Method (symptom) of Pasternack: determine the pathology
Increasingly, patients come to the doctor with complaints of lumbar pain, which reflexively spread to the leg and pelvic area. Many people, through ignorance and inexperience, blame their condition for osteochondrosis or radiculitis and try to get rid of their own diagnosis, aggravating the situation.
In most cases, discomfort indicates kidney disease. In order to properly diagnose, a competent doctor is obliged to conduct a number of procedures, including a Pasternatsky test (symptom). Pain in the lower back can be a sign of various pathologies, in particular, nearby organs.
This is a research method that allows to identify certain pathologies of the kidneys of different stages (chronic, acute). The information content of this method is based not only on tapping and tapping in the area of the ribs, but also on a urine sample. With existing diseases in the analysis will be an increased number of red blood cells and white blood cells, protein may also be present (indicating pyelonephritis).
Symptom of Pasternack positive does not always indicate the presence of urolithiasis. It occurs when the disease of the musculoskeletal system. Localization of pain occurs in the spinal column, increases with physical activity, weight lifting and movement. An extended diagnosis will be required: consultation of an orthopedist, a neuropathologist, CT and MRI.
Independently assess the symptom of Pasternack is impossible, it should be carried out only by a specialist. The method is carried out at rest in a sitting or standing position. With your fingers of the right hand, the doctor taps the area of the ribs lightly, thus, the intensity and location of the pain syndrome is considered. If the sensations are too pronounced, then put a positive symptom. In addition, urine sampling is taken for microscopic examination.
Symptom of Pasternack: a sign of pathologies
Often a positive result indicates the presence of an inflammatory process in the urinary area and kidneys. Pain can spread throughout the spinal column, while there is no numbness of the skin and high temperature.Symptom Pasternatsky partly helps in the diagnosis, it is necessary to conduct a blood test, urine and instrumental examination.
On examination, a specialist observes the accompanying signs, such as swelling of the face. Puffiness appears at any stage of pyelonephritis. Chronic stage is characterized by hypertension, overwork, fever. In pregnant women, the elderly and patients with diabetes, the disease is extremely difficult - severe pain in the back and during urination, the presence of blood and pus in the urine.
It should be noted that such sensations appear with abdominal disease (pancreas, gallbladder, etc.). Sometimes indicate a pathological process that occurs in the lumbar muscles, gastrointestinal tract, spleen and blood vessels.
Do I have to worry if Pasternack symptom is negative?
It is customary to think that if, with weak strokes or tapping in the area of the ribs, pain syndrome is absent or does not increase, then renal colic and inflammation are excluded. In fact, this is a misconception. Many chronic diseases are in a latent form and do not give themselves up to a certain point, so more thorough diagnosis is required:
- X-ray examination;
- Ultrasound of the bladder and kidneys for inflammation, stones and other abnormalities;
- samples for blood and urine.
Do not ignore the pain and indisposition in the spine and hope for a sudden cure. It is advisable to seek help from a therapist.