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Friday, July 10, 2009

Pain In The Lower Back: How To Handle It

By Dr. Stefan Tarlow

The lumbar region of the back consists of the lowermost five vertebrae. Vertebrae are cushioned and separated by cartilage-coated, spinal discs that consist of a gel-like substance.

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:

Strains are caused by muscle injury.

Sprains are caused by ligament injury.

A pinched nerve is called sciatica.

Sacroiliitis: Inflamed hip joint.

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

Herniated disc.

Strains and sprains may happen for a variety of reasons and may be caused by a combination of events. Poor posture, repeated improper lifting, and obesity damage the lower back a little bit at a time over time.

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Following a sprain or a strain, it is a good idea to apply heat and cold packs alternately. You might also treat with ultrasound, massage therapy, or electrical stimulation. Tractions and reductions (physical maneuvering of the bones) may also be helpful. A doctor can provide local injections of anesthetics or corticosteroids for pain relief. It is important to ease back into regular activity after a couple of days rest.

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.

Back surgery knows as spinal fusion is a last resort when all non-surgical options have been tried. This surgery works by limiting the movement in the most painful part of the back.

Back surgery is deemed successful if the pain is reduced. However, it may take over a year to find this out, as recovery can be slow. Complete relief of pain is quite unusual. It is important to discuss all of the alternatives for treatment with your doctor. It may be that surgery is not the right choice for you.

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