What Are The Causes Of Lower Back Pain
The vast majority of patients experience back pain because of mechanical reasons. They strain a muscle from heavy lifting or twisting, suffer a sudden jolt in a car accident, experience stress on spinal bones and tissues resulting in a , or suffer from osteoarthritis, a potentially painful degeneration of one or more spinal joints. Common causes for low back pain are:
- mechanical or functional injury
- active infection
- referred pain
To choose the safest and most effective therapy, doctors need to consider the full spectrum of possible underlying issues, such as inflammatory conditions, fracture, infection, as well as some serious conditions unrelated to the back that radiate pain to the back.
What Can Cause A Tight Lower Back
Sports injuries, overtraining, and accidents can cause your back to feel tight. Even everyday activities such as sitting can cause tightness.
Often you develop tightness in the lower back to compensate for an issue in another part of the body. Tight hamstrings and gluteus muscles can also contribute to this tightness. Having poor posture or using incorrect form while lifting weights or having weak core muscles can also play a part.
There are several other factors that can lead to or complicate a tight lower back. These include:
- sprains and strains
Youll typically see improvements within two to six weeks of doing daily exercises. You should see a doctor if:
- your pain doesnt improve within a few weeks
- you have intense pain while doing the exercises
- the pain spreads to your legs
Also see a doctor if you experience any numbness, swelling, or severe pain. Your doctor can help to determine if any pain or tightness is being caused by an underlying condition.
There are many lifestyle changes you can practice to help prevent lower back pain. Here are a few guidelines and tips:
- Adopt a balanced, healthy diet.
- Maintain a healthy weight.
Surgery For Lower Back Pain
Because the vast majority of patients recover from their low back pain with little help from a doctor, the rationale behind choosing surgery must be convincing. Eighty percent of patients with sciatica recover eventually without surgery.
Severe progressive nerve problems, bowel or bladder dysfunction and the cauda equina syndrome make up the most clear-cut indications for back surgery. Back surgery will also be considered if the patients signs and symptoms correlate well with studies such as MRI or electromyogram .
In the most serious cases, when the condition does not respond to other therapies, surgery may well be necessary to relieve pain caused by back problems. Some common procedures include:
- Discectomy, such as a or removal of a portion of a
- a bone graft that promotes the vertebrae to fuse together
- removal of the lamina to create more space and reduce irritation and inflammation
References and useful links
- 1, 2. Excerpted from Low Back Pain Fact Sheet, National Institute of Neurological Disorders and Stroke, National Institutes of Health
- Low Back Pain Fact Sheet, National Institute of Neurological Disorders and Stroke, National Institutes of Health. Reviewed, July 26, 2003.
- Deyo RA, Weinstein JN, Low Back Pain, N Engl J Med, Vol 344, No. 5, Feb 1, 2001, pp 363-370.
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How Does A Lower Back Massage Help Stress
Stress is relieved through lower back massage. The body can be both mentally and physically affected by stress. A common sign of stress in the body is muscle tension. Muscle tension can become painful if not treated.
A lower back massage aims to reduce stress by relieving muscle tightness and psychologically relieving stress.
A lower back massage helps loosen muscles and relieve tension. Muscle tightness and tension is relieved as the temperature of the muscles is increased. Muscle temperature is increased due to an increase in blood circulation. When muscle temperature increases, an improvement in tissue elasticity and flexibility occurs. Improving tissue elasticity and flexibility reduces restriction, relieving tension and tightness in the muscles. Reducing tension and tightness physically reduces stress.
A lower back massage also helps reduce stress psychologically. A lower back massage decreases the levels of a stress hormone called cortisol. Cortisol is a negative hormone that can increase levels of anxiety and depression as well as stress. During a lower back massage, cortisol is reduced allowing the body to mentally relax and become stress free.
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.
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The 7 Best Natural Cures For Inflammation In The Lower Back
No matter the cause of your lower back pain the pain you experience is caused by one thing:
How to know whats causing your inflammation in the lower back? How to eliminate the pain without depending on pain killers for life?
In this detailed guide, youll find all the answers: the common causes, the ultimate natural cures and how to avoid low back inflammation from coming back ever again.
First, lets start with lower back inflammation symptoms, and how they differ from mechanical lumbar pain:
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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.
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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.
Symptoms Of Lower Back Pain
The symptoms of lower back pain can vary from person to person. It may come on suddenly, perhaps after youve lifted something heavy or moved in a way thats hurt your back. Or it may come on gradually over time or for no apparent reason. The pain can be mild or severe. Some people also have pain in the buttock or down one leg, sometimes as far as the calf or the toes. This is called sciatica.
Most people with back pain symptoms have whats called non-specific back pain. This means theres no clear or specific cause . It means that often tests cant really help because no specific damage to the spine or muscles around it would show up on them. This might sound unsettling, but it means that theres no serious cause for the pain.
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New Intracept Procedure Provides Lasting Relief For Chronic Low
Back pain is one of the most common reasons people see a doctor or miss days at work. The number of people globally with low-back pain increased from 377.5 million in 1990 to 577 million in 2017.
One of those people is television host Carson Daly, who recently detailed his decades-long struggle with lower back pain in a story on the Today show. Daly also shared his experience undergoing a breakthrough, minimally invasive procedure called Intracept.
Designed to provide long-term relief of chronic low-back pain that originates inside the vertebrae, Intracept is the only procedure approved by the U.S. Food & Drug Administration for this condition. As a minimally invasive outpatient procedure, Intracept targets and deadens the nerves responsible for vertebrogenic low-back pain with radiofrequency heat without a lengthy recovery or spinal implants.
My colleague, Ankit Patel, M.D., and I are two of a small pool of physicians in the Metroplex who offer the Intracept procedure, and more of our colleagues in the UT Southwestern Spine Center are starting to use the technology.
We are excited to be able to offer this innovative treatment and help patients enjoy more pain-free days.
Ask About Prescription Medications
If your back pain hasnt resolved itself within four to six weeks, make an appointment with your doctor, who will examine your back and ask you to sit, stand, bend, walk, and lift your legs to see how your pain is affecting your mobility. Youll likely be asked to rate your pain on a scale of one to 10, and they may do imaging tests, like an X-ray or MRI. Then, he or she may recommend one of the following prescribed therapies:
- Muscle relaxants: Medications like cyclobenzaprine or baclofen can help relieve painful back spasms. If you go this route, just know that side effects can include fatigue and dizziness.
- Topical pain medications: These creams and ointments, like Voltaren gel, are meant to be rubbed directly on to the area thats hurting you.
- Cortisone shots: If other treatment measures fail, your doctor may recommend an injection of cortisone, a potent anti-inflammatory. There are risks, including thinning of nearby bone, and relief typically lasts just a few months, tops.
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How Is Low Back Pain Diagnosed
Your doctor will likely begin by requesting a complete medical history and conducting a thorough physical examination to determine where youre feeling the pain. A physical exam can also determine if pain is affecting your range of motion.
Your doctor may also check your reflexes and your responses to certain sensations. This determines if your low back pain is affecting your nerves.
Unless you have concerning or debilitating symptoms or neurologic loss, your doctor will probably monitor your condition for a few weeks before sending you for testing. This is because most low back pain resolves using simple self-care treatments.
Certain symptoms require more testing, including:
- lack of bowel control
- weight loss
Likewise, if your low back pain continues after home treatment, your doctor may want to order additional tests.
Seek medical attention immediately if you experience any of these symptoms in addition to low back pain.
- bone problems
- disc problems
- problems with the ligaments and tendons in your back
If your doctor suspects a problem with the strength of the bones in your back, they may order a bone scan or bone density test. Electromyography or nerve conduction tests can help identify any problems with your nerves.
The Healthline FindCare tool can provide options in your area if you need help finding a doctor.
It All Starts With Speaking To Your Doctor
The first step is to talk to your primary care physician about your back pain. They have a more holistic view of your health. So its a good idea to consult with them before seeing a specialist.
Perhaps youve already had an initial consultation with your doctor. Maybe youve even had an imaging study, like an MRI, done on your lower back. Those are great initial actions. Now its time to discuss your treatment options.
Your PCP can lay out the different routes you can take to manage your pain. And they can make suggestions as to what options are best for you. Your primary care doctor is familiar with your medical history. So they can also give you an idea of additional health benefits a particular therapy may provide you.
Talking to your PCP will ensure you are working together to develop a clear treatment plan. Thats the most important step towards feeling better.
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Herniated Disk In The Lower Back
The backbone, or spine, is made up of 26 bones called vertebrae. In between the bones are soft disks filled with a jelly-like substance. These disks cushion the vertebrae and keep them in place. Although people talk about a slipped disk, nothing actually slips out of place. The outer shell of the disk ruptures, and the jelly-like substance bulges out. It may be pressing on a nerve, which is what causes the pain.A slipped disk is more likely to happen due to strain on the back, such as during heavy lifting, and older individuals are at higher risk.
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
What Are The Treatments For Lower Back Pain
Lower back pain usually gets better with rest, ice and over-the-counter pain relievers. After a few days of rest, you can start to get back to your normal activities. Staying active increases blood flow to the area and helps you heal.
Other treatments for lower back pain depend on the cause. They include:
- Medications: Your provider may recommend nonsteroidal anti-inflammatory drugs or prescription drugs to relieve pain. Other medications relax muscles and prevent back spasms.
- Physical therapy : PT can strengthen muscles so they can support your spine. PT also improves flexibility and helps you avoid another injury.
- Hands-on manipulation: Several hands-on treatments can relax tight muscles, reduce pain and improve posture and alignment. Depending on the cause of pain, you may need osteopathic manipulation or chiropractic adjustments. Massage therapy can also help with back pain relief and restore function.
- Injections: Your provider uses a needle to inject medication into the area thats causing pain. Steroid injections relieve pain and reduce inflammation.
- Surgery: Some injuries and conditions need surgical repair. There are several types of surgery for low back pain, including many minimally invasive techniques.
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Simple Stretches To Relieve Lower Back Pain
Lower back pain can be a debilitating and painful condition.
Fortunately, staying physically active may be the most effective and cost-efficient way to soothe or prevent it.
Here are 8 simple stretches to relieve lower back pain.
Although its origin varies, changes in the lumbar, or lower back, structure due to musculoskeletal damage are considered to be the main cause .
Your musculoskeletal system is made up of bones, muscles, tendons, ligaments, and other connective tissues that provide form, support, stability, and movement to your body.
Other muscles that play an important role in maintaining the normal curvature of your spinal column are reported to be associated with lower back pain. These include the hip flexor and hamstring muscles .
Minor lower back pain normally gets better on its own within a few days or weeks. It can be considered chronic when it persists for more than three months .
In either case, staying physically active and regularly stretching can help reduce lower back pain or prevent it from returning .
The remainder of this article provides eight stretches for lower back pain, all of which you can do in the comfort of your own home with minimal or no equipment.
Summary Lower back pain is an incredibly common condition that can be relieved or prevented with regular exercise and stretching.
The knee-to-chest stretch can help lengthen your lower back, relieving tension and pain.
To perform the knee-to-chest stretch:
What Are The Symptoms Of Lower Back Pain
Symptoms of lower back pain can come on suddenly or appear gradually. Sometimes, pain occurs after a specific event, such as bending to pick something up. Other times, you may not know what caused the pain.
Pain may be sharp or dull and achy, and it may radiate to your bottom or down the back of your legs . If you strain your back during an activity, you may hear a pop when it happened. Pain is often worse in certain positions and gets better when you lie down.
Other symptoms of lower back pain include:
- Stiffness: It may be tough to move or straighten your back. Getting up from a seated position may take a while, and you might feel like you need to walk or stretch to loosen up. You may notice decreased range of motion.
- Posture problems: Many people with back pain find it hard to stand up straight. You may stand crooked or bent, with your torso off to the side rather than aligned with your spine. Your lower back may look flat instead of curved.
- Muscle spasms: After a strain, muscles in the lower back can spasm or contract uncontrollably. Muscle spasms can cause extreme pain and make it difficult or impossible to stand, walk or move.
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