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Back Pain



Back pain is often a common symptom of many disease conditions and the pain may range from simple or dull pain to sudden and sharp pain. If the pain persists for few days, it is acute pain, whereas if it continues for more than 3 months, it is considered as chronic pain. In most cases, back pain may resolve without any treatment; however, if it persists for more than 3 days, medical intervention is necessary.

Back pain can be alleviated with RICE (Rest, Ice, Compression, and Elevation) treatment, pain relievers, nonsteroidal anti-inflammatory drugs, corticosteroids, and physical therapy. However, certain conditions causing severe pain may require surgical treatment. Treating the underlying conditions offers relief from back pain.

One of the common causes for back pain is lower back strain. Lower back strain or lumbar strain occurs when the muscle or the tendon in the lower back gets stretched or torn. It is caused by lifting heavy objects or overload, sitting or standing for a long time, direct blow to the area, or sports, such as basketball, baseball or golf that involve sudden twisting of lower back, can also lead to strain.

Factors, such as excessive lower back curvature, weak abdominal muscles and forwardly tilted pelvis, can increase the risk of this injury.

The common symptoms include lower back pain that radiates down to the buttocks, inflammation of the soft tissues that surround the muscles, stiffness in the lower back, restricted movements, inability to maintain correct posture, muscle spasms, and pain which continues for a long period.

Your doctor will perform a physical examination and take a brief medical history to diagnose your condition. Other additional tests, such as X-ray and MRI scan may be required to confirm the injury and provide necessary treatment.

The conservative treatment methods include:

Rest: You should take complete rest for 1-3 days, as more damage could result from putting pressure on the back. Prolonged bed rest should also be avoided as it leads to loss of muscle strength and makes the muscles stiff which will aggravate pain and discomfort. Hence, bed rest should not be continued for more than 48 hours.

Ice packs can be applied to the injury which will help to diminish swelling and pain. Ice should be applied over a towel to the affected area for 15-20 minutes four times a day for several days. Never place ice directly over the skin.

Braces or belt might be used to support the back while the healing happens. However, bracing should not be used for an extended period of time as this can predispose to muscle atrophy and deconditioning.

Medications that may be prescribed include nonsteroidal anti-inflammatory drugs to reduce pain and inflammation. Other medicines include muscle relaxants to control muscle spasms. These medicines often cause sedation; therefore, consult your doctor to discuss the type of muscle relaxants.

Your doctor may also suggest a rehabilitation program. It consists of stretching and strengthening exercises, pelvic traction, gentle massages, and ice or heat therapy to improve your condition. It helps to control the pain, strengthen the abdominal muscles, and also speeds up the recovery which allows you to return to weight-bearing activities.

Some of the preventive measures which can help prevent back strain include:
Doing warm-up exercises before the start of any physical activity or sports and taking short breaks in between the activity.

Some of the preventive measures which can help prevent back strain include:

Doing warm up exercises before the start of any physical activity or sports and taking short breaks in between the activity.

Ensure that you use correct lifting techniques, such as squatting to lift a heavy object.

Ensure that you maintain a proper posture while sitting and standing.

If you are overweight or obese, it can strain the back muscles. Hence, it is advised that you lose some weight and maintain a healthy diet.

Exercise everyday, as it improves spine stability and also prevents extra stress on your back.

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