How Do You Treat Back Pain

Fall Asleep Faster And Sleep Longer

When you have a restful nights sleep, your back will feel less sore during the day.7 A night of restorative sleep can have healing benefits and make you feel refreshed, rejuvenated, and less stressed.

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Try these natural sleep aids, one at a time, to see which one works best for you:

• Vitamins C and B6. The natural steroids in your body control your metabolism and promote good sleep.8,9 Supplements of vitamins C10 and B611 are known to help the body produce and regulate natural steroid hormones.
• Melatonin. Your natural sleep hormone, melatonin can be taken as a supplement to improve your sleep cycle.
• L-theanine. An amino acid found in tea leaves, L-theanine may help some people feel relaxed and get better sleep.
• Valerian. Supplements made from the root of the valerian plant may help you sleep faster and stay asleep longer.

Another option is cherry juice or cherry extractscherries contain certain enzymes that help promote better sleep.4

See Natural Remedies and Herbal Supplements as Sleep Aids

Massage Therapy For Low Back Pain

Studies have shown that massage treatments can help relieve chronic low back pain. Massage treatment can restore people to their usual activities of daily living and lessen pain. Massage therapy is limited, and would not be the most effective solution for patients with spinal complications, injuries, or disk problems since massage focuses on the release of muscle tension and not on the structure of the spine itself.

Mechanical Lower Back Pain

Because it represents 97% of cases, mechanical low back pain deserves to be discussed first. To determine the factors that bring out the pain, the doctor will consider the following causes of mechanical low back pain:

• Muscle strain.
• Spondylolisthesis .
• .
• Osteoarthritis .
• Spinal stenosis .

Low back pain that gets worse with sitting may indicate a herniated lumbar disc . This is because certain positions of the body can change the amount of pressure that an out-of-place disc can press on a nerve. This is one reason we suggest to people with low back pain to periodically get up and stretch or walk around rather than continually stay sitting. Acute onset, that is, pain that comes on suddenly, may suggest a herniated disc or a muscle strain, as opposed to a more gradual onset of pain, which fits more with osteoarthritis, spinal stenosis, or spondylolisthesis.

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What Are The Treatments For Lower Back Pain

Lower back pain usually gets better with rest, ice and over-the-counter pain relievers. After a few days of rest, you can start to get back to your normal activities. Staying active increases blood flow to the area and helps you heal.

Other treatments for lower back pain depend on the cause. They include:

• Medications: Your provider may recommend nonsteroidal anti-inflammatory drugs or prescription drugs to relieve pain. Other medications relax muscles and prevent back spasms.
• Physical therapy : PT can strengthen muscles so they can support your spine. PT also improves flexibility and helps you avoid another injury.
• Hands-on manipulation: Several hands-on treatments can relax tight muscles, reduce pain and improve posture and alignment. Depending on the cause of pain, you may need osteopathic manipulation or chiropractic adjustments. Massage therapy can also help with back pain relief and restore function.
• Injections: Your provider uses a needle to inject medication into the area thats causing pain. Steroid injections relieve pain and reduce inflammation.
• Surgery: Some injuries and conditions need surgical repair. There are several types of surgery for low back pain, including many minimally invasive techniques.

Persistent Low Back Pain

Nonspecific low back pain is classed as chronic if it lasts for longer than six weeks. In some people it lasts for months, or even years. Symptoms may be constant. However, the more usual pattern is one in which symptoms follow an irregular course. That is, reasonably long periods of mild or moderate pain may be interrupted by bouts of more severe pain.

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Rest And Give It Time

Lower Back Pain Caused By Infection

Infections of the spine are not common, but they do occur. The doctor will ask about the usual signs and symptoms of infection, especially when back pain is accompanied by fever and/or chills. Dialysis patients, IV drug users, and patients who have recently had surgery, trauma, or skin infections are at risk for infections of the spine. Infections of the spine can be caused by a number of agents, most commonly bacteria. Doctors will first test for the presence of bacteria, then give antibiotics.

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Chronic Conditions That Cause Back Pain

Conditions that can lead to chronic low back pain include spinal stenosis, spondylitis, and fibromyalgia. Spinal stenosis is narrowing of the normal spinal canal through which the spinal cord passes. Spondylitis is chronic inflammation of the spine. Fibromyalgia is a muscle disorder that features chronic muscle pain and tenderness.

How Is Lower Back Pain Diagnosed

Your provider will ask about your symptoms and do a physical exam. To check for broken bones or other damage, your provider may order imaging studies. These studies help your provider see clear pictures of your vertebrae, disks, muscles, ligaments and tendons.

Your provider may order:

• Spine X-ray, which uses radiation to produce images of bones.
• MRI, which uses a magnet and radio waves to create pictures of bones, muscles, tendons and other soft tissues.
• CT scan, which uses X-rays and a computer to create 3D images of bones and soft tissues.

• Electromyography to test nerves and muscles and check for neuropathy , which can cause tingling or numbness in your legs.

  Depending on the cause of pain, your provider may also order blood tests or urine tests. Blood tests can detect genetic markers for some conditions that cause back pain . Urine tests check for kidney stones, which cause pain in the flank .

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When To Contact A Medical Professional

• Back pain after a severe blow or fall
• Burning with urination or blood in your urine
• History of cancer
• Loss of control over urine or stool
• Pain traveling down your legs below the knee
• Pain that is worse when you lie down or pain that wakes you up at night
• Redness or swelling on the back or spine
• Severe pain that does not allow you to get comfortable
• Unexplained fever with back pain
• Weakness or numbness in your buttocks, thigh, leg, or pelvis

Also call if:

• You have been losing weight unintentionally
• You use steroids or intravenous drugs
• You have had back pain before, but this episode is different and feels worse
• This episode of back pain has lasted longer than 4 weeks

Can Further Bouts Of Back Pain Be Prevented

Evidence suggests that the best way to prevent bouts of low back pain is simply to keep active and to exercise regularly. This means general fitness exercise such as walking, running, swimming, etc. There is no firm evidence to say that any particular back strengthening exercises are more useful to prevent back pain than simply keeping fit and active. It is also sensible to be back-aware. For example, do not lift objects when you are in an awkward twisting posture.

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See Your Doctor If The Pain Is Persistent

Treatment Of Nonspecific Pain

Approach to the Treatment of Nonspecific Acute Low Back Pain

First visit

*Two to four weeks after the initial visit, if the patient has not significantly improved.

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Release Your Inner Endorphins

Endorphins are hormones made naturally in your body. What many people dont know is that endorphins may help block pain signals from registering in your brain. Endorphins also help alleviate anxiety, stress, and depression, which are all associated with chronic back pain and often make the pain worse.

Emotional Effects Of Lower Back Pain

Back pain affects everyone differently. In some situations, back pain can be become chronic, which means it lasts a long time. Some emotional factors may increase the risk of back pain becoming chronic, including:

• believing that physical activity isn’t helpful or having lots of bed rest
• emotional problems such as feeling depressed, anxious or stressed
• a lack of social support from family and friends
• not wanting to play an active role in your treatment

Although you may think your pain is a warning sign to stop you doing certain activities, its important that you keep active to overcome it. If you have any questions about keeping active, talk to your physiotherapist or doctor. They can reassure you that keeping mobile and being positive about managing your back pain are the keys to helping you recover. Exercise will also help to prevent back pain in future.

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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.

Avoid Prolonged Static Posture

It is important to pay attention to the joints and muscles of your spine and hip. Prevent fatigue and stresses on these joints by following simple tips, such as:

• Avoid excessive sitting or consider using a standing desk while you work. When you sit for a long duration, the pressure on your spinal discs increase. Aim to get up every hour and walk a short distance to take the load off your discs.

When you have a flare-up of symptoms, consider less exertive activities, such as reading a book, listening to music, or crafting. These activities can help divert your mind from the pain and let your back rest at the same time.

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Is It Time For Back Surgery

Back surgery is often a last resort when all other treatment options have been tried. Surgery may be considered an option to relieve pain caused by serious musculoskeletal injuries or nerve compression resulting from vertebrae shifting or collapsing.

Back surgeries often have a long recovery period, and some patients may lose mobility and flexibility post-surgery. It is also important to note that not all surgical procedures are successful. As such, it is important for patients to talk with their physicians and know all of the risks associated with a procedure before undergoing back surgery.

When Are Diagnostic Tests For Lower Back Pain Necessary

Many patients do not need X-rays in the first few weeks of pain because their pain will end up resolving. Many more do not need CT scans or MRI imaging, which are overly sensitive and often reveal abnormalities not related to the patients pain. These forms of imaging can be extremely useful, however, if a person has chronic or severe pain, and/or neurological symptoms. Blood tests may be ordered if an infection or tumor is suspected.

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Stretch #5 Hip Flexor Stretch

Building off of the concept of posterior chain it is important to consider the anterior chain as well.

Deficits in strength and flexibility can lead to several issues and lower back pain is most commonly coupled with weak and tight hip flexors. The hip flexors are the iliacus and psoas muscles. They are primarily responsible for lifting the femur into flexion .

When the pelvis is tilted forward through sitting, poor exercise technique, etc. there is a higher likelihood that the hip flexors will be in a shortened position as they attach to the lower spine and inside of the pelvis.

Over time this can cause weakness and tightness and encourage lower back pain. Fixing this issue at home takes time, but can be done through a hip flexor stretch.

Kneeling on the ground with the front foot put far out in front of you lunge forward while keeping your trunk over your hips and head up. The stretch will occur in the front of the thigh and hip toward the medial part of the leg that you are kneeling on. Hold this stretch for 30 seconds breathing in and out then switch to the other leg.

Managing Low Back Pain

Manage back pain with regular exercise and professional help as requiredIf you have an attack of lower-back pain that is severe, continuous and not improving, assessment and treatment by a health care professional who focuses on the back or other musculoskeletal problems may help. These practitioners may use both active and passive techniques to help you feel better. Examples of passive techniques that may be used to get you moving include:

• Heat or ice
• Ultrasound
• Manipulation

An active approach, like walking or water aerobics is usually the most effective. Exercise is often the best way to relieve lower-back pain.

Check with your health care provider before starting an exercise program.

Work with an expert. It may help to work with a health professional who can explain which activities are right for you.

Choose exercises you enjoy. Many activities can help relieve back pain. Try to include activities that strengthen the muscles around your trunk, your abdominal muscles as well as those in your lower back. Studies show the following activities help relieve back pain:

• Lifting light weights

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Are You Making Your Back Pain Worse

Don’t be guilty of exacerbating your already achy back. Try these tips for preventing added low back pain:

• Wear comfortable, low-heeled shoes if you are on your feet all day.
• Don’t slouch when standing or sitting.
• At home or work, make sure work surfaces are at a comfortable height.
• Warm-up and stretch before exercise or other strenuous physical activity.
• Don’t try to lift objects that are too heavy and don’t twist while lifting.
• Live a healthy lifestyle, stop smoking, and keep off the extra weight.

Is Your Job Causing Back Pain

A job that involves pulling, lifting, or twisting with the low back can cause injury and low back pain. Even prolonged sitting in an awkward position can cause low back pain. Standing on your feet for hours on end? That can cause lower back pain too. The best way to prevent back pain is to know if you are at risk.

Jobs That Can Cause Lower Back Pain

• Airline crew
• Surgeons
• Office personnel

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How Do You Treat A Back Injury After A Fall

Youve probably heard that the cure for a minor back injury is bed rest, but some doctors might disagree, suggesting a gentle exercise program as the best at-home treatment. Unless youre experiencing serious issues causing back pain or your physician directs you to do so, its important to stay as active as possible.

Adhering to these tips can help you relieve back pain at home:

• DO NOT engage in exercise for 23 weeks after the injury
• DO NOT perform activities involving twisting of the back or lifting heavy objects for 6 weeks after the injury
• Pause normal physical activity for 4872 hours for 20 minutes every 34 hours to reduce inflammation/swelling
• Apply an ice pack to the affected area for the first 4872 hours and then switch to heatwarm showers, baths, and compresses can help ease recovery
• Take an over-the-counter pain reliever like acetaminophen or ibuprofen