Tag Archives: Disc Herniation
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Common Causes Of Back Pain
Back pain is one of the most common ailments today; in fact, four out of five people in the US will experience it at least once in their life. That number may even increase in the future due to the aging of our population and the increasing amount of obesity. Back pain is one of the most common reasons people go to the doctor and is second only to the common cold as a cause for missing work.Common CausesThe cause often determines the type of pain experienced. Most acute back pain is caused by an injury or trauma such as a car accident, a sports injury, lifting or straining at work or around the house. Sprains and strains from sudden twisting movements, improper lifting or a fall can all result in back pain. Symptoms• Pain in the lumbar region (the lower back) is the most common and it may appear suddenly as a sharp, stabbing pain that causes extreme discomfort. • A dull, persistent, nagging back ache may appear after hours of working in the garden or shoveling snow.• Pain that radiates down the front, side or back of leg.• It may be accompanied by tingling, numbness, and weakness of the affected limb.• Back pain may worsen with activity but may also be aggravated by sitting for prolonged periods, such as on a long plane flight or car trip. • There may also be an inability to stand erect and walking may become hard.Some physicians say chronic back pain is discomfort that persists three months or more. It is often progressive and the cause can be hard to determine. Acute back pain is usually of shorter duration and often occurs after an injury or trauma.The back is an intricate structure made up of bones, muscles, ligaments, tendons, and discs, which are the tough cartilage pads that cushion the vertebrae, which make up the spine. Back pain results from problems with any of these component parts. Physical Conditions That May Cause Back Pain• Arthritis in the spine can cause pressure on the nerve roots or cause narrowing of the spinal canal and pressure on the spinal cord.• Spondylolisthesis occurs when one or more vertebra slip forward, out of place, causing pressure on nerves, making back pain. • Herniated or bulging disc is a intervertebral disc that is being compressed and pushed out of its position between the vertebrae. This makes pressure on the sciatic nerve or other nerve roots.• Scoliosis is an abnormal curvature of the spine to one side.• Spinal Stenosis is a narrowing of the foramen, the opening in each vertebrae thrugh which the spinal cord runs. Narrowing causes pressure on the cord, resulting in pain.• Degenerative Disc Disease occurs when the intervertebral discs become compressed, flatten and allow pressure on the roots of spinal nerves.• Osteoporosis results in brittle bones and compression breaks of the vertebrae.• Fibromyalgia is characterized by pain and tenderness over trigger points, one of which is in the lower back.• Pregnancy causes back discomfort and sciatica type pain.Less Common Conditions That Can Cause Back Pain• Endometriosis is a condition in which endometrium tissue grows outside the uterus on other organs, often causing low back pain.• Kidney stones or kidney infections often cause severe back pain.• Cauda Equina Syndrome is a serious neurological problem due to pressure from a disc on the lower part of the spinal cord and spinal nerve roots.• Cancer of the spine causes severe back pain.• Bone infection in the spine causes pain.• Stress has been blamed for some episodes of both acute and chronic back pain.Many episodes of back pain can be avoided by using proper body mechanics and, often, simple home treatment and time will see a back heal within a few weeks. Treatment is varied but based on common sense. Those whose pain is due to a more serious injury or physical condition will find there are many methods of treatment and steps that can be taken to avoid further episodes. Surgery is usually needed only in the most serious cases.
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Coccydynia And Low Back Pain
Back pain due to coccydynia can be quite miserable – just question anyone who has ever developed it after a fall on a slippery floor, a skid on the ice, or a bumpy landing while skiing or snowboarding.Coccydynia is pain in the coccyx, or tailbone, the boney area at the end of the spine between the buttocks. Sometimes referred to in layman’s terms as a ‘butt ache’, it is a nagging pain, which can become excruciating, and increase with pressure from sitting or moving to stand up. It has been described as a pain similar to sitting on a sharp knife or a marble that rolls around or a feeling of being impaled on a cane or broomstick. The pain and discomfort may persist for months to eventually become chronic.CausesFalls On The Buttocks.• This is the most common cause, often diagnosed as a broke coccyx.Unstable or Dislocating Coccyx• The most common cause of pain is due to a coccyx which dislocates or moves more than normal when you sit down. This may develope after a fall, from childbirth or injury in a car accident. The actual cause is often unknown but this disorder is responsible for 55% of cases of coccyx pain.Childbirth• If the joints around the pelvis become more flexible in preparation for childbirth, sometimes the coccyx can be pushed out of position easily.Repetitive Strain • This is common after a fantastic deal of rowing or bicycle ridingMisaligned Or Long Coccyx• In this condition, the coccyx bone points forward or is angled forward about 70°, which is greater than normal and causes pain.Boney Spur Or Spicule On Coccyx• This has been the cause of pain in 14% of patients. Muscle Spasms In The Gluteus Maximus Muscle Of The Buttocks• These muscles help lower the body from a standing to a sitting position. Muscle spasms cause pressure where the glutueus is attached to the coccyx.Piriformis Syndrome• The piriformis muscle runs horizontally from the lower spine to the top of each femur (hip bone). It crosses the sciatic nerve and spasms in the muscle cause pain in the hips and down the leg. Sitting may aggravate it.Pilonidal Cyst• This is a birth defect in which an abscess develops at the end of the tailbone, causing pressure, swelling, inflammation, and pain in the coccyx area. The cyst is usually removed surgically.Symptoms Of Coccydynia• Pain during or after sitting• Acute pain when moving to standing after sitting• Deep ache around coccyx• Shooting pains down both legs• Pain during bowel movements• Pain during intercourse• Pain during menstruationCoccydnia may clear up after a few months but in the case of persistent pain, it is wise to have a medical evaluation to determine the cause.
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