Treatment Low Back Pain

Treatments for low back pain are:

Low Back Pain, Back Pain Lower, Back Pain

Nonsurgical Treatment

1. Rest
   A few days of rest can often calm the pain down as well. Prolonged bed rest (more than 2 days to 3 days) is no longer generally recommended for people with low back pain.
2. Braces
   Although there is minimal scientific evidence of their effectiveness in treating low back pain, back braces are commonly used. Most common is a corset type brace that can be wrapped around the back and abdomen. People who use corset type braces sometimes report feeling better supported and more comfortable. Short term use has its benefits but chronic use has more disadvantages than advantages.
3. Local Muscle Injections
   The most commonly used injections are local anesthetic, hypertonic glucose and/or steroids. They are usually given either in the area that is believed to be the source of the pain, such as into a muscle or ligament. Once the muscle is deactivated, and inflammation is removed, the painful area is allowed to heal and recover.
4. Exercise and Stretching
   Exercising to restore motion and strength to a painful lumbar spine can be very helpful in relieving pain. Although there is controversy as to which are the most effective spine exercises, it is generally agreed that exercise should be both aerobic (aimed at improving heart and lung function) and stretches specific to the spine. Aerobic exercises include walking, jogging, swimming, and bicycling. In principle, exercises being engaged should be both strengthening and stretching.
5. Proper Posture and Lifting Technique
   Improperly bending over to lift can cause a large increase in strain on the low back. Proper lifting keeps the back straight while you bend with the knees.

Surgical Treatment Options

• Open Surgical Options:
  1. Laminectomy Decompression. Open surgery - A segment of the bone of the spine is cut off to allow space for the nerves to be freed.
  2. Instrumental Fusion of spine. Screws and plates are fused with the spine to cause a rigid structure, preventing mobility, hence no movement - no pain.
• Interventional Pain Procedures (Minimally Invasive):
  1. Needle Laser Decompression. Through a needle, a laser wand is inserted into the spine to decompress the intervertebral disc. (See Nucleoplasty Dekcompressor)
  2. Needle Ballooning Decompression. Through a needle, a balloon catheter is inserted into the spine to decompress the narrowed area of the spine. This is liken to ballooning of a narrowed blood vessel. (See Neuroplasty)

Prevention Low Back Pain

Low Back Pain, Back Pain Lower, Back Pain
Low back pain (LBP) are problems that often arise in a nursing care with the most common symptoms felt in the lumbo-sacral, gluteal muscles, thighs and often on the lower extremities. When the characteristic symptoms of low back pain appears it would require the appointment of a diagnosis and how proper handling. Nearly 90% of the population had experienced LBP in the life cycle and LBP is a frequent complaint number two came after a complaint to the respiratory system disorders (Borenstein, 1997)
There is research that says that nearly 48% of clients with LBP found no obvious cause (Croft, 1999). Croft also noted that 90% of clients with LBP to stop treatment after 3 months of treatment, although the pain is still felt.

 
Low back pain be categorized as acute (less than 12 weeks), subacute (6-12 weeks) and chronic (more than 12 weeks). LBP is generally associated with the stretching of ligaments and muscles resulting from the incorrect body mechanics when lifting something. Risk factors for experiencing LBP is overweight, having posture and have a poor abdominal muscle strength.
Here is described how the prevention of low back pain and how to reduce pain if LBP has occurred.

Back Exercise Every Day
1. Lie supine on a hard floor or mat. Bending one knee and Move toward your chest and hold for several seconds. Then do it again on the other foot. Do it several times.
2. Lie on your back with both knees bent and make straight to the floor. Tightly secure the stomach and buttocks and press your back to the floor, hold a few seconds then relax. Repeat several times.
3. Lie on your back with knees bent and your feet are flat on the floor. Do partial sit up, with hands folded in his hands and shrugged his shoulders as high as 6 -12 inches from the floor. Do this several times.

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Be careful when lifting

Low back pain caused by lifting can be prevented by using proper lifting techniques and by exercising regularly to improve muscle strength and overall physical condition.

The normal effects of aging that result in loss of bone mass and decreased strength and elasticity of muscles and ligaments can't be avoided. However, the effects can be slowed by:

• Exercising regularly to keep the muscles of the back strong and flexible
• Using the correct lifting and moving techniques
• Maintaining a proper body weight; being overweight puts a strain on the back muscles
• Avoiding smoking
• Maintaining a proper posture when standing and sitting; don't slouch