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Low back pain is not a specific disease but rather a complaint that may be caused by a large number of underlying problems of varying levels of seriousness. [30] The majority of low back pain does not have a clear cause [1] but is believed to be the result of non-serious muscle or skeletal issues such as sprains or strains. [31]
Massage therapy using trigger-point release techniques may be effective in short-term pain relief. [10] Physical therapy involving gentle stretching and exercise may be useful for recovering full range of motion and motor coordination. Once the trigger points are gone, muscle strengthening exercise can begin, supporting long-term health of the ...
A complete exam of low back, pelvis, buttocks, lower extremities may be necessary to rule out differential diagnoses. [29] Sciatica secondary to conditions to be ruled out include spinal disc herniation , facet arthropathy, spinal stenosis , lumbar muscle strain , wallet neuritis [ 31 ] (sitting on a thick wallet), endometriosis , pelvic tumors ...
The former is the most common, causing low back pain (lumbago) and often leg pain as well, in which case it is commonly referred to as sciatica. Lumbar disc herniation occurs 15 times more often than cervical (neck) disc herniation, and it is one of the most common causes of low back pain.
Severe back pain extending to the hips and feet, loss of bladder or bowel control, or muscle weakness may result from spinal tumors or cauda equina syndrome. [15] Trauma to the spine, such as from a car accident or hard fall onto the heel or buttocks, may also lead to sciatica. [ 15 ]
Nonspecific back pain can result from back strain or sprains, which can cause peripheral injury to muscle or ligaments. Many patients cannot identify the events or activities that may have caused the strain. [10] The pain can present acutely but in some cases can persist, leading to chronic pain.
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Normal lumbar vertebra showing large, round spinal canal. The diagnosis is based on clinical findings. [7] Some patients can have a narrowed canal without symptoms, and do not require therapy. [citation needed] The normal lumbar central canal has a midsagittal diameter (front to back) greater than 13 mm, with an area of 1.45 cm 2. Relative ...