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Low Back Pain - Physician Advice on Relief and Causes

Low back pain is one of the most common foot. One may notice the affected leg is
reasons for visiting a primary care weak and have foot drop or the inability
physician. People may experience back to extend the great toe. Although pain
pain after lifting heavy objects, caused by a pinched sciatic nerve
twisting and turning their backs during (sciatica) can be very painful and
exercise or household chores, or after a debilitating, there is no risk of
period of inactivity. This article permanent nerve damage or paralysis.
discusses the possible causes and Sciatica is treated with physical
treatments for many sources of lower back therapy, massage, anti-inflammatories and
pain. Low back manipulative treatments.
pain is one of the most common reasons A herniated disk or narrowed spinal
for visiting a primary care physician. column (spinal stenosis) can also cause
People may experience back pain after low back pain. The pain is achy or sharp
lifting heavy objects, twisting and and can worsen suddenly if nerves are
turning their backs during exercise or compressed, leading to the symptoms
household chores, or after a period of discussed above. A primary difference
inactivity. Acute low back pain is often between these conditions is that the pain
caused by muscle inflammation and spasm from a bulging disk is made worse from
and may start suddenly or increase bending forward and decreased by leaning
gradually over time. It may occur in the backward. The opposite is true for spinal
center of the low back or next to the stenosis pain. The pain from both of
spine on either side. The pain from these conditions gets better with laying
muscle strain and spasm is often achy and down. Thee pain caused from sciatica is
crampy with periods of sharpness that usually is not relieved by laying down
occur because of "stressing" the involved (it may even get worse). The development
muscle. Laying down usually relieves the of sudden leg weakness, lack of sensation
pain. The pain is often accompanied by in the pelvic area and involuntary
stiffness when moving the lower back and leakage of urine or stool are signs of
very tender muscles. It will usually get cauda equina syndrome. The cauda equina
better with regular use of rest, heat, is a "tail" of nerves at the end of the
massage and/or anti-inflammatories and/or spinal cord. If these nerves are pinched,
muscle relaxants for two to four weeks. it produces the cauda equina syndrome. In
Moist heat applied for 20 minutes three addition to the conservative treatments
to four times daily and taking 200 to 800 for a pinched nerve, surgery may be an
mg per day of ibuprofen helps relieve the option to reduce the impingement by
contracted and inflamed muscles. People removing the disk or fusing the vertebrae
can hasten recovery by continuing to be to widen the spinal column.
as active as tolerated and not to lift Other non-muscular and non-neurologic
heavy objects or move in ways that causes of back pain are infection and
aggravate the pain. cancer. Warning signs that these
Low back pain which lasts more than 6 conditions may be a cause of acute or
weeks and/or begins to change in chronic low back are fever, chills, lack
character needs to be evaluated by a of improvement with regular use of
physician. If the pain becomes sharp and anti-inflammatories and exercise, and
begins to radiate into the buttocks or pain that worsens with laying on the
down the legs, a nerve may be pinched. back. It is important to inform a
The most common nerve affected by physician about these symptoms so that
muscular spasm, spinal stenosis or a blood tests and imaging studies can be
herniated disk is the sciatic nerve. The ordered to diagnose and treat these
sciatic nerve is a combination of nerve conditions before complications arise.
roots which come from the lower spinal The injury associated with low back pain
cord (L4-S3) and form the largest nerve can be prevented by regular exercise
in the body. When a combination of the (such as walking and low back exercises),
nerve roots or the whole nerve is maintenance of a healthy body weight and
pinched, one experiences pain, tingling using correct body mechanics when lifting
or numbness in the buttock or the heavy objects.
backside of the leg past the knee to the




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