Posts Tagged ‘back’
Friday, February 19th, 2010
A typical downside with several adults is back pain. Several folks experience back pain caused by our daily routines such as after we spend too much time sitting while at work, or after we drive for an extended period of time. Lifting heavy furnitures whereas cleaning up at home, working within the garden, or lifting weights in the gym will additionally cause back pain. These activities can sometimes place thus a lot of pressure and weight on your back causing low back injuries like muscle strain or spasm, sprain of ligaments, joint problems, or slipped disk. When we have back pain, it affects our daily functions. The sensation of pain can be from slightly tolerable to unbearably painful. Knowing what caused your back pain is something you need to debate along with your doctor.
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Wednesday, February 10th, 2010
One of the most debilitating issues is to develop chronic lower back pain. This kind of pain can limit mobility, sitting, driving, walking and even laying down. Nothing seems comfortable and the longer you are forced to stand, sit or drive, the stiffer and more painful your back becomes until you stand up and everyone around you sees at the bent over version of what used to be you. Images of the old crone come to mind, and you try to stand erect only to yelp in pain. Things are not good, and you need a good pain treatment like Tramadol.
What is Tramadol?
Tramadol is a pain treatment medication for people, like you and I, who suffer chronic lower back pain. Whether your injury is from a lumbar strain or osteoarthritis, if you slump over every time you get out of a car, it is time to talk to your doctor about chronic pain treatments, like Tramadol. This medication is a man-made pain reliever that is not unlike morphine. It binds to the pain receptors in the brain allowing folks like you and me to lead ordinary lives, which means we can sit at a desk, play ball with our children and even ride in a car without undue agony.
What are the Risks and Side Effects?
Like all pain treatments, Tramadol is not without risks and side effects. One of the greatest risks involved with this medication is dependency. Therefore, care must be taken to avoid abuse of this narcotic. Additionally, once a treatment regimen with Tramadol has begun, it is important not to abruptly stop taking the drug. This is because abrupt withdrawal can cause sleeplessness, anxiety, sweating, rigors, pain, and hallucinations.
Further side effects include:
•Nausea
•Constipation
•Dizziness
•Headache
•Vomiting
•Drowsiness
These effects are the ones most commonly reported, but are usually reported as something that comes and goes. In rare cases, a rash, diarrhea, vertigo or vertigo has been reported, so it is good to be aware of any changes after starting a treatment regimen so that you and your doctor can adjust your dosage accordingly.
Back pain treatments, like Tramadol, are not for everyone. However, if you suffer the chronic variety of back pain, and you have reached the point where it has begun to affect your quality of life, then it may well be time to have a discussion with your doctor about pain treatment and Tramadol.
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Friday, January 29th, 2010
Unfortunately, there are no easy answers to what causes lower back pain. However, there are ways to prevent problems in this area before they begin, and treatments, like Tramadol, help back pain sufferers.
What are the most Common Causes of Lower Back Pain?
To avoid ever having to take a medicine, for back pain, it is important to understand the causes and preventions of such injuries. Lower back pain is most commonly caused by one or more of the following:
* Lumbar strain: This causes acute and often chronic pain resulting from a stretching injury to the ligaments, tendons or muscles.
* Nerve irritation: Lower back pain caused by the irritation of the nerves due to a mechanical or disease-oriented problem.
* Lumbar radiculopathy: When nerve irritation damages the discs of the spinal column, it is referred to as lumbar radiculopathy.
* Bony encroachment: Slippage, foramenal narrowing, or any impediment to movement and growth along the spine may cause encroachment.
* Bone and joint conditions: These can be congenital, like scoliosis, or age-related, like arthritis.
* Degenerative bone and joint conditions: These include degeneration of the disc, spondylosis, or osteoarthritis.
* Injury: This includes, but is not limited to, fractures or stressors on the lumbar spine.
While it is virtually impossible to prevent congenital issues with the spine, other ways to avoid having to take a back pain medication, everyday is to exercise, lift with your knees and not your back, and practice stretching everyday.
What is Tramadol?
If, however, you already suffer one of these ailments, or have lower back pain from another less common injury, like post-pregnancy, then you may want to consult your doctor about Tramadol. Tramadol, especially in time-released capsule form, has been proven effective in treating patients who suffer from chronic lower back pain. The side effects, when present, are relatively minor and include headache, constipation, and diarrhea.
Lower back pain is no fun. It can limit mobility and even create problems when it comes to doing ordinary things like riding in a car or sitting at a desk. Before you experience any lumbar pain, take preventative measures by creating a back-friendly exercise regimen and sticking with it, and avoid lifting with your back. However, if you are one of the millions of people who have a pre-existing back pain, check with your doctor about the effectiveness of Tramadol. It has been proven to help those, like you, lead a more pain-free life.
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Friday, November 13th, 2009
If you’ve never heard of Stott Pilates, you may want to to look into it in order to find some back pain relief. Back pain can be dangerous to your overall health.
Scores of professional chiropractors have recommended Stott Pilates to their patients suffering from lower back pain. Of course you need a qualified instructor to keep you practicing correctly.
Why does Stott Pilates work so well in alleviating back pain, you may well ask? What makes it so good for you is that it looks at the potential structural imbalances that everyone develops as they age.
For you, it might be bad posture, lack of stability in your pelvis, muscles out of balance, no core muscle support ( a common cause of lower back pain), or even just not having a sense of body awareness. Having a regular routine with practice of Stott Pilates can bring dynamic changes and even elimination of all your back problems.
The first thing you will learn in a Pilates class is how to become aware of your own body. Youd be surprised to find out exactly how many people dont even know that they arent aware of their own bodies! You need to understand and actually feel how everything inside of you (meaning your different body parts) stack up and are connected to each other.
When your body structure is out of alignment all sorts of troubles can soon follow. One of the main problems is that once a body part becomes out of alignment, the rest of your body compensates for it. This, in turn, leads to further compensations and so on.
Take for instance, your pelvis. This common beginning of body misalignment may cause you to tilt or tuck the tailbone. And you are, for the most part, unaware of this tuck or tilt. One side of your body gets very weak and then the other side gets really tight because it is trying to compensate for the weak side.
Stott Pilates helps this imbalance by allowing you to gently strengthen the inner core abdominal muscles. This, in turn, allows the body to gradually move itself back into proper alignment.
It isnt always easy to see how these muscles can have such a profound affect on your health, but with regular practice, youll easily see it and fell it for yourself. Dont give up on yourself just because you hurt right now. Try a few classes of Stott Pilates and see how quickly you can recover from that nagging back pain.
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Thursday, November 5th, 2009
Not too long ago, a man in the UK pulled 13 of his own teeth rather than live in agony because the National Health Service didn’t have a dentist to treat his chronic teeth problems. His fellow Brits won’t have the option of using a pliers on their backs after the most recent rationing decision by the NHS. In order to save £33 million ($55.6 million), the British single-payer system will no longer give cortisone shots for nonspecific back pain despite the effectiveness of the treatment:
The Government’s drug rationing watchdog says “therapeutic” injections of steroids, such as cortisone, which are used to reduce inflammation, should no longer be offered to patients suffering from persistent lower back pain when the cause is not known.
Instead the National Institute of Health and Clinical Excellence (NICE) is ordering doctors to offer patients remedies like acupuncture and osteopathy. …
The NHS currently issues more than 60,000 treatments of steroid injections every year. NICE said in its guidance it wants to cut this to just 3,000 treatments a year, a move which would save the NHS £33 million.
Recall when Barack Obama promised that ObamaCare in the US would use the “best practices” of the medical industry, as determined by government panels, in order to dictate treatments and save costs? The actual experts in British medical circles warn that this will wind up increasing costs. Instead of offering new-age treatments rather than effective methods of pain control, the decision will push many to get surgery for relief instead:
But the British Pain Society, which represents specialists in the field, has written to NICE calling for the guidelines to be withdrawn after its members warned that they would lead to many patients having to undergo unnecessary and high-risk spinal surgery.
This demonstrates both the pretense and the folly of allowing the government to make these decisions in a noncompetitive environment, or really at all. The NICE, the supposed expert panel tasked with “clinical excellence,” isn’t concerned about the excellence of care at all. It’s concerned about spending money. Its priority is to reduce its budget, not to ensure that patients have effective pain relief. Cortison shots cost more than acupuncture and osteopathy, so they want to cut back by 95% on cortisone shots regardless of whether the shots are effective or the replacement treatments are not.
And what will that produce? More back surgeries, which cost a lot more than cortisone shots. That’s NICE.
ObamaCare supporters will argue that insurance companies make the same kinds of determinations about coverage of treatments. That’s certainly true, but they also have to compete with each other for business. They will lose customers if they make too many capricious and arbitrary decisions based solely on cost rather than effectiveness of treatment as those customers find insurers who provide better service. With no competition, as in the UK, the system never has to account for its caprice or its heartlessness.
Now, only the rich will get cortisone shots in the UK, because only they have the resources to get private medical care. The rest of the nation, which pays through the nose for the NHS, will get locked into those NICE decisions that focus on the bottom line rather than proper treatment. That’s what ObamaCare will deliver as well.
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Wednesday, October 28th, 2009
How can I get rid of it?
Q: Is there any specific exercise or method to get rid of extreme lower back pain? I got it during my pregnancy and it doesn’t seem to go away. I know it’s not because of my weight because I have been having it since I got pregnant, not when I gained weight. My bones are all messed up back there. I’ve been to a physical therapist but my bone always goes back to the wrong place (sideways). What should I do?
A: I think I have the same problem you had. I could scream when I turn. You could try a chiropractor. For me, it was a lifesaver. Don’t listen to people who bad mouth them. Most of those people, have never been to one. They are just like any doctor, they can’t solve every problem.
My pain came during my pregnancy-I couldn’t even stand upright. After 3 visits, I could just hop right out of bed in the morning. But a few years later, I went for lower back pain and it didn’t help me much (later I discovered I needed surgery).
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Monday, October 26th, 2009
Acute back pain may begin suddenly and usually lasts around 3 months. Chronic back pain sometimes lasts throughout life.
The most common back pain is low back pain (LBP). It is is often described as sudden, sharp, persistent, or dull pain felt below the waist. LBP is very common and affects the majority of people at some point during their life. Up to 70%–85% of all people have back pain at some time in their lives. LBP is the most common cause of a limitation of activity in people younger than 45 years of age. It is the second most frequent reason for visits to a physician, and the third most common indication for surgery. It is the fifth-ranking cause of hospital admissions and is one of the leading causes of disability.
Low back pain is most commonly caused by muscle strain associated with heavy physical work, lifting or forceful movement, bending or twisting, awkward positions, or standing in one position too long. Any of these movements can exacerbate a prior or existing back disorder. Other conditions that can cause low back pain include spinal stenosis, arthritis (osteoarthritis), spinal infection (osteomyelitis), spinal tumors (benign and malignant), spondylolisthesis, and vertebral fractures (e.g. burst fracture).
Low back pain is either acute or chronic. Acute LBP may begin suddenly with intense pain usually lasting fewer than three months. Chronic pain is persistent long-term pain, sometimes lasting throughout life. Even chronic pain may present episodes of acute pain. Other symptoms include localized pain in a specific area of the low back, general aching, and/or pain that radiates into the low back, general aching, and/or pain that radiates into the low back, buttocks and leg(s). Sometimes pain is accompanied by neurological symptoms such as numbness, tingling, or weakness. Neurological symptoms requiring immediate medical attention include bowel or bladder dysfunction, groin or leg weakness or numbness, severe symptoms that do not subside after a few days, or pain prohibiting everyday activities.
Pain felt in the low back is not always indicative of a spinal problem. A thorough physical and neurological assessment may reveal the cause of the low back pain. The physical examination begins with the patient’s current condition and medical history. Examination of a patient with low back pain involves examining the patient’s range of spinal motion while standing straight, bending forward, and to the side. Asymmetry, posture, and leg length is noted. Methodical palpation of the spine can reveal muscle spasm, possible bony displacement, and tender points. Abdominal palpation is performed to determine if the cause of low back pain is possibly organ related (e.g. pancreas). The neurological assessment evaluates weakness, absence of reflexes, tingling, burning, pain, diminished function, and other signs that may indicate nerve involvement.
If infection, malignancy, fracture, or other risk factors are suspected, routine lab tests may be ordered. These tests may include complete blood count (CBC), erythrocyte sedimentation (ESR), and urinalysis. In some cases electrodiagnostic studies such as electromyography (EMG) or nerve condition velocity (NCV) are performed to confirm a diagnosis or localize the site of nerve injury. Plain radiographs (x-rays), CT Scan, and/or MRI studies are performed when fracture or neurological dysfunction is suspected. A MRI represents the gold standard in imaging today. A MRI renders high-resolution images of spinal tissues such as the spinal cord and intervertebral discs. X-rays are still the imaging methods of choice to study the bony elements in the low back. The results of the physical and neurological examinations combines with test results are carefully evaluated to confirm a diagnosis.
Most patients with low back pain are treated without surgery. A conventional treatment plan may include bed rest for a day or two combines with medication to reduce inflammation and pain. Medications recommended by the physician are based on the patient’s medical condition, age, other drugs the patient currently takes, and safety. The first choice for pain relief is often nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs should be taken with food to prevent stomach upset and stomach bleeding. Muscle relaxants may provide relief from muscle spasm but are actually benign sedatives, which often cause drowsiness. Narcotic pain relievers are prescribed for use during the acute phase and often for chronic pain management in appropriate patients.
Other modalities to treat low back pain might include physical therapy (PT), transcutaneous electrical nerve stimulator (TENS) trial, ultrasound therapy, acupuncture and massage therapy. A managed PT program can help build muscle strength and flexibility, improve mobility, coordination, stability and balance, and promote relaxation. Patients who participate in a structured physical therapy program often progress to wellness more rapidly than those who do not. This includes low back maintenance through a home exercise program developed for the patient by the physical therapist.
Although the number of spinal surgeries done every year is on the rise, it is rarely required to treat low back pain. Surgery may be considered if the patient is experiencing bowel or bladder dysfunction, increased nerve impairment, progressive weakness, incapacitating pain, or spinal instability. The surgical procedure depends on the diagnosis or the cause of low back pain. To prevent low back pain, first and foremost, follow the treatment plan outlined by the physician. To enhance recovery from an episode of low back pain, or to help prevent future exacerbation, try to maintain good posture, be consistent in a home exercise program, and eat sensibly to maintain proper body weight.
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Monday, August 10th, 2009
I went to the doctor on Monday with severe lower back pain. They gave me muscle relaxers, and Vicodin aadn told me to take these 3 times a day with Ibuprofen and icing , stretching and low back exercies. It is only getting worse, I have been taking about 3x the meds I am supposed too (which I know isn’t good but damn I’m in pain) and it barely touches it. I am 31 and currently unemployed so I have had time to walk and excersise but I think I am dying. Now my right bicep is so sore I can barely pick anything up . What the hell? I have polycystic ovaries and my mom had endometriosis.
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Monday, June 22nd, 2009
Elsie, a ten year old neutered female terrier suddenly started trembling all over. She refused her food, and she looked miserable. Her owner knew that something was seriously wrong, so she brought Elsie in to see me.
It was obvious as soon as Elsie walked into the consulting room that there was something wrong with her. She was moving slowly, and trembling all over, from her head to the tip of her tail.
When an animal is brought to the vet, the problem is sometimes very obvious. Other times, like with Elsie, it can be more difficult to identify what is wrong. This is a classical example of the difficulty caused by the fact that animals cannot talk. I could not ask Elsie to tell me what she was feeling.
Vets need to use other methods than speech to try to work out what is happening with their patients. We need to look for clues by asking owners questions, and by carrying out a series of examinations and tests. The process can be similar in some ways to solving a crossword puzzle, or a mystery in a detective novel, and it can be very rewarding to finally discover the cause of a problem.
First of all, I asked her owner for a very detailed account of exactly how Elsie was behaving at home. I discovered that Elsie had been completely normal the previous day, so the problem had a very sudden onset. This fact immediately ruled out certain slow-onset illnesses. Elsie had very few physical symptoms apart from the dullness and trembling. She not coughing, her breathing was normal, and there were no signs of a digestive upset.
I also found out that there were some specific aspects to Elsie’s behaviour that gave useful clues about the cause of her problem. She would not bend down to eat her food, but if she was fed morsels by hand, she would take them. And she was able to walk around the room slowly, but she completely refused to do normal activities like going up steps or jumping into the car.
Next, I carried out a careful physical examination of Elsie. This is a standard procedure that vets do every day with each patient, checking everything to make sure that there are no abnormalities. I started at her head, looking at her eyes, mouth and ears, and worked back along her entire body. I took her temperature, and listened carefully to her chest with my stethoscope. Elsie seemed generally very fit and healthy, although her heart was beating more rapidly than normal, and she continued to tremble like a wobbling jelly.
The final part of my examination was to feel carefully along her spine, starting with her neck, and moving backwards. This was where I finally found out what was bothering her. She did not mind at all as I examined her upper back, but when I moved down and gently prodded her lower back, she yelped in pain, and stared at me indignantly with her big brown eyes. I had found the site of her problem.
Elsie was showing all of the classical signs of lower back pain. Her behaviour (such as not going up steps) was typical of a sore back, and the physical examination had confirmed the location of her pain.
There are many causes of back pain in dogs, and I admitted Elsie to our hospital for further investigations. I took a series of x-ray pictures of her entire spine. These showed changes in her lower back that were consistent with a slipped disc, a problem that is as common in dogs as it is in humans.
Treatment of slipped discs in dogs usually involves a combination of pain relief and strict rest. In a minority of cases, spinal surgery may be needed.
It is difficult to force a dog to rest. As soon as Elsie was given pain relief, she would feel much better, and she would be as keen as ever to go for a long, energetic walk. Unfortunately, if she did this, her slipped disc would be likely to slip even further in the wrong direction, causing a severe aggravation of her pain, or even progressing to paralysis of her back legs. To prevent this, dogs with back pain need to be physically forced to rest.
Her owner bought a collapsible wire metal cage which became Elsie’s home for the next three weeks. She was only allowed out of the cage on a lead, for ten minutes twice a day.
Elsie stopped trembling within a few hours of being given pain relief. She brightened up and she started to eat normally. She soon grew used to living in her cage, and after two weeks of rest, she was allowed out to go for her first walk on a lead. Since then, she has gradually increased her activity, week by week. Elsie may have further episodes of back pain in the future, but for now, she has returned to living a normal, active life.
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Monday, June 1st, 2009
Dealing with back pain can be a challenging task. Back pain is one of the most common medical problems — an estimated 8 out of 10 people suffer from it. Back pain treatment is one of the top reasons that people go to see their doctor.
Lower back pain is one of the most common ailments and results in many hours of lost-time at work each year. Lower back pain treatment is a specialty of many chiropractors. If you have ever had lower back pain and if you are reading this, you know that the pain can be debilitating. Some people suffer from chronic back pain, the kind that will last long periods of time. Others my suffer form a more acute back pain usually brought on by a strenuous activity or just overworking the back in a manner which is not accustomed. Treatment of acute back pain is short-term and usually successful.
Lower back pain treatment is important, since as stated nearly 80% of the population will experience back discomfort at some point in their lifetimes
Effective treatments for back and neck pain ranges from a more conservative approach like ice packs, heating pads or rest, to more aggressive treatments like chiropractors and back surgery. Treatment is prescribed depending on the cause of pain and how long it lasts.
Perhaps the most important thing is that you have back pain, you seek out treatment. No doing so will not only prolong your agony, but may cause further damage if left unattended. It could be that only a good rest and a handful of over the counter pain relievers will do the trick. Pain relievers such as acetaminophen or aspirin are commonly used. If so, count yourself as one of the lucky ones.
If your back pain last more than a few days, consult your physician for treatment.
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