When To Contact A Doctor
Sometimes, people know the cause of their sharp lower back pain. For example, the pain may happen after they bend to pick something up or after an intense workout at the gym. In these cases, rest and home care may be enough to help the body heal.
However, there are some occasions when a person should contact a doctor, including:
- when the pain does not respond well to home treatments
- when pain that has no known cause lasts for longer than a couple of days
- when they experience tingling or weakness in the legs
People should take note of any symptoms as they appear to share with the doctor. The doctor will likely ask the person to describe their symptoms and how long they have persisted. They may also ask the person to do a series of movements to try to find the exact point of pain in the back and determine the underlying cause.
In some cases, the doctor may also order imaging tests, such as X-rays or MRI scans, to help with the diagnosis.
What Are The Signs And Symptoms Of Back Pain
Back pain may be experienced anywhere along the spine from the neck to the buttocks. In some cases, pain may also be felt in one or both legs. Its common to be a bit restricted in daily activities such as bending, lifting, sitting and walking while youre experiencing back pain.
Movement of your torso may be limited by back pain. There may also be tenderness when pressure is applied to the joints of the spine. Reduction of reflexes, strength and sensation in the legs can be a sign of nerve compression.
Its common for people with back pain to feel distressed about their recovery. People with persistent back pain can develop fear of movement and activity , worrying that it will make things worse or increase their pain. Living with persistent back pain may also lead to mood issues, such as anxiety, irritability, frustration and depression.
Low Back Pain Diagnosis
Getting diagnosed with a specific cause of low back pain is the first step to getting treatment. If you land in your doctors office hoping for back pain relief, theyll use a variety of diagnostic tools and methods, such as:
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A thorough medical history including any recent injuries, other diagnoses, family history of disease, and your job, activities and other lifestyle considerations
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Physical exams, which may include manipulating the painful area or reflex or other neurological tests
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Electromyography, which measures muscle and nerve function
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ImagingX-rays can show bone spurs and damage to bone, while CT scans and MRIs can depict damage to soft tissue like discs or ligaments
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Tips And Stretches For Lower Back Pain
If you are reading this, you are probably experiencing lower back pain or know someone who is.
Back pain is one of the most common medical complaints in the world. Studies show that up to 70% of adults will experience some kind of back pain during their lives. Worldwide, back pain is the main reason for missed work days and the second most common reason to visit a doctor.
Back pain may be caused by a sprain you suffered at work or from doing chores around the house. Or, the pain may result from an injury or a chronic condition, like arthritis.
If your pain is sudden or severe, you should get checked by your doctor. But, if you are experiencing a nagging pain or discomfort, there are things you can do to relieve the pain. Here are a few things to try.
1. Move. It may be uncomfortable, but one of the best things you can do to deal with lower back pain is to move around. Get on your feet and take a walk. Whether its a brisk walk around the block or a slow stroll, walking can help to strengthen back muscles, which will improve support for the spine.
2. Stretch. Often, lower back pain results from tight muscles. Stretching can increase flexibility and loosen muscles. Yoga is excellent to keep the body limber. Stretching exercises may also help.
3. Exercise. Beyond stretching, you should exercise to strengthen your core, which provides important support for your back. Pilates and tai chi are useful for strengthening the core.
Urgent Advice: Ask For An Urgent Gp Appointment Or Get Help From 111 If:
You have back pain and:
- a high temperature
- you’ve lost weight without trying to
- there’s a lump or swelling in your back or your back has changed shape
- the pain does not improve after resting or is worse at night
- the pain is made worse when sneezing, coughing or pooing
- the pain is coming from the top of your back , rather than your lower back
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What To Do About Severe Lower Back Pain
If you have severe back pain, connect with a doctor as soon as possible.
You may discuss diagnostic tests if a healthcare professional hasnt already identified the cause of your back pain. After you receive a diagnosis from the doctor, youll discuss treatment options.
If your lower back pain is accompanied by a loss of bowel or bladder control, or progressive neurological loss, seek immediate medical attention. You might need emergency surgery.
There are many ways to prevent lower back pain. Taking these measures may help prevent pain altogether or lessen the severity of your symptoms if you manage to get injured.
Prevention may involve:
Go To Work If You Can
Its important to try to stay in work even if youre in pain. Research shows that people become less active and more depressed when they dont work.
Being at work may distract you from the pain and might not make it worse.
Talk to your supervisor or boss if parts of your job are difficult to begin with, but stress that you want to be at work if thats the case.
If you have been off work for 4 to 6 weeks, plan with your doctor, therapist or employer how and when you can return.
You could go back to work gradually. For instance, you might start with 1 day a week and gradually increase the time you spend at work.
You could also agree changes to your job or pattern of work if it helps a health and safety rep or occupational health department may be useful here.
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Get Enough Restorative Sleep
Pain is a leading cause of insomniadifficulty with falling asleep and/or staying asleep. Inadequate sleep can also make your back pain worse. This vicious cycle makes it more difficult for you to get restorative sleep.
See Restorative Sleep Brings Back Pain Relief
Getting enough restorative sleep is needed for the bodys tissues to heal and recharge energy levels. If you have trouble sleeping, it is important to address pain or other factors that are causing it. Your doctor might recommend lifestyle changes, medications, or other treatments depending on what is disrupting your sleep.
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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Inflammatory Lower Back Pain
Although comparatively few patients have low back pain due to a systemic inflammatory condition, the problem can be life long and can impair function significantly. The good news is that treatments can help essentially all patients, and can lead to major improvements.
Seronegative are a group of inflammatory diseases that begin at a young age, with gradual onset. Like other inflammatory joint diseases, they are associated with morning stiffness that gets better with exercise. Sometimes fusion of vertebrae in the cervical or lumbar regions of the spine occurs. Drugs called TNF-alpha blocking agents, which are used for rheumatoid arthritis, are also used to treat the stiffness, pain, and swelling of spondyloarthropathy, when the cases are severe and not responsive to traditional medications
People who have spondyloarthropathy have stiffness that is generally worst in the morning, and have decreased motion of the spine. They also can have decreased ability to take a deep breath due to loss of motion of the chest wall. Its important for the physician to look for problems with chest wall expansion in patients with spondyloarthropathy.
syndrome is one of the forms of spondyloarthropathy. It is a form of arthritis that occurs in reaction to an infection somewhere in the body, and it carries its own set of signs and symptoms. The doctor will look for:
When & How To Seek Medical Care
If low back pain lasts for longer than one to two weeks, seek medical care. First, make an appointment with your primary care physician.
Seek immediate medical attention if any of the following symptoms are present in addition to back pain:
- Severe abdominal pain
- Unexplained fever
- Loss of control of your bowels or bladder
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What Causes Lower Back Pain
Many injuries, conditions and diseases can cause lower back pain. They include:
- Strains and sprains: Back strains and sprains are the most common cause of back pain. You can injure muscles, tendons or ligaments by lifting something too heavy or not lifting safely. Some people strain their back by sneezing, coughing, twisting or bending over.
- Fractures: The bones in the spine can break during an accident, like a car crash or a fall. Certain conditions increase the risk of fractures.
- Disk problems: Disks cushion the vertebrae . Disks can bulge from their position in the spine and press on a nerve. They can also tear . With age, disks can get flatter and offer less protection .
- Structural problems: A condition called spinal stenosis happens when the spinal column is too narrow for the spinal cord. Something pinching the spinal cord can cause severe sciatic nerve pain and lower back pain. Scoliosis can lead to pain, stiffness and difficulty moving.
- Arthritis: Osteoarthritis is the most common type of arthritis to cause lower back pain. Ankylosing spondylitis causes lower back pain, inflammation and stiffness in the spine.
- Disease:Spine tumors, infections and several types of cancer can cause back pain. Other conditions can cause back pain, too. These include kidney stones and abdominal aortic aneurysm.
- Spondylolisthesis: This condition causes the vertebrae in the spine to slip out of place. Spondylolisthesis leads to low back pain and often leg pain as well.
Bonus Tip: Consider Taking A Vitamin D3 Supplement
If your doctor agrees, consider taking a vitamin D3 supplement. Vitamin D is essential for bone, neuromuscular, and immune system function. Taking a vitamin D3 supplement can help reduce back pain by increasing the absorption of calcium in your body and improving bone strength.15
See Calcium and Vitamin D Requirements
Finding the perfect pain relief technique is usually a process of trial and error, making it worth exploring various approaches. Try these natural pain-relieving strategies for your back pain and see what works best for you. Severe pain that is not relieved by self-care must be evaluated by a health professional for an accurate diagnosis and treatment plan.
Read Also: What Does Chest And Back Pain Mean
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 .
Tips For Dealing With Lower Back Pain
By Robert Greenleaf, MD, Spine Surgeon
Lower back pain is extremely common and one of the top reasons for missed workdays. Thats because the lower back supports the weight of the upper body and is subject to a lot of stress and strainespecially during everyday movements like lifting and twisting.
One of two things typically causes lower back pain: a sudden injury or the wear and tear of aging, arthritis and physical activity. No matter the cause of your lower back pain, here are 10 recommendations that can help you relieve it and prevent future problems.
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Overlooked Remedies For Lower Back Pain Relief
When lower back pain persists and continues to interfere with your quality of life, multiple treatment options may be needed for adequate relief. Below are some back pain treatments that are commonly overlooked or underused. Try one or more of these remedies to see which one, or combination, works best for you.
How Do You Relieve Lower Back Pain
Lower back pain is so common that around eight out of 10 adults experience it at some point in their lives. For many, low back pain can be uncomfortable to live with. Thankfully, most peoples symptoms improve with home remedies.
At Advocate Health Care, our team of spine specialists is fully equipped to help you find relief from low back pain. We use a range of tools to diagnose back pain and offer comprehensive treatment that enables you to get back to the activities you love.
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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.
About Lower Back Pain
Lower back pain is pain in the area of your back from the bottom of your ribs to the top of your legs. It can come from any of the many structures that make up your back. These include bones, joints, muscles, ligaments, nerves and tendons.
Your spine supports your back. Its made up of 24 separate bones called vertebrae stacked on top of one another. The lower section of your spine is called the lumbar spine. Below the vertebrae, at the bottom of your spine, are bones called your sacrum and coccyx. You may hear lower back pain referred to as lumbosacral pain.
Discs of cartilage sit between each vertebra, acting as shock absorbers and allowing your spine to bend. Some lower back pain originates from these discs. Your spinal cord threads through the vertebrae, carrying nerve signals between your brain and the rest of your body. If nerves at the base of your spine become compressed or inflamed, it can cause sciatica. Sciatica is a type of pain that starts in your back or buttocks and spreads down your leg.
Its usually difficult for doctors to say exactly whats causing back pain. This is because there are so many different parts to your back and tissues that surround it. Even tests such as X-rays and magnetic resonance imaging scans arent helpful for most people.
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Exercise To Loosen Muscles
Although it may seem counterintuitive to exercise when lower back pain is causing you grief, the right kind of movement can help eliminate the discomfort. Its always important to consult your physician before you engage in exercise when you have pain, but this conversation is well worth having if youre suffering.
First, you should keep in mind that not all exercise is beneficial in combating back pain. Try to avoid toe-touch exercises and sit-ups, which may add to the stress on your spine instead of relieving it. Leg lifts are another exercise to stay away from when you are hurting. If your core is not strong, leg lifts could be too demanding on your body if youre already experiencing pain.
Several types of exercises can be useful when you need to relieve back pain. Partial crunches can aid in strengthening your core without applying too much pressure to the area. Slow and controlled wall-sit exercises may also be useful. Other repetitions to consider include bringing each knee to the chest in succession, pelvic tilts, and swimming.
Can Dehydration Cause Lower Back Pain
Water is essential for lubricating your joints and delivering oxygen and nutrients to cells throughout your body. Water also keeps the discs in your spine hydrated to provide cushioning, mobility, and shock absorption. Therefore, dehydration can cause lower back pain due to the way it can cause your discs to shrink and lose cushioning and shock absorption.
Additionally, older adults are often more susceptible to dehydration than younger adults due to factors including changes in body composition and body fluid, decreased kidney function, and medical conditions that interfere with urination and water absorption. Certain medications can also contribute to dehydration, including those that are used to treat diabetes, migraines, and high blood pressure.
Start drinking more water throughout the dayespecially before, during, and after exerciseto prevent dehydration and reduce lower back pain. Also, keep an eye on the color of your urine to ensure youre drinking enough. Your urine should be pale yellow in color as opposed to dark yellow. Aim to drink water at any time you may be feeling thirsty.
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