When a herniated disc is compressing the nerve roots, hemi- or partial- laminectomy or discectomy may be performed, in which the material compressing on the nerve is removed. A mutli-level laminectomy can be done to widen the spinal canal in the case of spinal stenosis. A foraminotomy or foraminectomy may also be necessary, if the vertebrae are causing significant nerve root compression. A discectomy is performed when the intervertebral disc has herniated or torn. It involves removing the protruding disc, either a portion of it or all of it, that is placing pressure on the nerve root. Total disc replacement can also be performed, in which the source of the pain (the damaged disc) is removed and replaced, while maintaining spinal mobility. When an entire disc is removed (as in discectomy), or when the vertebrae are unstable, spinal fusion surgery may be performed. Spinal fusion is a procedure in which bone grafts and metal hardware is used to fix together two or more vertebrae, thus preventing the bones of the spinal column from compressing on the spinal cord or nerve roots.
OPTP (Orthopedic Physical Therapy Products) is known for its loyalty to the round shape of the McKenzie orthopaedic roll, producing it for nearly 30 years. The cushion features a foam construction available in the option of standard density or firm density depending on your preference. The roll is designed to sit along the curve of the lower spine keeping your upright.
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Sciatica is a form of radiculopathy caused by compression of the sciatic nerve, the large nerve that travels through the buttocks and extends down the back of the leg. This compression causes shock-like burning low back pain combined with pain through the buttocks and down one leg, occasionally reaching the foot. In the most extreme cases, when the nerve is pinched between the disc and the adjacent bone, the symptoms may involve not only pain, but numbness and muscle weakness in the leg because of interrupted nerve signaling. The condition may also be caused by a tumor or cyst that presses on the sciatic nerve or its roots.
^ Williams CM, Henschke N, Maher CG, et al. (2013). Red flags to screen for vertebral fracture in patients presenting with low-back pain. Cochrane Database of Systematic Reviews. 1: CD008643. doi:10.1002/14651858.CD008643.pub2. PMID 23440831.
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Radiofrequency denervation is a procedure using electrical impulses to interrupt nerve conduction (including the conduction of pain signals). Using x-ray guidance, a needle is inserted into a target area of nerves and a local anesthetic is introduced as a way of confirming the involvement of the nerves in the person’s back pain. Next, the region is heated, resulting in localized destruction of the target nerves. Pain relief associated with the technique is temporary and the evidence supporting this technique is limited.
A Grahl Duo Back™ office chair (Rohde & Grahl, Steyerberg/Voigtei, Germany), fixed in position to prevent it from swivelling or rolling, was used for the study. The arm rests were lowered so that they were not used and to ensure the maximum amount of loading was transferred to the seat pan of the chair. The chair had all the features of a typical ergonomic office chair but it was unique in that the back rest did not provide any specific lordotic support and was split vertically, providing access to the midline for sensor attachment.
Lumbar supports can help manage pain and improve posture-related back issues. However, not all back injuries can be cured with a lumbar support. It is always best to see a healthcare professional for serious back problems. However, a lumbar support can certainly reduce the risk of many back injuries.
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In the United States 85 to 90% of people experience back pain at some time during their lives. Back pain is the second most common reason people visit their family doctors (just after upper respiratory infections).
Nonsteroidal anti-inflammatory medications (NSAIDs) are the mainstay of medical treatment for the relief of back pain. Ibuprofen, naproxen, ketoprofen, and many others are available. No particular NSAID has been shown to be more effective for the control of pain than another. However, your doctor may switch you from one NSAID to another to find one that works best for you.
Opioid painkillers like OxyContin, which are also commonly prescribed for back pain relief, also have a highly addictive nature. In fact, opioids are among the most commonly abused prescription drugs today, and are a leading contributor to the increasing rates of fatal prescription drug overdoses. This is why back pain is now one of the primary reasons why so many American adults get addicted to painkillers.
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This shipping option is available for the majority of our merchandise, with the exception of items designated as Online Only or In-Home Delivery Only, at all U.S. Pier 1 Imports stores. Just select our free Store Pickup option during checkout. Most Store Pickup orders are processed within hours, and you will receive an email notifying you when your items are ready for pickup at the Pier 1 store of your choice that has them in stock.
Back rehabilitation is achieved through specific low back pain exercises known as core stability exercises. These exercises improve spinal stability and posture. A back support or back brace helps to prevent slouching and bad posture. Good posture relies upon a forward curve in the lower back, which is known as the lordosis. If the lordosis is maintained during sitting and activities then the upper part of the spine will be in the best position to deal with the loads that are placed on the back.
Diffuse idiopathic skeletal hyperostosis (DISH or Forestier’s disease) is a form of degenerative arthritis. It is characterized by calcification along the sides of the vertebrae of the spine. Symptoms include stiffness and pain in the upper and lower back. Anti-inflammatory medications are used to treat DISH.
People who can be taught to train themselves to react in a different way to pain may experience less perceived pain. CBT may use relaxation techniques as well as strategies to maintain a positive attitude. Studies have found that patients with CBT tend to become more active and do exercise, resulting in a lower risk of back pain recurrence.
Surgery for back pain is typically used as a last resort, when serious neurological deficit is evident. A 2009 systematic review of back surgery studies found that, for certain diagnoses, surgery is moderately better than other common treatments, but the benefits of surgery often decline in the long term.