What Can Cause Severe Lower Back Pain – The lumbar spine, or low back, is a very well-engineered structure of interconnecting bones, joints, nerves, ligaments, and muscles all working together to provide support, strength, and flexibility. However, this complex structure also leaves the low back vulnerable to injury and pain.

Once an accurate diagnosis of the cause of lower back pain is achieved, treatment options can be chosen based on the best medical practices today.

What Can Cause Severe Lower Back Pain

The lower back supports the weight of the upper body and provides mobility for everyday movements such as bending and twisting. The muscles in the low back are responsible for flexing and rotating the hips while walking, as well as supporting the spinal column. Nerves in low supply sensation and muscle strength in the pelvis, legs, and feet.

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Most acute low back pain results from injury to muscles, ligaments, joints, or discs. The body also reacts to injury by mobilizing an inflammatory healing response. While the inflammation sounds minor, it can cause severe pain.

There is significant overlap of nerve supply to many discs, muscles, ligaments, and other spinal structures, and it can be difficult for the brain to accurately sense what is causing the pain. For example, a degenerated or torn lumbar disc can feel the same as a pulled muscle – both create inflammation and painful muscle spasm in the same area. Muscles and ligaments heal quickly, while a torn disc may or may not. The time course of pain helps determine the cause.

Low back pain can include a variety of symptoms. It can be mild and just annoying or it can be severe and debilitating. low back pain can start suddenly, or it can start slowly-maybe come and go-and gradually get worse over time.

Depending on the cause of the pain, the symptoms can be experienced in various ways. For example:

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By far the most common cause of lower back pain, mechanical pain (axial pain) is pain mainly from muscles, ligaments, joints (facet joints, sacroiliac joints), or bones in and around the spine. This type of pain is usually localized to the lower back, buttocks, and sometimes the top of the leg. This is usually influenced by spinal loading and can feel different based on movement (forward / backward / twisting), activity, standing, sitting, or resting.

This type of pain can occur when the spinal nerve root becomes impinged or inflamed. Radicular pain can follow the pattern of nerve roots or dermatomes down into the buttocks and/or legs. The specific sensation is sharp, electric, burning type pain and may be associated with tightness or weakness (sciatica). It is usually felt on one side of the body.

There are many additional sources of pain, including claudication pain (from stenosis), myelopathic pain, neuropathic pain, deformity, tumors, infections, pain from inflammatory conditions (such as rheumatoid arthritis or ankylosing spondylitis), and pain originating from other parts. body and present in the lower back (such as kidney stones, or ulcerative colitis).

It is also possible for low back pain to develop without a definitive cause. When this happens, the main focus is on treating the symptoms (rather than the cause of the symptoms) and the general health of the patient.

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For subacute and chronic lower back pain, a thorough diagnosis is important to lay the foundation for treatment and appropriate rehabilitation. Lower back pain treatment reduces the likelihood of recurrent back pain flare-ups and helps prevent the development of chronic lower back pain.

The lower back supports the weight of the upper body and provides mobility for daily movements, such as walking, bending, and twisting. Lower back pain can result from lumbar spine problems.

Low back pain that lasts for more than 3 months often involves disc problems, joint problems, and / or irritated nerve roots. Common causes related to the spine include:

Spine surgery may be recommended in the case of a medical emergency or for severe lower back pain that does not improve after 6 to 12 weeks of nonsurgical treatment.

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This information is not intended or implied as a substitute for medical advice, diagnosis or treatment. All content, including text, graphics, images or other information provided is for general information purposes only. Always consult your doctor for diagnosis or treatment.

Dr. Peloza is a board-certified, fellowship-trained minimally invasive orthopedic spine surgeon at Midwest Orthopedic and Spine Specialists, MO. Dr. Peloza has given several presentations at medical conferences and scientific meetings on topics that include minimally invasive surgery, scoliosis correction, and lumbar fusion. Low back pain or Lumbago (the medical term for low back pain) is one of the most frequent health problems around the world. . It affects over 80% of adults at some point in their lives, making it a common reason for people to consult a doctor.

Lower back pain is also a leading cause of disability, according to the Global burden of Disease study published in the Lancet medical journal. Low back pain is categorized as acute, subacute, or chronic. An acute episode of lower back pain lasts a few days to four weeks, while a subacute episode lasts four to twelve weeks. About 20 percent of people with acute back pain go on to develop chronic back pain defined as pain that lasts 12 weeks or longer. The good thing is that most of the time back pain improves or resolves with proper treatment and care.

Your spine is a complex structure that performs several functions. There are constant demands placed on your spine. Your spine supports the weight of your head, shoulders, and upper body. It helps you stand up straight and allows you to bend and twist. Understanding how your spine works can help you understand why you have back pain. Your lower back is known as the lumbar region of the spine.

Lumbar Strain: Acute Versus Chronic Lower Back Pain

Your spine is made up of 33 bones called vertebrae that are stacked on top of one another. The lumbar spine has five vertebrae. These bones connect to form the spinal canal and keep your spine inside. Spinal nerves are like electrical cables that travel through the spinal canal carrying messages to the muscles. This nerve exits the spinal canal through an opening in the vertebra called a foramen. Between each vertebrae, there are small joints called facet joints that help your spine move. Between the vertebral bodies are the intervertebral discs.

Discs function as shock absorbers and protect the vertebrae from bumping against each other when you walk or run. The discs and facet joints work harmoniously to help your spine move, twist, and bend. These discs are flat and round and half an inch thick. It consists of 2 components. The annulus fibrosus is the tough and flexible outer ring of the disc, and the Nucleus pulposus is the jelly-like center that gives the disc its shock-absorbing capacity. In most cases, back pain is due to an aging disc.

In children and adults, discs have a high water content. As we get older, the discs begin to dry and shrink and lose their ability to cushion the vertebrae and cause pain. Muscles and ligaments provide support and stability for your spine. Strong ligaments connect the vertebrae and help keep the spinal column in position. Problems with any of the above components of your spine can cause back pain.

Strains and sprains: Any injury to the muscles and ligaments that support your spine will cause back pain. Injury can occur when lifting heavy weights incorrectly, bad posture or being overweight.

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Herniated Disc: Intervertebral discs’ protective outer layer can break away over time. The soft inner disc tissue can push through the outer layer. A disc that bulges or slips out of place is known as a herniated disc, bulging disc, or slipped disc and can press on the nerve root, leading to symptoms such as pain, tingling, numbness or weakness in the area that supplies the nerve root. Sciatica is a type of pain caused by pinched or irritated sciatic nerve. This nerve runs down your back through your hips and buttocks and down each leg. Sciatica is how people usually refer to pain that travels down the leg from the lower back, although your doctor may use the term lumbar radiculopathy.

Disc Degeneration: Although the word sounds scary, it just means that you have a damaged disc that is causing you discomfort. Discs begin to wear out and shrink as we age. In some cases, they can completely collapse, causing the facet joints to rub against each other. The result is pain and stiffness. This wear and tear on the facet joints is known as osteoarthritis. The pain worsens with movement. When the disc collapses and osteoarthritis develops, your body may respond by growing new bone in your facet joints to help support the vertebrae. This bone overgrowth called spurs can lead to narrowing of the spinal canal (Spinal Stenosis). Osteoarthritis can also cause the ligaments that connect the vertebrae to thicken, which can also narrow the spinal canal. Spinal stenosis can occur in the upper spine (cervical) and lumbar spine, but lumbar spinal stenosis is more common.

Spondylolisthesis: This is a condition where

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