- Health A to Z
Complications
Chronic pain can develop which can be debilitating and keep people out of work.
Calling your health care provider
Call for an appointment with your health care provider if there is significant pain that persists beyond a week.
Call your health care provider if you have been diagnosed with nonspecific back pain and the pain changes in intensity or quality. This is particularly important if the pain travels down the legs below the knee (suggesting pressure on the nerves as they leave the spinal cord), or if there is weakness or numbness in a leg.
If you develop progressive weakness, urinary incontinence or bowel incontinence, or if you have numbness in your groin or anal region, you should get to an emergency room or call the local emergency number (such as 911).
Prevention
Prevention is very important, given the tremendous number of people who suffer from this problem. Maintain your weight in a healthy range and keep the back muscles strong and flexible to help prevent back problems.
Good posture and correct technique when lifting heavy objects (lifting with legs, keeping back straight) or carrying heavy objects (keep object close to body) are also beneficial.
References
Smeets RJ, Vlaeyen JW, Hidding A, et al. Chronic low back pain: physical training, graded activity with problem solving training, or both? The one-year post-treatment results of a randomized controlled trial. Pain. 2008;134(3):263-276.
Urquhart DM, Hoving JL, Assendelft WW, et al. Antidepressants for non-specific low back pain. Cochrane Database Syst Rev. 2008;(1):CD001703.
Chou R, Huffman LH. Medications for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med. 2007;147(7):505-514.
Chou R, Huffman LH. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med. 147(7):492-504.
Chou R, Qaseem A, et al. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147(7):478-491.
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Reviewer Info: Thomas N. Joseph, MD, Private Practice specializing in Orthopaedics, subspecialty Foot and Ankle, Camden Bone & Joint, Camden, SC. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.; ADAM Health Illustrated Encyclopedia, 05/12/2008 |
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