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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What Research Is Being Done
The mission of the National Institute of Neurological Disorders and Stroke is to seek fundamental knowledge of the brain and nervous system and to use that knowledge to reduce the burden of neurological disease. NINDS is a component of the National Institutes of Health , the leading supporter of biomedical research in the world.
As a primary supporter of research on pain and pain mechanisms, NINDS is a member of the NIH Pain Consortium, which was established to promote collaboration among the many NIH Institutes and Centers with research programs and activities addressing pain. On an even broader scale, NIH participates in the Interagency Pain Research Coordinating Committee, a federal advisory committee that coordinates research across other U.S. Department of Health and Human Services agencies as well as the Departments of Defense and Veterans Affairs.
When You Should Go To The Er For Back Pain
If your back pain is accompanied by any of the following symptoms, head to your closest emergency room because you could be dealing with a more serious condition or injury:
- Sudden spike in pain, discomfort, weakness or numbness
- Loss of bladder function
- Unexplainable weight loss
- The pain results from a fall or severe blow to your back
If you experience any of these symptoms, its a good idea to talk to your doctor so you can determine next steps for managing pain.
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What Are The Most Common Lower Back Surgery Procedures
Spine surgery is not necessary for most people who have lower back pain. If you do need it, your doctor will recommend an appropriate procedure to address your specific symptoms and medical situation. Common spine surgeries include:
Spinal Fusion. Two or more vertebrae are permanently fused together to limit excess spinal motion. Your surgeon will use a combination of bone, bonelike material, screws, plates and rods to hold the vertebrae together so they can heal into a single unit. Spinal fusion may be done to correct spinal deformities or to increase the spines stability in severe cases of spinal osteoarthritis or herniated discs.
Laminectomy and laminotomy. Laminectomy is a surgery in which your surgeon removes the back portion of one or more vertebrae to create more space for the spinal cord or other nerves. In people with severe arthritis, bone spurs within the spinal canal can grow large enough to press on the spinal cord, causing pain and limiting mobility. In a similar surgery known as laminotomy, your surgeon will remove a small piece of bone called the lamina from the back of the vertebra.
Knee Pain After An Injury
A sudden blow or trauma can trigger knee pain in the knee joint. A sprain is among the most common injuries. The symptoms include swelling, inability to walk, and tenderness.
Torn cartilage is another reason behind knee pain. Blunt trauma to the joint can tear the connective tissue that provides stability when we walk.
In athletes, tendonitis is quite common too. The tendons get inflamed due to extensive physical activities such as running and jumping.
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Yoga For Lower Back Pain
Research has shown that yoga is a very effective tool to quickly recover from lower back pain. A yoga professional will guide on which type of pose to perform depending with the severity of your pain or injury. The following yoga poses can help you reducing and healing of your lower back pain.
- Two Knee Twist â In this yoga pose for lower back pain, you will bend your knees towards your chest as you lie on your back and bring your arms to a T-position. Then lower your knees to the floor on the right as you breath out. Lower your knees further from the right arm when a shoulder lifts and be in that position for about 2 minutes.
- Supine Hamstring Stretch â In this yoga pose for treating lower back pain, you will lie on your back and bend your right knee towards the chest and put a rope or a cloth around the ball of your foot. Then straighten your leg towards the ceiling. Hold that pose for about 5minutes and repeat it with the other legs and both legs.
- Legs Up The Wall â In this yoga pose for lower back pain you will scoot your buttock to the wall and start swinging your feet up the wall. This type of yoga pose for treating lower back pain helps in relaxing of the lower back muscles and drain out stagnant fluids from the feet and ankles. It is advisable to do this pose after a long drive or traveling by plane and after lifting heavy objects.
What Are The Types Of Back Pain
Back pain is categorized in a number of ways by medical professionals. You can describe your back pain by its location: upper, middle or lower back pain thats on the left side, center or right side. You may also define different types of pain to your healthcare provider. Is your pain mild, moderate or severe? Is the pain a broad ache or a smaller sharp stab? Also, back pain can be categorized by how long it lasts. An acute episode is one that is sudden and brief, and often related to an injury. Chronic/persistent means your back pain has lasted more than three to six months.
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How Long Does Lower Back Pain Last & What To Do For It
Lower back pain is a condition that affects so many people. It is estimated that about 80% of adults do suffer from lower back pain at some point of their lifetime. This problem is a work related disability and a major cause of absenteeism in most working places. Lower back pain affects both genders and can be felt in different intensities ranging from dull persistent pains to sharp pains that can immobilize a person.
Factors like accident, age, lifting of heavy materials and sedentary lifestyles can cause lower back pains. However, a bigger percentage of low back pain is termed as mechanical and is linked to Spondylosis which is the general degeneration of the spine in connection to wear and tear in bones, discs and joints as you grow old.
What Are The Symptoms Of A Strained Back
Symptoms of a strained back include:
- Stiffness in the lower back with range of motion reduction
- Muscle spasms at anytime
- Low back pain that can spread to the buttocks
- Stiffness and pain that prevents normal posture
- Pain that lasts for up to two weeks
Other conditions may mimic back strain symptoms. Infection in the lower back caused by osteomyelitis or an abscess can seem like back strain. Also, kidney conditions like kidney stones can cause back pain. Inflammation of the prostate in men and pelvic inflammatory disease in women can also mimic strained back pain. You should visit your doctor if your symptoms do not resolve in a few weeks.
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How Long Should Knee Pain Last
The knee joint is one of the most sensitive parts of the body. With age and exertion, the knee undergoes wear and tear that can impact its functioning and reduce the quality of life. In some cases, injury can also cause knee pain.
If youre experiencing knee pain, read on below as we go over some of the frequently asked questions about the issue.
Is It Better To Sit Or Lay Down With Lower Back Pain
Virginia Wells | Answered July 27, 2020
If youre experiencing back pain when sitting, your impulse may be to lie down and then try to slowly progress back to sitting, says Dr. Atlas. But this is the wrong approach. You should lie down to relieve the pain, but the goal should be not to return to sitting, but rather to regain your ability to stand and move.Mar 1, 2020
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Symptoms Of Lower Back Pain
Sometimes a pain may develop immediately after you lift something heavy, or after an awkward twisting movement. Sometimes it can develop for no apparent reason. Some people just wake up one day with low back pain.
Although nonspecific back pain is sometimes called simple back pain, simple does not mean that the pain is mild. The severity of the pain can range from mild to severe. Typically, the pain is in one area of the lower back but sometimes it spreads to one or both buttocks or thighs. The pain is usually eased by lying down flat. It is often made worse if you move your back, cough, or sneeze. So, nonspecific low back pain is mechanical in the sense that it varies with posture or activity.
Most people with a bout of nonspecific low back pain improve quickly, usually within a week or so, sometimes a bit longer. However, once the pain has eased or gone it is common to have further bouts of pain from time to time in the future. Also, it is common to have minor pains on and off for quite some time after an initial bad bout of pain. In a small number of cases the pain persists for several months or longer. This is called chronic back pain .
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Looking At Two Kinds Of Back Pain
Lets talk about the most common forms of back pain: acute and subacute . Most of these cases are due to harmless causes. We lump them into the mechanical back pain diagnosis, which includes muscle spasm, ligament strain, and arthritis. A handful will be due to potentially more serious causes such as herniated discs , spondylolisthesis , a compression fracture of the vertebra due to osteoporosis , or spinal stenosis . Rarely, less than 1% of the time, we will see pain due to inflammation , cancer , or infection.
When someone with acute low back pain comes into the office, my main job is to rule out one of these potentially more serious conditions through my interview and exam. It is only when we suspect a cause other than mechanical that we will then order imaging or labs, and then things can go in a different direction.
But most of the time, were dealing with a relatively benign and yet really painful, disabling, and expensive condition. How do we treat this? The sheer number of treatments is dizzying, but truly effective treatment options are few.
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Referred Pain To And From The Lumbar Spine
Pain in the area of the lumbar spine may be due to important problems that are actually unrelated to the back. Referred pain occurs when a problem in one place in the body causes pain in another place. The pain travels down a nerve.. Sources of referred pain to the low back may include abdominal aneurysm , tubal pregnancy, kidney stones, pancreatitis, and colon cancer. Clues to these maladies include pain that waxes and wanes over a short period, with frequent peaks of intense pain, weight loss, abnormalities found during abdominal exam, and trace amounts of blood in the urine. On the other hand, pain can be referred from the low back and be felt in another location, as is often the case with . For example, it is not rare for a patient with a slipped disc in the lower back to have pain in the back of the thigh, or in the calf or even the foot, and not have any low back pain. This situation requires a doctor to sort out the type of pain and to do the examination required to show that the pain is actually coming from the spine .
How Should I Sleep With Back Pain
Top 5 Sleeping Positions for Back PainLying on your side in a fetal position. … Lying on your back in a reclined position. … Lying on your side with a pillow supporting your knees. … Lying on your stomach with a pillow below your pelvis and lower abdomen. … Lying flat on your back with a pillow underneath your knees.
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Complementary And Alternative Techniques Include:
- Acupuncture is moderately effective for chronic low back pain. It involves inserting thin needles into precise points throughout the body and stimulating them , which may cause the body to release naturally occurring painkilling chemicals such as endorphins, serotonin, and acetylcholine.
- Behavioral approaches include:
- Biofeedback involves attaching electrodes to the skin and using an electromyography machine that allows people to become aware of and control their breathing, muscle tension, heart rate, and skin temperature people regulate their response to pain by using relaxation techniques
- Cognitive therapy involves using relaxation and coping techniques to ease back pain
Spinal injections include:Trigger point injections can relax knotted muscles that may contribute to back pain. An injection or series of injections of a local anesthetic and often a corticosteroid drug into the trigger point can lessen or relieve pain.
Lower Back Pain And Cancer
Cancer involving the lumbar spine is not a common cause of back pain. However, in people who have a prior history of cancer, for example, in the breast or prostate, or who have weight loss or loss of appetite along with back pain cancer needs to be considered.
Night pain can be a clue to cancer in the spine. A benign tumor called osteoid osteoma, which most often affects young people, causes pain that tends to respond well to aspirin. Multiple myeloma is a malignancy that occurs when the plasma cells in the bone marrow begin spreading uncontrollably. It is most common in older people, and can cause pain in many parts of the spine. When tumor or infection are suspected, blood tests may be ordered, including a CBC , sedimentation rate , and protein electrophoresis .
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Treatment Options For Acute Lower Back Pain
Most low back pain is due to muscle strain and spasm and does not require surgery. To treat the pain, medications such as acetaminophen , nonsteroidal anti-inflammatory agents , gabapentin or pregabalin can be used. NSAIDs suppress inflammation, pain and fever by inhibiting certain inflammation-causing chemicals in the body. Acetaminophen reduces pain and fever, but does not inhibit inflammation. Gabapentin and pregabalin, medications that have been used for antiseizure activity, also have the ability to block pain. Opioids provide pain relief and may at times be prescribed to manage severe back pain. However, opioids have many problems, such as habituation, constipation and lightheadedness, and are avoided when possible and used for the shortest possible duration. Epidural injection is an option if the back pain does not respond to these treatments. Each person is different in terms of response to medication.
Other nonsurgical treatments for lower back pain include Intradiscal electrothermal therapy , nucleoplasty, and radiofrequency lesioning.
Chronic Lower Back Pain
When back pain continues for more than three months, it is considered chronic. Although for most people an episode of back pain is over by that time, in some cases it progresses and can have a major impact on ones ability to function. For some patients, physical therapy with local heat or ice application , combined with a home exercise program and education in proper positions for lifting and other movement techniques can make a major difference. Patients must learn to tolerate a certain degree of pain, or they may allow themselves to become more disabled than necessary. Patients at the Hospital for Special Surgery have had success with graded exercise to work through the pain, gradually increasing the exercise quota at each session so they can learn to tolerate more exercise in spite of the pain, and get back to work and activities. Read more detail on this topic in .
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Why Does It Hurt To Sit After Prostate Surgery
When a patient has prostate surgery, sitting down can be uncomfortable. The patient may feel a sharp pain in the abdomen and bladder. There is a possibility that the surgical incision will bleed, and he may have blood in his urine after the procedure. If this occurs, drink plenty of fluids to flush the blood from the bladder. If the blood is in the urethra, it is an indication of internal bleeding or a urinary infection.
This complication is rare but it can occur. In prostate surgery, nodes are removed from the prostate. These nodes carry fluid back to the heart. When the nodes are removed, the fluid collects in the genital and leg areas and can cause pain and swelling. However, lymphedema is treatable with physical therapy. In some cases, the surgeon may choose not to perform the surgery because the lymph nodes contain cancer cells.
A radical prostatectomy involves removing the entire prostate gland, seminal vesicles, and some lymph nodes in the pelvis. The procedure can last anywhere from 90 minutes to four hours. The procedure can be performed with an open incision or a laparoscopic method. In either method, the surgeon will take care to protect the nerves and nearby lymph nodes.
