Low back pain may be classified based on the signs and symptoms. Diffuse pain that does not change in response to particular movements, and is localized to the lower back without radiating beyond the buttocks, is classified as nonspecific, the most common classification. Pain that radiates down the leg below the knee, is located on one side (in the case of disc herniation), or is on both sides (in spinal stenosis), and changes in severity in response to certain positions or maneuvers is radicular, making up 7% of cases. Pain that is accompanied by red flags such as trauma, fever, a history of cancer or significant muscle weakness may indicate a more serious underlying problem and is classified as needing urgent or specialized attention.
^ Franklin, G. M. (29 September 2014). Opioids for chronic noncancer pain: A position paper of the American Academy of Neurology. Neurology. 83 (14): 1277–1284. doi:10.1212/WNL.0000000000000839. PMID 25267983.
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There are several muscles in the low back that assist with rotation, flexibility and strength. These muscles are susceptible to injury, especially while lifting heavy objects, or lifting while twisting. A low back muscle strain can be extremely painful but will usually heal within a few days or weeks.
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Spinal stenosis causes back pain in the aging population. As we age, the spinal canal can become constricted, due in part to arthritis and other conditions. If the spinal canal becomes too tight, back pain can be the result.
Most reputable spine surgeons will discourage people from surgery when they don’t think it will be helpful, but “You do see some crazy ways that people are treated by high level clinics,”says Hartigan. They neglect to offer people an option to get better, she asserts, which, in her practice, would involve physical rehabilitation and systemically progressive resistance exercises.
For more information on neurological disorders or research programs funded by the National Institute of Neurological Disorders and Stroke, contact the Institute’s Brain Resources and Information Network (BRAIN) at:
Back pain is pain in any region of the back. It is divided into neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia (tailbone or sacral pain) based on the segment affected. The lumbar area is the most common area for pain, as it supports most of the weight in the upper body. Episodes of back pain may be acute, sub-acute, or chronic depending on the duration. The pain may be characterized as a dull ache, shooting or piercing pain, or a burning sensation. Discomfort can radiate into the arms and hands as well as the legs or feet, and may include numbness, or weakness in the legs and arms.
The cushion contours to your lower back area so that your body’s natural curve is maintained. The materials used are the best quality 100% high-density memory foam, and mesh cover that is removable for cleaning. Sciatica, compressed lower discs, herniated discs and other back pain will be supported using this pillow.
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Shape—can be the conventional pillow-type cushions or wedge shapes where the top part is wider than the narrower bottom. The wedge is good for some people in the car. Some brands are heated for addition comfort to the lumbar area.
About 50% of women experience low back pain during pregnancy. Some studies have suggested women who have experienced back pain before pregnancy are at a higher risk of having back pain during pregnancy. It may be severe enough to cause significant pain and disability in up to a third of pregnant women. Back pain typically begins at around 18 weeks gestation, and peaks between 24 and 36 weeks gestation. Approximately 16% of women who experienced back pain during pregnancy report continued back pain years after pregnancy, indicating those with significant back pain are at greater risk of back pain following pregnancy.
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OVERWEIGHT: While it seems intuitive that LBP and excess weight could be related, a 2007 paper in the Journal of Rehabilitation Research and Development says the science cannot determine whether they are in fact directly related, under what circumstances they are related, how they become related, the strength of relationship (if one does in fact exist), and the impact of a change in one condition on the other. In other words, we don’t know for sure.
^ Epidural Corticosteroid Injection: Drug Safety Communication – Risk of Rare But Serious Neurologic Problems. FDA. 23 April 2014. Archived from the original on 24 April 2014. Retrieved 24 April 2014.
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If you cannot manage the pain using the medicine you are currently prescribed, this may be an indication for a reevaluation or to go to an emergency department if your doctor is not available. Generally, this problem is best addressed with the doctor writing the prescription who is overseeing your care.
The problem is that a lot of people ignore chiropractic care, thinking that it’s just “pushing bones into place.” However, there’s a whole lot more to chiropractic care. In fact, one of the basic foundations of this health system is “vitalism” – recognizing that the human body has an innate healing intelligence or ‘life force’ that guides and directs your body’s healing process.
Medication – back pain that does not respond well to OTC painkillers may require a prescription NSAID (nonsteroidal anti-inflammatory drug). Codeine or hydrocodone – narcotics – may also be prescribed for short periods; they require close monitoring by the doctor.
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.
Additionally, Stuart McGill, Ph.D. and professor of spine biomechanics at the University of Waterloo, says; “True spine stability is achieved with a balanced stiffening (co-contraction) of the entire trunk musculature, including the abdominals, the latissimus dorsi and the back extensors. Focusing on a single muscle generally results in less stability.”