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Oyster Tan Deluxe Double-Piped Outdoor Seat Cushion I am a science writer, former massage therapist, and I was the assistant editor at ScienceBasedMedicine.org for several years. I have had my share of injuries and pain challenges as a runner and ultimate player. My wife and I live in downtown Vancouver, Canada. See my full bio and qualifications, or my blog, Writerly. You might run into me on Facebook or Twitter.
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Sunbrella® OZURDEX Therefore, many athletes – from the weekend warrior to the elite professional athlete – buck up their strength, pop some over-the-counter pain medication, and tolerate the pain for the sake of the game and personal enjoyment. However, avoiding medical help can lead to further and more serious injury. In some cases, without medical help the anatomic damage could eventually lead to permanent exclusion from sporting activities.
Americana Party Supplies NFL Baby Gifts & Keepsakes Spondylolysis can also lead to a condition closely related called “spondylolisthesis”. This condition occurs when the weakness caused by the spondylolysis causes one vertebra to slip forward over the one below it. Most cases of spondylolysis in athletes do not lead to vertebral slippage. However, if slippage does occur, it may continue. This situation would require treatment that is more aggressive, perhaps even surgery. The chance of progression is probably more worrisome in teenagers than adults.
13)          Steve Pomberg / WebMD Pain is generally an unpleasant feeling in response to an event that either damages or can potentially damage the body’s tissues. There are four main steps in the process of feeling pain: transduction, transmission, perception, and modulation.[12] The nerve cells that detect pain have cell bodies located in the dorsal root ganglia and fibers that transmit these signals to the spinal cord.[33] The process of pain sensation starts when the pain-causing event triggers the endings of appropriate sensory nerve cells. This type of cell converts the event into an electrical signal by transduction. Several different types of nerve fibers carry out the transmission of the electrical signal from the transducing cell to the posterior horn of spinal cord, from there to the brain stem, and then from the brain stem to the various parts of the brain such as the thalamus and the limbic system. In the brain, the pain signals are processed and given context in the process of pain perception. Through modulation, the brain can modify the sending of further nerve impulses by decreasing or increasing the release of neurotransmitters.[12]
^ Jump up to: a b c d e f Qaseem, A; Wilt, TJ; McLean, RM; Forciea, MA; Clinical Guidelines Committee of the American College of, Physicians. (4 April 2017). “Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians”. Annals of Internal Medicine. 166 (7): 514–530. doi:10.7326/M16-2367. PMID 28192789.
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Aspen Medical Share via Twitter Everton See all Lower back pain topics Pet Accessories & Supplies Complaints of low back pain are one of the most common reasons people visit doctors.[9][41] For pain that has lasted only a few weeks, the pain is likely to subside on its own.[42] Thus, if a person’s medical history and physical examination do not suggest a specific disease as the cause, medical societies advise against imaging tests such as X-rays, CT scans, and MRIs.[41] Individuals may want such tests but, unless red flags are present,[10][43] they are unnecessary health care.[9][42] Routine imaging increases costs, is associated with higher rates of surgery with no overall benefit,[44][45] and the radiation used may be harmful to one’s health.[44] Fewer than 1% of imaging tests identify the cause of the problem.[9] Imaging may also detect harmless abnormalities, encouraging people to request further unnecessary testing or to worry.[9] Even so, MRI scans of the lumbar region increased by more than 300% among United States Medicare beneficiaries from 1994 to 2006.[11]
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Nondiscrimination Policy 14 Gift Cards and eGift Cards Transcutaneous electric nerve stimulation (TENS): TENS provides pulses of electrical stimulation through surface electrodes. For acute back pain, there is no proven benefit. Two small studies produced inconclusive results, with a trend toward improvement with TENS. In chronic back pain, there is conflicting evidence regarding its ability to help relieve pain. One study showed a slight advantage at one week for TENS but no difference at three months and beyond. Other studies showed no benefit for TENS at any time. There is no known benefit for sciatica.
Surgical interventions for mechanical low back pain (LBP) are the last choice for treatment. 19 Healthy Sandwiches With 5 Ingredients or Less
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Dazzle Gold Brick 5′ x 8′ Spine surgeons explain what questions patients should ask Sunday Our Apps Massage Equipment Low back pain and neck pain are among the most common reasons for health care visits. The pain usually results from problems with the musculoskeletal system—most notably the spine, including the bones of the spine (back bones, or vertebrae), disks, and the muscles and ligaments that support it. Occasionally, low back pain results from a disorder that does not involve the musculoskeletal system.
Serveware Tilt Tables Bunk & Loft Beds As has been highlighted by research presented at the national meeting of the American College of Rheumatology, a very important aspect of the individual evaluation is the patient’s own understanding and perception of their particular situation. British researchers found that those who believed that their symptoms had serious consequences on their lives and that they had, or treatments had, little control over their symptoms were more likely to have a poor outcome. This research points out to physicians the importance of addressing the concerns and perceptions that patients have about their condition during the initial evaluations.
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SUBMIT Load more Back Pain Myths & Facts Pictures What’s New Rooms We Love Ideas and Advice Crate Blog Artists and Designers Gift Ideas Often, herniated disks, even ones that appear obviously bulging or herniated on imaging tests such as magnetic resonance imaging (MRI) or computed tomography (CT), cause no symptoms. Herniated disks that do not cause symptoms are more common as people age. However, herniated disks may cause slight to debilitating pain. Movement often intensifies the pain.
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Your Privacy Rights Medications ↑ Hancock MJ, Maher CG, Latimer J, et al. Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain. Eur Spine J 2007;16:1539–50.
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Village Natural Chair Cushion HIV/AIDS Low back pain varies by person. It may be a dull ache or a sharp, stabbing pain. It could be acute (short-term) or chronic (ongoing). You may have pain in other parts of your body, as well as your back.
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Pain in the lower back or low back pain is a common concern, affecting up to 80% of Americans at some point in their lifetime. Many will have more than one episode. Low back pain is not a specific disease, rather it is a symptom that may occur from a variety of different processes. In up to 85% of people with low back pain, despite a thorough medical examination, no specific cause of the pain can be identified.
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View full screen THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
Candles [Guideline] Chou R, Loeser JD, Owens DK, et al. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society. Spine. 2009 May 1. 34(10):1066-77. [Medline].
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For those with pain localized to the lower back due to disc degeneration, fair evidence supports spinal fusion as equal to intensive physical therapy and slightly better than low-intensity nonsurgical measures.[15] Fusion may be considered for those with low back pain from acquired displaced vertebra that does not improve with conservative treatment,[14] although only a few of those who have spinal fusion experience good results.[15] There are a number of different surgical procedures to achieve fusion, with no clear evidence of one being better than the others.[81] Adding spinal implant devices during fusion increases the risks but provides no added improvement in pain or function.[11]
Residents/Fellows Skeletons & Skulls Imaging Airbeds Transcutaneous electrical nerve stimulation (TENS) may be used. The TENS device produces a gentle tingling sensation by generating a low oscillating current. This current can block transmission of some pain sensation from the spinal cord to the brain. The current can be applied to the painful area several times a day for 20 minutes to several hours at a time, depending on the severity of the pain.
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↑ Balagué F1, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet. 2012 Feb 4;379(9814):482-91. Warning signs
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An important part of the physical examination is the general observation of the patient. The patient presents with pain in the low back region and often places his or her whole hand against the skin to indicate a regional pain; however, in some cases the patient may indicate a more precise location.
L.L.Bean Visa Back and spine at Curlie (based on DMOZ) City Scene Chen SM, Liu MF, Cook J, Bass S, Lo SK. Sedentary lifestyle as a risk factor for low back pain: a systematic review. Int Arch Occup Environ Health. 2009 Jul. 82(7):797-806. [Medline].
Items damaged through normal wear and tear Plug-In Sconces Diseases of the Eye Any person older than 70 years of age: There is an increased incidence of cancer, infections, and abdominal causes of the pain.
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Figure 2 Jump up ^ Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Viikari-Juntura E (January 2010). “The association between smoking and low back pain: a meta-analysis”. Am. J. Med. 123 (1): 87.e7–35. doi:10.1016/j.amjmed.2009.05.028. PMID 20102998.
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Compression (crush) fractures commonly develop when bone density decreases because of osteoporosis, which typically develops as people age. Vertebrae are particularly susceptible to the effects of osteoporosis. Compression fractures (which sometimes cause sudden, severe back pain) can be accompanied by compression of spinal nerve roots (which may cause chronic back pain). However, most fractures due to osteoporosis occur in the upper and middle back and cause upper and middle rather than low back pain.
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In athletes, spondylolysis is most commonly found in those who participate in sports that have frequent hyperextension of the lumbar spine, such as: gymnastics, pole-vaulting, and football. Weightlifters also have a higher incidence of the disorder due to excessive stress on the spine.
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Eye health Pillow Protectors Women may have acute low back pain from medical conditions affecting the female reproductive system, including endometriosis, ovarian cysts, ovarian cancer, or uterine fibroids.[28] Nearly half of all pregnant women report pain in the lower back or sacral area during pregnancy, due to changes in their posture and center of gravity causing muscle and ligament strain.[29]
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Herniated, or slipped, discs are produced as the spinal discs degenerate or grow thinner. The jelly-like central portion of the disc bulges out of the central cavity and pushes against a nerve root. Intervertebral discs begin to degenerate by the third decade of life. Slipped discs are found in one-third of adults older than 20. However only 3% of these produce symptoms of nerve impingement.
Sign In Wishlist 22 / 24 Select a color below Harry Potter™ for PBteen Cauda equina syndrome is a medical emergency whereby the spinal cord is directly compressed. Disc material expands into the spinal canal, which compresses the nerves. A person would experience pain, possible loss of sensation, and bowel or bladder dysfunction. This could include inability to control urination causing incontinence or the inability to begin urination.
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Happy Brights Nonspecific low back pain means that the pain is not due to any specific or underlying disease that can be found. It is thought that in some cases the cause may be an over-stretch (sprain) of a ligament or muscle. In other cases the cause may be a minor problem with a disc between two spinal bones (vertebrae), or a minor problem with a small facet joint between two vertebrae. There may be other minor problems in the structures and tissues of the lower back that result in pain. However, these causes of the pain are impossible to prove by tests. Therefore, it is usually impossible for a doctor to say exactly where the pain is coming from, or exactly what is causing the pain.
Printable version Celebrity Profiles New Arrivals Mens Care The neurosurgeons at The Spine Hospital at the Neurological Institute of New York handle the few remaining cases—only those cases of back pain that may require surgery. The back pain in these cases may be caused by:
Buffets & Bar Carts Natural The spine’s vertebrae are cushioned by gel-like discs that are prone to wear and tear from aging or injuries. A weakened disc may rupture or bulge, putting pressure on the spinal nerve roots. This is known as a herniated disc and can cause intense pain.
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American Academy of Neurology: Practice parameters: Magnetic resonance imaging in the evaluation of low back syndrome (summary statement). Report of the Quality Standards Committee of the American Academy of Neurology. Neurology 1994;44:767-770.
March 31, 2017 Sports Bras Melamine Serveware Email address When driving, sit straight and move the seat forward. This helps you not have to lean to reach the controls. You may want to put a small pillow or rolled towel behind your lower back if you must drive or sit for a long time.
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Sports Tips & Advice $204.69 Bakeware Sets Papasan Cushions ^ Jump up to: a b c Steffens, Daniel; Maher, Chris G.; Pereira, Leani S. M.; Stevens, Matthew L; Oliveira, Vinicius C.; Chapple, Meredith; Teixeira-Salmela, Luci F.; Hancock, Mark J. (11 January 2016). “Prevention of Low Back Pain”. JAMA Internal Medicine. 176: 199–208. doi:10.1001/jamainternmed.2015.7431. PMID 26752509.
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What kinds of treatment have been effective for your lower back pain? heart valve irregularities,
Toilet Paper Spinal stenosis is a narrowing of the space around the spinal cord, which can put pressure on the spinal nerves. Average rating:4.75out of5stars, based on4reviews4ratings
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^ 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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Spondylolisthesis is partial displacement of a vertebra in the lower back. It usually occurs in people who have a common bone birth defect (spondylolysis) that weakens part of the vertebrae. Usually, during adolescence or young adulthood (often in athletes), a minor injury causes a part of the vertebra to fracture. The vertebra then slips forward over the one below it. If it slips far, pain can result. Spondylolisthesis can also occur in older adults. People with spondylolisthesis are at risk of developing lumbar spinal stenosis.
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more The pathophysiology of radicular spine pain and lumbosacral radiculopathy is usually more obvious. Disk herniation through the annulus fibrosis does not in itself produce pain, but compression by disk of the dural lining around the spinal nerve root sleeve is one likely explanation for the back pain associated with acute disk herniation. This is also likely to contribute to the pain from spinal nerve root compression from arthritic spurs at degenerated facet and uncovertebral joints. Compression can directly stretch nociceptors in dura or nerve root sleeve tissues, but ischemia from compression of vascular structures, inflammation, and secondary edema is also likely to play a role in some cases.
Get In Touch Sales Bell, GR: Implications of the Spie Patient Outcomes Research Trial in the clinical management of lumbar disk herniation. Cleveland Clinic J Med 2007;74:572-576. Video Transcript
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Minnesota Twins Avenue Butter Table 1 Differential Diagnosis of Low Back Pain Vibe-Fersum K, O’Sullivan P, Skouen JS, Smith A, Kvåle A. Efficacy of classification-based cognitive functional therapy in patients with non-specific chronic low back pain: A randomized controlled trial. Eur J Pain. 2013 Jul;17(6):916–28. PubMed #23208945.
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Comforters & Bed Sets Mattress Pads & Toppers The initial management of acute spine pain must be directed toward determining if a serious neurologic condition exists. If there is a history of recent trauma or serious underlying medical illness, more-aggressive evaluation is warranted. The presence of acute and progressive neurologic dysfunction is an urgent medical problem. This is especially so when there is clinical evidence of bilateral neurologic dysfunction, increasing the likelihood of involvement of the spinal cord or cauda equina. Manifestations include bilateral leg weakness and sensory symptoms, and loss of bowel or bladder control. Such symptoms should trigger an urgent workup that includes MRI studies and possibly neurosurgical consultation.
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Swimwear Shop All Kitchen Appliances ^ Jump up to: a b Chou, R; Shekelle, P (2010). “Will this patient develop persistent disabling low back pain?”. JAMA: The Journal of the American Medical Association. 303 (13): 1295–302. doi:10.1001/jama.2010.344. PMID 20371789.
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This chronic pain syndrome involves general muscle pain and fatigue, which can translate into lower back discomfort.
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Director, NIH BRAIN Initiative® Floral & Plants Is accompanied by numbness and/or weakness The lumbar spine, or low back, is a remarkably well-engineered structure of interconnecting bones, joints, nerves, ligaments, and muscles all working together to provide support, strength, and flexibility. However, this complex structure also leaves the low back susceptible to injury and pain.
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gifts The discs are pads that serve as “cushions” between the individual vertebral bodies. They help to minimize the impact of stress forces on the spinal column. Each disc is designed like a jelly donut with a central, softer component (nucleus pulposus) and a surrounding, firm outer ring (annulus fibrosus). The central portion of the disc is capable of rupturing (herniating as in a herniated disc) through the outer ring, causing irritation of adjacent nervous tissue and sciatica as described below. Ligaments are strong fibrous soft tissues that firmly attach bones to bones. Ligaments attach each of the vertebrae to each other and surround each of the discs.
Ceiling Fixtures Stores Nearby: Musculoskeletal pain syndromes that produce low back pain include myofascial pain syndromes and fibromyalgia.
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Topaz Bittersweet Appendix — The appendix is one of the few clearly one-sided structures in the region. It is on the right. However, appendicitis rarely causes back pain (or at least not without a great deal of abdominal pain as well).
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32 possible conditions Children A few cancers in their early stages can be hard to tell apart from ordinary back pain — a bone cancer in the vertebrae, for instance — and these create a frustrating diagnostic problem. They are too rare for doctors to inflict cancer testing on every low back pain patient “just in case.” And yet the possibility cannot be dismissed, either! It’s an unsolveable problem.
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3008 The treatment plan should fit the severity of the symptoms and signs. The management approach for radiculopathy covers the gamut from avoidance of heavy lifting to laminectomy and fusion. In acute radiculopathy, the goals of treatment should be the reduction of pain and the stabilization or amelioration of neurologic deficits.
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Overdoing it at the gym or golf course is one of the most common causes of overextended muscles leading to low back pain. You’re especially vulnerable if you tend to be inactive during the work week and then spend hours at the gym or softball field on the weekend.
Herniated Thoracic Disc Cube Storage Back Pain After the pain has subsided, light activity, as recommended by a doctor or physical therapist, can speed healing and recovery. In some cases, a course of treatment with a physical therapist can help. Specific exercises to strengthen and stretch the back and to strengthen core muscles are usually recommended to help prevent low back pain from becoming chronic or recurring.
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Beach Fans If you are experiencing true numbness14 around the groin and buttocks and/or failure of bladder or bowel control, please consider it a serious emergency — do not wait to see if it goes away. These symptoms indicate spinal cord injury or compression15 and require immediate medical attention. (Few people will have symptoms like this without having already decided it’s an emergency, but I have to cover all the bases here.)
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Preparing for Your Appointment 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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Toddler Beds Cardio Exercise Machines Item # 880499 Model # FH0D495A The use of these different stratification approaches vary around the world and there are overlaps between these three different approaches. A perfect subgrouping approach would include all there of these approaches. These models don’t replace clinical reasoning or experience but they do warrant judicious exploration in clinical practice in appropriate settings.
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Trash Cans ↑ Low back pain: Early management of persistent non-specific low back pain. NICE guidelines [CG88], May 2009 (Level of evidence 1A)
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Father’s Day new arrivals Kids Storage Dimensions: 20″W x 45″L x 2 3/8″ thick. A ruptured or herniated disk (see A Herniated Disk) The guidelines discuss different possibilities to prevent low back pain. Physical exercise is recommended to prevent consequences of low back pain, such as an absence of work and occurrence of further episodes. Physical exercise is especially useful in training back extensors and trunk flexors in conjunction with regular aerobic training. There is no specific recommendation of exercise frequency or intensity.[2][3][27] With regard to the back school programs, a high intensity program is advised in patients with recurrent and lasting low back pain but not in preventing low back pain. The program consists of exercises and an educational skills program. Education and information alone or based on the biomechanical model has only a small effect. Education and information in combination with other interventions, in a treatment setting based on the biopsychosocial model has a better effect. Information based on the biopsychosocial model is focused on beliefs in low back pain and reducing work loss caused by low back pain. This attitude of giving information has a positive effect on back pain beliefs.[2]  It is important to know that individually tailored programs and intervention may have more results in comparison to group interventions.[27] Lumbar supports, back belts and shoe insoles are not recommended in the prevention of low back pain. Lumbar supports and back belts have also been shown to have a negative effect on back pain beliefs and are therefore are not recommended in preventing low back pain.[2][3] Specific mattresses and chairs for prevention have no evidence in favor or against. Medium support mattresses may decrease existing persistent symptoms of low back pain.[2] Ergonomic adjustments regarding work environment can be necessary and useful to achieve earlier return to work.[2][28]
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Coolers & Water Bottles PS Central Sensitization in Chronic Pain — Pain itself can change how pain works, resulting in more pain with less provocation stores Choose a Store Cauda equina syndrome is a serious but rare complication of a ruptured disc. It occurs when disc material is pushed into the spinal canal and compresses the bundle of lumbar and sacral nerve roots, causing loss of bladder and bowel control. Permanent neurological damage may result if this syndrome is left untreated.
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Exercise Bikes Accent Pieces View our complete Shipping and Delivery. The causes of back pain are incredibly varied. If you are experiencing any of the “red flags” above, if your back pain is severe, or if it persists despite conservative care, consider making an appointment.
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It’s fairly common for me to see return patients who get into trouble because they continued to lift heavy weights at the gym, moved furniture, or shoveled snow.
Español About Free Shipping Item # 805866 Model # NG06098A Scoliosis is a condition that is also related to growth. It appears usually just as the teenage growth spurt of puberty begins and may progress through the growth phase. In girls, this occurs earlier than in boys – about age 11 in girls and age 13 in boys. It is usually painless, but may cause back discomfort with activity. The condition is genetic, which means it runs in families. It is more common in girls than boys. If the condition progresses, it can be serious. It may require treatment with a brace, or even surgery.
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Nerve irritation: The nerves of the lumbar spine can be irritated by mechanical pressure (impingement) by bone or other tissues, or from disease, anywhere along their paths — from their roots at the spinal cord to the skin surface. These conditions include lumbar disc disease (radiculopathy), bony encroachment, and inflammation of the nerves caused by a viral infection (shingles). See descriptions of these conditions below.
1962 There are many additional sources of pain, including claudication pain (from stenosis) myelopathic pain, neuropathic pain, deformity, tumors, infections, pain from inflammatory conditions (such as rheumatoid arthritis or ankylosing spondylitis), and pain that originates from another part of the body and presents in the lower back (such as kidney stones, or ulcerative colitis).
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Laundry by Wayfair Basics™ Decorating Tips The term “musculoligamentous strain” is just the medical term for describing common “back strain”. This term refers to all injuries of the lumbar spine’s soft tissue. Soft tissues are the muscles, nerves, ligaments, tendons, and blood vessels around the spine. Musculoligamentous strains are probably the most common sports injury. These injuries are diagnosed by exclusion, which means the diagnosis is offered after all other causes of the pain are ruled out. These injuries are usually self-limiting. In other words, they do not continue to spread and get worse; they generally heal in time. Healing often happens even without getting specific treatment for the area. Treatment generally focuses on education and prevention of future strains, through proper conditioning, warm-up, and changes in the way an activity is carried out.
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All Planters & Gardening ↑ Ferreira ML, Ferreira PH, Latimer J, Herbert RD, Hodges PW, Jennings MD, Maher CG, Refshuage KM. Comparison of General Exercise, Motor Control Exercise and Spinal Manipulative Therapy for Chronic Low Back Pain: A Randomized Trial. Pain. 2007;131:31-37.
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Décor & Pillows Shop Departments  Jump up ^ Lee, CS; Hwang, CJ; Lee, DH; Kim, YT; Lee, HS (March 2011). “Fusion rates of instrumented lumbar spinal arthrodesis according to surgical approach: a systematic review of randomized trials”. Clinics in orthopedic surgery. 3 (1): 39–47. doi:10.4055/cios.2011.3.1.39. PMC 3042168 . PMID 21369477.
American Academy of Family Physicians In the majority of cases, the pain is not caused by anything serious and will usually get better over time. The brain. The body. The bedroom. How much do you know about sex, love, and the human body?
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There are two main forms of lower back pain: acute and chronic. Acute pain is defined by a sharp, severe, sudden onset. You got in a car accident, fell down the stairs, or “threw out your back” lifting something. But for all the misery you feel, acute lower back pain can often be healed with Advil, ice, and sufficient rest.
Spinal fusion is used to strengthen the spine and prevent painful movements in people with degenerative disc disease or spondylolisthesis (following laminectomy). The spinal disc between two or more vertebrae is removed and the adjacent vertebrae are “fused” by bone grafts and/or metal devices secured by screws. The fusion can be performed through the abdomen, a procedure known as an anterior lumbar interbody fusion, or through the back, called posterior fusion. Spinal fusion may result in some loss of flexibility in the spine and requires a long recovery period to allow the bone grafts to grow and fuse the vertebrae together. Spinal fusion has been associated with an acceleration of disc degeneration at adjacent levels of the spine.
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The bony lumbar spine is designed so that vertebrae “stacked” together can provide a movable support structure while also protecting the spinal cord from injury. The spinal cord is composed of nervous tissue that extends down the spinal column from the brain. Each vertebra has a spinous process, a bony prominence behind the spinal cord, which shields the cord’s nervous tissue from impact trauma. Vertebrae also have a strong bony “body” (vertebral body) in front of the spinal cord to provide a platform suitable for weight bearing of all tissues above the buttocks. The lumbar vertebrae stack immediately atop the sacrum bone that is situated in between the buttocks. On each side, the sacrum meets the iliac bone of the pelvis to form the sacroiliac joints of the buttocks.
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Tampa Bay Rays The initial management of acute spine pain must be directed toward determining if a serious neurologic condition exists. If there is a history of recent trauma or serious underlying medical illness, more-aggressive evaluation is warranted. The presence of acute and progressive neurologic dysfunction is an urgent medical problem. This is especially so when there is clinical evidence of bilateral neurologic dysfunction, increasing the likelihood of involvement of the spinal cord or cauda equina. Manifestations include bilateral leg weakness and sensory symptoms, and loss of bowel or bladder control. Such symptoms should trigger an urgent workup that includes MRI studies and possibly neurosurgical consultation.
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Store Finder The prevention of back pain is, itself, somewhat controversial. It has long been thought that exercise and an all-around healthy lifestyle would prevent back pain. This is not necessarily true. In fact, several studies have found that the wrong type of exercise such as high-impact activities may increase the chance of suffering back pain. Nonetheless, exercise is important for overall health and should not be avoided. Low-impact activities such as swimming, walking, and bicycling can increase overall fitness without straining the low back.
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Ottomans & Poufs Alternative Care Sitting: Chairs of appropriate height for the task at hand with good lumbar support are preferable. To avoid putting stress on the back, chairs should swivel. Automobile seats should also have adequate low-back support. If not, a small pillow or rolled towel behind the lumbar area will provide adequate support.
Cribs Medium/Large Two-Way Radios Bathroom Vanity Lighting Sewing Machines Being overweight Hair Accessories Pottery Barn Kids Decor There is general agreement that patients with acute nonspecific spine pain or nonlocalizable lumbosacral radiculopathy (without neurologic signs or significant neurologic symptoms) require only conservative medical management. Patients should abstain from heavy lifting or other activities that aggravate the pain. Bed rest is not helpful and has been shown to delay recovery.9 Bed rest may be recommended for the first few days for patients with severe pain with movement. Recommended medications include nonsteroidal anti-inflammatory drugs such as ibuprofen or aspirin. If there are complaints of muscle spasm, muscle relaxants such as cyclobenzaprine may be used in the acute phase of pain. Narcotic analgesia should be avoided, in general, but it can be prescribed in cases of severe acute pain.
Billing and Insurance This is an unholy combination of factors: the exact same symptoms can have either an extremely rare but serious cause, or an extremely common but “harmless” cause that can be greatly aggravated by excessive alarm!
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Herniated Disc Bulging or herniated disc. A disc may bulge outward. A herniated disc occurs when the soft interior matter escapes through a crack or ruptures through the disc’s protective outer layer. Both disc problems can cause nerve compression, inflammation, and pain. 
Primary prevention is defined as “specific practices for the prevention of disease or mental disorders in susceptible individuals or populations. These include health promotion, including mental health; protective procedures, such as communicable disease control; and monitoring and regulation of environmental pollutants. Primary prevention is to be distinguished from secondary prevention and tertiary prevention.”[26]  
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Big Lots Corporate Kerry H. Levin, MD (4.4) out of 5 stars14 Reviews Other treatments have been used with varying results.12 Transcutaneous electrical nerve stimulation has been used in patients with subacute and chronic spine pain, with varying results. A number of factors appear to influence success, including chronicity of the pain, electrode-pad placement, and prior treatments. Corticosteroid injections in facet joints and epidural locations have been advocated by some clinicians. The value of therapeutic corticosteroid injection in the setting of chronic nonspecific back pain without established radiculopathy has not been proven.
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The lifetime prevalence of mechanical low back pain (LBP) in the United States is 60-80%. The prevalence of serious mechanical LBP (persisting >2 wk) is 14%. The prevalence of true sciatica (pain radiating down one or both legs) is approximately 2%.
Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.
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This occurs in less than 1 case in 20 of acute low back pain. Nerve root pain means that a nerve coming out from the spinal cord (the root of the nerve) is irritated or pressed on. (Many people call this a trapped nerve.) You feel pain along the course of the nerve. Therefore, you typically feel pain down a leg, sometimes as far as to the calf or foot. The pain in the leg or foot is often worse than the pain in the back. The irritation or pressure on the nerve may also cause pins and needles, numbness or weakness in part of a buttock, leg or foot.
Maddie & Coco See Back Pain: Find the Cause, Watch for the Comeback, a Critical Images slideshow, to help diagnose and manage this common problem.
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home pain management centerTopic Guide Diabetes Care Shimmer Moss Bottoms Little Jedi™ These two back pain scenarios might be medical emergencies. They do not necessarily mean something horrible is wrong, but it’s extremely important to make sure.
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Dining Chair Cushion in Calliope Fern foam cushion Routine Radiographs of the Spine Dean Drobot/ShutterstockWhen it comes to back pain, there’s a lot of confusion and a lot of suffering. “Low-back pain is now the biggest global cause of disability,” says professor Martin Underwood of the University of Warwick in the UK, one of the authors of a new series of papers on low-back pain published in the medical journal The Lancet. Currently, more than 540 million people worldwide are suffering, he points out. According to the new findings—put together by an international team of doctors and researchers, many doctors are treating the problem wrong. “Public beliefs, healthcare practices, and workplace policies have increasingly led to the widespread but mostly unhelpful idea that back pain is a medical problem that necessitates stopping usual activities,” Dr. Underwood says. The opposite is true—here’s what you do and don’t need for your back.
Sit in a chair with good lumbar support and proper position and height for the task. Keep shoulders back. Switch sitting positions often and periodically walk around the office or gently stretch muscles to relieve tension. A pillow or rolled-up towel placed behind the small of the back can provide some lumbar support. During prolonged periods of sitting, elevate feet on a low stool or a stack of books.
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Halloween & Harvest L3 The spinal cord, which contains the nerve pathways to and from the brain, is protected by the spine. Nerves from the spinal cord come out from between the vertebrae to take and receive messages to various parts of the body.
22)          altrendo images A herniated disk, usually with compression of a spinal nerve root (see A Herniated Disk)
Back issues can result from all manner of activity and inactivity. While some runners experience lower back pain, it may more often be a result of sitting hunched in front of a computer screen all day than from that 5 miles you ran before work.
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Find Camps & Activities for your Active Kids If the pain from a slipped disc is tortuous enough, you may wish to consider microdiscectomy, a minimally invasive procedure where surgeons will go in and shave off the part of the disc that has protruded out of its proper place. This relieves pressure on the nerve, and you’ll be walking tall again in no time.
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Sleeping Bags & Pajamas ^ Jump up to: a b c d e f g h i j k l m Manusov, EG (September 2012). “Surgical treatment of low back pain”. Primary care. 39 (3): 525–31. doi:10.1016/j.pop.2012.06.010. PMID 22958562.
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Boat Accessories Mueller 14 inch stacking dining chair ↑ 11.0 11.1 11.2 11.3 Koes BW, van Tulder M, Lin C-WC, Macedo LG, McAuley J, Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J 2010;19:2075–94 (Level of evidence 1A)
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Ice Cream Makers Cauda equina syndrome is a particularly serious type of nerve root problem. This is a rare disorder where the nerves at the very bottom of the spinal cord are pressed on. This syndrome can cause low back pain plus problems with bowel and bladder function (usually unable to pass urine), numbness in the saddle area (around the back passage (anus)) and weakness in one or both legs. This syndrome needs urgent treatment to prevent the nerves to the bladder and bowel from becoming permanently damaged. See a doctor immediately if you suspect cauda equina syndrome.
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Oral Care A Medical Professional Discectomy (the partial removal of a disc that is causing leg pain) can provide pain relief sooner than nonsurgical treatments.[14] Discectomy has better outcomes at one year but not at four to ten years.[14] The less invasive microdiscectomy has not been shown to result in a different outcome than regular discectomy.[14] For most other conditions, there is not enough evidence to provide recommendations for surgical options.[14] The long-term effect surgery has on degenerative disc disease is not clear.[14] Less invasive surgical options have improved recovery times, but evidence regarding effectiveness is insufficient.[14]
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Denver Broncos (News) Scientists Restore Leg Movement in Paralyzed Monkeys College Decor more bookmarks As a general guide, if any of the following occur then it may not be nonspecific low back pain, and there may be a more serious underlying cause. But note: the vast majority of people with low back pain do not have any of the following symptoms or features. They are included here for completeness and as an aid to what to look out for and to tell your doctor should they occur.
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Tags: back pain, Lower Back Pain, Musculoskeletal Care, Orthopedic, sports medicine Topaz Harvest These muscles help stabilize the spine. The abdominal muscles, which run from the bottom of the rib cage to the pelvis, also help stabilize the spine by supporting the abdominal contents.
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If your job involves lifting, pulling, or anything that twists the spine, it may contribute to back pain. However, sitting at a desk all day comes with risks of its own, especially if your chair is uncomfortable or you tend to slouch.
Red (13) See Spondylolysis and Spondylolisthesis Biographies ^ Jump up to: a b c Freedman MD, Woodham MA, Woodham AW (March 2010). “The role of the lumbar multifidus in chronic low back pain: a review”. PM&R. 2 (2): 142–6. doi:10.1016/j.pmrj.2009.11.006. PMID 20193941.
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Made By Flosites Learn more about our free design services. Meanwhile, it’s extremely common for non-life-threatening low back pain to be alarmingly severe and persistent — to have a loud bark! Your doctor may not appreciate how true this is, and may over-react to all persistent low back pain, even without other red flags. In most cases, you shouldn’t let them scare you. Being “freaked out” about persistent back pain is the real threat: it can make low back pain much worse, and much more likely to last even longer (a tragic irony).
Lifting or moving heavy objects at work It may seem funny, but your back often needs exercise to heal from injury
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NEXT DAY DELIVERY 2626 The pathophysiology of radicular spine pain and lumbosacral radiculopathy is usually more obvious. Disk herniation through the annulus fibrosis does not in itself produce pain, but compression by disk of the dural lining around the spinal nerve root sleeve is one likely explanation for the back pain associated with acute disk herniation. This is also likely to contribute to the pain from spinal nerve root compression from arthritic spurs at degenerated facet and uncovertebral joints. Compression can directly stretch nociceptors in dura or nerve root sleeve tissues, but ischemia from compression of vascular structures, inflammation, and secondary edema is also likely to play a role in some cases.
However, once the pain has eased or gone it is common to have further bouts (recurrences) of pain from time to time in the future. Also, it is common to have minor pains on and off for quite some time after an initial bad bout of pain. In a small number of cases the pain persists for several months or longer. This is called chronic back pain.
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Training & Grooming Saving Money Prescription Medicines 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.
Minimally Invasive Surgery ^ Jump up to: a b Rubinstein SM, van Middelkoop M, Assendelft WJ, de Boer MR, van Tulder MW (2011). Rubinstein SM, ed. “Spinal manipulative therapy for chronic low-back pain”. Cochrane Database of Systematic Reviews (2): CD008112. doi:10.1002/14651858.CD008112.pub2. PMID 21328304. Archived from the original on 9 June 2013.
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Herniated, or slipped, discs are produced as the spinal discs degenerate or grow thinner. The jelly-like central portion of the disc bulges out of the central cavity and pushes against a nerve root. Intervertebral discs begin to degenerate by the third decade of life. Slipped discs are found in one-third of adults older than 20. However only 3% of these produce symptoms of nerve impingement.
Home Appliances Spondylolisthesis is a condition in which a vertebra of the lower spine slips out of place, pinching the nerves exiting the spinal column. Where the pain occurs depends on which disk is herniated and which spinal nerve root is affected. The pain may be felt along the pathway of the nerve compressed by the herniated disk. For example, a herniated disk commonly causes sciatica—pain along the sciatic nerve, down the back of the leg.
If you don Up Next Fans Cirque Accent verify here. 2676 Nerve root syndromes are those that produce symptoms of nerve impingement (a nerve is directly irritated), often due to a herniation (or bulging) of the disc between the lower back bones. Sciatica is an example of nerve root impingement. Impingement pain tends to be sharp, affecting a specific area, and associated with numbness in the area of the leg that the affected nerve supplies.
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If you need painkillers, it is best to take them regularly. This is better than taking them now and again just when the pain is very bad. If you take them regularly the pain is more likely to be eased for much of the time, enabling you to exercise and keep active.
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Dining Collections Budget Information For your life together… Your health care provider will examine the entire spine. He or she will look for: signs of unusual curves of the spine, a rib hump, a tilted pelvis, and tilting of the shoulders. Your muscle strength will be tested, as well as reflexes, sensation, and ability to perform specific movements. Finally, you may need to undergo some tests if your provider feels there is need for more information.
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Aluminum Oyster (4) Now Playing: Disney’s Rainbow Mickey Collection releases new products Risk factors for low back pain include athletic activity, heavy lifting, throwing, moving luggage, traumatic injury, kidney infection, pregnancy, osteoporosis, and aging.
Dictionary SLEEQ® AP LSO Back Brace – Lumbar & Lower Back Support The history should also explore factors that increase the likelihood of an underlying systemic disorder as a cause. These include advanced age, history of cancer, unexplained weight loss, use of injected drugs, chronic infection, prolonged duration of pain, pain that does not respond to rest or recumbency, and failure to respond to previous therapy. Box 1 reviews these factors.
Sort: Tops, Tanks & Tees Shipping Information Sports Bras Symptoms of the condition may vary and come on slowly. You may also experience pain, numbness or weakness in one o both legs that causes you to stumble or have trouble getting up from a chair.
Liverpool You do need to consider your outlook To The Trade Occasionally, back pain is due to disorders outside the spine, such as cancer, gynecologic disorders (for example, premenstrual syndrome), disorders of the kidneys (for example, kidney stones) and urinary (for example, infections of the kidney, bladder, and prostate gland) and digestive tracts, and disorders of major arteries near the spine.
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Back and leg pain limits normal activity or impairs quality of life
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UMMC Midtown Campus Lower Back Pain Forum 2776 Join Us! In landmark research, back experts around the world report that many back patients are receiving the wrong kind of therapy—here’s what you need to know.
The information on Spine-health.com is not intended as a substitute for medical professional help or advice but is to be used only as an aid in understanding spine and spine related conditions.
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Customer Reviews Jump up ^ Abdel Shaheed, C; Maher, CG; Williams, KA; Day, R; McLachlan, AJ (1 July 2016). “Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A Systematic Review and Meta-analysis”. JAMA Internal Medicine. 176 (7): 958–68. doi:10.1001/jamainternmed.2016.1251. PMID 27213267.
This condition is considered a medical emergency. Urgent care may be required. Grills & Accessories
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White Men’s Health Issues Outdoor Collections 1953 Hurwitz EL, Randhawa K, Yu H, Cote P, Haldeman S. The Global Spine Care Initiative: a summary of the global burden of low back and neck pain studies. Eur Spine J. 2018 Feb 26. [Medline].
SEARCH FOR Decor & More Call us *When testing the S1 innervated gastrocnemius muscle, the ability to stand on the toes once represents fair (3/5) strength. The patient must stand on his or her toes 5 times in a row to be rated normal (5/5) strength. Note that this approach should allow the physician to detect weakness at a much milder stage than if gastrocnemius strength were assessed only by using the examiner’s hand to apply resistance to ankle plantar flexion.
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MLB™ Spine-Health Numerous treatment guidelines have been written regarding the evaluation, treatment, and management of LBP. [2, 3] Perhaps the most widely reviewed (and controversial) guideline was published in 1994 by the Agency for Health Care Policy and Research titled “Acute Lower Back Problems in Adults: Clinical Practice Guidelines.” [4]
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