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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.
Surgery may be useful in those with a herniated disc that is causing significant pain radiating into the leg, significant leg weakness, bladder problems, or loss of bowel control. It may also be useful in those with spinal stenosis. In the absence of these issues, there is no clear evidence of a benefit from surgery.
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Use hot or cold compression packs for short-term relief – you can buy these from your local pharmacy, or a hot water bottle and bag of frozen vegetables wrapped in a cloth will work just as well.
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6 Resume Playing Video Shop All Plumbing & Fixtures MRI Vanity Stools The lower back is also called the lumbosacral area of the back. It is the part of the back between the bottom of the ribs and the top of the legs.
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Mayer TG, Gatchel RJ, Mayer H, et al: A prospective two-year study of functional restoration in industrial low back injury. An objective assessment procedure. JAMA 1987;258:1763-1767.
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