If I had an episode of lower back pain, am I always going to be more likely to have lower back pain in the future?
It is true that once you have an episode of lower back pain or shooting leg pain, you are probably more likely to have it in the future - if you do nothing. But you are not going to "do nothing."
I see a lot of patients with lower back pain and shooting leg pain. Once we work together to resolve the pain, a very common question and concern that is raised is whether the pain is likely to return. A typical example is the following: Mr. X comes in with lower back pain that shoots into the right leg all the way to the foot. MRI reveals a herniated disc at L5-S1 level. After an injection, the pain is 90% better. Next, Mr. X starts physical therapy. Six we...
Ah Chew! If that sneeze hurt your low back, then you have found the right place to learn more about surviving cold and flu season with low back pain . Coughing and sneezing can really hurt. A week of doing either one can be agonizing. Why does it hurt the low back so much when the upper respiratory system is irritated? And what are some things that you can do to survive a cold or flu with less pain?
That sudden cough, sneeze or laugh (for that matter) does one thing to a lumbar disc that can cause a sudden increase in pain. Research has shown that the mere acting of coughing, sneezing or laughing increases the amount of pressure in the lumbar disc . If the disc is already torn, bulged or herniated, the act of coughing or sneezing can be a very painful experience. And Lord have mercy if the coughing or sneezing happens more than once. In fact, someone might be minding his/her own business enjoying a pain-free life when suddenly an innocent sneeze leads to months of debilitating lo...
Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain .
In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low back pain, including recommendations on surgery and other invasive therapies.
Unfortunately, there is not a significant body of good evidence to justify unquestioningly embracing these new recommendations. It is difficult to find well-done clinical studies which support the use of a number of the more invasive treatments used for chronic low back pain.
The initial set of guidelines for the management of chronic low back pain were published in "Annals of Internal Medicine" last October. However, these recommendations dealt more with the initial evaluation of a low back pain patient, and included thoughts on what type of x-rays to order in addition to more conservative treatments such as massage/manipulation and exerci...
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