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#mycb2 Severe cases of low back pain may require medical treatment. This could include prescription pain relievers or injections. It could include physical therapy or wearing a brace to support your back.
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Alfred Dunner Diseases and Conditions Tabletop Collections The presence of certain signs, termed red flags, indicate the need for further testing to look for more serious underlying problems, which may require immediate or specific treatment. The presence of a red flag does not mean that there is a significant problem. It is only suggestive, and most people with red flags have no serious underlying problem. If no red flags are present, performing diagnostic imaging or laboratory testing in the first four weeks after the start of the symptoms has not been shown to be useful.
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BEALLS FLORIDA CREDIT CARD ↑ Chou R, Qaseem A, Snow V, Casey D, Cross TJ, Shekelle P, Owens DK. Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147:478-491.
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In some people, no cause can be detected. In others, the cause may be a herniated disk, irregular projections of bone due to osteoarthritis, spinal stenosis, or swelling due to a sprained ligament. Rarely, Paget disease of bone, nerve damage due to diabetes (diabetic neuropathy), a tumor, or an accumulation of blood (hematoma) or pus (abscess) pressing on the nerve causes sciatica. Some people seem to be prone to sciatica.
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During the first 24 to 48 hours, use ice wrapped in a towel or cloth. Ice helps to reduce swelling, muscle spasms, and pain. Thereafter, switch to heat. Heat helps warm and relaxes sore tissues.
Lumbar Microdiscectomy Hall S, Bartleson JD, Onofrio BM, Baker HL Jr, Okazaki H, O’Duffy JD: Lumbar spinal stenosis. Clinical features, diagnostic procedures, and results of surgical treatment in 68 patients. Ann Internal Med 1985;103: 271-275
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Night Lights Palpate the entire spine to identify vertebral tenderness that may be a nonspecific finding of fracture or other cause of low back pain
Study Spaces Search Alphabetically View All Good Morning America Good Morning America Also of Interest Ramekins Imaging tests are not warranted in most cases. Under certain circumstances, however, imaging may be ordered to rule out specific causes of pain, including tumors and spinal stenosis. Imaging and other types of tests include:
An intervertebral disc has a gelatinous core surrounded by a fibrous ring. When in its normal, uninjured state, most of the disc is not served by either the circulatory or nervous systems – blood and nerves only run to the outside of the disc. Specialized cells that can survive without direct blood supply are in the inside of the disc. Over time, the discs lose flexibility and the ability to absorb physical forces. This decreased ability to handle physical forces increases stresses on other parts of the spine, causing the ligaments of the spine to thicken and bony growths to develop on the vertebrae. As a result, there is less space through which the spinal cord and nerve roots may pass. When a disc degenerates as a result of injury or disease, the makeup of a disc changes: blood vessels and nerves may grow into its interior and/or herniated disc material can push directly on a nerve root. Any of these changes may result in back pain.
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