Back Pain
According to the Patient Education Institute Inc. and National Library of Medicine, back pain is “
one of the most common medical problems in the U.S.” The back and spine are complex structures, and when everyday issues like poor posture and physical inflexibility can lead to pain, it’s not surprising that the condition is as widespread as it is. This guide helps you understand the causes of back pain, find relief and prevent the pain from coming back.
Back pain is not a disorder, it’s a symptom that has many causes, among which are natural degeneration due to aging, intra-abdominal disorders, and injuries sustained to the spine or to the back’s musculature. In this section, learn about the anatomy of the back and spine and the different conditions that can cause pain.
- Back pain is often characterized by the region of the back that hurts: the upper, middle, or lower back. The lower back, where the spine is most flexible, is the place where people have the most problems. Back pain that doesn’t have a known cause is called “nonspecific back pain.” Relatively few Web sites address middle or upper back pain in any detail, but we’ve included one in the picks below.
- Acute low back pain is defined as lasting less than a month. Chronic back pain is continuous for more than three months. It’s more common to suffer repeatedly from acute back pain.
- Although back pain is often the result of aching muscles or pinched nerves, it could be a symptom of a more serious problem. Certain conditions, such as cancer, can cause back pain and other problems, such as incontinence, numbness, or weakness in the legs. The sites below include signs for when you should call the doctor.
For an overview of back pain …
The Patient Education Institute Inc.
and National Library of Medicine have an interactive tutorial on back pain that includes an anatomy lesson, descriptions of the different types of back problems, and diagrams of how to sit, stand, and lift heavy objects.
A PDF version of the tutorial is also available. Not only is this a reputable source for health care information, but the tutorial and PDF are informative without too much medical jargon.
The National Pain Foundation
has a more in-depth description of some common back problems, such as spinal stenosis, sciatica, and disc problems. The detailed descriptions also mention treatment options.
For upper back pain …
Spine-health.com
is a site run by a group of doctors, and it has a page that describes the anatomy of the upper back. Learn what can
cause upper back pain and read about treatment options. This article was written in 2002, but it is still relevant.
For back pain during pregnancy …
The American Pregnancy Association
explains the different reasons for back pain, something that more than half of all pregnant women experience, along with treatment and prevention tips. Remember to ask your doctor before taking any medications.
For back pain in children …
To learn when to see a doctor …
The North American Spine Society
has a list of questions that help indicate whether you should see a doctor who specializes in spinal care, such as an orthopedist or a neurologist. Questions include “Have you had significant back pain lasting more than three weeks?” and “Do you get numbness or weakness in your legs while walking?” The society is a nonprofit organization with more than 4,000 members from a variety of specialties that deal with the spine.
Maybe you had a back spasm when you picked up a box, or you have a continuous dull ache in your lower back from long days of sitting at your desk. Perhaps a car accident has caused a disc to rupture and you’re in agony. Whatever type of back pain you experience, when you’re sore, you want relief. This section has links that explain how back problems are diagnosed and what type of standard and alternative treatments are available.
- Back pain has many causes and many legitimate treatments, but back surgery is needed in only a very small number of cases. Finding the right combination of treatments, however, can take time.
- Chiropractic is an alternative treatment that incorporates spinal manipulation and is based on the principle that the body can heal itself. The National Center for Complementary and Alternative Medicine, a site of the National Institutes of Health, explains just about everything you would want to know about chiropractors and their craft.
For diagnosing back pain …
The Cleveland Clinic
describes the various ways back and neck problems are diagnosed, such as analyzing body fluids to rule out any diseases, taking X-rays, performing bone scans, and conducting discograms.
For back treatments …
WebMD
has a list of ways to treat acute and chronic back pain at home. Studies show bed rest, for example, does not relieve pain better than staying active. Avoiding cigarette smoke is a good idea, because “smoking slows tissue healing.”
The American Academy of Family Physicians’s
peer-reviewed journal,
American Family Physician, has an article outlining the different clinical treatments for acute low back pain, starting with diagnosis and ruling out more serious disorders. Look for tables illustrating “red flags,” which indicate when back pain may be symptomatic of something more serious, signs of different back problems, and guidelines for when people with low back pain should return to work. This article also extensively describes various treatments and their effectiveness.
MedlinePlus
is a site run by the U.S. National Library of Medicine and the National Institutes of Health. Find descriptions of nonspecific back pain and
nonspecific back pain treatments. Surgery, for example, is not an effective treatment method for nonspecific pain.
To learn about back surgery …
Mayo Clinic
says surgery doesn’t usually fix back pain, and it is needed in only a very small number of cases. This article also describes the conditions in which surgery may be necessary and the types of back surgery available.
For alternative treatments …
The Annals of Internal Medicine
in 2005 published a review of 33 studies that concluded that acupuncture effectively relieves back pain, but it isn’t necessarily better than other treatment methods.
Mayo Clinic
has a page on which a neurologist answers a question about the effectiveness of inversion therapy, in which a person is either suspended by the ankles or lies on a table that slowly tilts toward the person’s head. A Mayo Clinic rheumatologist also answers a similar question about
prolotherapy, a process of injecting tendons and ligaments with a solution to encourage tissue production.
For yoga …
Mayo Clinic
says yoga may help relieve low back pain and help you lose weight, which can also help stave off future back problems. Learn about yoga, its other benefits, and some of its risks. Be sure to talk to your doctor before you practice yoga, especially if you have a history of back problems.
ScienceDaily
has an article about a study that found yoga to be more effective for low back pain than regular exercise or receiving a self-help book about back pain. Published in 2005, the study involved 101 adults who reported low back pain. After about six months of weekly yoga classes, plus practicing yoga at home, the participants reported less pain and more range of movement, and fewer of the patients used pain medication.
To deal with chronic back pain …
The Cleveland Clinic
says there is often a psychosomatic component to chronic back pain, where “psychological factors play a large role in determining the person’s experience of that problem.” Find suggestions for coping with
chronic back pain, advice for recovery from surgery, and psychological techniques that can be used to manage pain.
For clinical trials …
ClinicalTrials.gov
, a clearinghouse operated by the U.S. National Institutes of Health, provides a list of research clinical trials currently underway to test experimental treatments for back pain. To learn more about clinical trials, speak to your doctor and read the U.S. Food and Drug Administration’s
clinical trials guide.
Maintaining a good posture while standing and sitting, and lifting objects correctly, are among the most important steps one can take to prevent back pain. This section offers detailed explanations of how to find and maintain the proper posture, along with good lifting practices and sleep tips.
- Take a look at the sites below for back-strengthening exercises that can help your back resist future injuries, but be sure to talk to your doctor before starting any exercise program.
For general prevention tips …
SpineUniverse
is chock full of information on the back and spine written by leading spine experts. Learn how to prevent future back pain and how to take care of yourself by getting enough sleep, staying at the proper weight, and lifting objects properly.
For back-strengthening exercises …
For preventing back pain at work …
Mayo Clinic
has tips for preventing back injuries at work. Discover how to make your workspace back- and spine-friendly, and learn some healthy habits to incorporate into your daily routine.
Whether your pain is chronic or acute, you can benefit from the advice and emotional support offered by others who understand what you feel. The Web hosts a number of forums and blogs where people can talk about their experiences living with back pain.
- Back pain sufferers may find support in chronic pain groups, not just in back pain support groups.
- Check your local hospital or health department Web site to see if face-to-face support groups are available near you.
- Remember that people don’t always tell the truth online. Be careful about how much personal information you share, and be wary of people trying to sell you “miracle” cures.
For blogs about back and chronic pain …
Chronic Pain Lifestyle
is a blog written by a married father of four who is no longer able to work due to a painful disability. Read about his experience at a pain management program and see what others have to say in response to the blog.
Spine-health.com
hosts “Back Talk: Take Control of Your Pain,” a blog written by Spine-health.com staff. Search the categories on the left to find topics of interest such as “
Ergonomics,” “
Neck Pain,” or “
Surgery.”
For online forums …
WebMD
has a forum devoted to back pain where people can get together, share their stories, and find support.
eHealth Forum
has a low back pain message board. Look for topics like “Lower Back Pain after Spinal Fusion” and “Slipped Disc.”
Daily Strength’s
back pain forum is a place where people can gather and offer each other support. Register for free to post messages. This site has a feature that allows you to “Get recommendations of medical professionals”; however, it’s best to stick to your doctor’s advice, or see another doctor if you feel a second opinion is necessary.
Research into back problems and treatment continues, with new articles and journals being published every week. Read about some of the latest findings on the following Web sites.
- Most medical journals charge subscription fees to read articles online, but usually the abstracts, or brief summaries of the pieces, are available for free.
- Some Web sites, such as PubMed, allow you to create alerts that can send news directly to your e-mail.
For news …
ScienceDaily
has a page about bone and spine news and research. Find updated articles as new findings are published.
HealthDay
has a number of articles about back pain. To find them, search by topic in the drop-down menu on the right side of the page. Back pain is called “backache.”
Topix
is a site that collects news stories from around the world, and it has an archive full of back pain news. Visit the “
Wire” tab for more stories.
For journal articles …
PubMed Central
, a service of the U.S. National Library of Medicine and the National Institutes of Health, is a repository of biomedical and life sciences journal articles. Read
back pain articles or their abstracts. Once you’ve searched a topic, use a tab under the display options to read articles that are free to access. A box on the front page of the site invites you to create customized updates that are sent to you.
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