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Low back pain is one of the most common experiences of human being. Nearly everyone at some point in his or her life probably experiences it. Up to 90% of the episodes of low back pain resolve automatically regardless of therapy in 4-6 weeks. Further diagnostics work up is not necessary unless there are red flags such as possible fracture, tumor or infection, bladder or bowel disfunction, severe or progressive neurological disfunction in the legs. Remaining 10% of adults represent one of the greatest challenges to conventional medical treatment. The vast majority of persons having low back pain are of mechanical origin.
11:08 am September 6, 2008
Helper
Member
posts 42
2
When conservative treatment fails, it is important to identify the structures responsible for the generation of low back pain. Newer imaging techniques like MRI have immense value in confirming these diagnoses & many of these patients suffer from slipped disc or prolapsed inter-vertebral disc.
Our backbone is comprised of thirty-three vertebrae. They are arranged one after another (and held together) with the help of ligaments and supported by surrounding para-spinal muscles. Between the two adjacent vertebrae, there is an inter vertebral disc called nucleus pulposus. Just behind the vertebral body and disc, the spinal cord runs through a canal. Most of the nerves of our body from neck to foot come out from the spinal canal.
10:55 am September 12, 2008
Sharon
Member
Los angles, USA
posts 47
3
Physical-therapy modalities for low back pain (LBP) may differ due to the stage of the problem, but the most important, is that clinical guidelines do exist, mainly for acute LBP. The advantage of a clinical guideline is that it is based on sound scientific evidences.
What clinical guidelines suggest are:
-Be active as soon as possible either to work or other normal activities;
-Give pain control (spinal manipulation and some drugs like paracetamol);
-Reassure the patient that he/she has nothing serious (of course, after clearing up serious pathologies - 'red flags') and that he/she has great possibilities to recover, just like the majority of people who have a first LBP episode.
There is still no a cure for chronic pains, including chronic LBP, but it is certain that to treat or control it, better saying, to give control to the patient, it is crucial to manage this condition in a bio-psycho-social framework. See the book from Gordon Waddell - The Back Pain Revolution. THERE IS NO MIRACLE OR A RAPID CURE!!!
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