One Back Pain Treatment You Probably Dont Need
Back pain can be incredibly frustrating, and going under the knife may seem like the quickest, easiest fix to bring relief. But the truth is, many people dont need surgery for lower back pain management, Dr. Park says.
If your back pain is musculoskeletal, you will not require surgery, but if its a pinched nerve thats due to a disc herniation or something else, you may need to have surgery, he says. But even in those people, when you go through a six-to-eight-week course of treatment that includes physical therapy and activity modification, 85 to 90 percent of the time, they wont need surgery.
However, if you try the treatments above and dont see any improvement or still feel pain, talk to your doctor about a referral to a pain management specialist, as more specific tests or treatments may be required to get to the bottom of whats going on.
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What Should I Think About When Deciding About Treatment
You and your health care professional can discuss what might be best to treat your low back pain. Here are some things to think about. Be sure to share your thoughts with your health care professional.
- How does your low back pain affect your daily life?
- What are your goals for treatment?
- Which treatment feels like the best fit for you?
- Which possible side effects of treatment concern you?
- How might the cost of treatment affect your decision?
- How much time do you have to spend on treatment?
Ask your health care professional
- Which treatment do you think may be best for me? Why?
- What may help my low back pain in the short term?
- What may help my low back pain in the long term?
- Might medicine help my low back pain? If so, which one?
- What side effects should I watch for? When should I tell you about them?
- Might nonmedicine treatments help my low back pain?
- How long might it take for the treatment to start working?
- Is there anything else I can try?
Home Remedies For Lower Back Pain When Sitting
In addition to improving your posture when sitting, try these at-home remedies for lower back pain:
- Change your position. Consider a standing desk or one thats ergonomically designed to help you maintain good posture by allowing you to adjust the height of your monitor.
- Apply ice.Cold helps reduce inflammation that may be affecting your back. Leave the ice pack on for about 20 minutes, and then remove it. You can do this every hour or so.
- Use a heating pad. After any inflammation is under control , many people find heat soothing. It also promotes healing by bringing blood to your back.
- Take over-the-counter medication.Pain relievers like nonsteroidal anti-inflammatory drugs can reduce discomfort and swelling.
- Use a support. Placing a rolled-up towel or special lumbar pillow at the base of your spine while sitting will help you remember to sit up straight and provide you with some stability.
- Get a massage. This can help loosen and relax tight muscles.
- Consider yoga.Yoga is known for its ability to stretch and strengthen the body. Many programs allow for modification of the poses as needed.
There are several exercises that will help strengthen your lower back. Try these three stretching exercises to help make your back stronger and better toned:
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Lower Back Pain And Urinary Retention
Your lower back is referred to as the lumbar region of the spinal column. It has a lot of hefty lifting to do: The back back carries the weight of your whole upper body, plus biomechanical tensions that occur with activity. Lower Back Pain And Urinary Retention
The lumbar back has five vertebrae backbones. Each vertebra has a large disc cushiony gel wrapped in a difficult membrane layer on its front side that functions as a shock absorber. Each vertebra additionally has 2 cartilage-lined aspect joints on its behind. Working together, discs and element joints allow the spinal column to securely flex and also twist.
Your lower back also consists of ligaments, ligaments, and also muscles. Tendons are solid bands that hold the vertebrae and also discs together. Ligaments affix muscular tissues to the vertebrae. These frameworks assist restrict too much movement that might damage the spinal cord.
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
- Office personnel
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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
Find Back Pain Relief: Lighten Your Bags
Carrying an overstuffed purse, briefcase, or handbag can strain the low back. If you must carry a heavy load, consider using a wheeled briefcase instead. By reducing the amount of weight you’re carrying, you reduce the amount of pressure on the spine. Help keep your kids’ backs healthy by making sure their backpacks are not overloaded. A heavy backpack could mean future back pain for your little ones.
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Whats The Role Of Chiropractic Care
Some doctors refer back pain sufferers to a physical therapist right away. But many people with back pain see acupuncturists, massage therapists, or a chiropractor on their own. Experts disagree about the role of chiropractic care, and there are not many high-quality studies to consult about this approach. As a result, there are a number of questions regarding the role of chiropractic care: Should it be a routine part of initial care? Should it be reserved for people who dont improve with other treatments? Are some people more likely to improve with chiropractic care than others?
The answers to these questions go beyond any academic debate about how good chiropractic care is. Estimates suggest that low back pain costs up to $200 billion a year in the US , and its a leading cause of disability worldwide. With the backdrop of the opioid crisis, we badly need an effective, safe, and non-opioid alternative to treat low back pain.
Ways To Relieve Back Pain Naturally
There are a wide variety of natural remedies to soothe your back, which can help reduce the intake of medications or provide an added benefit to your existing medical treatment.
Take a look at these natural pain-relieving strategies and find out what works best for you:
Read on to learn more about effective pain-relieving strategies for chronic back pain from natural methods.
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What Causes Low Back Pain
Injuries are a common cause of low back pain. Examples include a muscle strain or spasm, ligament sprain, joint problem, or a slipped disk. A slipped disk, or herniated disk, has to do with your spine. It occurs when a disk between the bones of your spine swells or bulges and presses on your nerves. Twisting while lifting often causes this. Many people who have a slipped disk do not know what caused it.
You may have low back pain after doing an activity you arent used to, such as lifting heavy furniture or doing yard work. Sudden events, such as a fall or a car wreck, can cause low back pain. You also may have low back pain from an injury to another part of your body.
Why Is Lower Back Pain Such A Common Problem
The bottom part of your back typically has just five vertebrae fewer than your neck and mid-back. And these vertebrae do a lot of heavy lifting! Your lower back is where your spine connects to your pelvis, bearing the weight of your upper body. This area experiences a lot of movement and stress, which may lead to wear, tear and injuries.
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Workouts That Can Cause Low Back Pain
Most athletic injuries to the back are sprains of the ligaments or strains of the muscles surrounding the spine. Serious conditions or complications can have similar symptoms to those of a routine sprain or strain. The most common sports injuries occur after repetitive overuse of the spine either through twisting, compression, or flexion. High impact sports such as running, football, or volleyball can often cause low back pain. Sports like golf, in which repetitive twisting is often involved, can also cause low back pain.
The Evidence For Cannabis And Back Pain Relief
Anecdotal instances of marijuana helping to relieve back pain are widespread, which is excellent news and it cannot be discounted.
However, it is always key to have controlled studies and scientific evidence to back up health claims.
As we alluded to earlier, there have been a number of studies that seem to back up the claims for cannabis and back pain treatments. Below, is a list of a few studies that may support the claims of using medical cannabis for back pain.
This 2004 study took 34 individuals that suffered from chronic pain, which was resistant to treatment. The participants were given different strains of marijuana and observed over a 12-week period.
The results showed some significant reduction in chronic pain symptoms and found that extracts containing THC were most effective to relieve pain.
Pain was also significantly decreased in this study from 2011 that looked at the cannabinoid-opioid interaction in chronic pain.
The study concluded that vaporized cannabis did, in fact, elicit an analgesic, pain-relieving effect.
Finally, a clinical review was undertaken in 2015 by Kevin P. Hill, MD to compare the results from 6 clinical trials and their findings on the effectiveness of marijuana to relieve chronic pain.
The following quote was copied from the findings section of the review:
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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.
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
Greater Trochanteric Pain Syndrome
Greater trochanteric pain syndrome describes pain that is felt along the outer hip area. Causes include sports injury, muscle tears, and injury due to motor vehicle accidents. The pain is caused by a combination of inflammation in two distinct areas: the bursa of the hip and pain in the buttock . Pain may also be caused by tendinitis of the hip abductor muscles. Symptoms of greater trochanteric pain syndrome include hip pain at night lying on side, dislocated hip symptoms, and hip muscle weakness. Hip pain relief can be sought through anti-inflammatory medications, physical therapy, and stretches for hip pain.
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Lower Back Stretches To Reduce Pain And Build Strength
Lower back pain is a fairly common health concern, as so many things can cause it.
In some cases, it might be a symptom of an underlying condition, like kidney stones or acute pancreatitis. Other times, its simply a side effect of a sedentary lifestyle or repetitive motions.
While stretching isnt a remedy for all lower back pain, in many instances, it can provide relief. If youve been living with some mild discomfort or stiffness, these seven stretches may help reduce the pain and strengthen the muscles in your lower back.
The Most Common Causes Of Lower Back Pain Are A Strain Or Sprain
Whether you notice it or not, your lumbar spine gets put to work throughout the entire day.
Amid all of this work and motion, a lower back sprain or strain can result from an acute injury, such as one experienced while falling, lifting something too heavy or playing sports. A sprain or strain can also develop over time due to repetitive movements or poor posture.
“Straining a muscle or spraining a ligament are the most common causes of lower back pain,” says Dr. Palmer. “While they can be serious, these common causes of lower back pain aren’t long-lasting taking anywhere from a few days to heal or, at most, a few months.”
Your doctor can help you determine the particular course of self-care that can help heal your lower back pain.
“The treatment for a pulled back muscle or strained back ligament is fairly simple and can include pain and anti-inflammatory medications, muscle relaxers, ice to help reduce inflammation, heat to promote healing, and avoiding strenuous activity until the pain recedes,” explains Dr. Palmer. “The best course of care will depend on the severity of your injury as well as your overall core and lower body strength.”
If your lower back pain persists despite treatment, it may be time to consider other causes of lower back pain.
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Don’t Rest An Achy Back
Doctors used to prescribe bed rest for back pain. But now we know that lying still is one of the worst things you can do. It can make back pain worse and lead to other complications. Don’t rest for more than a day or two. It’s important to get up and slowly start moving again. Exercise has been found to be one of the most effective ways to relieve back pain quickly. Try swimming, walking, or yoga.
Support Your Body In A Warm Pool
The buoyancy of the water lets you enjoy the benefits of exercise with less pain. Exercising in water also helps regulate the functioning of nerves and muscles, relieving pain.14
If you prefer warmer pools, look into water exercise classes and hydrotherapy pools. Water therapy exercises are often done in water that is about 83 degrees to 88 degrees. Hydrotherapy pool temperatures are often more than 90 degrees.
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What Does It Mean If Lower Back Pain Is Shooting Into Legs
Lower back pain can radiate to other parts of the body: up or down from its place of origin. Sometimes lower back pain can be on one side of the back, which is also normal.
If the pain is shooting from the lower back into one or both legs, it could be sciatica , but its not always the case. There are many parts in the lower back that may cause the pain to radiate into the legs, such as facet joints, sacroiliac joints, muscles or inflammation of the bursa.
Lower Back Pain: How To Tell If Its Muscle
When a patient visits my office with back pain, its my job to uncover the pain generator. We talk through the patients history, discuss their symptoms, and make a determination as to next steps. If need be, I prepare their case to be looked at by a surgeon, but generally, my goal is to help patients avoid surgery and find relief with more conservative measures.
Most cases of back pain are not caused by serious conditions. But its important to always rule out the possibility that a patient has another internal issue that mimics back pain . Colitis, kidney stones, gallbladder issues, vascular problems, or an aneurysm are examples of serious conditions that are capable of causing pain to radiate into the back, making it feel like youre experiencing back pain.
A thorough fact-finding investigation should help determine the cause. When did the pain start? How long did it last? What makes it better or worse? Key to determining the pain generator is the patients description of their condition and their medical history. For example, if a patient describes the pain as having come on suddenly and causing nausea, nearly prompting a trip to the emergency room, then disappearing just as suddenly, they may be suffering from a kidney stone rather than back pain from a spinal condition.
- Muscle pain
- Disc pain
Lets take a look at each type in more detail.
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Low Back Pain: How Can Physiotherapy Help
Raj Suppiah, MScPT
Last week, we talked about getting in to see your physiotherapist as soon as you experience back pain. This week, well talk about the variety of ways physiotherapy can help. A recent article in the Journal of Orthopedic and Sports Physical Therapy described the ways to treat back pain based on the best research evidence.
LOW BACK PAIN IS SO COMMON THAT 8 OF 10 PEOPLE EXPERIENCE IT AT SOME TIME IN THEIR LIVES. Although the pain in your back may feel severe to you, most low back pain is not due to a serious problem. Physiotherapists should be able to assess, diagnose and intervene without the use of diagnostic imaging.
Back pain manifests itself in many ways. Localized pain is felt in the lower back and buttocks. Radiating pain occurs when there is pain in the back as well as down the leg or foot. This can also occur in the form of numbness and/or tingling and is usually the result of nerves being irritated. Sometimes, symptoms can occur in the leg, without actually being felt in the back. This is called referred pain. More often than not, back pain results from lifestyle factors, such as sitting too much, being in poor physical condition, and bending and lifting improperly.
1) Manual therapy . Physiotherapists skilled in manual therapy use precise hands-on techniques to relieve stiffness and improve movement of the joints and muscles of your spine.
3) Progressive strengthening exercises that focuses on core stability and endurance.