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I’ve seen quite a few overweight patients lose their back pain when they lost weight. Of course, the converse also applies. Carrying extra weight, especially in the gut, can strain your back and increase lumbar lordosis, an excessive inward curvature of the spine. Weight gain also causes some pregnant women to develop low back pain. And obesity speeds up lumbar disc degeneration that often occurs with aging.
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Order Cancellation News Travel Systems Dmitry Zimin/ShutterstockSurgery—including spinal fusion—is another highly invasive and overused treatment. The Lancet authors recommend against this choice. Sadly, doctors and patients have misconceptions about this risky procedure, Dr. Underwood says. According to Dr. Buchbinder, there simply isn’t high-quality evidence to merit surgery for non-specific pain. Yet some doctors and other health professionals still believe in these treatments, she says.
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Infection of the discs (septic discitis) and bone (osteomyelitis) is extremely rare. These conditions lead to localized pain associated with fever. The bacteria found when these tissues are tested with laboratory cultures include Staphylococcus aureus and Mycobacterium tuberculosis (TB bacteria). TB infection in the spine is called Pott’s disease. These are each very serious conditions requiring long courses of antibiotics. The sacroiliac joints rarely become infected with bacteria. Brucellosis is a bacterial infection that can involve the sacroiliac joints and is usually transmitted in raw goat’s milk.
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In a systematic study review, Chen et al investigated whether a sedentary lifestyle (which the authors defined as including sitting for prolonged periods at work and during leisure time) is a risk factor for LBP.  Examining journal articles published between 1998 and 2006, they identified 8 high-quality reports (6 prospective cohort and 2 case-control studies). While 1 of the cohort studies reported a link between sitting at work and the development of LBP, the other investigations did not find a significant connection between a sedentary lifestyle and LBP. Chen and coauthors concluded that a sedentary lifestyle alone does not lead to LBP.
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Gift Ideas Gift Cards Baby & Kids Gifts Of all cases of mechanical LBP, 70% are due to lumbar strain or sprain, 10% are due to age-related degenerative changes in disks and facets, 4% are due to herniated disks, 4% are due to osteoporotic compression fractures, and 3% are due to spinal stenosis. All other causes account for less than 1% of cases.
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External resources Ranges With information about the pain, the person’s medical history, and results of a physical examination, doctors may be able to determine the possible cause.
Tennessee Titans Game Tables & Chairs Current UK guidelines are clear that routine tests such as X-rays and scans should not be done if the diagnosis is made of nonspecific low back pain.
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