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 |  موضوع: Important Questions to Ask Your Doctor About Back Pain  الأحد يناير 24, 2010 1:48 pm | |
| Important Questions to Ask Your Doctor About Back Pain
Back pain is common. If you or a loved one is suffering from back pain you may want to ask your doctor these questions.
1. What is causing my back pain? 2. What can I do to prevent my back pain from getting worse? 3. Why is my back vulnerable to pain and injury? 4. Could stress be a contributing factor, and what can I do about it? 5. What are my treatment options? 6. If surgery is recommended, is it really necessary and what are the risks? 7. What are the potential risks and benefits of other available treatments? 8. What lifestyle changes do I need to make to keep my back healthy? 9. How can I be sure that my work does not negatively affect my back? 10. What are the chances that my back pain will result in permanent disability? .
What is low back pain?
Low back pain can affect the back anywhere below the ribs and above the legs. The lower back is the connection between the upper and lower body, and it bears most of the body’s weight. Because of these roles, it is easily injured when you lift, reach, or twist.
Almost everyone has low back pain at one time or another. The good news is that most low back pain will go away in a few weeks with some basic self-care. But if your pain is severe or lasts more than a couple of weeks, see your doctor.
What causes low back pain?
Low back pain is often caused by overuse, strain, or injury. For instance, people often hurt their backs playing sports or working in the yard, being jolted in a car accident, or lifting something too heavy.
Aging plays a part too. Your bones and muscles tend to lose strength as you age, which increases your risk of injury. The spongy discs between the bones of the spine (vertebrae) may suffer from wear and tear and no longer provide enough cushion between the bones. A disc that bulges or breaks open (herniated disc) can press on nerves, causing back pain.
In some people, low back pain is the result of arthritis, broken vertebrae (compression fractures) caused by bone loss (osteoporosis), illness, or a spine problem you were born with.
Often doctors don't really know what causes low back pain. But it is more likely to become long-lasting (chronic) if you are under stress or depressed.
What are the symptoms?
Depending on the cause, low back pain can cause a range of symptoms. It may:
- Be dull, burning, or sharp.
- Be felt at a single point or over a broad area.
- Come on gradually or suddenly.
- Occur with muscle spasms or stiffness.
- Cause leg symptoms, such as pain, numbness, or tingling, often extending below the knee. These symptoms can occur on their own or along with low back pain. Leg symptoms are often caused by lower spine problems that place pressure on a nerve that leads to the leg.
A rare but serious problem called cauda equina syndrome can occur if the nerves at the end of the spinal cord are squeezed. Seek emergency treatment if you have weakness or numbness in both legs, or loss of bladder or bowel control.
Doctors say back pain is:
- Acute if a spell (or episode) of pain lasts less than 3 months. Most back pain is acute and goes away with 4 to 6 weeks of home treatment.
- Recurrent if acute symptoms come back. Most people have at least one episode of recurrent low back pain.
- Chronic if your back bothers you most of the time for longer than 3 months.
How is low back pain diagnosed?
The doctor will ask questions about your past health, symptoms, and work and physical activities. He or she will also do a physical exam. Your answers and the exam can help the doctor rule out a serious cause for the pain. In most cases, doctors are able to recommend treatment after the first exam.
Most people do not need further testing. Imaging tests such as CT SCAN MRI X -RAY are not helpful for diagnosing most episodes of low back pain. In most cases, they are only used if the doctor suspects a serious problem, such as a herniated disc, a broken bone, or cancer, or if surgery is being considered or planned. You might also have imaging tests if worker’s compensation or a lawsuit is involved.
How is it treated?
Most low back pain will improve with the following treatment:
- For the first day or two, rest Try lying on your side with a pillow between your knees. Or lie on your back on the floor with a pillow under your knees. Do not stay in one position for too long, though. Every 2 to 3 hours, take a short walk (about 10 to 20 minutes), then rest in a comfortable position again.
- Take over-the-counter pain medicine if needed, such as acetaminophen (Tylenol, for example) or ANTI INFLAMMATORY DRUGS such as aspirin or ibuprofen (Advil or Motrin, for example). These medicines usually work best if you take them on a regular schedule instead of waiting until the pain is severe.
- Try using a heating pad on a low or medium setting, or a warm shower, for 15 to 20 minutes every 2 or 3 hours. You can also buy single-use heat wraps that last up to 8 hours. You can also try an ice pack for 10 to 15 minutes every 2 to 3 hours. There is not strong evidence that either heat or ice will help, but you can try them to see if they help.
- As soon as possible, get back to your normal activities. Staying in bed for more than 1 or 2 days can weaken your muscles and make the problem worse.
Walking is the simplest and maybe the best exercise for the lower back. It gets your blood moving and helps your muscles stay strong. Start with easy walks of 5 to 10 minutes a day, and gradually increase your time. Walking in water up to your waist or chest is also good exercise.
A doctor can recommend more specific exercises to help your back muscles get stronger. These may include a series of simple exercises called The muscles of your, or core, support your spine. Strengthening these muscles can improve your posture, keep your body in better balance, and lower your chance of injury.
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