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Various uncommon bone disorders, tumours, infection and pressure from structures near to the spine occasionally cause low back pain (fewer than 1 in 100 cases of low back pain).
Credit: Steven Frame Shutterstock If surgery is recommended, neurosurgeons have a variety of options available to help relieve pressure on the nerve roots. If there are several nerve roots and discs causing the pain or if there is degeneration and instability in the spinal column, the neurosurgeon may opt to fuse the vertebrae together with bone grafts and stabilize the vertebrae with instrumentation, including metal plates, screws, rods and cages. A successful fusion will prevent the disc from bulging or herniating again. Following a fusion procedure, a patient may gain restored mobility in the back, including the ability to bend over. He or she will most likely experience more mobility after surgery than before. In addition, the patient may require postoperative physical therapy.
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More News Patio Furniture Olympic Triathlon Jump up ^ Rothberg, S; Friedman, BW (January 2017). “Complementary therapies in addition to medication for patients with nonchronic, nonradicular low back pain: a systematic review”. The American journal of emergency medicine. 35 (1): 55–61. doi:10.1016/j.ajem.2016.10.001. PMID 27751598.
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Stiffness, in addition to pain, of the back muscles in the morning after getting up from bed that lasts for more than 30 minutes. Directions and Maps
Need Help? gift cards A Guide to Lower Right Back Pain Boxers Brisas 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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Diagnostic Tests Medications: A wide range of medications are used to treat acute and chronic low back pain. Some are available over the counter (OTC); others require a physician’s prescription. Certain drugs, even those available OTC, may be unsafe during pregnancy, may interact with other medications, cause side effects, or lead to serious adverse effects such as liver damage or gastrointestinal ulcers and bleeding. Consultation with a health care provider is advised before use. The following are the main types of medications used for low back pain:
Jump up ^ Nizard J, Raoul S, Nguyen JP, Lefaucheur JP (October 2012). “Invasive stimulation therapies for the treatment of refractory pain”. Discov Med. 14 (77): 237–46. PMID 23114579.
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^ Jump up to: a b Dagenais, S; Gay, RE; Tricco, AC; Freeman, MD; Mayer, JM (2010). “NASS Contemporary Concepts in Spine Care: spinal manipulation therapy for acute low back pain”. The Spine Journal. 10 (10): 918–40. doi:10.1016/j.spinee.2010.07.389. PMID 20869008.
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^ Jump up to: a b Rubinstein SM, Terwee CB, Assendelft WJ, de Boer MR, van Tulder MW (12 September 2012). “Spinal manipulative therapy for acute low-back pain”. Cochrane Database of Systematic Reviews. 9: CD008880. doi:10.1002/14651858.CD008880.pub2. PMID 22972127.
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Low Back Pain Examination Schwarzer AC, Aprill CN, Derby R, et al: The false-positive rate of uncontrolled diagnostic blocks of the lumbar zygapophysial joints. Pain 1994:58:195-200.
Warners American Academy of Family Physicians, Lifting Safety: Tips to Help Prevent Back Injuries Weinstein JN, Lurie JD, Tosteson TD, et al: Surgical vs nonoperative treatment for lumbar disk herniation. The Spine Patient Outcomes Research Trial (SPORT) observational cohort. JAMA 2006;296:2451-2459.
Baltimore Ravens Accent Furniture Chronic Nonspecific Back Pain 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.
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