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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
In the time leading up to hip replacement surgery, you were looking forward to living pain free. But now months after the surgery, you are disappointed with your reality of living with ongoing pain or even worse pain than you had before. What went wrong? Why aren’t you experiencing the pain-free life that you dreamed of? A few things can be going wrong and preventing you from the best possible results after the replacement of your hip.
First and foremost, you might be caught in a painful triad of arthritis involving both the hips and the spine. Replacing one or both hips does not solve the back pain. And fusing the back does not solve the hip pain. The hip-spine connection is frequently encountered in the elderly because all of these parts have deteriorated over time. 1 Sometimes hip arthritis is misdiagnosed as low back pain. Sometimes low back pain is misdiagnosed as hip arthritis. And many times both are seen together in the same person. Even someone who has had t...
Alternative Names Backache; Low back pain; Lumbar pain; Pain - back; Acute back pain; Back pain - new; Back pain - short-term Symptoms You may feel a variety of symptoms if you've hurt your back. You may have a tingling or burning sensation, a dull achy feeling, or sharp pain. Depending on the cause, you also may have weakness in your legs or feet. Low back pain can vary widely. The pain may be mild, or it can be so severe that you are unable to move. Depending on the cause of your back pain, you may also have pain in your leg, hip, or bottom of your foot. See: Sciatica Signs and tests When you first see your doctor, you will be asked questions about your back pain, including how often it occurs and how severe it is. Your doctor will try to determine the cause of your back pain and whether it is likely to quickly get better with simple measures such as ice, mild painkillers, physical therapy, and proper exercises. Most of the time, back pain will get better using these approaches. Questions w...
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