How Lower Back Pain Changed How We Think About Pain Management

How Lower Back Pain Changed How We Think About Pain Management

Lower back pain is defined as pain in the lumbar spine, occasionally sliding to the buttocks.  It can be derived in three classes: intense sufferings lasting between one to three months back pain, sub-acute pain, which pain lasting for over three months.

Identification of patients with lower spine sufferings can be decided in two easy steps-history taking and physical examination, with the latter involving neurological testing, strength testing and ROM testing.

If you initially diagnose lower back pain or leave that to your physician, the diagnosis will need to consider both the location and symptoms of your own pain.

Step 1 – Location

The first step is to pick the place.  “Where does it hurt?”

1.  Axial lower back pain: This lower back pain strikes in the back.  Pain does not travel to some other area.

2.  Radicular lower back pain: This lower back pain hurts from the back, and radiates the backs of their thighs down to one or both legs.

3.  Back pain with pain that is referred to: Diagnose back pain with pain that is referred to when it tends to radiate into the groin, buttocks, and thighs, and hurts from the low back area.  The pain will radiate under the knee but may seem to move around.

Step 2 – Symptoms

Once you diagnose lower back pain as to location, you may contemplate symptoms.  “How does it feel?”

1.  Worsens with certain activities: Should you play football, as an instance, the pain is worse.

2.  Worsens in positions: Maybe it becomes worse if you stand for too long.  Or it is more painful after you sit in a vehicle.

3.  Feels usually reduces the back pain.

4.  Constant and deep: Not a sharp muscle catch, this pain is constant and deep within the affected regions.

5.  Acute: The pain is excruciating, and possibly more so from the calf than the back.

6.  Numbness and tingling: There could be”pins and needles” over the region.

7.  Fleeting pain: Pain might seem to come and go, leaving you uncertain at times just how it feels.

8.  Achy and dull this annoyance is dull and sore, though occasionally intensifying.

9.  It hurts into 1 place, another.


AXIAL: When the location is best described by number 1 above, and symptoms are a combination of 1, 2, and 3, you can probably diagnose lower back pain as being axial – the most frequent type.  This is also called”mechanical” lower back pain.  A variety of constructions that are back may lead to axial lower back pain, and it’s hard to identify which is the cause.  Pain gets better on its own, and about 90 percent of patients recover within fourteen days.

RADICULAR: When place is best described by number 2 over, and symptoms are a blend of 4, 5, and 6, you are probably able to diagnose lower back pain because being radicular – commonly referred to as sciatica.  Compression of a spinal nerve the sciatica nerve that runs out of the column, down the back to the toes causes this reduced back pain.  Doctors typically recommend treatment such as physical therapy exercises, medications, and possibly shots to eight months.

REFERRED: When place is best clarified by number 3 above, and symptoms are a blend of 7, 8, and 9, you can probably diagnose your pain as being reduced back pain with referred pain – at the least common type.  This lower back pain has been treated the same back pain and frequently goes away as the problem resolves by itself.

How can you diagnose lower back pain?

Diagnose lower back pain together with caution.  You need to be sure care is not needed by any underlying causes.  It is not sufficient to understand you have sciatica.  You want to be aware of the root cause of sciatica to determine treatment options.

If you do diagnose lower back pain, then check the identification with your doctor at the Woodlands Pain Management Center. 

Lower back pain is a common affliction, with millions each year visiting physicians for relief.  Not only will they seek relief, but they’ll also need a diagnosis.

It is not always easy to diagnose lower back pain.  Body structures can cause it.  There are discs, ligaments, tendons, ligaments, and joints; spinal column bones; joints, muscles, and nerves.  Besides these structures, there may be underlying medical conditions your physician needs to evaluate.

A comprehensive history provides important information necessary for accurate identification.  A history of injury could alert the doctor for a fracture.

Managing Your Lower Back Pain

Common back suffering is one of the very widespread ailments facing primary care practitioners today.  In fact, it has been estimated that roughly 80 percent of the populace has experienced back pains at a certain time in their lives.  Over 90% recover without the need.

Backaches, consequently, represent a major percentage of cases seen by GP’s and maybe the cause of significantly diminished quality of life for patients.  GP’s are accountable for management and the treatment of the majority of sufferings patients that are the spine, which makes it a significant problem to undertake in health care.

Red Flags

Red signs are symptoms and signs that suggest the issue is not simply a muscle strain, which includes; pain radiating down the legs, indicating nerve involvement; inexplicable illness, signaling of disease going down the spine; unexplained weight loss, suggesting cancer of the backbone; and the background of trauma, indicative of a fracture.

A hint should be raised if one of these signs is present.  Referral to a physician or imaging is the step to do.


When complete history and physical exam have been completed, only those instances of these red flags should generally require referral to a specialist.  The remaining patients can be managed with healthcare rest and medications.

If no particular back pains are diagnosed, the treatment should be focusing on the pain management and treatment of the patients to full operation.  Unless the flag was raised bed rest isn’t recommended.  Patients are advised to be busy, although care should be taken to avoid activities that could cause pain to the patient.

There are two kinds of treatment used; the pharmacological treatment; and the none -cosmetic therapy.

Thus, patients’ comprehension of back pains can also be helpful.  For instance; the physician may advise the individual about sleeping posture, posture, and the issues.  It’s worth stressing outside to the patient that staying active will help for a quick recovery.

Back Pain Management

If there is no red flag raised requiring referral or imaging, then the back pain is more of a musculoskeletal which may be resolved with the pain medications.  With this circumstance, the course of direction is to reassure and encourage the patient that will get better while continuing to monitor the progress.

Patients with constant or progressive symptoms must be followed and may require additional studies.

Brian Thomas

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