Mehling WE, Gopisetty V, Acree M, et al. Acute low back pain and primary care: how to define recovery and chronification?. Spine (Phila Pa 1976). 2011 Dec 15. 36(26):2316-23. [Medline]. [Full Text].
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Get ACTIVE on the Go Monogram Studio Toys An intervertebral disc has a gelatinous core surrounded by a fibrous ring. When in its normal, uninjured state, most of the disc is not served by either the circulatory or nervous systems – blood and nerves only run to the outside of the disc. Specialized cells that can survive without direct blood supply are in the inside of the disc. Over time, the discs lose flexibility and the ability to absorb physical forces. This decreased ability to handle physical forces increases stresses on other parts of the spine, causing the ligaments of the spine to thicken and bony growths to develop on the vertebrae. As a result, there is less space through which the spinal cord and nerve roots may pass. When a disc degenerates as a result of injury or disease, the makeup of a disc changes: blood vessels and nerves may grow into its interior and/or herniated disc material can push directly on a nerve root. Any of these changes may result in back pain.
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Stripe Dining Cushion Inspiration Hayden relayed the story of a patient he recently saw: it was a man who was injured back in the first Iraq War. He was caught in an IED blast that threw him to the ground. Hayden discovered that one of his vertebrae had been out of whack for more than two decades.
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Forseen, SE; Corey, AS (Oct 2012). “Clinical decision support and acute low back pain: evidence-based order sets”. Journal of the American College of Radiology : JACR. 9 (10): 704–712.e4. doi:10.1016/j.jacr.2012.02.014. PMID 23025864.
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Back muscle strain Montana Grizzlies The compression to the nerves caused by herniation can lead to feelings of: numbness, pain, a change in reflexes, and/or tingling in the arms or legs. In addition, if a disc ruptures, it releases chemicals that can irritate and inflame the nerve roots, which leads to strong discomfort. Sometimes a herniated disc is referred to as “slipped disc”, though the disc does not actually slip.
Chou R, Qaseem A, Snow V, et al. Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007 Oct 2;147(7):478–491. PubMed #17909209.PainSci #56029.
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Bags Order Subtotal: Sciatica Shop All Vehicles, Trains & Remote Control If you want to stay active while minimizing lower back pain, take a look at the Aspen Medical Grade Back Brace-Quickdraw Pro. The brace naturally reduces lower back pain and keeps your muscles, ligaments, and tendons in place, allowing them to heal. The flexibility of the brace allows you to work pain-free while performing exercise, yard work, and lifting, among other activities.
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Haunted Library Shop All Tape, Adhesives & Fasteners Biomechanically, the movements of the lumbar spine consist of the cumulative motions of the vertebrae, with 80-90% of the lumbar flexion/extension occurring at the L4-L5 and L5-S1 intervertebral disks. The lumbar spine position most at risk for producing LBP is forward flexion (bent forward), rotation (trunk twisted), and attempting to lift a heavy object with out-stretched hands. Axial loading of short duration is resisted by annular collagen fibers in the disk. Axial loading of a longer duration creates pressure to the annulus fibrosis and increased pressure to the endplates. If the annulus and endplate are intact, the loading forces can be adequately resisted. However, compressive muscular forces may combine with the loading forces to increase intradiskal pressure that exceeds the strength of the annular fibers.
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