Overview

 

The complaint of low back pain is among the most common medical problems. To begin on the positive side, patients must understand that most episodes of back pain resolve, and usually within a few weeks. Unfortunately, back pain can be among the most difficult and frustrating problems for patients and their doctors.

Understanding the cause of your back pain is the key to proper treatment. Because back pain is sometimes difficult to treat, a better understanding of the causes of this problem will assist patients in their recovery from back pain.

Causes of Back Pain

Lumbar Muscle Strain :- Muscle strains are the most common cause of low back pain. Patients may or may not remember the initial event that triggered their muscle spasm, but the good news is that most episodes of back pain from muscle strains resolve completely within a few weeks.

Ruptured Disc :- A ruptured intervertebral disc, also called a herniated disc, is another common cause of back pain. How to treat the back pain from a herniated disc depends on the particular individual and situation.

Discogenic Back Pain :- Discogenic back pain is thought to be a common cause of low back pain. Discogenic back pain cis the result of damage to the intervertabral disc, but without disc herniation. Diagnosis of discogenic back pain may require the use of a discogram.

Spinal Stenosis Spinal stenosis causes back pain in the aging population. As we age, the spinal canal can become constricted, due in part to arthritis and other conditions. If the spinal canal becomes too tight, back pain can be the result.

Lumbar Spine Arthritis Arthritis most commonly affects joints such as the knees and fingers. However, arthritis can affect any joint in the body, including the small joints of the spine. Arthritis of the spine can cause back pain with movement.

Spondylolisthesis Spondylolisthesis causes back pain because adjacent vertebra become unstable and begin to "slip." The most common cause of spondylolisthesis is due to degenerative changes causing loss of the normal stabilizing structures of the spinal column. If the spine becomes unstable enough, back pain can become a problem.

Osteoporosis
Osteoporosis can cause a number of orthopedic problems and generalized discomfort. Back pain from osteoporosis is most commonly related to compression fractures of the vertebra. Osteoporosis causes weak bones and can lead to these fractures.

Spine Surgery Options

Discectomy :- A discectomy is a procedure to remove a portion of the disc that rests between each vertebrae. A herniated disc is the most common reason for spine surgery. In this type of spine surgery, the herniated disc is removed and relieve the pressure on the nerves.

Foramenotomy :- A foramenotomy is also a procedure used to relieve pressure on a nerve, but in this case, the nerve is being pinched by more than just herniated disc. A foramenotomy removes a portion of bone and other tissue that may be compressing the nerve as it exits the spinal column.

Laminectomy :- A laminectomy is done to relieve pressure on the spinal cord itself. A laminectomy is most commonly used to treat conditions such as spinal stenosis and spondylolisthesis. Depending on the amount of bone removed, this procedure may be done with a spinal fusion to prevent instability.

Spine Fusion :- A spine fusion is surgery that is done to eliminate motion between adjacent vertebrae. The spine fusion may be done because to treat a problem such as spondylolisthesis (unstable spine), or it may be done because of the extent of other surgery (such as a laminectomy).

Spinal Disc Replacement :- Spinal disc replacement is a new surgery that is still quite uncommon. Spine disc replacement is done to treat specific types of back pain, while avoiding the problems associated with spine fusion surgery.

Chiropractic Manipulations :- Manipulations are usually safe, and have been shown to be as effective as more conventional treatments for some types of back pain. That said, there are situations when spinal manipulations can be dangerous and should be avoided. Patients should generally have a x-ray of their spine to assess for lesions or instability prior to beginning treatment of spinal manipulations. In addition, patients who have any leg pain or neurologic symptoms (weakness, numbness, etc.) associated with their back pain should not have spinal manipulations until evaluated by a physician: When to see a chiropractor for back pain

Acupuncture :- Acupuncture has been used for thousands of years to treat a variety of conditions. Treatment of back pain with acupuncture has many success stories. However, there is little proof that acupuncture is any better than placebo treatment for most types of back pain. That said, if you are having persistent back pain, acupuncture may be a reasonable treatment to see if it helps your situation. Be certain your are under the treatment of a medical doctor to ensure acupuncture is safe for your back pain.

Massage :- Massage offers symptomatic relief for back pain caused by muscle spasm. The problem with massage treatments, is that the relief seldom lasts beyond the actual treatment. Furthermore, treatments can be quite expensive. That said, if you find relief from massage, there is unlikely any harm to be caused by these treatments.


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