Conditions that cause back pain are many and varied. While some cases of the problem are self-limiting, others persist and require major interventions and long term rehabilitation. The important thing on back pain NYC residents need to know is that they should seek medical care in time so as to prevent progression. In this article, we will look at some of the common causes of this problem and how they can be managed.
The doctor has to take your medical history and then examine you to have an idea of what the problem if likely to be. In most cases, there is also a need to undergo a number of tests. CT scans, MRI and X-rays will be required depending on whether your problem is originating from the bones or from the soft tissues. Referral to a physical therapist or an orthopedic specialist may be necessary.
The discomfort may originate from any of the anatomical structures in the region. These include muscles, bones, ligaments and ligaments among others. Muscle sprains are the most commonly encountered underlying problem. They are caused by trauma or intense physical activity that overstretches the back. Fortunately many of these cases resolve within a few hours to days and respond to analgesic agents.
The main joint problems that exist are osteoarthritis and inter-vertebral disc prolapse. Osteoarthritis is a fairly common degenerative joint disease that is likely to be experienced as from the sixth decade of life. The symptoms associated with osteoarthritis are worse during movements involving the joints of the spine. The treatment is mainly by analgesic agents and physical therapy. Severe forms may require surgical intervention.
Inter-vertebral discs provide cushion within inter-vertebral joints. In case of trauma or when one lifts heavy objects, these structures may herniate from the joint space leading to various consequences. Among them is the impingement of nerves found in the immediate vicinity. This will manifest as pain and numbness in the back and one of the limbs. The pain rarely responds to pain relieving medications.
Treatment of prolapsed inter-vertebral discs may be done through conservative or surgical methods. The conservative methods (mainly traction) are preferred due to a lower risk of complications. The process of traction involves lying on your side and being subjected to a gentle pulling force. The aim is to increase the joint space so as to create room for the displaced disc. Once the disc falls back to its position the symptoms resolve.
Tumors may be encountered in some cases. Those affecting the bones are usually very painful. Your doctor will attempt to determine whether indeed they are originating from the bone or if they are metastases from other regions. Multiple myeloma is one of the commonest primary bone tumors. It results in significant loss of bone mass. Metastatic bone tumors may originate from the thyroid gland, breasts, kidneys or the prostate gland among others.
Although they are quite rare, infections may still affect the spine. Bacteria and mycobacteria (mainly tuberculosis) are known to result in severe destruction of vertebral bodies leading to spinal instability. Prompt treatment with antibiotics helps prevent this complication. Spinal fusion surgery or a spinal corset may be required to restore function in very severe cases.
The doctor has to take your medical history and then examine you to have an idea of what the problem if likely to be. In most cases, there is also a need to undergo a number of tests. CT scans, MRI and X-rays will be required depending on whether your problem is originating from the bones or from the soft tissues. Referral to a physical therapist or an orthopedic specialist may be necessary.
The discomfort may originate from any of the anatomical structures in the region. These include muscles, bones, ligaments and ligaments among others. Muscle sprains are the most commonly encountered underlying problem. They are caused by trauma or intense physical activity that overstretches the back. Fortunately many of these cases resolve within a few hours to days and respond to analgesic agents.
The main joint problems that exist are osteoarthritis and inter-vertebral disc prolapse. Osteoarthritis is a fairly common degenerative joint disease that is likely to be experienced as from the sixth decade of life. The symptoms associated with osteoarthritis are worse during movements involving the joints of the spine. The treatment is mainly by analgesic agents and physical therapy. Severe forms may require surgical intervention.
Inter-vertebral discs provide cushion within inter-vertebral joints. In case of trauma or when one lifts heavy objects, these structures may herniate from the joint space leading to various consequences. Among them is the impingement of nerves found in the immediate vicinity. This will manifest as pain and numbness in the back and one of the limbs. The pain rarely responds to pain relieving medications.
Treatment of prolapsed inter-vertebral discs may be done through conservative or surgical methods. The conservative methods (mainly traction) are preferred due to a lower risk of complications. The process of traction involves lying on your side and being subjected to a gentle pulling force. The aim is to increase the joint space so as to create room for the displaced disc. Once the disc falls back to its position the symptoms resolve.
Tumors may be encountered in some cases. Those affecting the bones are usually very painful. Your doctor will attempt to determine whether indeed they are originating from the bone or if they are metastases from other regions. Multiple myeloma is one of the commonest primary bone tumors. It results in significant loss of bone mass. Metastatic bone tumors may originate from the thyroid gland, breasts, kidneys or the prostate gland among others.
Although they are quite rare, infections may still affect the spine. Bacteria and mycobacteria (mainly tuberculosis) are known to result in severe destruction of vertebral bodies leading to spinal instability. Prompt treatment with antibiotics helps prevent this complication. Spinal fusion surgery or a spinal corset may be required to restore function in very severe cases.
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