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What is the cause and treatment for lower back pain?

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Posted on Fri, 25 Jul 2014
Question: About a year ago, I hung on an inversion table over the course of a few days and I didn't realize what I had done. I just thought things would just get better on their own, but not the case. I experience a very unstable low back and my SI joint won't stay in place. My back seems to be moving in and out every move I make. I wear an SI belt which seems to help hold me together. While I was working at the preschool I wore a back brace to help. I have had chiropractic care, massage therapy along with ultrasound and physical therapy and nothing seems to work. The last thing I tried was to have an MRI and sent to a spine center where the Dr. told me that I had normal aging going on. I feel defeated as I don't believe he really listened to me. I asked about my soft tissue, my ligaments and muscles and he stated that there were no tests for that. I know my body is telling me that there is something wrong. What is your advice? I was thinking about talking to an orthopedic Dr. Sports injury or something?
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Answered by Dr. Praveen Tayal (53 minutes later)
Brief Answer:
Can be due to microscopic tears

Detailed Answer:
Hello,
Thanks for posting your query.
Lower back pain is quite COMMON among middle aged individuals. Back muscle strain is one of the MOST common causes of acute to severe lower back pain like you are having. Lifting a heavy object, twisting, or a sudden movement can cause muscles or ligaments stretch or develop microscopic tears. These tears cannot be detected on routine investigations.
Some other underlying causes like Sciatica, Spondylitis, Lumbar herniated disc, Degenerative disc disease, Isthmic spondylolisthesis etc should be ruled out through clinical examination and radiological investigation (like X- ray, CT scan, Myelogram, MRI etc). You can consult with a neurologist regarding this for proper management of the case.
TREATMENT: Some general guidelines can help you to reduce lower back pain. These are as follows:
1) Take adequate bed REST while maintaining posture. Individuals who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain.

2) Alternate Hot water bottle or Ice pack can help to relieve most types of low back pain by reducing inflammation.

3) Non-Steroid Anti-Inflammatory Drugs (NSAIDs) and muscle relaxants are quite useful to reduce inflammation and back pain. You need proper prescription from your doctor.

4) Exercise for Lower Back Pain : It is a key element of almost any lower back pain treatment plan. You may contact with Physiotherapist regarding this.

It includes 3 components: aerobic conditioning, stretching, and strengthening. The exercises are done through a controlled, progressive program to build more strong and flexible spine.

5) Epidural Steroid Injections - deliver steroids directly into the painful area of the lower back to reduce inflammation. It doesn't heal the components of the back, but often provide enough pain relief to allow patients to move, exercise and heal.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Prasad
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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12167 Questions

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What is the cause and treatment for lower back pain?

Brief Answer: Can be due to microscopic tears Detailed Answer: Hello, Thanks for posting your query. Lower back pain is quite COMMON among middle aged individuals. Back muscle strain is one of the MOST common causes of acute to severe lower back pain like you are having. Lifting a heavy object, twisting, or a sudden movement can cause muscles or ligaments stretch or develop microscopic tears. These tears cannot be detected on routine investigations. Some other underlying causes like Sciatica, Spondylitis, Lumbar herniated disc, Degenerative disc disease, Isthmic spondylolisthesis etc should be ruled out through clinical examination and radiological investigation (like X- ray, CT scan, Myelogram, MRI etc). You can consult with a neurologist regarding this for proper management of the case. TREATMENT: Some general guidelines can help you to reduce lower back pain. These are as follows: 1) Take adequate bed REST while maintaining posture. Individuals who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain. 2) Alternate Hot water bottle or Ice pack can help to relieve most types of low back pain by reducing inflammation. 3) Non-Steroid Anti-Inflammatory Drugs (NSAIDs) and muscle relaxants are quite useful to reduce inflammation and back pain. You need proper prescription from your doctor. 4) Exercise for Lower Back Pain : It is a key element of almost any lower back pain treatment plan. You may contact with Physiotherapist regarding this. It includes 3 components: aerobic conditioning, stretching, and strengthening. The exercises are done through a controlled, progressive program to build more strong and flexible spine. 5) Epidural Steroid Injections - deliver steroids directly into the painful area of the lower back to reduce inflammation. It doesn't heal the components of the back, but often provide enough pain relief to allow patients to move, exercise and heal. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal