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Back Pain Solutions Without Surgery

back pain
Hemant Yagnick, M.D. asked:


Acute back pain may begin suddenly and usually lasts around 3 months. Chronic back pain sometimes lasts throughout life.

The most common back pain is low back pain (LBP). It is is often described as sudden, sharp, persistent, or dull pain felt below the waist. LBP is very common and affects the majority of people at some point during their life. Up to 70%–85% of all people have back pain at some time in their lives. LBP is the most common cause of a limitation of activity in people younger than 45 years of age. It is the second most frequent reason for visits to a physician, and the third most common indication for surgery. It is the fifth-ranking cause of hospital admissions and is one of the leading causes of disability.

Low back pain is most commonly caused by muscle strain associated with heavy physical work, lifting or forceful movement, bending or twisting, awkward positions, or standing in one position too long. Any of these movements can exacerbate a prior or existing back disorder. Other conditions that can cause low back pain include spinal stenosis, arthritis (osteoarthritis), spinal infection (osteomyelitis), spinal tumors (benign and malignant), spondylolisthesis, and vertebral fractures (e.g. burst fracture).

Low back pain is either acute or chronic. Acute LBP may begin suddenly with intense pain usually lasting fewer than three months. Chronic pain is persistent long-term pain, sometimes lasting throughout life. Even chronic pain may present episodes of acute pain. Other symptoms include localized pain in a specific area of the low back, general aching, and/or pain that radiates into the low back, general aching, and/or pain that radiates into the low back, buttocks and leg(s). Sometimes pain is accompanied by neurological symptoms such as numbness, tingling, or weakness. Neurological symptoms requiring immediate medical attention include bowel or bladder dysfunction, groin or leg weakness or numbness, severe symptoms that do not subside after a few days, or pain prohibiting everyday activities.

Pain felt in the low back is not always indicative of a spinal problem. A thorough physical and neurological assessment may reveal the cause of the low back pain. The physical examination begins with the patient’s current condition and medical history. Examination of a patient with low back pain involves examining the patient’s range of spinal motion while standing straight, bending forward, and to the side. Asymmetry, posture, and leg length is noted. Methodical palpation of the spine can reveal muscle spasm, possible bony displacement, and tender points. Abdominal palpation is performed to determine if the cause of low back pain is possibly organ related (e.g. pancreas). The neurological assessment evaluates weakness, absence of reflexes, tingling, burning, pain, diminished function, and other signs that may indicate nerve involvement.

If infection, malignancy, fracture, or other risk factors are suspected, routine lab tests may be ordered. These tests may include complete blood count (CBC), erythrocyte sedimentation (ESR), and urinalysis. In some cases electrodiagnostic studies such as electromyography (EMG) or nerve condition velocity (NCV) are performed to confirm a diagnosis or localize the site of nerve injury. Plain radiographs (x-rays), CT Scan, and/or MRI studies are performed when fracture or neurological dysfunction is suspected. A MRI represents the gold standard in imaging today. A MRI renders high-resolution images of spinal tissues such as the spinal cord and intervertebral discs. X-rays are still the imaging methods of choice to study the bony elements in the low back. The results of the physical and neurological examinations combines with test results are carefully evaluated to confirm a diagnosis.

Most patients with low back pain are treated without surgery. A conventional treatment plan may include bed rest for a day or two combines with medication to reduce inflammation and pain. Medications recommended by the physician are based on the patient’s medical condition, age, other drugs the patient currently takes, and safety. The first choice for pain relief is often nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs should be taken with food to prevent stomach upset and stomach bleeding. Muscle relaxants may provide relief from muscle spasm but are actually benign sedatives, which often cause drowsiness. Narcotic pain relievers are prescribed for use during the acute phase and often for chronic pain management in appropriate patients.

Other modalities to treat low back pain might include physical therapy (PT), transcutaneous electrical nerve stimulator (TENS) trial, ultrasound therapy, acupuncture and massage therapy. A managed PT program can help build muscle strength and flexibility, improve mobility, coordination, stability and balance, and promote relaxation. Patients who participate in a structured physical therapy program often progress to wellness more rapidly than those who do not. This includes low back maintenance through a home exercise program developed for the patient by the physical therapist.

Although the number of spinal surgeries done every year is on the rise, it is rarely required to treat low back pain. Surgery may be considered if the patient is experiencing bowel or bladder dysfunction, increased nerve impairment, progressive weakness, incapacitating pain, or spinal instability. The surgical procedure depends on the diagnosis or the cause of low back pain. To prevent low back pain, first and foremost, follow the treatment plan outlined by the physician. To enhance recovery from an episode of low back pain, or to help prevent future exacerbation, try to maintain good posture, be consistent in a home exercise program, and eat sensibly to maintain proper body weight.

About Walton Rehabilitation Health System:

Walton Rehabilitation Health Systems (WRHS) is a leading not-for-profit comprehensive, multi-specialty, dedicated provider of physical medicine and rehabilitation. Our mission is to be an advocate for wellness by providing a continuum of services to treat the whole person. WRHS, whose reputation extends throughout the south, is a trusted partner with just the right expertise and treatments to help people with disabling injuries and illnesses return to work and to a fulfilling life. By pursuing its mission, WRHS has grown to include Walton Pain and Headache Centers, Walton Community Services, Walton Options for Independent Living, Walton Foundation for Independence, and Walton Technologies. We are located at: 1355 Independence Drive, Augusta, GA 30901-1037. For more information visit www.wrh.org or call 866-4-WALTON.



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Pain Relief Options: Natural and Medical

back pain
Scott Baker asked:


At some point in our lives, we will experience some sort of chronic pain that we positively hate and wish to go away. But as much as we seek pain relief immediately and despise the discomfort, the truth is that pain is useful to our survival as it alerts us to problems within our body. Pain also prevents a person from further injuring themselves and so it can be very useful. But, while useful, we all seek pain relief from time to time because-well, it hurts!

Oral Pain Relief

Now when most people think of pain relief, the first thing that comes to mind is aspirin or some other form of oral medication. In fact, we have been conditioned to believe that “you take something for the pain” and this usually involves a pill of some kind. For severe or chronic pain, opiates are most often prescribed. Morphine and heroine are two common opiates, and you will generally see cancer patients given these pain medicines as pain relief of last resort. Opiates are considered highly addictive and generally reserved for terminally ill patients.

Anti-depressants once were prescribed solely to treat depression and other mental illnesses. However, recent research has concluded that anti-depressants do relieve certain types of physical pain and are often used in pain relief applications to help a patient sleep.

Anti-seizure medications are prescribed to deal with sharp or acute pain caused by malfunctioning or damaged nerves. They most often deaden or numb the nerves themselves so pain signals do not reach the brain.

Less severe forms of oral pain relief generally come in the form of aspirin or ibuprofen. Ibuprofen are specifically designed to reduce inflammation and are therefore recommended for things like muscle aches while aspirin are more useful on headaches and fever reduction.

Pain Relief From Injections

One of the more severe but useful types of pain relief come in the form of injections. Cortisone treatments are common in athletes and involve an injection directly into the muscle or nerve causing the pain. This sort of pain relief is very effective, but it cannot be done on regular intervals due to tissue damage. Therefore, it is only recommended for temporary relief of acute pain.

Dentists also use this form of pain relief when they inject your mouth with Novocain-or, a local anesthetic. These injections will numb your nerves so that they are no longer sending signals to the brain. The inflammation or source of the pain will remain, but your body won’t feel anything until the local wears off.

Nerve Block Pain Relief

This type of pain relief is related to injections but deals with specific nerve blocks within the body. Called a ganglion or plexus, a nerve block will affect a group of nerves relating to a specific organ or part of the body. The doctor provides an injection of a specific nerve blocker in order to temporarily relieve pain to that organ or part of the body. It is different than a local anesthetic in that it has been specifically designed to affect one type of nerve so it is specialized pain relief and tends to be more expensive than standard cortisone shots or Novocain.

Physical Therapy as Pain Relief

Physical therapy is often viewed as a means to rebuild damaged muscles and nerves after a trauma. However, physical therapy is also used as a natural form of pain relief. Whirlpool therapy, deep muscle massage, and ultrasound are all forms of physical therapy used in natural pain relief treatments.

Electrical Stimulation Pain Relief

Known as TENS, Transcutaneous Electrical Nerve Stimulation is an alternative to more traditional pain relief treatments. Without using any needles or medicine, pain is relieved when tiny electrical impulses are applied to the skin. The electrical current then stimulates nerve fibers in other parts of the skin and has the affect of relieving pain. The effects are only short term but TENS has proven itself as a legitimate means of pain relief and is a standard component of many physical therapy programs.

Acupuncture Pain Relief

While not widely recognized by the medical community as a legitimate form of pain relief, this Oriental treatment has been around for centuries and is considered by its adherents as a very effective pain management tool. Acupuncture specialists use lots of thin, small needles on various pressure points of the body. The pressure points in which a practitioner applies the needles will depend on the source of the pain. Although not a proven form of pain relief, acupuncture does remain one natural alternative to more traditional and accepted forms of pain management.

Surgery

In very severe cases and when other forms of pain relief have failed, surgery may be the last best chance to end chronic pain. In most cases, a surgeon will go in and actually severe nerve connections so that pain receptors in the brain no longer receive signals. Again, this is a method of last resort because as we stated earlier-pain can be useful and necessary to our survival. Doctors don’t like completely severing nerve endings as they will no longer be able to alert your body to problems-but when other forms of pain management fail, surgery may be the only viable alternative.

Topical Pain Relief

Finally, there are also topical ointments, creams, and liquids that can be directly applied to an affected area for temporary pain relief. Topical pain relief has the advantage of being quicker to reduce pain than oral medicines without being as invasive as the injections. While topical pain relief is not recommended for relief of chronic pain, it is highly effective with short term alleviation of minor aches and pains.

Pain relief is something we all must concern ourselves with from time to time. There are a wide array of medical and natural pain relief options available to you, and the one you choose will depend on the nature of the pain and your own comfort level with the treatment. For relief of minor, short-term pain, oral medication is most preferred, but topical pain relief options are growing in popularity and should be considered as a viable option in most cases.

For a topical and natural pain relief product, try ReliefMD to help manage and prevent any of your everyday aches and pains.



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Ouch! Pain in the Neck?

back pain
P.Bhargav Kashyap asked:


Oh! Pain in the Neck?!

Neck pain, at times, can become pain in the neck’ quite literally. People who have experienced neck pain alone know how painful the neck pain can turnout to be.

Neck is one of the most flexible regions of the spine, which consists of vertebrae, seven shock absorbing discs, muscles, and vertebral ligaments to hold them in place. The uppermost cervical disc connects the top of the spinal column to the base of the skull. The spinal cord, which sends nerve impulses to every part of the body, runs through a canal in the cervical vertebrae and continues all the way down the spine.

What Causes neck pain?

Most people experience neck pain at some point in their lives. Neck pain can be acute, lasting for few hours or a few weeks, or it can be chronic. Neck pain that lasts several weeks or longer is considered chronic neck pain.

Neck pain can be caused by an activity or injury or by a medical condition. Your head and neck region is vulnerable to many different stresses. Bad posture can cause misalignment of your neck, head, and spine. Car accidents can cause whiplash. Age and wear and tear can cause arthritis. Even activities such as chewing gum and reading in bed and cause pain. How do we avoid these potential problems? And if we can’t avoid them, how can we recover as quickly as possible.

Non-specific neck pain

Many people develop a stiff and painful neck for no obvious reason. It may happen after a minor twisting injury, for example while gardening. Since the underlying cause for this type of neck pain is not fully understood hence it is called ‘non-specific neck pain’ Having non-specific neck pain does not mean that your neck is damaged. Often it happens in people whose necks would appear completely normal under an x-ray. It is the most common type of neck pain and disappears after a few days.

Activities that cause neck pain

Neck pain mostly is caused by activities that result in repeated or prolonged movements of the neck’s muscles, ligaments, tendons, bones, or joints. This can result in a strain(an overstretched or overused muscle), a sprain (injury to a ligament), a spasm of the neck muscles, or inflammation of the neck joints.

           1. Holding your head in a forward or odd position for long periods of time

               while working, reading, watching TV, or talking on the telephone.

           2. Sleeping on a pillow that is too high or too flat or doesn’t adequately 

               support your head, or sleeping on your stomach with your neck twisted

               or bent.

           3. Spending long periods of time resting your forehead on your upright fist

               or arm.

           4. Work that uses the upper body and arms, such as painting a ceiling or 

               other overhead work.

Injuries that cause neck pain

The Spine consists of interlocking bones(vertebrae) and discs that separate the vertebrae. The portion of the spine that runs through the neck is known as the cervical spine. Muscles and ligaments in the neck hold the cervical spine together. Injury to any of these structures may result in neck pain.

Minor injuries may occur from tripping or from excessive motion of the cervical spine. Severe neck injuries may occur from whiplash in an accident, falls from significant heights, direct blows to the face or the back or top of the head, sports-related injuries , a penetrating injury such as a stab wound, or pressure applied to the outside of the neck, such as strangulation.

Pain from an injury may be sudden and severe. Bruising and swelling may develop soon after the injury. Sudden (acute) injuries can result in strain and pain in the neck, dislocation of the spin, or a ruptured disc.

Medical conditions that cause neck pain 

                  1. Neck pain may be caused by or related to medical conditions such as:

                  2. Cervical Spinal Stenosis

                  3. Cervical Spondylosis

                  4. Illnesses, such as meningitis, which cause inflammation around the

                      tissues of the brain and spinal cord.

                  5.Chronic conditions such as fibromyalgia, rheumatoid arthritis, or

                     ankylosing spondylitis

Torticollis (wryneck): Torticollis is

caused by severe muscle tightness or a shortened muscle on

one side of the neck, causing the head to be tilted to one side.

Referred pain: Referred pain occurs when

a problem in one place in the body causes pain in another

place. For example, a problem with your jaw or your heart can

cause neck pain.

Infection or a tumor in the neck area.

Signs and Symptoms

Neck pain takes many forms. Signs and symptoms of neck pain may include:

           1. Pain in your neck that may be sharp or dull

           2. Stiffness in your neck

           3. Difficulty going about your daily tasks because of pain or stiffness in

               your neck

           4. Shoulder pain in addition to neck pain, in some cases

           5. Back pain in addition to neck pain, in some cases

Help yourself to prevent neck pain

Take frequent breaks: Don’t sit in one place for a long time, such as your car or at your desk.

Arrange some of the items in your office that cause inconvenience. This will force you to get up, stretch or walk around.

Maintain good neck posture:

Adjust the seat of your computer or desk chair so that your hips are slightly higher than your knees. Your head and neck will naturally follow in the correct position. While traveling in a car, airplane or train, place a small pillow or rolled towel between your neck and a head rest to keep the normal curve in your neck.

Avoid too many pillows:

Avoid sleeping with too many pillows or falling asleep in front of the television with your head on the arm of a couch.

Exercise: Treat your body to a consistent regimen of stretching and strengthening to balance your muscle groups. This protects your neck as well as helping your whole body. Walking at any pace is excellent exercise for your neck. The rotation of the spine provides a great natural workout for the neck muscles.

Eat smart and Drink water:

Good nutrition and staying well hydrated are not only important to stay healthy, but vital in the healing process.

For more Health Tips:http://fitnus.blogspot.com/



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Back Pain: Risk Factors, Causes and Treatments

back pain
Antonio LeMaire asked:


Back pain is one of the most common medical complaints that doctors hear about. It affects more than 80% of adults at some point in their lives.

While it can impact those of varying ages and backgrounds, certain people are more at risk for back pain than others. And there are a variety of strategies they can use for back pain relief.

The following is a summary of the main risk factors that could leave you susceptible to back pain, followed by some of the most common causes of back pain, and treatments for back pain relief.

Risk Factors for Back Pain

* Age. Your chance of suffering from back pain increases with age. Because the discs that provide cushioning to the spine can wear out over time, older people are more likely to experience back pain than the young.

* Obesity. Being overweight places an added burden on the spine. This can unduly stress the back, resulting in back pain.

* Sedentary Lifestyle. People who sit for long periods of time at a desk are more susceptible to back pain. Sitting, especially in a slumped position, can put you at increased risk for back pain. People who exercise and are more physically active are less likely to injure their backs or suffer from back pain than others.

* Occupational Hazards. People with jobs that require large amounts of standing, lifting, bending, and/or twisting are more likely to suffer from back pain. These activities place additional strain on the spine, which can contribute to back pain or injury.

* Smoking. Smokers appear to have a higher risk of back pain than non-smokers. This may be related to the fact that smoking reduces blood circulation. In addition, smokers tend to take longer to heal than non-smokers, which could mean that back pain lasts longer for them.

Common Causes of Back Pain

* Injuries. Pulled or strained muscles, fractures, sprains and other injuries are often the root cause of back pain. These injuries, even when not affecting the back directly, can increase pressure on the spine, which stresses the back.

* Spinal Disc Problems. Discs act as cushions between the spinal vertebrae. Disc degeneration, ruptured or herniated discs and other disc-related conditions can result in sudden or chronic back pain.

* Arthritis. Various forms of arthritis, or inflammation of the joints, can either cause back pain or make it worse. Osteoarthritis, in particular, is a common cause of back pain among older adults.

* Other Diseases or Conditions. Scoliosis, kidney stones, endometriosis, and fibromyalgia are among the conditions that are associated with back pain. In rare cases, back pain may be caused by infection or cancer in the spine.

Common Treatments For Back Pain Relief

If you suffer from back pain, you should consult with a physician for a proper diagnosis and to determine the best treatment options, because the best method of managing your back pain often depends on what caused it.

Here are some treatments and pain relief medications often prescribed by doctors for back pain:

* Over the Counter Pain Relief. Aspirin, acetaminophen and ibuprofen can all be effective for back pain relief.

* Prescription Pain Relief Medication. A variety of prescription medications have been shown to be effective in the treatment of back pain. These include muscle relaxants, narcotics, and prescription-strength anti-inflammatory drugs.

* Exercise and Physical Therapy. Chronic back pain can often be eased through certain types of exercise or physical therapy, though strenuous exercise is usually not recommended for acute back pain.

* Heat Therapy or Cold Packs. Hot or cold packs can sometimes provide effective pain relief. Cold packs help reduce swelling and can numb back pain to some extent while heat helps loosen and relax muscles.

* Alternative Pain Relief Treatments. Some people with back pain have been helped by alternative treatments including: massage therapy, acupuncture and acupressure, and transcutaneous electrical nerve stimulation (TENS).

* Surgery. Surgery is considered only in cases where chronic back pain does not respond to other treatments.



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The Foundation of Back Pain

back pain
Maureen Fontaine asked:


BACK PAIN

8 out of 10 men and women will look for lower back pain relief at some point in their life. Tenderness in the lower or middle back is the leading cause of disability and pain in people less than the age of 45.

Back pain can vary from a gentle, unrelenting ache to unbearable pain with the least amount of movement. There are numerous reasons for requesting back pain remedies. The majority of occurrences are associated with soft tissue inflammation surrounding the spinal columm.

Is Back Pain Common?

At least fifteen million men and women search for medical assistance in regards to lower back pain relief each year. Lower back pain relief is runner up to the common cold as a cause of days of work lost and visits to the local pharmacy. Consequently, the market for lower back pain assistance is significant.

What Causes Back Pain?

Back muscular weakness is primarily a result of an inactive routine. This takes account for back pain relates to stress. Back spasms also begins with laborious activities, or if you shift rapidly after staying in an uncomfortable position. Often following a repetitive twisting movement is when a “pulled back” takes place. Lower back pain medications line the shelves of supermarkets and pharmacies, as the necessity for lower back pain relief is widespread. Keep in mind most medications do not heal at the root of the problem like Recovery. Other products are going to be nothing more than a band- aid to your current condition.

The intervertebral disks perform as shock absorbers and are exposed to diverse types of pressure and strain throughout the course of daily activities and living. These stresses and tensions outcome may not produce back pain in the moment. In fact, the harm is in fact slowly taking place, the continual trauma start to take its toll. Turning, bending as well as twisting produces compression of the disk, and may cause it to bulge or herniate back towards the nerves and spinal canal. Bending and twisting collectively creates utmost stress on intervertebral disks. Disk degeneration will show its self as chronic or sharp back pain as the muscles preserving the disks go into spasm. The disk degeneration may become inflamed and may possibly cause joint or structural pain.

The lower back known as the lumbar region is the most susceptible to damage. This region receives the more work and use than any other part of the body. This area of the spine tolerates all the burden of the upper body. It bends, twists, flexes and turns on a daily basis. Depending on the amount of strain we put on the lumbar areas will reflect on the amount of wear and tear.

The more wear and tear on the back will ultimately illustrate itself as back pain. This pain is representing damage to the soft tissue which is made up of muscles, ligaments, tendons and the intervertebral disks. The pain is an inflammatory development, a breakdown of the tissue.

What Causes Inflammation?

When injured, the body�s natural reaction is inflammation, which explains the requirement for lower back pain relief. Inflammation is characterized by pain redness, swelling and heat. When soft tissues become aggravated and inflamed, you may possibly have on going occurrence of these symptoms.

Low back pain relief and back pain medications are in great demand, as our lifestyles and physical activities contribute to our physical vulnerabilities in this area.

What is the Answer to degeneration and disease? Now there is an effective Canadian discovery called Recovery. Promoting the Freedom to Move is what Recovery is all about and giving you back the quality of life you desire. taking back freedoms and pleasures that may seem away from hope, the positive results noted with Recovery over the past 7 years are considerable. It has changed the lives of many men, women and children deeply enhancing their capacity to participate in what life has to offer.



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