Pain in different parts of the lower back could be the result of different factors. Hernia, irritable bowel syndrome, muscle strains, kidney diseases, injuries, improper posture and sciatica or nerve problems can result in lower right side back pain. Lower right side back pain causes difficulty in carrying out simple everyday chores and can become a serious health issue if it is ignored. Lower left back pain causes include muscle problems, herniated discs, wear and tear related to aging and lifting heavy objects.
Cauda equina syndrome is a serious but rare complication of a ruptured disc. It occurs when disc material is pushed into the spinal canal and compresses the bundle of lumbar and sacral nerve roots, causing loss of bladder and bowel control. Permanent neurological damage may result if this syndrome is left untreated.
Now, you can burn out the spasm in the trigger point by getting into the fully contracted position of the glute medius muscle and holding as long as you can. Generally, because this muscle is often very weak, this may not be any longer than 30 seconds to a minute. Once you cannot hold it any more you will stand up and you should notice an immediate relief of the pain on that side.
Not all treatments work for all conditions or for all individuals with the same condition, and many find that they need to try several treatment options to determine what works best for them. The present stage of the condition (acute or chronic) is also a determining factor in the choice of treatment. Only a minority of people with back pain (most estimates are 1% – 10%) require surgery.
Back pain may be classified by various methods to aid its diagnosis and management. The duration of back pain is considered in three categories, following the expected pattern of healing of connective tissue. Acute pain lasts up to 12 weeks, subacute pain refers to the second half of the acute period (6 to 12 weeks), and chronic pain is pain which persists beyond 12 weeks.
Spinal manipulation: Osteopathic or chiropractic manipulation appears to be beneficial in people during the first month of symptoms. Studies on this topic have produced conflicting results. The use of manipulation for people with chronic back pain has been studied as well, also with conflicting results. The effectiveness of this treatment remains unknown. Manipulation has not been found to benefit people with nerve root problems.
Traction involves the use of weights and pulleys to apply constant or intermittent force to gradually “pull” the skeletal structure into better alignment. Some people experience pain relief while in traction, but that relief is usually temporary. Once traction is released the back pain tends to return. There is no evidence that traction provides any longterm benefits for people with low back pain.
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Pain that primarily affects the back is different from a spinal condition that results in mostly leg pain, a condition commonly called sciatica. Typically, sciatica is the result of a pinched nerve in the spinal column.
The lumbar discs are at the lower end of the spine numbered L1, through L5. Some complaints and ailments are interconnected. Joints that are not stable can be the forerunner of disc degeneration that can put pressure on nerves.
A CT scan is an X-ray procedure that combines many X-ray images with the aid of a computer to generate cross-sectional and three-dimensional images of internal organs and structures of the body. A CT scan is a low-risk procedure. Contrast material may be injected into a vein or the spinal fluid to enhance the scan.
Low back pain has been with humans since at least the Bronze Age. The oldest known surgical treatise – the Edwin Smith Papyrus, dating to about 1500 BCE – describes a diagnostic test and treatment for a vertebral sprain. Hippocrates (c. 460 BCE – c. 370 BCE) was the first to use a term for sciatic pain and low back pain; Galen (active mid to late second century CE) described the concept in some detail. Physicians through the end of the first millennium did not attempt back surgery and recommended watchful waiting. Through the Medieval period, folk medicine practitioners provided treatments for back pain based on the belief that it was caused by spirits.
Opioid analgesics: These drugs are considered an option for pain control in acute back pain. The use of these medications is associated with serious side effects, including dependence, sedation, decreased reaction time, nausea, and clouded judgment. One of the most troublesome side effects is constipation. This occurs in a large percentage of people taking this type of medication for more than a few days. A few studies support their short-term use for temporary pain relief. Their use, however, does not speed recovery.
Medication treatment options depend on the precise diagnosis of the low back pain. Your doctor will decide which medication, if any, is best for you based on your medical history, allergies, and other medications you may be taking.
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^ Chaparro, LE; Furlan, AD; Deshpande, A; Mailis-Gagnon, A; Atlas, S; Turk, DC (Apr 1, 2014). Opioids compared with placebo or other treatments for chronic low back pain: an update of the Cochrane Review. Spine. 39 (7): 556–63. doi:10.1097/BRS.0000000000000249. PMID 24480962.
My name’s Jon Muller, a mechanical engineer by day. and founder of Ergonomic Trends. Ergonomics is a topic I’m super passionate about, having witnessed how good ergonomics have helped me first hand with pain and better overall health.
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Driving – it is important to have proper support for your back. Make sure the wing mirrors are properly positioned so you do not need to twist. The pedals should be squarely in front of your feet. If you are on a long journey, have plenty of breaks – get out of the car and walk around.
Muscle strains are the most common cause of low back pain. Patients may or may not remember the initial event that triggered their muscle spasm, but the good news is that most episodes of back pain from muscle strains resolve completely within a few weeks.
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Add a special lumbar cushion to your car to help you stay comfortable and avoid back cramping while driving. This is especially helpful if you plan on taking a long trip or if your daily commute is fairly long. Concentrate on your work and get more done during the work day with an easy to set up lumbar support cushion. You can find the perfect lumbar support cushion; one that molds to your shape, like a memory foam cushion.
In July a team at the Boston Medical Center and others published findings from a study of 320 chronic lower back pain sufferers who were assigned to yoga, physical therapy or a series of educational reading materials about their condition. For the yoga group, the researchers tailored courses to focus on gentle back stretches such as cat-cow (in which practitioners alternatively round and arch their backs while positioned on all fours) and child’s pose (in which the body faces the floor in a modified fetal position). The physical therapy intervention included one-on-one coaching, instructions for at-home exercise and aerobic workout sessions. After three months, the yoga and physical therapy groups were significantly less likely to use pain medication to deal with their discomfort than people who simply received educational material. Overall, the team found yoga to be just as effective as physical therapy; both options reduced pain and improved mobility. In addition, the researchers followed up with participants who continued their exercises (either at home or with an instructor or therapist) for a full year and found these benefits persisted.
The main symptom of back pain is, as the name suggests, an ache or pain anywhere on the back, and sometimes all the way down to the buttocks and legs. Some back issues can cause pain in other parts of the body, depending on the nerves affected.
Imaging is indicated when there are red flags, ongoing neurological symptoms that do not resolve, or ongoing or worsening pain. In particular, early use of imaging (either MRI or CT) is recommended for suspected cancer, infection, or cauda equina syndrome. MRI is slightly better than CT for identifying disc disease; the two technologies are equally useful for diagnosing spinal stenosis. Only a few physical diagnostic tests are helpful. The straight leg raise test is almost always positive in those with disc herniation. Lumbar provocative discography may be useful to identify a specific disc pain in those with chronic high levels of low back pain. Similarly, therapeutic procedures such as nerve blocks can be used to determine a specific source of pain. Some evidence supports the use of facet joint injections, transforminal epidural injections and sacroilliac injections as diagnostic tests. Most other physical tests, such as evaluating for scoliosis, muscle weakness or wasting, and impaired reflexes, are of little use.
^ Chou R, Baisden J, Carragee EJ, Resnick DK, Shaffer WO, Loeser JD (May 2009). Surgery for low back pain: a review of the evidence for an American Pain Society Clinical Practice Guideline. Spine. 34 (10): 1094–109. doi:10.1097/BRS.0b013e3181a105fc. PMID 19363455.
If you are looking to get really tech-savvy, try the Lumo Lift Posture Coach. This wearable device has a sensor that will vibrate when you change your posture from what the posture coach is calibrated to.
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You offer many products that can help us with our daily struggles. Pain is powerful equalizer that cripples us mentally and physically, if we have some tools to help us fight back, even for a few hours or even minutes it gives us hope. So thank you for your services.
National Institute of Neurological Disorders and Stroke. Pain: Hope Through Research. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Pain-Hope-Through-Research. June 9, 2017.