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Health A-Z
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Back Pain
IntroductionBack pain is one of the most common medical problems, affecting 9 out of 12 people at some point during their lives. Acute back pain may be a sign of a serious medical concern, although this is not most frequently the underlying cause. Typical warning signs of a potentially life threatening problem are bowel or bladder incontinence or progressive weakness in the legs. Acute back pain is commonly described as a very sharp pain or a dull ache, usually felt deep in the lower part of the back and can be more severe in one area, such as the right side, left side, center, or the lower part of the back. The back pain that occurs after a specific trauma, such as a car accident or fall may indicate a bone fracture or other injury. It can range from a dull, constant ache to a sudden, sharp pain. Back pain is called chronic if it lasts for more than three months. Chronic back pain tends to last a long time and may not relieved by standard methods of medical management. topSymptomsBack pain may exist in any one region of the back or in multiple areas at the same time. Pain can be localized to one side or it can be a band of pain wrapping across the width of the back. A backache can be intense in a small area or experienced in a radiating pattern, coming from a central "hot spot." The pain pattern might be tied to a certain movement or might be painful all the time. Pain can be a symptom all by itself or might be joined with other sensory sensations. The most common of these additional symptoms are numbness, tingling and weakness. topCausesThe cause of back pain has most often been explored by the traditional medical community as being "structural" in nature. While there are certainly many incidences of back pain that are associated with strain and/or physical trauma to the area, more often than not the pain is caused by and/or exacerbated by other underlying factors. Below is a list of structural, physiological, biochemical and psychological causes of back pain:
When Do I Need to Go to My Doctor for Backpain?If you have new back pain, you should contact your doctor to see if you need further evaluation. There are also a few warning signs that may indicate a problem that needs immediate evaluation:
Natural TreatmentsThe natural approach to treating back pain is to identify the root source of the pain (online or in person). If you have ruled out major medical problems with your doctor and the diagnosis has been a muscle strain, weakness, pelvic malalignment or a tight muscle, you might benefit greatly from bodywork such as myofascial release, deep tissue massage, chiropractic, yoga and/or pilates. If you have seen limited improvements with these methods, then exploring your nutritional status and mind/body connection would be recommended. Nutritional intervention includes one or more of the following: food allergy testing, hormonal testing and rebalancing, adrenal stress testing, vitamin/mineral analysis and supplementation. Acupuncture, guided imagery, hypnotherapy, meditation and/or mind/body counseling are often recommended to help deal with suppressed emotions which may be causing blockages and pain. topReferencesBrounstein, Art MD. Healing Back Pain Naturally. New York: Pocket Publishing, 2001. Sarno, John, MD. The Mind-Body Connection. New York: Warner Books, 1991. Back Pain. The Mayo Clinic, 2009. Available at: http://www.mayoclinic.com/health/back-pain/DS00171. Accessed on October 29, 2009. Biyani, A. Andersson, G.B. "Low Back Pain: Pathophysiology and Management." J. Am. Acad. Ortho. Surg., March/April 2004; 12: 106 - 115. Swenson R, Haldeman S. "Spinal manipulative therapy for low back pain." J Am Acad Orthop Surg. 2003 Jul-Aug;11(4):228-37. Santilli V, Beghi E, Finucci S. Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations. Spine J. 2006 Mar-Apr;6(2):131-7. Sherman KJ, Cherkin DC, Erro J, Miglioretti DL, Deyo RA. Comparing yoga, exercise, and a self-care book for chronic low back pain: a randomized, controlled trial. Ann Intern Med. 2005 Dec 20;143(12):849-56. Slade SC, Ther MM, Keating JL. Trunk-strengthening exercises for chronic low back pain: a systematic review. J Manipulative Physiol Ther. 2006 Feb;29(2):163-73. Steidl L, Ditmar R, Dostal A. Serum magnesium and calcium in patients with dorsalgias. Magnes Res. 2001 Sep;14(3):225-6. Thomas KJ, MacPherson H, Ratcliffe J, Thorpe L, Brazier J, Campbell M, Fitter M, Roman M, Walters S, Nicholl JP. Longer term clinical and economic benefits of offering acupuncture care to patients with chronic low back pain. Health Technol Assess. 2005 Aug;9(32):iii-iv, ix-x, 1-109. top |