Surgical procedures are not always successful, and there is little evidence to show which procedures work best for their particular indications. Patients considering surgical approaches should be fully informed of all related risks. Surgical options include:
Physician specialties that evaluate and treat low back pain range from generalists to subspecialists.These specialties include emergency medicine physicians, general medicine, family medicine, internal medicine, gynecology, spine surgeons (orthopaedics and neurosurgery), rheumatology, pain management, and physiatry. Other health care providers for low back pain include physical therapists, chiropractors, massage therapists, psychologists, and acupuncturists.
If you are already suffering from chronic back pain or pain of any kind, you should understand that there are many safe and effective alternatives to prescription and over-the-counter painkillers, though they may require some patience. Here are some strategies I highly recommend:
Jump up ^ Kelly GA, Blake C, Power CK, O’keeffe D, Fullen BM (February 2011). The association between chronic low back pain and sleep: a systematic review. Clin J Pain. 27 (2): 169–81. doi:10.1097/AJP.0b013e3181f3bdd5. PMID 20842008.
Back pain can be a symptom of many different illnesses and conditions. The main cause of the pain can be a problem with the back itself or by a problem in another part of the body. In many cases, doctors can’t find a cause for the pain. When a cause is found, common explanations include:
Reading in bed is a common behavior, and for some individuals, it is one of the things that they love doing in their free time. Students will spend several hours doing their homework in bed or reading for exams. Those in the corporate world will also spend a lot of time reviewing documents or finishing up projects on their laptop.
^ Jump up to: a b Chou R, Qaseem A, Owens DK, Shekelle P, Clinical Guidelines Committee of the American College of Physicians (1 February 2011). Diagnostic imaging for low back pain: advice for high-value health care from the American College of Physicians. Annals of Internal Medicine. 154 (3): 181–9. doi:10.7326/0003-4819-154-3-201102010-00008. PMID 21282698.
2013 — New section: An overdue upgrade! This way pain and fear power each other is now explained much more clearly and thoroughly than before. It’s noteworthy that, with this update, Dr. Lorimer Moseley’s valuable perspective on back pain is now fairly well-represented in this book. [Section: Pain and fear, together at last: an even simpler vicious cycle.]
Meanwhile, many non-dangerous problems can cause amazingly severe back pain. A muscle cramp is a good analogy — just think about how painful a Charley horse is! Regardless of what’s actually going on in there, muscle pain is probably the main thing that back pain patients are feeling. The phenomenon of trigger points — tiny muscle cramps, basically11 — could be the entire problem, or a complication that’s more painful and persistent than the original problem. It’s hard to overstate how painful trigger points can be, but they are not dangerous to anything but your comfort.
Grab your favorite book or magazine or just relax the day away inside with this comfortable and supportive reading pillow. The Majestic Home Goods’ reading pillow provides back support that is perfect for many activities such as reading, watching TV or playing video games.
Anti-inflammatory painkillers. They include ibuprofen which you can buy at pharmacies or obtain on prescription. Other types such as diclofenac or naproxen need a prescription. Some people may not be able to take anti-inflammatories. For example, some people with asthma, high blood pressure, kidney failure, or heart failure.
Some spinal difficulties, however, require more sizable intervention. Herniated discs, fractured vertebrae and other severe complications can often be mitigated or removed completely by minimally invasive surgery.
This triangular-shaped cushion features a vertical memory foam support for the mid spine and a horizontal memory support for the lower spine. This gives your spine complete support and keeps your back in a neutral, comfortable position.
Sure, sky-high stilettos are a no-no, but it turns out that flats can cause trouble, too. Sandals and flip-flops often provide little, if any, arch support. Continuous wear can lead to back, knee, and foot problems down the line, says Megan Tabor, a chiropractor at the Osher Clinical Center at Brigham and Women’s Hospital. But don’t worry: You needn’t settle for all function and no flair. Alternate styles throughout the week — from high to low, sneakers to sandals — and avoid wearing a particular pair every day. Shoes should fit properly and offer good arch and heel support, Tabor says. If you walk to work or the bus stop, wear shock-absorbing sneakers, then slip on cuter kicks once you get to the office. Your purse could also be to blame, especially if it’s huge and you’re lugging it on one shoulder. Try a tote with a wide, padded strap; carry it messenger style; and lighten the load. According to the American Chiropractic Association, your bag should weigh less than 10 percent of your body weight.
Cancer in the spinal bones or nearby structures – Back pain is consistent and may become worse when you are lying down. Numbness, weakness or tingling of the legs that continues to get worse. If cancer spreads to spinal nerves that control the bladder and bowel, there may be bowel or bladder incontinence (loss of control).
Subacute low back pain. Lasting between 6 weeks and 3 months, this type of pain is usually mechanical in nature (such as a muscle strain or joint pain) but is prolonged. At this point, a medical workup may be considered, and is advisable if the pain is severe and limits one’s ability to participate in activities of daily living, sleeping, and working.
Most acute low back pain fades steadily — up to 90% of it, for uncomplicated cases.13 So does a lot of so-called “chronic” low back pain!14 But when you don’t recover, many of the therapeutic options — things like surgery for a herniated disc — cause anxiety that is unnecessary and harmful. The purpose of this tutorial is to review and expand the options.
The straight leg raise test can detect pain originating from a herniated disc. When warranted, imaging such as MRI can provide clear detail about disc related causes of back pain (L4–L5 disc herniation shown)
Spondylolisthesis: A bone in the spine slips forward and out of place, typically in the lower back. The degenerative form of this condition is arthritis, which weakens the joints and ligaments keeping the spine aligned. It can cause a disc to move forward over a vertebra.
Reenalda J, Van Geffen P, Nederhand M, Jannink M, IJzerman M, Rietman H. Analysis of healthy sitting behavior: interface pressure distribution and subcutaneous tissue oxygenation. J Rehabil Res Dev. 2009;46:577–586. doi: 10.1682/JRRD.2008.12.0164. [PubMed] [Cross Ref]
To find out why, I called Theo Vos, a professor of global health at the University of Washington and an author of the Global Burden study. He dismissed my first theory, that computers were causing our musculoskeletal issues. After all, in 1990 far fewer people spent their days glued to a screen, yet back pain was still a major problem. Plus, jobs in the service or agriculture industries are the most likely to cause back pain, the study found—not typing or texting.
After you use the Bed Rest Pillowthe first time, you’ll wonder why you didn’t buy one sooner. It is the perfect accessory for a bed, sofa. The side arms & high back help prop you up in a comfortable p…