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^ Verdu, Bénédicte; Decosterd, Isabelle; Buclin, Thierry; Stiefel, Friedrich; Berney, Alexandre (2008-01-01). Antidepressants for the treatment of chronic pain. Drugs. 68 (18): 2611–2632. doi:10.2165/0003495-200868180-00007. ISSN 0012-6667. PMID 19093703.

When other therapies fail, surgery may be considered an option to relieve pain caused by serious musculoskeletal injuries or nerve compression. It may be months following surgery before the patient is fully healed, and he or she may suffer permanent loss of flexibility.

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.

There is a significant overlap of nerve supply to many of the discs, muscles, ligaments, and other spinal structures, and it can be difficult for the brain to accurately sense which is the cause of the pain. For example, a degenerated or torn lumbar disc can feel the same as a pulled muscle – both creating inflammation and painful muscle spasm in the same area. Muscles and ligaments heal rapidly, while a torn disc may or may not. The time course of pain helps determine the cause.

Along with chairs, there are cushions and pillows that help to provide lumbar support. Like the office chairs, these types of devices help to minimize or alleviate stress on the muscles of the lower back and prevent a great deal of pain. One advantage to pillows and cushions providing lumbar support is they are portable. The pillows can be taken along and help with back pain in any situation where the individual will be in a seated position for an extended period of time. The cushions work well for people driving long distances, or passengers on a train or plane. They are even helpful when attending a sporting event where the primary seating is wooden or concrete bleachers.

As its name suggests, the Original McKenzie support is shaped a log, rather than a tall cushion. It’s easy to transport and also comes with an adjustable strap to secure the roll to just about any seat.

It’s hard to choose one data point from Crooked that lays bare all the misrepresentation and snake oil in the back pain industrial complex, but a few key statistics that Ramin has collected stand out.

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Activity: Bed rest should be limited. Individuals should begin stretching exercises and resume normal daily activities as soon as possible, while avoiding movements that aggravate pain. Strong evidence shows that persons who continue their activities without bed rest following onset of low back pain appeared to have better back flexibility than those who rested in bed for a week. Other studies suggest that bed rest alone may make back pain worse and can lead to secondary complications such as depression, decreased muscle tone, and blood clots in the legs.

^ a b c d e Vos, T (15 December 2012). Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 380 (9859): 2163–96. doi:10.1016/S0140-6736(12)61729-2. PMID 23245607.

Cayenne cream – Also known as capsaicin cream, this is a spice made from dried hot peppers. It alleviates pain by depleting the body’s supply of substance P, a chemical component of nerve cells that transmits pain signals to your brain.

The two main forms of back support belts are: custom-fit and flexible-fit. If you’ve had back surgery or suffer from adolescent scoliosis, your spinal physician may order a back support that’s molded to your body with heat–treated plastics. Since these devices fit your specific contours, they provide widespread spine stabilization for a specific period of time.

Don’t try to lift objects that are too heavy. Lift from the knees, pull the stomach muscles in, and keep the head down and in line with a straight back. When lifting, keep objects close to the body. Do not twist when lifting.

According to Eyal Lederman, Ph.D., an osteopath and author of several manual therapy textbooks and research papers, “There is no correlation between pelvic obliquity/asymmetry and the lateral sacral base angle and LBP. But there may be an association between severe scoliosis and back pain.”

Sing along, with their Zipcode™ Design Jana bird pillow. Adorable little birds are embroidered in an array of colors and patterns for a fun update. Features a solid orange reverse and piping for added color and 100% polyester filling for simple comfort.

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.

Having a chair with lumbar support can help alleviate any discomfort and encourage you to sit properly so as not to cause stress on these areas of the body. The lower part of your spine naturally curves inward toward the belly, so having lumbar back support helps to promote good posture by filling in the gap between the lumbar spine and the seat. This will support the natural inward curve of the lower spine.

Sit smart. Choose a seat with good lower back support, armrests and a swivel base. Consider placing a pillow or rolled towel in the small of your back to maintain its normal curve. Keep your knees and hips level. Change your position frequently, at least every half-hour.

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