Tanks Diagnosis starts with a careful examination, followed by consideration for neuroimaging studies and electrodiagnostic studies.
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ALL EMERGENCIES > To best understand lumbar spine injuries, it helps to know some anatomy of the overall spine, and more specifically, the lower spine.
Brentwood Bear Valley Chair Pad For individuals younger than 45 years, mechanical LBP represents the most common cause of disability and is generally associated with a work-related injury. For individuals older than 45 years, mechanical LBP is the third most common cause of disability, and a careful history and physical examination are vital to evaluation, treatment, and management. 
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Several multicenter trials have compared surgical and medical treatment for lumbar radiculopathy. The Spine Patient Outcomes Research Trial (SPORT) compared surgical and medical therapies for lumbar disk herniation and found that over the short term, surgical patients had fewer symptoms, but over a 2-year period there was no difference between the groups.17,18 Likewise, in a Dutch study of severe sciatica for 6 to 12 weeks with lumbosacral radiculopathy confirmed by a neurologist, patients were randomized to either conservative treatment (with or without eventual surgery) or early minimal unilateral transflaval surgery with magnification.19 Patients with severe weakness and cauda equina syndrome were excluded. At 1 year, outcomes were similar for the two groups, although the rates of pain relief and of perceived recovery were faster for those assigned to early surgery.
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Patio Furniture Pizza Pans Windows By John Peloza, MD Request an Appointment Lung Cancer Stages & Treatments Management of low back pain depends on which of the three general categories is the cause: mechanical problems, non-mechanical problems, or referred pain. For acute pain that is causing only mild to moderate problems, the goals are to restore normal function, return the individual to work, and minimize pain. The condition is normally not serious, resolves without much being done, and recovery is helped by attempting to return to normal activities as soon as possible within the limits of pain. Providing individuals with coping skills through reassurance of these facts is useful in speeding recovery. For those with sub-chronic or chronic low back pain, multidisciplinary treatment programs may help. Initial management with non–medication based treatments is recommended, with NSAIDs used if these are not sufficiently effective.
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View our complete Returns Policy. In evaluating low back pain in athletes, your doctor will start by gathering information about the current problem and a complete history of any additional medical problems. Athletes tend to live with a certain amount of constant pain of one type or another. This can cause them to ignore or minimize the severity of their low back pain. They may also be used to dealing with more pain than the average patient, so it may be harder to adequately assess their symptoms. For these reasons, a thorough history of the athlete is needed.
In Partnership with the University of Maryland School of Medicine Type 2 Diabetes Warning Signs Low back pain (LBP) is a common disorder involving the muscles, nerves, and bones of the back. Pain can vary from a dull constant ache to a sudden sharp feeling. Low back pain may be classified by duration as acute (pain lasting less than 6 weeks), sub-chronic (6 to 12 weeks), or chronic (more than 12 weeks). The condition may be further classified by the underlying cause as either mechanical, non-mechanical, or referred pain. The symptoms of low back pain usually improve within a few weeks from the time they start, with 40-90% of people completely better by six weeks.
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Chronic lumbar radiculopathy can also result from lumbar canal stenosis (LCS). This condition refers to narrowing of the intraspinal (central) canal, which can be associated with narrowing of lateral recesses and neural foramina. The primary symptoms of LCS include discomfort, sensory loss, and weakness in the legs, reflecting dysfunction of multiple spinal nerve roots within the lumbar spinal canal. Lateral recess and neural foraminal stenosis can give rise to lumbar radiculopathy. Neurogenic claudication—the tendency for exacerbation of symptoms due to walking, standing, and maintaining certain postures—is the hallmark of the condition. Neurogenic claudication may be described by patients as discomfort in the buttocks, thighs, or legs on standing or walking, which is relieved by sitting or lying. In one study, 94% of patients with LCS described symptoms of neurogenic claudication.13 Patients might demonstrate a combination of claudication symptoms and symptoms of more focal lumbar radiculopathy.
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Things get a little more complicated if one of the other issues on this list is causing your back pain, because they all come with a wealth of treatment options. They include cortisone injections to calm disc-related inflammation to laparoscopic surgery to remove endometrial lesions to shock wave therapy that can smash a kidney stone into smaller pieces so you can pee them out. If you suspect one of these issues is at the root of your lower back pain, you’re not going to be able to tackle it on your own. Loop in your doctor so you can create an expert-approved treatment plan that will get you back on your feet.
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