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One of the most common problems seen in a primary care medical practice is low back pain. It accounts for more discomfort, lost work and productivity, and frustration for many patients than any other malady. Some think it is the price we, as humans, pay for walking upright. The lower back is a complex structure made of bone, muscles, connective tissue and nerves that, along with our legs, hold us erect, allow us to bend, run, twist, catch a football, or just lay down and rest. However, once a problem arises, the complexity of its structure makes pain in the lower back difficult to diagnose and treat. The lower back consists of a spinal column from the lumbar region of the mid-back down to the tail bone or coccyx. The spinal column consists of 5 lumbar vertebrae which are cylindrical bony structures with a ring like component behind the cylinder also made of bone. In between the vertebrae are disc shaped cushions filled with a gelatinous central core known as the nucleus pulposis
Anyone who's ever had an asthma attack knows about the chest tightness and why it occurs. Yet what about the chest soreness that occurs the next day? Why does asthma causes chest pain?
The interesting thing to note here is there are no pain receptors in your lungs!!! The reason asthma causes pain is because asthma causes you to breathe the wrong way.
Confused? Allow me to explain with a pithy lesson on how we breathe. (To learn why we breathe click here )
Breathing is the process of moving air into and out of the lungs. Breathing is one of the few bodily functions that can be done either consciously (you control it) or unconsciously (without thinking of it). Unconscious breathing : Most of the time you don't think about breathing, yet you continue to do it. This is an important safety net for life, because if we had to think about breathing 24-7 we'd accomplish little and most life would cease to exist. Air goes into your...
Raise your right hand if you are taking a cholesterol-lower medication like Crestor or Lipitor. Now, raise your left hand if you have chronic pain. Those of you with both hands in the air should listen up. Cholesterol-lowering medications can cause pain and Lipitor is the most prescribed drug in America . Yikes! Now ask yourself these questions: did the pain start within a year or two of starting the offending drug? Did the pain get worse within a year or two of starting the offending drug? If you answered yes to either of these questions, you may need to reconsider your use of a medication that causes pain.
Crestor, Lipitor, Zocor, Pravachol, Mevacor; this group of drugs are generally called the "statins" because the generic name of these drugs that lower cholesterol ends in "statin". These medications have the potential to cause serious muscle problems including muscle pain. The most serious problem is called rhabdomyolysis which means that the muscles literally start to disin...
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