BACK PAIN

We’ve all experienced back problems from time to time — lower back pain or strain of the neck. In fact, problems from back pain are the most common physical complaints among American adults and are a leading cause of lost job time — to say nothing of the time and money spent in search of relief. Back pain includes sore muscles and tendons, herniated discs, fractures, and other problems. Most often, the causes of back pain have developed over a long period of time.

Back pain treatment goals are pain relief and restored movement. The basic treatment for relieving acute back pain from strain or minor injury is to modify your activities. An ice pack can be helpful, as can acetaminophen (Tylenol), aspirin or another nonsteroidal anti-inflammatory drug (NSAID) to reduce pain and inflammation. After the inflammation subsides, applying heat can soothe muscles and connective tissue. Bed rest, which used to be advised for the treatment of back pain, is not only unnecessary for most cases of back pain, but it is actually potentially harmful, making recovery slower and potentially causing new problems.

In most cases, you will be expected to start normal, nonstrenuous activity (such as walking) within 24 hours to 72 hours. After that, you should begin controlled exercise or physical therapy. Physical therapy treatments may employ massage, ultrasound, whirlpool baths, controlled application of heat, and individually tailored exercise programs to help you regain full use of the back. Strengthening both the abdominal and back muscles helps stabilize the spine. You can prevent further back injury by learning — and doing — gentle stretching exercises and proper lifting techniques, and maintaining good posture.