Lower back pain not only affects a person’s daily life but can also disturb their sleep. Furthermore, poor bed posture can worsen or even cause backache. So, what are the best sleeping positions for lower back pain?
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Physical examination evaluates your vital signs (eg, heart rate). It is not unusual for your blood pressure to be elevated as a result of pain. The doctor examines your spine, feeling for abnormalities and areas of tenderness.
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Exercise appears to be useful for preventing low back pain. Exercise is also probably effective in preventing recurrences in those with pain that has lasted more than six weeks. Medium-firm mattresses are more beneficial for chronic pain than firm mattresses. There is little to no evidence that back belts are any more helpful in preventing low back pain than education about proper lifting techniques. Shoe insoles do not help prevent low back pain.
Regular activity and gentle stretching exercises is encouraged in uncomplicated back pain, and is associated with better long-term outcomes. Physical to strengthen the muscles in the abdomen and around the spine may also be recommended. These exercises are associated with better patient satisfaction, although it has not been shown to provide functional improvement. However, one study found that exercise is effective for chronic back pain, but not for acute pain. If used, they should be performed under supervision of a licensed health professional.
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Boswellia – Also called boswellin or Indian frankincense, this herb has been prized for thousands of years for its powerful anti-inflammatory properties. This is one of my personal favorites, as I have seen it work well with many of my rheumatoid arthritis patients.
Janelle Shane is a humorist who creates and mines her material from neural networks, the form of machine learning that has come to dominate the field of artificial intelligence over the last half-decade.
2011 — Rewritten: Improved and expanded. In particular, intramuscular stimulation (IMS) was “demoted.” I am disillusioned with it and no longer want to promote it without strong caveats. [Section: “Medical” treatment option for trigger points: dry needling (IMS), stretch and spray, and trigger point injections.]
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Electrodiagnostics are procedures that, in the setting of low back pain, are primarily used to confirm whether a person has lumbar radiculopathy. The procedures include electromyography (EMG), nerve conduction studies (NCS), and evoked potential (EP) studies. EMG assesses the electrical activity in a muscle and can detect if muscle weakness results from a problem with the nerves that control the muscles. Very fine needles are inserted in muscles to measure electrical activity transmitted from the brain or spinal cord to a particular area of the body. NCSs are often performed along with EMG to exclude conditions that can mimic radiculopathy. In NCSs, two sets of electrodes are placed on the skin over the muscles. The first set provides a mild shock to stimulate the nerve that runs to a particular muscle. The second set records the nerve’s electrical signals, and from this information nerve damage that slows conduction of the nerve signal can be detected. EP tests also involve two sets of electrodes—one set to stimulate a sensory nerve, and the other placed on the scalp to record the speed of nerve signal transmissions to the brain.
Jump up ^ Pinto, RZ; Maher, CG; Ferreira, ML; Hancock, M; Oliveira, VC; McLachlan, AJ; Koes, B; Ferreira, PH (18 December 2012). Epidural corticosteroid injections in the management of sciatica: a systematic review and meta-analysis. Annals of Internal Medicine. 157 (12): 865–77. doi:10.7326/0003-4819-157-12-201212180-00564. PMID 23362516.
Even exercise, which a majority of experts agree is one of the best ways to maintain a healthy back and chase away aches and pains, can be problematic. When you’re sedentary, the muscles supporting the spine get weaker, and you’re more prone to injury, Dr. Katz says. But exercising with improper form — rounding the back when doing dead lifts or arching it during ab work — can place unwanted stress on the spine, notes Robyn Stuhr, a spokeswoman for the American Council on Exercise.
To learn more about the dangers of too much sitting and the importance of regularly getting out of your chair, I recommend you to see my interview with Dr. Joan Vernikos, author of Sitting Kills, Moving Heals and former director of NASA’s Life Sciences Division. Dr. Vernikos, who was one of the primary doctors that ensured the health of the astronauts as they went into space, gives a very intensive explanation on how you can simply and easily counteract the ill effects of sitting.
Each month, Rachael pens a personal letter to the readers of her magazine, Every Day with Rachael Ray. Here’s what’s on Rach’s mind for April, and what’s cookin’ in the magazine. Don’t forget to get y
^ Jump up to: a b Choi BK, Verbeek JH, Tam WW, Jiang JY (2010). Choi, Brian KL, ed. Exercises for prevention of recurrences of low-back pain. Cochrane Database of Systematic Reviews (1): CD006555. doi:10.1002/14651858.CD006555.pub2. PMID 20091596.
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