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Heating pads can help to relax painful muscle spasms. Use heat for 20 to 30 minutes at a time. Ice packs and massages may give relief as well. Over-the-counter medicines can reduce pain and swelling. These include aspirin, acetaminophen (brand name: Tylenol), naproxen (brand name: Aleve), and ibuprofen (brand names: Advil and Motrin).
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Order Cancellation While mechanical low back pain is not associated with mortality, morbidity in terms of lost productivity, use of medical services, and cost to society is staggering. Total workers’ compensation costs for cases occurring in 1989 in the United States amounted to $11.4 billion, making it the most costly ailment for working-age adults. No evidence has been found to indicate that these costs are declining.
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Back pain accompanied by bowel or bladder incontinence and/or numbness in the areas that would sit on a saddle (so-called saddle anesthesia)—these may indicate a medical emergency called cauda equina syndrome
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Men’s Health Issues Fireplace Screens & Accessories Expert Blogs and Interviews Mechanical low back pain (LBP) exists in every culture and country. Worldwide, more disability is caused by LBP than by any other condition, as measured in years lived with disability (YLDs). [15, 16, 17]  A report by Hurwitz et al stated that in 2015, low back pain of over 3 months’ duration was experienced by more than 500 million people globally. That year, low back pain and neck pain together accounted for the fourth highest number of disability-adjusted life years (DALYs) worldwide, behind ischemic heart disease, cerebrovascular disease, and lower respiratory infection. The report concluded that the prevalence of low back pain and neck pain has risen since the late 20th century and will probably keep on increasing in response to aging populations. [18]
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Mentored Career Awards To perform this exercise, get into a shoulder-width position. Keeping your core engaged, slowly begin to march one of your legs up. The key is to avoid “shifting” more than a few inches towards the stance leg. If you need a cue, stand 3-5 inches away from a wall when performing this exercise.
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There has been a recent move away from a pathoanatomical approach to managing individuals with back pain.  No longer do we aim to diagnose a structure at fault and aim our treatment at that particular structure.  Research and international guidelines suggest it is not possible or necessary to identify the specific tissue source of pain for the effective management of mechanical back pain[11](LoE 1A)[13](LoE 1A)[18](LoE 1A).  Instead a stratified approach to managing low back pain has become popular.
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^ Jump up to: a b American College of Physicians, “Five Things Physicians and Patients Should Question”, Choosing Wisely: an initiative of the ABIM Foundation, American College of Physicians, archived from the original on 1 September 2013, retrieved 5 September 2013
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But this should be your last resort. “One of the issues we deal with in medicine is we tend to over-treat people,” says Jallo. “Maybe you do have a herniated disc. But if it’s not limiting your daily activities, there’s no reason to do anything about it. Surgery is not especially good for back pain.”
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A number of diagnostic tests can help pinpoint the cause of low back pain. Which test is selected depends on a host of factors uncovered during the history and physical examination. The diagnostic tests are described next.
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Back pain is a symptom. Common causes of back pain involve disease or injury to the muscles, bones, and/or nerves of the spine. Pain arising from abnormalities of organs within the abdomen, pelvis, or chest may also be felt in the back. This is called referred pain. Many disorders within the abdomen, such as appendicitis, aneurysms, kidney diseases, kidney infection, bladder infections, pelvic infections, and ovarian disorders, among others, can cause pain referred to the back. Normal pregnancy can cause back pain in many ways, including stretching ligaments within the pelvis, irritating nerves, and straining the low back. Your doctor will have this in mind when evaluating your pain.
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