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how to cope with back
pain
The causes of back pain and how to
deal with it.
The fact that a majority of Americans
experience back pain at some point in their lives is small
consolation when the statistic with back pain is you. Back
pain typically begins with a movement in your torso that
doesn't go quite right: lifting a child into the car seat,
bending over to pick something up, twisting to deliver a
powerful forehand during tennis play. For some reason, your
back protests, and there you are, lying on the ground in
pain.
Should you see a doctor?
Consult a physician about your back pain if:
1) It is accompanied by high fever, which may indicate an
infection;
2) You have numbness in your pelvis, extreme weakness in
your leg, or problems controlling your bladder or
bowel-signs of a severely pinched nerve;
3) You are experiencing rapid weight loss -- a sign of a
tumor; and/or
4) Back pain persists for more than four weeks.
Treat yourself
For most cases of acute back pain that is probably due to
muscle spasm, health professionals advise the following:
1) Ice the affected area five to 10 minutes several times a
day for the first few days. After that, use either ice or
heat, whatever seems to help.
2) Take over-the-counter pain medication. Try to avoid any
muscle relaxants you may have hanging around the medicine
cabinet, as these have unpleasant side effects and can lead
to further injury by helping you ignore the pain.
3) Rest as little as possible, and resume daily activities
as much as you can, allowing the pain to serve as a
guideline for what you should ask your back to do. That
means if it hurts, don't do it. Especially hard on your back
is sitting for extended periods, or moving heavy objects. |
Table of contents.
Back pain, when to
exercise.
Back pain, when to rest.
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When to exercise
The most common cause of back pain is muscle strain. The most common
cause of muscle strain is weak back muscles which lack the strength
to support the torso, especially when extra force is required, such
as during bending or twisting. When back muscles are not strong
enough to do their job, they may stretch and then contract in
painful spasm.
Since exercise is so good for so many ills, many people mistakenly
believe that exercise is good for everything. Not so for muscle
spasms. Trying to stretch a spasming muscle may only add insult to
injury. Exercise is more important for preventing future recurrences
of back pain, rather than fixing an acute back pain episode.
Once acute pain has subsided, exercise to stretch and strengthen
postural muscles is recommended. Regular aerobic exercise such as
walking, swimming (use a variety of strokes) and cycling improves
general fitness, as well as back health. Education about correct
body mechanics is essential. Learning to maintain good posture can
greatly reduce back stress. |
Coping with chronic pain
Some people find that back pain continues to return despite their
best efforts to exercise regularly and practice good body mechanics.
Most of these folks succeed in finding ways to eliminate or at least
significantly reduce their back pain, but their paths to success
require perseverance, self-observation, positive thinking and a
willingness to try a variety of treatment options. Treatment options
that have helped many back pain patients include stress management
and relaxation techniques, chiropractic manipulation, physical
therapy, acupuncture and acupressure, and yoga. Back care programs,
videos and books can be beneficial.
Perseverance can be hard to come by. Persistent pain wears you down,
but giving up is not an option; giving up only leads to more pain.
When to rest
Bed rest, once the most popular treatment for back pain, is now
discouraged. While sometimes back pain is so incapacitating that you
have no other option, you will be urged to get up as soon as you
can. Bed rest further weakens those muscle, joints and bones whose
weaknesses may be causing pain in the first place.
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