You get this guide because you recently had low back pain. Back pain is one of the most common muscular-skeletal disorders that are treated in medicine today. Our goal at Concord Rehabilitation Services is to help you with up to date information and resources so you can make healthy decisions about your help. This guide will give you a brief overview of what you can do to improve your personal care and pain management. This is not intended to replace individualized and professional medical advice.
What are the Types of Back Pain? The most common types are: • Acute back pain, a brief episode of pain that suddenly occurs. The most acute back pain is due to mechanical causes such as distortions or where the pain originates from the spine and its supporting structures. Pain can spread to the buttocks, thighs or knees and many people suffer from cramps. Mechanical back pain is usually more pronounced when you bend your back or lift heavy objects.
• Chronic and persistent lumbar pain, when back pain persists for four to six weeks, requires further medical evaluation. This pain is often associated with the joints of the spine, with the intervertebral discs, or with the muscles of the back support. In rare cases, it can cause cancer or infection.
Back Pain and Sciatica The pain, which mainly affects the back, should be distinguished from spinal disease, which mainly results in leg pain, a condition commonly referred to as sciatica. Sciatica is generally the result of a, pinched nerve, in the spine. In most cases, the cause of sciatica is clearly defined; for example, a plate problem or arthritis. On the other hand, the cause of an episode of back pain is often more difficult to identify.
Diagnosis of acute low back pain For most patients with acute hernia, a complete medical history and a brief clinical exam are sufficient. The primary purpose of the initial exam is to try to identify the alarms and make a specific diagnosis. However, it is known that in most cases of acute lumbago, no diagnosis can be made based on detectable pathological changes. For this reason, several diagnostic systems have been proposed in which the spine is classified according to pain distribution, pain behavior, functional disability, clinical signs and so on. However, none of these rating systems has been validated.
Specific Spinal Pathologies Some conditions that cause back pain require urgent and specific reference and treatment. These may include spinal infections, malignancies, spinal osteoarthritis, e.g. rheumatoid arthritis or ankylosing spondylitis, ponytail syndrome or vertebral fractures. These conditions require early diagnosis and timely referral to the appropriate specialist. Fortunately, these conditions account for less than 1% of people with back pain, but you do not want to lose them.
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