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The standard approach to the patient with nonspecific chronic spine pain is physical therapy. By 3 to 4 weeks after onset of symptoms, unless there is serious underlying structural disease, there is no reason the patient should not be enrolled in an aggressive program of mobilization, postural improvement, and increased endurance. Yoga techniques provide useful stretching maneuvers that the patient can learn by video instruction. In the treatment of subacute and chronic spine pain, osteopathic physicians and chiropractors provide spinal manipulation techniques, such as thrust, muscle energy, counter-strain, articulation, and myofascial release. A study by Andersson and associates in patients with nonradicular lumbar spine pain of 3 to 26 weeks’ duration compared a medical program that included physical therapy with a program that included active spinal manipulation.11 At 12 weeks, there was no significant difference in the degree of improvement between the two groups, although the group that received manipulation required significantly less analgesia, anti-inflammatories, and muscle relaxants, and they used less physical therapy. More than 90% of the patients in both groups were satisfied with their care.
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Low back pain can cause a wide variety of symptoms and signs depending on the precise cause of the pain as reviewed above. Symptoms that can be associated with low back pain include numbness and/or tingling of the lower extremities, incontinence of urine or stool, inability to walk without worsening pain, lower extremity weakness, atrophy (decreased in size) of the lower extremity muscles, rash, fever, chills, weight loss, abdominal pains, burning on urination, dizziness, joint pain, and fatigue.
ACTIVE Access Utensils & Sets Jump up ^ Chaparro, LE; Furlan, AD; Deshpande, A; Mailis-Gagnon, A; Atlas, S; Turk, DC (Apr 1, 2014). “Opioids compared with placebo or other treatments for chronic low back pain: an update of the Cochrane Review”. Spine. 39 (7): 556–63. doi:10.1097/BRS.0000000000000249. PMID 24480962.
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Litterbox & Cleanup Sort: The vast majority of low back pain is mechanical in nature. In many cases, low back pain is associated with spondylosis, a term that refers to the general degeneration of the spine associated with normal wear and tear that occurs in the joints, discs, and bones of the spine as people get older. Some examples of mechanical causes of low back pain include:
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Anti-inflammatory medications and stretching/strengthening exercises can reduce the pain. If your spine specialist feels you may have a true stress fracture from athletic activity, you may be placed in a back brace for 24 hours a day for several months to allow the fracture to heal. You will then be gradually weaned from the brace and allowed to return to full activity. Surgery is rarely considered in such cases.
1 2 … 2 > Mom was right when she said, “Stand up straight!” Your back supports weight best when you don’t slouch. This means sitting with good lumbar support for your lower back, shoulders back, with feet resting on a low stool. When standing, keep weight evenly balanced on both feet.
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