Acute back pain can begin suddenly and usually lasts approximately 3 months. Chronic back pain lasts sometimes throughout life.
The most common back pain, low back pain (LBP). It is often described as sudden, sharp, persistent or dull pain felt in the waist. LBP is very common and affects most people at some point in their lives. Up to 70%--have 85% of all people back pain at some point in their lives. LBP is the most common reason to restrict the activities of persons younger than 45 years.It is the second most common cause of visits to doctors, and the third most common indication for surgery; it is the fifth-ranking hospital admissions and is one of the most important causes of disability.
Low back pain caused by muscle strain usually associated with heavy physical work, lifting equipment, or powerful motion, bending or twisting, awkward positions, or standing in one position too long; any of these movements can aggravate a previous or current back into chaos. Other conditions that can cause low back pain include spinal Stenosis, arthritis (osteoarthritis), spinal infection (osteomyelitis), spinal tumors (benign and malignant), soft tissue injuries and vertebral fractures (e.g. burst fracture).
Low back pain is acute or chronic. Acute LBP can suddenly start with intense pain usually lasts less than three months. Chronic pain is persistent chronic pain, sometimes lasts throughout life.Even chronic pain can present episodes of acute pain; Other symptoms include localized pain in a specific area of the low back, General or pain that radiates on low back, General or pain that radiates to the low back, buttocks and leg (s). Pain is sometimes accompanied by neurological symptoms such as numbness, tingling or weakness. Neurological symptoms require immediate medical attention include bowel or bladder dysfunction, groin or leg weakness or numbness, severe symptoms that do not diminish after a few days or pain prohibits daily activities.
Pain in lower back is not always indicative spinal problems. A rigorous physical and neurological examination can reveal the cause of the low back pain. Physical examination begins with the patient's current conditions and medical history.Examination of a patient with low back pain is to examine the patient's amount of spinal motion while standing straight, bend forward, and in addition, Asymmetry, posture and leg length is noted. Methodical palpation of the back may be indicative of muscle spasm, possible Bony offset and tender points. Abdominal palpation is performed to determine if the cause of low back pain may be organ related (e.g. pancreas). Neurological assessment evaluates the weakness, lack of reflexes, tingling, burning, pain, loss of function and other signs relating to the nerve involvement.
If infections, malignancy, fracture or other risk factors are suspected, the routine lab tests ordered. These tests can include complete blood count (CBC), erythrocyte sedimentation (ESR) and urine samples.In some cases electrodiagnostic studies carried out by Electromyography (EMG) and nerve condition velocity (NCV) in order to confirm a diagnosis or localize the place of nerve damage. Ordinary x-ray examinations (x-ray), CT scan or MRI studies carried out when the suspicion of criminal activity or neurological dysfunction. An MRI represents the gold standard today for Imaging. An MRI reproduces high-resolution images of spinal tissues such as spinal cord and intervertebral discs. X-radiation is still imaging methods for studying and Bony elements in the low back. The results of the physical and neurological examinations combines with test results should be evaluated carefully to make sure a diagnosis.
Most patients with low back pain is treated without surgery. A conventional treatment plan can contain bed rest for a day or two combines with medications to reduce inflammation and pain. Medicine that the doctor recommends based on the patient's medical condition, age, other drugs the patient is currently, and security.The first choice for pain relief is often nonsteroidal anti-inflammatory drugs (USAID). These drugs should be taken with food to prevent stomach upset and stomach bleeding; Muscle relaxants may provide relief from muscle spasm, but is actually beneficial sedative, which frequently causes drowsiness.Narcotic pain relievers prescribed for use during the acute phase and often for chronic pain management in appropriate patients.
Other methods to treat low back pain can include physical therapy (PT), Transcutaneous electrical nerve stimulator (DOZENS) trial, ultrasound therapy, acupuncture and massage therapy.A managed program can help build muscle strength and flexibility and mobility, coordination, stability and balance, and promote relaxation; Patients involved in a structured physical therapy programs often progress to wellness faster than those who do not.This includes low back maintenance by a home exercise program developed for the patient by physical Therapist.
Although the number of spinal operations are made each year is on the rise, it is rarely necessary to treat low back pain.Surgery may be considered if the patient is experiencing bowel or bladder dysfunction, increased nerve impairment, progressive weakness, disabling pain or spinal cord surgery At instability. depends on diagnosis or the cause of low back pain; to prevent low back pain, first of all follow the treatment plan is described by the physician; to improve recovery from an episode of low back pain, or to prevent future consolidation, try to maintain good posture, be consistent in a home exercise program and eat sensibly to maintain proper body weight.
Hemant Yagnick, M.D., is an Interventional Pain Specialist and Medical Director of Walton Pain Center in Augusta, GA. Dr. Yagnick believes that chronic pain is a complex medical condition affected by biological, physical, behavioural profiles, environmental and social forces, His new two weeks comprehensive responsibility program helps patients get relief from pain while being trained in clear technologies, accelerate their return to work and improve the quality of life; Dr.Yagnick has his medical degree from JN Medical College and hospital; He completed his residency in Anesthesiology and an Interventional Pain Fellowship of Mississippi Medical Center in Jackson, MS; For more information visit http://www.wrh.org
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