Munson Health
 
Low Back Pain

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by Smoots E
 

Risk Factors

Factors that increase your chance of developing low back pain include:
General factors, such as:
Health conditions, such as:
Occupational factors, such as:
  • Bending, twisting, or reaching
  • Exposure to vibrations
  • Heavy manual labor
  • Heavy lifting
Psychosocial factors, such as:
 

Diagnosis

The doctor will ask about your symptoms and medical history. A physical exam will be done. The exam will focus on your back, hips, and legs. The doctor may test for strength, flexibility, sensation, and reflexes.
Imaging tests take pictures of internal structures. These include:
It is important to keep in mind that imaging tests, may not be helpful or appropriate right after a back injury.
Your doctor may recommend other tests to help diagnose or eliminate any causes of your back pain.
 

Prevention

To reduce your chance of developing low back pain, take these steps:
  • Begin a safe exercise program with the advice of your doctor.
  • Practice good posture to reduce pressure on your spine.
  • Avoid sitting or standing in one position for long periods of time.
  • Use proper body movment when playing sports, exercising, or lifting heavy objects.
  • Consider job retraining if your work requires a lot of heavy lifting or sitting.
 

RESOURCES

American Academy of Orthopaedic Surgeons
http://orthoinfo.org

American Academy of Family Physicians
http://www.familydoctor.org

 

CANADIAN RESOURCES

Canadian Orthopaedic Association
http://www.coa-aco.org

Canadian Orthopaedic Foundation
http://www.canorth.org

 

References


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Chronic low back pain. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated November 22, 2013. Accessed November 26, 2013.


Dahm KT, Brurberg KG, Jamtvedt G, Hagen KB. Advice to rest in bed versus advice to stay active for acute low-back pain and sciatica. Cochrane Database Syst Rev. 2010 Jun 16;(6):CD007612.


Hagen KB, Hilde G, Jamtvedt G, Winnem M. Bedrest for acute low back pain and sciatica. Cochrane Database Syst Rev. 2000;(2):CD001254.


Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am. 2006;88 Suppl 2:21.


Patel AT, Ogle AA. Diagnosis and management of acute low back pain. Am Fam Physician. 2000;62:2414-2415.


9/16/2008 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Kalus SM, Kornman LH, Quinlivan JA. Managing back pain in pregnancy using a support garment: a randomised trial. BJOG. 2008;115:68-75. Epub 2007 Nov 12.


12/16/2008 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Furlan AD, Imamura M, Dryden T, Irvin E. Massage for low-back pain. Cochrane Database Syst Rev. 2008;CD001929.


1/30/2009 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Yuan J, Purepong N, Kerr DP, Park J, Bradbury I, McDonough S. Effectiveness of acupuncture for low back pain: a systematic review. Spine. 2008;33:E887-900.


2/17/2009 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Bigos SJ, Holland J, Holland C, Webster JS, Battie M, Malmgren JA. High-quality controlled trials on preventing episodes of back problems: systematic literature review in working-age adults. Spine J. 2009;9:147-168.


2/17/2009 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies for low-back pain: systematic review and meta-analysis. Lancet. 2009;373:463-472.


2/24/2009 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Sahar T, Cohen M, Ne'eman V, et al. Insoles for prevention and treatment of back pain. Cochrane Database Syst Rev. 2009;(1):CD005275.


9/2/2009 DynaMed Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Urquhart D, Hoving J, Assendelft W, Roland M, van Tulder M. Antidepressants for non-specific low back pain. Cochrane Database Syst Rev. 2009;(3):CD001703.


11/12/2010 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: US Food and Drug Administration. FDA clears Cymbalta to treat chronic musculoskeletal pain. US Food and Drug Administration website. Available at: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm232708.htm. Updated April 19, 2013. Accessed November 26, 2013.


12/17/2010 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Andersen LL, Christensen KB, Holtermann A, et al. Effect of physical exercise interventions on musculoskeletal pain in all body regions among office workers: a one-year randomized controlled trial. Man Ther. 2010;15(1):100-104.


10/21/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Chan CW, Mok NW, Yeung EW. Aerobic exercise training in addition to conventional physiotherapy for chronic low back pain: a randomized controlled trial. Arch Phys Med Rehabil. 2011 ;92(10):1681-1685.


11/29/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Gatti R, Faccendini S, Tettamanti A, Barbero M, Balestri A, Calori G. Efficacy of trunk balance exercises for individuals with chronic low back pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2011;41(8):542-552.


11/25/2013 DynaMed's Systematic Literature Surveillance.https://dynamed.ebscohost.com/about/about-us: Wegner I, Widyahening IS, et al. Traction for low-back pain with or without sciatica. Cochrane Database Syst Rev. 2013 Aug 19;8.

 

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