^ Shmagel, Anna; Krebs, Erin; Ensrud, Kristine; Foley, Robert (2016-09-01). Illicit Substance Use in US Adults With Chronic Low Back Pain. SPINE. 41 (17): 1372–1377. doi:10.1097/brs.0000000000001702. ISSN 0362-2436.
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Only your physician or chiropractor can tell you if you have degenerated discs, nature’s shock absorber pads between each vertebra. The lumbar area can become herniated usually due to injury or heavy lifting. It can cause sciatica where you feel pain from the tailbone (coccyx) down your legs. If that pain goes beyond your knees, you must see your chiropractor or doctor. This can also be called sacroiliac joint dysfunction. This is where the bottom of the lumbar spine and top of the tailbone causes lower back pain at S1.
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Sydney’s Chris Maher, who is an author on the exercise and drug studies, suspects that the particular kind of exercise you end up choosing may be much less important to solving the problem than simply finding a way to be more active. “The best form of exercise,” he asserts, “is the one you’re going to stick with.”
Following any period of prolonged inactivity, a regimen of low-impact exercises is advised. Speed walking, swimming, or stationary bike riding 30 minutes daily can increase muscle strength and flexibility. Yoga also can help stretch and strengthen muscles and improve posture. Consult a physician for a list of low-impact, age-appropriate exercises that are specifically targeted to strengthening lower back and abdominal muscles.
If infection, such as a spinal epidural abscess, is the source of the back pain, surgery may be indicated when a trial of antibiotics is ineffective. Surgical evacuation of spinal hematoma can also be attempted, if the blood products fail to break down on their own.
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^ a b c d American College of Occupational and Environmental Medicine (February 2014), Five Things Physicians and Patients Should Question, Choosing Wisely: an initiative of the ABIM Foundation, American College of Occupational and Environmental Medicine, archived from the original on 11 September 2014, retrieved 24 February 2014, which cites
Stand up throughout the day to stretch your body appropriately, the way it is meant to be stretched. The simple act of standing as tall as possible for a minute or two will help break the pattern of sitting, as long as you repeat it frequently. Be sure that while standing you take full deep breaths to expand your torso as well. We often have very shallow breath while we sit, counter that with big deep breaths as often as you can throughout the day.
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That’s easy—use them anywhere you need pain relief when sitting or lying down. Put on your bed when reading or watching TV. Put them in the car or truck. They are an added dimension when used in an office chair. They will help you to relax and remove pain when you are on a sofa or sitting in your recliner, airplane seat or even wheelchair. Those in wheelchairs also will benefit from lumbar support pillows or cushions.
^ Posadzki, P; Ernst, E (September 2011). Yoga for low back pain: a systematic review of randomized clinical trials. Clinical rheumatology. 30 (9): 1257–62. doi:10.1007/s10067-011-1764-8. PMID 21590293.
Sleeping: Individual needs vary. If the mattress is too soft, many people will experience backaches. The same is true for sleeping on a hard mattress. Trial and error may be required. A piece of plywood between the box spring and mattress will stiffen a soft bed. A thick mattress pad will help soften a mattress that is too hard.
Does that mean you shouldn’t seek treatment when your back locks up? Of course not. Just know that it’s unrealistic to credit any one particular treatment or special exercise method as the magic cure for acute back pain. When a back pain professional says, “I know what your problem is and I know how to cure it,” listen, but be skeptical. This person may be able to help you. But when you consider the time and financial investment involved, remember the scientific facts. No one can predict how one individual will respond to one type of back pain treatment.
Lifting: Don’t lift objects that are too heavy for you. If you attempt to lift something, keep your back straight up and down, head up, and lift with your knees. the object close to you, don’t stoop over to lift. Tighten your stomach muscles to keep your back in balance.
Cauda equina syndrome is a medical emergency whereby the spinal cord is directly compressed. Disc material expands into the spinal canal, which compresses the nerves. A person would experience pain, possible loss of sensation, and bowel or bladder dysfunction. This could include inability to control urination causing incontinence or the inability to begin urination.
Understanding the cause of your back pain is the key to proper treatment. Because back pain is sometimes difficult to treat, a better understanding of the cause of your condition will assist in your recovery.
Other NIH-funded studies are investigating physical therapy and chiropractic approaches. For example, researchers are studying whether therapy programs that emphasize certain types of exercises, such as core stabilization exercises, provide benefit to people who experience recurrent low back pain.
^ a b c Steffens, Daniel; Maher, Chris G.; Pereira, Leani S. M.; Stevens, Matthew L; Oliveira, Vinicius C.; Chapple, Meredith; Teixeira-Salmela, Luci F.; Hancock, Mark J. (11 January 2016). Prevention of Low Back Pain. JAMA Internal Medicine. 176: 199–208. doi:10.1001/jamainternmed.2015.7431. PMID 26752509.
The Vremi Premium Support Lumbar Pillow is made from 100 percent premium memory foam that curves to the unique shape of your back to provide the support you need to maintain your posture. Made from a black hypo-allergenic cotton and lined with complimentary gray piping, the pillow will look professional in any office setting. The pillow comes with adjustable dual straps that allow you to securely fit the pillow to any size or style office chair. Measuring 13 x 12.5 x 4.25 inches, the lumbar pillow comes with a removable and breathable mesh cover that allows air to circulate, so your back stays cool.