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Friday, June 19, 2009

Lower Back Pain: Why Does It Happen & How Is It Treated?

By Dr. Stefan Tarlow

There are 5 vertebrae in the lower back. These are the 5 lumbar bones. They are cushioned by spinal discs that are covered with cartilage and made of a gel-like substance.

The spinal cord and nerves are contained within the spinal canal, which runs the full length of the spinal column. The lower back takes a lot of stress because it carries the weight of most of the torso. This causes the spine, nerves and muscles to be subject to pain.

As a matter of fact, the second most common complaint people bring to their doctor is low back pain. Only the flu brings people to the doctor more often. Back pain is caused by a variety of things. There is not even a single answer for an individual; however, trauma and injury often bring on back pain. Here are a few of the most often experienced causes of low back pain:

Strains are caused by muscle injury.

Sprains are caused by ligament injury.

A pinched nerve is called sciatica.

Sacroiliitis: Inflamed hip joint.

Disc degeneration caused by disease.

A herniated disc is caused by pressure.

Sprains and strains may be caused by single or multiple events. Improper lifting may causes a sprain or strain as a single event or cumulatively over a period of time. Obesity and poor posture can cause back pain due to constant pressure and stress.

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Following a sprain or a strain, it is a good idea to apply heat and cold packs alternately. You might also treat with ultrasound, massage therapy, or electrical stimulation. Tractions and reductions (physical maneuvering of the bones) may also be helpful. A doctor can provide local injections of anesthetics or corticosteroids for pain relief. It is important to ease back into regular activity after a couple of days rest.

Conditioning and strengthening of the lower back muscles can help to avoid and treat lower back pain. This can be achieved through a combination of general aerobic exercise and specific strengthening exercises.

If you have tried all of the non-surgical options without relief, you may wish to consider surgery. Spinal fusion is the most common back surgery. It works by limiting the movement in the most painful area of your back.

Back surgery is deemed successful if the pain is reduced. However, it may take over a year to find this out, as recovery can be slow. Complete relief of pain is quite unusual. It is important to discuss all of the alternatives for treatment with your doctor. It may be that surgery is not the right choice for you.

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