Sunday, January 10, 2010

Lower Back Pain Symptoms and Treatment Options

By: Peter F. Ullrich, Jr., MD

While there are many causes of lower back pain, most cases of low back pain can typically be linked to either a general cause - such as muscle strain - or a specific and diagnosable condition, such as degenerative disc disease or a lumbar herniated disc.

In the US, lower back pain is one of the most common conditions and one of the leading causes of physician visits. In fact, at least four out of five adults will experience it at some point in their lives.

Ironically, the severity of the pain is often unrelated to the extent of physical damage. For example, lower back spasms from a simple back strain can cause excruciating lower back pain that can make it difficult to walk or even stand, whereas a large herniated disc or completely degenerated disc can actually be completely painless.

Types of Low Back Pain
 
Low back pain is typically classified as either acute or chronic:
  • Acute back pain is short term, generally lasting from a few days to a few weeks. Some acute pain syndromes can become more serious if left untreated.
  • Chronic back pain is generally defined as pain that persists for more than three months. The pain may be progressive, or may occasionally flare up and then return to a lower level of pain. With chronic pain, the exact cause of the pain can sometimes be difficult to determine.

Types of Lower Back Pain that Indicate a Surgical Emergency

There are a few symptoms that indicate a possible serious medical condition requiring surgery. Patients with these symptoms should seek medical attention immediately. Symptoms include:
  • Sudden bowel and/or bladder dysfunction (cauda equina syndrome)
  • Progressive weakness in the legs (cauda equina syndrome)
  • Severe, continuous abdominal and low back pain (see abdominal aortic aneurysm)
People with fever and chills, history of cancer with recent weight loss, or who have just suffered a severe trauma should also seek immediate medical attention.

Source: http://www.spine-health.com/conditions/lower-back-pain/lower-back-pain-symptoms-and-treatment-options

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