If you suffer lower back pain, you are not on your own. Probably nearly all adults at some point in their lives will experience this condition that interferes with their work eg there is a high incidence of lumbar pain in drivers, everyday activities, sports (eg lumbar pain in golfers) or hobbies. Lower back pain or sciatica is considered the most common cause of job-related disability and the highest contributor to absenteeism in the western world. For example, it is second to headaches as the most common neurological ailment in the United States. Generally, most occurrences of lower back pain or lumbar pain subside after a few days, although some instances may take much longer to resolve or very occasionally lead to more serious conditions.
Short-term
pain (Acute) generally lasts from a few days to a few weeks, and this
condition tends to be mechanical in nature, the consequence of trauma to
the lower back or a condition such as arthritis. Back pain from trauma
may be caused by an injury sustained through sports activity, household
jobs or working in the garden.
Sometimes, sudden jarring from a
minor fall, or other stress on the lower back bones and tissues could be
the root cause of low lumbar pain or sciatica. Symptoms of lumbar pain
may range from aching muscles to shooting or sharp stabbing pain,
limited flexibility and/or range of motion, or an inability to stand
straight. Sometimes, pain felt in one part of the body may stem from a
disorder or injury incurred in other parts of the body. Very
occasionally acute low back pain syndromes could become more serious if
untreated.
Definitions of what period or duration constitutes
chronic back pain vary but pain that persists for over 12 weeks would
generally be described as chronic.
Often the initial cause of the
back problem is not known and this condition can sometimes be
progressive The good news is that the vast majority of occurrences can
be treated without surgery. Back pain treatments include analgesics, to
reduce inflammation, to restoring proper mobility and strength to the
back, by a variety of back pain products and therapies, to strategies
for the avoidance of recurrence of the injury.
Usually patients
suffering lumbar pain recover fully and don't incur continuing loss of
functionality. It's advisable to contact your GP if there is no
improvement or reduction in the back pain and inflammation after 3 days
There is a plethora of exercises, medication, or therapy products and
gadgets available to sufferers, designed to provide either, relief,
prevention or both.
Although some of these back pain products
(such as Magnatherapy or aromatherapy) would be described as
'alternative' or pseudoscientific ie they have few empirically or
scientifically proven benefits, many are developed through the
application of sound medical principle and theory. It's worthwhile
asking your GP for recommendations on any therapies as well as making
sure that the cause is not more serious
Back pain therapy devices PGAT devices
Inversion Tables
Inversion
is a natural form of passive gravity assisted traction (PGAT) that uses
the patient's body weight in conjunction with gravity to decompress
weight-bearing joints. While the patient is rotated and suspended,
gravity effectively creates a traction, resulting in a customized
stretch that extends the spine, from the sacroiliac to the cervical
joints of the neck, increasing the space between the vertebrae, which
relieves the pressure on the discs and nerve roots. By reducing this
pressure there is less interference with the spinal nerves thus reducing
lower lumbar pain. Inversion is considered to be an effective therapy
This is typically performed on what's called an inversion table.
The
table allows you to lie on your back relaxed, in an inverted position.
This position eliminates some or all gravitational compression,
depending upon how far back you position your body. Inversion therapy
relieves back pain, and it works even better when it's part of a
well-rounded therapy plan that addresses the specific muscle imbalances
you have. But even by itself it is highly effective. A recent study done
at Newcastle University found that over 70% of patients who performed
inversion therapy were able to cancel their scheduled back surgeries.
CPM Mobilisers
Backlife
Backlife
is designed to apply a Continuous Passive Movement (CPM) to the lower
back pain sufferer in a similar way to how a healthcare professional, as
part of his back pain therapy, would apply in order to help relieve
pressure between the vertebrae, and therefore relieve pain in the lumbar
region. In order to apply CPM the user would lie on the floor bending
their knees over the upper section of the machine. As the upper section
moves, it gently rotates the pelvis in a circular fashion, allowing the
joints to move, whilst the joints remain relaxed. The advertised
benefits of Backlife for pain relief are that it reduces the stress and
pressure on the lower back, restores back mobility and improves
stability. In addition it reduces lumbar pain with regular use, improves
posture, and reduces muscle tension.
Back in action Mobiliser
The
Back in Action Mobiliser is an extremely powerful medical grade spinal
joint mobilisation system, available for home or professional use for
back pain relief. It's described as usually very effective at decreasing
the symptoms of long term and chronic musculo-skeletal problems. The
system applies very localised pressure to the muscles either side of the
spine, simulating a practitioners 'thumbing technique,whilst mobilising
the spine, flexing and extending the spine, freeing up stubborn
vertebrae. In addition to this the mobilise provides a continuous
passive motion (CPM) considered to be beneficial to health and aid
healing The mobilise has been used to treat conditions such as: lumbago;
prolapse /slipped disc, sciatica; scoliosis, arthritic hips,
sacro-iliac dysfunction, whiplash injuries; fibromyalgia and many other
disabling conditions. It is also comprehensively tested and endorsed by
medics, so that it is probably the most commended back pain therapy care
system available. Its most significant disadvantage is that it is made
in small numbers and is expensive to buy however they are available to
hire.
Backstretcher
The Backstretcher, also
known as the Rolastretcher provides relief with a combination of
massage and stretching movements, allowing the user to move and stretch
different parts of the spine by moving up and down the frame. The
rollers also provide pressure (acupressure) on the back muscles either
side of the spine where dysfunctional trigger points (knots) often
occur. It provides back pain sufferers the opportunity to complement
their therapeutic treatment with a device, which is portable, The
effectiveness of this device has been confirmed by scientific study by
the University of Iowa's Spine Centre.
Flexibak
Flexibak
is back support cradle that is designed to ease lower back pain
problems, reduce discomfort, and promote relief, by decompression of key
joints, allowing natural movement to return to the user. Flexibak,
developed by 2 leading British osteopaths, is designed to encourage the
lumbar and sacroiliac joints to open up, and encourage the return of
natural movement as pressure on inflamed muscles is relieved.
Back cushions and wedges and Supports Cushions
Back cushions
These
are custom shaped soft cushions which are tailored to the natural shape
of the user's lower back and designed to offer support whilst
maintaining an ergonomic and comfortable posture whilst sat on a chair
or in the car, thus providing an element of relief for low back pain.
Seat wedges
Seat
wedges provide lumbar pain relief in a natural passive manner. Sitting
on a seat wedge has the effect of moving forward the pelvis which has
the effect of causing the users spine to adopt a more ergonomically
correct upright posture. Seat wedges maybe useful for lumbar pain
suffering car drivers by angling their backs into more comfortable
driving positions, or in sedentary workplace situations where the back
pain sufferer may be adopting a suiting position for several hours, for
example call centre workers. Ideal for everybody working in a sitting
position, especially PC users. A variant of the seat wedge is the coccyx
wedge which incorporates a cut away section to reduce or avoid pressure
on the sacrum or coccyx which could be causing lower back pain or tail
bone pain.
Back Braces
These aim to
constrict the affected area of low back pain low afflicted area, these
strap-on body braces help reduce lower back pain and help to correct
poor posture.
TENS units
TENS
(Transcutaneous electrical nerve stimulation) is the application of
electric current produced by a device to stimulate the nerves for
therapeutic purposes. In this case we are referring to portable
stimulators used to help with back pain. The unit is usually connected
to the skin using two or more electrodes or semi adhesive pads. Although
the first units developed in the US for testing tolerance of chronic
back pain sufferers to electrical stimulation in preparation for
surgically invasive implants, many patients reported deriving relief
from the TENS itself. A number of companies began manufacturing TENS
units after the commercial success of the Meditronic device became known
TENS is regarded as a non-invasive, safe nerve stimulation intended to
reduce pain, both acute and chronic. Controversy does exist over its
effectiveness in treating of chronic back pain. In 2007 a feature in the
Pain Journal concluded that ENS was effective for chronic musculoskeletal pain whereas the journal Neurology advised
against recommending TENS for chronic lower back pain,but other
neurologists in the same journal suggested that in some patients TENS is
useful. TENS units available from high street retailers Baxolve offers
immediate relief for lower back pain through a combination of TENS
therapy and lumbar support in one easy to use convenient belt.
Heat and cold back pain products
There
is little empirical evidence that the application of hot and cold
compresses actually effectively relieve back pain conditions, although
the use of hot and cold compresses may provide relief by helping to
reduce the lower back pain, spasms, and inflammation, in turn allowing
for improved mobility for some back pain sufferers. Immediately after
the trauma, the sufferer would apply a cold compress (generally ice
packs or refrigerant gel) to the affected area of the lower back pain,
maybe after a strain, for up to about 20 minutes a few time a day, for a
couple of days to help reduce tissue inflammation. After a couple of
days the back pain sufferer would then apply heat to the affected area,
using a variety of methods such as heat pads, heat lamps etc for short
durations. This has the effect of dilating the blood vessels which
increase blood flow to the affected tissues, and encouraging the healing
process. It also has the effect of relaxing the muscles similar to
having a warm bath after exertion. As with any back pain treatment it's
advisable to consult your GP before commencing a treatment.
Magnet therapy
Magnet
therapy can be described as an alternative or pseudoscientific method
of back pain treatment, using magnetic fields on the body to promote
back pain relief and healing, with a perceived, though not understood
positive effect on blood oxygen content. There is no scientific basis to
conclude that small, static magnets can relieve pain It has its origins
in Traditional Oriental Medicine (TOM) dating back some 2000 years,
centered around 'Chi'or 'energy flows' around the body and instrumental
in health and wellbeing, with magnetic wave therapy having associations
with acupuncture or and acupressure. Although it is regarded with an
element of scepticism due to seemingly physical and biological
implausibility, in Eastern countries, therapeutic magnets are licensed
as medical devices, and it does appear to be gaining some recognition
within the US medical community, with an example of affirmative research
of published in the MDBR Journal of Rheumatology. The downside to this
is the difficulty associated with establishing true blind testing of
magnets and associated 'placebo or Hawthorne' effects within test
groups. By all means have a look at what's available but remain
sceptical.
Ultrasound
Ultrasound is often
used as a method of pain relief by physios and therapists in combination
with other pain treatments, such as manipulation, massage, ice
treatment and interferential (electrotherapy). The ultrasound device
causes millions of sound waves to penetrate deep into tissue in order to
promote healing of inflamed or damaged muscles, tendons and ligaments.
It's claimed that ultrasound can reduce tissue inflammation by
stimulating blood flow, promote healing by stimulating soft tissue, and
assist in the absorption uf analgesics, and reduce pain. Again there is
conflict over the effectiveness for lower back pain treatment with both
positive user testimonials offset by inconclusive meta analysis. See
Physical Therapy article Jul 2001 and New Zealand Journal of Physiotherapy Jul 2008
Ultralieve
Ultralieve
Pro is a mains operated or portable hand held medical grade device
designed for home use to help with pain and promote healing by
conducting ultrasound waves into the damaged tissue. Although the device
is easy its perhaps best if the user has received ultrasound treatment
previously from a physio or healthcare professional, and again it's
advisable to check with your GP or physio before using one to derive
pain relief It should not be used as a replacement for conventional help
with back pain but in conjunction with it in between sessions. Again
there is conflict over the effectiveness to help with back pain with
both positive user testimonials offset by inconclusive meta analysis.
Get Lasting Relief from Chronic Back, Shoulder and Neck Pain with this proven amazing easy to use program, click on the link below. http://tinyurl.com/mmpqtgq
Get Lasting Relief from Chronic Back, Shoulder and Neck Pain with this proven amazing easy to use program, click on the link below. http://tinyurl.com/mmpqtgq
David Pegg from Manchester UK is a director with Lumbacurve International, manufacturers of back pain relief products. LumbaCurve provides exercises and drug free natural cures for back pain to help give relief for sufferers of lumbar pain.
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