There is controversy and scientific uncertainty about trigger points. It’s undeniable that mammals suffer from sensitive spots in our soft tissues … but their nature remains unclear, and the “tiny theory could be wrong. The tiny cramp theory is formally known as the “expanded integrated hypothesis,” and it has been prominently criticized by Quintner et al (and not many others). However, it’s the mostly widely accepted explanation for now. BACK TO TEXT
Experts believe TENS encourages the body to produce endorphins, and may possibly block pain signals returning to the brain. Studies on TENS have provided mixed results; some revealed no benefits, while others indicated that it could be helpful for some patients.
Kovacs, F. M., Abraira, V., Peña, A., Martín-Rodríguez, J. G., Sánchez-Vera, M., Ferrer, E., … Mufraggi, N. (2003, November 15). Effect of firmness of mattress on chronic non-specific low-back pain: Randomised, double-blind, controlled, multicentre trial [Abstract]. Lancet, 362(9396), 1599–1604. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/14630439
Well said. If only I could edit it, though, I would say that it is difficult to alter that belief in anyone, patient or professional. The belief isn’t just reinforced by the practices of manual therapists, it’s the reason for them.
In addition, the objective measure of comfort was improved in the current study with use of the pillow. The radius of the CoP shifting was lower for the lumbar support condition versus the standard chair in healthy individuals and in patients with LBP. However, the objective changes were not accompanied by subjective improvements, as the current study found no significant effects in reported comfort. While past studies have indicated that 30 minutes of sitting is adequate to determine comfort levels , it is possible that longer use of the device would have yielded more significant results. Carcone and Keir  noted subjective improvements in the middle lower back and upper back when using a lumbar support pillow for 15 minutes, however, the magnitude of the changes was small and clinical benefit is unknown.
Chou R, Qaseem A, Snow V, Casey D, Cross JT, Shekelle P, Owens DK (October 2007). Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine. 147 (7): 478–91. doi:10.7326/0003-4819-147-7-200710020-00006. PMID 17909209.
Jump up ^ Chou R, Baisden J, Carragee EJ, Resnick DK, Shaffer WO, Loeser JD (May 2009). Surgery for low back pain: a review of the evidence for an American Pain Society Clinical Practice Guideline. Spine. 34 (10): 1094–109. doi:10.1097/BRS.0b013e3181a105fc. PMID 19363455.
There are many other potential causes of back pain, but most of these are rare. Be sure to see your doctor if you experience regular back pain that does not go away. After ruling out the more common causes of back pain, your doctor will perform tests to determine if you have a more rare cause. These can include:
Jump up ^ Baron, R; Binder, A; Attal, N; Casale, R; Dickenson, AH; Treede, RD (July 2016). Neuropathic low back pain in clinical practice. European Journal of Pain. 20 (6): 861–73. doi:10.1002/ejp.838. PMC 5069616 . PMID 26935254.
Jump up ^ French SD, Cameron M, Walker BF, Reggars JW, Esterman AJ (April 2006). A Cochrane review of superficial heat or cold for low back pain. Spine. 31 (9): 998–1006. doi:10.1097/01.brs.0000214881.10814.64. PMID 16641776.
The Peeramid by Hog Wild is a comfortable pillow that makes it possible to read from anywhere. It has a unique design that gets inspiration from the Pyramids of Egypt, and it comes in various colors and with some distinct print patterns.
Sit in a chair with good lumbar support and proper position and height for the task. Keep shoulders back. Switch sitting positions often and periodically walk around the office or gently stretch muscles to relieve tension. A pillow or rolled-up towel placed behind the small of the back can provide some lumbar support. During prolonged periods of sitting, elevate feet on a low stool or a stack of books.
Artificial disc replacement is considered an alternative to spinal fusion for the treatment of people with severely damaged discs. The procedure involves removal of the disc and its replacement by a synthetic disc that helps restore height and movement between the vertebrae.
In the vast majority of patients with low back pain, symptoms can be attributed to nonspecific mechanical factors. However, in a much smaller percentage of patients, the cause of back pain may be something more serious, such as cancer, cauda equina syndrome, spinal infection, spinal compression fractures, spinal stress fractures, ankylosing spondylitis, or aneurysm.