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Back pain is common and the largest single cause of sickness absence in the US and UK. It can affect anyone, of any age, but it is more common in people between the ages of 35-55 years. Back pain in adolescents and young adults is commonly attributed to injury resulting from athletic activities. Back pain that occurs after a trauma, such as a car accident or fall, should also be promptly evaluated by a medical professional to check for a fracture or other injury. Your Spine: Your spine is a very strong part of your body and is not easily damaged. It is a complex structure consisting of 24 small bones (vertebrae),shock absorbing discs (intervertebral discs) that cushion the bones and allow the spine to bend, ligaments to hold vertebrae and discs together, tendons to connect muscles to vertebrae, spinal cord, nerves, and muscles. Over Weight? If you are overweight, exercise will help you to lose weight, which will reduce the strain on your back. Smoking reduces blood flow to the lower spine, which can hinder the healing process. The weight gain often associated with smoking cessation can often contribute to back pain. In a recent review of medical literature published by the Department of Veteran Affairs Journal of Rehabilitation Research and Development, a relationship between increases in body weight and low back pain, along with osteoarthritis and other painful conditions was found. Pregnancy: During pregnancy your center of gravity will gradually move forward as your uterus and baby grow, which causes your posture to change. Your developing pregnancy and baby create additional weight that your back must support. Stress usually finds the weak spot in the body, and because of the changes in your pelvic area, you may experience an increase in back pain during stressful periods of your pregnancy. Pain Relief Solutions: Topically applied lidocaine patches (Lidoderm 5% patch) have provided a reduction in pain intensity and pain relief in clinical trials of patients with acute pain. In a small percentage of cases, having a surgeon remove the part of the disc or bone that is irritating a nerve may provide relief. Spinal cord stimulators can help some patients who gain no relief from surgery. Possible treatments: Treatment of ongoing back problems must be directed at the cause. Your doctor might recommend medications or suggest you try complementary and alternative medical treatments, such as manipulation of the spine, transcutaneous electrical nerve stimulation (mild electrical pulses), acupuncture (thin needles used for pain relief) and acupressure (pressure applied to certain places in the body). Therapies: Additional treatments have been more recently reviewed by the Cochrane Collaboration. Massage therapy may benefit some patients. A meta-analysis of studies by the Cochrane Collaboration concluded that heat therapy can reduce symptoms of acute and sub-acute low-back pain. The study found that injection therapy, usually with corticosteroids, does not appear to help regardless of whether the injection is facet joint, epidural or a local injection. Exercise Solutions: Exercise may be the most effective way to speed recovery from back pain and help strengthen back and abdominal muscles. Continue with normal activities as far as possible. In almost all cases, physical therapy and/or a regular exercise program that includes stretching, strengthening and low impact cardio conditioning will be part of the treatment and rehabilitation program.
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Another in the 'By The Doc' series - an authoritative guide to the causes and remedies of Back Pain. Find out how to avoid Back Pain, what causes it and the available remedies. Always seek advice from a qualified medical practitioner.
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