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Wall Decor Miami Marlins Vacuums & Floorcare 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.
Slideshow: Myths and facts about back pain
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Back pain is a symptom. Most back pain is musculo-skeletal in origin. Pain arising from other organs may be felt in the back. This is called referred pain. Many intra- abdominal disorders – such as appendicitis, aneurysms, kidney diseases, bladder infections, pelvic infections and ovarian disorders, amongst others – can cause pain referred to the back. Your doctor will consider this when evaluating your pain.
Traction involves the use of weights and pulleys to apply constant or intermittent force to gradually “pull” the skeletal structure into better alignment. Some people experience pain relief while in traction, but that relief is usually temporary. Once traction is released the back pain tends to return. There is no evidence that traction provides any longterm benefits for people with low back pain.
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Low back pain is second only to upper respiratory illness as a cause for visiting a physician.1 Up to two thirds of the population has low back symptoms at some time in their lives. In 1995 there were about two worker’s compensation claims for low back pain for every 100 workers. Seventy-five percent of patients with acute low back pain are back to work within 1 month of the onset of symptoms, and only 5% are disabled for more than 6 months.2 However, among those with continuing pain 6 to 10 weeks after onset, most still have some symptoms at 1 year.3
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Nonspecific low back pain means that the pain is not due to any specific or underlying disease that can be found. It is thought that in some cases the cause may be an over-stretch (sprain) of a ligament or muscle. In other cases the cause may be a minor problem with a disc between two spinal bones (vertebrae), or a minor problem with a small facet joint between two vertebrae. There may be other minor problems in the structures and tissues of the lower back that result in pain. However, these causes of the pain are impossible to prove by tests. Therefore, it is usually impossible for a doctor to say exactly where the pain is coming from, or exactly what is causing the pain.
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It is well established that a number of nonmedical factors play a role in the triggering and perpetuation of pain behavior. These include psychosocial issues such as job dissatisfaction, family stresses, and underlying psychiatric disorders. In other cases, patients develop a behavior of pain avoidance and fear of pain. Patients with chronic pain are best treated in programs dedicated to the rehabilitation of patients with multifactorial pain syndromes. Functional rehabilitation programs and pain programs concentrate on re-educating the patient to diminish fear of activities of daily living through graded exercise programs, the exploration of psychosocial stressors, and the non-narcotic treatment of pain.24
A GP can examine your back and discuss possible treatments, but there are things you can do at home to relieve it.
Reference: What is the cause of or reason for your lower back pain?
Lie on the back with the knees bent, the heels on the floor, and the weight on the heels. Press the small of the back against the floor, contract the buttocks (raising them about half an inch from the floor), and contract the abdominal muscles. Hold this position for a count of 10. Repeat 20 times.
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Jump up ^ Franklin, G. M. (29 September 2014). “Opioids for chronic noncancer pain: A position paper of the American Academy of Neurology”. Neurology. 83 (14): 1277–1284. doi:10.1212/WNL.0000000000000839. PMID 25267983.
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Low back pain is extremely common. It affects millions of individuals each year, and hundreds of millions of dollars are spent on lost work and medical care. Almost everyone has at least one episode of back pain sometime in their life. The good news is the vast majority never requires formal treatment and get better.
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