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Friday, June 19, 2009

Lower Back Pain: Definitions & Options

By Dr. Stefan Tarlow

The lower back has five vertebrae that make up the lumbar bones. These vertebrae are separated by spinal discs that are made of a gel-like substance. These discs are coated with cartilage.

The spinal canal surrounds the spinal cord and the nerves that branch away from it. It runs the length of the spinal column. It is common to experience pain in the lower back because the lower back bears most of the weight of the torso. For this reason the muscles, nerves and spine are under a great deal of stress and subject to pain.

As a matter of fact, the second most common complaint people bring to their doctor is low back pain. Only the flu brings people to the doctor more often. Back pain is caused by a variety of things. There is not even a single answer for an individual; however, trauma and injury often bring on back pain. Here are a few of the most often experienced causes of low back pain:

A muscle injury is a strain.

A ligament injury is a sprain.

Sciatica: Pinched nerve.

Sacroiliitis is caused by inflammation of the hip joint.

Disc degeneration is caused by disease (such as arthritis).

Herniated disc.

There are a number of reasons why sprains and strains happen. They could be the result of multiple events. For example, improper lifting, obesity, and poor posture each cause cumulative damage to the lower back as well as other body structures.

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There are a number of ways to treat a sprain or strain. They include: hot and/or cold packs, ultrasound, massage therapy, electrical stimulation, traction and reduction in which the bones are maneuvered physically, and/or anesthetic or corticosteroid injections. It is very important to gently resume normal activity after a couple of days rest to avoid stiffness.

One can avoid and treat back pain with strengthening and conditioning of the muscles of the lower back. General aerobic conditioning and specific strengthening exercises will help with this.

Spinal fusion is a back surgery that is used when all non-surgical options have been tried without success. Spinal fusion limits movement in the most painful area of the back.

If your pain is reduced, your surgery is successful. Keep in mind, however, that it may take more than a year to experience full recovery. Additionally, it is quite unusual for a person to truly have complete relief of pain. Discuss all of the options with your doctor. You may find that surgery is not the right treatment for your situation.

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