Jump up ^ Ebadi, S.; Henschke, N.; Nakhostin Ansari, N.; Fallah, E.; van Tulder, MW. (2014). Therapeutic ultrasound for chronic low-back pain. Cochrane Database Syst Rev. 3: CD009169. doi:10.1002/14651858.CD009169.pub2. PMID 24627326.
Radiofrequency denervation is a procedure using electrical impulses to interrupt nerve conduction (including the conduction of pain signals). Using x-ray guidance, a needle is inserted into a target area of nerves and a local anesthetic is introduced as a way of confirming the involvement of the nerves in the person’s back pain. Next, the region is heated, resulting in localized destruction of the target nerves. Pain relief associated with the technique is temporary and the evidence supporting this technique is limited.
Muscle relaxants: Muscle spasm is not universally accepted as a cause of back pain, and most relaxants have no effect on muscle spasm. Muscle relaxants may be more effective than a placebo (sugar pill) in treating back pain, but none has been shown to be superior to NSAIDs. No additional benefit is gained by using muscle relaxants in combination with NSAIDs over using NSAIDs alone. Muscle relaxants cause drowsiness in up to 30% of people taking them. Their use is not routinely recommended.
Complaints of low back pain are one of the most common reasons people visit doctors. For pain that has lasted only a few weeks, the pain is likely to subside on its own. Thus, if a person’s medical history and physical examination do not suggest a specific disease as the cause, medical societies advise against imaging tests such as X-rays, CT scans, and MRIs. Individuals may want such tests but, unless red flags are present, they are unnecessary health care. Routine imaging increases costs, is associated with higher rates of surgery with no overall benefit, and the radiation used may be harmful to one’s health. Fewer than 1% of imaging tests identify the cause of the problem. Imaging may also detect harmless abnormalities, encouraging people to request further unnecessary testing or to worry. Even so, MRI scans of the lumbar region increased by more than 300% among United States Medicare beneficiaries from 1994 to 2006.
This premium memory foam lumbar support cushion features an ingenious integrated cooling gel layer to stop your back getting too hot and sweaty, which is especially helpful for long car journeys in warm weather! Features include a breathable air mesh cover, nonslip back, adjustable strap with side release buckle, and extended zipper to easily remove the cover. The material is stain resistant and easy to clean.
As a general guide, if any of the following occur then it may not be nonspecific low back pain, and there 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.
Jump up ^ Patel ND, Broderick DF, Burns J, et al. ACR Appropriateness Criteria Low Back Pain. Available at https://acsearch.acr.org/docs/69483/Narrative/. American College of Radiology. Accessed Dec 12, 2017.
I apply a MythBusters approach to health care (without explosives): I have fun questioning everything. I don’t claim to have The Answer for low back pain. When I don’t know, I admit it. I read scientific journals, I explain the science behind key points (there are more than 440 footnotes here, drawn from a huge bibliography), and I always link to my sources.
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2016 — Science update: Added commentary on the “do not offer” acupuncture recommendation in the new NICE guidelines for back pain. [Section: The fascinating case of acupuncture, formerly a contender in low back pain therapy, but which has now miserably failed well-designed scientific tests.]
Sitting in an upright chair while watching TV or using a computer can cause painful pressure on the lumbar area of your back. Back support cushions can help relieve back pain even while sitting in your favorite chair at home. Lumbar support cushions might provide just the right amount of support for you, and cushion your lower back. Therapeutic and affordable, these chair accessories come in a large variety, including memory foam cushions and roll pillows for customized comfort.
2012 — Science: More science, and a few substantial new footnotes fielding common concerns and questions. [Section: Core strengthening has failed to live up to the hopes and dreams of therapists and patients.]
Inflammatory arthritis, including ankylosing spondylitis and related conditions – In these disorders, there is pain in the lower back, together with morning stiffness in the back, hips or both. There also can be pain and stiffness in the neck or chest or an extremely tired feeling. Other features may include psoriasis, eye pain and redness, or diarrhea, depending on the specific disorder causing back pain. This group of diseases is a relatively rare cause of back pain.
The actual spinal cord (Angelamedulla spinalis) terminates between vertebrae one and two of this series, called L1 and L2. The nervous tissue that extends below this point are individual strands that collectively form the cauda equina. In between each lumbar vertebra a nerve root exits, and these nerve roots come together again to form the largest single nerve in the human body, the sciatic nerve. The sciatic nerve runs through the back of each leg and into the feet. This is why a disorder of the low back that affects a nerve root, such as a spinal disc herniation, can cause pain that radiates along the sciatic nerve (sciatica) down into the foot.
One of the most popular back unisex brace, the FlexibraceÂ® Back Support provides a maximum level of support (level 3). It features a thermal 100% Latex-free Neoprene (CR) back panel with 4 resilient…
Made with non-flattening therapeutic, odorless memory foam, the lumbar cushion by RelaxBack includes an adjustable strap you can use to secure the cushion to your office chair. This keeps the cushion in the perfect position to give your back the support it needs. The velour cover is removable and easily machine washable to ensure cleanliness of the cushion. The cushion measures 14.6 x 3.6 x 13.5 inches and has a side handle for comfortably transporting the cushion around the office or to and from home.
Relax in style and comfort with the Chatham Check Petal Outdoor Lumbar Pillow. Filled with quick drying polyester and made with 100% Sunbrella acrylic fabric, this plush pillow resists stains, locks in color and withstands sun, wind and rain. 100% Sunbrella solution-dyed acrylic fabric . Finished with Ivory cord . Resists fading, mold and mildew . High-density polyester fill . Spot clean with mild soap and water; air-dry only . Zipper closure . Made in …
PREMIUM HIGH QUALITY-Ziraki Back Reading pillow is manufactured with SHREDDED FOAM, which allows for a better airflow, in addition to a flexibility, to personalize the molding of the pillow, to the co…
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.
The Primrose Field Petal Outdoor Lumbar Pillow is sure to spruce up any outdoor setting with its unique floral design. Upholstered in solution-dyed acrylic and finished in cording, this botanical pillow is crafted to endure all of the seasons with style. 100% Sunbrella solution-dyed acrylic fabric . Finished with Blue Bell Cord . Resists fading, mold and mildew . High-density polyester fill . Spot clean with mild soap and water; air-dry only . Zipper closure …
The ultimate soft support for reading or watching TV in bed. Wedge shaped base supports the lower back while the attached bolster cushions the neck. The proprietary polyester fiber fill distributes weight and recovers from compression, while preventing the accumulation of allergen particles.
A towel or small pillow. In many circumstances, a commercial lumbar back support is not necessary and a rolled up towel or small pillow may serve this function well. By rolling or folding a towel to the desired thickness, this support is placed wherever the user deems fit for the most comfort and support while sitting in an office chair.
^ Jump up to: a b c d e f g h Church E, Odle T. Diagnosis and treatment of back pain. Radiologic Technology [serial online]. November 2007;79(2):126-204. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed December 12, 2017.
Sprains and strains: Injuries to ligaments, muscles, and tendons that support the spine and its joints can lead to back pain. This often happens when you lift something and twist at the same time. It can also happen because of car accidents and sports injuries.
Jump up ^ Staal JB, de Bie R, de Vet HC, Hildebrandt J, Nelemans P (2008). Injection therapy for subacute and chronic low-back pain. The Cochrane Database of Systematic Reviews (3): CD001824. doi:10.1002/14651858.CD001824.pub3. PMID 18646078.
Infrared K-Laser therapy works by stimulating the cytochrome oxidase enzyme in your cells’ mitochondria. It enhances microcirculation and stimulates the red blood cell flow in the area being treated. K-Laser therapy helps reduce pain and inflammation and enhances tissue healing in hard and soft tissues, including your muscles, bones, and ligaments. It also returns venous and lymphatic function, as your tissues become oxygenated.
But the most common form, which accounts for about 90 percent of all cases, is what’s called common nonspecific back pain, which means we’re not sure what causes the pain, Maher told Live Science.
The handpainted Coastal Canopies Natural Outdoor Lumbar Pillow adds a refreshing vibe to any outdoor space. Featuring various colorful canopies, this pillows looks just like a beach scene. Filled with quick-drying polyester, this summery pillow can be used throughout the seasons. 100% solution-dyed fabric . Individually handpainted . Resists fading, mold and mildew . High-density polyester fill . Spot clean with mild soap and water; air-dry only . Zipper closure . Made in the USA. …
Be mindful that these life-threatening side effects of painkillers are not restricted to prescription NSAIDs like Celebrex, but may also come from over-the-counter drugs like aspirin, Advil, and Motrin.
For older people with chronic pain, opioids may be used in those for whom NSAIDs present too great a risk, including those with diabetes, stomach or heart problems. They may also be useful for a select group of people with neuropathic pain.
Spinal stenosis. This condition causes pain through narrowing of the spinal canal where the nerve roots are located. The narrowing can be central, forminal, or both, and can be at a single level or multiple levels in the lower back.
Shiatsu, also known as finger pressure therapy, is a type of massage where pressure is applied along energy lines in the body. The shiatsu therapist applies pressure with his/her fingers, thumbs and elbows.
A doctor will usually want to ask questions about your symptoms and to examine you. Basically, the symptoms are usually as described above, with no other worrying symptoms to suggest anything serious or another cause of back pain (such as the ones listed below). The examination by a doctor will not detect anything to suggest a more serious cause of back pain. Therefore, a doctor can usually be confident from his or her assessment that you have nonspecific back pain.