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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Pain in the lower back may be linked to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, lower back muscles, abdomen and pelvic internal organs, and the skin around the lumbar area. Pain in the upper back may be due to disorders of the aorta, tumors in the chest, and spine inflammation.
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Bones & muscle — All the musculoskeletal structures of the low back are 100% symmetrical, except for small local variations. Injury, pathology, and developmental can occur more one side of course. For instance, intervertebral discs rarely bulge exactly in the centre, but to one side or the other.
Injury to the bones and joints: Fractures (breakage of bone) of the lumbar spine and sacrum bone most commonly affect elderly people with osteoporosis, especially those who have taken long-term cortisone medication. For these individuals, occasionally even minimal stresses on the spine (such as bending to tie shoes) can lead to bone fracture. In this setting, the vertebra can collapse (vertebral compression fracture). The fracture causes an immediate onset of severe localized pain that can radiate around the waist in a band-like fashion and is made intensely worse with body motions. This pain generally does not radiate down the lower extremities. Vertebral fractures in younger patients occur only after severe trauma, such as from motor-vehicle accidents or a convulsive seizure.
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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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Thanks for an excellent comprehensive article on back pain It would great if you could add a comment on treatment section,or write an article on the following, research which has shown that using Microcurrent devices offers another alternative treatment for back pain. Unlike TENS. Microcurrent delivers much smaller electrical impulses 1000 times smaller, and this has a proven benefit, by helping tissue repair, while reducing pain, not blocking pain as per the TENS method. this is an alternative option to TENS.
A traumatic injury, such as from playing sports, car accidents, or a fall can injure tendons, ligaments or muscle resulting in low back pain. Traumatic injury may also cause the spine to become overly compressed, which in turn can cause an intervertebral disc to rupture or herniate, exerting pressure on any of the nerves rooted to the spinal cord. When spinal nerves become compressed and irritated, back pain and sciatica may result.
Jump up ^ van Middelkoop M, Rubinstein SM, Verhagen AP, Ostelo RW, Koes BW, van Tulder MW (2010). Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol. 24 (2): 193–204. doi:10.1016/j.berh.2010.01.002. PMID 20227641.
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Sitting: Chairs of appropriate height for the task at hand with good lumbar support are preferable. To avoid putting stress on the back, chairs should swivel. Automobile seats should also have adequate low-back support. If not, a small pillow or rolled towel behind the lumbar area will provide adequate support.
The management of low back pain often includes medications for the duration that they are beneficial. With the first episode of low back pain the hope is a complete cure; however, if the problem becomes chronic, the goals may change to pain management and the recovery of as much function as possible. As pain medications are only somewhat effective, expectations regarding their benefit may differ from reality, and this can lead to decreased satisfaction.
Remember, though, that just because you exercise regularly doesn’t mean that you can justify your long hours spent sitting. In fact, even if you’re fairly physically active, you may still succumb to back pain and other health problems if you spend most of your day behind a desk or on the couch. This phenomenon is called the active couch potato effect. In order to avoid this, you must make it a habit to break the pattern of sitting as frequently as possible. Dr. Goodman says: