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The Complete Back Ache Treatment Page!The complete backacke treatment page!
Oh my aching back! Severe back pain is the second most common reason for a visit to the doctor's office (after colds and the flu).
What can you do to ease back pain (especially lower back pain) and get on with your life? What is your best back pain cure? Consult with your doctor to see which back pain treatment (including back exercises, NSAIDs, antidepressants, bed rest, lumbar supports, TENS, EMG biofeedback, acupuncture, traction and steroid injections) may help your particular medical circumstance.
Remember that this site can only provide general advice on backacke, and you should consult your doctor for information specific to your condition.
What Causes Back Pain?
Pain
felt in your lower back may come from the backbone, muscles, nerves, or other
organs in that part of your body. It may also radiate from other areas like your
mid or upper back, or be caused by a hernia, a problem in the testicles or a
problem in the ovaries.
If
you hurt your back you may
feel a tingling or burning sensation, a sharp pain or a dull ache. You also may
experience weakness in the legs or feet.
Often
it isn't one single event that causes your back pain. You may have been doing
many things improperly -- like standing, sitting, or lifting -- for a long time.
Then suddenly, one simple thing like picking up a piece of paper, causes a sharp
pain in the back..
The
Good News
You
are not alone. Almost everyone will have at least one backacke in their
life. Because the lower back supports most of your body's weight, that is where
the pain is most likely to occur.
Lower
back pain is the second most common reason that Americans see their doctor,
after colds and the flu. Like colds and the flu, most backackes will get better
in about a week.
Low
back pain may be acute (short-term), lasting less than one month, or chronic
(long-term, continuous, ongoing), lasting longer than three months. While
getting acute back pain more than once is common, continuous long-term pain is
not.
Common Causes of Back Pain
Back
pain usually starts right after you lift something heavy, move suddenly, sit in
one place for a long time, or have an injury or accident. However, the pain is
often a sign that something has been going wrong for awhile.
There
are several possible sources of low back pain, but even a doctor may never
determine which is the original cause of your back pain. These possible problems
include:
- Small
fractures to the spine from bone loss (osteoporosis)
- Muscle spasm (when your muscles tense up and stay contracted)
- A ruptured disk
- A
herniated disk
- Disk
degeneration
- Mis-alignment
of the vertebrae
- Spinal
stenosis (when the spinal canal is too narrow)
- Strains
or tears to the muscles or ligaments that support the back
- Scoliosis
or other spinal curvatures
- Other
medical conditions like the mysterious condition called fibromyalgia
Low
back pain from any cause often includes muscle spasms of the large muscles that
lie next to the spine. The muscle spasm and stiffness accompanying back pain can
really hurt!
Risk Factors
- Work in requiring heavy lifting or lots of bending and twisting
- Work
involving whole body
vibration
- Bad
posture
- Pregnancy
- Older
than 30 years
- Smoking
- Lack of regular exercise
- Overweight
- Arthritis
- Osteoporosis
- A
low pain threshold
- Stress
- Depression
Back
pain can actually come from diseases of pelvic organs, including:
- Bladder infections
- Kidney stones
- Endometriosis
- Ovarian cysts, cancer, fibroid tumors
- Testicular
torsion
Home
Care
Many
people will feel better within 7 days or fewer after the start of their back
pain. After a month, the back pain probably will be totally gone. These steps
will help you reduce these times and get well faster.
The
most important thing to know is that bed rest is not recommended for back pain
sufferers. Unless something serious is wrong (symptoms would include fever,
weight loss, weakness or loss of bowel or bladder control, and you should call
your doctor about any of these), you should limit your physical activity for no
more than a couple of days. After that, gradually resume your usual activities.
- For
the first few days stop
normal physical activity for the first few days. This will help relieve the
pain and reduce inflammation.
- Apply
heat or ice to the painful area. Common advice is to try ice for the
first 48-72 hours, then apply heat after that.
- Take
over-the-counter pain relievers such as ibuprofen (Advil) or acetaminophen
(Tylenol). Follow the instructions on the bottle and avoid the temptation to
overdose.
Try
sleeting in a curled-up (fetal) position with a pillow between your legs. If you
usually sleep on your back, a pillow or rolled towel under your knees will help
relieve the pressure.
After 2 or 3 weeks you can gradually resume exercise. Light cardio training is best -- walk, ride a stationary bick or swim.
Don't
do any heavy lifting or twisting of your back for the first 6 weeks after the
pain begins.
Stretching
and strengthening exercises are important in the long run. Take it easy after an
injury to avoid making the pain worse.
These
exercises are risky and should be avoided unless your doctor or physical
therapist permits:
- Ballet
- Golf
- Jogging
- Football
- Weight
lifting
- Leg
lifts while lying on your stomach
- Sit-ups
(unless with bent knees)
When to Call a Doctor
If you have lost bowel or bladder control, you may have a medical emergency. Call 911.
Otherwise,
call your doctor if you are experiencing:
- Fever
with the back pain.
- Back
pain after a severe blow or fall.
- Redness
or swelling on the back.
- Pain
traveling down your legs farther than the knee.
- Weakness
or numbness.
- Burning with urination
- Blood
in urine.
- Pain that is worse pain when you lie down
- Pain
that awakens you at night.
- Very
sharp pain.
Other
reasons to call your doctor:
- Unintentional
weight loss
- You
use steroids or IV drugs.
- You
have never had or seen a doctor about back pain before.
- You
have had back pain before but this time it is a lot different.
- Your
back pain has lasted more than four weeks.
If
you have any of these symptoms, your doctor should check for infection (including
meningitis, abscess and urinary tract infection), a ruptured disk, spinal
stenosis, hernia, cancer, kidney stone, twisted testicle, and other serious
problems.
If you visit your doctor:
The
doctor or nurse will ask a number of
questions about your back pain, including how often it occurs and how bad it
feels. Your doctor will try to determine the cause of the pain and whether home
treatments like ice, over-the-counter painkillers, physical therapy, and proper
exercises are likely to help. These treatments are usually all that is needed.
The
doctor will also give you a physical exam to try
to pinpoint the location of the pain. You may be asked to:
- Sit,
stand, and walk on your toes and walk on your heels.
- Bend
over in various directions.
- Lift
your legs straight up while lying down. If this makes the pain worse and you
also feel numbness or tingling in one of your legs, you may have sciatica.
The
doctor will use a small rubber hammer to check your reflexes and gently touch
your legs to check the condition of your nerves.
Because
most people with back ache recover within four to six weeks, your doctor is
unlikely to order any special tests or imaging during the initial visit. But, if
you have any of the symptoms or situations shown below, the doctor may
want further testing:
- Pain
that has lasted longer than one month
- Numbness
- Muscle
weakness
- An
accident or injury
- Fever
- Age
over 65
- History
of cancer in yourself or your family
- Unexplained
weight loss
The
tests that might be ordered could include X-rays, myelogram, or a CT scan or MRI
scan of the lower back.
Hospitalization
or surgery would only be considered if nerve damage were present or the
condition failed to heal after a long period.
Many
people are helped by physical therapy. . The physical therapist will start with
techniques that reduce your pain, then will move on to teach you ways to prevent
a recurrence of the pain.
If
your backacke lasts longer than one month, your doctor may refer you to an
orthopedist (bone specialist) or neurologist (nerve specialist).
Preventing Future Back Pain
The
primary way to prevent future back pain is exercise. Proper exercise (walking,
swimming or stationary bicycle, plus stretching and strength training) will help
you:
- Improve
the posture
- Strengthen your back muscles
- Improve
flexibility
- Lose
weight
- Avoid
falls
You
will also need to learn to
lift and bend properly:
- If
an object is heavy or awkward, get help.
- Spread
your feet apart to give a wide base of support.
- Stand
close to the object .
- Bend
your knees, not at your waist.
- Tighten
your stomach muscles as you lift or lower the object.
- Hold
the object close to your body .
- Lift
using your leg muscles.
- Do
not bend forward as you stand up with the object.
- Do
not twist while you are bending for, lifting or carrying the object
Here
are some additional things you can do
to prevent back pain include:
- Avoid
standing for long periods of time.
- Avoid wearing high heels.
- Wear
cushioned sole shoes.
- When
sitting for work, especially if using a computer, make sure that your chair
is ergonomically correct with a straight back , armrests and a swivel seat.
- While
sitting, use a stool under your feet so your knees are higher than your
hips.
- If
your car seat does not have lumbar support, put a small pillow or rolled
towel behind your lower back while driving for long periods of time.
- If
you drive long distance, stop and walk around every hour. Bring your seat as
far forward as possible to avoid bending. Don't lift heavy objects just
after a long drive.
- Quit
smoking.
- Lose
weight.
- Learn
to relax. Yoga, tai chi, and massage are time-tested methods of relaxation.