The spine is composed of 24 freely moveable vertebrae held together by muscles, tendons and ligaments. This column of vertebrae has a hole or canal in the center through which passes the spinal cord that carries all the messages from the brain to the rest of the body. Each vertebrae is separated from the one above and the one below by a disc. Pain can arise from multiple points and last a few seconds or a lifetime. Variables that result in chronic low back pain include inherited, congenital or acquired components.
A common site of pain is where the nerve exits the spinal canal and experiences pressure
from a disc bulge. Under normal conditions, the disc functions as a shock absorber to cushion vertical loading of the human torso on the spine. If the fluid in the disc is compressed over time it may yield to the pressure. Ddecompression is a tremendous benefit in that it reverses the loading effect of gravity.
In the majority of patients, acute back pain symptoms may go away on their own in a month or two. Those that fail to vanish are often referred to orthopedists or neurosurgeons. Treating a patient with chronic low back pain can often be one of the most challenging situations for the physician.Back pain is frequently treated in an episodic manner, with a multitude of treatments such as drugs, heat and cold, bed rest, chiropractic manipulation, physical therapy, exercises, acupuncture, TENS, epidural injections, prolotherapy, IDdET (Intradiscal Electrothermal Therapy or heat cauterization with an electrothermal catheter) and various types of surgery.Many of these treatments are simply aimed at providing temporary relief of the symptoms without altering the underlying causes of the problem. Physicians are faced with the fact that there is no universally accepted treatment for the care of LBP patients.
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