The American Association of Neurological Surgeons inform that, 75% – 85% of Americans will experience back pain in their lifetime. Of those, 50 percent will have more than one episode within a year. Which very high. In 90 % of all cases, the pain gets better without surgery. Talk to your doctor if you’re suffering from back pain.The common causes of Lower back pain are strain and problems with back structures.
Strained muscles often cause back pain. Strain commonly occurs with incorrect lifting of heavy objects and sudden awkward movements. Strain can result from over-activity. An example is the sore feeling and stiffness that occurs after a few hours of yard work or playing a sport.
Vertebrae are the interlocking bones stacked on top of one another that make up the spine. Disks are areas of tissue that cushion the space between each vertebra. Disk injuries are a fairly common cause of back pain. Sometimes these disks can bulge, herniate, or rupture. Nerves can get compressed when this happens. Herniated disks can be painful. A bulging disk pressing on the nerve that travels from your back down your leg can cause sciatica or irritation of the sciatic nerve. Sciatica can be experienced in your leg as pain or tingling.
Loss of bone density and thinning of the bone, called by osteoporosis, can lead to small fractures in your vertebrae. These fractures can cause serious pain and are referred to as compression fractures.
Spinal osteoarthritis is also a potential cause for your back pain. It is caused by damage and deterioration in the cartilage of joints in your lower back. Over time, this condition can lead to narrowing of the spinal column, or spinal stenosis. There are many other potential causes of back pain, but most of these are rare. Be sure to see your doctor if you experience regular back pain that does not go away. After ruling out the more common causes of back pain, your doctor will perform tests to determine if you have a rare cause. These are below –
v fungal or bacterial infection of the spine, such as Staphylococcus, E. coli, or tuberculosis
v kidney infection or kidney stones
v displacement of one vertebral body onto another, called degenerative spondylolisthesis.
v cancer or nonmalignant tumor in the spine.
Back pain might have many symptoms, these are:
v a decreased range of motion and diminished ability to flex the back
v a stabbing or shooting pain that can radiate down the leg to the foot
v a dull aching sensation in the lower back
v an inability to stand up straight without pain.
The symptoms of back pain, if due to strain or misuse, are usually short-lived but can last for days or weeks.
Back pain is chronic when symptoms have been present for longer than three months.
Back Pain Symptoms that May Indicate a Serious Problem
Has to meet with your doctor if back pain doesn’t improve within two weeks of developing. There are times when back pain can be a symptom of a serious medical problem.
Symptoms which can indicate a more serious medical problem are:
v onset following trauma, such as a fall or a blow to the back
v pain associated with a throbbing sensation in the abdomen
v presence of fever
v intense, constant pain that gets worse at night
v numbness, tingling, or weakness in one or both legs
v loss of bowel or bladder control.
if you have any of these symptoms, let your doctor know.
Back Pain Treatment
The majority of back pain episodes are relieved by treatment with nonsteroidal anti-inflammatory medications such as:
Pain relievers, or analgesics, such as acetaminophen, are also an option, though they don’t have the anti-inflammatory properties.
Be careful with medications like ibuprofen if you have kidney problems or stomach ulcers (Need to talk with doctor).
Never take more than the recommended dose of over-the-counter medications without talking to a doctor, as even these medications may have severe side effects if taken incorrectly. So, we have to be very about it.
Other Medication Options
Topical Rubs and Ointments
Topical products may be highly effective at reducing back pain. Many of these contain ingredients like ibuprofen and lidocaine, which have been found to work better than a placebo when it comes to pain relief.
Muscle relaxants can also be used for low back pain, especially is muscle spasms are occurring alongside pain. These are medicines act on the central nervous system to reduce pain.
Your doctor might also recommend cortisone steroid injections for severe back pain. However, pain relief from steroid injections usually wears off by around three months.
Antidepressants and other medications can sometimes be used Off – label for the treatment of back pain. If your back pain is severe, your doctor may prescribe amitriptyline a tricyclic antidepressant, because it focuses on different parts of the pain response. This antidepressant may be also work better for nerve-related pain.
Surgery is a last resort treatment and is rarely needed for back pain. It’s usually reserved for structural abnormalities that haven’t responded to conservative treatment with medicines and therapy. Surgery to partially remove and replace disks and vertebrae may be done to relieve pain caused by degenerative bone diseases.
Alternative therapies that may help relieve back pain include these:
- cognitive behavioral therapy
- chiropractic adjustments
Before going any alternative to be sure talk with your doctor.