Posture when standing – make sure you have a neutral pelvic position. Stand upright, head facing forward, back straight, and balance your weight evenly on both feet – keep your legs straight and your head in line with your spine.
National Collaborating Centre for Primary Care (January 13, 2011), ACR Appropriateness Criteria low back pain, Agency for Healthcare Research and Quality, American College of Radiology, retrieved 9 September 2012
For back pain that is so severe that you need prescription painkillers, be sure to follow the usage guidelines. These medicines may have more unwanted side effects in the long run. The National Safety Council reports that people who treat back pain patients with opioid medications are more likely to have back surgery.
Even if you’re not currently experiencing back pain, having back support can help prevent back pain from occurring when used in anticipation of strenuous activity. Certain back supports can help ensure safe lifting in jobs like construction or moving so each motion is ergonomic and healthy. Keep your back in tip-top shape by using a back brace or other form of back support to take the stress off of it.
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Cauda equina syndrome is a medical emergency whereby the spinal cord is directly compressed. Disc material expands into the spinal canal, which compresses the nerves. A person would experience pain, possible loss of sensation, and bowel or bladder dysfunction. This could include inability to control urination causing incontinence or the inability to begin urination.
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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.
Furthermore, while the current authors tested participants with pain, the intensity of the patients’ LBP was mild. While all participants with pain had experienced an episode of LBP for at least three consecutive days over the last three consecutive weeks, not all patients were symptomatic at the time of data collection.
The diagnosis of low back pain involves a review of the history of the illness and underlying medical conditions as well as a physical examination. It is essential that a complete story of the back pain be reviewed including injury history, aggravating and alleviating conditions, associated symptoms (fever, numbness, tingling, incontinence, etc.), as well as the duration and progression of symptoms. Aside from routine abdomen and extremity evaluations, rectal and pelvic examinations may eventually be required as well. Further tests for diagnosis of low back pain can be required including blood and urine tests, plain film X-ray tests, CAT scanning, MRI scanning, bone scanning, and tests of the nerves such as electromyograms (EMG) and nerve conduction velocities (NCV).
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Low back pain (LBP) is a common disorder involving the muscles, nerves, and bones of the back. Pain can vary from a dull constant ache to a sudden sharp feeling. Low back pain may be classified by duration as acute (pain lasting less than 6 weeks), sub-chronic (6 to 12 weeks), or chronic (more than 12 weeks). The condition may be further classified by the underlying cause as either mechanical, non-mechanical, or referred pain. The symptoms of low back pain usually improve within a few weeks from the time they start, with 40-90% of people completely better by six weeks.