Treatment - back strain
A common misconception about back pain is that you need to rest and avoid activity for a long time. In fact, bed rest is NOT recommended. If you have no sign of a serious cause for your back pain (such as loss of bowel or bladder control, weakness, weight loss, or fever), then you should stay as active as possible. Here are some tips for how to handle back pain and activity early on:
Stop normal physical activity only for the first few days. This helps calm your symptoms and reduce any swelling (inflammation) in the area of the pain.
Apply heat or ice to the painful area. One good method is to use ice for the first 48 to 72 hours, then use heat after that.
Take over-the-counter pain relievers such as ibuprofen (Advil, Motrin IB) or acetaminophen (Tylenol).
Sleep in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place ...
One of the major risks of having spine surgery is the development of an infection. Discitis is an uncommon infection of the spinal disc that can occur after spinal surgery. Because of its rarity, discitis is often not on the minds of doctors. In this world of rushed, inattentive doctors, a person with an infection of the spine can be dismissed as a "common back pain" case when in fact discitis is the culprit.
A 58 year old woman who had years of lumbar pain came to me one and a half years following a complicated lumbar fusion; the surgery was complicated by the fact that the surgeon had to operate twice in order to get the hardware placed correctly. Unfortunately, the surgery did not cure her pain; and she came to me for pain management.
Two months into her treatment with me, she had a severe episode of low back pain after shoveling snow. She went to her primary doctor with not only complaints of worsening back pain, but she also had a fever and an upset stomach. That ...
There are many people who confuse Inflammatory Bowel Disease (IBD) and Irritable Bowel Syndrome (IBS). In actuality, they are very different. IBS is a functional disorder of the intestines, in which structurally, there is no pathology. The intestines in IBD however, are inflamed or ulcerated. Ulcerative Colitis and Crohn's Disease are types of IBD. Spastic colon is another term that is used interchangeably with IBS. The diseases are usually easily differentiated by history. At times laboratory studies, as well as imaging studies with barium ( small bowel series and barium enema ) is helpful. Finally, colonoscopy with biopsy can be used. Patients with IBS typically have abdominal pain, with diarrhea and/or constipation. The pain is usually crampy in nature and relieved with a bowel movement. The pain should not awake one from sleep, and is not associated with weight loss or bleeding. When IBS patients have abdominal pain and diarrhea, the symptoms can frequently...
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