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- $Unique_ID{BRK01439}
- $Pretitle{}
- $Title{Chronic Low Back Problems}
- $Subject{low back cause treatment musculoskeletal system connective tissue
- disk herniated disks sciatica sciatic nerve muscle relaxants c-t scan magnetic
- resonance imaging mri myelography spinal cord lower muscles relaxant computer
- thermography spine collum}
- $Volume{M-18}
- $Log{
- Osteoarthritis can Cause Lower Back Pain*0005001.scf
- Intervertebral Disc can Cause Low Back Pain*0005002.scf
- Muscles of the Back*0005003.scf
- Herniated Disc can Cause Lower Back Pain*0005004.scf
- Osteoporosis can Cause Lower Back Pain*0005005.scf
- Anatomy of the Lower Back*0005101.scf
- Anatomy of the Spine*0005102.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Chronic Low Back Problems
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-
- QUESTION: I am a long time sufferer with a condition that I have been told is
- considered to be a chronic low back problem. I get into trouble about once a
- year, and take several weeks to recover completely. What are the chances that
- I really have a disk problem, and that my only hope is surgery? I am not
- looking for an unnecessary operation, but I would like to be rid of this
- problem once and for all time. Do you have any statistics that might be of
- some help?
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-
- ANSWER: Low back problems are certainly not uncommon, with an estimated 80
- percent of the adult population having this distressing experience at some
- point in their lives. However, most back pain is not caused by a herniated
- disk, and even when it is, conservative treatment can bring relief to most
- patients. Making a diagnosis of a mechanical cause of low back pain, such as
- degenerative changes and herniated disks is not always easy, and the exact
- cause of the problem is not always determined. That is why other clues are
- used to determine the nature and course of treatment. The first sign that a
- low back pain may be caused by a disk problem is usually the presence of
- sciatica, where pain is felt along the course of the sciatic nerve, down the
- back of the leg. Sometimes there have been several episodes of back pain
- preceding the development of this complaint. Thus a complete history and
- careful physical examination are the first avenues for the investigation of
- low back problems. Many experts believe that conservative treatment,
- including pain medication, rest, muscle relaxants, and appropriate exercise,
- should be tried first before moving on to more intense evaluation and
- treatment. When conservative treatments fail and pain remains unrelieved
- after 4 to 6 weeks of therapy, or when there is progressive weakness and
- numbness in the leg, or neurological examinations discover changes in function
- of nerves and muscles, the status, it is time to utilize the advantages found
- in such testing procedures as C-T scan, Magnetic Resonance Imaging (MRI) or
- myelography (x-ray techniques which reveal the status of the spinal cord). It
- is only after these have been completed that surgical procedures are
- considered in appropriate cases.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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-