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^ French, SD.; Cameron, M.; Walker, BF.; Reggars, JW.; Esterman, AJ. (2006). Superficial heat or cold for low back pain. Cochrane Database of Systematic Reviews (1): CD004750. doi:10.1002/14651858.CD004750.pub2. PMID 16437495.

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Spinal disc degeneration coupled with disease in joints of the low back can lead to spinal-canal narrowing (spinal stenosis). These changes in the disc and the joints produce symptoms and can be seen on an X-ray. A person with spinal stenosis may have pain radiating down both lower extremities while standing for a long time or walking even short distances.

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Another possible cause of chronic back pain in people with otherwise normal scans is central sensitization, where an initial injury or infection causes a longer-lasting state of heightened sensitivity to pain. This persistent state maintains pain even after the initial injury has healed.[15] Treatment of sensitization typically involves low doses of anti-depressants.[16]

Using the cushion is remarkably easy as you simply fasten it to the back of your chair. You will need to adjust it slightly to find the optimal position which works best for the contours of your spine.

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Muscles are the usual root of lumbar back pain. It can be from muscle strain, not working your muscles correctly and a number of other reasons that only a medical professional can tell you. Do you lift correctly? Do you lift things that are too heavy not using your leg muscles? Do you bend and stay bent for long times? Did you pull your back muscles?

Experts believe TENS encourages the body to produce endorphins, and may possibly block pain signals returning to the brain. Studies on TENS have provided mixed results; some revealed no benefits, while others indicated that it could be helpful for some patients.

Spondylolisthesis: Spondylolisthesis is the partial forward movement (dislocation) of one vertebra over the one below it. Usually, the fifth lumbar (low back) vertebra is dislocated over the first sacral (tail bone) vertebra.

There are plenty of pain rubs and ointments to help ease pain by blocking the sensation. For example, creams with capsaicin can desensitize the pain channels the affected area. Other ingredients you can look for in topical creams include:

Doris Keene (right) talks with her acupuncturist before a treatment at Portland’s Quest Center for Integrative Health. Keene says the treatments have eased her chronic back pain at least as effectively as the Vicodin and muscle relaxants she once relied on. Kristian Foden-Vencil/Oregon Public Broadcasting hide caption

We carry a comprehensive selection of lumbosacral supports that provide the compression and support needed to reduce lower back pain caused by muscle strains and spasms. Made of material that wicks away moisture and featuring stays that help prevent rolling, our lumbosacral supports are durable and long-lasting. Back Support Belts for Back Pain – Lumbosacral, Lumbar, Sacroiliac & Lower Back Support Belts

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.

In his “Myths and Misconceptions about Psoas Major: Where is the Evidence?” Comerford states, ”There is almost no evidence for psoas being short; it does not produce significant movement in the spine; it has a significant stability role for the lumbar spine, the sacroiliac joint, and the hip; and, like the TvA, the psoas has been shown to have delayed activation in the presence of LBP.” So again, delay in psoas activation is a symptom of back pain, not a cause.

Twenty eight male participants (14 healthy individuals and 14 patients with LBP) between the ages of 21–50 were asked to participate in the study. Healthy individuals consisted of those who were free of LBP for the six months previous to the study, whereas patients with LBP had a history of LBP for at least three consecutive days over the last three consecutive weeks prior to testing. Individuals with a known neurological disorder, scoliosis or other deformity, inflammatory or degenerative arthropathy, connective tissue disease, or a history of spinal surgery were excluded from the study. Individuals with current or previous neck pain in the past three weeks were also excluded. Participants were asked to avoid engaging in any type of resistive exercise for the 48 hours prior to testing. All participants signed the informed consent form. The procedures used were in accordance with the institutional research ethics board. The clinical trial was registered at ClinicalTrials.gov (NCT00754585). Data were collected in the Biomechanics and Elastography laboratory at the Canadian Memorial Chiropractic College (CMCC).

Sciatica is a form of radiculopathy caused by compression of the sciatic nerve, the large nerve that travels through the buttocks and extends down the back of the leg. This compression causes shock-like or burning low back pain combined with pain through the buttocks and down one leg, occasionally reaching the foot. In the most extreme cases, when the nerve is pinched between the disc and the adjacent bone, the symptoms may involve not only pain, but numbness and muscle weakness in the leg because of interrupted nerve signaling. The condition may also be caused by a tumor or cyst that presses on the sciatic nerve or its roots.

^ van Middelkoop M, Rubinstein SM, Verhagen AP, Ostelo RW, Koes BW, van Tulder MW (2010). Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol. 24 (2): 193–204. doi:10.1016/j.berh.2010.01.002. PMID 20227641.

That principle applies equally to chronic and acute low back pain cases, but it may be especially crucial for people whose pain lingers. In 2016 another group of Sydney researchers and their colleagues scoured the available literature and found that exercise was the only treatment approach studied to date that prevented the recurrence of lower back pain. Reviewing the evidence, the team concluded that exercise and education together could cut the risk for another attack of back pain within the year by nearly one half.

The cushion comes with a single strap along the back which is effective but lacks the secure grip of a dual strap design. It also comes with an extension strap for easy adaptability to larger chairs and seats.

Sit in a chair with good lumbar support and proper position and height for the task. Keep shoulders back. Switch sitting positions often and periodically walk around the office or gently stretch muscles to relieve tension. A pillow or rolled-up towel placed behind the small of the back can provide some lumbar support. During prolonged periods of sitting, elevate feet on a low stool or a stack of books.

The pillow is really cute and very soft. My problem is that one seam has an opening that didn’t get sewn correctly and is going to be difficult mend because of the fuzzy and soft material. Will probably return It for a replacement because other than that I really like it.

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In most cases the cause of the sciatica is clear — for example, a disc problem or arthritis. The cause of an episode of back pain, on the other hand, often is more difficult to pinpoint and may be related to the discs, joints, or soft tissue supports (muscles, ligaments, and tendons).

Surgery is seldom considered for acute back pain unless sciatica or the cauda equina syndrome is present. Surgery is considered useful for people with certain progressive nerve problems caused by herniated discs.

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As the structure of the back is complex and the reporting of pain is subjective and affected by social factors, the diagnosis of low back pain is not straightforward.[5] While most low back pain is caused by muscle and joint problems, this cause must be separated from neurological problems, spinal tumors, fracture of the spine, and infections, among others.[3][1]

New research finds that a yoga class designed specifically for back pain can be as effective as physical therapy in relieving pain. The yoga protocol includes gentle poses and avoids more difficult ones. Comstock Images/Getty Images hide caption

^ Cramer H, Haller H, Lauche R, Dobos G (2012). Mindfulness-based stress reduction for low back pain. A systematic review. BMC Complement Altern Med. 12: 162. doi:10.1186/1472-6882-12-162. PMC 3520871 . PMID 23009599.

If you are suffering from lower back pain that is associated with long periods of sitting, you may wish to speak to a professional who can work with you to find solutions for your given situation. In the Beverly Hills area you can contact Yashar Neurosurgery for more information.

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