Back Pain

Chronic, treatment-resistant back pain is one of the most difficult kinds of back pain to diagnose and treat. Psychological back pain, also known as psychosomatic back pain, is one of the most frequent causes of unresolved, undiagnosed, and even misdiagnosed neck pain, back pain and/or sciatica. We will explore psychosomatic chronic back pain, its possible causes and its implications for the individual and for society. The medical community has failed to properly educate doctors on how to treat this rapidly growing segment, this epidemic of chronic back pain patients. We will also discuss the ways to properly initiate a treatment strategy that will help alleviate symptoms until a clear diagnosis can be made and permanent resolution achieved. Lower back pain is one of the most common causes of job-related disability and why some people miss work. In this article you will find some practical self-help tips provided by experts to help you avoid lower back pain or prevent the condition from worsening. Back pain is one of the world's most common health problems. According to the World Health Organisation, it is also in the top 10 diseases and injuries accounting for disability-adjusted life years (number of years lost due to ill-health). It can affect people of any age, potentially affecting their work life and general well-being. Fortunately, there are some simple techniques that you can use to avoid the common causes of back pain.

Back pain

Back pain is pain felt in the back. Back pain is divided into neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia (tailbone or sacral pain) based on the segment affected.[1] The lumbar area is the most common area affected.[2] An episode of back pain may be acute, sub-acute, or chronic depending on the duration. The pain may be characterized as a dull ache, shooting or piercing pain, or a burning sensation. Discomfort can radiate into the arms and hands as well as the legs or feet,[3] and may include numbness,[1] or weakness in the legs and arms.

The majority of back pain is nonspecific with no identifiable causes.[4][5] Common underlying mechanisms include degenerative or traumatic changes to the discs and facets joints, which can then cause secondary pain in the muscles, and nerves, and referred pain to the bones, joints and extremities.[3] Diseases and inflammation of the gallbladder, pancreas, aorta, and kidneys may also cause referred pain in the back.[3] Tumors of the vertebrae, neural tissues and adjacent structures can also manifest as back pain.

Back pain is common, with about nine out of ten adults experiencing it at some point in their life, and five out of ten working adults having it every year.[6] Some estimate up to 95% of people will experience back pain at some point in their lifetime.[2] It is the most common cause of chronic pain, and is a major contributor of missed work and disability.[2] For most individuals, back pain is self-limiting. Most people with back pain do not experience chronic severe pain but rather persistent or intermittent pain that is mild or moderate.[7] In most cases of herniated disks and stenosis, rest, injections or surgery have similar general pain resolution outcomes on average after one year. In the United States, acute low back pain is the fifth most common reason for physician visits and causes 40% of missed days off work.[8] Additionally, it is the single leading cause of disability worldwide.[9]

Classification[edit]

Back pain is classified in terms of duration of symptoms.[10]

Causes[edit]

There are many causes of back pain, including blood vessels, internal organs, infections, mechanical, and autoimmune causes.[11] Approximately 90 percent of people with back pain are diagnosed with nonspecific acute back pain in which there is no identifiable underlying pathology.[12] In approximately 10 percent of people, a cause can be identified through diagnostic imaging.[12] Less than 2 percent of cases are attributed to secondary factors, with metastatic cancers and serious infections, such as spinal osteomyelitis and epidural abscesses, accounting for around 1 percent.[13]

Nonspecific[edit]

In as many as 90 percent of cases, no physiological causes or abnormalities on diagnostic tests can be found.[16] Nonspecific back pain can be due to back strain/sprain. The cause is peripheral injury to muscle or ligaments. The patient may or may not recall the cause.[10] The pain can present acutely but in some cases can persist, leading to chronic pain.

Chronic back pain in people with otherwise normal scans can result from central sensitization, where an initial injury causes a longer-lasting state of heightened sensitivity to pain. This persistent state maintains pain even after the initial injury has healed.[17] Treatment of sensitization may involve low doses of anti-depressants and directed rehabilitation such as physical therapy.[18]

Spinal disc disease[edit]

Spinal disc disease occurs when the nucleus pulposus, a gel-like material in the inner core of the vertebral disc, ruptures.[19] Rupturing of the nucleus pulposus can lead to compression of nerve roots.[20] Symptoms may be unilateral or bilateral, and correlate to the region of the spine affected. The most common region for spinal disk disease is at L4–L5 or L5–S1.[20] The risk for lumbar disc disease is increased in overweight individuals due to the increased compressive force on the nucleus pulposus, and is twice as likely to occur in men.[19][21] A 2002 study found that lifestyle factors such as night shift work and lack of sporting activity can also increase the risk of lumbar disk disease.[22]

Severe spinal cord compression is considered a surgical emergency and requires decompression to preserve motor and sensory function. Cauda equina syndrome refers to severe compression of the cauda equina and presents initially with pain followed by motor and sensory.[15] Bladder incontinence is seen in later stages of the cauda equina syndrome.[23]

Degenerative disease[edit]

Spondylosis, or degenerative arthritis of the spine, occurs when the intervertebral disc undergoes degenerative changes, causing the disc to fail at cushioning the vertebrae. There is an association between intervertebral disc space narrowing and lumbar spine pain.[24] The space between the vertebrae becomes more narrow, resulting in compression and irritation of the nerves.[25]

Spondylolithesis is the anterior shift of one vertebra compared to the neighboring vertebra. It is associated with age-related degenerative changes as well as trauma and congenital anomalies.

Spinal stenosis can occur in cases of severe spondylosis, spondylotheisis and age associated thickening of the ligamentum flavum. Spinal stenosis involves narrowing of the spinal canal and typically presents in patients greater than 60 years of age. Neurogenic claudication can occur in cases of severe lumbar spinal stenosis and presents with symptoms of pain in the lower back, buttock or leg that is worsened by standing and relieved by sitting.

Vertebral compression fractures occurs in 4 percent of patients presenting to primary care with low back pain.[26] Risk factors include age, female gender, history of osteoporosis, and chronic glucocorticoid use. Fractures can occur due to trauma but in many cases can be asymptomatic.

Infection[edit]

Common infectious causes of back pain include osteomyelitis, septic diskitis, paraspinal abscess, and epidural abscess.[19] Infectious causes that lead to back pain involve various structures surrounding the spine.

Osteomyelitis is the bacterial infection of the bone. Vertebral osteomyelitis is most commonly caused by staphylococci.[19] Risk factors include skin infection, urinary tract infection, IV catheter use, IV drug use, previous endocarditis, and lung disease.

Spinal epidural abscess is also commonly caused by severe infection with bacteremia. Risk factors include recent epidural, IV drug use, or recent infection.

Cancer[edit]

Spread of cancer to the bone or spinal cord can lead to back pain. Bone is one of the most common sites of metastatic lesions. Patients typically have a history of malignancy. Common types of cancer that present with back pain include multiple myeloma, lymphoma, leukemia, spinal cord tumors, primary vertebral tumors, and prostate cancer.[14] Back pain is present in 29% of patients with systemic cancer.[19] Unlike other causes of back pain which commonly affect the lumbar spine, the thoracic spine is most commonly affected.[19] The pain can be associated with systemic symptoms such as weight loss, chills, fever, nausea and vomiting.[19] Unlike other causes of back pain, neoplasm-associated back pain is constant, dull, poorly localized, and worst with rest. Metastasis to the bone also increases the risk of spinal cord compression or vertebral fractures which requires emergent surgical treatment.

Autoimmune[edit]

Inflammatory arthritides such as ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis, and systemic lupus erythematosus can all cause varying levels of joint destruction. Among the inflammatory arthritides, ankylosing spondylitis is most closely associated with back pain due to the inflammatory destruction of the bony components of the spine. Ankylosing spondylitis is common in young men and presents with a range of possible symptoms such as uveitis, psoriasis, and inflammatory bowel disease.

Referred pain[edit]

Back pain can also be due to referred pain from another source. Referred pain occurs when pain is felt at a location different from the source of the pain. Disease processes that can present with back pain include pancreatitis, kidney stones, severe urinary tract infections, and abdominal aortic aneurysms.[10]

Risk factors[edit]

Heavy lifting, obesity, sedentary lifestyle, and lack of exercise can increase a person's risk of back pain.[2] People who smoke are more likely to experience back pain than others.[27] Poor posture and weight gain in pregnancy are also risk factors for back pain. In general, fatigue can worsen pain.[2]

A few studies suggest that psychosocial factors such as on-the-job stress and dysfunctional family relationships may correlate more closely with back pain than structural abnormalities revealed in X-rays and other medical imaging scans.[28][29][30][31]

Diagnosis[edit]

Initial assessment of back pain consists of a history and physical examination.[33] Important characterizing features of the back pain include location, duration, severity, history of prior back pain, and possible trauma. Other important components of the patient history include age, physical trauma, prior history of cancer, fever, weight loss, urinary incontinence, progressive weakness, or expanding sensory changes, which can elicit red flags indicating a medically urgent condition.[33]

Physical examination of the back should assess for posture and deformities. Pain elicited by palpating certain structures may be helpful in localizing the affected area. A neurologic exam is needed to assess for changes in gait, sensation, and motor function.

Determining if there are radicular symptoms, such as pain, numbness, or weakness that radiate down limbs, is important for differentiating between central and peripheral causes of back pain. The straight leg test is a maneuver used to determine the presence of lumbosacral radiculopathy. Radiculopathy occurs when there is irritation in the nerve root, causing neurologic symptoms, such as numbness and tingling. Non-radicular back pain is most commonly caused by injury to the spinal muscles or ligaments, degenerative spinal disease, or a herniated disk.[11] Disk herniation and foraminal stenosis are the most common causes of radiculopathy.[11]

Imaging of the spine and laboratory tests is not recommended during the acute phase.[19] This assumes that there is no reason to expect that the person has an underlying problem.[34][19] In most cases, the pain goes away naturally after a few weeks.[34] Typically, people who do seek diagnosis through imaging are not likely to have a better outcome than those who wait for the condition to resolve.[34]

Imaging[edit]

Magnetic resonance imaging is the preferred modality for the evaluation of back pain and visualize bone, soft tissue, nerves, and ligaments. X-rays are a less costly initial option offered to patients with a low clinical suspicion of infection or malignancy and is combined with laboratory studies for interpretation.

Imaging is not needed in the majority of individuals with back pain. In cases of acute back pain, MRI is recommended for individuals with major risk factors/clinical suspicion for cancer, spinal infection, or severe progressive neurological deficits.[35] For patients with subacute to chronic back pain, MRI is recommended if there are minor risk factors for cancer, risk factors for ankylosing spondylitis, risk factors for vertebral compression fracture, significant trauma, or symptomatic spinal stenosis.[35]

Early imaging studies during the acute phase do not improve care or prognosis in patients.[36] Imaging findings are not correlated with severity or outcome.[37]

Laboratory studies[edit]

Laboratory studies are used to if there are suspicions for autoimmune causes, infection, or malignancy.[38][39] Laboratory testing may include white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP).[11]

Red flags[edit]

Imaging is not typically needed in the initial diagnosis or treatment of back pain. However, if there are certain "red flag" symptoms present plain radiographs (x-ray), CT scan, or magnetic resonance imaging (MRI) may be recommended. These red flags include:[40][11]

Prevention[edit]

There is moderate quality evidence that suggests the combination of education and exercise may reduce an individual's risk of developing an episode of low back pain.[41] Lesser quality evidence points to exercise alone as a possible deterrent to the risk of the onset of this condition.[41]

Management[edit]

Nonspecific pain[edit]

Patients with uncomplicated back pain should be encouraged to remain active and return to normal activities.

The management goals when treating back pain are to achieve maximal reduction in pain intensity as rapidly as possible, to restore the individual's ability to function in everyday activities, to help the patient cope with residual pain, to assess for side-effects of therapy, and to facilitate the patient's passage through the legal and socioeconomic impediments to recovery. For many, the goal is to keep the pain to a manageable level to progress with rehabilitation, which then can lead to long-term pain relief. Also, for some people the goal is to use non-surgical therapies to manage the pain and avoid major surgery, while for others surgery may be the quickest way to feel better.[42]

Not all treatments work for all conditions or for all individuals with the same condition, and many find that they need to try several treatment options to determine what works best for them. The present stage of the condition (acute or chronic) is also a determining factor in the choice of treatment. Only a minority of people with back pain (most estimates are 1–10%) require surgery.[43]

Back pain is generally treated with non-pharmacological therapy first, as it typically resolves without the use of medication. Superficial heat and massage, acupuncture, and spinal manipulation therapy may be recommended.[44]

If non-pharmacological measures are not effective, medications may be tried.

Surgery[edit]

Surgery for back pain is typically used as a last resort, when serious neurological deficit is evident.[47] A 2009 systematic review of back surgery studies found that, for certain diagnoses, surgery is moderately better than other common treatments, but the benefits of surgery often decline in the long term.[63]

Surgery may sometimes be appropriate for people with severe myelopathy or cauda equina syndrome.[47] Causes of neurological deficits can include spinal disc herniation, spinal stenosis, degenerative disc disease, tumor, infection, and spinal hematomas, all of which can impinge on the nerve roots around the spinal cord.[47] There are multiple surgical options to treat back pain, and these options vary depending on the cause of the pain.

When a herniated disc is compressing the nerve roots, hemi- or partial- laminectomy or discectomy may be performed, in which the material compressing on the nerve is removed.[47] A mutli-level laminectomy can be done to widen the spinal canal in the case of spinal stenosis. A foraminotomy or foraminectomy may also be necessary, if the vertebrae are causing significant nerve root compression.[47] A discectomy is performed when the intervertebral disc has herniated or torn. It involves removing the protruding disc, either a portion of it or all of it, that is placing pressure on the nerve root.[64] Total disc replacement can also be performed, in which the source of the pain (the damaged disc) is removed and replaced, while maintaining spinal mobility.[65] When an entire disc is removed (as in discectomy), or when the vertebrae are unstable, spinal fusion surgery may be performed. Spinal fusion is a procedure in which bone grafts and metal hardware is used to fix together two or more vertebrae, thus preventing the bones of the spinal column from compressing on the spinal cord or nerve roots.[66]

If infection, such as a spinal epidural abscess, is the source of the back pain, surgery may be indicated when a trial of antibiotics is ineffective.[47] Surgical evacuation of spinal hematoma can also be attempted, if the blood products fail to break down on their own.[47]

Pregnancy[edit]

About 50% of women experience low back pain during pregnancy.[67] Some studies have suggested women who have experienced back pain before pregnancy are at a higher risk of having back pain during pregnancy.[68] It may be severe enough to cause significant pain and disability in up to a third of pregnant women.[69][70] Back pain typically begins at around 18 weeks gestation, and peaks between 24 and 36 weeks gestation.[70] Approximately 16% of women who experienced back pain during pregnancy report continued back pain years after pregnancy, indicating those with significant back pain are at greater risk of back pain following pregnancy.[69][70]

Biomechanical factors of pregnancy shown to be associated with back pain include increased curvature of the lower back, or lumbar lordosis, to support the added weight on the abdomen.[70] Also, a hormone called relaxin is released during pregnancy that softens the structural tissues in the pelvis and lower back to prepare for vaginal delivery. This softening and increased flexibility of the ligaments and joints in the lower back can result in pain.[70] Back pain in pregnancy is often accompanied by radicular symptoms, suggested to be caused by the fetus pressing on the sacral plexus and lumbar plexus in the pelvis.[70][68]

Typical factors aggravating the back pain of pregnancy include standing, sitting, forward bending, lifting, and walking. Back pain in pregnancy may also be characterized by pain radiating into the thigh and buttocks, night-time pain severe enough to wake the patient, pain that is increased during the night-time, or pain that is increased during the day-time.[69]

Local heat, acetaminophen (paracetamol), and massage can be used to help relieve the pain. Avoiding standing for prolonged periods of time is also suggested.[71]

Economics[edit]

Although back pain does not typically cause permanent disability, it is a significant contributor to physician visits and missed work days in the United States, and is the single leading cause of disability worldwide.[8][9] The American Academy of Orthopaedic Surgeons report approximately 12 million visits to doctor's offices each year are due to back pain.[2] Missed work and disability related to low back pain costs over $50 billion each year in the United States.[2] In the United Kingdom in 1998, approximately £1.6 billion per year was spent on expenses related to disability from back pain.[2]

References[edit]

External links[edit]

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back pain causes symptoms risk factors treatments 1802199

Back pain can occur to any individual, but most of the people do not take it seriously. Later, for some people backache becomes a big health issue and they have to face a lot of problems because of it. In such a situation, if the person with back pain take necessary steps in the beginning this problem can be overcome to some extent. Although, back pain can be treated by resting or exercising, but if an individual doesn't get relief from these methods, then it is necessary to seek medical help. Backache symptoms may include: Muscle Strain: The main symptom of it is muscle strain. In this condition, people may feel a stretch in the waist, which takes the form of pain after some time. Persistent Pain: If a person feels persistent pain in the waist or back, it can prove to be a sign of a backache. Pain Reaching the Legs: Backache reaches the legs or feet. Such people should contact their doctor immediately and get their health checkup done. Back Pain While Getting Up, Bending, Standing or Moving: There is a possibility of having a back pain, even in those individuals who have body ache while getting up, bending, standing or walking etc. There are a lot of people who can have back ache due to many reasons. The main reasons for back pain are: Lack of Calcium: The possibility of back pain is mainly in the individuals who are deficient in calcium in their body. Mostly Sitting for Long Hours: In today's era, most people have to sit and work for a long time. In such a situation, these people are more likely to have backache. Suffering from Arthritis: It can also occur to the individuals with arthritis. Such individuals must complete their arthritis test so that they don't have any serious disease. Seating Posture is Not Correct: You must have seen many individuals whose seating position isn't correct. Such type of people are more likely to have this painful disease. People Who Don't Exercise: Generally, it is believed that all of us should exercise at least 15-30 minutes. Exercise helps in making our body flexible. Despite this, some people do not exercise, due to which they may have a lot of health problems including having a back pain. It can be diagnosed in many of the following ways- X-rays: It can be tested by X-rays. An X-ray examines the inner part of the waist to find out the real cause of backache. CT Scanning: In addition, back ache can also be tested by CT scan. In this test, an internal picture of different parts of the body is taken so that the position of back pain can be ascertained. Blood Test: Often, it is also tested by a blood test. It helps to examine changes in the human body from backache. Bone Scanning: Many times, doctor or health care providers also test back pain through a bone scan. In this test, the exact part of back ache is detected by scanning the waist of the human body. Examining the Muscles: It can also be tested by examining the muscles. Since, it is related to the muscle, the muscle can be examined to find out the actual condition of its back pain. Treatments may include- Generally, most people don't have much trouble with backache or back pain, but for some individuals it can be a sign of other serious diseases. Therefore, it is advisable to seek a medical treatment of back pain in its initial stage so that people don't have to suffer due to this. Thus, if a person is suffering from back pain, he/she should treat back ache in the following ways- Exercise: The easiest way to treat back ache is exercise or light activities. It helps a lot in curing back pain. Physiotherapy: In addition to excising, physiotherapy can be a great option to treat back pain. Therefore, if suffering from back pain, he/she can get back pain treatment by getting physiotherapy. Medication: Some drugs or medication can also used to treat a back ache or back pain. These medicines are mostly the pain relievers, which may help in reducing back pain. Surgery: It takes serious form when the backache is incurable for a long time. Back pain affects the person's spine, in which case the only option left is to perform spinal surgery. You are at a higher risk of having a back ache, if you-

complete guide back pain treatment 1764622

Back pain is not unique. An expected 75-85% of Americans experience some form of back pain at some stage in their life. Although back pain can be quite debilitating and painful, in approximately 90% of circumstances, it's temporary and pain recovers without surgery. However, 50% of sufferers who suffer from episodes of back pain may have frequent episodes within one year. Back pain treatment options comprise nonsteroidal anti-inflammatory medications, physical therapy, back exercises, weight loss, steroid injections, acupuncture, rehabilitation and limited activity. All of these back pain treatment alternatives are aimed at relieving inflammation in the back and irritation of nerve roots. Physicians usually recommend four to six weeks of conservative remedy before considering surgery. If back pain takes place after a latest injury - together with an automobile accident, a fall or sports injury then call your primary-care health physician immediately. If you have got any neurologic symptoms (numbness, weakness, tingling or bowel and bladder dysfunction), pursue medical care straightaway. If no neurologic troubles are present, the patient may benefit through beginning conservative back pain treatment at home for two to three weeks. The doctor may advise anti-inflammatory medicines, together with aspirin or ibuprofen, and limit strenuous activities for some days. If back pain worsens or does not improve after two to a few weeks of home treatment, contact the primary-care physician. The health practitioner can evaluate and carry out an in-office neurologic exam to determine which nerve root is being irritated and to rule out different serious clinical conditions. If the doctor notes clear symptoms that the nerve root is being compressed, he/she will be able to prescribe drugs to relieve the pain, swelling and irritation. In addition, the physician may advocate that limiting activities provide a referral to pain control expert or both. If these treatment options do not failed to provide relief within some weeks, it may be time to consider different diagnostic research and probably surgical evaluation. Surgery Candidates for surgical back pain treatment present any of the following: If surgical operation is recommended, neurosurgeons have a selection of options to be had to assist relieve strain on the nerve roots. If several nerve roots and discs are causing the pain or if degeneration and instability exist inside the spinal column, the neurosurgeon can elect: For further information call us on 815.412.6166 Pain management institute helps people to cure their acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others. For more Details contact our website.

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Back pain can have serious effects on the daily routine life of a person. Heavy exercise, weight lifting or sports activities are some most common reasons. Usually, it fades away when we take a day off and take rest. However, if the pain lasts for weeks or comes and goes, you must consult a doctor. Chronic back pain can sometimes lead to frustration and aggression. Treatment also becomes difficult when you are not aware about the cause. In such a situation, manual therapy is worth trying to get some relief. Osteopathy is another way to heal your body. There are many osteopaths whom you can consult when you have a Back Pain in Ashford. There are three major therapeutic treatments that can cure back pain. These are osteopathy, chiropractic and physiotherapy which differ in their approach. Chiropractors look at the body as a whole system and can cure back and neck pain. It is a practice that involves treating joints, muscles and bones to heal your nervous system and pain. Chiropractors typically use a manipulation approach to cure back pain problems. Like chiropractors, osteopaths also look at the body as a whole. They usually try to bring your body back to its original state through Manuel therapy. These practitioners ensure that your joints, muscles and bones work together smoothly. Physiotherapists try to provide relief through exercise and therapies. Instead of passive treatment, this treatment encourages patients to stay more active. In physiotherapy, patient involving is more important. Osteopathy is a treatment that is a regulated and citified healthcare approach. It can improve your health and provide relief from back pain. You can start enjoying normal routine life without going through a surgery or using drugs. It involves physical treatment that can treat your muscles, nerves and joints. Here are different therapeutic techniques that osteopaths often use to treat their patients. This is a technique that involves the spinal column and skull bones to address issues. To ease stress and pain, osteopaths use therapeutic touch. This practice involves movement and slight exercise of patients. Osteopaths move the patient to a more comfortable position from a restricted position. Through spinal manipulation, movement of joints is restored. Osteopath help or guide the patient to move her or his muscles in specific directions. Osteopath usually applies a counterforce during this process. Massage therapy is applied to address the restriction within muscles and joints. In order to relieve stress, traction is also used during the process. Hands, feet and head are slightly lifted to treat the body as a whole system. A patient after osteopathy treatment may feel sore. However, the feeling stays only for a few days if it takes more time, consult with your osteopath. Manual therapies are only a part of treatment and aftercare also matters a lot. Pay attention to the advice that your osteopath gives you. This can help your body heal quickly and you can get rid of the pain. Following the advice, you can put an end to pain forever and stop it from coming back.

optimal sleeping positions lower back pain 1743210

The effort that goes into using corrective gear exercising, and detecting posture goes to waste in case your job is reversed. Most adults sleeping anywhere from six to eight hours per night, occasionally moving through the night. Your night posture issues as much as your day posture, and in case your lower back pain is much worse in the evenings, which can be since you are unknowingly exacerbating your illness as you're asleep. You do not have to turn yourself into a contortion to perform for your health. A couple of places are regarded as some of the culprits in regards to reduced back pain, such as lying with your head onto a pillow, and lying on your side together. Whatever changes the alignment of your spine and buttocks in a manner that is negative or puts pressure is going to have you feeling it. It only requires a couple of adjustments to receive a snooze. Everything You Want to Know The backbone is a column of cartilage and bones, with nerves. A whole lot of lower back pain stems from broken bones or deprived areas involving the thoracic vertebrae, causing bone and tissue to push these sensitive nerves and deliver continuous pain signals through the body. When there are lots of healthcare interventions to manage this matter, from operation to injecting the region to numb the nerves and decrease swelling, taking pressure off the nerve throughout posture alterations is among the safest and best approaches to quickly introduce relief, and decrease pain. To accomplish this, patients are educated to see their posture, prevent certain motions, and at times, a patient can use a physical therapist to strengthen muscles in the body which help prevent pressure from becoming further added on the affected region. The outcome is illness that stalls corrosion or collapses at greater quality of life and a pace, without pain. However, as soon as we sleep, our job is undone by certain places. Regions the vertebrae applying pressure to regions that are impacted and are shoving each other will create pain upon waking . Healthy sleeping places for lower back pain need to take into consideration the numerous conditions that may befall someone with back pain (from herniated discs to spondylolisthesis). Therefore, your sleeping position will be dependent on what you find most comfortable, you're experiencing pain, and also where precisely your pain is originating. A fantastic guideline is while the body is in proper alignment, that strain on any single spot on the backbone is reduced. That entails your ears, shoulders, and buttocks are in a direct line. The backbone curves obviously, but it is a slight curve and it should not cause your hips to dip forwards or backward (occasionally signaling weakness in the abdominal muscles or pelvic floor). Without having to stay stiff After sleeping, try to maneuver in a manner that keeps your chest and neck in a straight line. What you will discover is that your body might need to sink in areas because of gaps between the mattress and you. We are not rectangles, as well as our body's curvature induces us flex and to slump in areas once we are lying on a surface that is level. Use cushions that are small to fill the openings, attempting to remember your objective is to keep an alignment of the spine. Here are a couple examples that are very good! Sleep at the Fetal Position Curling up in a fetal position with your knees can help relieve pressure as long as you do not attempt to bend back in another direction. As opposed to curling up into a ball roll into your side with neck and your head onto a pillow and then bring up both knees until you feel that your spine straighten out and near the torso. Do not go. Sleep on Your Back With Knees Enriched If you are a sleeper, then fastest and the simplest way to experience relief and also take stress would be to lift the knees which have a pillow. This is great for knee pain, out of becoming stressed under overextension on your sleep, as it prevents the ligaments. By making use of a pillow you are able to keep your knees flexed and let the spine to unwind preventing any straightened or cramping in the vicinity of the spine and opening up the joints. Sleep at a Reclined Position For people with spondylolisthesis, a bed might be more comfortable than a bed. Reclining beds therefore are beds using a joint in the centre allowing for alterations to be created, like a seat and are utilized in hospitals. Should you're feeling less stress when lying back into a seat, you might realize that changing to a chair would greatly reduces your pain. This is possible particularly for people who can not afford to purchase an adjustable bed frame. There are tactics to attain the impact in a bed, in case there is a bed framework not possible, like a bed wedge. Sleep on Your Side With Knees Aside Keeping your knees apart is vital if you would rather sleep on your side. Your hips are more most likely to change and create a twist putting additional pressure Even though it may not look like much, with no distance between your knees. An firm cushion under your waist may keep spine, the hips, and shoulders in recovery. Do not forget maintaining a pillow beneath your head and neck. It is only 3 cushions, two of which can be smaller, although this may look awkward at first. Look at reminding yourself to change sides often. By imitating one side too 23, Though this position is supposed to reduce back pain, muscle strain might aggravate. This makes itself felt in your lower spine. Picking everything things to sleep and when to sleep things. Make sure you select the firmest mattress you may figure out how to sleep without distress -- the mattress available on the sector is very likely to make you feeling unhappy examine a few before you discover something that you can live with. Softer mattresses may seem superficially comfy but do you no favors to the alignment. Pillow caliber that is Fantastic is important also, and it is a fantastic guideline to change out your cushions, no matter how many times you clean your pillow covers.

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how can chiropractor help recover back pain 1709002

The following article is based on some of the important factors of a chiropractor which helps to recover from back pain. A doctor practicing in a top-notch hospital is not always the answer to every problem. One also needs to contact a chiropractor to get relieved from such kind of issues which needs internal healing and soothing. Many of the people do not prefer to visit a chiropractor but on the contrary, prefer to visit the doctor to get treated from all the kinds of ailments. But, a top-notch medical practitioner practicing in a specialized hospital is not always the answer to every problem. Chiropractors are the people who treat one's pains without the procedure of sending the patient under the knife. This at times also makes the patient feel a bit calm and relaxed to be at a bay from all the pain and heart throbbing procedures. A chiropractor in Arlington helps in healing the smallest of the physical ailments may it be back pain, lower back pain, spine dysfunction, and various other things. Such therapies help in recovering from all kinds of problems may it be a long back problem or a one emerged a few days ago. Though people might not be able to feel comfortable at first with the procedure they had never experienced, hence it is the responsibility of the medical practitioner to calm down the individual and make one stay composed as well. This helps in better understanding of the actual problem by the chiropractor when the patient remains calmed down and is able to explain the problem in detail. Mentioned below are the assisting points that help an Arlington chiropractor to treat back pain of the patient. Spine manipulation is a procedure which includes little kind of light therapies performed by the chiropractor on the patient to relieve one from back pain or any such kind of problem. It helps the individual to get relieved easily without going through any kind of painful procedure. It involves few gentle back massages that help to release oxygen and various other nutritional fluids that might have been obstructed at one place before. Hence, it also acts as a cause of discomfort for the individual at times. All these problems are well understood by a chiropractor as the individual has an in-depth knowledge of it. This procedure helps the individual to have a proper body posture which puts less strain on the back. It helps in maintaining a proper posture which helps the individual to stay at a bay from any kind of problem. This helps the individual to stay away from a maximum of the back problems which might rise up in a bigger form in the days ahead for the patient. Therefore it is necessary to pay attention to all such minor ailments from the beginning so that they don't root deep down within the system of the body. A back alignment involves the chiropractor to perform certain therapies on the spine of the individual to heal him/her from severe back pain. An individual who had never been through surgery or an under the knife procedure will always fear a surgery to be performed. Hence, a chiropractic treatment helps the patient to stay calm and composed as this method is considered to be one of the painless methods to cure and heal an individual. This makes the patient more comfortable and relaxed. The patient is able to express his/her ailment in a much clear and better way. An experienced individual will treat his/her patient with utmost care which helps the patient to be relieved and ensure the benefits of a pain-free procedure. Hence, while a chiropractic treatment one needs to be ensured of a pain-free therapy to be performed which proves beneficial for the patient at the same time as well. A detailed and deep inspection is the sign of an experienced Arlington chiropractor. Without a detailed inspection, one won't be able to identify the actual problem of the patient. This might keep the actual problem disguised. This might also lead to improper medication as the actual problem had been under the cover. Thus a detailed inspection of the problem is necessary to start the proper medical inspection in the beginning and resolve the ailment itself from the root. With the help of proper medication, the wound is not able to deepen inside the patient's body. Hence, a thorough study of the case is helpful for the patient as well as the chiropractor. An experienced individual in every fraternity is necessary. It helps the patient to be assured of the services provided by him/her. An experienced individual has the advantage of knowledge earned from numerous cases seen. This proves beneficial for the patient as well as the chiropractor too. An experienced individual knows all the tactics to deal with any kind of problem and the also the exact way to deal with it as well. This lets the individual know the actual problem. An experienced Arlington chiropractor identifies the ailment and treats it with utmost care and comfort.

you curing your back pain just treating 1706059

how advantageous choosing chiropractor back pain 1699109

The following article is completely focused on the advantages of consulting a chiropractor for back pain. A chiropractic adjustment is one of the advantageous ways to treat ailment of the body. It is one of the most natural and effective ways to treat any pain of the body. It is also one of the affordable ways to get rid even the oldest of the back pains of the body. In case of any sort of physical pain, people reach out to a doctor for its immediate treatment. The doctor suggests for medicines, treatments or even surgeries at times, depending upon the type of pain the patient is suffering from. Chiropractors are people who are being visited less by the people suffering from any kind of body pain. There are myths among people that such kind of treatments is ineffective and painful for the body, but that's not the truth. A chiropractic treatment in Arlington is useful in many kinds of body pain problems such as back pain, neck alignment, spinal decompression, and so on. Many problems related to our body, may it be the old or new upraised one; chiropractor has the solution for all the problems. It is one of the most natural and basic kinds of a treatment done to the human body to get it relieved from all kind of pains. The treatment is not confined to a particular age group. The practice is safe for patients of all age groups. This one should definitely give a try to this kind of the treatment. Mentioned below are some of the benefits one can derive from a chiropractic treatment

back pain treatment best doctor your area 1691254

If you have back pain, you can choose from many treatment options, including alternative treatments. Even your doctor can suggest treatments such as acupuncture, herbal medicine or massage as part of your treatment plan. If you go to the doctor for back pain, he will examine your back and assess your ability to sit, stand, walk and lift your legs. The doctor can also ask you to value pain on a scale of zero to ten and talk to you about how you deal with pain. These assessments help determine where the pain comes from, how much you can move before the pain forces you to stop and if you have muscle spasms. The back doctor near me also help rule out more serious causes of back pain. If there is a reason to suspect that a specific disease may be causing back pain, the back and neck specialist near me may ask for one or more of the following tests: X-rays- These images show the alignment of your bones and if you have arthritis or broken bones. These images alone do not show problems with the spinal cord, muscles, nerves or intervertebral discs. Magnetic resonance imaging or computed tomography- These scans can produce images that reveal herniated discs or problems with bones, muscles, tissues, tendons, nerves, ligaments, and blood vessels. Back doctors near me would suggest this in very chronic cases. Blood test- They can help determine if you have an infection or other disease that may be causing the pain. Bone scintigraphy- Rarely, the doctor may use a bone scan to see if there are bone tumors or compression fractures caused by osteoporosis. Studies of the nerves (electromyography) - This test measures the electrical impulses produced by the nerves and the responses of the muscles. This test can confirm nerve compression caused by disc herniation or narrowing of the spinal canal (stenosis of the spinal canal). Treatment Most acute back pain improves after a few weeks of home back strain treatment. If the pain continuous for more than a week then contact the chronic pain specialist near me. Over-the-counter painkillers and the use of heat or ice may be all you need. Bed rest is not recommended. Try light activities, such as walking and activities of daily living. Suspend activities that increase pain, but do not avoid activities for fear of it. If the treatments at home are not working after several weeks, the doctor may recommend stronger medications or other therapies. Before trying any medicinal herb, investigate and consult your doctor. It is possible that they have side effects that you do not know; In addition, medicinal herbs can interfere with prescription medications, for example. Physiotherapy is the mainstay of the treatment of back pain. A physiotherapist can use various treatments, such as heat, ultrasound, electrical stimulation and muscle relaxation techniques in the muscles of the back and soft tissues to reduce pain. As the pain improves, the physiotherapist can teach you exercises that can increase your flexibility, strengthen the abdominal and back muscles, and improve your posture. Frequent use of these techniques can help prevent pain returning.

back pain restorative also medical treatments 1681662

Back Pain could happen at any moment whenever you make an incorrect motion. It could additionally be the result of abrupt activity as well as aging. Before you wish to find the most effective pain relief for back pain it is essential to obtain yourself appropriately examined to get a correct therapy for your condition. Therapy greatly relies on the source of your signs and symptoms. Types of exam: Although our medical systems, lower pain in the back specialist and also possible means of examining after clinical concerns have actually been continuously improving, neurology is still somewhat of a mysterious area. This means, in order to learn exactly what's specifically causing your discomfort, you will need to undergo several investigations, to assist lower back doctor figure out more on what exactly is creating the discomfort. In some cases, when it pertains to noticeable concerns, such as a rupture or a dislocated disk after that X-Ray or MRI will certainly be enough to find the concern. Health examination could also help in figuring out just what's creating your discomfort and also where is it situated. Often CAT or tomography scans are additionally entailed, including bone scans as well as bone thickness tests (back cracks can happen because of weakening of bones). All in all this is much from being as frightening as it may sound like. Medical therapies: After the problem is more-so local medical and healing therapies can begin too. It's rather easy to figure out even more about back strain treatments alongside other back related problems. Just google "back and neck specialists near me" and also undergo the results as well as the viewpoints on the different clinical facilities. Non-surgical therapies As many low neck and back pain management generally disappears by itself within a few weeks non-surgical therapies generally intend to reduce the pain, which can be poor particularly in the first duration of the condition. Inflammatory medicine is additionally often made use of, these include ibuprofen, pain killers and also various other relaxants. Massage and chiropractic specialist therapy: both chiropractic specialist and skilled massage therapy therapists could aid you handling dislocated disks and also allow them to pull back in their location in their normal position. Take care nevertheless as well as only deal with highly skilled experts. Your medical professional may likewise be able to provide you ideas. Surgical therapies It is seldom that one may should go under the blade for lower back pain. The majority of commonly it could take place when you have back disk fractures which severely limit your movement, causes you way too much discomfort and also the problem wouldn't go away even after 3 months. Surgical procedures include back microdiskectomy or cervical diskectomy/fusion. These might not require anesthesia. Home healing back stress therapies Hot and cold treatments, light workouts can all aid to reduce pain and also inflammation. It's very important middle back pain treatment as well as not to remain in bed yet keeping on moving as high as you can, obviously with care. Physical therapy could likewise be recommended, which is simpler since you will certainly have a strategy to follow and can additionally get consultation with movement specialists that could after that make you move the means it aids your condition to recover more easily.

non surgical treatments lower back pain 1679499

Are you looking for lower back pain treatment? If yes, then you could be one of the many Emiratis who suffers from back pain. Recent studies suggest that more than 60% of young people are suffering from back pain and even a greater number is true for older people. For this reason, it is not difficult to see that more and more people are seeking non-surgical treatments for lower back pain. If you are among them, then you would be happy to learn about your options on this page. Eliminate causative factor Before seeking different treatments for lower back pain, it is imperative to first identify its causes. In most cases, if the cause is addressed, back pain will normally go away. For example, if the lower back pain is caused by obesity, in that case, weight loss can improve your condition. Improving good posture and exercise can also eliminate back pain. Physical therapy In the UAE, physical therapy is a popular treatment for back pain. It does not just eliminate causes of back pain, but it can help prevent future occurrence of this ailment. There are different physical therapy techniques. Depending on your diagnosis, the treatment is commonly a combination of various methods. For example, your whole treatment plan may include therapeutic massage, manual therapy, and osteopathy. In some cases, physical corrective devices and gears are used to improve overall posture and flexibility of the body. Since physical therapy is a natural, non-invasive, and safe back pain treatment method, it presents a wide range of benefits to the body. It does not just heal the symptoms, but also the cause of the problem. Not only that, but more and more people are seeking physical therapy services not just to heal injuries or correct physical ailments, but also to maintain a healthier and stronger body. Other non-surgical treatments Aside from physiotherapy and other things mentioned above, back pain also responds to the use of braces. It keeps the body upright and prevents positions that could possibly trigger or worsen back pain. Ice and heat therapy could also be a good treatment. Ice can decrease pain perception while heat relaxes the muscle. If you work in an office or you spend a lot of time sitting, consider using ergonomically designed chairs. Use a chair that provides sufficient support to your back and uses a table that allows the proper alignment of your extremities to your body.

do you really need back pain specialist 1675904

Back pain is one of the most common reasons to visit a doctor. It can result from an injury, an occupational activity or a medical condition. According to the American Association of Neurological Surgeons, 75 to 85 percent of people in the United States experience this pain during their lives. The symptoms of this pain can vary from mild to severe. It can be episodic, constant, short-lived or long lasting and can your limited range of motion, thus preventing you from performing your daily activities. Types: Back pain is categorized into two types: Acute: it begins suddenly and lasts for up to six weeks. Typically, this pain stems from an injury or trauma, though a majority of cases have no definite cause. Acute pain can also arise as a result of a spine disorder like ankylosing spondylitis. It can limit the patient's spinal flexibility, making it difficult for him/her to stand straight. Chronic: it develops gradually and lasts for over three months while causing ongoing problems. The pain may occur due to identifiable causes like an injury or trauma or unidentifiable causes. A patient with chronic pain finds it difficult to sit too long in one position, drive, lift heavy objects, spend long periods bending over and do exercise. When there is no definite reason for the pain, it is often termed "chronic benign pain." Potential Causes of Pain: There are many causes of back pain. While most of them are acute with no serious underlying reasons, some other are fatal like cancer or infection. Some of its most common causes are: Some serious underlying conditions that cause pain in back include: Risk factors Some common factors linked to an increased risk of developing pain in back include: When to See a Practitioner for Pain? In most cases, this pain is temporary and goes away with or without treatment. However, if it does not respond to rest and typical pain remedies, it is advisable to see a physician for an evaluation. You may start with your primary care provider, but in severe cases, it is recommended to visit a back specialist. Who are Back Specialists? Doctors who treat back pain include chiropractors, osteopathists, surgeons, physiatrists, anesthesiologists, neurologists, rheumatologists, physical therapists and occupational therapists. Pain that Requires Urgent Medical Care: If your pain accompanies the following symptoms, it could indicate a serious problem that needs immediate medical attention. Some of the abovementioned symptoms are described in detail below. Severe Pain in Upper Back The sudden occurrence of pain between your neck and lower back could be the indication of a fractured or collapsed vertebral body in the spine. The pain is often caused by a poor posture, especially from using a computer for a long time. However, it can also result from throwing, bending or twisting, forceful coughing or sneezing, lifting heavy things or a fall or road accident. Sometimes, upper back, pain is also accompanied by a neurologic effect. Despite being extremely painful, this type of spinal fracture usually does not require an emergency. Most often, it can be managed with a conservative home treatment such as applying ice or heat or adjusting posture. However, if the pain persists beyond the expected period of healing, you should visit a doctor. High Fever with Increasing Pain: High fever (above 102 degrees Fahrenheit in adults) can be a symptom of a spinal infection. These types of infections can gradually develop as a result of a weakened immune system or can arise after spine surgery. Though spinal infections occur rarely, they can escalate an epidural abscess that can put immense pressure on the nerve structures. In some severe cases, this infection can lead to partial or complete paralysis. If you are suffering from the fever that is accompanied by increasing pain in back, you should immediately visit a specialist. Normally, the spinal infections that arise after a spinal surgery can heal with home treatment, however, in some cases, they may require surgery or therapy. Patients having diabetes or poor health are more susceptible to suffer from these infections. The most common form of the vertebral infection is vertebral osteomyelitis that can be caused by direct spinal trauma. Vertebral is the most common form of vertebral infection. It can develop from direct open infections in surrounding areas and from bacteria that spreads to a vertebra. Long-term use of epidural steroids, extensive dental procedures and Intravenous drug abuse are some other causes that may lead to vertebral body infection. Unintentional Weight Loss with Abdominal Pain Pain in the lower back with abdominal pain- coupled with the sudden unintended weight - can be the indication of a serious underlying medical condition, such as cancer. The pain can result in loss of appetite and unintended weight loss, which may also happen due to cancer of an abdominal organ. Weakness in Lower Extremities and Lack of Control over Bladder and Bowels Sharp pain and that results in extreme weakness of the legs or feet can be an indication of a serious condition called cauda equina syndrome (CES). It is caused by compression of nerves in the lumbar spine. Some typical symptoms of CES include The most common cause of this condition is a Lumbar Herniated Disc, which most commonly happens as a result of excessive pressure on the lower spine. Sometimes, it also happens when an already damaged disc is strained or ruptured. Some other causes include lumbar spinal stenosis, trauma to the lumbar spine, infections of the spinal canal (osteomyelitis) and postoperative complications from lumbar surgery. Conclusion: Back Pain is usually not harmful and vanishes in a few hours or days with rest, painkiller medications, or treatments like exercise, massage and weight loss. However, if the pain persists for months and is accompanied by one or more of the aforementioned symptoms, the situation can be dangerous and needs urgent medical care.

treating chronic lower back pain physiotherapy 1668184

Do you want to know how physiotherapy for lower back pain works? If yes, read on to learn more. You probably have suffered from back pain at least once in your life. According to statistics, it is not just the old ones who are experiencing back pain in the UAE, but also about 60% of young adults too. That number is also seen to be increasing during recent years. Among the different modes of treatment for back pain is called physiotherapy. Physiotherapists have the right training and solid background in assessing, preventing and treating a wide range of musculoskeletal disorders and illnesses. When you visit one of the physiotherapy clinics in Dubai, the first thing a physiotherapist will do is to conduct a comprehensive and quick assessment of your signs and symptoms. The physiotherapist will ask a few questions to learn about the nature of your chief complaint. He will assess when the pain began, its pain scale, and possible cause. Another point of interest would be your medical history and current health condition. The physiotherapist also conducts a complete examination of your spine as well as other parts of your body to determine other areas that might be adding or causing your lower back pain. The physiotherapist will suggest discussing with a doctor other diagnostic procedure such as X-ray and lab tests to pinpoint the exact problem. Once a diagnosis is made, the physiotherapist discusses the appropriate course of action with the patient. The physiotherapist may use one or a combination of different physiotherapy methods to deal with the chronic lower back pain. Manual or manipulative therapy is the skillful handling of your bones, joints, and muscles to "release" your pain. It helps in improving the range of motion of your back and encourage the proper movement of your joints. Another method physiotherapists might use is acupuncture. With the use of needles, the physiotherapist stimulates deep fibres and pressure points in your back muscles. This sends signals to your central nervous system and thereby, decreasing pain perception. Aside from manipulative therapy and acupuncture, habit training is also employed. A physiotherapist teaches you how to improve posture, control core muscles, and perform proper body mechanics. Habit training does not just relieve pain, but also prevent future back problems. Finally, strength-building exercises could also be part of physiotherapy for lower back pain. The physiotherapist guides you on how to perform specific exercises to help relieve your lower back discomforts. The workout should also focus on strengthening back and core muscles.

6 different ways prevent your back pain 1651449

Experiencing back pain is common among adults. Many risk factors can contribute to back pain. However, you can deal with those risk factors and prevent back pain. we have listed 6 different ways that you can do to prevent back pain. Correct sleeping position Research shows that a correct position while sleeping can reduce the chances of suffering from back pain while a bad position during sleep can develop back pain. A good sleeping position is to sleep on your side. Place a pillow between your knees for support. Intake vitamin K It is one of the most ignored vitamins when it comes to back pain. Vitamin K is essential for absorption of calcium. Apart from taking a good amount of calcium, you should also take a fairly good amount of vitamin K for the absorption of that calcium. Leafy vegetables that are dark in color contain vitamin K. Spinach and broccoli are good sources of Vitamin K. Make your muscles work The benefits of exercising for your body can't be put into words. It has innumerable benefits. It is great for preventing back pain. You need to make your muscles work to make it strong. It will increase the flexibility of your body and also the blood flow to the muscles. Also, it will make your spine strong that is vital for providing for good support. Exercise 3 to 4 times every week for at least 30 minutes. Correct posture There is no alternative for a correct posture when dealing with back pain. Staying in a correct posture is very important when you are having an aching back. You have to stand to keep your shoulders and head straight. Your chest should be always forward naturally. Don't hunch back while standing. When you are sitting, sit straight. Keep your spine aligned. Avoid slouching. Lifting objects When you are suffering from back pain, avoid lifting heavy objects. Seek help from others to lift heavy things. Carrying heavy weight while having back pain will only aggravate it. Even if you have to lift, use your knee as a lever. Never put pressure on your back. Stoop low if the object is placed on the floor. Bend at your knees keeping your back straight. Strengthen your core Strengthening your core will help you to balance well. It is more than just building your abs and having six packs. A built-up core will provide a good support to our back. You can try doing any exercise that focuses on your core muscles. You can prevent back pain before it attacks you by making these 6 different habits. They are easy to follow. If you are already experiencing back pain, these habits will help to lessen it. Like it is said prevention is better than cure. Start practicing it before it is too late.

back pain treatment neuromuscular therapy massage 1641471

While there is a general view that life's various irritations are reflected as a pain the neck, the fact remains that millions of Americans suffer from low back pain. As per a report brought out by the National Center for Health Statistics, four types of pain were found to exist among survey respondents, the most common were low back pain (27%), severe headache, also known as migraine pain (15%), pain in neck (15%), and facial ache (4%). In fact, it is estimated that over 26 million of Americans in the age group of 20 to 64 suffer from frequent back pain. And the incidence is more among women than men (29% vs. 25%). Massage to Help In most of the cases, low back pain goes away in a couple of day. However, some persist for a longer duration, and if not treated in time, it could develop into a serious health condition. Traditional treatments that include medications for low back pain usually treat the symptom, while not affecting the cause of the pain. Research has shown that massage therapy remains as a proven treatment to alleviate back pain while lowering the cost of care needed for overcoming pain. Neuromuscular therapy is a massage technique that remains as an effective treatment for lower back pain. Also known as trigger point myotherapy, neuromuscular therapy works wonder in treating back pain effectively that was caused due to soft tissue injury like muscle strain. Massage Therapy to Lessen Muscle Pain Spasmodic muscles feel pain when it is touched. This is due to ischemic muscle tissue that lacks correct blood flow as a result of muscle spasm. This leads to less oxygen flow to the affected muscle, causing formation of lactic acid, which makes the muscle feel sore after some physical activity. However, with massage therapy, release of lactic acid from the muscle takes place, and causes blood and oxygen to flow in the muscle. At the start, neuromuscular therapy gives a painful feeling, but as the massage continues, the spasm recedes. Hence, during massage, it is important to discuss with the therapist regarding the intensity of pressure - whether the pressure is too little, too much, the condition is getting better or getting worse. As per communication, the therapist responds accordingly. In no way the pressure given as part of the massage therapy should be overly painful. After Massage Therapy After a neuromuscular therapy massage, the patient finds the soreness fading away within 24 to 36 hours. The tight muscles should feel noticeably relaxed for 4 to 14 days, depending on the degrees of stress. The pressure applied by the therapist helps relax the muscle spasm. If no relaxation in the muscle occurs in response to the pressure, there are good chances of some inflammation existing in the muscles. Patient having inflamed muscles should consult with their doctor about the presence of inflammation before undergoing neuromuscular massage. Usually four massage treatments over a course of six weeks are enough to achieve the best results in getting rid of muscle spasms. If there is no response after undergoing two massages to treat muscle spasms, neuromuscular massage therapy may not work for the patient. Trigger Points and Neuromuscular Massage Therapy Neuromuscular Massage addresses certain trigger points, nerve compression/entrapment, ischemia, biomechanical dysfunction and postural distortion to help in improving the balanced function of the body. Trigger points exist in the muscles of a person as highly irritated points that are the source of pain in other body parts. The reasons for their occurrence are due to: These problems could lead to contraction and tightening of the muscle tissues into painful "knots", as the rest of the muscle stretches into a thin shape. It is these knots that could cause pain when touched as they are sensitive to touch. In addition, trigger points can cause pain in another part of the body, called referral pain. Using Neuromuscular Massage to Help Patients In neuromuscular massage, the primary cause of pain is determined and worked on at their source. Hence, when a pain is informed by the patient in a certain area of the body, professional therapists check the trigger points that could be the reason for the referral pain. The massage therapists keep communicating with the patient to ensure that the affected area feels at ease. The patient is asked to keep providing their feedback all through the massage to find out if the patient feels much discomfort or if they would want more pressure applied to the trigger point. Patients Benefitting from Neuromuscular Massage Anyone can have back pain if they overexert a muscle by lifting a heavy object in an improper manner or if their task requires repetitive action like sitting in front of a computer and typing for long hours in an incorrect manner. Moreover, a person having a bad posture would find neuromuscular massage quite beneficial to get relief from tightened muscles resulting from a chronic stress in certain area of the body.