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^ Jump up to: a b Chou, R; Shekelle, P (2010). “Will this patient develop persistent disabling low back pain?”. JAMA: The Journal of the American Medical Association. 303 (13): 1295–302. doi:10.1001/jama.2010.344. PMID 20371789.
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295 A herniated disc usually happens due to normal, age-related wear and tear, according to the Mayo Clinic. Your spinal discs lose water as you get older, making them less flexible and more prone to rupturing after a minor strain or twist. But this can happen at any age if you experience a sudden impact or injury; Dr. Patel says he usually sees disc herniations in patients who play high-impact sports, like basketball or football.
Skip to this video now Vinyl Abdominal aortic aneurysms occur when the large blood vessel that supplies blood to the abdomen, pelvis, and legs becomes abnormally enlarged. Back pain can be a sign that the aneurysm is becoming larger and that the risk of rupture should be assessed.
marvent/ShutterstockThe Lancet authors argue that back pain patients do better when they continue working. “We know that being off work delays your recovery, as does being on workers’ compensation,” Dr. Buchbinder says. As long as supervisors and co-workers collaborate to help the patient at work, patients recover much faster and have fewer relapses, she points out. Modifications to your job or workspace might help you function, so talk to your employer, doctor, and insurance provider. Find out the rules of desk ergonomics for a more productive (and pain-free) work day.
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Rangers Consumer Version Now Playing: Gas prices on the rise ahead of summer travel Many cases are non-symptomatic and do not cause any nerve problems. However, sometimes the slipped vertebra can press into the space belonging to the spinal canal. This leaves less room for the nerve roots. The neural pressure can lead to low back, buttock, and leg pain, as well as numbness in the foot. If the problem is severe, surgery may be suggested.
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Something catch your eye? Webcasts For Customer Service, please call Corporate responsibility Infections are not a common cause of back pain. However, infections can cause pain when they involve the vertebrae, a condition called osteomyelitis; the intervertebral discs, called discitis; or the sacroiliac joints connecting the lower spine to the pelvis, called sacroiliitis.
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Spinal stenosis is a condition in which the spinal column narrows and starts compressing the spinal cord. This process is typically gradual.
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Ovarian cysts, uterine fibroids, and endometriosis may also cause low back pain. Precise diagnosis can require gynecologic examination and testing.
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Chronic Lumbosacral Radiculopathy Lookbooks Ivan Anta/ShutterstockIf a doctor suggests spinal injections of anesthetics or steroids, pump the brakes. Dr. Buchbinder says this is part of the “medicalization” of low back pain: “Rather than treating low back pain as an everyday, normal part of life, it has become to be seen as a medical problem. Doctors often think they have to do something—unfortunately, they often do something that is wrong.” Doctors overuse spinal injections, the Lancet authors agree. “The evidence does not support their use, and they are not included in best practice guidelines for the treatment of non-specific low back pain,” Dr. Underwood says. “The potential for serious side effects [such as nerve injury] means that these treatments are best avoided.” If you wake up with back pain, here are ten things you must do next.
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Better digestion Using data from the 2015 National Health Interview Survey, a study by Peng et al indicated that overweight and obesity are risk factors for low back pain (LBP). Compared with persons of normal weight, the adjusted odds ratios for LBP in persons with overweight or obesity were 1.21 and 1.55, respectively. However, the link between body mass index and LBP appeared to be impacted by sex and race/ethnicity. For example, the adjusted odds ratios for nonwhite men and women of normal weight were lower than the LBP risk for normal-weight white men. 
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