^ 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.
The importance of proper lumbar support cannot be underestimated. Damage to the musculature in the lumbar area can result in excruciating pain. In addition, the damage may ultimately lead to a decreased capacity to walk, even possibly causing paralysis if enough damage is done to the area. For anyone who notices slight twinges of pain in the lower back, taking steps to secure some type of back support could make a substantial impact on the quality of life in future years.
A considerable percentage of patients with back pain experience both occasional bouts of more intense pain as well as more-or-less continuous mild back pain, making it harder for the doctor to determine whether they have acute or chronic back pain.
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De Carvalho and Callaghan  performed a radiological study on the effect of lumbar support prominences on spinal and pelvic postures in an automobile seat . An increase in the depth of the support prominence was noted to significantly increase the extension of the intervertebral joints of the lumbar spine . However, the investigators could not state whether comfort was affected over the long term and what changes could be expected in patients with LBP . Moreover, Makhsous et al.  noted that a backrest fitted to the lower spine and reduced ischial support improved the position of the spine in healthy individuals. The total and segmental lumbar lordosis was maintained, the sacrum was rotated forward, and the lumbar intervertebral disc heights were increased. Again, any changes in patients with LBP could not be established.
American College of Physicians (September 2013), Five Things Physicians and Patients Should Question, Choosing Wisely: an initiative of the ABIM Foundation, American College of Physicians, retrieved 10 December 2013
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^ Hendrick P, Milosavljevic S, Hale L, et al. (March 2011). The relationship between physical activity and low back pain outcomes: a systematic review of observational studies. Eur Spine J. 20 (3): 464–74. doi:10.1007/s00586-010-1616-2. PMC 3048226 . PMID 21053026.
Medication treatment options depend on the precise diagnosis the low back pain. Your doctor will decide which medication, if any, is best for you based on your medical history, allergies, and other medications you may be taking.
Adjustable back support chair. Many office chairs have a seatback that can be lowered or raised to better fit the user. The seatback should be positioned so that the curve of the lower spine is supported by the curve in the back of the chair. If more than one person will use the chair, then this level of adjustment may be a good option.
^ Woodman, JP; Moore, NR (January 2012). Evidence for the effectiveness of Alexander Technique lessons in medical and health-related conditions: a systematic review. International journal of clinical practice. 66 (1): 98–112. doi:10.1111/j.1742-1241.2011.02817.x. PMID 22171910.
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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.
Imaging is not typically needed in the initial diagnosis or treatment of back pain. However, if there are certain red flag symptoms present plain radiographs (x-ray), CT scan, or magnetic resonance imaging (MRI) may be recommended. These red flags include:
I highly recommend K-Laser because it is the only Class 4 therapy laser that utilizes three infrared wavelengths that can deeply penetrate into your body to reach areas like your spine and hip. It also costs just a fraction of surgery and does not have any detrimental side effects – a great advantage, since surgery can not only have life-threatening side effects, but also exposes you to dangerous hospital infections.
For many people who work in an office setting, sitting in an office chair without adequate back support can create a great deal of stress on the lower back. This is largely because in the seated position, the lumbosacral discs are loaded three times more than standing, and sitting without back support usually leads to poor posture, which stresses the soft tissues and joints in the spine. For many people, sitting in an office chair either causes or exacerbates lower back pain.
Resting is helpful, but should not usually last more than a couple of days. Too much rest may actually be counterproductive by allowing muscles to weaken, which can lead to further episodes of back pain in the future.
Management of low back pain depends on which of the three general categories is the cause: mechanical problems, non-mechanical problems, or referred pain. For acute pain that is causing only mild to moderate problems, the goals are to restore normal function, return the individual to work, and minimize pain. The condition is normally not serious, resolves without much being done, and recovery is helped by attempting to return to normal activities as soon as possible within the limits of pain. Providing individuals with coping skills through reassurance of these facts is useful in speeding recovery. For those with sub-chronic or chronic low back pain, multidisciplinary treatment programs may help. Initial management with non–medication based treatments is recommended, with NSAIDs used if these are not sufficiently effective.