• Aging and Sex
  • For men
    • Multi Vitamin for Him CPA
    • Practical Tips to Maintain Sexual Virility
    • ProSolution Plus is a Natural Remedy For Premature Ejaculation
  • for women
    • Breast Actives CPA
    • Four Ways To Look Young
    • Ten Ways to Look Like a Model Bride
  • Home Based Business
    • AWESOME EASY CASH MONEY TO YOU TODAY!
    • Craft Idea for a Group: Make a Mural
    • DIGISOFT PAYLINE How to Make Instant Money Now DIGISOFT PAYLINE
    • Getting Your Family Involved In Your Home Business
    • Home Based Real Estate Investing
    • Home Based Real Estate Investing
    • How To Become A Work At Home Mom
    • How to Get Free Rent
    • Make Extra Cash & Work From Home!
    • Strategies for Success in the Exciting and Lucrative Home-Based Business of Jewelry & Gemstones
    • THE INTERNATIONAL PROJECT OF THE 21st CENTURY
    • WIN FREE DOGECOINS EVERY HOUR!
  • How you can Regain your Youthful Appearance without Expensive Treatments or Surgery!
  • Intelligent nutritional supplements
    • Antioxidants Nutrients Have Powerful Anti-Cancer Activity!
    • AsthmaMist CPA
    • What Are Phytoceramides?
    • Cleanse the Body, Curb Unhealthy Cravings, and Lose Weight with ProShape Rx
  • interesting idea, hobby
    • Christmas Craft: Bead and Pipe Cleaner Ornaments
    • Wedding Crafts Ideas for Saving Money
  • Natural products for weight loss
    • Natural Weight Loss Products
  • Privacy Policy
  • Terms And Conditions

Health and Beauty

The site is about the beauty and health of men, women, children

  • Home

Enter your email address:

Spam Blocked

18,994 spam blocked by Akismet

Causes and Treatment of Low Back Pain

  • Health

There are many important facts about low back pain to consider (Figure 1). Firstly, there is no definite etiology in 85% of the cases. 90% of patients with a single episode of low back pain return to work within 6 weeks, most patients get better with time. Low back pain is the second most common cause of work absenteeism. A history of low back pain is the single most important factor predicting future occupational low back pain. Also, persistent back pain, for more than 6 months, constitutes 4% of the cases. Disability is closely linked to compensation and litigation.

2016-10-07-1475847997-5925090-lowback1.PNG

The least amount of pressure is measured with the patient lying supine. The highest disc pressure is measured while sitting and leaning forward 20° with a 20 kg load in their arms (Figure 2).

2016-10-07-1475848019-5174371-lowback2.PNG

By keeping the weight of the load close to the body, this reduces the compressive forces placed on the lumbar spine (Figure 3). Yoga activities and exercises performed during sitting will probably lead to less pressure being place on the discs.

2016-10-07-1475848039-2586347-lowback3.PNG

Physical Factors Which Lead to Low Back Pain
There are many different physical factors that can attribute to low back pain including lack of fitness, heaving lifting of objects, operating motor vehicles, prolonged sitting, operating vibrating tools, and history of cigarette smoking (Figure 4). Holding loads close to the body is important to help reduce compression forces on the lumbar spine. Smokers has a higher risk of low back pain because nicotine can cause disc degeneration.

2016-10-07-1475848065-6561300-lowback4.PNG

Sports Related Activities Associated with Low Back Pain
Sporting activities may also play a large role in people developing low back pain. Golf can cause pain as a result of twisting, bad forward bending and overarching the spine during the swing (Figure 5). After the age of 40, you lose about 50% of your rotational movement of the spine. It is important to perform stretching and warm ups before starting the game.

2016-10-07-1475848093-2197648-lowback5.PNG

Vibration caused by horseback riding increases the load on the discs (Figure 6). The back muscles work constantly to keep the posture straight. Caring for horses could be bad for the back due to the bending and lifting associated with their care.

2016-10-07-1475848113-7125726-lowback6.PNG

Etiology
Virtually any structure in the spine can hurt. These structures include facet joints, intervertebral discs, spinal canal, sacroiliac joint, muscles, ligaments, nerves, hip joint/piriformis syndrome, and the trochanteric bursa.

Red Flags for Cancer
Bone cancer of the vertebral body may also occur (Figure 7). Some of the factors that may be associated with bone cancer are people over 50 years of age, pain at rest and night, unexplained weight loss, and a history of cancer. Bone destruction involving the pedicle is pathognomonic.

2016-10-07-1475848140-2412955-lowback7.PNG

Red Flags for Infection
An infection in the vertebral body (discs) may also be a factor contributing to low back pain (Figure 8). The infections can occur due to diabetes mellitus, fever, intravenous drug abuse, urinary tract infection, and previous surgery.

2016-10-07-1475848165-9041617-lowback8.PNG

Physical Examination
During the assessment, the physician will initially focus on the red flags (fractures, tumor, infection, or cauda equina). The signs and symptoms of cauda equina include back pain, bowel or bladder disturbances, bilateral leg pain and weakness, and saddle anesthesia (rectal and genital area sensory changes). In the absence of red flags, imaging studies are usually not helpful in the first 4-6 weeks. Intensive work up may not be necessary in the early stages of routine low back pain.

Treatment
Conservative treatment for low back pain is the first step in treatment. Bed rest is controversial and should not exceed 2-3 days. Pain control is used in different methods including NSAIDS, Medrol dose pack. Watch for NSAIDs toxicity; gastritis, visceral bleeding, platelet dysfunction, and renal dysfunction. Physical therapy should be utilized as soon as pain control is achieved. A soft brace or a corset may be used, but it usually does not help a lot, even with a thigh extension. A thigh extension will only restrict about 50-65% of the normal gross body motion. An epidural injection can be used and has up to a 50% success rate; this improvement is oftentimes short lived.

Patients sustaining chronic disabling occupational low back pain without any intensive rehabilitation will have different expectations about returning to work. 50% of people who are out of work for 6 months will return to work. If the person if off of work for 1 year, only 20% will return to work. Lastly, almost none of the people that are off of work for over 2 years will return to work.

The best treatment for acute low back pain is to continue with ordinary daily activities within the limits permitted by the pain. So, it seems that the best treatment for low back pain is for the patient to return to work.

October 10, 2016 admin

Post navigation

Age Gracefully and Beautifully → ← 10 Fitness Apps to Check Out in 2016

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

  • Genital Warts Natural and Alternative Treatment Remedies 1,696 views
  • ‘Love Hormone’ Oxytocin May Enhance Feelings Of Spirituality 942 views
  • WIN FREE DOGECOINS EVERY HOUR! 889 views
  • Ginseng: Root of Immortality 855 views
  • Get Rid of Cellulite, Once and For All! 708 views
  • THE INTERNATIONAL PROJECT OF THE 21st CENTURY 696 views
  • Breast Actives CPA 693 views
  • for women 685 views

Popular articles

  • Genital Warts Natural and Alternative Treatment Remedies 1,696 views | under alternative medetsina
  • ‘Love Hormone’ Oxytocin May Enhance Feelings Of Spirituality 942 views | under alternative medetsina
  • WIN FREE DOGECOINS EVERY HOUR! 889 views
  • Ginseng: Root of Immortality 855 views | under alternative medetsina
  • Get Rid of Cellulite, Once and For All! 708 views | under Body Health
  • THE INTERNATIONAL PROJECT OF THE 21st CENTURY 696 views
  • Breast Actives CPA 693 views
  • for women 685 views
Buy Brand Drugs

Archives

Powered by WordPress | theme SG Double