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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This is my translation/interpretation for patients of the somewhat more detailed information for physicians published in “Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society”. BACK TO TEXT
Pain in the lower back or low back pain is a common concern, affecting up to 80% of Americans at some point in their lifetime. Many will have more than one episode. Low back pain is not a specific disease, rather it is a symptom that may occur from a variety of different processes. In up to 85% of people with low back pain, despite a thorough medical examination, no specific cause of the pain can be identified.
Pancreas — The pancreas is roughly central, and conditions affecting it can cause pain in the mid-back on either side, but usually fairly central. As with all the other viscera, abdominal pain is more likely and likely to be more prominent.
That is, the parts of your body that touch a saddle when riding a horse: groin, buttock, and inner thighs. I experienced rather intense, terrifying awareness of symptoms in this area in the aftermath of my wife’s car accident in early 2010. With a mangled T12 vertebrae, she was at real risk of exactly this problem. Fortunately, she escaped that quite serious problem. But, sheesh, I was vigilant about it for a while! “Honey, any numbness in your saddle area today?” BACK TO TEXT
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.
We can’t wait: The chance to see the amazing, up-and-coming young chefs in Rachael Ray’s Kids Cook-Off is finally here! Rach’s new show kicks off Monday, Aug. 24 at 8/7c on Food Network. In this speci
The most dangerous thing about trying to reassure low back pain patients is the unnerving possibility that I might reassure someone who should not be. But reassurance is almost always appropriate. Most back injury feels worse than it is — its bark is worse than its bite.
This tutorial has been continuously, actively maintained and updated for 14 years now, staying consistent with professional guidelines and the best available science. The first edition was originally published in September 2004, after countless hours of research and writing while I spent a month taking care of a farm (and a beautiful pair of young puppies) in the Okanagan.
The Vremi Premium Support Lumbar Pillow is made from 100 percent premium memory foam that curves to the unique shape of your back to provide the support you need to maintain your posture. Made from a black hypo-allergenic cotton and lined with complimentary gray piping, the pillow will look professional in any office setting. The pillow comes with adjustable dual straps that allow you to securely fit the pillow to any size or style office chair. Measuring 13 x 12.5 x 4.25 inches, the lumbar pillow comes with a removable and breathable mesh cover that allows air to circulate, so your back stays cool.
Sitting all day is hazardous, too. It puts more pressure on disks and vertebrae than standing or walking, Dr. Katz says. Alleviate the tension with an office makeover. Start with a lumbar-support cushion, such as the Original McKenzie SlimLine ($19, isokineticsinc.com). Then adjust your seat so your computer monitor is at eye level, your arms and knees are bent at a 90-degree angle, and your feet rest on the floor. Finally, go to workrave.org to download a free program that flashes screen reminders to take computer breaks as often as you schedule them.
As a general guide, if any of the following occur then it may not be nonspecific low back pain, and there may be a more serious underlying cause. But note: the vast majority of people with low back pain do not have any of the following symptoms or features. They are included here for completeness and as an aid to what to look out for and to tell your doctor should they occur.
Back school is an intervention that consists of both education and physical exercises. A 2016 Cochrane review found the evidence concerning back school to be very low quality and was not able to make generalizations as to whether back school is effective or not.
The Tri-Tachment system allows you to adjust and secure the support in the exact position that’s right for you. This eliminates the need to constantly readjust the support every time you get in and out of the chair. Just clip the straps in place and it will stay put.
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The roll shape gives the cushion much smaller dimensions than the large, flat cushions we have seen thus far meaning it is far easier to carry around. The single strap works sufficiently well given the small dimensions and allows you to even fasten it around your waist. This means you can wear it and remove the hassle attaching and detaching it from chairs if you need to move around.
Table 2 provides details of the descriptive statistics for the CoP LSR. The results of the three-factor ANOVA for the entire sample of participants suggested that there was a significant effect of Condition (p = 0.017) and Epoch (0.028) but not Group (p = 0.095). The lack of any significant interaction effects, however, suggested that the effect of Condition was consistent over Epoch, in that the LSR was consistently lower in the lumbar support condition for both healthy and LBP groups than in the standard chair condition, suggesting greater comfort.
2011 — New section: This section is a summary of an important concept that’s been available in a free article since late 2008, but it really needed to be emphasized here. [Section: From the frying pan of injury pain to the fire of trigger point pain.]
Most backrest pillows will come with a removable cover which is an excellent feature because it makes cleaning easy. A removable cover means that cleaning the cushion will only entail washing the cover. Also, the material matters because it will also affect the level of comfort but the best idea is always to go for something that is 100% cotton because it is soft and breathable which are what you need when you intend to spend several hours in bed.