Medical Editor: Melissa Conrad Stöppler, MD About Us You don’t need to take my word for anything — you can just take the word of the many low back pain medical experts that I quote,11 and the hard evidence that their opinions are based on. At the same time, I am realistic about the limits of the science, much of which is pretty junky.12 My own credentials are somewhat beside the point. My decade of professional experience as a Registered Massage Therapist does help me understand and write about low back pain, but what really matters is that I refer to and explain recent scientific evidence, but without blindly trusting it.
See Getting an Accurate Back Pain Diagnosis $2.99 Parenting & Families
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Over-the-counter pain medications. The most common over-the-counter (OTC) medications are aspirin (e.g. Bayer), ibuprofen (e.g. Advil), naproxen (e.g. Aleve), and acetaminophen (e.g. Tylenol). Aspirin, ibuprofen, and naproxen are anti-inflammatory medicines, which alleviate low back pain caused by a swollen nerves or muscles. Acetaminophen works by interfering with pain signals sent to the brain.
Your GP may suggest attending an NHS group exercise programme if they think it might help reduce your pain.
2011 — New section: A key concept covered in the trigger points tutorial long ago, but so relevant to low back pain that I decided it needed to be here as well. [Section: Could it be a vicious cycle of pain-spasm-pain?]
I having a back pain. How can I solve the problem? Yuan J, Purepong N, Kerr DP, Park J, Bradbury I, McDonough S. "Effectiveness of acupuncture for low back pain: a systematic review." Spine (Phila Pa 1976). 2008 Nov 1;33(23):E887-900.
CT Scan (Computed Tomography) Antidepressants. Low doses of certain types of antidepressants — particularly tricyclic antidepressants, such as amitriptyline — have been shown to relieve some types of chronic back pain, independent of their effect on depression.
This is just the short list; Humira may have even more damaging effects on your health only to emerge later through post-marketing surveillance in exposed populations who are being forced to act as living guinea pigs.
Jump up ^ Flynn TW, Smith B, Chou R (November 2011). "Appropriate use of diagnostic imaging in low back pain: a reminder that unnecessary imaging may do as much harm as good". J Orthop Sports Phys Ther. 41 (11): 838–46. doi:10.2519/jospt.2011.3618. PMID 21642763.
Dan Cherkin Free current issues on JN Reader OTC and Prescription Pain Relievers Learn about over-the-counter and prescription medications for treating back pain.
Slideshow: Back Pain Myths & Facts Looking to get your midsection swimsuit-ready? These five moves will tighten up your core and boost your confidence.
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Shoulder Pain Post View 1 Comment Fresh Air 2014 — New section: No notes. Just a new section. [Section: 3 Lessons From an Acute Back Trauma: Joint popping, muscle dominance, and the mind game.]
Everett C Hills, MD, MS Assistant Professor of Physical Medicine and Rehabilitation, Assistant Professor of Orthopaedics and Rehabilitation, Penn State Milton S Hershey Medical Center and Pennsylvania State University College of Medicine
See Ice Massage for Back Pain Relief Prepaid Cards 2012 — Science update: New reference strongly supporting a key, controversial point. [Section: The fascinating case of acupuncture, formerly a contender in low back pain therapy, but which has now miserably failed well-designed scientific tests.]
Exercise or sports-related injuries or accidents, including pulls or strains Find a doctor at The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center or Johns Hopkins Community Physicians.
Get health information and advice from the experts at Harvard Medical School.
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Jump Rope Classification The lumbar (or lower back) region is made up of five vertebrae (L1–L5), sometimes including the sacrum. In between these vertebrae are fibrocartilaginous discs, which act as cushions, preventing the vertebrae from rubbing together while at the same time protecting the spinal cord. Nerves come from and go to the spinal cord through specific openings between the vertebrae, providing the skin with sensations and messages to muscles. Stability of the spine is provided by the ligaments and muscles of the back and abdomen. Small joints called facet joints limit and direct the motion of the spine.
Editor's note: This review of acute low back pain presents evidence against the substantial benefit of spinal manipulation. Because there are differing viewpoints on this, we ran a series of pro/con editorials to address this question. They will link back to this article, and round out the discussion of this topic.
Interviews Autoship Program ~Jean Gallagher, low back pain sufferer, California Home Office Walk on heels 4 Surprising Low-Back-Pain Triggers
Predoctoral Fellows Exercises This document and all of PainScience.com was, for many years, created in my so-called “spare time” and with a lot of assistance from family and friends. Undying thanks to my wife, Kimberly, for countless indulgences large and small, and for being my “editor girlfriend”; to my parents for (possibly blind) faith in me, and much copyediting; and to Mike Gobbi, buddy and digital mentor, for many of the nifty features of this document (hidden and obvious). And thanks to all of the above, and many others, for many (many) answers to “what do you think of this?” emails.
“The Pain Perplex,” a chapter in the book Complications, by Atul Gawande. Gawande’s entire book is worth reading, but his chapter on pain physiology is certainly the best summary of the subject I have ever read, and a terrific reminder that good writing for a general audience can be just as illuminating for professionals. Anyone struggling with a pain problem should buy the book for this chapter alone, though you are likely to enjoy the whole thing. Much of the chapter focuses on one of the most interesting stories of low back pain I’ve read, and it is a responsible and rational account — although Gawande, like most doctors, seems to be unaware of the clinical significance, or even existence, of myofascial trigger points.
All Baby Topics Big Pharma recently began promoting Humira, an expensive drug with a price tag of nearly 20,000 dollars a year. Humira is touted to help treat ankylosing spondylitis, a chronic inflammatory disease of the axial skeleton, which includes the spine. It is outrageous how drug companies promote this dangerous drug for an exceedingly rare cause of low back pain – one that is only responsible for less than a tenth of a tenth of one percent of low back pain! What’s more, Humira may cause severe side effects, such as:
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Coach of the Week Clinician-Scientists 9 Things You Need to Know About Muscle Soreness This is my translation/interpretation for patients of the somewhat more detailed information for physicians published in “Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society”. BACK TO TEXT
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