Subscription Author Affiliations Article Information *When testing the S1 innervated gastrocnemius muscle, the ability to stand on the toes once represents fair (3/5) strength. The patient must stand on his or her toes 5 times in a row to be rated normal (5/5) strength. Note that this approach should allow the physician to detect weakness at a much milder stage than if gastrocnemius strength were assessed only by using the examiner's hand to apply resistance to ankle plantar flexion.
Share197 A 2008 study published in the journal Spine found "strong evidence that acupuncture can be a useful supplement to other forms of conventional therapy" for low back pain. After analyzing 23 clinical trials with a total of 6,359 patients, the study authors also found "moderate evidence that acupuncture is more effective than no treatment" in relief of back pain.
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There’s minimal evidence that an alkaline diet improves low back pain. An alkaline diet involves eating foods that are less acidic. Foods that have grown in more acidic soils may have less calcium, magnesium, and potassium.
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Buy this article Read Next: A Weak Psoas Muscle Could Be the Cause of that Back Pain Qaseem, Amir; Wilt, Timothy J.; McLean, Robert M.; Forciea, Mary Ann (14 February 2017). "Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians". Annals of Internal Medicine. 166: 514–530. doi:10.7326/M16-2367. PMID 28192789.
Account There are many options for treating sleep problems that accompany chronic lower back pain—see Chronic Pain and Insomnia: Breaking the Cycle.
About MedlinePlus The Lancet researchers pulled together all the available literature on the injections — and again, there was little justification for cortisone injections.
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