Archive for April, 2009

Lower Back Pain Doctors

lower back pain doctors

Lower Back Pain Remedies An Insight

There are two kinds of lower back pain remedies exercises and medication. Having a lower back pain can be really painful. So if you have the bad luck to suffer from that excruciating pain, then you must take real good care of yourself. Lower back pain has become very common irrespective of your age and gender. The back is very sensitive and needs to be taken great care of. You must do exactly what the doctor tells you to do. Do not neglect your back. If you feel that things are going out of control, then you need to consult your chiropractor immediately.

Back Pain Remedies

You can opt for different kinds of stretches and exercises to provide relief to your back. Your back muscles become stronger if you do simple stretching exercises. Once these muscles are strengthened, chances of your back troubling you are much less. Stretching also helps in warming up the muscles and enhances the flow of blood. There are many stretches that are applicable to bring relief to your lower back. But you must not do them abruptly. Ask your doctor to guide you properly.

If you see that even stretching is not giving you any relief, you must consult your chiropractor for other backache remedies. Sometimes, it can be caused if the different parts of the back are not aligned. Your chiropractor is the best person to guide you on whether your back is properly aligned or not. You can try applying heat and see if it reduces the pain at all. The application of heat makes the back less stiff. At times, the heat may alleviate the pain but then it might return gradually. Whatever you do, you will need to take the advice of your doctor.

If none of the remedies work for you, you will need to think of surgery as the last option. Surgeries are quite complicated and involve a lot of risks too. And you must consider them only if there are no other options left for you. However, it is not up to you to take the decision of undergoing surgery. Your doctor will need to tell you if you need it or not. If he is of the opinion that you do not need surgery, then you cannot force him to do so. After all he is the expert. In any case, you must avoid this option as long as possible.

About the Author

Your doctor is the best person to suggest lower back pain remedies to alleviate your pain. There are various back pain remedies that are quite effective in giving you relief. Some of them are even back pain home remedies. Now it is up to you to see what suits you the best.

5 Weeks After X-Stop Low Back Pain Surgery Patient Walks the LA Marathon


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What is a Bulging Disc?

Bulging disk also known as Contained Spinal Disorder is a condition characterized by bulging of intervertebral disc towards spinal canal. Loss of water content in nucleus pulposus is the main cause responsible for occurrence of bulging disk…

What is a bulging disc
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Bulging disk, also known as a Contained Spinal Disorder, is a condition that occurs usually in spinal or lumbar region, lower back and in few cases witnessing with neck region. It commonly occurs as the human body ages and with the increase in age degeneration of inter vertebral disk occurs. Disks are soft material that engulfs the vertebrae of spinal chord and provides a cushioning support. When the disc moves out of its normal location or radius bulging disk occurs.

To understand the phenomenon of bulging disk, we have to understand the anatomy and physiology of intervertebral disc.

Intervertebral Disc
Spinal chord is encased by spine made up of intervertebral discs whose primary function is supporting the body weight. The repeated daily stress over time results in degeneration of the disc. Each vertebra of a spine contains intervertebral disc. The stress of every day movements is transferred to these discs. They act as shock absorbers to absorb any kind of impact and provide a cushioning support.

A healthy intervertebral disc contains a great amount of water in its center known as nucleus pulposus. This water content provides a spongy behavior to disc. An excessive pressure or injury can be harmful for the structure of outer ring of ligament covering nucleus pulposus. This ligament is better known as annulus.

Pathology and Mechanism
Because of aging factor the scars received by annulus over time lead to small cracks to this ligament and make it weaker. Eventually this leads harm to nucleus pulposus and it starts loosing its water content. Due to the loss of water content, intervertebral disc starts loosing its spongy nature and degeneration occurs. This leads to further development of cracks due to increased impact and more loss of water. So the cushion effect diminishes and spine can’t absorb stress any more.

The space between two intervertebral discs decreases, even collapses which results in the movement of two adjoining disc to come closer. Because of this movement, there is a considerable shift in location of facet joints at the back of spine. Bone spurs by activities of osteophytes which began to accumulate around the disc spaces and facet joints. This spurring process is a natural response by spine to reduce the excessive motion of that typical segment of spine.

Pathologically, this condition is known as Bulging Disc. When this bones spurs start growing towards spinal canal, exerting and protruding pressure on spinal nerve, the condition become much more painful. This condition is also known as spinal stenosis.

Symptoms
In case of bulging disc, the nature of the symptoms usually depends upon the precise location of the affected intervertebral disc in the spine. Person may suffer pain and discomfort in their legs and hips if disc at lower back is affected while others may suffer such pain in arms if the intervertebral disc is located near shoulder region in upper back. The symptoms from this degenerating disc include discogenic pain.

Diagnosis
Magnetic resonance imaging (MRI), CT scans and X-rays can confirm the presence of bulging disk. The diagnosis is made only after getting or identifying the complete case history by the physicians. Here X-rays can be used to confirm that the intervertebral disc space has been decrease. MRI tests are carried out to decide a loss of water content in the intervertebral disc.

Treatment
The treatment of bulging disc can be of two types.
a) Conservative treatment- According to the assessment of seriousness and severity of the pain treatment is decided. Some problems need an immediate medical attention while others do require a plenty of rest with a supplement of anti inflammatory, analgesic pain killers like cortisones. In some cases, if the protrusion of disc is much more in the spinal canal then the surgery is required. The disc treatment is aimed at making the patient comfortable as quickly as possible, getting him/her back to normal state in a time bound carefully designed rehabitation program to reduce further wear and tear of the disc.
b) Rest – Rest plays the most important role in the treatment of bulging disc. In most of the cases, a complete, sound rest is what your body is craving for. It is used to reduce the stress and pressure off your spine. Sometimes a placement of pillow under knees can help a lot. Although, rest is most important parameter you should not get stucked with a complete bed rest and should try to return to normal activities gradually. Rest combined with a small amount of recommended exercises can do wonder.
c) Physical Therapy – In most of the cases a physical therapy proves of immense help in rehabitation program. Workout with an expert physical therapist helps in reducing inflammation and pain, improving and rebuilding your strength, and returning back to normal activities with a greater ease. A well rounded physical therapy is aimed at controlling symptoms, practicing mobility and safe exercises. In case of patient suffering from back pain gradual physical exercises is the best way to combat the pain. It also teaches you to maintain a correct posture to offer maximum rest and less stress to spine.
d) Epidural Steroid Injection (ESI) – They are used as pain killers. They are of great help to control inflammation.

A bulging disc though common in old ages, it is not necessary that everyone will experience the pain associated with it. Only when intervertebral disc extents towards spinal canal, pain arises.

By Jayashree Pakhare
Published: 2/26/2007

Exercises For A Bulging Disc

Back exercises for disc problems are an essential part of any healing program. However, a person suffering with a herniated disc needs to proceed with caution.

Using a Chiropractor to Treat A Herniated Disc!

If this movement does not occur, the outer ring can dry and tear which allows the soft portion of the disc to bulge out. This is what is commonly known as a herniated disc. (Also called a slipped disc, bulging disc).

Bulging Disc Symptoms – Common Symptoms and Therapies | Combat .

Symptoms of a bulging disc can be very serious, and can result in quite a bit of disability. This article will talk about the most common symptoms associated with a bulging disc.

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Chronic Back Pain Medicine

chronic back pain medicine

For Chronic Back Pain Try Neurontin (gabapentin)

For most people, Neurontin (Gabapentin) will work for chronic back pain.

Neurontin is really excreted by the body primarily through the kidneys and not by the liver like most other things. It has also been used for therapy in the treatment of partial seizures in pediatric patients from the ages of 3 to 12.

In the 1990’s, the sale of Neurontin was approved as treatment for epileptic seizures. The FDA has approved this to treat epilepsy only when used with another drug for shingles pain. The recommended dosage is 3 times a day.

The nice part about this medicine is it is easy to use as an add on, due to the fact that it does not interact with other seizure medicines. Gabapentin is indicated for the management of postherpetic neuralgia in adults. It has not been approved to treat severe RLS ( restless leg syndrome) where the legs inadvertently jerk.

Neurontin is expensive and one of the best selling drug in the world used for the treatment of chronic back pain. The average cost is $400/month for 3200mg/day. The effects are good even though it is an expensive drug to treat pain.

Neurontin is the first oral medication approved by the FDA and found in breast milk. It was prescribed for epilepsy. The medicine has also been approved for a few off label uses. One of the biggest selling points is that it has few side effects.

Neurontin is not metabolized by the body. It does not produce any active or inactive metabolites. You can take it orally with or without food. Neurontin is not for pain management. For chronic back pain, it is good for the nerve damage.

Pfizer manufactures this popular drug. Since 2003, in the United States, Neurontin has become one of the 50 most prescribed medicines.

Neurontin is well tolerated, has relatively mild side effects and also opasses through the body unmetabolized. Therefore, is often one of the first drugs prescribed.

About the Author

Say goodbye to your problems of thoracic back pain. Grab your FREE report on how to relieve your back pain now! Also find lower back pain exercises to help end the pain.

Pain in Women: Chronic Pain Management


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