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Home Care for Low Back Pain Okay, so you didn’t marry a doctor. But concierge medicine might be the next-best thing.
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Lumbar strain (acute, chronic): A lumbar strain is a stretch injury to the ligaments, tendons, and/or muscles of the low back. The stretching incident results in microscopic tears of varying degrees in these tissues. Lumbar strain is considered one of the most common causes of low back pain. The injury can occur because of overuse, improper use, or trauma. Soft-tissue injury is commonly classified as “acute” if it has been present for days to weeks. If the strain lasts longer than three months, it is referred to as “chronic.” Lumbar strain most often occurs in people in their 40s, but it can happen at any age. The condition is characterized by localized discomfort in the low back area with onset after an event that mechanically stressed the lumbar tissues. The severity of the injury ranges from mild to severe, depending on the degree of strain and resulting spasm of the muscles of the low back. The diagnosis of lumbar strain is based on the history of injury, the location of the pain, and exclusion of nervous system injury. Usually, X-ray testing is only helpful to exclude bone abnormalities.
Fireplace Ibuprofen (Advil, Nuprin, or Motrin), available over the counter, is an excellent medication for the short-term treatment of low back pain. Because of the risk of ulcers and gastrointestinal bleeding, talk with your doctor about using this medication for a long time.
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Ceiling Fixtures Sometimes a corticosteroid (such as dexamethasone or methylprednisolone) plus a local anesthetic (such as lidocaine) can be periodically injected into facet joints in the spine or the epidural space—between the spine and the outer layer of tissue covering the spinal cord. The epidural injections may be more effective for sciatica (see What Is Sciatica?) caused by a herniated disk (see A Herniated Disk) than for lumbar spinal stenosis. However, it is not clear that they produce a long-term benefit. They are usually effective only for several days to weeks. Their main use is to relieve pain enough that an exercise program, which can provide long-term pain relief, can be started.
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There are cases of low back pain that have alarming causes, but it’s rare. Once in a while back pain is a warning sign of cancer or an autoimmune disease. Or back pain could be associated with spinal cord damage. Or a few of other scary culprits.7 Over the age of 55, about one in twenty cases turns out to be a fracture, and one in a hundred is more ominous.8 The further you are from 55, the better your odds.
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A careful neurologic examination should be undertaken to exclude motor and sensory deficits. Muscle strength in the L2 through S1 myotomes should be examined. The sensory examination should include soft-touch and pain sensation in the same segmental distributions. Muscle stretch reflexes should be elicited at the knee for the L3 to L4 segment and at the ankle for the S1 segment, and they can also be performed in the posterior thigh at the tendinous insertion of internal hamstrings for the L5 segment.
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Symptoms that may indicate a fracture in the spine The main ones are: $12.00 Anti-inflammatory medications and stretching/strengthening exercises can reduce the pain. If your spine specialist feels you may have a true stress fracture from athletic activity, you may be placed in a back brace for 24 hours a day for several months to allow the fracture to heal. You will then be gradually weaned from the brace and allowed to return to full activity. Surgery is rarely considered in such cases.
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J Michael Wieting, DO, MEd, FAOCPMR, FAAPMR Senior Associate Dean, Interim Dean of Clinical Medicine, Professor of Physical Medicine and Rehabilitation, Professor of Osteopathic Manipulative Medicine, Lincoln Memorial University-DeBusk College of Osteopathic Medicine
Spartacus is worthwhile, but the sex and violence is over-the-top: there’s no sugar-coating it. Definitely not a family drama. But the dramatic quality is excellent. After a couple of campy, awkward episodes at the start, the first season quickly gets quite good: distinctive film craft, interesting writing, and solid acting from nearly the whole cast. Andy Whitfield’s Spartacus is idealistic, earnest, and easy to like. I found it downright upsetting when I learned that he had passed away — as did many, many other fans I’m sure. See my personal blog for a little bit more of a review of Spartacus. BACK TO TEXT
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Bib Overalls Commonly searched drugs Acupuncture, yoga and massage can improve chronic back pain, although the evidence for those interventions is weaker, according to the American College of Physicians’ U.S. guidelines for the diagnosis and treatment of chronic low-back pain. 
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For persistent low back pain, the short-term outcome is also positive, with improvement in the first six weeks but very little improvement after that. At one year, those with chronic low back pain usually continue to have moderate pain and disability.[2] People at higher risk of long-term disability include those with poor coping skills or with fear of activity (2.5 times more likely to have poor outcomes at one year),[93] those with a poor ability to cope with pain, functional impairments, poor general health, or a significant psychiatric or psychological component to the pain (Waddell’s signs).[93]
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    Visit your doctor if you have low back pain. They will review your symptoms and health history and do a physical exam. Based on this information, they may perform tests. These include an X-ray, computerized tomography (CT) scan, or magnetic resonance imaging (MRI). Tests help to diagnose the cause or rule out other causes.
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