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van Middelkoop M, Rubinstein SM, Verhagen AP, et al. Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol. 2010 Apr. 24(2):193-204. [Medline].
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Antidepressants may be effective for treating chronic pain associated with symptoms of depression, but they have a risk of side effects. Although the antiseizure drugs gabapentin and carbamazepine are sometimes used for chronic low back pain and may relieve sciatic pain, there is insufficient evidence to support their use. Systemic oral steroids have not been shown to be useful in low back pain. Facet joint injections and steroid injections into the discs have not been found to be effective in those with persistent, non-radiating pain; however, they may be considered for those with persistent sciatic pain. Epidural corticosteroid injections provide a slight and questionable short-term improvement in those with sciatica but are of no long term benefit. There are also concerns of potential side effects.
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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.
Natural Life Outdoors Guide People should see a doctor immediately if they have fever or symptoms suggesting nerve damage, an abdominal aortic aneurysm, a digestive disorder, or a urinary tract disorder. People with most other warning signs should see a doctor within a day. If pain is not severe and people have no warning signs other than pain for more than 6 weeks, their need to see a doctor is not as urgent.
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As low as $18.89 Spinal manipulation and spinal mobilization are approaches in which professionally licensed specialists (doctors of chiropractic care) use their hands to mobilize, adjust, massage, or stimulate the spine and the surrounding tissues. Manipulation involves a rapid movement over which the individual has no control; mobilization involves slower adjustment movements. The techniques have been shown to provide small to moderate short-term benefits in people with chronic low back pain. Evidence supporting their use for acute or subacute low back pain is generally of low quality. Neither technique is appropriate when a person has an underlying medical cause for the back pain such as osteoporosis, spinal cord compression, or arthritis.
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Functions of the low back, or lumbar area, include structural support, movement, and protection of certain body tissues.
Endometriosis is a disorder in which the tissue that forms the lining of your uterus grows outside of your uterine cavity. The lining is called the endometrium.
CT in adolescents and rarely in adults School Uniforms Nucleoplasty, also called plasma disc decompression (PDD), is a type of laser surgery that uses radiofrequency energy to treat people with low back pain associated with mildly herniated discs. Under x-ray guidance, a needle is inserted into the disc. A plasma laser device is then inserted into the needle and the tip is heated to 40-70 degrees Celsius, creating a field that vaporizes the tissue in the disc, reducing its size and relieving pressure on the nerves. Several channels may be made depending on how tissue needs to be removed to decompress the disc and nerve root.
Impact General measures Usually not. Your doctor will usually be able to diagnose nonspecific low back pain from the description of the pain and by examining you. Therefore, in most cases, no tests are needed. There is no test that can prove or confirm nonspecific low back pain. In fact, some doctors argue that tests can actually do more harm than good when the diagnosis is nonspecific low back pain. For example, the technical jargon used to report on some scans can sometimes sound alarming, when in fact the scan is just showing what would be normal for a given age and not a cause for pain.
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Both Dr. Oberle and Dr. Patel agree that if your lower back pain stems from relatively minor issues like your office chair or too much exercise, you can target it with nonsteroidal anti-inflammatory drugs, heat or ice packs, physical therapy, and special exercises or stretches as advised by your doctor.
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Weinstein JN, Lurie JD, Tosteson TD, Hanscom B, Tosteson ANA, Blood EA, Birkmeyer NJO, Hilibrand AS, Herkowitz H, Cammisa FP, Albert TJ, Emery SE, Lenke LG, Abdu WA, Longley M, Errico TJ, Hu SS: Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. NEJM 2007;356:2257-2270.
Other problems may occur along with low back pain. Chronic low back pain is associated with sleep problems, including a greater amount of time needed to fall asleep, disturbances during sleep, a shorter duration of sleep, and less satisfaction with sleep. In addition, a majority of those with chronic low back pain show symptoms of depression or anxiety.
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» Health A-Z Gymnastics It is not clear whether men or women have higher rates of low back pain. A 2012 review reported a rate of 9.6% among males and 8.7% among females. Another 2012 review found a higher rate in females than males, which the reviewers felt was possibly due to greater rates of pains due to osteoporosis, menstruation, and pregnancy among women, or possibly because women were more willing to report pain than men. An estimated 70% of women experience back pain during pregnancy with the rate being higher the further along in pregnancy. Current smokers – and especially those who are adolescents – are more likely to have low back pain than former smokers, and former smokers are more likely to have low back pain than those who have never smoked.
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