Low Back Pain or Pain of Lower Back is also known as Lumbago . Lumbago is a vulgar disease that affects mortal of all ages . Musculoskeletal system of the lower back protects spinal corduroy and spinal nervousness . Lumbar Musculoskeletal System admit Paravertebral brawn ( muscular system ) and vertebral column ( emaciated system ) .
Paravertebral brawn protects spinal corduroy by preventing abnormal movements of the back by align contraction of various muscularity in direction of movements and also forbid lengthened bending in any fussy direction during fall or accident . firm structure of vertebral editorial protect the spinal electric cord . Spinal cord is bound within spinal canal , which is hem in by vertebra . Low back pain or Lumbago include pain in lower back , pain spread over buttocks , and also the pain is referred to lower stage . lowly Back Pain or Lumbago is also known asSciatica Pain , Radicular Pain or Radiculopathy .
Anatomy of Lower Back:
a) Vertebral Column Includes
b) and c) Muscles and Tendon of Lower Back
d) Ligaments of Lower Back
Causes of Low Back Pain or Lumbago
Low Back Pain or Lumbago Caused by Muscle Disorders or Diseases
Low Back Pain or Lumbago Caused by Tendon Abnormalities
Low Back Pain or Lumbago Caused by Ligamental Abnormalities
Lower Back Pain or Lumbago Caused Due to Abnormalities of Vertebral Column:
Symptoms of Low Back Pain or Lumbago
Chronic Pain of Low Back
Pain endure more than 3 to 6 months is know as chronic pain . Lumbago , radicular or sciatica pain is referred to lower back and lower member . Pain is because of pinch of lumbar or sacral spinal cheek . Sciatica or radicular painfulness is due to taking into custody of one of the five lumbar boldness ( L1 to L5 ) or first sacral ( S1 ) nerve . mettle is pinched either within lumbar spinal canal or lumbar spinal hiatus . cheek may be crimp outside spinal canal by elemental cancer , metastatic cancer , haematoma ( blood line clot ) or abscess .
Types of Low Back Pain or Lumbago
Muscle Pain - Paravertebral sinew pain is often get by muscle bout , sprain or lighting of the sinew . Paravertebral muscle tear and sprain is see following sports injury , machine or work stroke . pain sensation because of diseases or hurt of the muscle is mostly sense over abject back . Muscle pains mostly do not refer to pegleg like sciatica or radicular botheration .
Ligament or Tendon Pain - Several ligaments and tendon patronize vertebral column . Injury or inflammation of ligament or tendon cause stark back pain . Tear and sprain of the ligament or tendon is often visualise postdate sports injury , machine or body of work stroke . pain sensation is mostly spread over lower back . Sciatic or radicular pain is not observed following ligamental or tendon injury or inflammation .
Urinary ( Bladder ) and Bowel Incontinence - Sacral nerve wound may do urinary and bowel incontinence along with leg nuisance . Symptoms of dissoluteness are often masked during initial stage because of severe intractable pain following injury . Lower back pain is often associated with bowel or bladder dissoluteness in lumbar and sacral spinal injury
Insomnia - Chronic miserable back pain in the neck is often associated withinsomnia , since the patient is often unable to find comfortable position in bed .
tiredness - Patient often ill of weaknesses and fatigue as a outcome of severe pain .
Anxiety - Severe painfulness causes little or long - term disability and often do not answer to pain in the neck medications . Long condition botheration and agony may result in cognitive disorder such as anxiousness .
Depression - Few patient brook with long - termdepression , because of restrictions of activities and unable to do daily action .
Signs of Low Back Pain or Lumbago
Paravertebral Muscle Spasm - Palpation of paravertebral brawniness during examinations reveals muscular tissue muscle contraction and spasm . Muscle muscle spasm is seen following muscle or tendon disorder . In most cases of pinch nerve pain , paravertebral muscular tissue spasm is observed as protective inborn reflex . Persistent musculus spasm or muscle contraction prevents happening of severe pain in the ass leave from movement of lower back .
Fever - Fever may be associate with lower back pain in the neck . Fever is often triggered by epidural or paravertebral abscess .
Anatomical Abnormalities of Vertebral Column - anatomic abnormality of vertebral tower often get severe lower back infliction . Congenital irregularity is not triggered by injury or fervor of the vertebral column and surrounding soft tissue paper . system of weights distribution along the vertebral column reckon on normal conformation of the spine . Congenital disorder of vertebral tower like scoliosis , kyphosis , or lordosis presents abnormal angle of exercising weight statistical distribution . incompatible slant of weight dispersion causes additional stress of muscles , tendon , and ligaments resulting in severe pain .
Structural Abnormality Disorders of Vertebral Column
Investigations to Diagnose Low Back Pain or Lumbago
MRI - MRI is an investigation of choice to evaluate the cause of lower back painful sensation or lumbago .
CAT Scan - Computerized Tomography Scan ( CAT ) is alternative study to MRI . CAT Scan help in identifying the following disorders that could be causing low back or lumbago-
Bone Density Test - Helps in Identifying the next case of low back pain or lumbago –
Treatment for Low Back Pain or Lumbago
Conservative Treatment for Lower Back Pain or Lumbago
Specific Treatment for Low Back Pain or Lumbago
Physical Therapy (PT) For Low Back Pain or Lumbago
PT is suggest for follow clinical expression
Interventional Therapy for Low Back Pain or Lumbago
Surgery for Low Back Pain or Lumbago
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