How To Find An Orthopedist For Lower Back Pain
Your primary care physician may recommend a leading orthopedist in your area. You can also ask your friends who they recommend, and search the website of the American Orthopedic Association or the AAOS. Once you have found an orthopedist, you’ll want to reach out to them to get more information on their specialty, experience, and background. If they are an orthopedic surgeon, it’s important to inquire about their training and experience all of which can be done through a consultation.
What Is Back Pain
Pain in your back can be an annoying ache, or it can get so bad that its unbearable. Back pain is the second most common reason why people visit their healthcare providers . Many people miss work because of it. Around 80% to 90% of people in the United States will have back pain at some point in their lives.
Why Does My Back Hurt
There are various causes of back pain, including muscle pain with or without muscles spasms, disc pain, joint pain, or nerve pain. In most cases, these are not harmful or dangerous.
Muscle pain is the most common acute back pain. The period of acute pain is usually limited and may be treated at home or by primary care doctors. Sometimes, these patients may be referred to doctors who specialize in back pain. Some back pain can be a symptom of a more serious problem, like a fracture, infection, or cancer in the spine, said H. Michael Guo, MD, a Duke physiatrist who specializes in spine care. These patients should be seen by spine doctors. Fortunately, spine infections and cancer are very rare and usually only affect people with special risk factors. Spine fractures are also rare and may be associated with thinned spine bones or injuries.
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Is Back Pain Affecting Your Golf Game
Golf is a favourite sport and pastime among many. However, the torque and force applied across the lower back pain create a significant risk of developing or worsening lower back pain.
There will be challenges for golfers of all age groups, but golfers with back pain challenges would mainly be over 50 years old golfer. After age 50, strength and power performance can diminish significantly.
Fret not, Retrofit exercise specialists have the solution to build strength and help you live better.
When Should I See My Healthcare Provider
See your healthcare provider about your back pain if its severe or doesnt get better after a few weeks. See them immediately if:
- You feel weakness in your legs.
- Youre losing weight .
- Theres swelling in your back.
- The pain spreads down one or both of your legs.
If your pain isnt any better after four to seven days of treatment, you should contact your healthcare provider again. See your provider again as soon as possible if you now have back pain plus:
- Blood or pus in your poop.
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Two Severe Back Pain Symptoms You Should Get Er Treatment For
Dr. Madsen:
Number two, are you having symptoms like, losing control of your bladder or your bowels? Maybe you didn’t have a direct injury to the back, maybe you’re just having pain in your lower back and you cannot get to the bathroom quickly enough, you just can’t hold it, you’re urinating on yourself or you try to go to the bathroom and you really can’t urinate. That is something that also you need to go to the ER for.
So that’s second thing, the first thing’s probably kind of obvious, you figure, “Okay, if I’ve been injured, let’s say I fell or something hit me on the back, I’m having pain right on my spine, probably need to get some X-rays or a CT scan,” but the second thing it’s kind of an unusual thing but something I always think about, It’s a term, it’s something medical condition called cauda equina, and what that means is cauda equina’s Latin for the horse’s tail.
In my mind, that really raises concern for that, and the way I diagnose that is an MRI. And that’s something you would need in the ER. So those are the two things that would say go to the ER for.
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:
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Whats Causing The Muscle Spasms
People will often blame the movement, suspecting they simply made one wrong move such as bending over with bad mechanics. This is probably true, especially in situations outside of what you ordinarily do, but for things youve done a million times before, like reaching for your shoes or unloading the dishwasher, why this time and why now?
Perhaps youre thinking spinal disc herniation. But were here to tell you that making one wrong movement usually is not the root cause of a herniated disc. An acute disc herniation would typically require more forceful impact such as an industrial accident or car collision. Otherwise, there are two explanations for the everyday disc herniation: cumulative injury and genetics both of these involve the disc slowly herniating over time. Slowly herniating discs are an underlying issue that go undiagnosed in up to 63% of individuals whom experience little to no pain despite their MRIs revealing one or more herniated discs. Understanding acute spinal disc herniation makes this aforementioned scenario entirely plausible.
For example, lets say youve had a herniated disc for years without knowing about it. Then one day you finally moved in such a way that the disc became more compressed than usual or the disc pressed onto a nearby nerve triggering a protective yet painful response by your body.
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Er Or Not: Severe Back Pain
Should you go to the ER for back pain? In this episode of ER or Not, emergency room physician Dr. Troy Madsen details the two symptoms you should be looking for that could be signs of something requiring immediate emergency care. The second one might surprise you.
May 11, 2018
Announcer:
Interviewer:
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How Tria Neck And Back Strengthening Program Helps You Heal Your Back Pain
What many people dont realize about chronic back pain is that it can often be solved without surgery. Yes, sometimes surgery is the suggestion but only after non-surgical options have stopped working.
At TRIA Neck and Back Strengthening Program our spine strengthening program focuses on active physical therapy which focuses on movement-based activities. This is a proven method for healing chronic back pain just ask any of the 200,000-plus patients weve worked with over the past 30 years.
Through this program, youll do an intake with a doctor or physical therapist who specializes in spine care and chronic pain. Theyll work with you to determine the best pain management treatment plan. Then youll work one-on-one with a physical therapist.
Most programs are six to 12 weeks long, and your therapy happens at one of our facilities that features state-of-the-art medical exercise equipment. As part of your care, youll learn about what chronic pain is and how the brain processes it.
Youll also focus on body mechanics such as proper lifting, standing and sleeping all the things that can contribute to back pain but you probably dont think about. And as you progress, youll learn how to continually improve and maintain your back strength on you own so you can keep back pain at bay long-term.
Want to learn more about TRIA Neck and Back Strengthening Program? Watch this short video.
Seeking An Explanation: Will You Get Scans And Tests
If you go to emergency, you may have blood and urine tests, because theyre a good way to rule out anything nasty. They can quickly detect markers that tell doctors if you are fighting an infection, or theres a significant change to any of the systems that keep you alive, and if thats why youre hurting. They are there to rule out an emergency.
People almost always expect that they will get a scan or x-ray. The expectation that these tests will explain your pain, and why its severe today is not correct. Unless youve had a fall, a car accident, or some other trauma, or there are red flag symptoms present, you likely wont get scans, and probably wont gain much from a trip to the ED.
Emergency departments have limited resources, like MRI scanners, and they need to be available for emergencies. If someone comes into the ED with a possible stroke, and the scanner is being used by someone with back pain, theres a 30-60 minute wait for someone who is in a life and death situation.
What scans and x-rays tell doctors about pain is usually minimal. Its unusual for someone with back pain to have something thats found on a scan that changes the treatment and advice we usually give people.
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What Can I Do To Help Relieve The Symptoms Of Back Pain
If you had an acute injury, use a cold pack for 20 to 30 minutes at a time for the first 48 hours or so. After that , you may find it helps more to alternate a cold pack and a heating pad. Keep one on the area for 20 to 30 minutes, and then switch. Take over-the-counter pain medications like ibuprofen or acetaminophen . Get plenty of rest and fluids.
If you see your provider, make sure you take all medications prescribed, get all of your testing done and attend all of your appointments.
If You Have These Symptoms You May Require Emergency Care
Lower back pain, which can occur anywhere from your rib cage to your buttocks, is often the result of lifting, reaching, twisting and stretching. Upper and middle back pain, in most cases, does get better with time and rest. If your back pain is unrelenting and not relieved by rest, you should immediately visit the closest emergency department. If the pain is accompanied by any of the following symptoms, you should also seek emergency care:
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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.
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.
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When Is Surgery A Good Idea For Back Pain
These red flags can be indicators for surgery, if theyre found to berelated to your spine condition:
- New or progressing bowel/bladder issues
- Weakness in limbs
- Gait and balance problems
- Evidence of increased reflexes
Surgery can also be an option for chronic back pain if there is a knowncause confirmed by imaging and if other treatments didnt help. Getopinions from at least two surgeons, suggests Nava, as pain can stillcome back after the surgery.
Keys To Solving Back Pain
- Using Medical Technology. While Dr Tan has well over a decade of experience helping patients with back pain, he understands that the key to success is using non-invasive medical technology based on medical advancements.
- Focus. To ensure that our patients with back pain get the attention and results they want, we do not treat general medical conditions such as diabetes and cough. We also do not perform spine surgery. This allows us to focus our efforts and your consultation time on finding the most appropriate non-invasive medical solutions available for back pain.
- Accurate Diagnosis. Without an accurate diagnosis, it is difficult to be sure you are getting the most suitable treatment. It is possible for mild cases of back pain to be managed by an experienced doctor who can provide treatment based on your clinical history and physical examination.However if your initial treatments have not been effective, an X-ray or an MRI are recommended to confirm your diagnosis. If you have already done a scan but have not been given a clear explanation of your condition, we can help.
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Top 7 Most Serious Causes Of Back Pain
Approximately 80% of adults in the United States will suffer from back pain at some point. Fortunately, most of the time that pain is due to a straightforward problem such as a herniated disc or degenerative disease in the spine. These problems are bothersome, and can even be dangerous if too much time is allowed to pass, but they are not considered a medical emergency.
On the other hand, anytime back pain is associated with weakness or loss of bladder or bowel control, it should be considered an emergency that requires immediate treatment. These symptoms can suggest compression of the spinal cord or cauda equina. Moreover, sometimes back pain can be a sign of more significant trouble. Here are some of the most serious causes of back pain that both doctors and patients must be careful not to miss.
When Can I Get Back To My Normal Activities
Talk to your healthcare provider about a timeline regarding when you can get back to daily activities. You may need to take time off work to rest, or you may be able to go as long as you follow your providers recommended treatments. Dont guess about when youll be ready confirm it with your provider.
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When To Go To The Doctor
You cant always assume the discomfort is no big deal. If pain lingers for more than a few days or requires regular pain medications, you should be evaluated by your physician, says Leda Ghannad, MD, assistant professor of orthopedic surgery and physical medicine and rehabilitation at Rush University Medical Center. Another sign: if the pain limits your abilities in your day-to-day life, like you have to call off work to stay in bed. Following are signs you need to get medical help, pronto.
When To See A Spine Specialist For Chronic Back Pain
Sometimes back pain comes on quick, and you know exactly what caused it. After some stretching, resting and pain relievers, youll remember to bend with your knees next time.
But, other times, people experiencing back pain are often left thinking: I dont even remember when the pain started or what I did to cause it. The reality is that the source of you back pain may not always be evident which can also make it hard to know when its time to see an expert.
Dr. Hwang says the following five signs likely indicate that its time to see a spine specialist for your back pain:
1. Your pain is severe. While some back pain is only mild to moderate, severe back pain is when your pain is constant, intense or gets worse when youre resting or at night.
2. Your pain is persistent. If your back pain lasts longer than three months, its considered chronic and may require a tailored treatment plan.
3. Your pain isnt isolated to your back. If your pain is traveling down your leg, you have numbness or weakness in your hips or legs, or youre experiencing tingling in your legs and feet, it may be a sign that theres pressure on your spine.
4. Everyday activities have become difficult. If your back pain is already affecting routine activities, dont let it get so debilitating that it keeps you from doing things you enjoy.
Next Steps:
- Find a Houston Methodist spine specialist that can treat your back pain at a location convenient for you
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