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75% of all human beings have occasional or constant bouts of back pain, making this condition the second most common cause of visits to the orthopedist. It is the lumbar spine that experiences one of the greatest impacts when our joints wear down with age, making it suddenly painful to stand upright – an activity ordinarily performed without a second thought. See below for some of the common problem areas.

Neck & Back Fact Sheet (PDF 112 KB)

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PAIN SYNDROMES

The discs are a source of a great deal of pain in the vertebrae. The intervertebral discs located between each vertebra are elastic structures that act as springs and shock absorbers and allow the vertebrae to move. If the discs begin to thin out, the joints of the spinal column will begin to wear down over the long term and the nerve root canals will begin to narrow. These changes lead to painful nerve root irritations and an aching back due to muscle tension. Sometimes the pain will radiate towards the buttocks and the upper leg – the term lumbago is used if the pain is sharp and sudden.

Powerful pain relievers are helpful for this condition in its acute stage, as is bed rest. A back support may also be effective and physical therapy is also often useful.

THE HERNIATED DISC

In its advanced stages, wear and tear can cause the fiber rings surrounding the disc to tear, allowing the internal disc material to escape and irritate nerve roots. The result is extremely painful tension in the back muscles making movement almost impossible. This pain can likewise radiate down into the buttocks and legs, causing neurological disorders such as paresthesia and weakness. An X-ray should be taken of the affected area, and an MRI or CT scan should be performed. Electrodiagnostic (EMG) testing is used to detect nerve damage.

Powerful painkillers are helpful for an acute herniated disc. Physical therapy should begin once the acute symptoms have subsided. Back supports are also an established component of therapy.

This information is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a doctor with any questions regarding a medical condition. Do not disregard professional advice or delay in seeking it because of something you read here.

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