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Sunday, February 1, 2015

LOW BACK PAIN Treatement- exercises, preventive measures medications


Some physicians believe that almost every American over the age of 40 experiences some degree of pain in the lower back. The lower part of the spinal column does not have the support of the rib cage as does the upper part. The spine is made up of vertebrae. Between the bodies of the vertebral bones are disks which act as shock absorbers. Ligaments bind the bones together. And, Acute Low Back Pain This may be produced by a fall, blow, lifting a heavy weight, pushing a car, shoveling snow, etc., or there may appear to be no cause.

The pain is usually severe and there is difficulty in walking and standing. Most acute attacks yield completely, or show decided improvement, after a few days of complete rest in bed with a very firm mattress, preferably with a bed board under it (the board should be about six inches smaller than the mat- tress so sheets can be tucked in, and so no one will bump against it). Aspirin is helpful, but the doctor may prescribe a stronger pain reliever such as Darvon, Demerol, or codeine. Many muscle-relaxant medications are advocated for relief of the muscle spasm which contributes so much to pain. It is doubtful that they live up to their claims.

Muscle spasm will be helped by warm, moist packs which should be changed frequently to maintain warmth and should not be scalding finally, muscles of the lower back and of the abdomen as well are designed to give the spinal column support. Young people who are vigorous in sports and physical activities rarely are troubled by backache unless there is a direct injury.

It is usually the person who gradually has lost physical fitness, whose supporting muscles have weakened, who has put on excesspoundage, and who has developed poor posture, who is a candidate for low back pain. Many persons erroneously ascribe backache to "kidney trouble" and waste money on medicines to "flush" the kidneys. Similarly, the uterus has been blamed by many women for their backache. Only rarely is a anal positioned womb the cause. Hot, since excessive heat can include muscle spasm.


A bath in comfortably warm water is helpful if there is no problem about getting into and out of the bath. A soothing way to apply warmth to the back is to have the patient sit on a stool or waterproof chair set in the bathtub; place a large towel over the shoulders and upper back; and have the shower trickle comfortably warm water onto the towel and down to the painful area in the low back. When done for 15 to 20 minutes at a time several times a day, this can be very helpful.

 If an attack of low back pain is so severe that there is inability to sleep, or if there is urgency about shortening the attack, then a short stay in a hospital may be helpful. In the hospital, strong pain relievers can be given by injection; this helps not only to reduce suffering but to stop muscle spasm