Arthritis-health Refer a Friend All Wall Organization Premkumar A, Godfrey W, Gottschalk MB, Boden SD. Red Flags for Low Back Pain Are Not Always Really Red: A Prospective Evaluation of the Clinical Utility of Commonly Used Screening Questions for Low Back Pain. J Bone Joint Surg Am. 2018 Mar;100(5):368–374. PubMed #29509613.
Welcome to Sears.com Walls RM, et al., eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed Oct. 30, 2017.
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].
There is general agreement that patients with acute nonspecific spine pain or nonlocalizable lumbosacral radiculopathy (without neurologic signs or significant neurologic symptoms) require only conservative medical management. Patients should abstain from heavy lifting or other activities that aggravate the pain. Bed rest is not helpful and has been shown to delay recovery.9 Bed rest may be recommended for the first few days for patients with severe pain with movement. Recommended medications include nonsteroidal anti-inflammatory drugs such as ibuprofen or aspirin. If there are complaints of muscle spasm, muscle relaxants such as cyclobenzaprine may be used in the acute phase of pain. Narcotic analgesia should be avoided, in general, but it can be prescribed in cases of severe acute pain.
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In Depth Elsevier Point of Care. https://www.clinicalkey.com. Accessed Nov. 20, 2017.
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Epidemiology The risk of an ominous cause for low back pain is generally higher if you are under 20 or over 55. (Andy Whitfield was a tragic exception.)
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External resources No reviews Diagnosis is made by a neurosurgeon based on history, symptoms, a physical examination and the results of diagnostic studies, if necessary. Some patients may be treated conservatively and then undergo imaging studies if medication and physical therapy are ineffective. These tests may include:
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March 31, 2017 Pajamas & Sleepwear Top 10 Worst Jobs for Back Pain Trash Cans People with really stubborn back pain may need more active treatment, such as physical therapy. A 2002 study in the journal Spine found that back exercises could significantly reduce pain in patients who had pain due to an unspecified cause.
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