| Back
Pain :
The Basics
Here's one problem you can't turn your
back on! But you can get some relief from knowing that
very few people turn out to have a major problem or
a dangerous medical condition involving the bones or
joints of the back. In fact, often the exact cause of
a person's back pain can't be pinpointed exactly. Many
cases result from everyday activities and clear up by
themselves within a relatively short time period. Whether
your back pain requires a doctor's care or not, chances
are you'll be "back" to normal in (almost)
no time.
Description .
Back pain may be blamed
on poor muscle tone in the back, muscle tension or spasm,
back sprains, ligament or muscle tears, and/or joint
problems. If you have a so-called "slipped disc"
in your spinal column, you may suffer buttock or leg
pain, numbness, tingling, or weakness in the legs due
to irritation of nerves from the spinal cord. Emotional
stress or long periods of inactivity may worsen back
pain.
People in poor physical
condition (including obesity) or those who do work that
includes heavy labor or long periods of sitting or standing
have a higher risk of developing low back problems;
they also get better more slowly.
Occasionally back pain
can be due to other conditions. These include arthritis,
ulcers or other intestinal problems, kidney disease,
pregnancy or other gynecological conditions, heart disease,
and cancer. If back pain seems unrelated to an injury
or activity, or is in any other way unusual, a visit
to the doctor is recommended.
Symptoms
Back pain is usually
confined to the lower back, but it may extend to other
areas, particularly the legs. Affected parts of the
back may feel tender or sore to the touch, and the pain
may increase with movement. Pain can be felt as sharp
or knife-like, a burning sensation, or as a dull muscular
ache. Symptoms can range from mildly uncomfortable to
completely disabling.
Treatment
Most
episodes of mild back pain will improve without any
medical intervention. Over-the-counter medications such
as acetaminophen and ibuprofen can provide temporary
relief. It's a good idea to avoid overly strenuous or
repetitive activity, but bed rest should generally be
avoided. In fact, numerous clinical trials have confirmed
that continued activity and prescribed exercises reduce
back discomfort and result in more rapid recovery. In
addition, a good exercise program may help prevent recurrence
-- common with back pain. Check with your doctor if
your symptoms worsen or don't improve rapidly.
Other helpful back-pain
treatments include physical therapy, massage, and spinal
manipulation. In addition, a panel from the National
Institutes of Health has concluded that acupuncture
may be useful as one form of treatment in a comprehensive
management program for back pain. Surgical treatment
of back pain is dictated not by the sufferer's degree
of discomfort but by the type of structural problem
that is causing the pain. In some cases, surgery can
be a highly effective option.
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