Friday, March 11, 2016



Eighty percent of adults will experience significant low back pain sometime during their lifetime.
Low back pain usually involves muscle spasm of the supportive muscles along the spine. Also, pain, numbness and tingling in the buttocks or lower extremity can be related to the back. There are multiple causes of low back pain (see below). Prevention of low back pain is extremely important, as symptoms can recur on more than one occasion.


Muscle strain.
The muscles of the low back provide the strength and mobility for all activities of daily living.
Strains occur when a muscle is overworked or weak.

Ligament sprain.
Ligaments connect the spinal vertebrae and provide stability for the low back. They can be
injured with a sudden, forceful movement or prolonged stress.

Poor posture.
Poor postural alignment (such as slouching in
front of the TV or sitting hunched over a desk) creates
muscular fatigue, joint compression, and stresses the
discs that cushion your vertebrae. Years of abuse can cause
muscular imbalances such as tightness and weakness, which
also cause pain.
Age. “Wear and tear” and inherited factors may cause
degenerative changes in the discs (called degenerative disc
disease), and joint degeneration of the facet joints of the spine
(called degenerative joint disease). Normal aging causes
decreased bone density, strength and elasticity of muscles and
ligaments. These effects can be minimized by regular exercise,
proper lifting and moving techniques, proper nutrition and
body composition, and avoidance of smoking.

Disc bulge. or herniation, can cause pressure on a nerve, which can radiate pain down the leg. This generally
responds well to a strengthening and stretching program and rarely requires surgery.
Other causes of low back pain include bladder/kidney infection, endometriosis, cancer, or ovarian problems.


Rest from aggravating activity. Avoid prolonged sitting, driving, bending, heavy lifting and twisting.

ICE: Ice applied to the low back for 15 minutes every 1 – 2 hours is helpful in reducing pain and spasm.
Avoid using heat for the first 48 hours of an acute injury.

NSAIDs: Your doctor may prescribe anti-inflammatory medication such as aspirin, advil, aleve, ibuprofen or naproxen sodium.

Gentle exercise for mobility and stretching (especially the muscles of the legs and back) can help decrease the severity, duration and recurrence of low back pain. Try the suggested exercises on the back of this sheet. Do not perform exercises that increase your pain.

POSITIONING: Modifying your sleeping position can help ease strain to your low back. Make sure your
bed is firm enough to give you adequate support, and use a small pillow for you head. If you sleep on your
back, try putting a pillow under your knees. Or if you prefer to sleep side lying, put a pillow between your
thighs and if you are side bent, a folded towel under your waistline.

Once the severity of pain has decreased, a rehabilitation program to strengthen your hip, abdominal and back muscles can help prevent recurrences.
Posture! Posture! Posture! The goal is neutral spine, not slumped or over-arched.
Proper lifting and body mechanics.
See your health care provider if you have the following: significant pain that persists beyond a week, unexplained fever, unexplained weight loss, redness or swelling on the back or spine, pain /numbness /tingling that travels down the leg(s) below the knee, leg weakness, bowel or bladder problems, or back pain due to a severe blow or fall.
If your symptoms do not resolve within 2-4 weeks please contact your clinician.