Low Back Pain is a significant health problem
According to the Centers for Disease Control 85 % of all people will have back pain at some point in their lifetime.
Back pain is the most frequent cause of activity limitation in people younger than 45
Low back pain is the second most common cause of absence from work after the common cold. http://http://www.cdc.gov/nchs/data/hus/hus10.pdf#fig08
Although low back pain is usually caused by changes in the musculoskeletal structure due to an injured disc, degenerative joint disease or muscle spasm, other causes must be excluded. See your healthcare provider to exclude other causes of low back pain such as kidney, blood vessels, gallbladder, uterine or gastrointestinal.
Your back pain evaluation may include:
Your Back Pain Treatment may include:
- History with Records and Medication review
- Physical Exam; Neurologic, orthopedic, psychological, ergonomic
- Laboratory; blood tests and urinalysis
- Imaging: X-Ray, CT, MRI
- Special testing; myelogram, nerve blocks, disco gram
- Physical medicine modalities: physical therapy, manipulation, massage
- Narcotic sparing medications including NSAIDS, Tramadol, neuropathic agents
- Injections: epidural or facet injections, trigger point injections
- Behavior health interventions, LBP questionnaire
- Specialists: Orthopedic or Neurosurgery
- Initiate your treatment with conservative care.
- Multimodal therapy is superior to any single modality.
- Long term opioid therapy should only be considered after determining that alternative therapies do not deliver adequate pain relief.