Medpedia

The content on or accessible through Medpedia.com is for informational purposes only. Medpedia is not a substitute for professional advice or expert medical services from a qualified health professional. Read more

Medpedia Answers

(General Medicine)

Medpedia Answers is a platform for asking and answering questions about health and medicine. Read more.

4 Answers
4 Following
↓ answer this question
Sort By Date Votes
  • 5
    Votes
    answered May 28, 2010 at 05:03PM
    Most commonly, pain in the muscles after forceful or repeated coughing can represent muscle strain. Some people may describe the pain as similar as that in "Charley horse" but not in the calf. The pain can persist for hours or longer if the muscle strain is severe enough. Over the counter non-steroidal anti-infmmatory medications such as naproxen or ibuprofen, as well as warm heating pads can be helful in relieving the pain.

    If the pain is severe, or persists for long time, the symptom could represent something more serious than a muscle strain including a bone fracture, inflammation of the interveterbral discs, or even a compressed nerve. If you are experiencing sudden, severe pain after coughing, you should be seen propmtly by a health care professional for evaluation for the symptom.
  • 2
    Votes
    answered May 31, 2010 at 10:47AM
    Often, lower back "muscle pain" is referred pain from a herniated disc; especially given the high prevalent of discogenic pain found in our middle-aged American population. As far as I know, there are no specific studies that prove that coughing activates the quadratus lumborum or multifidi muscles. In fact, coughing activates other repiratory muscles in the chest and abdominal muscles. So it's hard to attribute coughing to muscle strain. However, coughing does increase the abdominal pressure and that pressure can increase intradiscal pressures. If a protruding disc is present, coughing can elicit pain.

    Multifidi spasms or strains may be secondary to the underlying inflammation of the dorsal rami at the lumbar disc level. It's important to be evaluated by a back specialist like a physiatrist to distinguish if the pain is actually from the muscle or is referred from irritation of the nerves to the back from a herniated disc. Without a good diagnosis, it's been shown that patient's outcomes with medications and therapy are less effective. If the pain is found to be from a disc, the treatment is similar to a muscle strain. But there are much more effective treatments available as well.
  • 1
    Votes
    answered May 31, 2010 at 11:34AM
    A cough increases the pressure in the trunk. This extra pressure will impact upon tissue that has become sensitive to mechanical loading, for example the disc. The affected tissue will then send 'danger' signals to the brain, the brain scrutinising this information before responding appropriately. If there is a perceived threat the brain will produce the experience of pain amongst other protective responses including changes in muscle activity. Altered muscular activity can be tightening or spasm about the affected area thereby adding to the symptoms.
    Essentially it is important to understand that pain is a brain experience produced as a way of protecting us from danger. There is no 'muscle pain' or 'disc pain' only a conscious experience created by the brain and allocated a location via the somatosensory humunculus along with other protective measures (autonomic, endocrine, immune, motor systems).
    • I agree. Pain is the perception of the brain to injury to the body. Our brain usually allocates the location to an area of our bodies with pretty good accuracy. But there our times where somatic pain perception overlaps with visceral pain. Thus, when our brain interprets "back pain" from the back, there are many structures in the back that must be evaluated to determine what the source of injury or "danger" is.
      Patrick L Wong MD commented May 31, 2010 at 12:07PM
  • 1
    Votes
    answered May 31, 2010 at 12:21PM
    Agreed. Looking at the potential contribution of somatovisceral reflexes is very important.
The content on or accessible through Medpedia.com is for informational purposes only. Medpedia is not a substitute for professional advice or expert medical services from a qualified health professional. Read more
Editor Directory - browse by last initial
ABCDEFGHIJKLMNOPQRSTUVWXYZ
Professional Directory - browse by last initial
ABCDEFGHIJKLMNOPQRSTUVWXYZ
Cancel