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What Causes Chronic Lower Back Pain

Can Lower Back Pain Be A Sign Of Something Serious Like Cancer

Unusual Cause Of Chronic Lower Back Pain

Lower back pain can be related to cancer. In fact, it is one of the first symptoms of prostate cancer when it metastasizes and creates lesions. Almost any cancer can spread to the back and some, like sarcoma, can originate in the back. Be cautious, especially if you are experiencing other symptoms besides lower back pain. Talk to your doctor if you have additional symptoms or concerns.

Injectable Hydrogel Found To Relieve Chronic Lower Back Pain

Biotechnologist with a penchant for writing

Degenerative Disc Disease is a condition in which a damaged disc causes pain. It is a leading cause of chronic low back pain and is one of the worlds most common medical conditions. Healthy discs cushion the spines vertebrae, facilitating movement and flexibility. With normal aging, though, they can become dry, thin, cracked or torn, causing pain or loss of motion. By age 60, most people have at least some disc degeneration. A new injectable hydrogel has proven safe and effective in relieving chronic lower back pain caused by degenerative disc disease .

The gel with the brand name Hydrafil developed by the company ReGelTec, when injected directly into worn discs using X-rays to guide the needle, adheres to the discs center and outer layer and fills in tears and cracks in the spinal disc. In 2020, it received FDAs breakthrough device designation that allows expedited review when early evidence suggests an experimental product may provide more effective treatment than current options for treating a serious condition.

The research team enrolled 20 patients, aged 22 to 69, with chronic DDD low back pain. Each described their pain as four or higher on the 10-point scale. None had found more than mild relief from conservative care, which includes rest, analgesics, physical therapy, and back braces.

However, trials will need to show that the gel can be maintained in the disc and doesnt wear out over time.

Lower Back Pain: What Could It Be

Do you have lower back pain? You are not alone. Anyone can experience lower back pain at any time, even if you dont have a prior injury or any of the risk factors. It is not always serious and can often get better on its own. But in some cases pain is your bodys way of telling you that something isnt right.

Learn more about lower back pain and what causes it from rehabilitation physician Akhil Chhatre, M.D., who specializes in back pain in the Johns Hopkins Department of Physical Medicine and Rehabilitation.

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Less Common Causes Of Low Back Pain

While considerably less common, low back pain may also be caused by:

Infection. Also called osteomyelitis, a spinal infection is rare but can cause severe pain and is life threatening if untreated. It can be caused by surgical procedures, injections, or spread through the blood stream. Patients with a compromised immune system are more susceptible to developing an infection in the spine.

Tumor. Most spinal tumors start in another part of the body and metastasize to the spine. The most common tumors that spread to the spine start from cancer in the breast, prostate, kidney, thyroid, or lung. Any new symptoms of back pain in a patient with a known diagnosis of cancer should be evaluated for possible spinal metastasis.

Autoimmune disease. Back pain is a possible symptom associated with autoimmune conditions, such as ankylosing spondylitis, rheumatoid arthritis, lupus, crohns disease, fibromyalgia, and others.

This list includes the more common causes of back pain, but there are many more. Finding the optimal treatment for low back pain usually depends on obtaining a correct clinical diagnosis that identifies the underlying cause of the patients symptoms.

Can I Prevent Lower Back Pain

The Common Causes Of Chronic 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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What Are The Causes Of Chronic Back Pain

According to the study, the lower back pain is the leading cause of disability. Now, the question is what causes chronic back pain. Before talking about the causes of chronic back pain, it would be better to know about the structure of the human back.

*All individuals are unique. Your results can and will vary.

The structure of human back is very complex. It consists of muscles, ligaments, disks, bones, and tendons. It there is any sort of problem with any of these components, then a person is likely to suffer from the back pain. Due to a complex structure of a human back, there are many people who also suffer from chronic back pain syndrome. Here are some of the common causes of chronic back pain.

Treatments For Back Pain From A Specialist

A GP, specialist or physiotherapist may recommend extra treatments if they do not think your pain will improve with self-help measures alone.

These may include:

  • group exercise classes where you’re taught exercises to strengthen your muscles and improve your posture
  • manual therapy treatments, such as manipulating the spine and massage, which are usually done by a physiotherapist, chiropractor or osteopath
  • psychological support, such as cognitive behavioural therapy , which can be a useful part of treatment if you’re struggling to cope with pain

Some people choose to see a therapist for manual therapy without seeing a GP first. If you want to do this, you’ll usually need to pay for private treatment.

Surgery is generally only considered in the small number of cases where back pain is caused by a specific medical condition.

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Fractures And Lower Back Pain

are often very difficult pain problems and indicate the possible presence of . In patients with severe osteoporosis, spinal fractures can occur with no early warning and no significant trauma the patient does not have to fall to fracture a vertebrae.

Patients with spinal compression fractures experience spasms and, often, very high pain levels.

In patients with low back pain where the cause is difficult to determine, especially for elderly patients with osteoporosis, a fracture in the sacrum may be the cause of the pain. A standard X-ray or bone scan may not show a sacral fracture. Imaging techniques such as CT scan or MRI can often reveal these fractures.

It is very important that patients with acute lumbar compression fractures be tested for osteoporosis. A bone density study is needed, unless the patient has no other osteoporosis risk factors and has had a very high impact fracture. Studies have shown that many patients with fractures in the U.S. are discharged from hospitals with no plans for management of their bone density problems, which then are left to worsen.

Although pain can be very intense, it is best for patients with lumbar fracture to resume activity as soon as possible. This is especially true for elderly patients, who can too easily become weakened, and develop other complications, if mobility is reduced for too long. may be needed for pain control, for as brief a period as possible.

Skeletal Disease Or Injury

Chronic Low Back Pain

Skeletal disease or injury affecting the nerves on the right side of the back can lead to pain.

  • Cartilage deterioration: This is wearing away of the cartilage at the ends of the bones, due to either age or disease.
  • Bony growths: Small overgrowths of bones in the spine may crowd the spinal cord and cause pain and numbness or pinch other nearby structures. A general narrowing of the spinal canal is known as spinal stenosis.
  • Scar tissue: This may form due to injury or the result of spinal surgery.
  • Injury or disease of the discs: These are the “cushions” between each of the spinal vertebrae. A disc may be partly pushed out of place, causing pressure on a nerve. A disc may also rupture and lose some of its contents, causing pain and pressure on the surrounding nerves .

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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.

What Can Cause Lower Back Pain

Most acute low back pain is mechanical in nature, meaning that there is a disruption in the way the components of the back fit together and move. Some examples of mechanical causes of low back pain include:

Congenital

  • Skeletal irregularities such as scoliosis , lordosis , kyphosis , and other congenital anomalies of the spine.
  • Spina bifida which involves the incomplete development of the spinal cord and/or its protective covering and can cause problems involving malformation of vertebrae and abnormal sensations and even paralysis.

Injuries

  • Sprains , strains , and spasms
  • Traumatic Injury such as from playing sports, car accidents, or a fall that can injure tendons, ligaments, or muscle causing the pain, as well as compress the spine and cause discs to rupture or herniate.

Degenerative problems

  • Intervertebral disc degeneration which occurs when the usually rubbery discs wear down as a normal process of aging and lose their cushioning ability.
  • Spondylosis the general degeneration of the spine associated with normal wear and tear that occurs in the joints, discs, and bones of the spine as people get older.
  • Arthritis or other inflammatory disease in the spine, including osteoarthritis and rheumatoid arthritis as well as spondylitis, an inflammation of the vertebrae.

Nerve and spinal cord problems

Non-spine sources

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When Surgery Is Necessary

When conservative treatment for low back pain does not provide relief or neurologic symptoms are worsening or severe, surgery may be needed. Candidates for surgery present any of the following:

  • Reasonably good health
  • Back and leg pain limits normal activity or impairs quality of life
  • Progressive neurologic deficits develop, such as leg weakness, numbness or both
  • Loss of normal bowel and bladder functions
  • Difficulty standing or walking
  • Medication and physical therapy are ineffective

If surgery is recommended, neurosurgeons have a variety of options available to help relieve pressure on the nerve roots. If several nerve roots and discs are causing the pain or if degeneration and instability exist in the spinal column, the neurosurgeon may choose: a minimally invasive approach a more open decompression or fusing the vertebrae together with bone grafts and stabilizing them with instrumentation, including metal plates, screws, rods and cages, depending on the extent of disease. After such surgery, patients may gain restored mobility in the back, including the ability to bend over. In addition, patients may require postoperative physical therapy.

The benefits of surgery should always be weighed carefully against the risks. Although a large percentage of patients with low back pain report significant pain relief after surgery, it is not guaranteed that surgery will help.

When Are Diagnostic Tests For Lower Back Pain Necessary

Better Management of Chronic Lower Back Pain

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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Is Lower Right Back Pain Serious

Lower right back pain can vary in severity. You will probably have the best idea of your pain level and when you should see a physician.

  • Not serious: Mild pain may come on fairly suddenly after exercise and responds to rest and over-the-counter pain relievers.
  • Moderately serious: In some cases, an injury that at first seems minor can become worse over time. Back injuries can easily become chronic if not treated quickly.
  • Serious: If your back pain interferes with your normal activities and is becoming severe, you should see a physician as soon as possible.

Causes Of Chronic Lower Back Pain

Pain is considered chronic once it lasts for more than three months and exceeds the bodys natural healing process. Chronic pain in the low back often involves a disc problem, a joint problem, and/or an irritated nerve root. Common causes include:

Lumbar herniated disc. The jelly-like center of a lumbar disc can break through the tough outer layer and irritate a nearby nerve root. The herniated portion of the disc is full of proteins that cause inflammation when they reach a nerve root, and inflammation, as well as nerve compression, cause nerve root pain. The disc wall is also richly supplied by nerve fibers, and a tear through the wall can cause severe pain.

Degenerative disc disease. At birth, intervertebral discs are full of water and at their healthiest. As people age over time, discs lose hydration and wear down. As the disc loses hydration, it cannot resist forces as well, and transfers force to the disc wall that may develop tears and cause pain or weakening that can lead to a herniation. The disc can also collapse and contribute to stenosis.

See Lumbar Degenerative Disc Disease

Facet joint dysfunction. There are two facet joints behind each disc at each motion segment in the lumbar spine. These joints have cartilage between the bones and are surrounded by a capsular ligament, which is richly innervated by nerves. These joints can be painful by themselves, or in conjunction with disc pain.

See Lumbar Spinal Stenosis

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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.
  • Heat and/or ice may help ease pain, reduce inflammation, and improve mobility for some people
  • Gentle stretching upon advice by your healthcare professional
  • 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.

    Overview Of Chronic Back Pain

    Acute and Chronic Back Pain Causes | Yashoda Hospitals

    Chronic back pain is one of the most common health issues all over the world. According to the statistics, around 80% of the populations are likely to suffer from chronic back pain at some point in their lives.

    And, another statistic shows that around $50 billion is spent by Americans on back pain every single year.

    These statistics must have given you the clue on how common this problem really is. The chronic back pain could be very annoying at times. It does not allow the person to be involved in the day to day activities in a normal manner.

    The duration of the back pain depends on severity of the back pain. In the case of chronic back pain, it means the back pain that will last for more than 12 weeks. In this article, we will talk about the chronic back pain causes and chronic back pain symptoms.

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    Can Lower Back Pain Be Related To Weather

    If you feel like your lower back pain worsens on days when its cold or the weather is changing, you are not imagining things. Back pain can indeed be related to barometric pressure and outdoor temperature. Changes in pressure can sometimes cause pain in arthritic joints, including the spine. Muscles and joints in general react to the environment, which can make them stiffer and more likely to suffer an injury.

    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 .

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