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About 8 in 10 people have one or more bouts of low back pain. In most cases, it is not due to a serious disease or serious back problem, and the exact cause of the pain is not clear. This is called nonspecific lower back pain. The usual advice is to keep active and do normal activities as much as possible. Painkillers can help until the pain eases. In most cases, the pain disappears within six weeks but may come back (recur) from time to time. Persistent (chronic) pain develops in some cases and further treatment may then be needed.
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The magnitude of the burden from low back pain has grown worse in recent years. In 1990, a study ranking the most burdensome conditions in the U.S. in terms of mortality or poor health as a result of disease put low back pain in sixth place; in 2010, low back pain jumped to third place, with only ischemic heart disease and chronic obstructive pulmonary disease ranking higher.
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Smokers Bib Overalls A recent study showed that even adolescents who are overweight are susceptible to low back pain and disc degeneration, and an elevated body mass index (BMI) was significantly associated with increased severity of disc degeneration. Are you at risk? Calculate your BMI to find out.
Fitness level: Back pain is more common among people who are not physically fit. Weak back and abdominal muscles may not properly support the spine. “Weekend warriors”—people who go out and exercise a lot after being inactive all week—are more likely to suffer painful back injuries than people who make moderate physical activity a daily habit. Studies show that low-impact aerobic exercise is beneficial for the maintaining the integrity of intervertebral discs.
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Va Va Boom Magenta Something catch your eye? Selected Select related factors A randomized, double-blind trial performed by Carette and colleagues studied 158 patients with lumbar radiculopathy of 4 to 52 weeks’ duration who had evidence of radicular deficits on clinical examination and CT evidence of disk herniation.15 Six weeks after three epidural injections of either corticosteroids or saline, patients who had received corticosteroids had somewhat more improvement in leg pain, but at 3 months there was no significant difference between the two groups. Twenty-five percent of patients in both groups eventually went on to lumbar spine surgery.
For your life together… ADHD Interactive Backpack Guide Rachael Ray Tilbrook HE, Cox H, Hewitt CE, et al. Yoga for chronic low back pain: a randomized trial. Ann Intern Med. 2011 Nov 1. 155(9):569-78. [Medline].
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Spondylitis refers to chronic back pain and stiffness due to severe inflammation of the spinal joints.
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Custom Upholstery Shop All Books Tilt Tables Shop All Watches Topaz Color: Scarlet Socks & Underwear Degenerative bone and joint conditions: As we age, the water and protein content of the body’s cartilage changes. This change results in weaker, thinner, and more fragile cartilage. Because both the discs and the joints that stack the vertebrae (facet joints) are partly composed of cartilage, these areas are subject to wear and tear over time (degenerative changes). Degeneration of the disc is called spondylosis. Spondylosis can be noted on X-rays of the spine as a narrowing of the normal “disc space” between the vertebrae. It is the deterioration of the disc tissue that predisposes the disc to herniation and localized lumbar pain (“lumbago”) in older patients. Degenerative arthritis (osteoarthritis) of the facet joints is also a cause of localized lumbar pain that can be detected with plain X-ray testing. These causes of degenerative back pain are usually treated conservatively with intermittent heat, rest, rehabilitative exercises, and medications to relieve pain, muscle spasm, and inflammation.
Sacroiliac joint Cart Jacksonville Jaguars ^ Jump up to: a b Chou, R; Fu, R; Carrino, JA; Deyo, RA (7 February 2009). “Imaging strategies for low-back pain: systematic review and meta-analysis”. Lancet. 373 (9662): 463–72. doi:10.1016/S0140-6736(09)60172-0. PMID 19200918.
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Causes of fatigue & how to fight it Dupionique Citrine Post View 12 Comments All Baskets Jump up ^ Henschke N, Maher CG, Ostelo RW, de Vet HC, Macaskill P, Irwig L (2013). “Red flags to screen for malignancy in patients with low-back pain”. Cochrane Database of Systematic Reviews. 2: CD008686. doi:10.1002/14651858.CD008686.pub2. PMID 23450586.
Another cause is suspected. Andersson GB, Lucente T, Davis AM, et al: A comparison of osteopathic spinal manipulation with standard care for patients with low back pain. N Engl J Med 1999:341:1426-1431.
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Vertebroplasty: A cement mixture is injected into the fractured bone Spinal stenosis develops when the spinal canal or a nerve passageway abnormally narrows.
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Martyn Lawrence Bullard Over $100 2015 Disc degeneration remains a key cause of chronic low back pain and the pain often persists despite surgery. NIH-funded basic science and preclinical studies are investigating molecular-level mechanisms that cause discs in the spine to degenerate, as well as protective mechanisms involved in disc remodeling that may diminish with advancing age. Such studies may help identify future therapeutic strategies to block degenerative mechanisms or promote remodeling processes. NIH also is funding early research on stem cell approaches to promote disc regeneration and rejuvenate cells of the nucleus pulposus, the jelly-like substance in the center of intervertebral discs that loses water content as people age.
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