Back pain is one of humanity’s most frequent complaints. In the U. S. About nine out of ten adults experience back pain at some point in their life, and five out of ten working adults have back pain every year. One potential source of back pain is skeletal muscle of the back. The spine is a complex interconnecting network of nerves, joints, muscles, tendons and ligaments, and all are capable of producing pain. Sciatica Nerve Pain During Pregnancy.
There are diverse clinical trials sponsored both by industry and the National Institutes of Health. In addition, spinal cord stimulation, where an electrical device is used to interrupt the pain signals being sent to the brain and has been studied for various underlying causes of back pain. There are no clinical tests that can be objectively verified.
Injections, such as epidural steroid injections and facet joint injections, may be effective when the cause of the pain is accurately localized to particular sites. Body Awareness Therapy such as the Feldenkrais Method has been studied in relation to Fibromyalgia and chronic pain and studies have indicated positive effects. . Back pain is regularly cited by national governments as having a major impact on productivity, through loss of workers on sick leave.
Back pain in individuals with a history of cancer (especially cancers known to spread to the spine like breast, lung and prostate cancer) should be evaluated to rule out metastatic disease of the spine. Back pain in individuals with medical conditions that put them at high risk for a spinal fracture, such as osteoporosis or multiple myeloma, also warrants prompt medical attention. Most back pain syndromes are due to inflammation, especially in the acute phase, which typically lasts for two weeks to three months.
General factors aggravating the back pain of pregnancy include standing, sitting, forward bending, lifting, and walking. Biomechanical factors of pregnancy that are shown to be associated with low back pain of pregnancy include abdominal sagittal and transverse diameter and the depth of lumbar lordosis. Back pain in pregnancy may be severe enough to cause significant pain and disability and pre-dispose patients to back pain in a following pregnancy.
The avoidance of high impact, weight-bearing activities and especially those that asymmetrically load the involved structures such as: extensive twisting with lifting, single-leg stance postures, stair climbing, and repetitive motions at or near the end-ranges of back or hip motion can easen the pain. Some national governments, notably Australia and the United Kingdom, have launched campaigns of public health awareness to advise combat the problem, for example the Health and Safety Executive’s Transformed Backs campaign. Visit also Failed back syndrome Low back pain Posterior Rami Syndrome Tension myositis syndrome Upper back pain Pregnancy related pelvic girdle pain Spinal stenosis Scoliosis References T. Patel, A. A. Ogle. Ultrasound has been shown not to be beneficial and has fallen out of favor. Clinical Trials. Sciatica Nerve Pain During Pregnancy is noted.