Back Pain : Is stress giving you a backache?

Back Pain : Is stress giving you a backache?
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 Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer.
 Disclaimer : All content within (Back pain) Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The (Back pain) is not responsible or liable for any diagnosis made by a user based on the content of the (Back pain) Health website. The (Back pain) is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites.Always consult your own GP if you're in any way concerned about your health.
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An increasing number of people in their 20s and 30s are suffering from stress-induced back pain, observe experts. Are you one of them?

With technological advancement, strenuous physical labour is steadily on the decline. Today, most educated youngsters spend their working hours in front of the computer; they hardly step out of their air-conditioned offices. This sedentary lifestyle has its own share of problems, including stress-induced back pain that is on the rise among people in their 20s and 30s. Read on to find out more.

Back Pain : Stress is the culprit
Homeopathic physician and stress counsellor Dr Yatri Thacker recalls a patient, who was referred to her by an orthopedic doctor. The 32-year-old woman, Meeta Manek (name changed), had been complaining of back pain for two years --- it started a year after her marriage. She also felt weak and dull. She consulted an orthopedic specialist, but in vain. Her X-rays and blood reports were normal.

"After studying her case, I realised that she had conflicts with her husband and in-laws and was depressed and hurt. Her physical symptoms were stress-induced or psychosomatic. Physical symptoms caused by stress are called psychosomatic disorders. They include migraine, urticaria, eczema, psoriasis, irritable bowel syndrome, hairfall, allergic rhinitis, etc. After constitutional homeopathic medication and counselling for a few months, Meeta was cured," says Dr Thacker.

Back Pain : Symptoms
Dr Ram Chaddha lists the following symptoms:
- A generalised feeling of heaviness in the lower back
- Weakness
- Aversion to some physical or mental activity which worsens the problem

Back Pain : Akin to Tension Myositis Syndrome
In cases of stress-induced back pain, symptoms are expressed by patients, but their medical reports may not indicate any problem. It is similar to Tension Myositis Syndrome with (TMS), a psychosomatic disorder that produces pain because of stress, says spine surgeon Dr Ram Chaddha.

Back Pain : Why it happens?
When people are under stress, their muscles tighten. Though not harmful, it could turn painful because tightened muscles squeeze the blood vessels, blocking normal blood flow. This deprives the muscles of oxygen and leads to pain, explains Dr Thacker.

Back Pain : The young are vulnerable
Those with desk-bound jobs -- for example, IT professionals and bank and call centre employees --- are more prone to the problem. People who indulge in heavy weight-lifting, bending and standing for long periods are also equally at risk. Weight has nothing to do with the problem.

Yoga trainer and acupuncture therapist Yogesh Chavan, who meets an increasing number of people in their 20s and 30s with stress-induced back pain, says, "There is a lot of competition in every field, especially corporate. In the rat race, youngsters neglect fitness -- they work long hours, do not take rest and skip meals. All this leads to stress. Also, sitting in one position for long hours strains the back."

Back Pain : Causes
Though stress is a major reason, it is not the only one. Orthopedic consultant and surgeon Dr Umesh Shetty explains, "Causes include strain on the back due to bad posture, sleeping on sagging mattresses, lifting and bending incorrectly, overdoing any activity, lack of exercise, overweight and some spine-related problems." Deficiency of vitamins D3 and B12 can also trigger the problem. Occasionally, there may an endocrinological or gynaecological cause.

Back Pain : Treatment
Patients need to be checked for deficiency -- nutrition or malabsorption-linked --- and endocrinological/rheumatological/uro-genital causes. X-rays with CT or MRI of the lower back may be needed, if no other cause is indicated by blood tests.

It is ultimately a diagnosis of exclusion; elimination of all other causes. If no cause is found, reassurance with rehabilitation -- physical and mental -- is initiated, advises Dr Chaddha.

Back Pain : Yoga
Chavan recommends deep-breathing exercises, which increase oxygen level in the blood. These have a calming effect, thus lowering anxiety and stress levels. Pranayam Jivha Shitali is also good. He says, "Once stress is controlled, the pain will reduce. Simple stretching exercises like forward bend (Supta Padmasan), back bend (Ushtrasan) and twisting and side stretches (Padma Vakrasaan) are recommended to keep the back flexible and toned. Getting up from your seat after every two hours is also advisable."

Back Pain : Self-medication
Self-medication may help in case of minor, self-limiting ailments. But, if the response to standard painkillers is not satisfactory even after a week, visit a spine specialist, cautions Dr Chaddha.

Back Pain : Back Pain Research Back Pain Treatment

Back Pain : Back Pain Research Back Pain Treatment
_____________________________________________________________________
 Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer.
 Disclaimer : All content within (Back pain) Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The (Back pain) is not responsible or liable for any diagnosis made by a user based on the content of the (Back pain) Health website. The (Back pain) is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites.Always consult your own GP if you're in any way concerned about your health.
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Back pain affects a significant population worldwide and has a severe impact on a nation’s productivity. Workers worldwide lose a large number of work-days to back pain. Despite this wide prevalence, there are very few sure-fire cures for back pain. Research is constantly taking place worldwide to understand the aetiologies and find therapies to ease back pain.
Back Pain : Back Pain Research Back Pain Treatment
The National Institute of Neurological Disorders and Stroke (NINDS) and the National Institutes of Health (NIH)
The National Institute of Neurological Disorders and Stroke (NINDS) and other institutes of the National Institutes of Health (NIH) have several pain research studies in their laboratories.

The researchers are looking at use of different drugs to effectively treat back pain, in particular, chronic pain that has lasted at least 6 months.

There are yet other studies that compare the different approaches to acute back pain and attempt to find the best approach. These studies in addition compare standard care with pain relievers and hot or cold compresses and physiotherapy with complementary therapies like chiropractic, acupuncture, or massage therapy. There are studies that compare various surgical approaches to back pain as well.

The studies on back pain look at various factors like symptom relief, restoration of function, and patient satisfaction.
Back Pain : Back Pain Research Back Pain Treatment
Arthritis Research UK Primary Care Centre at Keele University
Arthritis Research UK Primary Care Centre at Keele University is also conducting research on back pain. They have found that a new model of primary care management called stratified primary care management can have significant benefits for patients seeking help from their GP for back pain.

For their approach they group patients into different levels of treatment depending on their level of risk (low, medium or high) for persistent or chronic back pain problems. This stratification helps in more effective treatment of patients. This also reduced healthcare costs because fewer patients ended up coming back through the healthcare system at a later date after being managed effectively at first contact.

Vertebroplasty
Vertebroplasty is a new approach that has been studied extensively. It involves injection of surgical cement into vertebral bodies that have collapsed due to compression fractures to immobilize the spine.

Severe biological response modifier drugs
Like for treatment of arthritis, severe biological response modifier drugs are being tried in chronic back pain. These may provide rapid pain relief and prevent disease progression in back pain.

Back Pain : Back Pain Research Back Pain Treatment 
Back pain treatment varies with the severity, cause and associated factors. Some of the treatments and therapies that may be tried for back pain may be outlined as follows.

Management of acute or short term back pain
This is commonly seen in most individuals with back pain. The pain lasts no longer than six weeks and can be treated with pain relievers that are available over-the-counter or without prescription at a pharmacy and home treatments.

Of the pain relievers Paracetamol (Acetaminophen) is commonly used successfully. Some people find anti-inflammatory drugs such as ibuprofen more effective.

Stronger pain killers like codeine may be taken for more severe pain along with paracetamol.

Those with muscle spasms may be prescribed a muscle relaxant like diazepam along with a pain reliever.

Pain relievers may also be applied as creams, ointments or sprays over the affected area.

Hot and cold compresses
Heat with the use of a hot bath, hot water bottle or heated pad may provide relief from back pain in some individuals. In yet others application of ice packs or a bag of frozen vegetables over the pain may ease the pain. Ice packs, however, should not be applied directly over the back as this may cause cold burns. Some persons also benefit by alternating hot and cold using ice packs and hot compression packs.

Lifestyle changes
Sleeping posture – Sleeping posture and mattress may be contributing to the back pain. By changing the sleeping position and/or mattress the pain may be eased or prevented. Patient is advised to sleep on their side and draw their legs up slightly towards their chest and pillow is put between their legs. For those who sleep on their backs, a pillow may be placed under the knees to maintain the normal curve of the lower back.
Relaxing muscle tensions – this can be achieved by deep breathing and conscious relaxation of back muscles before retiring to bed each day.
Maintaining regular physical activity – Long periods of inactivity is bad for the back. People who remain active are likely to recover more quickly. Earlier those with back pain were advised bed rest. These days they are advised to walk or perform their daily activities to prevent immobility of the back.
Weight loss – Being overweight and obese is a risk factor for back pain. Having a healthy and balanced diet along with regular exercise helps in keeping excess weight in check.
Reduction of stress
Regular exercise and being active and physically fit – This may be achieved by walking, swimming, yoga and pilates. These help in maintaining the flexibility and strength of the back muscles and prevent recurrence of back pain
Management of long term or chronic back pain
Back pain lasting over six weeks is called chronic back pain

A more intensive exercise programme is prescribed. This is usually up to eight sessions over a period of up to 12 weeks. It will usually be a group class supervised by a qualified instructor. These exercises help to strengthen the muscles and improve posture. There are aerobic and stretching exercises as well.
Manual therapy is prescribed and this includes manipulation, mobilisation and massage. This is performed by chiropractors, osteopaths or physiotherapists. These are usually for up to nine sessions over a period of up to 12 weeks.
Acupuncture may be tried as a treatment modality as well. These may include up to 10 sessions over a period of up to 12 weeks.
Some patients may suffer from concurrent depression due to their back pain. These patients require antidepressant medications, counselling and cognitive behavioral therapy as well.
Surgery is usually only recommended as a treatment option when all else has failed. A common procedure is spinal fusion surgery. This involves fusion or joining up of the joint that is causing pain to prevent it moving.
Other therapies include low level laser therapy. In this low energy lasers are focused on the back to reduce the inflammation.
Ultrasound waves may also be used to accelerate healing and encourage tissue repair
Interferential therapy (IFT) is performed by a device that passes an electrical current through the back to improve healing.
Transcutaneous electrical nerve stimulation (TENS) – This is delivered by a machine that provides small electrical pulses to the back through electrodes that are placed on the skin. This helps to reduce the pain signals from the back.
Mechanical measures – This includes lumbar supports like cushions, pillows and braces, traction devices for the spine.
Drugs – Pain killers and steroids may be directly injected into the affected joints to reduce inflammation and pain.
Warning signs of back pain and when to see the physician
In most cases a few days of rest and adequate mobility may help in recovery from back pain. However, some symptoms may indicate a deeper problem and mandates a visit to the doctor. These symptoms include:

Weight loss that is unexplained
Fever
Swelling and immobility of the back
Pain in the limbs
Worsening pain at night
Numbness of the lower limbs or other parts of the body including genitals
Loss of bladder or bowel control
Unsteadiness when standing

Back Pain : What Causes Back Pain? Back Pain in Pregnancy

Back Pain : What Causes Back Pain? Back Pain in Pregnancy

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 Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer.
 Disclaimer : All content within (Back pain) Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The (Back pain) is not responsible or liable for any diagnosis made by a user based on the content of the (Back pain) Health website. The (Back pain) is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites.Always consult your own GP if you're in any way concerned about your health.
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The back is a complex structure made up of:

Bones of the vertebrae
Muscles
Nerves
Joints
Because of this complex structure it is difficult to pinpoint the exact cause of the pain. In most cases the pain is not caused by serious damage or disease but by sprains, minor strains, minor injuries or an irritated nerve ending. These may be triggered by an awkward position, everyday activities at home and at work, lifting or standing awkwardly or as a result of longstanding bad posture.

Common causes of back pain
Common causes include:

Lifting, carrying, pushing or pulling incorrectly
Twisting the back
Sprains and injuries
Bending awkwardly
Sleeping or getting up from the bed awkwardly
Overreaching or stretching
Slouching while sitting
Driving in a hunched position
Bending or standing for long periods of time
Driving for long hours without breaks
Sitting at the desk for long hours without change in posture
Repetitive strain injury
Unaccustomed exercise
Bad or uneven heeled shoes
Ankylosing spondylosis
Whiplash injury
Frozen shoulder
Slipped or bulging disc (this disc lies like a cushion between two vertebrae)
Sciatica
Arthritis
Osteoporosis and vertebral fractures
Skeletal irregularities (e.g., scoliosis, kyphosis, lordosis, back extension, back flexion) and conditions such as fibromyalgia, kidney stones or infections, endometriosis etc. More serious causes include cauda equine syndrome, bone cancers, spine infections
Risk factors for back pain
Some persons are typically more prone to getting back pain. Most persons however get back pain at some point in their lifetime. The following are risk factors for back pain:

Age – Back pain typically occurs between the ages of 30 and 40. It becomes more common with age
Level of fitness - Back pain is more common among people who are not physically fit. these individuals have weak back muscles.
Pregnancy – Pregnancy may put a great strain on the back especially at later stages and there may be a dull back pain.
Occupation – Persons who need to lift, push or pull and twist their backs at work, they may be at risk of back pain. Those working for long hours at their desks are also at risk of back pain.
Stress – this leads to strain of the back muscles and stiffness that may give rise to back pain.
Being overweight or obese – These individuals have too much stress on their spine that may lead to pain.
Inherited - Some causes of back pain, such as disc disease may be inherited.
Ethnicity and race - African American women are found to be two to three times more likely than white women to develop spondylolisthesis. Caucasian women of northern European heritage, on the other hand, are at the highest risk of developing osteoporosis.
Smoking - Smoking reduces blood flow to the lower spine and causes the spinal discs to degenerate.
Long term use of medications like corticosteroids. These weaken the bones and make them prone to fractures and injury.
Depressive illness – those with depression are also prone to getting back pain.
Other diseases – Those with arthritis and cancers with spread to bones may also experience back pain.

The muscles in your shoulder are connected to your arm by tendons. Between the tendons and bones are small sacs of fluid called bursa. They lubricate the shoulder so it moves easily. Continual stress on your shoulder can cause the bursa to get squeezed, swollen, stiff, and inflamed (bursitis). Bursitis can make it painful, or even impossible, to raise your arm. Image Credit: CDC

 




If you bend forward over and over for months or years, the discs are weakened, which may lead to disc rupture (or "herniation"). Image Credit: CDC
Sources
http://www.nhs.uk/Conditions/Back-pain/Pages/Introduction.aspx
http://www.patient.co.uk/doctor/Assessment-and-Management-of-Low-Back-Pain.htm
http://www.bbc.co.uk/health/physical_health/conditions/in_depth/back_pain/index.shtml
http://fcs.tamu.edu/health/healthhints/2009/jul/back-pain.pdf
http://www.who.int/bulletin/volumes/81/9/Ehrlich.pdf
http://www.sportspinerehab.com/Back%20Pain.pdf
http://www.niams.nih.gov/health_info/back_pain/back_pain_ff.pdf
Back Pain : What Causes Back Pain? Back Pain in Pregnancy

Back Pain in Pregnancy
Back pain may affect pregnant women especially during later stages of their pregnancy. The prevalence of back pain during pregnancy is 48 - 56%. In fact it is so common that in most cases this symptom is looked upon as a normal part of pregnancy.

Around a third of all pregnant women may get severe back pain that compromises their ability to work in gainful employment during pregnancy and also interferes with their activities of daily living. Furthermore, back pain occurs at night in over one-third of pregnant women, contributing significantly to insomnia.

Back Pain : Pregnancy related back pain and risk factors
Pregnancy-related back pain is commonly seen in women who have a history of previous episodes of back pain.
The pain is usually most intense from the 12th week of pregnancy till 28th week and usually declines in intensity after that.
Women with twin pregnancies or in later pregnancies (after the first pregnancy) may be more at risk of back pain.
Pregnancy related back pain may also be related to long hours of work and bad posture. Even bad shoes and heels and long hours of standing can contribute to back pain in a pregnant women.
Furthermore Hispanic women have a proportionally lower instance of back pain in pregnancy than Caucasian women.
Younger age is also a risk factor, possibly due to higher sensitivity to hormonal   changes  induced by relaxin  and estrogens,  or  to more  pronounced collagen laxity
Higher weight (obesity and overweight mothers) and those with a short stature are at higher risk of back pain
Women who have had pain during pregnancy are also more likely to suffer from back pain after childbirth.
Back Pain : Mechanism of back pain during pregnancy
A normal pregnancy brings about several physiological changes in the body. These include mechanical and structural changes to the spine and hips to facilitate pregnancy and childbirth. Changes also include posture, gait (the nature of walk) and total body water content. There are hormonal changes and engorgement of blood vessels around the spine (epidural blood vessels).

The main change in posture is increased forward convexity of the spine (called lumbar lordosis). Most of the weight is thus concentrated low in the pelvis with a protruding abdomen. This leads to low back pain. This also causes a tendency to fall forwards.

Increased total body water means there is collection of fluids in the connective tissues around the vertebral column and pelvis. This increases the laxity around these joints. This fluid retention is also aggravated by hormonal changes of pregnancy. There is a hormone relaxin released during pregnancy. It  softens  the  ligaments around the pelvic joints  and cervix,  possibly by  enhancing fluid  retention  in  these  tissues and this helps in easy childbirth.

Back Pain : Treatment and prevention of back pain during pregnancy
Patient education – This is vital. Maintenance of good posture, good methods of rising from sitting or lying position, prevention of awkward lifting etc. should be emphasized.  Patient is advised to stop smoking as this aggravates back pain.
Physiotherapy – Physiotherapy in the third trimester may help ease back pain. Other physical treatments include mechanical support for the back for example a wedge shaped pillow for support (Ozzlo pillow), a belt or pelvic girdle etc.
Labor pain can be managed appropriately to prevent back pain after childbirth.

What is Back Pain? What does back pain feel like? Types of back pain Causes of back pain Warning signs of back pain Treatment of back pain Prevention of back pain

What is Back Pain? What does back pain feel like? Types of back pain Causes of back pain Warning signs of back pain Treatment of back pain Prevention of back pain 

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 Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer.
 Disclaimer : All content within (Back pain) Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The (Back pain) is not responsible or liable for any diagnosis made by a user based on the content of the (Back pain) Health website. The (Back pain) is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites.Always consult your own GP if you're in any way concerned about your health.
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Back pain is a common symptom and affects most people at some point in their life. An estimated 75 to 85 percent of all Americans will experience some form of back pain during their lifetime. Most countries take a major blow to their productivity due to back pain through loss of workers on sick leave.

Some national governments, notably Australia and the United Kingdom, have launched campaigns of public health awareness to help combat the problem. One of these is the Health and Safety Executive's Better Backs campaign.

What does back pain feel like?
In most cases rather than an acute stabbing pain, it is a dull stiffness or tension in the back. The pain can be triggered by an awkward posture, bending or sitting awkwardly, or lifting incorrectly.

Usually back pain is not a serious disease and usually gets better by 12 weeks. Exercises and pain relievers and advice of good posture maintenance is the treatment of choice.

Types of back pain
Back pain may occur at any part of the back but commonly affects the lower back. The pain may also be felt along the spine, neck or hips. Common types of back pain include:

Neck pain
Ankylosing spondylosis
Whiplash injury
Sprains and injuries
Frozen shoulder
Slipped or bulging disc (this lies like a cushion between two vertebrae)
Sciatica
Arthritis
Osteoporosis and vertebral fractures
Skeletal irregularities (e.g., scoliosis, kyphosis, lordosis, back extension, back flexion)
Other conditions include fibromyalgia, stress, pregnancy, kidney stones or infections, endometriosis etc.
More serious causes include cauda equine syndrome, bone cancers, spine infections
Causes of back pain
Risk factors for back pain:

Age – Back pain typically occurs between the ages of 30 and 40. It becomes more common with age.
Being overweight or obese – These individuals have too much stress on their spine that may lead to pain.
Level of fitness - Back pain is more common among people who are not physically fit, these individuals have weak back muscles.
Occupation – Persons who need to lift, push or pull and twist their backs at work, they may be at risk of back pain. Those working for long hours at their desks are also at risk of back pain.
Inherited - Some causes of back pain, such as disc disease may be inherited.
Ethnicity - African American women are found to be two to three times more likely than white women to develop spondylolisthesis. Caucasian women of northern European heritage, on the other hand, are at the highest risk of developing osteoporosis.
Smoking - Smoking reduces blood flow to the lower spine and causes the spinal discs to degenerate.
Other diseases – Those with arthritis and cancers with spread to bones may also experience back pain.
Warning signs of back pain
In most cases a few days of rest and adequate mobility may help in recovery from back pain. However, some symptoms may indicate a deeper problem and mandates a visit to the doctor. These symptoms include:

Weight loss that is unexplained
Swelling and immobility of the back
Fever
Pain in the limbs
Numbness of the lower limbs or other parts of the body including genitals
Loss of bladder or bowel control
Worsening pain at night
Treatment of back pain
The primary modality of treatment is by remaining mobile and active. Earlier bed rest was advised for back pain. These days it is known that being inactive for long periods is actually bad for the back. Patient is advised moderate activities such as walking and doing their own daily tasks.

Pain relievers like Acetaminophen (Paracetamol) is commonly advised. Hot or cold compression packs may also help reduce the pain. There are other manual therapies including physiotherapy and osteopathy. These may also help relieve pain.

For back pain lasting for more than six weeks exercise classes or manual therapy along with pain relievers are advised. Acupuncture may provide relief in some individuals. Spinal surgery is usually only considered when all else has failed.
Prevention of back pain
Maintenance of good posture while sitting, standing, lifting, lying down.
Getting up from sitting or lying position is another important factor that needs to be improved to prevent strain to the back.
Individuals are advised not to place too much pressure on the back and ensure their back is strong and supple.
Regular exercise, such as walking and swimming, is an excellent way of preventing back pain. Yoga and pilates also improve the flexibility and strength of the back muscles.

Back Pain : What is the treatment for low back pain? What is the outlook (prognosis) for low back pain? Can low back pain be prevented?

What is the treatment for low back pain?

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 Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer.
 Disclaimer : All content within (Back pain) Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The (Back pain) is not responsible or liable for any diagnosis made by a user based on the content of the (Back pain) Health website. The (Back pain) is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites.Always consult your own GP if you're in any way concerned about your health.
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So, how is low back pain treated? Well, as described above, the treatment very much depends on the precise cause of the low back pain. Moreover, each patient must be individually evaluated and managed in the context of the underlying background health status and activity level.

As has been highlighted by research presented at the national meeting of the American College of Rheumatology, a very important aspect of the individual evaluation is the patient's own perception of their particular situation. British researchers found that those who believed that their symptoms had serious consequences on their lives and that they had, or treatments had, little control over their symptoms were more likely to have a poor outcome. This research points out to physicians the importance of addressing the concerns and perceptions that patients have about their condition during the initial evaluations.

Finally, it should be noted that the conditions listed above are intended for general review. There are many other causes of back pain, including upper back pain, that have not been discussed.


What is the outlook (prognosis) for low back pain?

The outlook for low back pain absolutely depends on its precise cause. For example, acute strain injuries generally heal entirely with minimal treatment. On the other hand, bony abnormalities that are irritating the spinal cord can require significant surgical repair and the outlook depends on the surgical result. Long-term optimal results often involve exercise rehabilitation programs that can involve physical therapists.


Can low back pain be prevented?

Avoiding injury to the low back is a method of preventing low back pain. Additionally, conditioning exercise programs designed to strengthen the lumbar area and adjacent tissues can help to minimize risk of injury to the low back.
Back Pain : What is the treatment for low back pain?  What is the outlook (prognosis) for low back pain? Can low back pain be prevented?

Back Pain : What are other symptoms and signs sometimes associated with low back pain?

Back Pain : What are other symptoms and signs sometimes associated with low back pain?

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 Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer.
 Disclaimer : All content within (Back pain) Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The (Back pain) is not responsible or liable for any diagnosis made by a user based on the content of the (Back pain) Health website. The (Back pain) is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites.Always consult your own GP if you're in any way concerned about your health.
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Low back pain can cause a wide variety of symptoms and signs depending on the precise cause of the pain as reviewed above. Symptoms that can be associated with low back pain include numbness and/or tingling of the lower extremities, incontinence of urine or stool, inability to walk without worsening pain, lower extremity weakness, atrophy (decreased in size) of the lower extremity muscles, rash, fever, chills, weight loss, abdominal pains, burning on urination, dizziness, joint pain, and fatigue.


Back Pain :  How is low back pain diagnosed?

The diagnosis of low back pain involves a history of the illness and a physical examination. It is essential that a complete story of the back pain be reviewed including injury history, aggravating and alleviating conditions, associated symptoms (fever, numbness, tingling, incontinence, etc.), as well as the duration and progression of symptoms. Aside from routine abdomen and extremity evaluations, rectal and pelvic examinations may eventually be required as well. Further tests for diagnosis of low back pain can be required including blood and urine tests, plain film X-ray tests, CAT scanning, MRI scanning, bone scanning, and tests of the nerves such as electromyograms (EMGs) and nerve conduction velocities (NCVs).

Back Pain : What are uncommon causes of low back pain?

What are uncommon causes of low back pain?

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 Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer.
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Uncommon causes of low back pain include Paget's disease of bone, bleeding or infection in the pelvis, infection of the cartilage and/or bone of the spine, aneurysm of the aorta, and shingles.

back pain : Paget's disease of bone

Paget's disease of the bone is a condition of unknown cause in which the bone formation is out of synchrony with normal bone remodeling. This condition results in abnormally weakened bone and deformity and can cause localized bone pain, though it often causes no symptoms. Paget's disease is more common in people over the age of 50. Heredity (genetic background) and certain unusual virus infections have been suggested as causes. Thickening of involved bony areas of the lumbar spine can cause the radiating lower extremity pain of sciatica.

Paget's disease can be diagnosed on plain X-rays. However, a bone biopsy is occasionally necessary to ensure the accuracy of the diagnosis. Bone scanning is helpful to determine the extent of the disease, which can involve more than one bone area. A blood test, alkaline phosphatase, is useful for diagnosis and monitoring response to therapy. Treatment options include aspirin, other anti-inflammatory medicines, pain medications, and medications that slow the rate of bone turnover, such as calcitonin (Calcimar, Miacalcin), etidronate (Didronel), alendronate (Fosamax), risedronate (Actonel), and pamidronate (Aredia).

back pain :Bleeding or infection in the pelvis

Bleeding in the pelvis is rare without significant trauma and is usually seen in patients who are taking blood-thinning medications, such as warfarin (Coumadin). In these patients, a rapid-onset sciatica pain can be a sign of bleeding in the back of the pelvis and abdomen that is compressing the spinal nerves as they exit to the lower extremities. Infection of the pelvis is infrequent but can be a complication of conditions such as diverticulosis, Crohn's disease, ulcerative colitis, pelvic inflammatory disease with infection of the Fallopian tubes or uterus, and even appendicitis. Pelvic infection is a serious complication of these conditions and is often associated with fever, lowering of blood pressure, and a life-threatening state.

back pain :Infection of the cartilage and/or bone of the spine

Infection of the discs (septic discitis) and bone (osteomyelitis) is extremely rare. These conditions lead to localized pain associated with fever. The bacteria found when these tissues are tested with laboratory cultures include Staphylococcus aureus and Mycobacterium tuberculosis (TB bacteria). TB infection in the spine is called Pott's disease. These are each very serious conditions requiring long courses of antibiotics. The sacroiliac joints rarely become infected with bacteria. Brucellosis is a bacterial infection that can involve the sacroiliac joints and is usually transmitted in goat's milk.

back pain :Aneurysm of the aorta
In the elderly, atherosclerosis can cause weakening of the wall of the large arterial blood vessel (aorta) in the abdomen. This weakening can lead to a bulging (aneurysm) of the aorta wall. While most aneurysms cause no symptoms, some cause a pulsating low back pain. Aneurysms of certain size, especially when enlarging over time, can require surgical repair with a grafting procedure to repair the abnormal portion of the artery.

back pain :Shingles

Shingles (herpes zoster) is an acute infection of the nerves that supply sensation to the skin, generally at one or several spinal levels and on one side of the body (right or left). Patients with shingles usually have had chickenpox earlier in life. The herpes virus that causes chickenpox is believed to exist in a dormant state within the spinal nerve roots long after the chickenpox resolves. In people with shingles, this virus reactivates to cause infection along the sensory nerve, leading to nerve pain and usually an outbreak of shingles (tiny blisters on the same side of the body and at the same nerve level). The back pain in patients with shingles of the lumbar area can precede the skin rash by days. Successive crops of tiny blisters can appear for several days and clear with crusty inflammation in one to two weeks. Patients occasionally are left with a more chronic nerve pain (postherpetic neuralgia). Treatment can involve symptomatic relief with lotions, such as calamine, or medications, such as acyclovir (Zovirax) for the infection and pregabalin (Lyrica) or lidocaine (Lidoderm) patches for the pain.

What are other causes of lower back pain?

back pain : What are other causes of lower back pain?
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 Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer.
 Disclaimer : All content within (Back pain) Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The (Back pain) is not responsible or liable for any diagnosis made by a user based on the content of the (Back pain) Health website. The (Back pain) is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites.Always consult your own GP if you're in any way concerned about your health.
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Other causes of low back pain include kidney problems, pregnancy, ovary problems, and tumors.

back pain : Kidney problems

Kidney infections, stones, and traumatic bleeding of the kidney (hematoma) are frequently associated with low back pain. Diagnosis can involve urine analysis, sound-wave tests (ultrasound), or other imaging studies of the abdomen.

back pain : Pregnancy

Pregnancy commonly leads to low back pain by mechanically stressing the lumbar spine (changing the normal lumbar curvature) and by the positioning of the baby inside of the abdomen. Additionally, the effects of the female hormone estrogen and the ligament-loosening hormone relaxin may contribute to loosening of the ligaments and structures of the back. Pelvic-tilt exercises and stretches are often recommended for relieving this pain. Women are also recommended to maintain physical conditioning during pregnancy according to their doctors' advice. Natural labor can also cause low back pain.

back pain : Ovary problems

Ovarian cysts, uterine fibroids, and endometriosis not infrequently cause low back pain. Precise diagnosis can require gynecologic examination and testing.

back pain : Tumors

Low back pain can be caused by tumors, either benign or malignant, that originate in the bone of the spine or pelvis and spinal cord (primary tumors) and those which originate elsewhere and spread to these areas (metastatic tumors). Symptoms range from localized pain to radiating severe pain and loss of nerve and muscle function (even incontinence of urine and stool) depending on whether or not the tumors affect the nervous tissue. Tumors of these areas are detected using imaging tests, such as plain X-rays, nuclear bone scanning, and CAT and MRI scanning.

Back Pain : What is the function of the low back? What are common causes of lower back pain?

Back Pain : What is the function of the low back? What are common causes of lower back pain?

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 Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer.
 Disclaimer : All content within (Back pain) Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The (Back pain) is not responsible or liable for any diagnosis made by a user based on the content of the (Back pain) Health website. The (Back pain) is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites.Always consult your own GP if you're in any way concerned about your health.
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Back Pain : What is the function of the low back?

The low back, or lumbar area, serves a number of important functions for the human body. These functions include structural support, movement, and protection of certain body tissues.

When we stand, the lower back is functioning to support the weight of the upper body. When we bend, extend, or rotate at the waist, the lower back is involved in the movement. Therefore, injury to the structures important for weight bearing, such as the bony spine, muscles, tendons, and ligaments, often can be detected when the body is standing erect or used in various movements.

Protecting the soft tissues of the nervous system and spinal cord as well as nearby organs of the pelvis and abdomen is a critical function the lumbar spine and adjacent muscles of the low back.


Back Pain : What are common causes of lower back pain?

Common causes of low back pain (lumbar backache) include lumbar strain, nerve irritation, lumbar radiculopathy, bony encroachment, and conditions of the bone and joints. Each of these is reviewed below.

Lumbar strain (acute, chronic) A lumbar strain is a stretch injury to the ligaments, tendons, and/or muscles of the low back. The stretching incident results in microscopic tears of varying degrees in these tissues. Lumbar strain is considered one of the most common causes of low back pain. The injury can occur because of overuse, improper use, or trauma. Soft-tissue injury is commonly classified as "acute" if it has been present for days to weeks. If the strain lasts longer than three months, it is referred to as "chronic." Lumbar strain most often occurs in people in their 40s, but it can happen at any age. The condition is characterized by localized discomfort in the low back area with onset after an event that mechanically stressed the lumbar tissues. The severity of the injury ranges from mild to severe, depending on the degree of strain and resulting spasm of the muscles of the low back. The diagnosis of lumbar strain is based on the history of injury, the location of the pain, and exclusion of nervous system injury. Usually, X-ray testing is only helpful to exclude bone abnormalities. The treatment of lumbar strain consists of resting the back (to avoid reinjury), medications to relieve pain and muscle spasm, local heat applications, massage, and eventual (after the acute episode resolves) reconditioning exercises to strengthen the low back and abdominal muscles. Initial treatment at home might include heat application, acetaminophen (Tylenol) or ibuprofen (Advil, Motrin), and avoiding reinjury and heavy lifting. Long periods of inactivity in bed are no longer recommended, as this treatment may actually slow recovery. Spinal manipulation for periods of up to one month has been found to be helpful in some patients who do not have signs of nerve irritation. Future injury is avoided by using back-protection techniques during activities and support devices as needed at home or work.
Nerve irritation The nerves of the lumbar spine can be irritated by mechanical pressure (impingement) by bone or other tissues, or from disease, anywhere along their paths -- from their roots at the spinal cord to the skin surface. These conditions include lumbar disc disease (radiculopathy), bony encroachment, and inflammation of the nerves caused by a viral infection (shingles). See discussions of these conditions below.
Lumbar radiculopathy Lumbar radiculopathy is nerve irritation that is caused by damage to the discs between the vertebrae. Damage to the disc occurs because of degeneration ("wear and tear") of the outer ring of the disc, traumatic injury, or both. As a result, the central softer portion of the disc can rupture (herniate) through the outer ring of the disc and abut the spinal cord or its nerves as they exit the bony spinal column. This rupture is what causes the commonly recognized "sciatica" pain of a herniated disc that shoots from the low back and buttock down the leg. Sciatica can be preceded by a history of localized low-back aching or it can follow a "popping" sensation and be accompanied by numbness and tingling. The pain commonly increases with movements at the waist and can increase with coughing or sneezing. In more severe instances, sciatica can be accompanied by incontinence of the bladder and/or bowels. The sciatica of lumbar radiculopathy typically affects only one side of the body, such as the left side or right side, and not both. Lumbar radiculopathy is suspected based on the above symptoms. Increased radiating pain when the lower extremity is lifted supports the diagnosis. Nerve testing (EMG/electromyogram and NCV/nerve conduction velocity) of the lower extremities can be used to detect nerve irritation. The actual disc herniation can be detected with imaging tests, such as CAT or MRI scanning. Treatment of lumbar radiculopathy ranges from medical management to surgery. Medical management includes patient education, medications to relieve pain and muscle spasms, cortisone injection around the spinal cord (epidural injection), physical therapy (heat, massage by a therapist, ultrasound, exercises, electrical stimulation), and rest (not strict bed rest but avoiding reinjury). With unrelenting pain, severe impairment of function, or incontinence (which can indicate spinal cord irritation), surgery may be necessary. The operation performed depends on the overall status of the spine and the age and health of the patient. Procedures include removal of the herniated disc with laminotomy (a small hole in the bone of the lumbar spine surrounding the spinal cord), laminectomy (removal of the bony wall), by needle technique (percutaneous discectomy), disc-dissolving procedures (chemonucleolysis), and others.
Back Pain : Picture of herniated disc between L4 and L5


Back Pain : Cross-section picture of herniated disc between L4 and L5


Bony encroachment Any condition that results in movement or growth of the vertebrae of the lumbar spine can limit the space (encroachment) for the adjacent spinal cord and nerves. Causes of bony encroachment of the spinal nerves include foraminal narrowing (narrowing of the portal through which the spinal nerve passes from the spinal column, out of the spinal canal to the body, commonly as a result of arthritis), spondylolisthesis (slippage of one vertebra relative to another), and spinal stenosis (compression of the nerve roots or spinal cord by bony spurs or other soft tissues in the spinal canal). Spinal-nerve compression in these conditions can lead to sciatica pain that radiates down the lower extremities. Spinal stenosis can cause lower-extremity pains that worsen with walking and are relieved by resting (mimicking the pains of poor circulation). Treatment of these afflictions varies, depending on their severity, and ranges from rest, and exercises to epidural cortisone injections and surgical decompression by removing the bone that is compressing the nervous tissue.
Bone and joint conditions Bone and joint conditions that lead to low back pain include those existing from birth (congenital), those that result from wear and tear (degenerative) or injury, and those that are due to inflammation of the joints (arthritis).
Congenital bone conditions -- Congenital causes (existing from birth) of low back pain include scoliosis and spina bifida. Scoliosis is a sideways (lateral) curvature of the spine that can be caused when one lower extremity is shorter than the other (functional scoliosis) or because of an abnormal architecture of the spine (structural scoliosis). Children who are significantly affected by structural scoliosis may require treatment with bracing and/or surgery to the spine. Adults infrequently are treated surgically but often benefit by support bracing. Spina bifida is a birth defect in the bony vertebral arch over the spinal canal, often with absence of the spinous process. This birth defect most commonly affects the lowest lumbar vertebra and the top of the sacrum. Occasionally, there are abnormal tufts of hair on the skin of the involved area. Spina bifida can be a minor bony abnormality without symptoms. However, the condition can also be accompanied by serious nervous abnormalities of the lower extremities. Degenerative bone and joint conditions -- As we age, the water and protein content of the body's cartilage changes. This change results in weaker, thinner, and more fragile cartilage. Because both the discs and the joints that stack the vertebrae (facet joints) are partly composed of cartilage, these areas are subject to wear and tear over time (degenerative changes). Degeneration of the disc is called spondylosis. Spondylosis can be noted on X-rays of the spine as a narrowing of the normal "disc space" between the vertebrae. It is the deterioration of the disc tissue that predisposes the disc to herniation and localized lumbar pain ("lumbago") in older patients. Degenerative arthritis (osteoarthritis) of the facet joints is also a cause of localized lumbar pain that can be detected with plain X-ray testing. These causes of degenerative back pain are usually treated conservatively with intermittent heat, rest, rehabilitative exercises, and medications to relieve pain, muscle spasm, and inflammation. 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.
In both younger and older patients, vertebral fractures take weeks to heal with rest and pain relievers. Compression fractures of vertebrae associated with osteoporosis can also be treated with a procedure called vertebroplasty, which can help to reduce pain. In this procedure, a balloon is inflated in the compressed vertebra, often returning some of its lost height. Subsequently, a "cement" (methymethacrylate) is injected into the balloon and remains to retain the structure and height of the body of the vertebra. Arthritis -- The spondyloarthropathies are inflammatory types of arthritis that can affect the lower back and sacroiliac joints. Examples of spondyloarthropathies include reactive arthritis (Reiter's disease), ankylosing spondylitis, psoriatic arthritis, and the arthritis of inflammatory bowel disease. Each of these diseases can lead to low back pain and stiffness, which is typically worse in the morning. These conditions usually begin in the second and third decades of life. They are treated with medications directed toward decreasing the inflammation. Newer biologic medications have been greatly successful in both quieting the disease and stopping its progression.

Back Pain : Low back pain facts What is the anatomy of the low back?

Back Pain : Low back pain facts What is the anatomy of the low back?

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 Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer.
 Disclaimer : All content within (Back pain) Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The (Back pain) is not responsible or liable for any diagnosis made by a user based on the content of the (Back pain) Health website. The (Back pain) is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites.Always consult your own GP if you're in any way concerned about your health.
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Back Pain : Low back pain facts
Functions of the low back, or lumbar area, include structural support, movement, and protection of certain body tissues.
Pain in the low back can relate to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, muscles of the low back, internal organs of the pelvis and abdomen, and the skin covering the lumbar area.
Treatment of low back pain is optimally directed toward a diagnosed or suspected specific cause. For acute lumbar strain, use of a home remedy initially can be beneficial.

Back Pain : What is the anatomy of the low back?

The first step to understanding low back pain is appreciating the normal design (anatomy) of the tissues of this area of the body. Important structures of the low back that can be related to symptoms in this region include the bony lumbar spine (vertebrae, singular = vertebra), discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, muscles of the low back, internal organs of the pelvis and abdomen, and the skin covering the lumbar area.

The bony lumbar spine is designed so that vertebrae "stacked" together can provide a movable support structure while also protecting the spinal cord from injury. The spinal cord is composed of nervous tissue that extends down the spinal column from the brain. Each vertebra has a spinous process, a bony prominence behind the spinal cord, that shields the cord's nervous tissue from impact trauma. Vertebrae also have a strong bony "body" (vertebral body) in front of the spinal cord to provide a platform suitable for weight bearing of all tissues above the buttocks. The lumbar vertebrae stack immediately atop the sacrum bone that is situated in between the buttocks. On each side, the sacrum meets the iliac bone of the pelvis to form the sacroiliac joints of the buttocks.

The discs are pads that serve as "cushions" between the individual vertebral bodies. They help to minimize the impact of stress forces on the spinal column. Each disc is designed like a jelly donut with a central, softer component (nucleus pulposus) and a surrounding, firm outer ring (annulus fibrosus). The central portion of the disc is capable of rupturing (herniating as in a herniated disc) through the outer ring, causing irritation of adjacent nervous tissue and sciatica as described below. Ligaments are strong fibrous soft tissues that firmly attach bones to bones. Ligaments attach each of the vertebrae to each other and surround each of the discs.

The nerves that provide sensation and stimulate the muscles of the low back as well as the lower extremities (the thighs, legs, feet, and toes) all exit the lumbar spinal column through bony portals, each of which is called a "foramen."

Many muscle groups that are responsible for flexing, extending, and rotating the waist, as well as moving the lower extremities, attach to the lumbar spine through tendon insertions.

The aorta and blood vessels that transport blood to and from the lower extremities pass in front of the lumbar spine in the abdomen and pelvis. Surrounding these blood vessels are lymph nodes (lymph glands) and tissues of the involuntary nervous system that are important in maintaining bladder and bowel control.

The uterus and ovaries are important pelvic structures in front of the pelvic area of women. The prostate gland is a significant pelvic structure in men. The kidneys are on either side of the back of the lower abdomen, in front of the lumbar spine.

The skin over the lumbar area is supplied by nerves that come from nerve roots that exit from the lumbar spine.