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Others are less specific but can worsen if the blockage is left untreated, leading to fever, sweating, chills, vomiting, hematuria, and diminished urine output.
Renal Tumors or Cysts. Renal tumors or cysts do not typically cause pain unless the growth is advanced or the disbursement is extensive.
The three most common growth abnormalities include:. By and large, renal tumors, whether benign or cancerous, do not cause pain until their size compromises the architecture of the kidney.
It is at this stage that the pain will usually be persistent, aching, and likely to worsen over time. The pain would most often be unilateral and accompanied by hematuria, either visible gross hematuria or invisible microscopic hematuria.
If cancer is involved, persistent malaise and unexplained weight loss are tell-tale signs suggestive of an advanced malignancy. PKD may also be symptom-free until such time as the formation of cysts causes structural damage to the kidney.
In addition to flank pain, usually bilateral, PKD may cause progressively worsening symptoms, including headaches, high blood pressure, hematuria, abdominal pain and swelling, recurrent kidney stones, recurrent UTIs, and renal failure.
As opposed to many of the other renal conditions, PKD is associated with excessive urination polyuria rather than impaired urination.
People will often assume that sudden flank pain is caused by a pulled muscle or overexertion, and, in many cases, it will be.
This is especially true if you are experiencing high fever, chills, vomiting, or the inability to urinate. Even if a kidney infection is mild, it can sometimes progress and lead to bacteremia if left untreated.
The same applies if you experience a dull but persistent pain alongside uncommon symptoms such as painful urination, chronic fatigue, or unexplained weight loss.
If you are pregnant, don't assume that a persistent back pain is pregnancy-related. Be cognizant if there is a dull ache across your lower back or along the sides of your back between the ribs and hips.
If accompanied by symptoms of infection or changes in urination, call your doctor immediately. This is especially true if you are suddenly unable to urinate.
This may be a sign of an obstruction in need of urgent care. Only a medical evaluation can confirm a kidney condition or pinpoint the cause of a kidney pain.
There are no reliable self-exams or tests to do at home. The diagnostic tools include lab and urine tests to evaluate your body chemistry and imaging tests to identify and characterize the nature of the disease.
Labs and Tests. A urinalysis is central to the diagnosis of any renal disorder. A complete urinalysis is performed by a lab to assess the chemical composition of your urine and to find any evidence of kidney dysfunction, including excessive protein , albumin , or red blood cells.
Normal findings, by contrast, can usually rule out the kidneys as the cause. Blood tests will also be used to evaluate your kidney function.
Any abnormalities in the excretion would indicate that the kidneys are not working as they should. If an infection is suspected, a blood test known as erythrocyte sedimentation rate ESR may be used to check for inflammation, while a urine culture can help isolate and identify specific bacterial or fungal infections.
Finally, a complete blood count CBC and liver function test LFT can offer further insights as to whether the dysfunction is caused by an associated disease such as high blood pressure, diabetes, or cirrhosis or if changes in the blood chemistry are consistent with cancer.
Imaging Tests. Imaging tests are used as a means to indirectly visualize the kidneys and adjacent structures. They can identify irregularities in the shape or structure of the kidneys, identify cysts and solid tumors, or pinpoint the location of a bleed or obstruction.
Among the three tools commonly used for this:. Other Procedures. If imaging tests are unable to provide a clear image of an obstruction or disorder of the lower urinary tract, the doctor may recommend a procedure known as cystoscopy.
This involves the insertion of a flexible fiberoptic scope into the urethra to view the bladder and is commonly used to help diagnose bladder stones, cystitis , strictures , and cancer.
Cystoscopy is performed under local anesthesia and may cause pain and mild bleeding. Infection is also possible.
If cancer is suspected, a biopsy may be performed to obtain a sample of cells from suspicious growth.
It can be performed with a fine needle aspiration FNA , in which a narrow needle is inserted into a tumor with the aid of an ultrasound, or a core needle biopsy CNB , which utilizes a thicker, hollow-core needle.
Both are nearly equal in their ability to correctly diagnose renal cancer. Differential Diagnoses. People will often be surprised at how high up the kidneys are in the back.
In many cases, a persistent pain will be incorrectly attributed to the kidneys when it is, in fact, muscle or skeletal problem.
To this end, doctors will often need to explore other causes of "kidney pain" if urinalysis and other tests do not suggest a renal disorder.
While some people assume that kidney pain is a sign of kidney failure , it rarely is. Whether you have chronic kidney disease CKD or acute renal failure ARF , you are more likely to feel pain in the joints and muscles due to the build-up of toxins and depletion of electrolytes than in the kidneys.
The treatment of kidney pain is as varied as the causes themselves. Severe disorders typically require the care of a kidney specialist known as a nephrologist or a urinary tract specialist known as a urologist.
Most kidney infections are bacterial and readily treated with broad-spectrum antibiotics. A urine culture can help isolate the bacterial strain so that the most appropriate antibiotic is chosen.
The most commonly prescribed antibiotics include ampicillin, co-trimoxazole, ciprofloxacin, and levofloxacin.
Resistant bacterial strains may require combination antibiotic therapy or more potent antibiotics like carbapenem. During treatment, you'll need to drink plenty of water to promote urination and help flush the upper and lower urinary tract.
Low-grade injuries can often be treated with extended bed rest. More severe events may require surgical repair, including the placement of renal stents to open obstructed vessels.
Selective embolism, in which a chemical agent or metallic coil is used to block a blood vessel, may help control bleeding. In the worst-case scenario, a surgical procedure known as nephrectomy may be needed to remove one or, less commonly, both kidneys.
While you can function normally with just one kidney, the removal of both would require you to be placed on dialysis until an organ donor can be found.
Treatment is primarily focused on relieving the source of the obstruction. This may involve antibiotics to resolve an infection, nephrostomy the drainage of urine with a urethral catheter , or surgery if a stone cannot be passed on its own.
Severe hydronephrosis may require percutaneous nephrostomy, a procedure in which a tube is inserted through your back to directly drain the kidneys.
A ureter stent may also be placed during cystoscopy to open a blocked ureter. Additional treatments may be needed to address the underlying cause.
In turn, how this kind of pain is experienced can vary: It may be burning, aching, or throbbing, and it may come on suddenly or gradually.
Your doctor will be interested in this information, as it provides initial clues as to what may be the cause of your ankle pain. After a physical exam and possibly imaging, you will move forward with a treatment plan that may entail simple measures like resting and icing your ankle or more time-intensive measures, like physical therapy, or rarely, surgery.
Your ankle joint consists of bones, muscles, cartilage, and tissues called ligaments and tendons.
Injury or disease that affects any of these ankle structures may cause pain. In the end, becoming familiar with these unique diagnoses can help you prepare for the visit with your doctor, whether that is your primary care physician, podiatrist , orthopedic surgeon , or an emergency care provider.
If you or a loved one is experiencing ankle pain, there is a good chance it may be due to one of these common causes:.
An ankle sprain refers to an injury of one or more ligaments tough, fibrous tissues that connect bone to bone. Ankle sprains are common injuries that may occur from stepping off a curb, walking on an uneven surface, a fall, or while engaging in a sport, like tennis or basketball, where a rapid change in direction causes the ankle to roll or twist inward.
The most common ankle ligament sprained is the anterior talofibular ligament ATFL. With a lateral ligament sprain, a person develops throbbing pain on the outside of the ankle.
Medial and high ankle sprains occur much less frequently than lateral ankle sprains. Medial ankle sprains cause throbbing pain on the inside of the ankle and result from the ankle rolling outward.
High ankle sprains cause pain above the ankle, where ligaments connect the two lower leg bones. They result from the foot rotating out with respect to the leg and are most common in people who play impact sports like football.
Ankle tendonitis occurs when the tendons, the attachments of muscle to bone, become irritated and inflamed.
A common type of ankle tendonitis is peroneal tendonitis , which refers to injury of the peroneal longus or the peroneal brevis tendons.
These two tendons run along the outside of the ankle joint. People with peroneal longus or brevis tendonitis often report a history of running on an uneven or slippery surface, or playing in sports that involve rapidly changing directions.
The pain of peroneal longus or brevis tendonitis , often described as a dull ache or a tightening sensation, is located on the outside of ankle, develops over a period of several weeks, and worsens with standing or walking.
Swelling may occur with more severe cases of tendonitis. In addition, sometimes people describe a popping sensation felt along the outside of the ankle.
Another type of tendonitis— posterior tibial tendonitis —typically causes gradual ankle pain on the inside part of the joint, along with swelling.
If left untreated, posterior tibial tendonitis may lead to significant walking problems. While a twisting injury may cause posterior tendonitis, most people do not actually recall a specific trauma.
The Achilles tendon is the largest tendon in the body, joining your calf and lower leg muscles to your heel bone.
Achilles tendonitis causes a burning, tightening pain along the back of the ankle. Mild swelling may also occur, along with morning stiffness in both the heel and calf.
Any activity that places stress on the Achilles tendon can trigger tendonitis, such as playing sports that require sudden starting and stopping or a change in direction.
Wearing poor-fitting shoes, inadequate training, or having bone spurs on the heel may also lead to Achilles tendonitis. Bone Break.
Similar to ankle sprains, twisting or rolling the ankle, tripping on a curb, or falls may cause an ankle fracture.
Besides immediate and severely sharp pain, other typical symptoms of an ankle fracture are swelling, bruising, and an inability to put weight on the ankle.
If the ankle joint becomes dislocated in addition to a bone break, the ankle may appear deformed. Bone Bruise. An ankle bone bruise occurs from a less severe injury to the bone than a fracture.
Ankle bone bruises may occur on their own or along with an ankle sprain. They are often severely painful and cause swelling, similar to that of a fracture.
While your doctor will consider the following other potential diagnoses for your ankle pain, they are not common. Gout , a type of inflammatory arthritis, develops as a result of uric acid crystal formation within one or more joints.
Bone Infection. An infection in the bone osteomyelitis may rarely occur in the ankle. Tarsal Tunnel Syndrome. Tarsal tunnel syndrome refers to compression of the tibial nerve within the "tarsal tunnel" of the ankle similar to carpal tunnel syndrome, which occurs in the wrist.
Peroneal Neuropathy. The common peroneal nerve runs down the lower leg and branches into both the deep peroneal nerve and the superficial peroneal nerve.
Depending on where the nerve is compressed, a person will experience unique symptoms. For instance, compression on the outside of the knee and upper shin, which can occur from prolonged recumbency during a hospitalization or from an excessive crossing of the legs, may cause a foot drop.
Deep peroneal nerve compression causes lateral ankle pain, along with burning or tingling sensations between the two toes of the foot.
This is a rare condition, often resulting from wearing a tight-fitting strap from a shoe. Benign non-cancerous tumors of the foot and ankle, such as a synovial cyst, are not necessarily uncommon, but malignant cancerous bone tumors , such as a chondrosarcoma , are rare.
If at any time, you are unsure of the cause of your ankle symptoms, or if you do not know the specific treatment recommendations for your condition, seek medical attention.
More specifically, these signs warrant a prompt doctor's evaluation:. Ten out of ten really good and will play lots.
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