Lower Back Pain

Patient Education Spine Conditions Lower Back Pain

 Stop your Back Pain today. Effective Treatment, Non Surgery. Discuss with our Spine Specialist for the Diagnosis, Treatment and Prognosis of your Back Pain. Call us +65 97731458 to schedule for an appointment.

Low back pain refers to pain that you feel in your lower back. You may also have back stiffness, decreased movement of the lower back, and difficulty standing straight.

Acute back pain can last for a few days to a few weeks.

Causes of Low Back Pain

Most people will have at least one backache in their life. Although this pain or discomfort can happen anywhere in your back, the most common area affected is your low back. This is because the low back supports most of your body’s weight.

Many back-related injuries happen at work. There are many things you can do to lower your chances of getting back pain.

You’ll usually first feel back pain just after you lift a heavy object, move suddenly, sit in one position for a long time, or have an injury or accident.

Acute low back pain is most often caused by a sudden injury to the muscles and ligaments supporting the back. The pain may be caused by muscle spasms or a strain or tear in the muscles and ligaments.

Lower Back Pain

Causes of sudden low back pain include:

  • Compression fractures to the spine from osteoporosis
  • Cancer involving the spine
  • Fracture of the spinal cord
  • Muscle spasm (very tense muscles)
  • Ruptured or herniated disk
  • Sciatica
  • Spinal stenosis (narrowing of the spinal canal)
  • Spine curvatures (like scoliosis or kyphosis), which may be inherited and seen in children or teens
  • Strain or tears to the muscles or ligaments supporting the back

Low back pain may also be due to:

  • An abnormal aortic aneurysm that is leaking
  • Arthritis conditions, such as osteoarthritis, psoriatic arthritis, and rheumatoid arthritis
  • Infection of the spine (osteomyelitis, diskitis, abscess)
  • Kidney infection or kidney stones
  • Problems related to pregnancy
  • Medical conditions that affect the female reproductive organs, including endometriosis, ovarian cysts,ovarian cancer, or uterine fibroids

Symptoms of Low Back Pain

You may feel a variety of symptoms if you’ve hurt your back. You may have a tingling or burning sensation, a dull achy feeling, or sharp pain. Depending on the cause and severity, you also may have weakness in your legs or feet.

Low back pain can vary widely. The pain may be mild, or it can be so severe that you are unable to move.

Depending on the cause of your back pain, you may also have pain in your leg, hip, or the bottom of your foot.

Diagnosis of Low Back Pain

When you first see your health care provider, you will be asked questions about your back pain, including how often it occurs and how severe it is.

Your health care provider will try to determine the cause of your back pain and whether it is likely to quickly get better with simple measures such as ice, mild painkillers, physical therapy, and proper exercises. Most of the time, back pain will get better using these approaches.

During the physical exam, your health care provider will try to pinpoint the location of the pain and figure out how it affects your movement.

Most people with back pain improve or recover within 4 – 6 weeks. Therefore, your health care provider will probably not order any tests during the first visit unless you have certain symptoms.

Tests that might be ordered include:

  • CT scan of the lower spine
  • MRI of the lower spine
  • X-ray

Treatment of Lower Back Pain

Minor low back pain will improve after resting for a day or two.

Other treatments for your low back pain includes:

  • Anti-inflammatory and Muscle Relaxant Medicines
  • Back Support
  • Physiotherapy. Strengthening to your back muscles
  • Epidural injection
  • Spinal manipulation
  • Back surgery for disc problem that may lead to nerve problem

When to see a Spine Specialist

Consult a Spine Specialist right away if you have:

  • Back pain after a severe blow or fall
  • Burning with urination or blood in your urine
  • History of cancer
  • Loss of control over urine or stool (incontinence)
  • Pain traveling down your legs below the knee
  • Pain that is worse when you lie down or that wakes you up at night
  • Redness or swelling on the back or spine
  • Severe pain that does not allow you to get comfortable
  • Unexplained fever with back pain
  • Weakness or numbness in your buttocks, thigh, leg, or pelvis

Prevention of Lower Back Pain

Exercise is important for preventing back pain. Through exercise you can:

  • Improve your posture
  • Strengthen your back and improve flexibility
  • Lose weight
  • Avoid falls

It is also very important to learn to lift and bend properly. Follow these tips:

  • If an object is too heavy or awkward, get help.
  • Spread your feet apart to give you a wide base of support.
  • Stand as close to the object you are lifting as possible.
  • Bend at your knees, not at your waist.
  • Tighten your stomach muscles as you lift the object or lower it down.
  • Hold the object as close to your body as you can.
  • Lift using your leg muscles.
  • As you stand up with the object, DO NOT bend forward.
  • DO NOT twist while you are bending for the object, lifting it up, or carrying it.

Other measures to prevent back pain include:

  • Avoid standing for long periods of time. If you must stand for your work, try using a stool. Alternate resting each foot on it.
  • DO NOT wear high heels. Use cushioned soles when walking.
  • When sitting for work, especially if using a computer, make sure that your chair has a straight back with an adjustable seat and back, armrests, and a swivel seat.
  • Use a stool under your feet while sitting so that your knees are higher than your hips.
  • Place a small pillow or rolled towel behind your lower back while sitting or driving for long periods of time.
  • If you drive long distance, stop and walk around every hour. Bring your seat as far forward as possible to avoid bending. Don’t lift heavy objects just after a ride.
  • Quit smoking.
  • Lose weight.
  • Do exercises to strengthen your abdominal muscles on a regular basis. This will strengthen your core to decrease the risk of further injuries.

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 Stop your Back Pain today. Effective Treatment, Non Surgery. Discuss with our Spine Specialist for the Diagnosis, Treatment and Prognosis of your Back Pain. Call us +65 97731458 to schedule for an appointment.