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Back Pain Solutions Without Surgery
Article by Hemant Yagnick, M.D., Walton Pain Center
Back Pain Solutions Without Surgery – Health
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Acute back pain may begin suddenly and usually lasts around 3 months. Chronic back pain sometimes lasts throughout life.
The most common back pain is low back pain (LBP). It is is often described as sudden, sharp, persistent, or dull pain felt below the waist. LBP is very common and affects the majority of people at some point during their life. Up to 70%–85% of all people have back pain at some time in their lives. LBP is the most common cause of a limitation of activity in people younger than 45 years of age. It is the second most frequent reason for visits to a physician, and the third most common indication for surgery. It is the fifth-ranking cause of hospital admissions and is one of the leading causes of disability.
Low back pain is most commonly caused by muscle strain associated with heavy physical work, lifting or forceful movement, bending or twisting, awkward positions, or standing in one position too long. Any of these movements can exacerbate a prior or existing back disorder. Other conditions that can cause low back pain include spinal stenosis, arthritis (osteoarthritis), spinal infection (osteomyelitis), spinal tumors (benign and malignant), spondylolisthesis, and vertebral fractures (e.g. burst fracture).
Low back pain is either acute or chronic. Acute LBP may begin suddenly with intense pain usually lasting fewer than three months. Chronic pain is persistent long-term pain, sometimes lasting throughout life. Even chronic pain may present episodes of acute pain. Other symptoms include localized pain in a specific area of the low back, general aching, and/or pain that radiates into the low back, general aching, and/or pain that radiates into the low back, buttocks and leg(s). Sometimes pain is accompanied by neurological symptoms such as numbness, tingling, or weakness. Neurological symptoms requiring immediate medical attention include bowel or bladder dysfunction, groin or leg weakness or numbness, severe symptoms that do not subside after a few days, or pain prohibiting everyday activities.
Pain felt in the low back is not always indicative of a spinal problem. A thorough physical and neurological assessment may reveal the cause of the low back pain. The physical examination begins with the patient’s current condition and medical history. Examination of a patient with low back pain involves examining the patient’s range of spinal motion while standing straight, bending forward, and to the side. Asymmetry, posture, and leg length is noted. Methodical palpation of the spine can reveal muscle spasm, possible bony displacement, and tender points. Abdominal palpation is performed to determine if the cause of low back pain is possibly organ related (e.g. pancreas). The neurological assessment evaluates weakness, absence of reflexes, tingling, burning, pain, diminished function, and other signs that may indicate nerve involvement.
If infection, malignancy, fracture, or other risk factors are suspected, routine lab tests may be ordered. These tests may include complete blood count (CBC), erythrocyte sedimentation (ESR), and urinalysis. In some cases electrodiagnostic studies such as electromyography (EMG) or nerve condition velocity (NCV) are performed to confirm a diagnosis or localize the site of nerve injury. Plain radiographs (x-rays), CT Scan, and/or MRI studies are performed when fracture or neurological dysfunction is suspected. A MRI represents the gold standard in imaging today. A MRI renders high-resolution images of spinal tissues such as the spinal cord and intervertebral discs. X-rays are still the imaging methods of choice to study the bony elements in the low back. The results of the physical and neurological examinations combines with test results are carefully evaluated to confirm a diagnosis.
Most patients with low back pain are treated without surgery. A conventional treatment plan may include bed rest for a day or two combines with medication to reduce inflammation and pain. Medications recommended by the physician are based on the patient’s medical condition, age, other drugs the patient currently takes, and safety. The first choice for pain relief is often nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs should be taken with food to prevent stomach upset and stomach bleeding. Muscle relaxants may provide relief from muscle spasm but are actually benign sedatives, which often cause drowsiness. Narcotic pain relievers are prescribed for use during the acute phase and often for chronic pain management in appropriate patients.
Other modalities to treat low back pain might include physical therapy (PT), transcutaneous electrical nerve stimulator (TENS) trial, ultrasound therapy, acupuncture and massage therapy. A managed PT program can help build muscle strength and flexibility, improve mobility, coordination, stability and balance, and promote relaxation. Patients who participate in a structured physical therapy program often progress to wellness more rapidly than those who do not. This includes low back maintenance through a home exercise program developed for the patient by the physical therapist.
Although the number of spinal surgeries done every year is on the rise, it is rarely required to treat low back pain. Surgery may be considered if the patient is experiencing bowel or bladder dysfunction, increased nerve impairment, progressive weakness, incapacitating pain, or spinal instability. The surgical procedure depends on the diagnosis or the cause of low back pain. To prevent low back pain, first and foremost, follow the treatment plan outlined by the physician. To enhance recovery from an episode of low back pain, or to help prevent future exacerbation, try to maintain good posture, be consistent in a home exercise program, and eat sensibly to maintain proper body weight.
About the Author
Hemant Yagnick, M.D., is an Interventional Pain Specialist and Medical Director of the Walton Pain Center in Augusta, GA. Dr. Yagnick believes that chronic pain is a complex medical condition influenced by biological, physical, behavioral, environmental and social forces. For more information visit http://www.wrh.org or call 866-4-WALTON.
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Hemant Yagnick, M.D., Walton Pain Center
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Hemant Yagnick, M.D., is an Interventional Pain Specialist and Medical Director of the Walton Pain Center in Augusta, GA. Dr. Yagnick believes that chronic pain is a complex medical condition influenced by biological, physical, behavioral, environmental and social forces. For more information visit http://www.wrh.org or call 866-4-WALTON.
Use and distribution of this article is subject to our Publisher Guidelines
whereby the original author’s information and copyright must be included.
Shoulder Pain? The Solution & Prevention, Revised & Expanded
This is a self-help book written by John M. Kirsch, M.D., an Orthopedic Surgeon for the public. It is the result of 25 years of research into a new and simple shoulder exercise program to treat and prevent rotator cuff tears, the impingement syndrome, and the ”frozen shoulder.” Testimonials and research CT scan images are included, as well as images of the exercises performed by models and patients.
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Shoulder Pain Gone in Just Days!
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Check out these Back Pain images:
yoga-back-pain-synergybyjasmine.com
Image by Synergy by Jasmine
Back Pain, Yoga
Back Pain Selector
Image by dave_merwin
Context for the back pain selector.
back pain bench
Image by Johnson Cameraface
Best viewed large. I actually sat on this bench and spent some time in park square, I can say that no back pain was caused by this bench!
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A few nice Sciatic Nerve images I found:
Tests for Sciatic Nerve Pain | Flip Test for Back Pain | Spine Doctor in Vail, Colorado
Image by neckandback
This illustration represents a flip test. With a sciatic nerve compression, this is the equivalent of a positive straight leg test in the sitting position.
Dr. Donald Corenman, Vail, CO Orthopedic Spine Surgeon, has written countless articles and documents on spine and back pain. He is also the author of books relating to the spine and back.
For consumer books: whybackshurt.com
For professional book: understandthespine.com
Attribution-NonCommercial-NoDerivs 3.0 Unported License. Use freely without alteration for non-commercial use but give attribution to "Dr. Donald Corenman, MD – Spine Doctor in Vail, Colorado" and link to www.neckandback.com. Requests for commercial usage: neckandback.com/contact/dr-donald-corenman-md-dc.
Vol. 192, Issue 2 – toc1
Image by TheJCB
A cross section of a mouse sciatic nerve shows a Schwann cell wrapping a neuronal axon in a myelin sheath. Novak et al. demonstrate that the actin regulator N-WASP is required for this process.
Image courtesy of Nurit Novak.
This image is available to the public to copy, distribute, or display under a Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported license.
Reference: Novak et al. (2011) J. Cell Biol.192, 243-250 .
Published on: January 24, 2011.
doi: 10.1083/jcb.201010013
Read the full article online at: jcb.rupress.org/content/192/2/243.full
Electron micrographs of glial cells in wild type and Sox10 mutant mice
Image by TheJCB
Finzsch et al. examine the function of Sox10 in mouse glial development by deleting the transcription factor from immature Schwann cells. In wild-type sciatic nerves (left), large-diameter axons are individually wrapped in thick myelin sheaths. In mutant nerves (right), a single Schwann cell surrounds multiple large and small axons.
This image is available to the public to copy, distribute, or display under a Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported license.
Reference: Finzsch et al. (2010) J. Cell Biol. 189, 701-712.
Published on: May 17, 2010.
doi: 10.1083/jcb.200912142
Read the full article at:
jcb.rupress.org/content/189/4/701.full
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Question by glenn j: shoulder pain?
I am a 48 year old guy (almost 49) and my shoulders always hurt. I do stretches everyday, work out 4 or 5 times a week, but nothing seems to stop my shoulders from hurting. Is this because I am getting older and aches and pains are to be expected? The left shoulder hurts unbelievably if I do not lift for few days, then after the first few reps, the pain almost goes away? I could just be loosing my mind, who knows!
Best answer:
Answer by Stephanie B
I would go to a doctor you could have bone spurs or a torn ligament.or it could be just from lifting and the muscles are sore.
Add your own answer in the comments!
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Sciatic Nerve Pain: Signs And symptoms
Article by Jillion
Sciatic Nerve Pain: Signs And symptoms – Health
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Are you someone who experiences prolonged physical strain or suffer injuries due to accident? If so you may develop sciatic nerve pain which is the direct result of sciatic nerve compression.
Injury to the spinal column, rigorous workouts, sitting for extended periods and incorrect jumping are among the common causes of sciatic nerve pain. This can also be sustained by weight lifters lifting heavy objects improperly. Sciatic nerve pain can lead to dysfunction of your leg and thigh muscles and peripheral nerves. As sciatic nerve pain causes sudden interruption of your normal functioning, it’s certainly considered serious.
You should never ignore sciatic nerve pain.
Depending on the extent of damage, length of exposure to physical strain and type of injury sustained, different people with sciatic nerve pain may manifest various symptoms. It is further dependent on the nerve fibers involved. But you may experience the following common symptoms of sciatic nerve pain are:
* A burning sensation coupled with spasms in your thigh
* A tingling sensation in your legs as though you’re pricked by numerous needles
* Pain that radiates from your buttocks and shoots down to your legs
* Difficulty in raising your heel
* The sides or the outer portion of your foot fell numb on whichever side you have the sciatic nerve pain
If the pain is not too intense, sciatic nerve pain may be tolerable. You may also be suffering from sciatic nerve pain if the lower portion of your back feels stiff and rigid disrupting your normal daily activity. Standing and sudden rising from prolonged sitting can be difficult to do too. It is therefore imperative for you to move carefully to avoid aggravating your sciatic nerve pain.
You usually experience recurring sciatic nerve pain in your hip, buttock or leg that drives you to get some bed rest. Weakening of the involved body parts also occurs. Your sciatic nerve pain may affect your ability to focus on your normal day to day routines. Other cases have even reportedly experienced incomplete paralysis down from the knee. And once you become paralyzed your ability to control bowel movement and urination is much affected. If not treated properly then, your sciatic nerve pain may aggravate as it intensifies and recurs over time.
To avoid complications, sciatic nerve pain symptoms should have medical intervention as early as possible because they can be devastating and frustrating. If you experience any of the sciatic nerve pain symptoms mentioned above, take precautionary measures immediately.
Instead of sleeping on cushioned mattress, you must sleep on firm flat surfaces if you suffer from sciatic nerve pain. Never attempt to lift or carry heavy objects too as it makes your sciatic nerve pain worse. Avoid prolonged sitting as it can magnify the sciatic nerve pain you’re experiencing. Keep your body active by engaging in exercises like swimming or rapid walking for at least half an hour everyday, as these can minimize your sciatic nerve pain. Your doctor may also recommend hot baths and massage therapies to further alleviate your sciatic nerve pain.
Sciatic nerve pain symptoms are indeed unbearable so you should seek medical advice for early appropriate treatment. These sciatic nerve pain symptoms can disappear in about 5 to 6 weeks if addressed accordingly.
About the Author
As a Registered Nurse and a long time sufferer of sciatic pain, I can promise you that there certainly is hope and relief from this excruciating and debilitating condition.
To discover the secret of how you can gain quick relief from your sciatic nerve pain visit My Sciatic Pain Relief.
Use and distribution of this article is subject to our Publisher Guidelines
whereby the original author’s information and copyright must be included.
Jillion
Article Directory
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GoArticles.com 2012, All Rights Reserved.
As a Registered Nurse and a long time sufferer of sciatic pain, I can promise you that there certainly is hope and relief from this excruciating and debilitating condition.
To discover the secret of how you can gain quick relief from your sciatic nerve pain visit My Sciatic Pain Relief.
Use and distribution of this article is subject to our Publisher Guidelines
whereby the original author’s information and copyright must be included.
Esther shows you a routine to help to keep the neck flexible and release tensions. This is “yoga for neck pain” Please subscribe to my channel here: www.youtube.com Go to my channel: www.youtube.com Follow me on facebook : www.facebook.com Follow me on twitter: www.twitter.com Look me up on Google+ : www.gplus.to
Video Rating: 4 / 5
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Shoulder Pain? The Solution & Prevention, Revised & Expanded
This is a self-help book written by John M. Kirsch, M.D., an Orthopedic Surgeon for the public. It is the result of 25 years of research into a new and simple shoulder exercise program to treat and prevent rotator cuff tears, the impingement syndrome, and the ”frozen shoulder.” Testimonials and research CT scan images are included, as well as images of the exercises performed by models and patients.
List Price: $ 14.95
Price: $ 14.50
Shoulder Pain Gone in Just Days!
Do you have stubborn and ache shoulder pain that just seems to never go away? I can help you better understand your shoulder pain, explain to you what is going wrong, let you know what you can do and finally help that shoulder pain go away for good. You will get all of this when you order Shoulder Pain Gone in Just Days!Do you have stubborn and ache shoulder pain that just seems to never go away? I can help you better understand your shoulder pain, explain to you what is going wrong, let you kno
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Question by cfelt3: I have lower pain in my back and passing small amounts of blood?
i have had lower back pain since a few days ago and started noticing a small amount of blood on my underwear i don’t know what it could be so can someone tell me a it might be cuz i have no idea.
Best answer:
Answer by bettyboop
Kidney infection!!! Go see a dr.
Give your answer to this question below!
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Core Stability Of The Back Ebook Bundle
Eliminate Your Lower Back Pain In 30 Days! Core Stability Of The Back Is A Iffective And Simple Exercise Program That You Perform Every Day For 30 Days. The Exercises Strengthen The Muscles That Support Your Back And Take The Stress Off Your Back!
Core Stability Of The Back Ebook Bundle
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Lower Back Pain In Pregnancy
One of the things that pregnant women encounter the most during pregnancy is back pain, especially that of lower back pain in pregnancy. This type of pain is very discomforting to the woman, and there is really nothing that can be done for this, at this time.