Lower Back Pain: Symptoms and Treatment
Around 80 percent of adults experience lower back pain. Learn to recognize symptoms of lower back pain and discover effective methods for lower back pain relief.
The spine, stretching from the base of your skull to the buttocks, is composed of over 20 individual bones called vertebrae, arranged in a stacked fashion. Positioned between each pair of vertebrae is a flexible disc, held together by ligaments. Running through the center of the spinal column are the spinal cord and nerves.
Mild back pain is a common occurrence, often challenging to pinpoint precisely. It typically signals that one or more muscles, joints, ligaments, or discs may be strained or twisted due to awkward back movements. In cases of severe back pain, immediate medical attention is crucial, as it may result from pressure on nerves due to misaligned back bones. Lower back pain affects approximately 80 percent of adults at some point in their lives.
Episodes of pain often last only a few hours or a day or two. In general, about 90 percent of patients should experience recovery from their initial bout of back pain around six weeks after its onset. Explore appropriate lower back pain treatment options to enhance your recovery.
Slipped Disc
As an individual age, the nucleus (the soft jelly-like core) within the discs in the lower back may undergo a drying process. Consequently, these discs lose some of their ability to cushion the spine, particularly during repetitive and stressful activities. The tough outer layer, known as the capsule or annulus, may tear, leading to discomfort and the condition commonly referred to as a slipped disc.
In cases of a slipped disc, the annulus can tear to varying degrees of severity. Minor tears tend to heal rapidly, while larger tears may cause a section of the nucleus to herniate through the tear, protruding beyond the disc's outer wall. When this herniation occurs near a nerve, it can result in intense irritation. Symptoms such as sciatica or sensations of pain, numbness, "coldness," paranesthesia, or pins and needles in the thigh and calf may manifest, affecting one or both legs. Expertly administered manual treatments involving massage, mobilization, and manipulation often prove beneficial in alleviating lower back pain.
In the majority of cases, patients recover without resorting to surgery. However, a small subset of individuals may experience a substantial herniation of the nucleus, compressing the nerve. For these patients, the removal of the herniated disc fragment can lead to a more rapid relief of symptoms, contributing to effective lower back pain relief.
Symptoms of Lower Back Pain
Prompt medical attention is essential when experiencing the following symptoms:
- Constant lower back pain with minimal relief during rest.
- Exacerbation of pain with bending in various directions.
- Intense localized pain focused on a specific spot on the back.
- Gradually intensifying pain over days or weeks.
- Persistent nerve-related discomfort, including pain, numbness, or pins and needles sensation in one or both legs.
- Weakness in the legs, difficulty walking, and unsteady gait.
- Bladder or bowel issues linked to back pain, such as difficulty in urination (incontinence).
- General symptoms of declining health, such as loss of appetite, weight loss, lethargy, fever, and chills.
How to Prevent Lower Back Pain
- Make adjustments to your activities to minimize the risk of straining your back.
- Take breaks from repetitive tasks at regular intervals to stand and engage in stretches specifically targeting lower back pain. This practice helps alleviate stress on the back, preventing it from reaching critical levels.
- Ensure that exercise programs are well-rounded, addressing all areas of the body, with a focus on the back.
- Perform exercises regularly in controlled increments to promote overall well-being.
Treatment for Lower Back Pain
Rest plays a pivotal role in the treatment of individuals experiencing episodic bouts of back pain. Rest can range from lying down for a few hours at home to maintaining a straight back and avoiding activities that stress the back, such as bending, lifting, or prolonged sitting. During severe episodes, taking a day or two to lie down can significantly alleviate the intensity of lower back pain. However, if this approach proves ineffective, additional bed rest may not be beneficial.
A crucial aspect of lower back pain treatment and prevention involves physical therapy. In the initial stages of acute back pain, a combination of heat, traction, manual treatment, and other therapeutic techniques can swiftly diminish pain and stiffness. As the pain diminishes, it becomes essential to gradually introduce exercises aimed at relieving stress and fortifying the back. Consistent engagement in these exercises can not only further alleviate lower back pain but also shield the back from undue stress, thereby preventing recurrent attacks of back pain.