Add A Few Pillows For An Easy Fix
Another easy and customizable way to improve your sleeping situation is to use pillows for additional support while sleeping.
For back sleepers, place a pillow under your knees to bring your body back into natural alignment. If you sleep in the fetal position, WikiHow suggests using a pillow in between your knees to relieve lower back pain. Their illustration of this is below. Side sleepers should also make sure to alternate sides during the night.
How Common Is Lower Back Pain
Around four out of five people have lower back pain at some point in their lives. Its one of the most common reasons people visit healthcare providers.
Some people are more likely to have lower back pain than others. Risk factors for lower back pain include:
- Age: People over 30 have more back pain. Disks wear away with age. As the disks weaken and wear down, pain and stiffness can result.
- Weight: People who are obese or carry extra weight are more likely to have back pain. Excess weight puts pressure on joints and disks.
- Overall health: Weakened abdominal muscles cant support the spine, which can lead to back strains and sprains. People who smoke, drink alcohol excessively or live a sedentary lifestyle have a higher risk of back pain.
- Occupation and lifestyle: Jobs and activities that require heavy lifting or bending can increase the risk of a back injury.
- Structural problems: Severe back pain can result from conditions, such as scoliosis, that change spine alignment.
- Disease: People who have a family history of osteoarthritis, certain types of cancer and other disease have a higher risk of low back pain.
- Mental health: Back pain can result from depression and anxiety.
Stop Your Activity And Find Immediate Rest
This may already make sense, but many of us prefer to keep moving. Some professionals actually recommend that you stay in motion, but if you are the unfortunate one to have a disc or nerve problem, then that is poor advice. You may end up visiting them for that instead.
Dont try to actively work or move until you know the source of the injury.
A very common reaction is to keep moving but MAY be dangerous. Although this might feel helpful, it is important to determine whether your pain is more than just muscular in nature.
Why you should NOT move:
Moving when you have any of these injuries can cause further injury, intensifying the pain.
If you have a history of ANY of these injuries or suspect that your lifestyle may contribute to it , then rest is a better than simply muscling through it with medication.
Lastly with this first tip, you should know that you should also apply this caution to not just your back but also to your hips, knees and neck.
Forcing yourself to move when these areas are injured can be very risky. Make sure that you arent adding to the pain. The wrong movement can set you behind.
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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 .
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.
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Treatment Options For Lower Back Pain
If you see a physiotherapist or GP for lower back pain, they will probably encourage you to try the self-help measures outlined above first. They can also advise you on what exercises you can do to help your back, or may refer you to a group exercise programme. But if your pain doesnt improve, they may be able to recommend other options you can try. They can also refer you to a specialist if necessary.
Low Back Advice From A World
Maybe yoga isnt your thing and youre more of a powerlifting athlete. In fact, maybe thats why your back hurts to begin with but dont worry, we wont judge you for that. We know that more weights is more better, and wed hate to have you give up lifting heavy, so heres a video from one of our resident powerlifters, Donnie Thompson, to help you out.
Donnie knows a thing or two about both lifting heavy and low-back pain. His powerlifting total is 3,000lbs and for his day job he specializes in helping other athletes stay healthy with physical therapy techniques. Check out his advice on how to treat your back pain. Youll need some rubberbands and a rack :
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Why Does My Back Hurt When I Get In Bed
If youre experiencing pain when youre getting into bed, dont ignore it.
Back pain is a symptom of an underlying problem. And when you feel those dull aches and sharp pains, its your bodys way of telling you, Something needs to change!
For many, back pain is just something they live with daily. They think that theyre stuck with it.
But in fact, back pain across the US has actually gotten worse over the years, according to The Lancet.
Graph of back pain across the United States
According to the study, the disability-adjusted life-years from back pain have risen substantially across all age groups.
This may be due to longer work hours, an increasingly sedentary lifestyle, and more office work.
Simply put, if youre experiencing back pain in bed, its because theres an underlying problem that you need to deal with.
It could be poor posture, stress, or even a medical condition.
Stop Listening To Back Pain Horror Stories
Stop listening to other peoples horror stories. You know the scenario: You are bent over in obvious pain, waiting to see the healthcare provider, and the person next to you tells you a 10-minute tale of how their Uncle Gordon had low back pain that required injections and surgery. But the pain still didnt go away.
Stop listening to these terrible stories. Most low back pain is short-lived and can be managed quite effectively with exercise and postural correction. Of course, some low back conditions are serious and require surgery, but that is a conversation you should have with your healthcare provider, not the guy in the waiting room.
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More Advanced Care Options
Surgery When other therapies fail, surgery may be considered to relieve pain caused by worsening nerve damage, serious musculoskeletal injuries, or nerve compression. Specific surgeries are selected for specific conditions/indications. However, surgery is not always successful. It may be months following surgery before the person is fully healed and there may be permanent loss of flexibility. Surgical options include:
Implanted nerve stimulators
- Spinal cord stimulation uses low-voltage electrical impulses from a small implanted device that is connected to a wire that runs along the spinal cord. The impulses are designed to block pain signals that are normally sent to the brain.
- Dorsal root ganglion stimulation also involves electrical signals sent along a wire connected to a small device that is implanted into the lower back. It specifically targets the nerve fibers that transmit pain signals. The impulses are designed to replace pain signals with a less painful numbing or tingling sensation.
- Peripheral nerve stimulation also uses a small implanted device and an electrode to generate and send electrical pulses that create a tingling sensation to provide pain relief.
Positions To Be Aware Of
There are certain exercises and positions that you will need to be careful with.
a) Arching your back
As your lumbar spine is already in a position of hyper extension, be careful of activities/exercises which forces the back into further extension.
Note: Im not saying to completely avoid doing them altogether. Just be careful!
b) How do you sleep with Hyperlordosis?
Do you have an excessive arch in your back whilst lying flat on your back?
If so, I recommend sleeping on your back with a pillow underneath your knees.
This will help reduce lumbar extension whilst in the lying down position.
Note: Another option is sleeping on your side.
For more information: Sleeping posture recommendations.
c) Over head activities
If you have pain and/or stiffness in the shoulder, it is likely that you will also over arch the lower back as a compensation as you reach over head.
Examples:
- Standing shoulder press at the gym
- Reaching over head to place clothes on the line
- Painting the ceiling
You will need to address your shoulder issue to prevent the lumbar spine from over arching when using your arms above your head.
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Why Is Back Pain Worse When Lying Down
But why does your back pain occur when youre getting into bed? Most people who experience back pain have strained muscles. Not sitting up straight at the desk or lounging unsupported on the couch can cause specific muscles to contract over long periods.
You may not notice it at the moment or when youre up walking around because theres no pressure on them. But when your back hits an unsupportive bed, those sensitive, strained, and damaged muscles are agitated.
And that added pressure on the affected part of your back causes those muscles to hurt.
Dont Slump Over Your Desk
When sitting in an office chair, use the same good posture techniques you use when standing. Its critical to keep good posture and support your back when sitting down, especially if you do it for several hours per day. Choose a quality chair that provides firm support for your lower back, and make sure your knees are a little higher than your hips when you sit.
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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.
Diagnosis Of Lower Back Pain
Your physiotherapist or GP will usually be able to diagnose lower back pain from your symptoms and by examining you. Theyll want to rule out whether theres any underlying problem that could be causing your pain.
Your physiotherapist or GP will ask you lots of questions about your back pain. These may include when it started, how bad it is and if theres anything that makes it better or worse. They may press against your back to see if theres any tenderness and check for any deformities. They might ask you to move around too, to see if you have problems bending or extending your back.
Usually, further tests wont help. But if your symptoms indicate an underlying problem, your GP may recommend tests including:
- an X-ray
They may also refer you to a specialist for further investigations.
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Preventing Back Pain In Children
Back pain in secondary-school-age children has been linked to heavy schoolbags and ill-fitting classroom seating. Nearly half of all teenagers in the UK have experienced occasional backache from poor posture, carrying overloaded bags, and an unhealthy lifestyle.
The best schoolbag for your child is a well designed backpack. This should be worn over both shoulders to balance out the weight. A heavy satchel or shoulder bag can put stress on your childs spine.
Encourage your child to exercise regularly, or plan joint activities, such as a walk in the countryside or a trip to a swimming pool.
How Is Back Pain Treated
Acute back pain usually gets better on its own. Acute back pain is usually treated with:
- Medications designed to relieve pain and/or inflammation
- analgesics such as acetaminophen and aspirin
- non-steroidal anti-inflammatory drugs such as ibuprofen and naproxen may be sold over the counter some NSAIDS are prescribed by a physician
- muscle relaxants are prescription drugs that are used on a short-term basis to relax tight muscles
- topical pain relief such as creams, gels, patches, or sprays applied to the skin stimulate the nerves in the skin to provide feelings of warmth or cold in order to dull the sensation of pain. Common topical medications include capsaicin and lidocaine.
Exercising, bed rest, and surgery are typically not recommended for acute back pain.Chronic back pain is most often treated with a stepped care approach, moving from simple low-cost treatments to more aggressive approaches. Specific treatments may depend on the identified cause of the back pain.
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Herniated Disk In The Lower Back
A herniated, ruptured, or “slipped” disc means that a vertebral disc one of the soft pads of tissue that sit between each of the vertebral bones has becomes squeezed out of shape. Its cushioning material has been forced against, and possibly through, the ring of fibrous tissue that normally contains it. This causes pain, numbness, and weakness in the legs.
The normal aging process causes the discs lose moisture and become thinner, making them more vulnerable to “slipping.”
Most susceptible are men from ages 30 to 50. Smoking, obesity, lack of exercise, and improper lifting are also risk factors.
Symptoms include pain, weakness, numbness, and tingling in the back, leg, and foot.
Diagnosis is made through patient history, neurological examination, and MRI scan.
Treatment begins with rest, nonsteroidal anti-inflammatory drugs, physical therapy, and sometimes epidural steroid injections into the back to ease pain and inflammation.
Surgery to remove the herniated part of the disc the part that was squeezed out of place can also be helpful.
Rarity: Common
Top Symptoms: lower back pain, moderate back pain, back pain that shoots down the leg, back pain that gets worse when sitting, leg weakness
Urgency: Primary care doctor
Things To Know About Lower Back Pain
Physician specialties that evaluate and treat low back pain range from generalists to subspecialists. These specialties include emergency medicine physicians, general medicine, family medicine, internal medicine, gynecology, spine surgeons , rheumatology, pain management, and physiatry.
Other health care providers for low back pain include physical therapists, chiropractors, massage therapists, psychologists, and acupuncturists.
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Which Healthcare Specialties Treat Lower Back Pain
Physician specialties that evaluate and treat low back pain range from generalists to subspecialists. These specialties include emergency medicine physicians, general medicine, family medicine, internal medicine, gynecology, spine surgeons , rheumatology, pain management, and physiatry.
Other health care providers for low back pain include physical therapists, chiropractors, massage therapists, psychologists, and acupuncturists.
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Unexplained Acute Low Back Pain
Unexplained low back pain means chronic pain that comes on gradually, over time, with no specific injury, event, or illness causing it.
Common causes:
- Prolonged sitting and lack of fitness can weaken back muscles and cause pain from lack of support.
- Ankylosing spondylitis, a form of arthritis.
- Spinal stenosis, a narrowing of the spinal column that puts pressure on the spinal cord.
- Certain types of cancer, in rare cases.
Those most susceptible are over 30, overweight and/or pregnant, and not physically fit. Smoking interferes with healing after any sort of stress to the back.
If there are additional symptoms, medical care should be sought: fever, unexplained weight loss, leg weakness or numbness, or trouble urinating.
An exact diagnosis is made through blood tests and through imaging such as x-rays, CT scan, or MRI.
Once more serious causes are ruled out, treatment may include medications to ease pain, swelling, and inflammation. Steroid injections are useful in some cases.
Overall, exercise and maintaining a healthy weight can be very helpful with easing chronic low back pain.
Rarity: Common
Top Symptoms: lower back pain, back pain that shoots to the butt, fever, back pain
Symptoms that always occur with unexplained acute low back pain:lower back pain
Symptoms that never occur with unexplained acute low back pain:buttocks numbness, thigh numbness, involuntary defecation, fever
Urgency: Self-treatment
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