Low Back Pain Physical Therapy

physical therpaLow back pain physical therapy is a treatment option for most back pain sufferers.  Physical therapists are professionals who can help restore function, improve mobility and relieve pain.  They can help restore, maintain and improve a patient’s fitness and overall health. 

Physical therapists often work with medical doctors in the treatment of patients.  They will review a patient’s medical history and perform a variety of tests to gauge the patient’s overall mobility, strength, range of motion, balance and coordination.  Then they will provide a variety of services based on the doctor’s prescription and their own assessment of the patient’s health.

Among the types of treatments that physical therapists offer are massage, electrical stimulation, ultrasound, hot packs and/or cold compresses.  They may also teach patients various forms of exercise to help alleviate their pain and strengthen their muscles.

We will explore some of the more popular forms of treatment involved in low back pain physical therpay.

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Chiropractor Medicine

ChiropractoChiropractor medicine is primarily the diagnosis and treatment of problems with the musculoskeletal system as well as how those problems affect the nervous system and a patient’s general health.  It is based on the principle that misalignments in the spinal joints can interfere with the nervous system and can result in a patient being less resistent to disease and can cause many different health problems. 

Chiropractors believe that the body has the inherent ability to heal itself.  They follow a routine similar to medical doctors when diagnosing a patient’s problem.  They may take the patient’s medical history, conduct a physical examination as well as order various lab tests.  X-Rays are oftenused by chiropractors to diagnose patient’s problems. 

Doctors of chiropractic medicine use mechanical manipulation as one method to help your body resolve its problems.  Chiropractors may also use nutrition counseling, massage, stretching, and supervised exercise therapy.  However, chiropractors cannot prescribe medication or perform surgery.  Many people use chiropractors as part of their back pain treatment.

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Orthopedics Surgeon

OrthopedisOrthopedics surgeons (also known as orthopedists) are physicians who specialize in the skeletal structure of the body.  Orthopedists are able to prescribe not only medications, but also physical therapy.  There are also some injections that they can administer to certain areas of your joints and muscles to help relieve the pain. And, in the worst possible cases, orthopedic doctors will be able to perform surgery.

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Low Back Pain Specialist

Female DoctoIf after trying over-the-counter medications, cold and heat therapy and bed rest, you may visit your family physician.  Depending on the severity of your pain and your other symptoms, he or she may decide that consulation with a low back pain specialist is necessary.  There are a variety of specialists to choose from.  We will explore several specialists who may be consulted.

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Back Pain Medications

back pain medicatioThere are various forms of back pain medications that you can purchase over-the-counter in an attempt to alleviate your back pain.  These include aspirin, ibuprofen (Advil, Motrin), acetaminophen (Tylenol), and naproxyn (Aleve).  Be sure to read all the instructions on the bottle label to make sure that you take the correct dosage and pay particular attention to possible side affects caused by these medications.  After all, you don’t want to cause other medical problems or cause further damage to your body.  If you have any doubts, call your family physician or talk to your local pharmacist.

If over-the-counter medications do not alleviate your pain, then the next step will be to check with your family physician or a specialist.  Medical doctors can prescribe stronger medications for pain such as Tylenol with codeine, hydrocodone (Vicodin), oxycodone (Percoset) or dihydrocodeine. 

Your physician may also prescribe an anti-inflammatory medication to help reduce inflammation.  Muscle relaxants such as Flexeril, Soma or Valium may be prescribed to release the tension and spasms you may be experiencing in your muscles.

You should not be afraid to take medication for back pain relief.  Just be sure to take prescribed drugs under the advisement and supervision of a licensed physician.  In many cases, you should not have to take prescribed back pain medication for more than two weeks.

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Lower Back Pain Remedies

As back pain begins to intensify, you will be looking for lower back pain remedies.   There are treatments that you can begin yourself in your own home.  The first thing you will probably want to do is to get off your feet and into bed.  Bed rest is often prescribed by doctors, but they do not prescribe an extended stay in bed as they did in previous years.  Often a couple of days of bed rest will suffice to relief most lower back pain.  Don’t stay in bed 24/7.  Try to get up occasionally to go to the bathroom and just move around a little bit.

Getting the right kind of bed rest is very important.  Laying flat on your back may not be the best way to give your relief from pain or discomfort.  There are two correct ways to lay in bed that will cause the least discomfort to your back. 

          1.  Lay on your side and bend at your hips and knees to a 90 degree angle with a pillow between your knees.

          2.  Lay on your back with your knees elevated by a pillow or pillows.  This position puts less strain and pressure on your back.

One thing to note–sleeping on your stomach puts your spine in an awkward position and can make things worse.  So, avoid this sleeping position if at all possible. 

In the following sections, we will be exploring various treatments and options to help give you some lower back pain relief.  Back pain can be frightening, but it can be overcome.

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Back Pain Treatment Options

Back Pain TreatmenNo one thinks about back pain treatment until the day that back pain hits.  Maybe you’re out playing a round of golf or raking the leaves in your yard or maybe you have simply bent over to pick up something when the pain hits.  The pain could be as simple as a small twinge or it could feel as if someone stabbed you in the back with a knife!  Either way, there’s a good chance that the intensity of the pain will increase over the next few hours and you will become very interested in finding relief from that pain.

We will explore various options for treating that pain and finding relief.  Some of these options can be taken care of at home on your own, while other treatments may require the expertise of a professional.

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Sciatica Nerve

sciatica nervThe spinal cord carries nerves that extend from the neck down the spine into various parts of the body.  The nerves can be affected when a disc (the cushioning material between the vertebrae) bulges out and presses against a nerve.  This pressure can cause a tingling and or pain in the back of your buttocks down the back of your legs and even into your feet.  This pain is usually associated with the sciatica nerve (also called the sciatic nerve).  I suffered with this pain for many years.  The best way I can describe it is the sensation of someone holding a red hot iron against the back of my leg for 24 hours per day.  It is the most excruciating pain I have ever felt in my entire life.

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Lower Back Spasms

back muscleHave you ever had a leg cramp in the middle of the night or while on your early morning run?  Leg muscle cramps are very painful and usually can be worked out in a matter of minutes.  But imagine having a muscle cramp or muscle spasm in the muscles of your back–muscles that are much bigger than leg muscles!

Lower back spasms can cause excruciating pain.  A doctor explained it to me this way–When a muscle spasm starts in your back, the natural reaction of your muscles is to tighten to protect your spine.  This tightening can cause more spams which cause more pain and the cycle repeats itself.

Once a cycle of back muscle spasms starts, it is difficult to break that cycle.  To stop the cycle will usually involve muscle relaxants and bed rest for a few days.

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Neck Nerve Injury

Neck PainThe spinal column is a very complex structure made up of vertebrae, discs, joints, ligaments, nerves and muscles.  This structure is very intricately interconnected so it should not be a surprise that an injury to one portion of this complex structure can cause pain in another part of the structure.  Therefore, injuries or problems with the neck can definitely be a contributing factor to back pain.  A pinched nerve or a pulled muscle in the neck area can extend down into the back and cause back pain.

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