Back pain is just one of the very typical reasons people self-address and seek medical care. It will impact about three in four adults throughout their lifetime. About “back pain” when we speak we mean pain that originates in the backbone anywhere between the upper and lower back.
There are lots of various kinds of pain. Acute back pain is described as acute but lasting a brief period of time. Chronic back pain usually occurs every day. It could be severe, but may be characterized as mild, heavy, achy, burning, or electric-like. Back pain that travels into a different portion of the body, including the leg may be consider radicular pain, especially when it radiates below the knee. This scenario is often called a lumbar. Fortunately, not all incidences of back pain include leg pain!
It isn’t uncommon for back pain to be accompanied by other symptoms, like numbness and tingling senses, stiffness, achiness, and weakness. Back pain may raise or aggravate. Twisting at the waist, walking, standing, bending over, and sitting are some of the motions that may make back pain worse. Of course, that’s not true for each patient. Instead, it depends on what level of the back is changed and the analysis, or cause.
Back Pain Doctor – Speak
If you see a doctor for back pain, he (or she) may use terms such as thoracic, lumbar, lumbosacral, or sacrum. The purpose is, back pain is a big subject covering many distinct regions (or amounts) of the backbone.
- Lumbar refers to your low back.
- Lumbosacral is the low back, sacrum, and maybe the tailbone (called the coccyx).
- Sacrum is the section of the spine that is at the back of your pelvis.
Furthermore fibrous and muscle supporting structures, intervertebral discs, spinal cord and nerve roots, and blood vessels. A straightforward injury, such as a back sprain/strain from lifting and twisting simultaneously, can cause severe and immediate pain that’s usually self-limiting.
Of course, not all prevalence of back pain are injury or trauma -associated. Many back problems are congenital (discovered at birth), degenerative, age-associated, disease-related, and may be linked to poor posture, obesity or an unhealthy lifestyle including smoking. Occasionally the back pain is worse than the seriousness of the harm or illness.
- You cannot stand upright.
- Pain is accompanied by fever.
- Loss of bowel or bladder function or control
- Weakness leg pain and/or progressively worsens.
- Pain is worsens or persistent.
Many patients with back pain have reported feeling concerned and scared, which is regular. Most individuals who experience upper, low or lower back pain— even down into both legs or one — know when it’s time to seek medical care.
What To Expect From Your Physician
Whether you back pain falls into the “seek pressing medical care” list above, or you’re following your gut reaction that says, “Go see your doctor,” below is what you are able to expect.
- A review of your medical history, including immediate family members who have back problems. Some back problems (eg, scoliosis, osteoporosis) have a genetic possibility.
- Your physician wants to learn as much about symptoms and your pain before he examines you—while the exam may induce pain, your physician doesn’t wish to make the process intolerable!
- Physical examination evaluates your vital signs (eg, heart rate). It really is not unusual for your blood pressure to be elevated as an effect of pain. The doctor examines your spine, feeling for abnormalities and regions of tenderness.
- Neurological examination involves evaluating function and sensation. The physician may apply the pin prick test to determine if feeling is the same on either side of special portions of the body (eg, legs). Function, flexibility and range of motion are evaluated while you walk, bend forward and backwards (if able to), and during other movements. The physician tests your reflexes also.
After an exhaustive review, your doctor probably has come to a couple of conclusions as to what is causing your back pain and other symptoms. To obtain more information about your back problem, and to assist confirm the diagnosis, the doctor may order an x ray, CT scan, or MRI. Occasionally lab tests are purchased also. Bear in mind that an exact diagnosis is vital to a well-developed treatment plan.
The information herein on "Back Pain Center: Upper, Mid & Lower Back" is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional.
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Dr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST
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