Sciatica: In sciatica, pressure on the sciatic nerve is caused, which runs from the lower back to the legs. This can result in causing pain in the back and the leg.

  • Herniated Disc (slipped disc): If the cushioning discs between the vertebrae are compressed, they can be pushed outward. This can affect the nerves or spinal cord, resulting in pain.

How Is Back Pain Treated?

  • Medication: To treat back pain, painkiller medications or analgesics are commonly taken, like acetaminophen (NSAIDs), nonsteroidal anti-inflammatory drugs such as Advil, or injected steroids. Muscle relaxants might also help.

  • Surgery: Surgery might be helpful in some cases like to fuse spine sections for stabilization, in cases of OA, or to correct a spinal curve from scoliosis. Surgery can also remove pressure from a herniated disc on a nerve.

Back pain can also be relieved by natural and lifestyle remedies, such as:

  • Physical therapy and exercises that strengthen the core.

  • Hot or cold packs.

  • Sticking to activities that limit stress on the back.

  • Losing weight, if required.

Conclusion:

Kidney and back pain are often mistaken to be the same by people, but it is very different. It can be identified by the location of the pain, type of the pain, etc. Back pain frequently affects the middle of the back, over the spine, and most of the time, it affects the lower back. Spine-associated problems can also cause back pain, sometimes radiating down to the legs. Kidney pain is frequently located higher on the back and usually feels deeper. They both can be treated as per the underlying conditions.

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Dr. Yash Kathuria
Dr. Yash Kathuria

Family Physician

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kidney painback pain
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