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+Physiopedia Plus Wheelchairs Read what people are saying Activity: Bed rest should be limited. Individuals should begin stretching exercises and resume normal daily activities as soon as possible, while avoiding movements that aggravate pain. Strong evidence shows that persons who continue their activities without bed rest following onset of low back pain appeared to have better back flexibility than those who rested in bed for a week. Other studies suggest that bed rest alone may make back pain worse and can lead to secondary complications such as depression, decreased muscle tone, and blood clots in the legs.
See Sacroiliac Joint Dysfunction (SI Joint Pain) Diagnosed, acute condition LeBlanc FE, Creuss RL, DupUis M, et al: Scientific approach to the assessment and management of activity-related spinal disorders: A monograph for clinicians. Report of the Quebec task force on spinal disorders. Spine 1987;12:S1-S59.
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Of those patients who had taken prescription medications in the previous year, 40 percent said they were helped a lot by nonsteroidal anti-inflammatory drugs and 43 percent by muscle relaxants.
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The good news is that it’s easy enough to diagnose cancer if you look for it, so the answer to the dilemma is to simply do the testing when the time is right, but not before. There’s every reason to screen for cancer when the conditions merit it — that is, when the red flags appear in combination with persistent, severe pain.
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(16) Lambeek LC, van Mechelen W, Knol DL, et al. Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life. BMJ. 2010 Mar 16. 340:c1035. [Medline]. [Full Text].
Foot and Ankle Shop Our Family Of Brands Kids & Family Orange Blankets & Throws 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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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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