It is extremely difficult to alter the potentially disabling belief among the lay public that low back pain has a structural mechanical cause. An important reason for this is that this belief continues to be regularly reinforced by the conditions of care of a range of ‘hands-on’ providers, for whom idiosyncratic variations of that view are fundamental to their professional existence.”
The things that make us low-level miserable are now more likely to be simple aches and pains, rather than frightening, communicable diseases like diarrhea. That’s encouraging, but it’s still a little sad. People all over the world increasingly live long, great lives, only to spend their golden years slathered in IcyHot.
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2017 — Science update: Discussed important new review of SMT for acute low back pain. Significant revision of the section. [Section: Spinal manipulative therapy (SMT): Adjustment, manipulation, and cracking of the spinal joints.]
Ten updates have been logged for this article since publication (2009). All PainScience.com updates are logged to show a long term commitment to quality, accuracy, and currency. more When’s the last time you read a blog post and found a list of many changes made to that page since publication? Like good footnotes, this sets PainScience.com apart from other health websites and Although footnotes are more useful, the update logs are important. They are “fine print,” but more meaningful than most of the comments that most Internet pages waste pixels on.
2013 — Minor update: Added some great backup from a terrific surgeon blogger — who advocates for the necessity of testing placebo surgeries, exactly as I have in this section for many years. [Section: The back surgery placebo problem, and how it limits our knowledge of the effectiveness of back surgeries.]
Usual care provided by general practitioners for low back pain does not match the care endorsed in international evidence-based guidelines and may not provide the best outcomes for patients. This situation has not improved over time.
Jump up ^ Dionne CE (July 2005). Psychological distress confirmed as predictor of long-term back-related functional limitations in primary care settings. Journal of Clinical Epidemiology. 58 (7): 714–8. doi:10.1016/j.jclinepi.2004.12.005. PMID 15939223.
Treatment for low back pain generally depends on whether the pain is acute or chronic. In general, surgery is recommended only if there is evidence of worsening nerve damage and when diagnostic tests indicate structural changes for which corrective surgical procedures have been developed.
Sprains and strains account for most acute back pain. Sprains are caused by overstretching or tearing ligaments, and strains are tears in tendon or muscle. Both can occur from twisting or lifting something improperly, lifting something too heavy, or overstretching. Such movements may also trigger spasms in back muscles, which can also be painful.
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The cushion comes with a single strap along the back which is effective but lacks the secure grip of a dual strap design. It also comes with an extension strap for easy adaptability to larger chairs and seats.
2013 — New evidence: Rare good news: the first good quality scientific test of “the confidence cure” had promising results — which is just about the best thing that could have happened to this chapter. [Section: The confidence cure.]
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Depending on what the doctor suspects is wrong with you, the doctor may perform an abdominal examination, a pelvic examination, or a rectal examination. These exams look for diseases that can cause pain referred to your back. The lowest nerves in your spinal cord serve the sensory area and muscles of the rectum, and damage to these nerves can result in inability to control urination and defecation. Thus, a rectal examination is essential to make sure that you do not have nerve damage in this area of your body.
I love what you do, I read your site often, and I recommend it to friends. I bought the boxed set because I read the studies you linked to, because I decided since my back hurts and so does everyone else’s in my family, I want it all. Plus my best friend has wicked iliotibial band syndrome, so I figured I’d pass along that info to him. Anyways, dude, you rock socks off, keep on fighting the woo woo, you’ve made a reader for life! Thanks more than you know.
A good lumbar support is quite simple. It should be comfortable, and beneficial to the health of your back. However, as simple as these requirements are, the back itself is a complicated place. There are a wide variety of reasons for people to seek lumbar support, and these reasons stem from complications deriving from lumbar related back problems.
Surgery – surgery for back pain is very rare. If a patient has a herniated disk surgery may be an option, especially if there is persistent pain and nerve compression which can lead to muscle weakness. Examples of surgical procedures include:
People with back pain caused by pyelonephritis often begin to feel better within days after they start taking antibiotics, although they usually need to continue taking antibiotics for up to two weeks.
Is professional care for low back pain really this dodgy? Sadly, I believe so. I clearly remember graduating clueless myself. If I hadn’t spent many years doing post-grad study of low back pain, I wouldn’t know 98% of what’s in this document. All of the points above — and many more — will be explained and supported in great detail below.
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Free second tutorial! When you buy this tutorial, you will also get Save Yourself from Trigger Points and Myofascial Pain Syndrome! — a $1995 value. The low back pain tutorial makes the case that trigger points are a major factor in low back pain. However, trigger point therapy is not an easy skill to master — and it’s an enormous subject. PainScience.com publishes a separate tutorial about trigger point therapy. It’s offered as a free, essential companion to the low back pain tutorial. As a pair, they give you everything you need to know about helping most cases of low back pain.
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