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Manage My Registries Vertebral compression fractures are quite common among women over 50 years of age. They can be treated conservatively with braces, pain relievers, and possibly calcitonin nasal spray, which does not help bone healing but may decrease pain. If pain is not adequately controlled, two surgical options are available:
Shop All Beauty RELATED SEARCHES Jump up ^ Davis PC, Wippold II FJ, Cornelius RS, et al. (2011). “American College of Radiology ACR Appropriateness Criteria – Low Back Pain” (PDF). Archived (PDF) from the original on 22 December 2012.
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HealthSmart Lumbar Cushion Source Code: ICAT Deyo RA, Walsh NE, Martin DC, et al: A controlled trial of transcutaneous electrical nerve stimulation (TENS) and exercise for chronic low back pain. N Engl J Med 1990;322:1627-1634.
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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.
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A ruptured or herniated disk can cause low back pain. A disk has a tough covering and a soft, jelly-like interior. If a disk is suddenly squeezed by the vertebrae above and below it (as when lifting a heavy object), the covering may tear (rupture), causing pain. The interior of the disk can squeeze through the tear in the covering, so that part of the interior bulges out (herniates). This bulge can compress, irritate, and even damage the spinal nerve root next to it, causing more pain. A ruptured or herniated disk that affects nerves commonly causes sciatica. Imaging studies such as MRI may show that disks bulge, including in people who have no symptoms; this bulging usually causes no symptoms or problems.
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DEUTSCH HealthRecipesLifestyleFitnessPodcastDiscussion Shop All NFL Office Chairs Fellowships 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.
Makeup Nonspecific low back pain is classed as chronic if it lasts for longer than six weeks. In some people it lasts for months, or even years. Symptoms may be constant. However, the more usual pattern is one in which symptoms follow an irregular course. That is, reasonably long periods of mild or moderate pain may be interrupted by bouts of more severe pain.
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City & Business N Nonsteroidal anti-inflammatory medications (NSAIDs) are the mainstay of medical treatment for the relief of back pain. Ibuprofen, naproxen, ketoprofen, and many others are available. No particular NSAID has been shown to be more effective for the control of pain than another. However, your doctor may switch you from one NSAID to another to find one that works best for you.
X-ray is often the first imaging technique used to look for broken bones or an injured vertebra. X-rays show the bony structures and any vertebral misalignment or fractures. Soft tissues such as muscles, ligaments, or bulging discs are not visible on conventional x-rays.
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History of prolonged steroid use: People with asthma, COPD, and rheumatic disorders, for example, may be given this type of medication.
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