Low back pain is extremely common.
Almost every person will have at least one episode of low back pain at
some time in his or her life. The pain can vary from severe and chronic
to mild and short lived. For most people, it will resolve within a few
weeks. However, in 30% of patients, this back pain may be a sign of
something serious.
Cause of Low Back Pain
Patients
with low back pain are often plagued with frustrations, confusion and
distress. Depending on whom they consult (orthopedic, neurosurgeon,
traditional medicine practitioners, physiotherapist and chiropractors),
they may be told different things, ranging from muscle strain, bone
degeneration to spinal pain.
Symptoms of Low Back Pain The symptoms of low back pain presents
in a variety of ways. Some only complain of pain in their backs while
others have both leg and back pain. Walking a distance can precipitate
their painful area. Some patients may have localized back pain when
prolong sitting or sitting, while others have pain only when flexing or
extending their back. Most people find that lying down will improve
their pain and after their initial severe episode, many will be able to
rest at night without severe pain. Most people experience more severe
pain when they lift or carry something heavy. Some get relief from
extending the back.
Leg pain also can be part of the
problem. The pain is most common in the back or outer side of the
thigh, and can go all the way to the foot. Pain that goes to the foot
is called “sciatica” because it is pain that follows the course of the
sciatic nerve. Sciatica is often made worse by coughing or sneezing or
straining.
Diagnosing Low Back Pain See your doctor to diagnose low back
pain. Tell him your complete medical history. It is important to
identify the site of primary pain (maximum local pain site) as well as
secondary pain (diffuse, non discrete pain). The physical examination
may yield neurological signs with motor and sensory deficit. The doctor
checks for: