Back pain can range from a dull, constant ache to a sudden, sharp pain that makes it hard to move. It can start quickly if you fall or lift something too heavy, or it can get worse slowly.
Anyone can have back pain, but some things that increase your risk are:
Getting older. Back pain is more common the older you get. You may first have back pain when you are 30 to 40 years old.Another factor is race. For example, black women are two to three times more likely than white women to have part of the lower spine slip out of place.
There are many causes of back pain. Mechanical problems with the back itself can cause pain. Examples are:
Disk breakdownInjuries from sprains, fractures, accidents, and falls can result in back pain.
Back pain can also occur with some conditions and diseases, such as:
ScoliosisOther possible causes of back pain are infections, tumors, or stress.
The best things you can do to prevent back pain are:
Exercise often and keep your back muscles strong.You should see a doctor if you have:
Numbness or tinglingTo diagnose back pain, your doctor will take your medical history and do a physical exam. Your doctor may order other tests, such as:
X raysMedical tests may not show the cause of your back pain. Many times, the cause of back pain is never known. Back pain can get better even if you do not know the cause.
Acute pain starts quickly and lasts less than 6 weeks. It is the most common type of back pain. Acute pain may be caused by things like falling, being tackled in football, or lifting something heavy. Chronic pain lasts for more than 3 months and is much less common than acute pain.
Treatment for back pain depends on what kind of pain you have. Acute back pain usually gets better without any treatment, but you may want to take acetaminophen, aspirin, or ibuprofen to help ease the pain. Exercise and surgery are not usually used to treat acute back pain.
Following are some types of treatments for chronic back pain.
Hot or cold packs can soothe sore, stiff backs. Heat reduces muscle spasms and pain. Cold helps reduce swelling and numbs deep pain. Using hot or cold packs may relieve pain, but this treatment does not fix the cause of chronic back pain.
Proper exercise can help ease chronic pain but should not be used for acute back pain. Your doctor or physical therapist can tell you the best types of exercise to do.
The following are the main types of medications used for back pain:
Analgesic medications are over-the-counter drugs such as acetaminophen and aspirin or prescription pain medications.You can learn to lift, push, and pull with less stress on your back. Changing how you exercise, relax, and sleep can help lessen back pain. Eating a healthy diet and not smoking also help.
Your doctor may suggest steroid or numbing shots to lessen your pain.
When back pain becomes chronic or when other treatments do not relieve it, some people try complementary and alternative treatments. The most common of these treatments are:
Manipulation. Professionals use their hands to adjust or massage the spine or nearby tissues.Most people with chronic back pain do not need surgery. It is usually used for chronic back pain if other treatments do not work. You may need surgery if you have:
Herniated disk. When one or more of the disks that cushion the bones of the spine are damaged, the jelly-like center of the disk leaks, causing pain.Rarely, when back pain is caused by a tumor, an infection, or a nerve root problem called cauda equina syndrome, surgery is needed right away to ease the pain and prevent more problems.
Highlights of recent research include:
Cost and effectiveness comparisons of surgical versus nonsurgical treatments for various types of back painGoals of current research are to:
Understand the many factors that can cause back pain-NIH