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Who Can I See For Back Pain

How To Relieve Back Pain

When to See a Doctor for Back Pain

The following tips may help reduce your back pain and speed up your recovery:

  • stay as active as possible and try to continue your daily activities this is 1 of the most important things you can do, as resting for long periods is likely to make the pain worse
  • try exercises and stretches for back pain other activities such as walking, swimming, yoga and pilates may also be helpful
  • take anti-inflammatory painkillers, such as ibuprofen remember to check the medicine is safe for you to take and ask a pharmacist if you’re not sure
  • use hot or cold compression packs for short-term relief you can buy these from a pharmacy, or a hot water bottle or a bag of frozen vegetables wrapped in a cloth or towel will work just as well

Although it can be difficult, it helps if you stay optimistic and recognise that your pain should get better. People who manage to stay positive despite their pain tend to recover quicker.

Back pain usually gets better on its own within a few weeks or months and you may not need to see a doctor or other healthcare professional.

But it’s a good idea to get help if:

  • the pain does not start to improve within a few weeks
  • the pain stops you doing your day-to-day activities
  • the pain is very severe or gets worse over time
  • you’re worried about the pain or struggling to cope

If you see a GP they will ask about your symptoms, examine your back and discuss possible treatments.

They may refer you to a specialist doctor or a physiotherapist for further help.

Chiropractor Or Doctor For Back Pain

Back pain is a frustratingly common occurrence in the United States, with nearly 80% of people experiencing back pain sometime in their life, according to the American Chiropractic Association.

If you find yourself experiencing soreness and pain long your spine, it would be best to contact a lower back pain doctor or chiropractor but which one is best for you?

Acute Back Pain: Short

If your back pain is acute, it probably means your pain came along suddenly. Things like stress, strenuous exercise, an awkward movement or lifting something wrong can all contribute to acute back pain.

Most back pain is diagnosed as acute. With acute back pain, the pain lasts no longer than six weeks. And in most cases, the underlying cause of the pain doesnt pose a serious or long-term problem.

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Common Causes Of Chronic Back Pain

Chronic back painis usually age-related, but can also result from a prior injury. The mostcommon causes include:

In some cases, its difficult to pinpoint the cause of chronic back pain.If your doctor has exhausted all diagnostic options, its time to seek asecond opinion from a back pain specialist, recommends Nava. Itsimportant not to make rushed decisions or undergo extensive medicalprocedures until the origin of the pain is found. Not only may they nothelp they could make the pain worse, warns Nava.

If the source of the pain is not known or cant be treated, your bestoption may be to work with your doctor on reducing the flare-ups and makingthe pain manageable with nonsurgical treatments.

Holistic And Osteopathic Specialists

Back pain and Sciatica

In the event of chronic or severe back pain, many individuals tend to prefer to see osteopathic or holistic specialists. These types of doctors and professionals include osteopathic physicians and chiropractic specialists.

Osteopaths are put through the same training and licensing/certification processes that all medical doctors must obtain to practice medicine, but they tend to do additional studies of the musculoskeletal system. They then will prefer to treat pain problems medically, but with an additional emphasis on the potential lifestyle and environmental factors which may be contributing to the pain problem.

Chiropractors are trained in the proper alignment of the spine and may be able to provide some of the most immediate relief to back pain problems. This is done through periodic adjustments and treatments that attempt to maintain alignment and prevent further pain issues.

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V Inflammatory Lower Back Pain

Although comparatively few patients have low back pain due to inflammation, 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 spondyloarthropathies 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.

Reactive arthritis 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:

Who Should I See For Lower Back Pain

Your primary care physician knows you best and should be your first contact for lower back pain. If he or she is unable to diagnose or treat the issue, you may get referred to a specialist, such as a rehabilitation physician . These specialists practice a comprehensive approach to lower back pain, and can diagnose and treat a variety of conditions that have lower back pain as a symptom.

Later, you may get referred to a physical therapist, a chiropractor or another practitioner depending on the nature of your back pain. The good news is that surgery is rarely needed for lower back pain. Only about one in ten patients needs lower back surgery, Chhatre says.

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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.

Sensations That Might Indicate A Medical Emergency

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1. Sharp pain rather than a dull ache: This could indicate a torn muscle or ligament, or a problem with an internal organ in the back or side.2. Radiating pain: This pain “moves” or shoots to the glutes or legs, which could indicate a nerve compression condition.

3. Sudden weakness in the legs: Limb weakness can be caused by compressed nerves in the spine due to conditions like sciatica or spinal stenosis. However, sudden leg weakness could also indicate a stroke.4. Incontinence: Back pain paired with inability to control the bowels or bladder might be a sign of serious nerve compression or a spine infection, such as discitis or meningitis.5. Numbness or pins and needles in the groin or glutes: This is known as saddle anesthesia and is also a sign of a serious nerve or spine condition.

If you have leg weakness, incontinence, and numbness together, you might have cauda equina syndrome, a serious illness characterized by spinal cord nerve damage. This is a medical emergency, and patients usually need surgery immediately to decompress the nerves and reduce permanent damage.

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What Types Of Chiropractic Treatments Do You Offer

I primarily work with patients using manual manipulation. That means Im using my hands to try to improve movement in your spine. If I can improve joint mobility in a certain area — the spine, neck, middle back, lower back, pelvis — it may reduce muscle tightness. It can also help with irritation of nerves that travel down the arm or leg, causing numbness or tingling, pain, or even changes in strength. I sometimes use other therapies as well, such as giving people exercise instructions or self-care recommendations.

Concerned About Your Back Pain Symptoms We Can Help

Most back pain goes away on its own. But if your back pain has been lingering for more than two weeks without improvement, its been coming and going for some time, or if youre experiencing any alarming symptoms, dont delay the care you need. After all, its much easier to take care of yourself when you can move without pain.

Think PNBC may be right for you? Schedule a consultation.

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Get Help For Your Back Pain

While this all may sound dire, you can take comfort in knowing that upwards of 90% of low back pain presentations in the ER are benign, according to findings. The important thing is to stay as calm as you can as you assess your pain and symptoms and rely on medical experts to assist you and get down to the bottom of why youre feeling the way you are.

Dr. Drymalski emphasizes, Remember that back pain is very common and the vast majority of the time it will be self-limiting and benign. If you are concerned or have red-flag symptoms, emergent evaluation may be necessary. It is important to always tell your doctor all of your symptoms, even if you dont know if they are related to your back pain, so your doctor can develop the most appropriate workup and treatment plan for you.

Intro: The Lancet. Non-specific low back pain

Intro: The Spine Journal Low back pain in the United States: incidence and risk factors for presentation in the emergency setting

The Bottom Line: Emergency Medicine Cases Low Back Pain Emergencies

How Is Low Back Pain Diagnosed

Chronic Back Pain Doesnt Have to be Your Story ...

A complete medical history and physical exam can usually identify any serious conditions that may be causing the pain. Neurologic tests can help determine the cause of pain and appropriate treatment. Imaging tests are not needed in most cases but may be ordered to rule out specific causes of pain, including tumors and spinal stenosis. Occasionally the cause of chronic lower back pain is difficult to determine even after a thorough examination.

Tests include:

Blood tests are not routinely used to diagnose the cause of back pain but might be ordered to look for signs of inflammation, infection, cancer, and/or arthritis.

Bone scans can detect and monitor an infection, fracture, or bone disorder. A small amount of radioactive material is injected into the bloodstream and collects in the bones, particularly in areas with some abnormality. Scanner-generated images can identify specific areas of irregular bone metabolism or abnormal blood flow, as well as to measure levels of joint disease.

Discography involves injecting a contrast dye into a spinal disc thought to be causing low back pain. The fluids pressure in the disc will reproduce the persons symptoms if the disc is the cause. The dye helps to show the damaged areas on CT scans taken following the injection.

Electrodiagnostics can identify problems related to the nerves in the back and legs. The procedures include:

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Symptoms Of Back Pain

Symptom-wise, acute pain and chronic pain can be very similar. Back pain symptoms can include:

  • Shooting, burning or aching pain that doesnt go away or returns after using home remedies like icing or over-the-counter medications, or massage or physical therapies
  • Regular tightness or stiffness, especially after laying, sitting or standing for long periods
  • Trouble sleeping
  • Lower extremity weakness

So, how do you tell the difference between acute and chronic back pain?

It can be hard to tell the difference between acute back pain and chronic back pain, but timeframe is the biggest indicator.

The most common symptom of acute back pain is a shooting, burning or aching pain that comes on suddenly. With a little time and at-home remedies such as over-the-counter pain relief medications, cold and heat therapy, acute pain can start going away quickly as soon as two weeks.

But with chronic back pain, your symptoms can come on quickly or build over time, but they last for more than six weeks or are recurrent.

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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Chronic Back Pain: Long

Chronic back pain, on the other hand, can be serious. Chronic pain is serious because the symptoms are strong enough to impact your health, mobility and quality of life for an extended period of time.

While chronic back pain can come on suddenly, it usually builds gradually and lasts more than six weeks. Chronic back pain can also be recurrent, meaning itll go away at times but regularly come back.

What causes chronic back pain? Chronic pain can be triggered by a new injury, but underlying conditions are usually the real cause. Muscle deconditioning is one of the most common contributors.

What Is A Physiatrist

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Physiatrists are medical doctors who specialize in physical medicine and rehabilitation. We focus on holistic, nonsurgical care aimed at improving function for people who are affected by diseases of the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. We often lead a team of medical professionals that may include physical therapists and occupational therapists. We collaborate with other physicians, such as primary care doctors, neurologists, orthopedic surgeons, neurosurgeons, and others.

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How Is Back Pain Diagnosed

Your health professional will first assess your back pain. They may ask questions including:

  • When did your back pain begin?
  • What activities were you doing differently to normal before your back pain started?
  • How would you describe the pain? Is there tingling or numbness?
  • What makes the pain better or worse?

If your pain doesnt settle after a few weeks or starts getting worse, ask your doctor or other health care professional about other management options. You may be referred for tests if there is reason to suspect a more serious cause for your back pain.

In most situations, imaging such as X-ray, CT or MRI scans are not helpful unless there is an obvious injury or strain.

Unnecessary tests can be expensive, and many investigations will show changes in your spine that reflect the normal passage of time, rather than damage to your spine.

I How Common Is Lower Back Pain

Two out of every three adults suffer from low back pain at some time. Back pain is the No. 2 reason adults visit a doctor and the No. 1 reason for orthopedic visits. It keeps people home from work and interferes with routine daily activities, recreation, and exercise. The good news is that for 9 out of 10 patients with low back pain, the pain is acute, meaning it is short-term and goes away within a few days or weeks. There are cases of low back pain, however, that take much longer to improve, and some that need evaluation for a possible cause other than muscle strain or arthritis.

Symptoms may range from muscle ache to shooting or stabbing pain, limited flexibility and/or range of motion, or an inability to stand straight.

What Structures Make Up the Back?

Starting at the top, the spine has four regions:

  • The seven cervical or neck vertebrae
  • The 12 thoracic or upper back vertebrae
  • The five lumbar vertebrae , which we know as the lower back, and
  • The sacrum and coccyx, a group of bones fused together at the base of the spine.

Image courtesy of www.SpineUniverse.com

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

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.

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