In younger adults (20-60 year olds) the disc is likely to be the
pain generator and conditions may include
*Lumbar Herniated Disc
*Generative disc disease
*Isthmic Spondylolisthesis
In older adults (over 60 years old), the source of back pain
or leg pain is more likely to be the facet joints or osteoarthritis, and back
conditions may include:
*Facet Joint Osteoarthritis
tissue and even nerve roots to begin to heal, which in turn will help relieve
lower back pain. However, more than a few days of rest can lead to a weakening
of the muscles, and weak muscles have to struggle to adequately support the
spine. Patients who do not regularly exercise to build strength and flexibility
are more likely to experience recurrent or prolonged lower back pain.
by reducing inflammation. Often patients use ice, but some prefer heat. Both
may be used alternately.
Medications. A wide variety of over-the-counter and
prescription medications is available to help reduce symptoms of lower back
pain. Many medications reduce inflammation, which is often a cause of pain,
while others work to inhibit the transmission of pain signals from reaching the
brain. Each medication has multiple unique risks, possible side effects and
drug (or food or supplement) interactions, which need to be evaluated by a
physician.
almost any lower back pain treatment plan. Whether completed at home, or with a
spine health professional, such as a physical therapist, chiropractor, or
physiatrist, a plan will typically include three components: aerobic
conditioning, stretching, and strengthening. The exercises are best done
through a controlled, progressive program, with the goal of building toward a
stronger, more flexible spine.
to the lower back, any low impact aerobic exercise, such as walking, is often an
ideal exercise for the lower back because it helps bring oxygen to the soft
tissues in the back to promote healing. Swimming or water exercise has the same
effect and is an excellent option if walking is too painful.