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Curling Irons Medical Author: William C. Shiel Jr., MD, FACP, FACR Appliances Mission, Vision & Values Jump up ^ Lee, CS; Hwang, CJ; Lee, DH; Kim, YT; Lee, HS (March 2011). “Fusion rates of instrumented lumbar spinal arthrodesis according to surgical approach: a systematic review of randomized trials”. Clinics in orthopedic surgery. 3 (1): 39–47. doi:10.4055/cios.2011.3.1.39. PMC 3042168 . PMID 21369477.
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Herniated or ruptured discs can occur when the intervertebral discs become compressed and bulge outward (herniation) or rupture, causing low back pain.
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Get Our Daily Newsletter ^ 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.
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Modular Office Storage The presence of any of the above would justify a visit to a hospital’s emergency department, particularly if your family doctor is unable to evaluate you within the next 24 hours.
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Bathroom Fixtures YAKOBCHUK VIACHESLAV/ShutterstockThe good news is that simpler, low-tech, less-invasive lower back pain treatment really works.  Physical therapy, massage, and stretching programs can all help patients make it through, says Akhil Chhatre, MD, director of spine rehabilitation and assistant professor of physical medicine and rehabilitation at Johns Hopkins Medicine. Check out the home remedies for back pain with science on their side.
Bath Mirrors Take it easy Mehling WE, Gopisetty V, Acree M, et al. Acute low back pain and primary care: how to define recovery and chronification?. Spine (Phila Pa 1976). 2011 Dec 15. 36(26):2316-23. [Medline]. [Full Text].
Small Spaces See Lumbar Herniated Disc: What You Should Know Also, sleep in the most naturally comfortable position on whatever is the most comfortable surface. Advice given in the past used to be to sleep on a firm mattress. However, there is no evidence to say that a firm mattress is better than any other type of mattress for people with low back pain. Some people find that a small firm pillow between the knees when sleeping on the side helps to ease symptoms at night.
If compression of the spinal cord is suspected, MRI is done immediately. Rarely, when results of MRI are unclear, myelography with CT is required. Rarely, if cancer or infection is suspected, removal of tissue (biopsy) is necessary. Occasionally, electromyography and nerve conduction studies are done to confirm the presence, location, and sometimes duration and severity of nerve root compression.
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Pain is considered chronic once it lasts for more than three months and exceeds the body’s natural healing process. Chronic pain in the low back often involves a disc problem, a joint problem, and/or an irritated nerve root. Common causes include:
Item # 605458 Model # A-1350-S-32000-0024 The physical examination focuses on the spine and on evaluation of the nerves to the groin and legs to look for signs of nerve root compression. Signs of nerve root compression depend on which nerve roots are involved and include weakness of one of the muscle groups in a leg, abnormal reflexes (tested by tapping the tendons below the knee and behind the ankle), decreased sensation in an area of the leg, and, very rarely, retention of urine, and incontinence of urine or stool (fecal incontinence).
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    The big idea of classification-based cognitive functional therapy (CB-CFT or just CFT) is that most back pain has nothing to do with scary spinal problems and so the cycle of pain and disability can be broken by easing patient fears and anxieties. For this study, CFT was tried with 62 patients and compared to 59 who were treated with manual therapy and exercise. The CFT group did better: a 13-point boost on a 100-point disability scale, and 3 points on a 10-point pain scale. As the authors put it for BodyInMind.org, “Disabling back pain can change for the better with a different narrative and coping strategies.” These results aren’t proof that the confidence cure works, but they are promising.
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