Surgery is seldom considered for acute back pain unless sciatica or the cauda equina syndrome is present. Surgery is considered useful for people with certain progressive nerve problems caused by herniated discs.
In lumbar flexion, the highest strains are recorded within the interspinous and supraspinous ligaments, followed by the intracapsular ligaments and the ligamentum flavum. In lumbar extension, the anterior longitudinal ligament experiences the highest strain. Lateral bending produces the highest strains in the ligaments contralateral to the direction of bending. Rotation generates the highest strains in the capsular ligaments.
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Jump up ^ Chou, Roger; Deyo, Richard; Friedly, Janna; Skelly, Andrea; Hashimoto, Robin; Weimer, Melissa; Fu, Rochelle; Dana, Tracy; Kraegel, Paul (2016). Noninvasive Treatments for Low Back Pain. AHRQ Comparative Effectiveness Reviews. Rockville (MD): Agency for Healthcare Research and Quality (US). PMID 26985522.
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Working a sedentary job can do a number on your body. “Sitting at your desk all day long with a poor ergonomic workstation is one of the worst things for your general health overall, including your lower back,” Dr. Oberle says.
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Surgery is reserved for cases of severe pain, symptoms that do not respond to non-operative therapy, and serious conditions that may endanger the spinal cord or surrounding nerves. Surgical treatments vary widely and depend on the ultimate cause of the back pain.
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