Treating Lower Back Pain-In fact, by using the Global Burden of Disease study in 2010, researchers have observed that the incidence of low back pain in the world increased by 43 percent – 58,200,000 to 83,000,000 – between 1990 and 2010. And in the United States, Low back pain accounts for more than 3 percent of emergency room visits, according to a study published in The Spine Journal. In addition, a study published in the Journal of the American Medical Association (JAMA) suggests that back pain and headaches are commonly referred to as the number one cause for losing the workday.
Hanif Williams, MD, a physician with a Baptist Baptist Health Primary Primary Health Care group and president of the Department of Family Medicine at Baptist Hospital, said that most patients who received medical treatment for back pain suffer from excessive muscle. physical activity
“What we see with a younger population is people trying to get in shape, but they do not have enough time for a week,” he said. “Therefore, they pack everything in one weekend and wound up damaging themselves.” Injuries also occur when people perform physical tasks that they normally do not do on their own and are not aware of the proper body mechanics they participate in. the completion of the task. ”
Effective Treating Lower Back Pain
A collection of new research suggests that following simple steps is probably the best way to treat and prevent future injuries or back pain attacks. A recent article in JAMA Internal Medicine examines the most effective ways to prevent low back pain.
It was found that regular exercise, along with spinal anatomy education, lifting techniques, and proper posture, is the most effective way to prevent low back pain. In addition, a study published in JAMA last year concluded that analgesics, such as acetaminophen and anti-inflammatory drugs, such as naproxen, are more effective in treating lower back pain than opioid drugs, which can be very addictive.
Dr. Williams agrees with these findings. He began the treatment of low back pain caused by muscle tension by recommending an exercise program aimed at strengthening the core of the body, including the muscles of the back. He said that exercise, combined with mild painkillers or anti-inflammatory medications and areas of icing two or three times a day, often helps treat an immediate wound.
The exercise program also has the added benefit of preventing future injuries, as the muscles become stronger. In more severe cases, Dr. Williams will send patients to physical therapy to help restore functionalities along with the goal of strengthening core muscles.
If a brief exercise or physical therapy does not help, or if the patient has a recurrence of back muscle tension, Williams can send the patient to a specialist, such as Christine Villoch, MD, a Baptist physiotherapist with the Baptist Medical Center Group. Health Care for the spine, which often treats patients for back pain becomes chronic or does not go away with the initial treatment.
“When the pain has lasted four weeks or repeated several times a year and patients do not experience neurological deficits or do not know the cause of the trauma, I recommend physical therapy at six weeks,” said Dr. Villoch. This therapy focuses on developing the strength and flexibility of the nucleus in the hip flexors and hamstrings, which support the core and back muscles.
In addition, he often recommends home-based exercise programs based on the principle of stretching and strengthening yoga and pilates. He also emphasized the importance of maintaining a healthy weight by reducing belly fat and correct posture and proper lifting techniques.
Like Dr. Williams, Dr. Villoch often treats his patients with anti-inflammatory medications that can help reduce swelling that causes painful movements. It also recommends muscle relaxants to reduce symptoms. In more severe cases, you can use epidural or facet block to reduce pain and help the patient’s function.
It is rare Williams or Dr. Villoch prescribes opioid treatment when there is no back trauma or debilitating pain. This is in accordance with the guidelines of the Centers for Disease Control and Prevention for the prescription of opioids for chronic pain.
“Opioids are not treating the underlying problem,” said Dr. Williams. “Our goal is to get the patient to function again while avoiding the dependence on opiate use and tolerance that grows rapidly around him.”
Dr. Villoch agrees and adds that patients who must undergo treatment with opioids should do so for a very limited time and should be carefully monitored by their doctor during treatment to avoid addiction.
With sedentary lifestyle trends, overweight and obese populations, and “weekend wrestlers” trying to reduce exercise time, back pain will continue to threaten the well-being and productivity of Americans. But, armed with the knowledge that the simplest step can help, we can prevent pain and lower back injuries by going back to the bottom.