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Surgical procedures are not always successful, and there is little evidence to show which procedures work best for their particular indications. Patients considering surgical approaches should be fully informed of all related risks. Surgical options include:
Cocchiarella L, Andersson GBJ: American Medical Association. Guides to the Evaluation of Permanent Impairment, 5th ed. Chicago, American Medical Association, 2001.
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Nucleoplasty, also called plasma disc decompression (PDD), is a type of laser surgery that uses radiofrequency energy to treat people with low back pain associated with mildly herniated discs. Under x-ray guidance, a needle is inserted into the disc. A plasma laser device is then inserted into the needle and the tip is heated to 40-70 degrees Celsius, creating a field that vaporizes the tissue in the disc, reducing its size and relieving pressure on the nerves. Several channels may be made depending on how tissue needs to be removed to decompress the disc and nerve root.
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Neurology Osteoarthritis. This condition results from wear and tear of the disc and facet joints. It causes pain, inflammation, instability, and stenosis to a variable degree, and can occur at a single level or multiple levels of the lower spine. Spinal osteoarthritis is associated with aging and is slowly progressive. It is also referred to as spondylosis or degenerative joint disease.
Remington Slow Cookers Golf and Back Pain Slideshow Letters Gift Ideas Middle Back Pain No published information suggests that race is a factor in the prevalence of mechanical low back pain.
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Hoses & Sprinklers Patrick M Foye, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation
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Hoy D, March L, Brooks P, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014 Jun. 73(6):968-74. [Medline].
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Gardening & Lawn Care Modifying activities Dazzle Moss Autoimmune disease. Back pain is a possible symptom associated with autoimmune conditions, such as ankylosing spondylitis, rheumatoid arthritis, lupus, crohn’s disease, fibromyalgia, and others.
Trauma & Extremities A stronger painkiller such as codeine is an option if anti-inflammatories do not suit or do not work well. This may be taken as co-codamol, which is codeine with paracetamol. Constipation is a common side-effect from codeine. This may make back pain worse if you need to strain to go to the toilet. To prevent constipation, have lots to drink and eat foods with plenty of fibre.
The causes of back pain are vast. They include the common low back strain of the muscles in the back that help to support the spine. Often rest, ice, and later heat can be helpful. Modification of activities and proper body mechanics along with weight reduction are the mainstays of treatment. Anti-inflammatory drugs can be helpful for both pain and inflammation. Sometimes muscle-relaxant drugs are prescribed to help with acute spasm. Physical therapy is often prescribed after the acute phase to help teach specific core or trunk muscle exercises as well as general conditioning and body mechanics. Usually muscle strains are self limited and recovery is full. The goal is to prevent further episodes.
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If long-lasting back pain is interfering with your daily life, and other treatments have not provided relief, you may be a candidate for surgery. Depending on the cause of your pain, a surgeon may remove a herniated disc, widen the space around the spinal cord, and/or fuse two spinal vertebrae together.
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Stay Connected BounceComfort (6) Strength Training Thongs & Tangas ↑ 13.0 13.1 13.2 van Tulder M, Becker A, Bekkering T, et al. Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J 2006;15(Suppl 2):S169–91 (Level of evidence 1A)
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Baking & Cookie Sheets Sometimes a fake cure can help. A 2016 study published in the journal PAIN involving 100 people found that those with a placebo added to their normal medication reported pain and disability scores about 30 percent lower than their scores at the beginning of the study. In an interesting twist, those who were taking the placebo still felt better, even though they knew the drug was a fake from the very beginning of the study.
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Happy Brights Responsiveness to treatment – matching treatments to individuals who would benefit from that treatment (e.g. Treatment Based Classification Approach to Low Back Pain, STOPS Trials).
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Patrick M Foye, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation Southern Tide Related Articles
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