Lower Back Hurts When Walking Or Standing
Your lower back provides support and stability to your body when youre in an upright position. Each vertebra is separated by a jelly-filled disc that serves as a cushion. These discs can become inflamed when standing for long periods of time. They can also experience wear and tear with age. Standing or walking for extended periods of time may aggravate this inflammation, resulting in pain.
Can I Prevent Lower Back Pain
You cant prevent lower back pain that results from disease or structural problems in the spine. But you can avoid injuries that cause back pain.
To reduce your risk of a back injury, you should:
- Maintain a healthy weight: Excess weight puts pressure on vertebrae and disks.
- Strengthen your abdominal muscles: Pilates and other exercise programs strengthen core muscles that support the spine.
- Lift the right way: To avoid injuries, lift with your legs . Hold heavy items close to your body. Try not to twist your torso while youre lifting.
If Youre Experiencing Back Pain Let Us Help You
At Spine Works Institute, we take pride in helping patients through safe and natural therapies. We have an entire team of physical therapists, chiropractors, massage therapists, and other healthcare professionals who are ready to assist you.
Call us at 616-0700 to schedule an appointment, or learn more about our practice here.
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What Are Some Common Lower Back Pain Causes
The causes of lower back pain are sometimes viewed as being mechanical, organic or idiopathic. Sometimes spinal conditions are congenital or acquired meaning the disorder develops later in life.
- Mechanical lower back pain is often triggered by spinal movement and involves spinal structures, such as the facet joints, intervertebral discs, vertebral bodies , ligaments, muscles or soft tissues.
- Organic lower back pain is attributed to disease, such as spinal cancer.
- Idiopathic refers to an unknown cause.
These are some of the things your doctor might look for or rule out when you schedule a visit for back pain.
The common symptoms of lower back pain.
Sprains and strains. Ligament sprains and muscle or tendon strains are the most common causes of lower back pain. Theyre often related to overuse.
Degenerative disc disease. While the name sounds worrisome, it just means you have a damaged disc causing pain. Over time, discs become thinner and flatter due to wear and tear. That leaves them less able to cushion the vertebrae and more likely to tear .
Herniated disc. The protective covering on intervertebral discs can tear over time. When this happens, the soft inner disc tissue may push through the outer layer. A disc that bulges or slips out of place is known as a herniated disc, bulging disc, or slipped disc. The herniation may press on nerve roots, leading to symptoms such as pain, tingling, numbness or weakness in the area that the nerve serves
Back Pain Expert Philip Sell On The Questions To Ask
We asked Philip Sell, consultant orthopaedic and spinal surgeon, what he would want to know if he was suffering from back pain.
What is the cause of my back pain?In 85% of cases, were unable to be precise about why people have back pain. This can be frustrating. It may be more helpful to think about what you can do to make your back better quicker. Research has shown that occupational factors or physical factors only play a small part in back pain. Your genes are probably the most significant factor in back pain.
When should I visit my GP with back pain?See your GP as soon as possible if the back pain is combined with difficulty in passing urine or numbness between the legs or around the bottom. For people over the age of 55 with new back pain, a previous history of cancer surgery or loss of weight should also be medically checked as soon as possible.
Should I be resting?You may feel its the wrong thing to do, but keep mobile and active. Resting, bed rest in particular, can prolong the duration of an episode of back pain. Most acute episodes of back pain will settle on their own, often within days rather than weeks. Taking pain relief and keeping active will stop stiffness setting in and keep muscles in good condition.
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Which Lifestyle Factors Contribute To Lower Back Pain
There are three major lifestyle factors that may affect your chances of developing lower back pain:
- Multiple studies have established a link between smoking and lower back pain. Smoking raises inflammation inside the body and hinders the body from healing itself.
- Obesity is also associated with several types of chronic pain, including lower back pain. In people with high body mass index , the stress on the spine increases, contributing to even more wear and tear.
- Your level of physical activity can also play a role in your lower back health. While a sedentary lifestyle could increase your risk of developing lower back pain, so can excessive or strenuous physical activity. Check with your doctor if you are unsure about your ideal level of physical activity.
Who Is Most Often Affected
People who are most likely to experience lower right back pain include the following.
- Right-handed individuals: When the right hand is dominant, this causes the right side of the body to receive more use and become stronger. This can throw the body out of balance and cause additional strain and injury on the right side.
- People over 50: Wear-and-tear of the spinal discs are more common among those in this age group.
- People under 50: Ruptured spinal discs are more common among those in this age group.
- People who play a strenuous sport
- People who sit often
- People who are overweight or obese
- Workers who lift heavy objects
- Weightlifters
- Anyone in a car accident
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What Can I Do For Low Back Pain At Home
If your lower back pain has just started, the best thing you can do is start a log. Record your symptoms, times, dates and which activities trigger the pain or make it worse or better. Take this information to your family physician if the pain doesnt resolve on its own. It will make diagnosing the cause much easier.
Once you know which motion or position causes your lower back pain, try to avoid it and see if you get better. Icing the painful spot can also help. And so can over-the-counter pain relievers that help reduce inflammation. Just remember that pain killers treat only the symptom pain and not its cause.
Stop Trying Passive Treatments
Passive treatments like heat, ice or ultrasound may feel good, but their effect is usually only temporary. Most research indicates that active self-care exercise and postural correction is an effective remedy for low back pain.
A visit to your physical therapist can help determine which exercises are best for your specific condition.
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The Surface Youre Lying On Is At Fault
A lot of the time, we get lower back pain when lying in bed or on our couch, because they are worn out and provide no real support! You should also find out the best sleeping positions for lower back pain.
Depending on the age of your couch or mattress, its very possible you could just be lying on springs, which is going to cause pain and discomfort.
So start by ruling that out. If you dont believe that to be the case, it is very likely one of the conditions well list below.
How Is Lumbar Strain Diagnosed
In addition to a complete medical history and physical exam, diagnosing low back pain may include the following. However, specialized tests aren’t often required.
- X-ray. A diagnostic test that produces images of internal tissues, bones, and organs onto film.
- CT scan. This is an imaging test that uses X-rays and a computer to make detailed images of the body. It shows details of the bones, muscles, fat, and organs.
- MRI. This test uses a combination of large magnets, radiofrequencies, and a computer to make detailed images of organs and structures in the body.
- Radionuclide bone scan. A nuclear imaging technique that uses a very small amount of radioactive material, which is injected into your blood to be detected by a scanner. This test shows blood flow to the bone and cell activity in the bone.
- Electromyogram . A test to evaluate nerve and muscle function.
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Back Hurts After Stretching
Sometimes the reason your back is in pain, or the muscles of the back feel tight, is because you actually move your back too much.
The lumbar spine, or low back, is meant to be stable, meaning there shouldn’t be a lot of excess motion occurring there. Unfortunately though, the low back becomes the point of motion for many with back pain.
When you end up moving too frequently at the lumbar spine during daily activities, as well as with exercise, it creates an unstable segment and leads to pain. This can put additional stress on the bones and ligaments in your spine.
One way you can check to see your level of stability is to perform the “bird dog” exercise. From an all fours position try reaching out your opposite hand and leg. If you feel that your hip rotates or drops, you likely move too easily through your lumbar spine.
If the pain is being caused by excessive motion, creating more motion by stretching the back is likely going to further aggravate the back.
Lower Back Pain: What Could It Be
Do you have lower back pain? You are not alone. Anyone can experience lower back pain at any time, even if you dont have a prior injury or any of the risk factors. It is not always serious and can often get better on its own. But in some cases pain is your bodys way of telling you that something isnt right.
Learn more about lower back pain and what causes it from rehabilitation physician Akhil Chhatre, M.D., who specializes in back pain in the Johns Hopkins Department of Physical Medicine and Rehabilitation.
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When Should I See A Doctor If I Have Lower Back Pain
In many cases lower back pain stops on its own. But if it doesnt, here are some guidelines on when you may want to start seeking professional help:
- If the pain lasts four weeks or longer
- If the pain keeps getting worse as time goes by
- If you are experiencing other symptoms, such as fever, major weight loss or weight gain, loss of function or weakness in extremities, bladder problems, etc.
Symptoms Of Sudden Lower Back Pain
Sudden lower back pain can be presented as sudden acute pain in the lower region of the back, during a particular activity, bending, lifting weight or travelling. Some symptoms associated with sudden lower back pain varying with the underlying cause are
- Inability to stand, walk or difficulty in movement of body parts.
- Radiating pain from the lower back to buttocks, back of thighs and legs.
- Pain that radiates from middle or lower back to the groin in front.
- The area of pain may be sore and tender to touch.
What to Watch for?
If lower back pain is severe and the person is unable to move, immediate medical care is needed. Sudden lower back pain, if accompanied with sudden weakness of lower limbs, loss of control of bowel and bladder, it can be a medical emergency.
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Know Your Otc Medications
Nonprescription pain relievers can help with muscle aches and stiffness. The two main types of over-the-counter options are nonsteroidal anti-inflammatory drugs and acetaminophen. NSAIDs include aspirin, ibuprofen, and naproxen.
True to their name, NSAIDs help lower inflammation that can lead to swelling and tenderness. But acetaminophen does not relieve inflammation. You can reach for either type of pain reliever for occasional back pain. NSAIDs may work a bit better, Hemani says, if you have arthritis of the spine or other inflammatory conditions.
Can Back Pain Be Prevented
Recurring back pain resulting from improper body mechanics may be prevented by avoiding movements that jolt or strain the back, maintaining correct posture, and lifting objects properly. Many work-related injuries are caused or aggravated by stressors such as heavy lifting, contact stress , vibration, repetitive motion, and awkward posture.Recommendations for keeping ones back healthy
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Nonspecific Low Back Pain
This is the most common type of back pain. The majority of cases of sudden-onset low back pain are classed as nonspecific. This is the type of back pain that most people will have at some point in their lives. It is called nonspecific because it is usually not clear what is actually causing the pain. In other words, there is no specific problem or disease that can be identified as the cause of the pain. The severity of the pain can vary from mild to severe. This type of back pain is discussed further below.
Is Lower Right Back Pain Serious
Lower right back pain can vary in severity. You will probably have the best idea of your pain level and when you should see a physician.
- Not serious: Mild pain may come on fairly suddenly after exercise and responds to rest and over-the-counter pain relievers.
- Moderately serious: In some cases, an injury that at first seems minor can become worse over time. Back injuries can easily become chronic if not treated quickly.
- Serious: If your back pain interferes with your normal activities and is becoming severe, you should see a physician as soon as possible.
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If You Pop Your Lower Back On Your Own
Unless you are a chiropractor, you simply dont know the inner-workings of your body and therefore, the greatest risk in cracking your own back is that it can create hypermobility of the joints, which could lead to increased pain and predispose them to increased weakness at those joints.
If you try to manipulate spinal segments without knowledge of anatomy, the proper amount of force to use, ranges of motion, structures of the bones, and the angles involved, then you could end up having fractures, strain or sprain injuries, or neurological damage.
So, either you do it yourself by following the above procedures only, or you can see a licensed chiropractor, physical therapist, or osteopath because, under the care of a qualified practitioner, back manipulation can be safe.
Why Does Back Pain Happen When We Do Sit
To understand why this happens, you need to remember that the abs and lower back are a part of your core.
While we often think of our core as being solely our abs theyre only one part of the equation!
If your lower back isnt strong enough, the core exercises youre doing might just simply be asking too much of your back which then causes your muscles to strain. Or, if you have a weakness anywhere else in your body, your lower back may compensate by taking on more than it can handle.
But pain during exercise doesnt always mean that your back or core are weak the pain in your back can also be a sign that the way you exercise might need tweaking.
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Chronic Low Back Pain Of No Specific Origin
Low back pain is defined as pain, tightness, and stiffness between the lower end of the rib cage and the buttocks. “Chronic” means the pain has lasted for twelve weeks or longer, and “no specific origin” means the pain cannot be traced to any specific cause, incident, or injury.
Most susceptible are individuals who perform heavy physical work, especially when there is ongoing anxiety, depression, and emotional stress at the same time. The longer the stress and back pain continue, the more difficult it is to ease the symptoms and return the patient to normal functioning.
Treatment involves nonsteroidal anti-inflammatory drugs and sometimes opioid medications for pain, though both have risks when used long term. Antidepressants may also be tried, along with psychological counseling.
Corticosteroid injections for the back are effective for some patients, and fusion surgery is sometimes attempted. Lifestyle changes in the form of improved diet, exercise, and stress management are very helpful in most cases.
Rarity: Common
Top Symptoms: lower back pain, unintentional weight loss, back pain that shoots to the butt, fever, involuntary defecation
Symptoms that always occur with chronic low back pain of no specific origin: lower back pain
Symptoms that never occur with chronic low back pain of no specific origin: thigh numbness, buttocks numbness, lower back pain from an injury
Urgency: Primary care doctor
Nonsurgical Treatments To Help You Stand Straighter And Longer Without Pain
The talented team of professionals at Long Island Spine Rehabilitation Medicine can design a treatment program especially for you that may include one or more of the following injection approaches or interventions. It should be noted that very often such pain complaints can be successfully treated without any type of injection procedure as the judicious use of medications and a personalized physical rehabilitation program may well suffice:
- Spinal epidural injections administered under fluoroscopic guidance to target the site of your pain
- Facet joint injections to address painful joints of the spine for diagnostic and therapeutic purposes and possibly radiofrequency denervation to address the nerves which carry pain signals from the painful segments
- Acupuncture in which tiny needles are inserted painlessly into the skin to increase energy flow and release endorphins that act as natural painkillers
- PEMF technology that uses varying frequencies of electromagnetic waves to diminish or eliminate back pain and accelerate healing
One of our experienced physiatrists can diagnose the cause of your pain precisely and prescribe a physical therapy program that will strengthen your back without doing you any harm. He or she can also provide a broad range of treatment options that may help to resolve your lower back issues so that you can once again enjoy socializing at parties or social events without being the person who always has to sit down.
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