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Lower Back Pain

(Lower Back Pain health hub article index)

Should I see a doctor for back pain?
August 14, 2007
Back pain symptoms can vary greatly and the severity of the pain is not necessarily a useful guide for when to see a a physician. This article outlines symptoms that sometimes accompany back pain and indicate a need for urgent or near term medical attention. Read more...
By: Charles D. Ray, MD

Isthmic spondylolisthesis
June 19, 2007 (original publication September 8, 1999)
The spine condition called isthmic spondylolisthesis occurs when one vertebral body slips forward on another because of a small fracture in a piece of bone that connects the two joints. Low back pain and/or leg pain are typical symptoms. Read more...
By: Peter F. Ullrich, Jr., MD

When back pain may be a medical emergency
June 12, 2007
While rare, certain back pain symptoms are a sign of a medical emergency that may become life threatening or result in disability without prompt attention from an appropriately skilled physician. Patients who experience any of the following symptoms should seek medical attention as quickly as possible. Read more...
By: Ari Ben-Yishay, MD

Interdisciplinary chronic pain management vs. back surgery: Which is right for you?
May 7, 2007
While surgery has proven successful in addressing many types of chronic back pain, several recent studies demonstrate that interdisciplinary chronic pain management is an equivalent or better alternative for certain types of back pain patients. Read more...
By: Andrew R. Block, PhD

Heat wrap therapy can reduce post-exercise low back pain
March 14, 2007
According to this recent study, it is now possible to avoid some of the low back pain that typically follows exercise involving the lower back muscles by using heat wrap therapy prior to and after exercise. Read more...
By: John Mayer, DC, PhD

McKenzie therapy for mechanical low back pain
March 8, 2007
McKenzie Therapy is a multi-dimensional approach to classifying and treating mechanical low back pain. The McKenzie Method is designed to centralize pain so that it becomes more tolerable for the patient. This goal is achieved through completing prescribed exercises. Read more...
By: Thomas E. (Ted) Dreisinger, PhD

Living with degenerative disc disease
February 16, 2007
This article outlines the four key components of a self-care program for patients to manage the low back pain and other symptoms of degenerative disc disease and avoid surgery. Read more...
By: J. Talbot Sellers, DO

Prolotherapy for low back pain
January 30, 2007
Several studies of patients with low back pain show benefits from prolotherapy, yet more research is necessary to demonstrate conclusively if and how prolotherapy works to provide relief from low back pain. For now, patients should consider prolotherapy as one of many treatment options available to them. Read more...
By: Simon Dagenais, PhD

What's a herniated disc, pinched nerve, bulging disc...?
January 10, 2007
There are many terms used to describe spinal disc pathology, but it is best to focus on an understanding of the medical diagnosis. This article explains conditions such as a herniated disc, pinched nerve, and degenerative disc disease. Read more...
By: Peter F. Ullrich, Jr., MD

Rehabilitation and exercise for a healthy back
November 21, 2006
Whether suffering from the first bout of low back pain or following extensive treatments or even surgery, the best way for patients to avoid or minimize the severity of recurrences is to rehabilitate the back through appropriate exercise. Read more...
By: Vert Mooney, MD

Deciding on surgery for degenerative disc disease
November 9, 2006
If patients are making concessions in their everyday activities due to low back pain from a degenerated disc, then it is reasonable to consider back surgery. However, prior to making the decision whether or not to have surgery a patient should consider the following criteria. Read more...
By: Jack Zigler, MD

Lumbar degenerative disc disease
November 6, 2006
Most patients with lumbar degenerative disc disease will experience only low-grade continuous but tolerable low back pain that will occasionally intensify. For others, however, lumbar degenerative disc disease can cause severe pain and possibly disability. Read more...
By: Peter F. Ullrich, Jr., MD

Low back pain and degenerative disc disease treatments
May 3, 2006
The treatment options for degenerative disc disease are either passive or active. Usually a combination of treatments is used to help control the symptoms. Passive treatments are rarely effective on their own - some active component is almost always required. Read more...
By: Peter F. Ullrich, Jr., MD

Ahh... ice massage for pain relief
Updated April 24, 2006
Most episodes of back pain are caused by muscle strain. When injured, the large muscles in the low back can become inflamed and spasm, causing low back pain and significant stiffness. Ice massage therapy can provide pain relief by slowing the inflammation and swelling that occurs after back injury and muscle strain, helping to slow the nerve impulses in the affected area. Read more...
By: Stephen H. Hochschuler, MD

Low back pain relief using a pneumatic vest (Research article)
February 14, 2006
Some patients find significant low back pain relief after taking weight off the spine by resting. This article reports on recently published research about the effectiveness of using a pneumatic vest to provide low back pain relief by unweighting the spine while allowing the patient to stay more active. Read more...
By: John J. Triano, DC, PhD

Snow removal techniques to prevent low back injuries
January 27, 2006
Winter low back pain from snow removal can be prevented with correct snow shoveling technique. These tips give pointers on finding the right shovel, proper shoveling posture, and exercises to relieve muscle strain. Read more…
By: Peter J. Schubbe, D.C.

Understanding Low Back Pain (Lumbago)
December 13, 2005
Comprehensive back pain information, including classification of types of low back pain, diagnosis and treatment options. Read more...
By: Ari Ben-Yishay, MD

What is degenerative disc disease?
November 29, 2005
Don't let the term "degenerative" confuse you; degenerative disc disease does not necessarily get worse with age. While the disc degeneration is likely to progress over time, the associated pain usually does not get worse and in fact usually gets better over time. Read more...
By: Peter F. Ullrich, Jr., MD

Easy exercise program for low back pain relief
June 27, 2005
Regular exercise now can often help prevent debilitating low back pain in the future. The key is devising and consistently following an exercise program. Read more...
By: Robert J. Daul, MPT

Strengthening exercise program for low back pain relief
June 27, 2005
Strengthening exercises help stabilize the spine and decrease stress on the lower back and pelvis. Most spinal stabilization exercise programs include strengthening both the abdominal and gluteal muscles. The key is an exercise program that is simple and easily done. Read more...
By: Robert J. Daul, MPT

Exercise ball therapy for low back pain
June 2, 2005
Exercise programs using exercise balls are designed to help prevent further episodes of low back pain as part of a patient's low back rehabilitation program. This article provides in-depth information on uses, exercises, benefits and drawbacks of therapy with an exercise ball. Read more...
By: Thomas E. Hyde, DC, DACBSP

Depression and chronic back pain
October 15, 2004
Even though it is not always recognized and/or treated, clinical depression is estimated to be four times greater in people with chronic back pain than in the general population. This article discusses the interrelationship between depression and chronic back pain and helps patients recognize the signs of depression. Read more...
By: William W. Deardorff, PhD, ABPP

Cervical, thoracic and lumbar interlaminar epidural injections
September 10, 2004
An epidural injection delivers steroids into the epidural space around spinal nerve roots to relieve low back pain, leg pain, or other pain caused by irritated spinal nerves. The steroid used in the injection reduces the inflammation of those nerves, which is often the source of the pain. Read more...
By: Ray Baker, MD

Spondylolysis and isthmic spondylolisthesis
April 29, 2004
Spondylolysis is the most common cause of isthmic spondylolisthesis, a condition that is the most common cause of low back pain in adolescents (especially in young athletes) and can also cause recurring or chronic lower back pain in adults. Read more...
By: Thomas E. Hyde, DC, DACBSP

Choosing the best mattress for low back pain
August 19, 2004
A mattress lacking in back support reinforces poor sleeping posture, strains low back muscles, and does not help keep the spine in alignment, all of which can increase low back pain. This article provides practical guidelines for choosing a mattress that provides both sleep comfort and back support. Read more...
By: J. Talbot Sellers, DO

Benefits of heat therapy for lower back pain
March 20, 2003
Many episodes of lower back pain result from a strain or over-exertion, creating tension in the muscles and soft tissues around the spine. The muscle spasm that results from the back injury can create sensations that range from mild discomfort to inability to move and excruciating pain. Heat therapy can help relieve both pain from the muscle spasm and related stiffness in the lower back. Read more...
By: Vert Mooney, MD

Scheuermann's disease of the thoracic and lumbar spine
December 2, 2002
Scheuermann's disease, or Scheuermann's Kyphosis, is a condition in which the normal roundback in the upper spine is increased and results in a hunchback appearance, but rarely causes back pain. Another condition, sometimes referred to as Lumbar Scheuermann's disease, is really juvenile disc disorder and can cause lower back pain at a young age. Read more...
By: Paul C. McAfee, MD

Epidural steroid injections for low back pain and leg pain
August 4, 2000
An epidural injection is effective in significantly reducing back pain and/or leg pain for approximately 50% of patients. Read about the benefits and potential risks of an epidural steroid injection, when it's typically recommended, and how it's performed. Read more...
By: Rick Staehler, MD

Golf and low back pain
September 1999
Swinging a golf club applies a lot of torque (force) and torsion (twisting) to the low back and can often result in injury or exacerbation of existing lower back pain. Read more…
By: Rick Staehler, MD and Peter F. Ullrich, Jr., MD

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