Pain In The Lower Back: How To Handle It

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By Dr. Stefan Tarlow

The lumbar region of the back consists of the lowermost five vertebrae. Vertebrae are cushioned and separated by cartilage-coated, spinal discs that consist of a gel-like substance.

The spinal cord and nerves are contained within the spinal canal, which runs the full length of the spinal column. The lower back takes a lot of stress because it carries the weight of most of the torso. This causes the spine, nerves and muscles to be subject to pain.

As a matter of fact, the second most common complaint people bring to their doctor is low back pain. Only the flu brings people to the doctor more often. Back pain is caused by a variety of things. There is not even a single answer for an individual; however, trauma and injury often bring on back pain. Here are a few of the most often experienced causes of low back pain:

A muscle injury is a strain.

Sprains are caused by ligament injury.

Sciatica is caused by a pinched nerve.

Inflammation of a hip joint is called sacroiliitis.

Arthritis and other bone diseases can cause disc degeneration.

A herniated disc is caused by pressure.

There are a number of reasons why sprains and strains happen. They could be the result of multiple events. For example, improper lifting, obesity, and poor posture each cause cumulative damage to the lower back as well as other body structures.

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After a strain or sprain, it is important to slowly and carefully resume normal activities after a couple of days. Heat and/or cold packs should be applied to the injury. Physical maneuvering of the bones - known as tractions and reduction - may be helpful. Other treatments include electrical stimulation, massage therapy, and ultrasound. Additionally, injections of corticosteroids or local anesthetics may provide temporary relief of pain.

Anytime you have back pain, one of the best ways to alleviate it is through conditioning and strengthening the muscles of the lower back. This can be done by using specific exercises recommended by your health care professional and by adding aerobic conditioning to your daily activities.

Back surgery knows as spinal fusion is a last resort when all non-surgical options have been tried. This surgery works by limiting the movement in the most painful part of the back.

Back surgery is deemed successful if the pain is reduced. However, it may take over a year to find this out, as recovery can be slow. Complete relief of pain is quite unusual. It is important to discuss all of the alternatives for treatment with your doctor. It may be that surgery is not the right choice for you.

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