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  • spinal
  • Disk herniation through the annulus fibrosis does not in itself produce pain, but compression by disk of the dural lining around the spinal nerve root sleeve is one likely explanation for the back pain associated with acute disk herniation. (clevelandclinicmeded.com)
  • This is also likely to contribute to the pain from spinal nerve root compression from arthritic spurs at degenerated facet and uncovertebral joints. (clevelandclinicmeded.com)
  • Of the 31 pairs of spinal nerves and roots, five lumbar (L1-L5) and five sacral (S1-S5) nerve pairs connect beginning in the area of the lower back. (aans.org)
  • If there are several nerve roots and discs causing the pain or if there is degeneration and instability in the spinal column, the neurosurgeon may opt to fuse the vertebrae together with bone grafts and stabilize the vertebrae with instrumentation, including metal plates, screws, rods and cages. (aans.org)
  • Low back pain is a common condition, can be caused by lumbar sprain, spinal stenosis, disc herniation, and different degenerative spinal disorders. (spineuniverse.com)
  • If one or more spinal discs are suspected as the pain source, the doctor may order a provocative discogram or discography. (spineuniverse.com)
  • Spinal fusions may alleviate disc related back pain by replacing the disc with bone and cages. (spineuniverse.com)
  • Eighty percent of the population of the United States, at some point in their life, is going to have back pain ," says Ronald J. Wisneski, MD, an orthopedic surgeon, speciali st in spinal disorders and spine surgery, and associate in the Department of Orthopedic Surgery at Geisinger Medical Center in Danville, Pa. (webmd.com)
  • A herniated disc in the lower back can put pressure on the nerve that extends down the spinal column. (webmd.com)
  • When this happens, bones can press on the spinal nerves and cause lower back pain. (webmd.com)
  • Pain from trauma may be caused by a sports injury, work around the house or in the garden, or a sudden jolt such as a car accident or other stress on spinal bones and tissues. (daviddarling.info)
  • Because the bones of the spinal column continue growing long after the spinal cord reaches its full length in early childhood, the nerve roots to the lower back and legs extend many inches down the spinal column before exiting. (daviddarling.info)
  • The spaces between the vertebrae are maintained by round, spongy pads of cartilage called intervertebral disks that allow for flexibility in the lower back and act much like shock absorbers throughout the spinal column to cushion the bones as the body moves. (daviddarling.info)
  • The affected structure sends a signal through nerve endings, up the spinal cord and into the brain where it registers as pain. (spine.org)
  • In general, it is believed that the nerve pathways that carry the pain signals from the nerve endings through the spinal cord and to the brain may become sensitized. (spine.org)
  • Surgery may be beneficial for those with disc-related chronic pain and disability or spinal stenosis . (wikipedia.org)
  • Low back pain at night that is not relieved by lying down may becaused by a tumor in the cauda equina (the roots of the spinal nerves controlling sensation in and movement of the legs), or a cancer that has spread to the spine from the prostate, breasts, or lungs. (faqs.org)
  • Learn how the lumbar spinal discs function and how lower back conditions can cause back pain and/or radiating pain. (spine-health.com)
  • See illustrations of spinal anatomy and learn about components of the spine to help you better understand various sources of back pain and other back problems. (spine-health.com)
  • For example, with spinal stenosis walking normally may be difficult and painful, but leaning forward onto something, such as a shopping cart, may reduce pain. (spine-health.com)
  • Conditions such as osteoporosis, fibromyalgia, spinal stenosis , degenerative disc disease , and osteoarthritis in the spine may all cause back pain. (healthcentral.com)
  • Bakker E, Verhagen A, Lucas C et al (2007) Spinal mechanical load: a predictor of persistent low-back pain? (springer.com)
  • Doctors at Emory are trying to determine if spinal cord stimulation rather than more surgery can be an effective treatment for patients with a condition called Failed Back Surgery Syndrome. (emory.edu)
  • The new study, recently under way at the Emory Spine Center, is the first of its kind to compare two treatments for chronic low-back and leg pain: spinal cord stimulation and repeat spine surgery. (emory.edu)
  • Spinal cord stimulation works by blocking pain signals from reaching the brain, said Howard Levy, assistant professor of orthopaedics and principal investigator of the two-year trial. (emory.edu)
  • The device is implanted in the lower back and wires, or leads, connected to the device are run into the spinal canal. (emory.edu)
  • Potential complications from spinal cord stimulation may include undesirable changes in stimulation, lead migration and loss of pain-relieving effects in some patients. (emory.edu)
  • Both spinal cord stimulation and reoperation are standard medical procedures used to treat chronic pain. (emory.edu)
  • But if conservative approaches fail and the pain becomes debilitating, Meyer said, the next option is invasive spinal fusion surgery. (medicinenet.com)
  • disability
  • Recurrent low back pain and prolonged disability tend to correlate with prior history of low back pain, advancing age, job dissatisfaction, emotional distress, heavy or repetitive lifting and physical work, prolonged sitting or standing, and the presence of a worker's compensation claim or pending litigation. (clevelandclinicmeded.com)
  • Before, during, and after treatment, they rated their pain and disability on a scale of zero to 10. (webmd.com)
  • Adhering to the correct principles of workplace ergonomics driving ergonomics, seating ergonomics and so on, is also very important in preventing long term back injury and disability. (hubpages.com)
  • This chapter summarizes the natural evolution of nonspecific LBP classified as a function of time: acute, subacute, and chronic, and analyzes the complex relation between pain, back functioning, and disability. (springer.com)
  • In the end, the study is expected to tell us which treatment option provides reduced pain, greater functional status, improved quality of life and reduced disability to patients with chronic lower back and leg pain, Levy said. (emory.edu)
  • symptom
  • Some consider the symptom of low back pain to be a part of the human experience. (spine.org)
  • Low back pain is a common musculoskeletal symptom that may be either acute orchronic. (faqs.org)
  • Low back pain is a symptom that affects 80% of the general United States population at some point in life with sufficient severity to cause absence from work. (faqs.org)
  • All forms of treatment of low back pain are aimed either at symptom relief orto prevent interference with the processes of healing. (faqs.org)
  • Mechanical low back pain (LBP) remains the second most common symptom-related reason for seeing a physician in the United States. (medscape.com)
  • worse
  • If low back pain gets worse or does not improve after two to three days of home treatment, contact a primary-care physician. (aans.org)
  • These signals feel just as real and sometimes worse than the pain caused by the original injury or disease process. (spine.org)
  • The pain is made worse by sitting or lying down and improves when the patient gets up. (faqs.org)
  • When beginning an initial workup of the patient's history, the doctor will ask the patient specific questions about the location of the pain, its characteristics, its onset, and the body positions or activities that make it betteror worse. (faqs.org)
  • This may mean losing weight (being overweight can make back pain worse), getting your muscles in better shape, or improving your posture when you are sitting, standing, and sleeping. (aafp.org)
  • Pain that is worse after prolonged sitting. (spine-health.com)
  • Pain that is worse after waking up and better after moving around. (spine-health.com)
  • Many who experience low back pain report symptoms that are worse first thing in the morning. (spine-health.com)
  • In a small new study, the approach appeared to be safe -- and none of the patients reported that their pain got worse after the procedure. (medicinenet.com)
  • inflammation
  • Some of these chemicals trigger the process of inflammation, or swelling, which also contributes to pain. (spine.org)
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) are helpful with pain control and may help reduce inflammation. (spine.org)
  • During this initial phase, the physiatrist (a doctor who specializes in rehabilitation medicine) and treatment team develop a plan to reduce the initial low back pain and source of inflammation. (hopkinsmedicine.org)
  • Once the initial pain and inflammation are better managed, the rehab team focuses on helping you return to normal daily activities while starting a specialized exercise program to regain flexibility and strength. (hopkinsmedicine.org)
  • The pain is perceived in the lower back but is caused by inflammation elsewhere--often in the kidneys or lower abdomen. (faqs.org)
  • Learn how to correctly use anti-inflammatory medications for back inflammation relief with prescription and over-the-counter medications. (spine-health.com)
  • If your pain is due to RA inflammation in the facet joints, a steroid shot may help reduce the pain . (healthcentral.com)
  • posture
  • Obesity , smoking, weight gain during pregnancy, stress, poor physical condition, posture inappropriate for the activity being performed, and poor sleeping position also may contribute to low back pain. (daviddarling.info)
  • Acupuncture is a valid treatment for low back pain, but only after posture and proper body mechanics have been addressed," says Judy Fielder, CNM, MN, a nurse-midwife who practices in Atlanta. (webmd.com)
  • Maintaining the correct posture, when sitting, standing, and sleeping is also very helpful in reducing the stress off your lower back. (hubpages.com)
  • bone
  • In children, spondylolisthesis usually occurs between the fifth bone in the lower back and the first bone in the sacrum area. (healthcentral.com)
  • For the procedure, he used a long needle to extract bone marrow from the back of the hip. (medicinenet.com)
  • Of the 24 patients who initially received the bone marrow injections, half went on to have other procedures over the next 30 months, making it impossible to know what might have affected their back pain. (medicinenet.com)
  • nonsteroidal
  • Treatment options include physical therapy, back exercises, weight reduction, steroid injections (epidural steroids), nonsteroidal anti-inflammatory medications , rehabilitation and limited activity. (aans.org)
  • relieve the pain
  • However, the following advise was given by a chiropractor , and helped me relieve the pain of a herniated disc after several years of playing basketball . (everything2.com)
  • And, despite a second procedure to relieve the pain, more than 13,000 patients still suffer from unresolved pain. (emory.edu)
  • affects
  • Low back pain often affects mood, which may be improved by counseling or antidepressants . (wikipedia.org)
  • Low back pain affects up to three-quarters of all pregnant women, usually during the time between their sixth and ninth months of pregnancy. (webmd.com)
  • Low back pain affects up to three-quarters of all pregnant women, especially those who smoke, do strenuous work, or have a history of back problems. (webmd.com)
  • severity
  • Unfortunately, the duration and severity of an a single episode cannot be predicted based on the onset, location of pain, or even the initial severity. (spine.org)
  • However, simple back stretching exercises can help to strengthen both the deep and the superficial muscles of the back, improves the overall flexibility of the upper and lower back, and help to reduce episodes and the severity of low back pain or discomfort in this population. (hubpages.com)
  • Managing pain appropriately at an early stage can help limit symptoms in both time and severity. (spine-health.com)
  • osteoporosis
  • Also, see your doctor if you start having back pain for the first time after age 50, or if you have a history of cancer, osteoporosis, steroid use, or drug or alcohol abuse. (mayoclinic.org)
  • discomfort
  • Because several factors are responsible for low back pain and back discomfort, it is highly recommended that you first consult your health care provider or back pain specialist to rule out disc slippage/damage, pathology or to know the precise reason for your back pain. (hubpages.com)
  • Localized.In localized pain the patient will feel soreness or discomfort when the doctor palpates, or presses on, a specific surface area of the lower back. (faqs.org)
  • injury
  • If low back pain occurs after a recent injury - such as a car accident, a fall or sports injury - call your primary-care physician immediately. (aans.org)
  • In fact, in many instances, the condition or injury that triggered the pain may be completely healed and undetectable, but the pain may still continue to bother the patient. (spine.org)
  • You can experience lower back pain at any time, even if you don't have a prior injury or any of the risk factors. (hopkinsmedicine.org)
  • Back pain that is out of proportion to a minor injury, or that is unusually prolonged, may be associated with a somatoform disorder or other psychiatric disturbance. (faqs.org)
  • Acute low back pain can appear suddenly after injury. (rxlist.com)
  • Warning signs of more serious injury include pain with coughing or urinating, loss of control of the bowels or bladder, new leg weakness, and fever. (rxlist.com)
  • Your pain was caused by an injury. (aafp.org)
  • Low back pain might begin as acute due to an injury, but can become chronic. (spine-health.com)
  • Immediate pain after an injury. (spine-health.com)
  • It's distinct from acute pain that is a direct result of injury or trauma. (dailystrength.org)
  • Bigos SJ, Battie MC, Spengler DM et al (1991) A prospective study of work perception and psychosocial factors affecting the report of back injury. (springer.com)
  • usually
  • The pathophysiology of nonradicular low back pain is usually indeterminate. (clevelandclinicmeded.com)
  • Discogenic low back pain is usually a chronic disorder. (spineuniverse.com)
  • The good news is that even if the exact source of pain is not determined, usually the acute pain subsides spontaneously over time. (spine.org)
  • The symptoms of acute low back pain are usually benign and self limited. (spine.org)
  • A stimulus that is usually not painful, such as light touch, can be amplified or changed by these sensitized pathways and experienced as pain. (spine.org)
  • The symptoms of low back pain usually improve within a few weeks from the time they start, with 40-90% of people completely better by six weeks. (wikipedia.org)
  • And we usually recommend a support device that holds the uterus up and in, relieving stress on back muscles," she adds. (webmd.com)
  • The pain is usually localized, andthere may be muscle spasms or soreness when the doctor touches the area. (faqs.org)
  • The study was scheduled for Thursday presentation at the annual meeting of the American Academy of Pain Medicine in Fort Lauderdale, Fla. Studies presented at scientific conferences usually haven't been scrutinized by independent experts, and their results are considered preliminary. (medicinenet.com)