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In another study, patients with lumbar spondylolisthesis, lumbar canal stenosis, and neurogenic claudication with neurologic signs were randomized to conservative treatment or decompressive surgery with spinal fusion.20 This study demonstrated significantly greater improvement in pain and function among the surgically treated patients, but the analysis was complicated by an unexpectedly high rate of crossover from the conservative treatment group to the surgery group. Back pain did not improve as much as leg pain, indicating that the greatest benefit was likely to have occurred for nerve-root related symptoms.21 A study of patients with LCS without spondylolisthesis more convincingly demonstrated a benefit for surgically treated patients compared to medically treated patients over a 2-year period.22
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Bath Mats & Shower Curtains Email address Hats Knives Online Education Inflammation of nerves from the spine can occur with infection of the nerves with the herpes zoster virus that causes shingles. This can occur in the thoracic area to cause upper back pain or in the lumbar area to cause low back pain.
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The tough covering of a disk in the spine can tear (rupture), causing pain. The soft, jelly-like interior may then bulge out (herniate) through the covering, causing more pain. Pain occurs because the bulge puts pressure on the spinal nerve root next to it. Sometimes the nerve root becomes inflamed or is damaged.
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Search Product Result Pain that is dull or achy, contained to the low back shops
Spondylolisthesis occurs when a lumbar (low back) vertebral body slips forward over the vertebra below it. Neurosciences Visit The Symptom Checker Sudden movements that place too much stress on the low back, such as a fall
Shop All Sports Don’t Miss Out! 4 Surprising Cures for Back Pain The brace is adjustable, so you can make sure the fit gives you the right amount of comfort.
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Kitchen & Table Linens Manage Account Shop All Boys Shoes Enter email address Low back pain has been with humans since at least the Bronze Age. The oldest known surgical treatise – the Edwin Smith Papyrus, dating to about 1500 BCE – describes a diagnostic test and treatment for a vertebral sprain. Hippocrates (c. 460 BCE – c. 370 BCE) was the first to use a term for sciatic pain and low back pain; Galen (active mid to late second century CE) described the concept in some detail. Physicians through the end of the first millennium did not attempt back surgery and recommended watchful waiting. Through the Medieval period, folk medicine practitioners provided treatments for back pain based on the belief that it was caused by spirits.
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with pillows under your knees Usual onset 20 to 40 years of age Continue Shopping The two sciatic nerves are the widest and longest nerves in the body. They are made up of several nerve roots that come out of the spinal cord in the low back. Each is almost as wide as a finger. On each side of the body, the sciatic nerve runs from the lower spine, behind the hip joint, down the buttock and back of the knee. There the sciatic nerve divides into several branches and continues to the foot. When the sciatic nerve or the nerve roots that make up the sciatic nerve are pinched, inflamed, or damaged, pain—sciatica—may radiate along the length of the sciatic nerve to the foot. Sciatica occurs in about 5% of people who have back pain.
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