2011 — Minor update: Some editorial cleanup on core strengthening, and I a link to a good summary of recent research. [Section: Is it core weakness?]
Updated on: 05/08/18 Systemic Spinal Fusion Patient Competes in Triathlon
Massage for Chronic Low Back Pain 8 References Languages Shop More Subscribe today to be the first to to know about breaking news and special reports.
Find Camps & Activities for your Active Kids Now that the mobility of your lower back is getting better, it’s time to increase the strength and stability of your lower back. 2016 — Upgrade: Added much more information about non-Rx pain-killers, and greatly improved information about opioids (and linking to much more information). [Section: Pain medications (and even alcohol) can be useful.]
Newsletters Sign Up to Receive Our Free Newsletters See the “fine print page” for more about security, privacy, and refunds. No legalese, just plain English. Precautions Regarding Lower Back Pain and Lower Back Pain Relief
Reader Interactions For many people there is no single or certain cure for lower back pain; it often takes a process of trial and error to find what works best for you.
Watch your weight. Use diet and exercise to keep your weight within a healthy range for your height. Being overweight puts excess stress on your spine.
Slideshows & Images Jump up ^ Gagnier, JJ; Oltean, H; van Tulder, MW; Berman, BM; Bombardier, C; Robbins, CB (January 2016). "Herbal Medicine for Low Back Pain: A Cochrane Review". Spine. 41 (2): 116–33. doi:10.1097/brs.0000000000001310. PMID 26630428.
L3-L4 ^ Jump up to: a b Dowell, Deborah; Haegerich, Tamara M.; Chou, Roger (2016). "CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016". MMWR. Recommendations and Reports. 65 (1): 1–49. doi:10.15585/mmwr.rr6501e1. ISSN 1057-5987.
Jump up ^ Kelly GA, Blake C, Power CK, O'keeffe D, Fullen BM (February 2011). "The association between chronic low back pain and sleep: a systematic review". Clin J Pain. 27 (2): 169–81. doi:10.1097/AJP.0b013e3181f3bdd5. PMID 20842008.
There are some exceptions where it's necessary, but too many people are having back surgery needlessly when the evidence of benefit is weak
Pete Shankle's spine surgery made him pain free for the first time in a year. “That surgery gave me my life back,” he says. Diagnosing Arthritis 2001 /viewarticle/874438 News
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Surgery may be useful in those with a herniated disc that is causing significant pain radiating into the leg, significant leg weakness, bladder problems, or loss of bowel control. It may also be useful in those with spinal stenosis. In the absence of these issues, there is no clear evidence of a benefit from surgery.
26. Machado LA, de Souza MS, Ferreira PH, Ferreira ML. The McKenzie method for low back pain: a systematic review of the literature with a meta-analysis approach. Spine (Phila Pa 1976). 2006;31(9):E254–E262.