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...
Back pain - nonspecific
The majority of nonspecific back pain is probably caused by muscle strain. This usually responds to 2-5 days of rest and pain medications (such as nonsteroidal anti-inflammatory agents -- ibuprofen, naproxen, aspirin, etc.), followed by gradual return to activities. Medications may be needed to reduce muscle spasms.
Physical therapy is often prescribed to instruct the patient on proper body mechanics (such as good posture and lifting correctly) and to improve strength and flexibility in the spine, abdomen, and legs.
Surgery is not useful for the treatment of nonspecific back pain.
Most cases of nonspecific back pain resolve on their own or respond to treatment. It is helpful to sleep on a firm mattress, with a board under the mattress, or even on the floor. Heat or ice applied to the affected area may provide some relief.
Resources www.niams.nih.gov -- National Institute of Arthritis and Musculoskeletal and Skin Diseases www.aaos.org -- American Academy of Orthopaedic Surgeons www.arthritis.org -- Arthritis Foundation www.spine.org -- North American Spine Society www.apta.org -- American Physical Therapy Association www.ampainsoc.org -- American Pain Society www.theacpa.org -- American Chronic Pain Association www.iasp-pain.org -- International Association for the Study of Pain
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