Back Pain

Back pain
Spinal column curvature-en.svg
Different regions (curvatures) of the vertebral column
Specialty Orthopedics

Back pain, also known as backache, is pain felt in the back. The back is divided into neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia (tailbone or sacral pain) based on the segment affected.[1] The lumbar area is the most common area affected.[2] Episodes of back pain may be acute, sub-acute, or chronic depending on the duration. The pain may be characterized as a dull ache, shooting or piercing pain, or a burning sensation. Discomfort can radiate into the arms and hands as well as the legs or feet,[3] and may include numbness,[1] or weakness in the legs and arms.

The majority of back pain is nonspecific with no identifiable causes.[4][5] Common underlying mechanisms include degenerative or traumatic changes to the discs and facets joints, which can then cause secondary pain in the muscles, and nerves, and referred pain to the bones, joints and extremities.[3] Diseases and inflammation of the gallbladder, pancreas, aorta, and kidneys may also cause referred pain in the back.[3] Tumors of the vertebrae, neural tissues and adjacent structures can also manifest as back pain.

Back pain is common, with about nine out of ten adults experiencing it at some point in their life, and five out of ten working adults having it every year.[6] Some estimate up to 95% of people will experience back pain at some point in their lifetime.[2] It is the most common cause of chronic pain, and is a major contributor of missed work and disability.[2] For most individuals, back pain is self-limited. In most cases of herniated disks and stenosis, rest, injections or surgery have similar general pain resolution outcomes on average after one year. In the United States, acute low back pain is the fifth most common reason for physician visits and causes 40% of missed days off work.[7] Additionally, it is the single leading cause of disability worldwide.[8]

Classification

Back pain is classified in terms of duration of symptoms.[9]

  1. Acute back pain lasts <6 weeks
  2. Subacute back pain lasts between 6 and 12 weeks.
  3. Chronic back pain lasts for greater than 12 weeks.

Causes

There are many causes of back pain, including blood vessels, internal organs, infections, mechanical, and autoimmune causes.[10] Approximately 90 percent of people with back pain are diagnosed with nonspecific acute back pain in which there is no serious underlying pathology.[11] In approximately 10 percent of people, cause can be identified through diagnostic imaging.[11] Less than 2 percent are attributed to secondary factors, with metastatic cancers and serious infections, such as spinal osteomyelitis and epidural abscesses, accounting for around 1 percent.[12]

Common causes
Cause % of people with back pain
Nonspecific 90%[7]
Vertebral compression fracture 4%[13]
Metastatic cancer 0.7%[7]
Infection 0.01%[7]
Cauda equina 0.04%[14]

Nonspecific

In as many as 90 percent of cases, no physiological causes or abnormalities on diagnostic tests can be found.[15] Nonspecific back pain can be due to back strain/sprain. The cause is peripheral injury to muscle or ligaments. The patient may or may not recall the cause.[9] The pain can present acutely but in some cases can persist, leading to chronic pain.

Chronic back pain in people with otherwise normal scans can result from central sensitization, where an initial injury causes a longer-lasting state of heightened sensitivity to pain. This persistent state maintains pain even after the initial injury has healed.[16] Treatment of sensitization may involve low doses of anti-depressants and directed rehabilitation such as physical therapy.[17]

Spinal disc disease

Spinal disk disease occurs when the nucleus pulposus, a gel-like material in the inner core of the vertebral disc, ruptures.[18] Rupturing of the nucleus pulposus can lead to compression of nerve roots. Symptoms may be unilateral or bilateral, and correlate to the region of the spine affected. The most common region for spinal disk disease is at L4-L5 or L5-S1. The risk for lumbar disc disease is increased in overweight individuals due to the increased compressive force on the nucleus pulposus.[18]

Severe spinal cord compression is considered a surgical emergency and requires decompression to preserve motor and sensory function. Cauda equina syndrome refers to severe compression of the cauda equina and presents initially with pain followed by motor and sensory.[14] Bladder incontinence is seen in later stages of the cauda equina syndrome.

Degenerative disease

Spondylosis, or degenerative arthritis of the spine, occurs when the intervertebral disc undergoes degenerative changes, causing the disc to fail at cushioning the vertebrae. There is an association between intervertebral disc space narrowing and lumbar spine pain.[19] The space between the vertebrae becomes more narrow, resulting in compression and irritation of the nerves.[20]

Spondylolithesis is the anterior shift of one vertebra compared to the neighboring vertebra. It is associated with age-related degenerative changes as well as trauma and congenital anomalies.

Spinal stenosis can occur in cases of severe spondylosis, spondylotheisis and age associated thickening of the ligamentum flavum. Spinal stenosis involves narrowing of the spinal canal and typically presents in patients greater than 60 years of age. Neurogenic claudication can occur in cases of severe lumbar spinal stenosis and presents with symptoms of pain in the lower back, buttock or leg that is worsened by standing and relieved by sitting.

Vertebral compression fractures occurs in 4 percent of patients presenting to primary care with low back pain.[21] Risk factors include age, female gender, history of osteoporosis, and chronic glucocorticoid use. Fractures can occur due to trauma but in many cases can be asymptomatic.

Infection

Common infectious causes of back pain include osteomyelitis, septic diskitis, paraspinal abscess, and epidural abscess.[18] Infectious causes that lead to back pain involve various structures surrounding the spine.

Osteomyelitis is the bacterial infection of the bone. Vertebral osteomyelitis is most commonly caused by staphylococci.[18] Risk factors include skin infection, urinary tract infection, IV catheter use, IV drug use, previous endocarditis, and lung disease.

Spinal epidural abscess is also commonly caused by severe infection with bacteremia. Risk factors include recent epidural, IV drug use, or recent infection.

Cancer

Spread of cancer to the bone or spinal cord can lead to back pain. Bone is one of the most common sites of metastatic lesions. Patients typically have a history of malignancy. Common types of cancer that present with back pain include multiple myeloma, lymphoma, leukemia, spinal cord tumors, primary vertebral tumors, and prostate cancer.[13] Back pain is present in 29% of patients with systemic cancer.[18] Unlike other causes of back pain which common affect the lumbar spine, the thoracic spine is most commonly affected.[18] The pain can be associated with systemic symptoms such as weight loss, chills, fever, nausea and vomiting.[18] Unlike other causes of back pain, neoplasm-associated back pain is constant, dull, poorly localized, and worst with rest. Metastasis to the bone also increases the risk of spinal cord compression or vertebral fractures which requires emergent surgical treatment.

Autoimmune

Back pain can be caused by the vertebrae compressing the intervertebral discs.

Inflammatory arthritides such as ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis, and systemic lupus erythematosus can all cause varying levels of joint destruction. Among the inflammatory arthritides, ankylosing spondylitis is most closely associated with back pain due to the inflammatory destruction of the bony components of the spine. Ankylosing spondylitis is common in young men and presents with a range of possible symptoms such as uveitis, psoriasis, and inflammatory bowel disease.

Referred pain

Back pain can also be due to referred pain from another source. Referred pain occurs when pain is felt at a location different from the source of the pain. Disease processes that can present with back pain include pancreatitis, kidney stones, severe urinary tract infections, and abdominal aortic aneurysms.[9]

Risk factors

Heavy lifting, obesity, sedentary lifestyle, and lack of exercise can increase a person’s risk of back pain.[2] People who smoke are more likely to experience back pain than others.[22] Poor posture and weight gain in pregnancy are also risk factors for back pain. In general, fatigue can worsen pain.[2]

A few studies suggest that psychosocial factors such as on-the-job stress and dysfunctional family relationships may correlate more closely with back pain than structural abnormalities revealed in X-rays and other medical imaging scans.[23][24][25][26]

Diagnosis

Diagnostic work-up for acute back pain.[27]

Initial assessment of back pain consists of a history and physical examination.[28] Important characterizing features of the back pain include location, duration, severity, history of prior back pain, and possible trauma. Other important components of the patient history include age, physical trauma, prior history of cancer, fever, weight loss, urinary incontinence, progressive weakness, or expanding sensory changes, which can elicit red flags indicating a medical urgent condition.[28]

Physical examination of the back should assess for posture and deformities. Pain elicited by palpating certain structures may be helpful in localizing the affected area. A neurologic exam is needed to assess for changes in gait, sensation, and motor function.

Determining if there is radicular symptoms, such as pain, numbness, or weakness that radiates down limbs, is important for differentiating between central and peripheral causes of back pain. The straight leg test is a maneuver used to determine the presence of lumbosacral radiculopathy. Radiculopathy occurs when there is irritation in the nerve root, causing neurologic symptoms, such as numbness and tingling. Non-radicular back pain is most commonly caused by injury to the spinal muscles or ligaments, degenerative spinal disease, or a herniated disk.[10] Disk herniation and foraminal stenosis are the most common causes of radiculopathy.[10]

Imaging of the spine and laboratory tests is not recommended during the acute phase.[18] This assumes that there is no reason to expect that the person has an underlying problem.[29][18] In most cases, the pain goes away naturally after a few weeks.[29] Typically, people who do seek diagnosis through imaging are not likely to have a better outcome than those who wait for the condition to resolve.[29]

Imaging

Magnetic resonance imaging is the preferred modality for the evaluation of back pain and visualize bone, soft tissue, nerves, and ligaments. X-rays are a less costly initial option offered to patients with a low clinical suspicion of infection or malignancy and is combined with laboratory studies for interpretation.

Imaging is not needed in the majority of individuals with back pain. In cases of acute back pain, MRI is recommended for individuals with major risk factors/clinical suspicion for cancer, spinal infection, or severe progressive neurological deficits.[30] For patients with subacute to chronic back pain, MRI is recommended if there are minor risk factors for cancer, risk factors for ankylosing spondylitis, risk factors for vertebral compression fracture, significant trauma, or symptomatic spinal stenosis.[30]

Early imaging studies during the acute phase do not improve care or prognosis in patients.[31] Imaging findings are not correlated with severity or outcome.[32]

Laboratory studies

Laboratory studies are used to if there are suspicions for autoimmune causes, infection, or malignancy.[33][34] Laboratory testing may include white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP).[10]

  • Elevated ESR could indicate infection, malignancy, chronic disease, inflammation, trauma, or tissue ischemia.[10]
  • Elevated CRP levels are associated with infection.[10]

CT scan of the spine, showing calcification of the longitudinal posterior ligament.

Red flags

Imaging is not typically needed in the initial diagnosis or treatment of back pain. However, if there are certain “red flag” symptoms present plain radiographs (x-ray), CT scan, or magnetic resonance imaging (MRI) may be recommended. These red flags include:[35][10]

  • History of cancer
  • Unexplained weight loss
  • Immunosuppression
  • Urinary infection
  • Intravenous drug use
  • Prolonged use of corticosteroids
  • Back pain not improved with conservative management
  • History of significant trauma
  • Minor fall or heavy lift in a potentially osteoporotic or elderly individual
  • Acute onset of urinary retention, overflow incontinence, loss of anal sphincter tone, or fecal incontinence
  • Saddle anesthesia
  • Global or progressive motor weakness in the lower limbs

Prevention

There is moderate quality evidence that suggests the combination of education and exercise may reduce an individual’s risk of developing an episode of low back pain.[36] Lesser quality evidence points to exercise alone as a possible deterrent to the risk of the onset of this condition.[36]

Management

Nonspecific pain

Patients with uncomplicated back pain should be encouraged to remain active and return to normal activities.

The management goals when treating back pain are to achieve maximal reduction in pain intensity as rapidly as possible, to restore the individual’s ability to function in everyday activities, to help the patient cope with residual pain, to assess for side-effects of therapy, and to facilitate the patient’s passage through the legal and socioeconomic impediments to recovery. For many, the goal is to keep the pain to a manageable level to progress with rehabilitation, which then can lead to long-term pain relief. Also, for some people the goal is to use non-surgical therapies to manage the pain and avoid major surgery, while for others surgery may be the quickest way to feel better.[37]

Not all treatments work for all conditions or for all individuals with the same condition, and many find that they need to try several treatment options to determine what works best for them. The present stage of the condition (acute or chronic) is also a determining factor in the choice of treatment. Only a minority of people with back pain (most estimates are 1% – 10%) require surgery.[citation needed]

Non medical

Back pain is generally treated with non-pharmacological therapy first, as it typically resolves without the use of medication. Superficial heat and massage, acupuncture, and spinal manipulation therapy may be recommended.[38]

  • Heat therapy is useful for back spasms or other conditions. A review concluded that heat therapy can reduce symptoms of acute and sub-acute low-back pain.[39]
  • Regular activity and gentle stretching exercises is encouraged in uncomplicated back pain, and is associated with better long-term outcomes.[10][40] Physical therapy to strengthen the muscles in the abdomen and around the spine may also be recommended.[41]  These exercises are associated with better patient satisfaction, although it has not been shown to provide functional improvement.[10] However, one review found that exercise is effective for chronic back pain, but not for acute pain.[42] If used, they should be performed under supervision of a licensed health professional.[42]
  • Massage therapy may give short-term pain relief, but not functional improvement, for those with acute lower back pain.[43] It may also give short-term pain relief and functional improvement for those with long-term (chronic) and sub-acute lower pack pain, but this benefit does not appear to be sustained after 6 months of treatment.[43] There does not appear to be any serious adverse effects associated with massage.[43]
  • Acupuncture may provide some relief for back pain. However, further research with stronger evidence needs to be done.[44]
  • Spinal manipulation appears similar to other recommended treatments.[45]
  • “Back school” is an intervention that consists of both education and physical exercises.[46][47] There is no strong evidence supporting the use of Back School for treating acute, sub-acute, or chronic non-specific back pain.[46][47]
  • Insoles appear to be an ineffective treatment intervention.[48]

Medication

If non-pharmacological measures are not effective, medications may be tried.

  • Non-steroidal anti-inflammatory drugs (NSAIDs) are typically tried first.[38] NSAIDs have been shown to be more effective than placebo, and are usually more effective than paracetamol (acetaminophen).[49]
  • Long-term use of opioids has not been tested in order to determine if it is effective or safe for treating chronic lower back pain.[50][51] For severe back pain not relieved by NSAIDs or acetaminophen, opioids may be used.[citation needed] Opioids may not be better than NSAIDs or antidepressants for chronic back pain with regards to pain relief and gain of function.[51]
  • Skeletal muscle relaxers may also be used.[38] Their short term use has been shown to be effective in the relief of acute back pain.[52] However, the evidence of this effect has been disputed, and these medications do have negative side-effects.[50]
  • In people with nerve root pain and acute radiculopathy, there is evidence that a single dose of steroids, such as dexamethasone, may provide pain relief.[10]
  • Epidural corticosteroid injection (ESI) is a procedure in which steroid medications are injected into the epidural space. The steroid medications reduce inflammation and thus decrease pain and improve function.[53] ESI has long been used to both diagnose and treat back pain, although recent studies have shown a lack of efficacy in treating low back pain.[54]

Surgery

Surgery for back pain is typically used as a last resort, when serious neurological deficit is evident.[41] A 2009 systematic review of back surgery studies found that, for certain diagnoses, surgery is moderately better than other common treatments, but the benefits of surgery often decline in the long term.[55]

Surgery may sometimes be appropriate for people with severe myelopathy or cauda equina syndrome.[41] Causes of neurological deficits can include spinal disc herniation, spinal stenosis, degenerative disc disease, tumor, infection, and spinal hematomas, all of which can impinge on the nerve roots around the spinal cord.[41] There are multiple surgical options to treat back pain, and these options vary depending on the cause of the pain.

When a herniated disc is compressing the nerve roots, hemi- or partial- laminectomy or discectomy may be performed, in which the material compressing on the nerve is removed.[41] A mutli-level laminectomy can be done to widen the spinal canal in the case of spinal stenosis. A foraminotomy or foraminectomy may also be necessary, if the vertebrae are causing significant nerve root compression.[41] A discectomy is performed when the intervertebral disc has herniated or torn. It involves removing the protruding disc, either a portion of it or all of it, that is placing pressure on the nerve root.[56] Total disc replacement can also be performed, in which the source of the pain (the damaged disc) is removed and replaced, while maintaining spinal mobility.[57] When an entire disc is removed (as in discectomy), or when the vertebrae are unstable, spinal fusion surgery may be performed. Spinal fusion is a procedure in which bone grafts and metal hardware is used to fix together two or more vertebrae, thus preventing the bones of the spinal column from compressing on the spinal cord or nerve roots.[58]

If infection, such as a spinal epidural abscess, is the source of the back pain, surgery may be indicated when a trial of antibiotics is ineffective.[41] Surgical evacuation of spinal hematoma can also be attempted, if the blood products fail to break down on their own.[41]

Pregnancy

About 50% of women experience low back pain during pregnancy.[59] Some studies have suggested women who have experienced back pain before pregnancy are at a higher risk of having back pain during pregnancy.[60] It may be severe enough to cause significant pain and disability in up to a third of pregnant women.[61][62] Back pain typically begins at around 18 weeks gestation, and peaks between 24 and 36 weeks gestation.[62] Approximately 16% of women who experienced back pain during pregnancy report continued back pain years after pregnancy, indicating those with significant back pain are at greater risk of back pain following pregnancy.[61][62]

Biomechanical factors of pregnancy shown to be associated with back pain include increased curvature of the lower back, or lumbar lordosis, to support the added weight on the abdomen.[62] Also, a hormone called relaxin is released during pregnancy that softens the structural tissues in the pelvis and lower back to prepare for vaginal delivery. This softening and increased flexibility of the ligaments and joints in the lower back can result in pain.[62] Back pain in pregnancy is often accompanied by radicular symptoms, suggested to be caused by the fetus pressing on the sacral plexus and lumbar plexus in the pelvis.[62][60]

Typical factors aggravating the back pain of pregnancy include standing, sitting, forward bending, lifting, and walking. Back pain in pregnancy may also be characterized by pain radiating into the thigh and buttocks, night-time pain severe enough to wake the patient, pain that is increased during the night-time, or pain that is increased during the day-time.[61]

Local heat, acetaminophen (paracetamol), and massage can be used to help relieve the pain. Avoiding standing for prolonged periods of time is also suggested.[63]

Economics

Although back pain does not typically cause permanent disability, it is a significant contributor to physician visits and missed work days in the United States, and is the single leading cause of disability worldwide.[7][8] The American Academy of Orthopaedic Surgeons report approximately 12 million visits to doctor’s offices each year are due to back pain.[2] Missed work and disability related to low back pain costs over $50 billion each year in the United States.[2] In the United Kingdom in 1998, approximately £1.6 billion per year was spent on expenses related to disability from back pain.[2]

References

 

 

Fantastic Advice If You Have Back Pain

There are many sufferers of back pain. Most people are not sure how to effectively treat it and rid themselves of it for good. A variety of therapies are available to effectively treat back pain.

Always pay attention to back pain! Sometimes people will ignore the signals their body is sending to them. They expect painful back spasms to simply go away while they continue to behave normally. Moving too much while you’re in pain can be counterproductive. Try to take it easy until the pain eases up.

To find out how bad the injury to your back is and avoid making it worse, rest a few days. If the pain goes away in that period, it’s safe to assume that the injury was minor. Now if the pain is still there or it has increased, then it would be highly advisable that you seek a professional chiropractor or doctor to figure out the source of this pain. Also, it’s important that you do not rest too long. Resting longer than a two-day period may in fact cause the pain to get worse. Muscle atrophy may settle in.

When you have back discomfort, lay with your knees and hips at an angle of about 90 degrees. This position will ease stress on the back more than other positions, and feels comfortable. If this position does not feel comfortable, pick a position that feels good and doesn’t cause your spine to twist.

Do not slouch for any amount of time for any reason, like when you vacuum. If you bend over constantly while vacuuming trying to push and reach forward, then you are going to cause back pain. Make sure you are standing up straight and you keep good posture, push the vacuum with the legs so you can stay away from injury.

A good tip when trying to avoid back discomfort is to never pick up a box unless you know exactly what contents are inside. What is inside could be heavy and could surprise your back. Don’t just look at the picture to determine the weight.

One of the top reasons for doctor’s visits is because of lower back pain. There are some simple changes you can make to stop lower back pain from ever appearing, but the changes must be implemented correctly to see the benefits. Because lower back pain is quite common, you will want to take precautions to reduce your chances of suffering from it.

You do not have to live with back discomfort. With the right information, many people find it is possible to reduce or eliminate the chronic pain. After reading this article, you should have a better idea of how you can handle and manage your back pain.

Suffer From Back Pain? Here’s Some Great Advice

When you have back discomfort, no one will feel the same way! Sometimes the back just feels stiff, but other people will feel stabbing pain. It’s this dynamic range that makes back pain such a hard problem to deal with, but luckily, the tips below have been able to hit a few of the nails in the head with common problems.

Anyone who suffers a bad back injury may be unable to see a doctor for a couple of days, during which time they may experience difficulty sitting or sleeping well. Lying flat on the back with the knees bent is a position that many people suffering from back injuries, such as ruptured discs, find comfortable. This position allows the lower back muscles and the tendons in the lower hips and thighs to relax.

Do not ignore the pain. Many people ignore pain and forget that their bodies need good care. They sometimes even attempt to just ignore their back pain. If you are hurting, limit your movements. Back discomfort is a perfectly viable reason to rest and relax until the pain goes away.

Try not to stress the same muscle groups over and over again, regardless of the stance or position you may be in. Many common tasks at home or work can be done with repetitive movements, so it’s important to remember to avoid doing them in such a way. Don’t stay completely still for too long if at all possible.

If you experience pain chronically in your back you may want to try laying with your knees and hips at 90 degree angles. This position is the most effect way to take unnecessary stress off of your joints. Comfort is the most important thing to consider, though — just keep your spine straight.

If you have back discomfort, make sure that you maintain good posture–stand, don’t slouch–when performing household chores like cleaning or vacuuming. If you are constantly hunched forward while pushing the vacuum cleaner back and forth, you can strain your back muscles, causing them to be painful. Use you legs to propel the vacuum forward and you will avoid placing unnecessary pressure on your back.

Knowing that there are different types of symptoms of back pain does not mean that any one symptom is less painful than another. Back discomfort can ruin your day, your week, or your year. If you put the tips you just read to use, your back discomfort will no longer interrupt your life, allowing you to live your life as you should.

How To Manage Your Severe Back Discomfort

A high percentage of the pain people associate with the lower back is due to existing muscle injuries. Damage to the muscles or ligaments can stem from any form of consistent strain over time and is often unnoticed until the pain becomes severe. This article will provide you with some effective ways to cope with back pain. Back discomfort is usually not permanent, even though at times, it can be difficult to handle.

You might have to wait a few days for an appointment with your doctor while suffering from severe back discomfort. If you suffer from a serious back injury, such as a ruptured disc, you can experience the most comfort by laying on your back, with it flat, while you also bend your knees. The relieves any tension in your tendons and muscles that run down your back and through your legs.

To assess the severity of an injured back and prevent further straining or tearing, give yourself a couple days of rest after the pain begins. If your pain goes away during this time period, then it was most likely a small injury. If your pain level increases or does not change at all, consult your physician for diagnostic tests. Resting for more than 48 hours usually won’t do any good, and it may even make the problem worse due to back muscle atrophy.

A healthy diet will almost always include large amounts of water, preferably up to 62 ounces daily. A healthy well-balanced diet that is full of essential nutrients will help your body function better. This not only helps you have a skinnier body, which can decrease a lot of back pressure, but a healthy diet provides you with essential fluids and nutrients, which help prevent back pain better.

Lifting objects that are far from you is usually a result of laziness and/or impatience. Move up to the item so you don’t risk a back injury. Arrange things so that they are easier to access and focus on doing things right so that you are satisfied with the results.

Protecting your back during long days spent at a desk is as easy as taking a walk on your breaks. When you stretch your leg muscles via standing and walking, you are also stretching out your back muscles. This can help alleviate any compression issues and back pain that occur from sitting too long.

Most people understand what it means to have back discomfort. Either they have vivid recollection of earlier pain or are immersed in a current state of discomfort. This article included some good tips for dealing with back pain; it’s up to you to follow them. Always keep up your self-care routine, and treat your back right.

Tips On How To Treat Your Back Discomfort

These days, a number of people must deal with back pain. There are several things that can cause this. If you are one of the people with this problem, read on to find out if there is anything you might be able to do to relieve your back problems and be happier.

To prevent some back discomfort from getting worse, always attempt to avoid putting stress on the muscles that cause you pain. This stress can occur in any sitting or standing position, so make sure to stay mindful of it. As you tidy your home, prepare dinner or do any other type of repetitive activity, make an effort to limit the duration for which you perform such tasks. Change your position and move around occasionally.

Is back discomfort something you currently experience? Avoid further injury and pain by avoiding quick, twisting motions as you go about your day. Tasks like cleaning and lifting can cause you to twist your back, which will cause additional damage to your back and prolong the healing process. If you are active in various sporting activities, make sure to notice how your spine’s movements react. If you experience tightness or pain, slow down whatever activity in which you are engaged.

If you get chronic back pains, go to the chiropractor regularly to prevent more injuries from appearing. Consulting a chiropractor on a regular basis could help you in fixing the small problems before they become serious injuries.

Drink a lot of water during the day. Proper nutrition has many health benefits, not just alleviating back discomfort. Not only does it promote a leaner body that can prevent a great deal of pressure on your back, but there are needed nutrients and fluids that can prevent back discomfort quite effectively.

Once back pain begins to be of concern on a regular basis, make an appointment to discuss this with your physician. Your doctor will be able to take other factors in consideration, analyze your blood, and maybe take some X-rays of your back.

Two third of the adult population suffers from back discomfort at some point. Lots of people think that back discomfort can be traced to a single injury or incident. Actually, much of the time, it is just the last part of a series of events contributing to the back discomfort.

Practice relaxation by laying down and allowing your body to go limp. Then, choose one body part and flex it slowly and deliberately a few times before going on to the next body part. This can relax your entire body and make you more flexible.

You shouldn’t feel that you are alone because back problems are a very common problem for many people. Try to search for the cause of your pain, so you can find a solution! Your pain relief might just be around the corner.

Back Pain Tips That Can Improve Your Life

When people go see the doctor because of back discomfort, there often is really little that can be done. Many times they will be given a prescription and sent home to rest. This article is packed with helpful tips on how to prevent and deal with pain.

Make a conscious effort not to stress the same muscles over and over again. Do all you can to avoid repetitive motions for a long period of time. Changing your posture and simply moving around your whole body can help.

Do you have back discomfort? Avoid further injury and pain by avoiding quick, twisting motions as you go about your day. No matter what you are doing, if you frequently twist your back, you can injure your back muscles and cause pain. When participating in sports, take a rest if there is pain or tightness in your back.

You should never attempt to lift a box if you do not know what it contains. The contents of the box may weigh more than you expect and cause injury to your back. Don’t risk your back health by assuming you know how heavy something is according to the picture or label on the box.

Stressing about back pain will only serve to worsen it. You need to learn to relax so that you do not increase your chances of having a muscle spasm. Get plenty of rest, and put heat on the painful muscles in your back.

Back discomfort usually manifests in the lower back, and it is one of the most common reasons that people go to the doctor. There are several different things that can be done to prevent excessive lower back discomfort. If you worry that you may suffer from back discomfort in the future, then it is in your best interest to find ways to prevent it.

Experiencing back discomfort can, unfortunately, affect your day’s activities in a big way. The advice here can help you take control and prevent back discomfort from ruling your life.

Keep Your Back Strong And Pain-Free With These Tips

If you suffer with back discomfort, then you are in good company. Even as you read this article, there are many others suffering with backache. In this article, you will be introduced to several ideas which can aid in the treatment of spinal pain symptoms. Now you can choose to be proactive in ending your back discomfort and getting on with your life.

Find a mattress that is appropriately firm in order to avoid back discomfort. Most back discomfort sufferers would agree that soft mattresses only make back discomfort worse, because they provide no support. Firmer mattresses work well, but a too-firm mattress can also cause problems. Don’t be afraid to shop around and sample many different mattresses before you finally settle on one.

There is often a lead time of a day or so between injuring one’s back and seeing a doctor, and it can be hard to sit or lie down comfortably during that time. For many who have ruptured disks, the most comfortable position for rest is on the back with knees bent upward. This helps to release tension in the back, as it allows muscles and tendons to relax.

Make a conscious effort not to stress the same muscles over and over again. Do not move the same way for a long stretch of time, especially when you are doing tasks that you need to repeat, like cooking or cleaning. Don’t stay completely still for too long if at all possible.

Talk a walk when you have a break in order to protect your back if you spend long hours at a desk. Stand up and stretch regularly, including your back muscles, to help prevent serious back pain and any injuries which could happen as a result.

As this article has shown you, there are various methods for treating your back discomfort. It may take a while to see real relief, but if you start using these techniques now, you will be on the way to a pain-free life. You deserve a life without back discomfort, and the information laid out here will help you.

Useful Tips For Sufferers Of Back Pain

“Oh, my back!” Pay attention. Is this a common utterance when you or someone you know gets up from a chair? It is important for you to get information regarding back pain and how to handle it. Read on for some good, useful information about back pain that can help you feel better right away.

To determine the severity of your back injury and avoid exacerbating that injury, it is best to rest for a day or two after the pain starts. If the pain subsides in that time, then it is safe to assume it was a minor injury. Now if the pain is still there or it has increased, then it would be highly advisable that you seek a professional chiropractor or doctor to figure out the source of this pain. Also, it’s important that you do not rest too long. Resting longer than a two-day period may in fact cause the pain to get worse. Muscle atrophy may settle in.

To avoid getting unnecessary pain in your back, even while you are sitting, make sure you have good posture. A lot of people erroneously think that back injuries result from intense physical activity. But poor posture, sitting incorrectly, and being hunched over a computer can cause pain and eventual long-term damage.

Avoid stress if you have back pain, since tensing muscles can make it worse. If you can learn to relax, you will reduce the odds of suffering a painful muscle spasm. Take the time to rest and apply moist heat to the injured areas to alleviate the pain in your back.

If you are 10 pounds or more overweight, you may want to consider a weight-loss plan. Your gravity center shifts when you carry extra weight, especially if that weight is in your abdomen. The lower portions of your back will be particularly vulnerable, and can contribute to back discomfort in future years.

The occurrence of back pain is a common problem. So common in fact that four out of six people experience it. People who suffer from pack pain may be looking for the culprit, or the one mistake they made that caused severe back problems. In actuality, many times, that is just the straw that broke the camel’s back, so to speak.

In order to handle back discomfort the right way, you need the right information. You should be able to make an informed decision about back discomfort if you use the information that has been provided in the above article.

Tips On How To Get A Handle On Your Back Pain

You’re not alone if you’ve got back pain. Many people struggle with back pain daily. This article suggests ideas to treat back discomfort and its symptoms. You can make the decision to take proactive steps toward reducing your pain today.

If you are feeling the symptoms of a backache, try to lay yourself down so that you are bent at the hips and knees perpendicularly. Laying like this is comfortable and reduces the stress on your back if you were sitting. Whatever you consider to be the most comfortable position is the best way, as long as it does not twist the spine.

It is easy to succumb to slouching around the house when doing chores, but it is important to focus on standing straight, even when performing tasks such as vacuuming. If you bend over constantly while vacuuming trying to push and reach forward, then you are going to cause back discomfort. Stand as straight as possible and push your vacuum with the legs instead of the back.

It’s a good idea to begin a habit of visiting the chiropractor once or twice every six months. You will want to visit them even more if you are genetically inclined to back problems, or placed in harm’s way more often than average. These regular visits to the chiropractor are often the only thing that helps keep a small back problem small, or gone all together.

Many women are opting for breast reduction surgery to help ease their back pain, and give themselves some permanent relief. Breast reduction surgery is a great way to give yourself relief from back pain, and your doctor will be able to advise you if this type of surgery is right for you. If you have very large breasts, your back and neck can suffer from pain. Women who undergo breast enlargements usually find this out.

When battling the discomfort of back pain, allowing yourself to become stressed about it will not do any good at all. You need to learn to relax so that you do not increase your chances of having a muscle spasm. Try to rest and use heat on your back for easing your pain.

Pain in the lower back is the main area for pain in the back. It is also one of the top reasons people see a doctor. There are a lot of things in your daily life that you can change and take precaution to in order to avoid back pains of any type. Since this kind of back pain is so prevalent, you should learn how to prevent it.

By now, you should see that there are so many different options for treating and living with back pain. Some of the treatments described above may take a while to work, but when they do, you will notice the difference. The suggestions you have learned here will help you lead the happy and pain-free life you deserve.

Get Back Pain Under Control And Keep It That Way

More and more people are suffering from sore and aching back pains, and many do not know how to find relief. Fortunately, there are effective ways to relieve your back discomfort. This article shares them with you.

Positioning your hips and positioning your knees at a right angle can help alleviate back pain. Placing yourself in this position can alleviate the stress placed on the back much more efficiently that alternate approaches. It is okay to experiment with positions that feel right to you, providing that your spine is not compromised by twisting it in any way.

Eat nutritious food and drink lots of water about 62 ounces each day. A good diet is a great way to help alleviate back discomfort. It both fosters a more slender body, thus relieving some back pressure, and gives healthy fluids and nutrients that may prevent or delay the onset of back pain.

Protect your back during the day by walking around on breaks. You can also prevent back pain and compression problems by regularly standing and stretching.

Stressing out about back discomfort only worsens it. Instead, discover ways to relax so there is less chance you will experience spasms in your back muscles. Make sure you rest, and apply heat to your back to ease the pain that you are feeling.

The lower back is where most people have pain in their back. And back discomfort is among the top reasons for people to see their doctor. Proper lifting procedures will prevent many strains. Using the legs rather than the back when lifting heavy objects is recommended. If lower back pain seems so common and inevitable, it makes sense to do everything you can to prevent it.

If you have back discomfort, talk to your doctor so you can get a diagnosis. Your physician might want to do some tests, even blood tests, or they will get the medical history and perhaps give you some advice on what else needs done.

There are dozens of over-the-counter pain relief aids, as well as prescription medications, available to treat back pain. Before you make any decisions, consult with your doctor. Sometimes you can get relief from non-prescription medicine, and sometimes you may require prescription medications.

Start a diet to lower your weight if you are 10 pounds heavier than you want. The added weight, especially around the tummy, will cause your body’s center of gravity to shift. This shift puts strain on your lower back, and will cause long term back discomfort.

Even if you are experiencing back pain at this very moment, do not despair. The methods contained in this piece have been shown to greatly ameliorate back discomfort, and are therefore definitely worth a try. Give your back the care it deserves and your back discomfort will soon be gone.