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Causes of Low Back Pain


Discussions on "Causes of Low Back Pain" in "General Health Problems" forum.


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    Nishahameetha's Avatar
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    Causes of Low Back Pain

    Causes of Low Back Pain

    1. Mechanical or Activity Related Causes:

    i.Degenerative Changes of Disc
    ii.Soft tissue injury, disorder or strain
    iii.Herniated Disc
    iv.Vertebral body fractures
    v.Spinal Canal or recess stenosis
    vi.Spondylosis

    2.Systemic Disorders

    i.Primary or metastatic neoplasm
    ii.Osseous, discal or epidural infection
    iii.Inflammatory spondyloarthropathy
    iv.Vascular disorders – atherosclerosis or vasculitis

    3.Neurologic Syndromes

    i.Myelopathy
    ii.Lumbosacral plexopathy – from Diabetes mellitus
    iii.Mononeuropathy
    iv.Myositis and metabolic causes

    4.Referred pain

    i.GI disorders
    ii.Genitourinary disorders – infections of renal tract
    iii.Hip pathology
    iv.Psychosocial causes
    v.Psychiatric syndromes – delusional pain
    vi.Drug addiction
    vii.Abusive relationships


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    Nishahameetha's Avatar
    Nishahameetha is offline Ruler's of Penmai
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    Re: Causes of Low Back Pain

    Management of Low Back Pain

    A.In cases of evidence for improvement


    i.Advise to stay active and continue usual activities
    ii.Non Steroidal Anti Inflammatory Drugs
    iii.Physiotherapy in the first 4-6 weeks only.

    B.In cases of evidence of no improvement

    i.Bedrest for more than 2 days
    ii.TENS
    iii.Traction
    iv.Specific Back Exercises
    v.Educating about low back symptoms

    C.In cases of some improvement in clinical outcome

    i.Conditioning exercises for trunk muscles
    ii.Aerobic conditioning
    iii.Epidural steroid injections
    iv.Acupuncture
    v.Shoe lifts
    vi.Lumbo-sacral corsets
    vii.Physical Modalities – Icing – Cryotherapy, Heat, Shortwave Diathermy, Ultrasonic therapy.



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