Low back pain that lasts at least one day and limits activity is a common complaint. Globally, about 40% of people have LBP at some point in their lives, with estimates as high as 80% of people in the developed world. Approximately 9 to 12% of people (632 million) have LBP at any given point in time, and nearly one quarter (23.2%) report having it at some point over any one-month period. Difficulty most often begins between 20 and 40 years of age. Low back pain is more common among people aged 40–80 years, with the overall number of individuals affected expected to increase as the population ages.
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.
Because many different conditions may cause back pain, a thorough medical history will be performed as part of the examination. Some of the questions you are asked may not seem pertinent to you but are very important to your doctor in determining the source of your pain.
I purchased and now use a TENS unit for back pain. By using the TENS, I have stopped going to the chiropractor and my lower back pain is gone. I also use a massage cushion in my chair when using my computer and you can see some of the best ones here. I did not finish the digging; I had a kid in the neighborhood do that for me. I did, however, being pain free, plant my seeds, tomato plants, and bell peppers. One thing about this type of gardening is that there are no weeds and no bending over! By the way, I designed this and built it myself with the men in the neighborhood watching me. Girls can do anything!
When sitting in an office chair, shifting one’s weight forward increases stress on the soft tissue, joints, and discs, and this in turn can create muscle tension and pain in the lower back and legs (e.g. sciatica).
My opinion is that people should not go longer than 30 minutes in a chair without standing, deep breathing, walking and If you think I am crazy for asking that much of you, then I suggest you not go longer than 20 minutes.
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Epidural corticosteroid injection (ESI) is a procedure in which steroid medications are injected into the epidural space. The steroid medications reduce inflammation and thus decrease pain and improve function. ESI has long been used to both diagnose and treat back pain, although recent studies have shown a lack of efficacy in treating low back pain.
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Many automobiles also have lumbar support in the seats. This feature is activated by a button which is usually located with the other seat controls. It allows the driver and passengers to inflate the lumbar section of the car seats to the amount of support preferred. It feels almost like using a lumbar support cushion, though this type of support is built right into the car.
Pain in the lower back may be linked to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, lower back muscles, abdomen and pelvic internal organs, and the skin around the lumbar area. Pain in the upper back may be due to disorders of the aorta, tumors in the chest, and spine inflammation.