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
Painful sexual intercourse; Dyspareunia
For painful intercourse in women after pregnancy:
Wait at least 6 weeks after childbirth before resuming sexual relations.
Be gentle and patient.
Use lubrication as needed.
For vaginal dryness/inadequate lubrication:
Try water-based lubricants.
If you are going through menopause and lubricants don't work, talk to your doctor about estrogen creams or other prescription medications.
For painful intercourse caused by prostatitis:
Soak in a warm bath.
Drink plenty of fluids, but avoid alcohol and caffeine.
Take acetaminophen or ibuprofen.
Take antibiotics as prescribed.
For hemorrhoids, try stool softeners. Antibiotics may be required for urinary tract infections, sexually transmitted infections, or vaginal infections.
Other causes of painful intercourse may require prescription medications or, rarely, surgery.
Sex therapy may be hel...
Abdominal rigidity is stiffness of the muscles in the belly area, which can be felt when touched or pressed.
Rigidity of the abdomen
When there is a sore area inside the belly or abdomen, the pain will get worse when a hand presses against muscles of the abdomen.
Your fear or nervousness about being touched (palpated) may cause this symptom, but there should be no pain.
If you have pain when you are touched and you tighten the muscles to "guard" against more pain, it is more likely caused by a physical condition inside your body. The condition may affect one or both sides of your body.
Abdominal rigidity may occur along with:
Abscess inside the abdomen
caused by gallstones
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