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Friday, June 19, 2009

Lower Back Pain: Why Does It Happen & How Is It Treated?

By Dr. Stefan Tarlow

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

The spinal cord and the nerves that branch off from it are contained in the spinal canal, which extends through the entire spinal column. The lower back is very prone to pain because it has the job of supporting most of the body's weight. The spine, nerves and muscles are under a lot of stress and can experience quite a bit of pain.

Doctors see patients for lower back pain quite frequently - almost as often as for the flu! Back pain can be caused by a lot of things, and in fact, it can have multiple causes in one patient. Injury and trauma are the most common causes of back pain. Here are a few examples:

Strains are caused by muscle injury.

Sprains are caused by ligament injury.

Sciatica: Pinched nerve.

Sacroiliitis: Inflamed hip joint.

Disc degeneration caused by disease.

A herniated disc is caused by pressure.

Strains and sprains may happen for a variety of reasons and may be caused by a combination of events. Poor posture, repeated improper lifting, and obesity damage the lower back a little bit at a time over time.

Click here for more on reconstruction of torn ACL.

There are a number of ways to treat a sprain or strain. They include: hot and/or cold packs, ultrasound, massage therapy, electrical stimulation, traction and reduction in which the bones are maneuvered physically, and/or anesthetic or corticosteroid injections. It is very important to gently resume normal activity after a couple of days rest to avoid stiffness.

One can avoid and treat back pain with strengthening and conditioning of the muscles of the lower back. General aerobic conditioning and specific strengthening exercises will help with this.

If you have tried all of the non-surgical options without relief, you may wish to consider surgery. Spinal fusion is the most common back surgery. It works by limiting the movement in the most painful area of your back.

It is important to note that recovery can be a lengthy and uncertain process. It often takes over a year to know whether or not the surgery has been successful. This is simply determined by whether or not the pain has abated. Complete relief from pain is unusual. Still, this is an option worth discussing with your doctor; although, you may well find that it is not the best option for you.

Click here for more on orthopedic surgery and surgeons.

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