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Diagnosing Your Backpain: When to See a Doctor
Diagnosing your Back Pain
Back pain is one of the most common medical problems with some surveys reporting as high as 80% of adults suffer from it at one point in their lives. Though the majority of back pain symptoms resolve themselves, usually within a few weeks, for some, the onset of back pain is an indication of something serious. Unfortunately, knowing the difference between the two isn't always easy and can often result in unnecessary pain and even damage to one's back.
Muscle Strains and Sprains
Muscle strains are the most common way to cause back pain. This is especially true of lower back pains which are typically the result of lumbar muscle strains. Often, these muscle strains are the result of overexertion but can result any time the lumbar muscle fibers are abnormally stretched. The result of both abnormal stretching and overexertion is the same however, the muscle is torn. Sprains differ from strains in that sprains are the result of the ligaments that attach bones to each other being torn.
Diagnosing Your Back Pain
Determining if your back pain is caused by a back sprain or a back strain can be next to impossible without a medical professional, especially when you may or may not remember the movement that resulted in the injury. Fortunately though, the treatment for both is the same. Given time and rest, strains and sprains typically heal themselves. If however, your pain is constant, you have numbness or tingling in your extremities, you feel like you're being electrocuted, or you are suddenly weak, something more serious is wrong!
Treating Your Back Pain
A variety if treatment options are available if you have back pain resulting from a strain or sprain. These treatments range from anti-inflammatories and rest to chiropractic manipulation and massage. Some of the more common treatments for muscle strains and ligament sprains are:
- Rest and give the injury time to heal
- Use anti-inflammatory medicines to relieve any pain
- Massage and Physical Therapy
- Muscle Weakness in the extremities
- Numbness or Tingling sensations throughout the body
- Bowel or Bladder problems
- The feeling of Electric Shocks
If these treatments do not slowly heal the injury, there may be further damage and you may need to have an MRI or CT scan by a specialist.
Ruptured Discs
Ruptured or herniated discs are caused when the disc, essentially a soft cushion of tissue between your spinal vertebrae, is damaged and pushed out abnormally. This in turn allows pressure to be placed on the nerves of the spinal column itself. Spinal discs become increasingly rigid with age making them more susceptible to damage during routine movements. Because this damage can happen through essentially the same movements that can result in a strain or sprain, a ruptured disc can often go undiagnosed until the damage becomes severe.
Diagnosing Your Back Pain
Many of the symptoms listed above can be caused by the rupturing or herniating of the discs between vertebrae. As the disc that had been protecting the nerve from damage and compression is itself damaged, the nerve is left vulnerable to being pinched. This nerve compression can manifest itself in any number of ways but some of the more common are:
If you experience any of these symptoms, its important that you do NOT ignore them. A ruptured disc is a medical condition and requires a specialist. For more information about this specific condition, visit our Ruptured and Herniated Discs page.
Ruptured Disc Treatment
Back pain caused by ruptured or herniated discs can be non-surgically treated through chiropractic manipulation and Spinal Decompression by certified chiropractors. Spinal Decompression is a non-surgical treatment for back pain caused by compression related conditions such as a ruptured disc. During the procedure the patient is secured to a decompression table which is then gradually adjusted in order to relieve the pressure the body naturally places on the intervertabral spaces. This relief of pressure allows the damaged tissue to heal.
In the worst cases, surgical techniques such as Lumbar Discectomy might be necessary. These surgical procedures involve the removal of small portions of the vertebrae (under general anesthesia) on either side of the disc in an attempt to relieve some of the discomfort caused by the lack of natural cushioning. Because this surgery is a last resort of sorts, we recommend patients try non-surgical decompression techniques first.
Spinal Stenosis
Spinal Stenosis is a condition that can result in back pain due to the gradual narrowing of the space surrounding the spinal cord itself or the nerves leaving the spinal cord. Spinal Stenosis is a common condition that is more likely to occur as we age, often effecting people over 50 but it is not unknown in younger individuals. Often, when it does occur in those under 50, it follows a traumatic back injury.For more information about this specific condition, visit our Stenosis
Diagnosing Your Back Pain
Spinal Stenosis is often associated with the same sets of symptoms as a ruptured disc. The reason for this is that as stenosis narrows the spinal cavity itself, the result is often the very same nerve pinching a ruptured disc would cause. The two conditions are also typically associated in that the narrowing of the spinal canal in stenosis can lead to a ruptured disc directly.Due to the seriousness of both conditions and the difficulty in telling one from the other outside a clinical setting, we recommend anyone with the associated symptoms make an appointment immediately. For more information about this specific condition, visit our Stenosis
Treating Stenosis
Back pain caused by stenosis, like that caused by herniated discs can be non-surgically treated through chiropractic manipulation and Spinal Decompression by certified chiropractors. As mentioned above, Spinal Decompression is a non-surgical treatment for back pain caused by stenosis and other compression related conditions such as those caused by a ruptured disc. During the procedure the patient is secured to a decompression table which is then gradually adjusted in order to relieve the pressure the body naturally places on the intervertabral spaces. This relief of pressure allows the damaged tissue to heal.
In the worst cases, surgical techniques such as Lumbar Discectomy might be necessary. These surgical procedures involve the removal of small portions of the vertebrae (under general anesthesia) on either side of the disc in an attempt to relieve some of the discomfort caused by the lack of natural cushioning. Because this surgery is a last resort of sorts, we recommend patients try non-surgical decompression techniques first.
Disease, Infection, and Tumors
Though rare, it is possible that back pain can be caused by cancer or infection of the spine itself. Cancerous spinal tumors are usually secondary tumors, meaning they typically form as a result of a metastasized cancer spreading throughout the body. In the case of infection, the cause is often injury or or post-surgical infection.
Diagnosing Your Back Pain
The symptoms of a spinal infection are often severe and require immediate medical attention. These typically, but not always, include fever, headache, chills, stiffness, and when associated with injury, a red or tender wound.
Spinal tumors can often manifest themselves with back pain and symptoms that mimic other spinal problems. These symptoms typically appear without associated injury. As with other serious back related symptoms, immediate medical attention should be sought.
Treating Disease, Infection, and Tumors
In the cases of infection a patients should immediately consult a physician and, depending on the severity of the symptoms, the hospital emergency room. For cases of suspected tumors, an MRI or CT scan should be performed to establish the presence of the growth, followed by a biopsy to establish malignancy. Following this diagnosis, an oncologist should be consulted immediately.
Original article can be found at: http://www.healthquest.us/BackPain.html
About the Author
Healthquest chiropractic is the official chiropractors of the Detroit Lions. We specialize in back pain relief, stenosis and herniated disc treatment, massage therapy, and of course sports medicine. We are also the largest network of clinics throughout the Detroit area, state of Michigan, and Missouri.
Visit us at http://www.healthquest.us
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