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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
A new study published in the July 5 issue of the Annals of Internal Medicine found that “massage therapy may be effective for treatment of chronic back pain, with benefits lasting at least 6 months.” I don't usually write much on back pain since that is Dr. Lasich's specialty, but since I've personally experienced improvement in my low back and hip pain from massage therapy, I wanted to share this study with you. Study Design and Results The study looked at 401 people from 20 to 65 years of age who had nonspecific chronic low back pain. They were randomized into three treatment groups:
132 received structural massage – treatment of specific painful soft tissue areas.
136 received relaxation massage – Swedish massage that promotes whole-body relaxation.
133 received usual care – the type of treatment they normally got (mostly medications).
Participants in the massage groups were treated once a week for 10 weeks. After 10 weeks, more than one-third of ...
Pain along the back of the hip can be a very complex and puzzling condition to figure out. It's a fairly rare problem and affects athletes involved in golf, dance, or soccer most often. This article was written to help physicians diagnose with accuracy the problem and the cause. The best way to evaluate and diagnose patients with posterior hip pain is always with a systematic and logical approach. That means knowing the anatomy, possible causes of hip pain, how to classify the disorder, and ultimately, knowing how to treat the real underlying problem. Because the patient's symptoms are often vague and hard to pinpoint, special tests and imaging studies aid in the diagnostic process. The physician must also keep in mind that pain along the back of the hip could be coming from elsewhere -- like the sacroiliac joint, low back, or knee. It could be from a muscle strain, hernia, degenerative disc disease, fracture, or even from a hip dislocation. One thing we know for sure. Based on how the n...
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