Biofeedback is used to treat many acute pain problems, most notably back pain and headache. The therapy involves the attachment of electrodes to the skin and the use of an electromyography machine that allows people to become aware of and selfregulate their breathing, muscle tension, heart rate, and skin temperature. People regulate their response to pain by using relaxation techniques. Biofeedback is often used in combination with other treatment methods, generally without side effects. Evidence is lacking that biofeedback provides a clear benefit for low back pain.
^ a b c Katonis, P.; Kampouroglou, A.; Aggelopoulos, A.; Kakavelakis, K.; Lykoudis, S.; Makrigiannakis, A.; Alpantaki, K. (July 1, 2011). Pregnancy-related low back pain. Hippokratia. 15 (3): 205–210. ISSN 1108-4189.
A chiropractor – the chiropractor will diagnose by touching (palpation) and a visual inspection. Chiropractic is known as a direct approach, with a strong focus on the adjustments of the spinal joints. Most good chiropractors will also want to see imaging scan results, as well as blood and urine tests.
Fusion – two vertebrae are joined together, with a bone graft inserted between them. The vertebrae are splinted together with metal plates, screws or cages. There is a significantly greater risk for arthritis to subsequently develop in the adjoining vertebrae.
October 13, 2015 • Most people don’t need scans or surgery, but they do want relief from lower-back pain. Physical therapy isn’t a a study finds, but it did help some people regain mobility more quickly.
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Thoracic pain is the term used to describe upper back or middle back pain. Some of the most common accompanying middle back pain symptoms are soreness to the touch, difficulty in performing simple activities, stiffness, and restriction in body movements.
^ Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Viikari-Juntura E (January 2010). The association between smoking and low back pain: a meta-analysis. The American Journal of Medicine. 123 (1): 87.e7–35. doi:10.1016/j.amjmed.2009.05.028. PMID 20102998.
Nucleoplasty, also called plasma disc decompression (PDD), is a type of laser surgery that uses radiofrequency energy to treat people with low back pain associated with mildly herniated discs. Under x-ray guidance, a needle is inserted into the disc. A plasma laser device is then inserted into the needle and the tip is heated to 40-70 degrees Celsius, creating a field that vaporizes the tissue in the disc, reducing its size and relieving pressure on the nerves. Several channels may be made depending on how tissue needs to be removed to decompress the disc and nerve root.
Bone scans are used to detect and monitor infection, fracture, or disorders in the bone. A small amount of radioactive material is injected into the bloodstream and will collect in the bones, particularly in areas with some abnormality. Scanner-generated images can be used to identify specific areas of irregular bone metabolism or abnormal blood flow, as well as to measure levels of joint disease.
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Most of us spend a good part of our day sitting down, which may be more harmful than you realize. You can minimize the impact by maintaining good posture. Correct posture in a chair means having all the bones in your spine lined up neatly, like a stack of perfectly aligned blocks. You should keep your feet flat on the floor and your computer keyboard within easy reach so you’re not leaning forward or slumping. This is part of proper office ergonomics.
This study did not include female participants as it has been shown that the female sitting posture is different from that of males . While it would be interesting to study the effect of the lumbar support pillow on female participants, controlling for gender effects helped reduce the complexity of the analysis and the need for a much larger sample size. Moreover, the foundations of the chair were constrained, lowering arm rests and fixing the base to prevent rolling, to limit alternate strategies for changing comfort other than postural shifts with respect to the seat pan. Finally, while shorter term (30 minutes) static postural environments are reportedly adequate to determine comfort levels , the results may not generalize to longer seated exposure.
The amplitude of the postural difference in the lumbar region was small, in the order of 2-3°, and it is unknown whether this degree of change is associated with clinical benefit. Although not directly applicable to the current study, small changes in the order of 2-3° may considerably influence the compressive load at L4-L5 , particularly when taking into account the cumulative effect of spinal loading throughout an entire work day. The effect of angular change in the low back, assuming erect seated posture, is multiplied by its action on the position of the center of upper body mass by means of a relatively long moment arm approximating 20% of body height . While it has been shown that the longissimus/iliocostalis muscle fibre angles change when the lumbar spine flexes fully forward , the change in orientation with a small amount of flexion is unknown. A cadaveric study has shown that minimal amount of flexion removes the stress peaks in the posterior annulus but may increase stresses in the nucleus and anterior annulus .
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A third alternative device for achieving lumbar support is the belt. Lumbar belts are usually anywhere from four to eight inches wide. Most designs are constructed to fit easily under the clothing, making it possible to wear the belt in just about any situation. Thicker belts of this type are often employed as a safety measure for warehouse workers, truckers, and others who may be required to lift heavy loads as part of their daily work routine. The belts make it harder to strain the muscles of the lower back while engaged in lifting.
Shiatsu, also known as finger pressure therapy, is a type of massage where pressure is applied along energy lines in the body. The shiatsu therapist applies pressure with his/her fingers, thumbs and elbows.
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Back braces and belts provide adjustable lumbar support where the tension can be tightened to fit your needs. Some have adjustable elastic side pulls and side panels and some have thermoplastic inserts with hook, loop, or Velcro® closures. Read more about best back braces here.
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.