Treatment FAQ

what is the causes of back pain and treatment

by Prof. Myles Cronin Published 2 years ago Updated 2 years ago
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Conditions commonly linked to back pain include:
  • Muscle or ligament strain. Repeated heavy lifting or a sudden awkward movement can strain back muscles and spinal ligaments. ...
  • Bulging or ruptured disks. Disks act as cushions between the bones (vertebrae) in your spine. ...
  • Arthritis. ...
  • Osteoporosis.
Aug 21, 2020

Common Causes

The cause of your back pain determines the treatment. For your back pain you may feel better with: Cold packs and/or heating pads. Stretching exercises. Massages. Surgery. Antibiotics. Cortisone. Traction. Physical therapy. Other over-the-counter and prescribed muscle relaxants, steroids and pain medications.

Related Conditions

Dec 02, 2021 · Disc injuries are a fairly common cause of back pain. Sometimes these discs can bulge, herniate, or rupture. Nerves can get compressed when this happens. Herniated discs can be very painful. A...

What are some natural remedies for back pain?

Lower back pain is very common. It can result from a strain (injury) to muscles or tendons in the back. Other causes include arthritis, structural problems and disk injuries. Pain often gets better with rest, physical therapy and medication. Reduce your risk of low back pain by keeping at a healthy weight and staying active. Appointments & Access

What is the best treatment for a bad back?

Degeneration of vertebrae (often caused by stresses on the muscles and ligaments that support the spine, or the effects of aging) Infection Abnormal growth (tumor) Obesity (often increases weight on the spine and pressure on the disks) Poor muscle tone in the back Muscle tension or spasm Sprain or strain Ligament or muscle tears

Which doctor can help me with back pain?

Feb 23, 2017 · Back pain commonly stems from strain, tension, or injury. Frequent causes of back pain are: strained muscles or ligaments; a muscle spasm; muscle tension; damaged disks; injuries, fractures, or...

What are the different causes of back pain?

Feb 10, 2022 · Here are some of the most serious causes of back pain that both doctors and patients must be careful not to miss. PeopleImages / Getty Images Osteomyelitis Osteomyelitis is an infection of the bone, usually due to invasive bacteria. 3 The bacteria can be difficult for antibiotics to treat adequately, and a long course may be needed.

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What is the fastest way to relieve back pain?

Exercise has been found to be one of the most effective ways to relieve back pain quickly. Try swimming, walking, or yoga.

What causes back pain and how do you treat it?

Physical therapy: Applying heat, ice, ultrasound, and electrical stimulation — as well as some muscle-release techniques to the back muscles and soft tissues — may help alleviate pain. As the pain improves, the physical therapist may introduce some flexibility and strength exercises for the back and abdominal muscles.

How can I treat back pain at home?

Taking care of your back at homeStop normal physical activity for only the first few days. ... Apply heat or ice to the painful area. ... Take over-the-counter pain relievers such as ibuprofen (Advil, Motrin IB) or acetaminophen (Tylenol).Sleep in a curled-up, fetal position with a pillow between your legs.More items...•Aug 13, 2020

How do you treat back pain all over?

MedicationsOver-the-counter (OTC) pain relievers. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), may help relieve back pain. ... Muscle relaxants. ... Topical pain relievers. ... Narcotics. ... Antidepressants.Aug 21, 2020

What are the most common causes of back pain?

7 common causes of back painPulled muscle or tendon. Lifting boxes or heavy objects working out and even sleeping in an awkward position can lead to a sore back. ... Inflammation. ... Arthritis. ... Osteoporosis. ... Injured herniated and ruptured discs. ... Stress. ... Fibromyalgia.

Is heat good for back pain?

Heat therapy is an effective remedy for back pain because it boosts circulation, which then allows nutrients and oxygen to travel to joints and muscles. This circulation helps repair damaged muscles, relieves inflammation, and improves back stiffness. Any type of heat therapy can help relieve back pain.Sep 23, 2019

What drink is good for back pain?

Cherry juice can help relieve muscle pain, which may be chronic or exercise-induced. Cherry juice is easily available to buy at grocery stores and commonly contains the tart cherry extract. Try drinking a glass of cherry juice on a daily basis and see if it has positive effects in relieving your back pain.

Which food is not good for back pain?

Foods To Avoid While Experiencing Back PainSugary Foods. Sugary foods are among the worst foods that you can eat. ... Vegetable Oil. Most vegetables are high in omega 6 fatty acids. ... Refined Grains. It is best to eat whole grains instead of refined grains. ... Dairy Products. ... Processed Corn. ... Red Meat. ... Foods With Chemicals.

How do I know if my back pain is serious?

When you should go to the ER for back painSudden spike in pain, discomfort, weakness or numbness.Loss of bladder function.High fever.Severe stomach pain.Unexplainable weight loss.The pain results from a fall or severe blow to your back.

How should I sleep with back pain?

Top 5 Sleeping Positions for Back PainLying on your side in a fetal position. ... Lying on your back in a reclined position. ... Lying on your side with a pillow supporting your knees. ... Lying on your stomach with a pillow below your pelvis and lower abdomen. ... Lying flat on your back with a pillow underneath your knees.

What causes back pain?

Conditions commonly linked to back pain include: Muscle or ligament strain. Repeated heavy lifting or a sudden awkward movement can strain back muscles and spinal ligaments. If you're in poor physical condition, constant strain on your back can cause painful muscle spasms. Bulging or ruptured disks.

What does it mean when your back hurts?

Back pain can range from a muscle aching to a shooting, burning or stabbing sensation. In addition, the pain may radiate down your leg or worsen with bending, twisting, lifting, standing or walking.

How long does it take for back pain to go away?

Most back pain gradually improves with home treatment and self-care, usually within a few weeks. Contact your doctor if your back pain: Persists past a few weeks. Is severe and doesn't improve with rest. Spreads down one or both legs, especially if the pain extends below the knee.

What is disk disease?

Disk disease is often found incidentally when you have spine X-rays for some other reason. Arthritis. Osteoarthritis can affect the lower back. In some cases, arthritis in the spine can lead to a narrowing of the space around the spinal cord, a condition called spinal stenosis.

How to get rid of a swollen back?

Talk with your doctor about which activities you might try. Build muscle strength and flexibility. Abdominal and back muscle exercises, which strengthen your core, help condition these muscles so that they work together like a natural corset for your back.

How to keep your back strong?

To keep your back healthy and strong: Exercise. Regular low-impact aerobic activities — those that don't strain or jolt your back — can increase strength and endurance in your back and allow your muscles to function better. Walking and swimming are good choices.

Can a disc rupture without pain?

The soft material inside a disk can bulge or rupture and press on a nerve. However, you can have a bulging or ruptured disk without back pain.

What to do if your back hurts?

Massage. If your back pain is caused by tense or overworked muscles, massage might help. Yoga. There are several types of yoga, a broad discipline that involves practicing specific postures or poses, breathing exercises, and relaxation techniques.

What is the best medicine for back pain?

Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), may help relieve back pain. Take these medications only as directed by your doctor. Overuse can cause serious side effects.

How long does cortisone pain last?

A cortisone injection helps decrease inflammation around the nerve roots, but the pain relief usually lasts only a month or two. Radiofrequency neurotomy. In this procedure, a fine needle is inserted through your skin so the tip is near the area causing your pain.

How long does it take for back pain to go away?

Most back pain gets better within a month of home treatment. However, everyone is different, and back pain is a complex condition. For many, the pain doesn't go away for a few months, but only a few have persistent, severe pain.

What can a physical therapist do to help you?

A physical therapist can teach you exercises to increase your flexibility, strengthen your back and abdominal muscles, and improve your posture. Regular use of these techniques can help keep pain from returning.

What are some alternative treatments for back pain?

Always discuss the benefits and risks with your doctor before starting a new alternative therapy. Chiropractic care. A chiropractor manipulates your spine to ease your pain. Acupuncture.

What tests can be done to determine if you have back pain?

If there is reason to suspect that a specific condition is causing your back pain, your doctor might order one or more tests: X-ray. These images show the alignment of your bones and whether you have arthritis or broken bones.

Overview

Pain in your back can be an annoying ache, or it can get so bad that it’s unbearable. Back pain is the second most common reason why people visit their healthcare providers (just after colds). Many people miss work because of it. Around 80% to 90% of people in the United States will have back pain at some point in their lives.

Symptoms and Causes

There are causes of local back pain (pain in your spine, muscles and other tissues in your back) and then there are causes of radiating back pain (pain from a problem in an organ that spreads to or feels like it's in your back). Examples of both include:

Diagnosis and Tests

In many cases, your healthcare provider may get all the information they need from interviewing you about your symptoms, health history and lifestyle and then doing an exam. However, sometimes image tests are necessary. These may include:

Management and Treatment

This depends on the cause of your back pain. If your pain is caused by an infection, for example, it might go away after the course of antibiotic is complete. If your pain is caused by spinal degeneration, you may need treatment through your lifetime.

Living With

See your healthcare provider about your back pain if it’s severe or doesn’t get better after a few weeks. See them immediately if:

Why does my back hurt so bad?

An infection in the spine, called vertebral diskitis or osteomyelitis , causes severe, constant pain. Surprisingly, despite an infection being present, a person may not have a fever. A history of a prior back surgery may provide a clue that an infection is present. 8 

Why does my lower back hurt?

Muscle strains and sprains are perhaps the most common causes of back pain, especially in the lower back. 1  A strain refers to tearing of a muscle or a tendon (a fibrous tissue that connects muscle to bone), while a sprain refers to tearing of a ligament (a fibrous tissue that connects two bones together). With these tears—which result ...

What does it mean when your back hurts?

The pain of a muscle strain or sprain in the back can range from mild to debilitating and is often described as an "all over pain" that moves into the buttocks and is worse with movement and soothed with rest. Along with pain, muscle stiffness and a restricted range of motion are often reported with muscle strains and sprains of the back.

What is the cause of a dull aching pain in the spine?

Spine osteoarthritis occurs as a result of "wear and tear" of the cartilage located between the spine's joints. As the cartilage wears away, a dull, aching, or throbbing pain that is worse with movement may develop.

How long does back pain last?

Most episodes of back pain last a few days and have completely resolved within a few weeks. If you have new back pain, you should contact your doctor to see if you need further evaluation. There are also a few warning signs that may indicate a problem that needs immediate evaluation: 8  1 Your back pain persists beyond a few days 2 Your back pain awakens you at night 3 You have difficulty controlling your bowels or bladder 4 You have a fever, chills, sweats, or other signs of infection 5 Any other unusual symptoms

What is a torn disc called?

A torn disc is called a ruptured disc or a herniated disc. 3 . A ruptured disc in the lower back causes sharp back pain that may move down into the buttocks, groin, and/ or down one leg.

What is the name of the disease that causes low back pain?

Ankylosing Spondylitis (AS) AS is a chronic inflammatory disease of the spine joints (vertebrae) that causes low back pain and stiffness, typically starting before the age of 40. The back pain of AS tends to improve with exercise and worsen at night.

Why does my lower back hurt?

Arthritis. Spinal osteoarthritis is also a potential cause for back pain. It’s caused by damage and deterioration in the cartilage of joints in your lower back. Over time, this condition can lead to narrowing of the spinal column, or spinal stenosis.

What is the best medicine for back pain?

The majority of back pain episodes are relieved by treatment with nonsteroidal anti-inflammatory medications (NSAIDs), such as: ibuprofen (Motrin) naproxen (Aleve) Pain relievers, or analgesics, such as acetaminophen (Tylenol), are also an option, though they don’t have the anti-inflammatory properties.

What is the best pain medication for severe pain?

Opioids are stronger pain medications that can be prescribed for more severe pain. These medications, such as oxycodone (OxyContin) and a combination of acetaminophen and hydrocodone ( Vicodin ), act on the brain cells and body to reduce pain.

What is the difference between disks and vertebrae?

Vertebrae are the interlocking bones stacked on top of one another that make up the spine. Disks are areas of tissue that cushion the space between each vertebra. Disk injuries are a fairly common cause of back pain.

How long does back pain last?

The symptoms of back pain, if due to strain or misuse, are usually short-lived but can last for days or weeks. Back pain is chronic when symptoms have been present for longer than three months.

What is the name of the structure that makes up the spine?

nerves. the bony structures that make up the spine, called vertebral bodies or vertebrae. It can also be due to a problem with nearby organs, such as the kidneys. According to the American Association of Neurological Surgeons, 75 to 85 percent of Americans will experience back pain in their lifetime.

How to help a swollen back?

Salt baths. A hot bath can do wonders for aching muscles, but while you’re soaking, give the water an added boost for your back with Epsom salt. Your body can absorb the minerals from the salt bath, and they can help ease aching muscles. Home remedies may be highly effective at reducing back pain.

What causes back pain?

Disease: Spine tumors, infections and several types of cancer can cause back pain. Other conditions can cause back pain, too. These include kidney stones and abdominal aortic aneurysm. Spondylolisthesis: This condition causes the vertebrae in the spine to slip out of place.

Why does my back hurt so bad?

Structural problems: Severe back pain can result from conditions, such as scoliosis, that change spine alignment. Disease: People who have a family history of osteoarthritis, certain types of cancer and other disease have a higher risk of low back pain. Mental health: Back pain can result from depression and anxiety.

Why does my lower back look flat?

Your lower back may look flat instead of curved. Muscle spasms: After a strain, muscles in the lower back can spasm or contract uncontrollably. Muscle spasms can cause extreme pain and make it difficult or impossible to stand, walk or move.

What are the risk factors for lower back pain?

Risk factors for lower back pain include: Age: People over 30 have more back pain. Disks (soft, rubbery tissue that cushions the bones in the spine) wear away with age. As the disks weaken and wear down, pain and stiffness can result. Weight: People who are obese or carry extra weight are more likely to have back pain.

Why does my lower back hurt?

Lower Back Pain. Lower back pain is very common. It can result from a strain (injury) to muscles or tendons in the back. Other causes include arthritis, structural problems and disk injuries. Pain often gets better with rest, physical therapy and medication. Reduce your risk of low back pain by keeping at a healthy weight and staying active.

What is spinal stenosis?

Structural problems: A condition called spinal stenosis happens when the spinal column is too narrow for the spinal cord. Something pinching the spinal cord can cause severe sciatic nerve pain and lower back pain. Scoliosis (curvature of the spine) can lead to pain, stiffness and difficulty moving.

How to help back pain?

Depending on the cause of pain, you may need osteopathic manipulation or chiropractic adjustments. Massage therapy can also help with back pain relief and restore function.

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Key points about low back pain

Specific treatment for low back pain depends on the cause of the pain and the severity. But it often includes pain medicines and muscle relaxers, physical therapy, and assistive devices such as a back support. It also may include lifestyle changes such as stress reduction, weight loss, and increased physical activity.

What is low back pain?

Low back pain can range from mild, dull, annoying pain, to persistent, severe, disabling pain in the lower back. Pain in the lower back can restrict mobility and interfere with normal functioning.

What are the symptoms of low back pain?

Low back pain is classified as acute (or short term) and chronic. Acute low back pain lasts from a few days to a few weeks. Most acute low back pain will resolve on its own. Chronic low back pain lasts for more than 3 months and often gets worse. The cause of chronic low back pain can be hard to find.

How to make an appointment

If you suffer from lower back pain and would like to receive treatment, first make an appointment with a sports medicine doctor or primary care provider. They will assess your symptoms and can make a diagnosis. They may also recommend — and refer you — to a specialist such as an orthopedic or neurological spine surgeon or a physical therapist.

Lower back pain care at UW Medicine

Choosing UW Medicine means having access to a variety of experts who can help you manage back pain, including:

What causes low back pain?

The exact cause of low back pain can be hard to determine. In most cases, back pain may be a symptom of many different causes, including any of these:

Why does my back hurt?

Causes. Problems with the spine such as osteoporosis can lead to back pain. The human back is composed of a complex structure of muscles, ligaments, tendons, disks, and bones, which work together to support the body and enable us to move around.

What is the pain in the back?

Symptoms. The main symptom of back pain is an ache or pain anywhere in the back, and sometimes all the way down to the buttocks and legs. Some back issues can cause pain in other parts of the body, depending on the nerves affected.

What causes a sharp pain in the back of the leg?

Sciatica: A sharp and shooting pain travels through the buttock and down the back of the leg, caused by a bulging or herniated disk pressing on a nerve. Arthritis: Osteoarthritis can cause problems with the joints in the hips, lower back, and other places. In some cases, the space around the spinal cord narrows.

What is spinal stenosis?

This is known as spinal stenosis. Abnormal curvature of the spine: If the spine curves in an unusual way, back pain can result. An example is scoliosis, in which the spine curves to the side. Osteoporosis: Bones, including the vertebrae of the spine, become brittle and porous, making compression fractures more likely.

What are some ways to keep your spine straight?

long driving sessions without a break, even when not hunched. sleeping on a mattress that does not support the body and keep the spine straight.

How long does back pain last?

Chronic or long-term pain develops over a longer period, lasts for over 3 months, and causes ongoing problems. If a person has both occasional bouts of more intense pain and fairly continuous mild back pain, it can be hard for a doctor to determine whether they have acute or chronic back pain.

How to help back pain?

Physical therapy: Applying heat, ice, ultrasound, and electrical stimulation — as well as some muscle-release techniques to the back muscles and soft tissues — may help alleviate pain. As the pain improves, the physical therapist may introduce some flexibility and strength exercises for the back and abdominal muscles.

Why does my back hurt?

It's worth repeating that any time back pain is associated with new weakness or changes in bladder or bowel control , it's a sign that the nerves in the spinal cord may be seriously injured. Anyone with those symptoms should go to an emergency room immediately. It's important not to lose sight of the fact that these causes of back pain, ...

Why do doctors do a thorough examination of the back?

A good doctor knows that when someone comes in for back pain, a thorough examination should be done, including the abdomen and other areas of the body. This is because sometimes back pain results from a problem in another region of the body. This is known as referred pain. For example, either pancreatitis or an aortic dissection can spread to the back. 10 

What is the cause of transverse myelitis?

Transverse Myelitis. The exact causes of transverse myelitis are uncertain, though most doctors believe that it is autoimmune in nature, similar to multiple sclerosis. People with transverse myelitis develop inflammation in the spinal cord in a matter of weeks or hours. Symptoms can include pain, weakness, sensory changes, ...

What is an abscess in the spine?

An abscess is a collection of pus that results from a local infection. When this occurs in the epidural space in the meningeal tissues that surround the spine, it can lead to spinal cord compression, with sensory loss, weakness, and impaired bladder control. 4  Fever may or may not be present.

What is the infection of the bone?

Osteomyelitis. Osteomyelitis is an infection of the bone, usually due to invasive bacteria. 3  The bacteria can be difficult for antibiotics to treat adequately, and a long course may be needed. In some cases, surgery may also be needed.

How many people will have back pain in 2020?

Updated on January 08, 2020. Approximately 80% of adults in the United States will suffer from back pain at some point. 1  Fortunately, most of the time that pain is due to a straightforward problem such as a herniated disc or degenerative disease in the spine. These problems are bothersome, and can even be dangerous if too much time is allowed ...

Is back pain considered an emergency?

These problems are bothersome, and can even be dangerous if too much time is allowed to pass, but they are not considered a medical emergency. On the other hand, anytime back pain is associated with weakness or loss of bladder or bowel control, it should be considered an emergency that requires immediate treatment.

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Diagnosis

Ache, strain, and discomfort in the back.

Common Causes

Back pain is not always related to an underlying condition. It may be caused by:

  • Injury
  • Strained muscles
  • Standing or sitting for unusually long periods
  • Pregnancy
Related Conditions
Sometimes back pain may signify an underlying health condition. These conditions include:

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