If the pain is still not managed adequately, short term use of opioids such as morphine may be useful. These medications carry a risk of addiction, may have negative interactions with other drugs, and have a greater risk of side effects, including dizziness, nausea, and constipation. The effect of long term use of opioids for lower back pain is unknown. Opioid treatment for chronic low back pain increases the risk for lifetime illicit drug use. Specialist groups advise against general long-term use of opioids for chronic low back pain. As of 2016, the CDC has released a guideline for prescribed opioid use in the management of chronic pain. It states that opioid use is not the preferred treatment when managing chronic pain due to the excessive risks involved. If prescribed, a person and their clinician should have a realistic plan to discontinue its use in the event that the risks outweigh the benefit.
It is unclear if among those with non-chronic back pain alternative treatments are useful. For chiropractic care or spinal manipulation therapy (SMT) it is unclear if it improves outcomes more or less than other treatments. Some reviews find that SMT results in equal or better improvements in pain and function when compared with other commonly used interventions for short, intermediate, and long-term follow-up; other reviews find it to be no more effective in reducing pain than either inert interventions, sham manipulation, or other treatments, and conclude that adding SMT to other treatments does improve outcomes. National guidelines reach different conclusions, with some not recommending spinal manipulation, some describing manipulation as optional, and others recommending a short course for those who do not improve with other treatments. A 2017 review recommended spinal manipulation based on low quality evidence. Manipulation under anaesthesia, or medically assisted manipulation, has not enough evidence to make any confident recommendation.
Finally, NIH-funded researchers are studying various complementary and alternative therapies for low back pain, including those aimed reducing stress and negative emotions believed to aggravate the experience of pain. For example, virtual reality programs are being studied for their ability to help people cope with persistent pain.
According to a study published in the journal Anesthesiology, a new high-frequency form of spinal cord stimulation therapy has the capacity to deliver more effective pain relief without any unwanted side effects.
Keeps lower back in an upright or extended position and reduces the strain on pain producing muscles, ligaments, discs and nerve roots of the lower back. Double Pull Lumbar Lower Back Support Brace. N…
Acupuncture, which originates from China, consists of inserting fine needles and specific points in the body. Acupuncture can help the body release its natural painkillers – endorphins – as well as stimulating nerve and muscle tissue.
Stretching can also loosen up tense muscles and strengthen those that need some help. Anytime you begin stretching, you approach each step gently. Stop any stretching exercise that causes pain as forcing a stretch damage or cause strains.
^ a b van Middelkoop M, Rubinstein SM, Kuijpers T, Verhagen AP, Ostelo R, Koes BW, van Tulder MW (2011). A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. Eur Spine J. 20 (1): 19–39. doi:10.1007/s00586-010-1518-3. PMC 3036018 . PMID 20640863.
Boswellia – Also called boswellin or Indian frankincense, this herb has been prized for thousands of years for its powerful anti-inflammatory properties. This is one of my personal favorites, as I have seen it work well with many of my rheumatoid arthritis patients.
Do you want to take stress off your back and relax your back at work or home? Read about the Duro-Med Industries® Relax-a-Bac Lumbar Back Support Cushion Pillow that will give you that experience. Made of foam for superior support with a 20-inch strap and buckle for attaching to a car seat or chair, it is sure to support your lower lumbar back pain. Unzip the washable cover, put in cars, SUVs, on the sofa, recliner, wheelchair, and office chair. It only weighs about a pound so is easy to carry.
^ 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.
Non-steroidal anti-inflammatory drugs (NSAIDs) are typically tried first. NSAIDs have been shown to be more effective than placebo, and are usually more effective than paracetamol (acetaminophen).
When pain zaps the energy out of you and has you irritable and feeling helpless, discover and read about how to alleviate your pain with massage chairs, foot, leg, back, shoulders, and neck massagers. When your lower lumbar back area prevents you from sitting or doing anything, see your doctor or chiropractor for his or her advice about TENS and or EMS units. These also are available as both devices in one unit. When you drive or sit all day, lower lumbar cushions, or pillows are excellent for having you sit straight with better posture to eliminate pain. We hope you will find the right device specific to your pain needs by reading more here. Live healthy and be pain free.