What Could Cause Extreme Lower Back Pain

What Could Cause Extreme Lower Back Pain – Severe lower back pain is an extremely debilitating condition. It interferes with sleep, depresses mood, negatively impacts relationships, and negatively impacts job performance.

Low back pain is the most common complaint among patients, with approximately 80% of the population experiencing back pain at some point in their lives. Without a proper diagnosis, a difficult path can lie ahead for those dealing with severe lower back pain. Ultimately, pain can rob a person of their quality of life.

What Could Cause Extreme Lower Back Pain

What Could Cause Extreme Lower Back Pain

In an effort to prepare patients to combat their back pain, here we provide a summary of five of the most common causes of severe lower back pain.

Causes Of Lower Back And Pelvic Pain

Arthritis (osteoarthritis of the spine) is one of the most common causes of low back pain and its frequency increases with age. Symptoms include recurring back pain, aches, morning stiffness, and difficulty performing daily tasks such as sweeping or vacuuming.

As part of the natural aging process, the spine is sensitive to the constant pull of gravity and the repetitive nature of our daily tasks. Conditions such as spondylosis, facet arthropathy, and osteophyte (bone spur) formation are hallmarks of the aging spine. Additionally, a history of significant spinal trauma, such as motor vehicle accidents and contact sports injuries, typically contributes to the premature development of spinal arthritis.

Ultimately, increased pain levels, spinal stiffness, loss of flexibility, and reduced mobility are some of the reasons patients should see an interventional pain specialist.

The discs in our spine act as shock absorbers between the spinal bones (vertebrae) in our back. The lower back is made up of 5 distinct vertebral bones and 5 associated discs between the 1

Low Back Pain Causes, Symptoms, Diagnosis, Treatments

The bone and the sacrum. Over time and with back injuries, the discs can lose their water content, nutrients and become less flexible. In doing so, the discs shrink, which often contributes to the loss of height experienced by most people as we age. Ultimately, degenerated spinal discs can lead to chronic back pain that can become severe and even debilitating. Degenerative disc disease increases the risk of disc bulge, disc protrusion and/or disc herniation. The natural process of wear and tear eventually manifests itself in everyone’s spine. However, early onset or severe degenerative disc disease may require medical attention from a lower back pain doctor.

Associated conditions associated with degenerative disc disease include spinal arthritis, osteoarthritis, radiculopathy, annular tears, facet joint arthritis, facet joint hypertrophy, muscle spasms, lumbago, sciatica and sciatic nerve pain.

Initial treatment for degenerative disc disease usually includes conservative approaches such as anti-inflammatory medications, physical therapy, and chiropractic care. If these therapies fail to adequately relieve associated back pain, an evaluation with a pain specialist should be performed. Therapies such as epidural injections, spinal cord stimulation, spinal procedures, and radiofrequency ablation can provide substantial relief after a back pain doctor’s diagnosis. It is only as a last resort that spinal surgery can be considered given the risks involved.

What Could Cause Extreme Lower Back Pain

As described previously, spinal discs serve as cushioning between the bones of the back (vertebrae). When the outer layer of a disc weakens or tears, the jelly-like inner portion of the disc may bulge or protrude (herniate) outside of the normal area of ​​the disc. When this happens, the spinal cord or spinal nerve roots can become mechanically compressed, which can result in what many call a “pinched nerve” in the back. This can be very painful and results in millions of patients suffering from severe back pain, or even associated leg pain (sciatica, radicular pain). There is also a chemical effect when the disc is ruptured, causing substances to leak out of the disc and irritate the surrounding nerves.

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Bulging discs are extremely common, and depending on their size, position, and other factors, they may or may not be the cause of your pain. A herniated disc more often causes pain, and greater levels of herniation can also lead to associated weakness. A spinal pain specialist is uniquely suited to determine whether your bulging disc or herniated disc is the primary cause of your lower back pain symptoms.

Spinal stenosis is defined as an abnormal narrowing of the vertical canal formed by the spine that protects the spinal cord. Spinal stenosis often occurs as a result of spinal arthritis, degenerative disc disease, a herniated disc into the spinal canal, or a combination of these.

Another potential cause is known as spondylolisthesis, which occurs when one vertebral bone slips forward and moves relative to an adjacent vertebral bone. The result can be significant narrowing of the spinal canal due to lack of spinal alignment.

A related condition, called neuroforaminal stenosis, occurs when the side openings formed by two adjacent vertebrae (spine columns) become crowded with material. These lateral openings allow the passage of nerve roots originating from the spinal cord to reach their target sites and these nerves are vulnerable when passing through the small openings between the spinal columns. When nerve roots are compressed, the result is often pain, numbness, and tingling, which may progress to weakness in the foot or leg.

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Proper evaluation and treatment by a spinal pain specialist is strongly recommended if you suffer from spinal stenosis or neuroforaminal stenosis. Nonsurgical treatment options include transforaminal epidural, interlaminar epidural, caudal epidural, and spinal cord stimulation. The best treatment for your specific condition may be recommended by your interventional pain management specialist.

Muscle spasms are extremely common and very often associated with underlying disease or injury to the spinal joint, spinal disc, or spinal stenosis. If muscle spasms or trigger points cause less severe pain, lower back pain relief may be achieved through conservative treatment. Think of muscle spasms as our body’s reflex response to most spinal-related injuries or pain. Most often, when the underlying spinal problem is treated appropriately, muscle spasms tend to improve. However, soft tissue muscles may require specific rehabilitation under the guidance of your doctor or spinal pain specialist.

Trigger points are simply discrete regions of the muscle that experience localized spasm and inflammation. They usually develop as a result of chronic stress and irritation of certain muscle groups and nerve roots in the spine. These areas in the muscle are often felt as small to medium sized bumps under the skin, often tender to the touch.

What Could Cause Extreme Lower Back Pain

Muscle strains or “pulled” muscles can result from overuse of a muscle or muscle group. It can also occur during intense physical activity, repetitive use injuries, or trauma (car accidents, sports injuries, etc.).

Upper Back Pain

Muscle spasms and trigger points are often treated with muscle relaxants, anti-inflammatory medications, physical therapy, physical therapy, manipulation, trigger point injections, TENS therapy, acupuncture, and injections. nerve block. An interventional pain specialist has the expertise to identify the most appropriate treatment and will often use more than one technique to achieve the desired improvement in your low back pain.

Whether it’s osteoarthritis, degenerative disc disease, herniated discs, bulging discs, spinal stenosis, muscle spasms or trigger points, the best choice for evaluating and treating your low back pain is often a interventional pain specialist. Once you have a correctly diagnosed pain problem, the best treatments can be provided. As a pain management physician, we have the unique skills required to relieve lower back pain as effectively as possible without surgery. If you or someone you know is suffering from the debilitating nature of lower back pain, relief is within reach. We look forward to getting you back to the life you deserve. Learn more on our low back pain blog. Low back pain or lumbago (medical term for low back pain) is one of the most common health problems worldwide. It affects more than 80% of adults at some point in their lives, making it a common reason why people seek medical attention.

Lower back pain is also a leading cause of disability, according to the Global Burden of Disease study published in the medical journal Lancet. Low back pain is classified as acute, subacute or chronic. Acute episodes of lower back pain last from a few days to four weeks, while subacute episodes last from four to twelve weeks. About 20 percent of people with acute back pain develop chronic back pain, defined as pain that lasts 12 weeks or more. The good news is that most of the time, back pain improves or disappears with proper care and treatment.

Your spine is a complex structure that performs several functions. Your spine is constantly stressed. 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. The lower back is known as the lumbar region of the spine.

Lower Back Pain Treatment, Causes, Symptoms Relief, Self Tests

Your spine is made up of 33 bones called vertebrae, stacked on top of each other. The lumbar spine has five vertebrae. These bones connect to form a spinal canal and protect your spinal cord inside.

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