The vast majority of low back pain is mechanical in nature. In many cases, low back pain is associated with spondylosis, a term that refers to the general degeneration of the spine associated with normal wear and tear that occurs in the joints, and bones of the spine as people get older. Some examples of mechanical causes of low back pain include:
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.
The neoprene belts found in pharmacies or sporting goods stores, on the other hand, are more common. If you regularly do heavy lifting on the job, your employer may encourage you to wear one. While they may help prevent back pain, they won’t help you heal. If you have back issues already, talk to your doctor or physical therapist about the best model for your needs.
The procedure, with a price tag averaging $80,000, has a success rate of about 35%. Those most likely to benefit are the young, trim, and athletic, not the typical surgery candidates, whose average age was 54 in a 2008 study by the Spine Research Foundation. (Smoking, being overweight, and taking opioids before the surgery each also reduce the likelihood of a positive outcome.) Even its “successful” patients often end up on painkillers two years after the surgery, according to studies, Ramin writes.
^ a b c d Deyo, RA; Mirza, SK; Turner, JA; Martin, BI (2009). Overtreating Chronic Back Pain: Time to Back Off?. Journal of the American Board of Family Medicine : JABFM. 22 (1): 62–8. doi:10.3122/jabfm.2009.01.080102. PMC 2729142 . PMID 19124635.
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The procedure itself is risky, too. When you go in through the abdomen for any spinal surgery, Ramin tells Quartz, “you have to go through muscle. You detach muscles, you detach ligaments, and ligaments in particular don’t regenerate quickly at all, so you weaken the entire system.” Even when the surgeon enters the patient’s body through his or her back or side, the actual fusing is done perilously close to the spinal cord.
It is important that the back be flush, because this is what provides the support for the lower back. Overall, the lumbar back support should keep the spine in a very natural position. It should not overly accentuate the inward curve, nor should it feel unsupported.
The nerves that provide sensation and stimulate the muscles of the low back as well as the lower extremities (the thighs, legs, feet, and toes) all exit the lumbar spinal column through bony portals, each of which is called a foramen.
PELVIC TILT: Many health professionals believe that anterior pelvic tilt and increased lumbar lordosis indicate abdominal weakness and overly strong (or tight) hip flexors. But, according to a 2004 study in the Internet Journal of Allied Health Science and Practice, there is no relationship between lumbar lordosis and isometric strength of the trunk flexors, trunk extensors, and hip flexors and extensors. Several other studies have also had similar findings.
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