Certain disorders involving the pelvis, such as ectopic pregnancy, pelvic inflammatory disease, and cancer of the ovaries or other reproductive organs
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Featured Slideshows Loss of bladder or bowel control Cauda Boston Red Sox “Chronic low back pain is the real bugaboo,” says Dr. Jack Jallo, MD, PhD, a spine surgeon and a professor of neurosurgery at Thomas Jefferson University. “It’s very difficult to manage.”
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Pulled Back Muscle and Lower Back Strain If low back pain occurs after a recent injury — such as a car accident, a fall or sports injury — call your primary-care physician immediately. If there are any neurological symptoms, seek medical care immediately. If there are no neurological problems (i.e. numbness, weakness, bowel and bladder dysfunction), the patient may benefit by beginning conservative treatment at home for two to three days. The patient may take anti-inflammatory medications such as aspirin or ibuprofen and restrict strenuous activities for a few days.
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Blood tests are not routinely used to diagnose the cause of back pain; however in some cases they may be ordered to look for indications of inflammation, infection, and/or the presence of arthritis. Potential tests include complete blood count, erythrocyte sedimentation rate, and C-reactive protein. Blood tests may also detect HLA-B27, a genetic marker in the blood that is more common in people with ankylosing spondylitis or reactive arthritis (a form of arthritis that occurs following infection in another part of the body, usually the genitourinary tract).
Living Colors Goami/ShutterstockDr. Underwood recommends seeing an osteopath, chiropractor, or employing other alternative methods. “These treatments can include a detailed assessment of the back, education, advice, a prescribed exercise program, and manipulation or mobilization of the back,” he says. Acupuncture may also help: Although the findings aren’t consistent, Dr. Underwood points to research suggesting that people treated by an acupuncturist seem to do better than those who only see their family doctor.
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Duvet Cover Sets If your lower back hurts the day after you exercise, it could be delayed onset muscle soreness (DOMS). This kind of post-workout pain happens as a normal result of your body repairing muscle fibers you tear during exercise. It typically sets in 12 to 24 hours after you’ve exercised and lasts for a maximum of 72 hours, according to the American College of Sports Medicine. But if your pain lasts beyond that or is more extreme than your usual post-exercise soreness, your workout could be doing your back more harm than good.
Landscape Lighting Difficulty urinating, blood in the urine, or severe crampy pain on one side radiating into the groin—symptoms that suggest a urinary tract disorder
Condiments The cause of low back pain can be categorized as being either organic or mechanical. What’s the difference and why is the answer noteworthy to someone with lumbar spine pain?
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Degenerative Disc Disease and Low Back Pain Partners and Sponsors ^ Jump up to: a b c d e f g h i j Hoy D, Bain C, Williams G, et al. (June 2012). “A systematic review of the global prevalence of low back pain”. Arthritis Rheum. 64 (6): 2028–37. doi:10.1002/art.34347. PMID 22231424.
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In another study, patients with lumbar spondylolisthesis, lumbar canal stenosis, and neurogenic claudication with neurologic signs were randomized to conservative treatment or decompressive surgery with spinal fusion.20 This study demonstrated significantly greater improvement in pain and function among the surgically treated patients, but the analysis was complicated by an unexpectedly high rate of crossover from the conservative treatment group to the surgery group. Back pain did not improve as much as leg pain, indicating that the greatest benefit was likely to have occurred for nerve-root related symptoms.21 A study of patients with LCS without spondylolisthesis more convincingly demonstrated a benefit for surgically treated patients compared to medically treated patients over a 2-year period.22
Pottery Barn Credit Card Spinal disc degeneration coupled with disease in joints of the low back can lead to spinal-canal narrowing (spinal stenosis). These changes in the disc and the joints produce symptoms and can be seen on an X-ray. A person with spinal stenosis may have pain radiating down both lower extremities while standing for a long time or walking even short distances.
Orthotics and Insoles Table & Floor Lamps Promoting healing: One of the good things a back brace does is immobilize the muscles, tendons, and ligaments in your back so that they can heal properly when injured.
Carey TS, Garrett J, Jackman A, et al: The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons. The North Carolina Back Pain Project. N Engl J Med 1995;333:913-917.
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