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Back Pain Products to Help My Back Pain

April 7th, 2021

If you suffer lower back pain, you are not on your own. Probably nearly all adults at some point in their lives will experience this condition that interferes with their work eg there is a high incidence of lumbar pain in drivers, everyday activities, sports (eg lumbar pain in golfers) or hobbies. Lower back pain or sciatica is considered the most common cause of job-related disability and the highest contributor to absenteeism in the western world. For example, it is second to headaches as the most common neurological ailment in the United States. Generally, most occurrences of lower back pain or lumbar pain subside after a few days, although some instances may take much longer to resolve or very occasionally lead to more serious conditions.

Short-term pain (Acute) generally lasts from a few days to a few weeks, and this condition tends to be mechanical in nature, the consequence of trauma to the lower back or a condition such as arthritis. Back pain from trauma may be caused by an injury sustained through sports activity, household jobs or working in the garden.

Sometimes, sudden jarring from a minor fall, or other stress on the lower back bones and tissues could be the root cause of low lumbar pain or sciatica. Symptoms of lumbar pain may range from aching muscles to shooting or sharp stabbing pain, limited flexibility and/or range of motion, or an inability to stand straight. Sometimes, pain felt in one part of the body may stem from a disorder or injury incurred in other parts of the body. Very occasionally acute low back pain syndromes could become more serious if untreated.

Definitions of what period or duration constitutes chronic back pain vary but pain that persists for over 12 weeks would generally be described as chronic.

Often the initial cause of the back problem is not known and this condition can sometimes be progressive The good news is that the vast majority of occurrences can be treated without surgery. Back pain treatments include analgesics, to reduce inflammation, to restoring proper mobility and strength to the back, by a variety of back pain products and therapies, to strategies for the avoidance of recurrence of the injury.

Usually patients suffering lumbar pain recover fully and don’t incur continuing loss of functionality. It’s advisable to contact your GP if there is no improvement or reduction in the back pain and inflammation after 3 days There is a plethora of exercises, medication, or therapy products and gadgets available to sufferers, designed to provide either, relief, prevention or both.

Although some of these back pain products (such as Magnatherapy or aromatherapy) would be described as ‘alternative’ or pseudoscientific ie they have few empirically or scientifically proven benefits, many are developed through the application of sound medical principle and theory. It’s worthwhile asking your GP for recommendations on any therapies as well as making sure that the cause is not more serious

Back pain therapy devices PGAT devices

Inversion Tables

Inversion is a natural form of passive gravity assisted traction (PGAT) that uses the patient’s body weight in conjunction with gravity to decompress weight-bearing joints. While the patient is rotated and suspended, gravity effectively creates a traction, resulting in a customized stretch that extends the spine, from the sacroiliac to the cervical joints of the neck, increasing the space between the vertebrae, which relieves the pressure on the discs and nerve roots. By reducing this pressure there is less interference with the spinal nerves thus reducing lower lumbar pain. Inversion is considered to be an effective therapy This is typically performed on what’s called an inversion table.

The table allows you to lie on your back relaxed, in an inverted position. This position eliminates some or all gravitational compression, depending upon how far back you position your body. Inversion therapy relieves back pain, and it works even better when it’s part of a well-rounded therapy plan that addresses the specific muscle imbalances you have. But even by itself it is highly effective. A recent study done at Newcastle University found that over 70% of patients who performed inversion therapy were able to cancel their scheduled back surgeries.

CPM Mobilisers

Backlife

Backlife is designed to apply a Continuous Passive Movement (CPM) to the lower back pain sufferer in a similar way to how a healthcare professional, as part of his back pain therapy, would apply in order to help relieve pressure between the vertebrae, and therefore relieve pain in the lumbar region. In order to apply CPM the user would lie on the floor bending their knees over the upper section of the machine. As the upper section moves, it gently rotates the pelvis in a circular fashion, allowing the joints to move, whilst the joints remain relaxed. The advertised benefits of Backlife for pain relief are that it reduces the stress and pressure on the lower back, restores back mobility and improves stability. In addition it reduces lumbar pain with regular use, improves posture, and reduces muscle tension.

Back in action Mobiliser

The Back in Action Mobiliser is an extremely powerful medical grade spinal joint mobilisation system, available for home or professional use for back pain relief. It’s described as usually very effective at decreasing the symptoms of long term and chronic musculo-skeletal problems. The system applies very localised pressure to the muscles either side of the spine, simulating a practitioners ‘thumbing technique,whilst mobilising the spine, flexing and extending the spine, freeing up stubborn vertebrae. In addition to this the mobilise provides a continuous passive motion (CPM) considered to be beneficial to health and aid healing The mobilise has been used to treat conditions such as: lumbago; prolapse /slipped disc, sciatica; scoliosis, arthritic hips, sacro-iliac dysfunction, whiplash injuries; fibromyalgia and many other disabling conditions. It is also comprehensively tested and endorsed by medics, so that it is probably the most commended back pain therapy care system available. Its most significant disadvantage is that it is made in small numbers and is expensive to buy however they are available to hire.

Backstretcher

The Backstretcher, also known as the Rolastretcher provides relief with a combination of massage and stretching movements, allowing the user to move and stretch different parts of the spine by moving up and down the frame. The rollers also provide pressure (acupressure) on the back muscles either side of the spine where dysfunctional trigger points (knots) often occur. It provides back pain sufferers the opportunity to complement their therapeutic treatment with a device, which is portable, The effectiveness of this device has been confirmed by scientific study by the University of Iowa’s Spine Centre.

Flexibak

Flexibak is back support cradle that is designed to ease lower back pain problems, reduce discomfort, and promote relief, by decompression of key joints, allowing natural movement to return to the user. Flexibak, developed by 2 leading British osteopaths, is designed to encourage the lumbar and sacroiliac joints to open up, and encourage the return of natural movement as pressure on inflamed muscles is relieved.

Back cushions and wedges and Supports Cushions

Back cushions

These are custom shaped soft cushions which are tailored to the natural shape of the user’s lower back and designed to offer support whilst maintaining an ergonomic and comfortable posture whilst sat on a chair or in the car, thus providing an element of relief for low back pain.

Seat wedges

Seat wedges provide lumbar pain relief in a natural passive manner. Sitting on a seat wedge has the effect of moving forward the pelvis which has the effect of causing the users spine to adopt a more ergonomically correct upright posture. Seat wedges maybe useful for lumbar pain suffering car drivers by angling their backs into more comfortable driving positions, or in sedentary workplace situations where the back pain sufferer may be adopting a suiting position for several hours, for example call centre workers. Ideal for everybody working in a sitting position, especially PC users. A variant of the seat wedge is the coccyx wedge which incorporates a cut away section to reduce or avoid pressure on the sacrum or coccyx which could be causing lower back pain or tail bone pain.

Back Braces

These aim to constrict the affected area of low back pain low afflicted area, these strap-on body braces help reduce lower back pain and help to correct poor posture.

TENS units

TENS (Transcutaneous electrical nerve stimulation) is the application of electric current produced by a device to stimulate the nerves for therapeutic purposes. In this case we are referring to portable stimulators used to help with back pain. The unit is usually connected to the skin using two or more electrodes or semi adhesive pads. Although the first units developed in the US for testing tolerance of chronic back pain sufferers to electrical stimulation in preparation for surgically invasive implants, many patients reported deriving relief from the TENS itself. A number of companies began manufacturing TENS units after the commercial success of the Meditronic device became known TENS is regarded as a non-invasive, safe nerve stimulation intended to reduce pain, both acute and chronic. Controversy does exist over its effectiveness in treating of chronic back pain. In 2007 a feature in the Pain Journal concluded that ENS was effective for chronic musculoskeletal pain whereas the journal Neurology advised against recommending TENS for chronic lower back pain,but other neurologists in the same journal suggested that in some patients TENS is useful. TENS units available from high street retailers Baxolve offers immediate relief for lower back pain through a combination of TENS therapy and lumbar support in one easy to use convenient belt.

Heat and cold back pain products

There is little empirical evidence that the application of hot and cold compresses actually effectively relieve back pain conditions, although the use of hot and cold compresses may provide relief by helping to reduce the lower back pain, spasms, and inflammation, in turn allowing for improved mobility for some back pain sufferers. Immediately after the trauma, the sufferer would apply a cold compress (generally ice packs or refrigerant gel) to the affected area of the lower back pain, maybe after a strain, for up to about 20 minutes a few time a day, for a couple of days to help reduce tissue inflammation. After a couple of days the back pain sufferer would then apply heat to the affected area, using a variety of methods such as heat pads, heat lamps etc for short durations. This has the effect of dilating the blood vessels which increase blood flow to the affected tissues, and encouraging the healing process. It also has the effect of relaxing the muscles similar to having a warm bath after exertion. As with any back pain treatment it’s advisable to consult your GP before commencing a treatment.

Magnet therapy

Magnet therapy can be described as an alternative or pseudoscientific method of back pain treatment, using magnetic fields on the body to promote back pain relief and healing, with a perceived, though not understood positive effect on blood oxygen content. There is no scientific basis to conclude that small, static magnets can relieve pain It has its origins in Traditional Oriental Medicine (TOM) dating back some 2000 years, centered around ‘Chi’or ‘energy flows’ around the body and instrumental in health and wellbeing, with magnetic wave therapy having associations with acupuncture or and acupressure. Although it is regarded with an element of scepticism due to seemingly physical and biological implausibility, in Eastern countries, therapeutic magnets are licensed as medical devices, and it does appear to be gaining some recognition within the US medical community, with an example of affirmative research of published in the MDBR Journal of Rheumatology. The downside to this is the difficulty associated with establishing true blind testing of magnets and associated ‘placebo or Hawthorne’ effects within test groups. By all means have a look at what’s available but remain sceptical.

Ultrasound

Ultrasound is often used as a method of pain relief by physios and therapists in combination with other pain treatments, such as manipulation, massage, ice treatment and interferential (electrotherapy). The ultrasound device causes millions of sound waves to penetrate deep into tissue in order to promote healing of inflamed or damaged muscles, tendons and ligaments. It’s claimed that ultrasound can reduce tissue inflammation by stimulating blood flow, promote healing by stimulating soft tissue, and assist in the absorption uf analgesics, and reduce pain. Again there is conflict over the effectiveness for lower back pain treatment with both positive user testimonials offset by inconclusive meta analysis. See Physical Therapy article Jul 2001 and New Zealand Journal of Physiotherapy Jul 2008

Ultralieve

Ultralieve Pro is a mains operated or portable hand held medical grade device designed for home use to help with pain and promote healing by conducting ultrasound waves into the damaged tissue. Although the device is easy its perhaps best if the user has received ultrasound treatment previously from a physio or healthcare professional, and again it’s advisable to check with your GP or physio before using one to derive pain relief It should not be used as a replacement for conventional help with back pain but in conjunction with it in between sessions. Again there is conflict over the effectiveness to help with back pain with both positive user testimonials offset by inconclusive meta analysis.

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Understanding Back Pain Causes And Treatment

March 7th, 2021

Back pain affects nearly 80% of Americans and the most common form is Low Back Pain. Because you rely on your back for almost every move you make, it is vulnerable to injury. Back pain can even be disabling. It is one of the most common problems prompting a visit to your doctor and for missing work. In fact, it is the second highest cause of disability in persons under the age of 45.

Although people complain of back pain, it is not a diagnosis but rather a symptom of an underlying disorder. There are two types of back pain, acute and chronic. Acute back pain is pain with a new onset. It comes on suddenly, usually due to injury. This is the most common type of back pain. It is usually resolved in less than one month but no more than 6 weeks duration. Chronic pain is pain that can have a quick or slow onset, but it lingers for long periods of time. Although it may last three months or longer, some people experience a lifetime of chronic back pain. Chronic pain is the least common type of pain.

What Causes Back Pain?

To begin to understand the causes of back pain, we need to understand the spine. The back is made up of 33 vertebrae or bones. It is divided into 5 groups: Cervical, Thoracic, Lumbar, Sacrum and Coccyx. The cervical spine (upper back or neck) consists of 7 vertebrae. The thoracic(middle back) has 12, and the lumbar spine(low back) has 5 vertebrae. The sacrum consists of 5 fused vertebrae, and the coccyx(tail bone) has 4 vertebrae fused together.

The vertebrae are held together by ligaments and muscles with discs between the vertebrae. The discs are filled with a jellylike center, allowing them to act like a shock absorber. The vertebrae link together to provide stability and support. They protect the spinal cord and spinal nerves that run through the spinal canal.

Because the neurological system is complex, it is difficult to pinpoint the exact cause of back pain. The causes of back pain are divided into categories: Mechanical, Injuries, Acquired disorders or diseases, Infections or tumors.

Mechanical causes: These are problems with how the spine works. For example, Spondylolistesis(deterioration of the disc one vertebrae to slip forward over another, causing the vertebrae to rub together, therefore causing pain). Other mechanical problems are fractures, herniated discs, spinal stenosis, spinal degeneration and sciatica.

Injuries- This category includes common forms of back pain due to injury to the spine or the ligaments and muscles involved with the spine. Sprains, for example, result if a ligament that supports the spine is pulled or torn due to improper lifting or body mechanics, even twisting the wrong way, Fractures can occur from osteoarthritis which causes the bones to become brittle and weak. Sever injuries can result from an accident or fall.

Acquired disorders- These are medical problems that you might have been born with such as scoliosis(an abnormal curvature of the spine) to other problems that you acquired, such as arthritis(osteoarthritis and rheumatoid arthritis) which can lead to fractures; musculoskeletal pain syndromes such as fibromyalgia, spinal stenosis (Narrowing of the spinal canal putting pressure on spine or nerves); and even pregnancy.

Infection/Tumors- Infection, although not common, can cause pain if it involves the vertebrae. Two examples of this are Osteomyelitis(infection and inflammation of the vertebrae) and Discitis(infection in the discs).Tumors, although rare, can also cause back pain. These can be benign or cancerous, but usually result from a tumor that has spread from another area of the body.

How is back pain diagnosed?

In order for your physician to discuss the proper treatment for your back pain, he will need to do a thorough medical history and physical exam. You will need to give a clear concise description of your pain. Your physician will need to know how the pain started, what you were doing when it started, how severe it is, does it come and go or is it constant, and what makes the pain better or worse. You will need to undergo some diagnostic tests. Common tests done to diagnose back pain are x-rays, bone scans, and MRI’s. These diagnose problems due to bone or soft tissue injuries. Your doctor may order blood and urine tests to look for infection. If your physician feels the pain might be caused by a nerve problem, then you will have an EMG(electromyography) or nerve study. An EMG is an assessment of the electrical impulses of nerves and the response of the muscles.

How is Back Pain Treated?

The common goals of treatment are to relieve back pain and to restore mobility. Treatment varies depending on the severity and type of injury. The most common and basic treatment used for strains or minor injury is Rest. Heat can be used to promote circulation to the area and relieve spasms. Cold packs can be used to decrease the swelling in the affected area of the back. Common OTC (over the counter) medications such as Aspirin, Motrin, Tylenol, and Aleve are prescribed to help the pain and inflammation.

Long term bed rest is not usually recommended because it can make recovery slower and can ultimately cause other problems. Usually the doctor will have you gradually resume normal activities after 24-72 hours of rest. He may start you on a physical therapy program which should include heat, massage, ultrasound and an individualized exercise regimen. If the pain does not subside and it is interfering with your normal daily activities, your doctor may order prescription pain medications such as Darvocet, Vicodin, or Percocet and anti-inflammatory agents to relieve muscle spasm.

If your pain becomes chronic and all other treatments have failed, your doctor may refer you to a Back or Pain specialist. Because the back is a complex entity, specialists are more up to date on new advances in the treatment of back pain. Some treatments you might encounter are epidural nerve block (injection of anesthetic, anti-inflammatory, or steroid into the epidural space of the back for long term pain relief)and trigger point injections(injection of steroids and anesthetic into the muscle that is triggering pain.)This should also provide long term pain relief. Other medications such as antidepressants and anticonvulsants have been found to help relieve pain caused by nerve injuries.

Other types of treatment include:

Use of TENS(transcutaneous electrical nerve stimulation) unit. Electrodes are placed on 2-3 painful areas of the back and attached to a unit that provides mild electrical stimulus to the area in order to relieve pain.

Chiropractic adjustments of the back.

Acupressure or acupuncture treatments.

Relaxation and breathing techniques and stress management instruction.

Massage and basic stretching exercises to promote mobility and relieve spasm.

Yoga-and Pilates- This can help relieve pain and stress. Some Yoga postures may help relieve low back pain and help improve strength, flexibility and balance. Yoga is good for stress reduction and can help with the psychological aspects of pain.

Aquatic or water therapy- This can be very beneficial in relieving pain and improving mobility in those with chronic low back pain. There is no resistance to movement in the water, and water is soothing, comforting, and relaxing for the body.

How can Back Pain be Prevented?

Although some people say that you can’t avoid injuring your back, most doctors are in agreement that the common causes of back pain can be prevented by following a few lifestyle changes:

Exercise: You will need to consult your physician prior to starting an exercise program because there are some exercises, such as high impact aerobics and weight lifting that can make back pain worse. Other exercise, such as swimming, walking and biking can help overall health and strengthen the back. Nonetheless, exercise should not be avoided as it helps to improve overall health.
Lumbar support belts: Some people that work jobs that do heavy lifting on a daily basis are required to wear lumbar support and undergo back training on the job to learn how to prevent lifting injuries.
Do not wear high heels.
Keep head up and stomach in when standing. If standing for prolonged periods of time, place one foot up on a stool and alternate your weight frequently.
Sit in a chair with good lumbar support. Maintain good posture, sit up straight and keep both feet flat on the floor. Make a lumbar roll out of a rolled towel to place behind the low back when you drive or sit for prolonged periods of time.
Use proper body posture when lifting. Keep objects close to your body. Keep your back straight and your head up with stomach tucked in. Don’t lift objects that are too heavy. Get help when lifting awkward or heavy objects. Don’t bend forward to pick something up, rather bend at the knees and lift straight up from the knees.
In conclusion, back pain can be difficult to treat but there are many options out there for you. Specialists are finding new research every day. You can take care of your back by making good lifestyle changes and eliminating or reducing the amount of stress in your life. By maintaining good posture, using proper lifting techniques, and educating yourself on how to avoid back pain, you can prevent more back injury.

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