Ask a Doctor: Treatment, Lifestyle Changes to Ease Lower Back Pain

Ask a Doctor: Treatment, Lifestyle Changes to Ease Lower Back Pain


♪ Kristine: EVERY THURSDAY WE’RE TAKING A LOOK AT A HEALTH ISSUE AFFECTING MANY PEOPLE. KNOW. DR. KALANI BRADY FROM THE JOHN A. BURNS SCHOOL OF MEDICINE JOINS US NOW. GOOD MORNING. WELCOME BACK. THANK YOU. Kristine: I HEAR PEOPLE TALKING A LOT ABOUT LOW BACK PAIN. HOW COMMON IS IT? DURING OUR LIVES, ADULTS GENERALLY HAVE BETWEEN 80 AND 84% OF US HAVE LOW BACK PAIN. SO OF THOSE, 90% AFTER THREE MONTHS DON’T SEEK CARE. MOST OF IT IS ACUTE. THE WORLD, HAVE SUFFERED FROM LOW BACK PAIN. Kristine: SO LONGER THATTEN THREE MONTHS IS CONSIDERED CHRONIC BACK PAIN. WHAT ARE SOME OF THE TREATMENTS. TREATMENTS ARE TO AVOID BED REST. PEOPLE SAY, OH, BED REST SHOULD BE GOOD. YOU’RE RESTING THE BACK. TO REACTIVATE THE MUSCLES SURROUNDING THE BACK PAIN, IT’S BETTER TO BE ACTIVE. SO YOUR DOCTOR, IF YOU SEE YOUR DOCTOR, WILL GIVE YOU SELF CARE ADVICE THAT WILL HELP WITH RECOVERY. AND PHYSICAL THERAPY IS REALLY PRETTY EFFECTIVE AS WELL. THERE’S SOME BENEFIT FROM COGNITIVE BEHAVIORAL THERAPY FOR CHRONIC SUFFERERS. THERE’S RESEARCH SHOWING INCONCLUSIVE EVIDENCE THAT TAI CHI OR YOGA HELP. MEDICINES ARE IMPORTANT. NSAIDS ARE THE GOLD STANDARD HERE. THEY’RE VERY EFFECTIVE IN CONTROLLING LOW BACK PAIN. ACUTE AND CHRONIC. IF YOU’RE USING THEM FOR MORE THAN A DAY OR TWO, ALWAYS TAKE SOMETHING LIKE ALEVE? ABSOLUTELY. OTHER WAYS THAT WE CAN REMEDY BACK PAIN? WELL, IF THE BACK PAIN IS BREAKTHROUGH AND ANTI-INFLAMMATORY ALONE DOESN’T WORK, YOU CAN ADD PREMADOL, A MILD NARCOTIC AND EVEN FOR CHRONIC — LOW BACK PAIN, YOU CAN USE AN ANTIDEPRESSANT. PEOPLE WHO SUFFERING FROM BACK PAIN HAVE DEPRESSION AS WELL. SHORT-TERM EFFECTS FROM SPINAL MASSAGE HAS SHORT-TERM EFFECTS. ACUPUNCTURE IS OF SLIGHT BENEFIT. LOW-LEVEL LASER, THERE’S NO PROOF IT WORKS. TRACTION IS INEFFECTIVE. Kristine: WHAT IT TENS UNIT? ELECTRICAL NERVE TIMMATION. TIM — STIMULATION. YOU PUT PATCHES ON YOUR BACK, AND A MACHINE DELIVERS LOW LEVEL VERY LOW LEVEL. VERY LOW LEVEL. YOU CAN FEEL IT. Kristine: YOU SAID AVOID BED REST. ANY TYPE OF TREATMENT OR LIFESTYLE CHANGE WE CAN DO TO HELP THE LOW BACK PAIN? SURE. THERE ARE EXERCISES THAT YOU CAN DO. SPECIFIC TO THE TYPE OF LOW BACK PAIN. AND YOU WANT TO ASK YOUR ASK OR PHYSICAL THERAPIST TO WHICH THEY REFER TO, BUT KIND OF EXERCISES ARE GOOD FOR THAT KIND OF LOW BACK PAIN. GENERALLY, NONSPECIFIC LOW BACK PAIN HAS A CERTAIN SET OF EXERCISES. SCIATICA HAS EXERCISES. AND FINALLY, THERE’S SPINAL PATH OL PATHOLOGIC — Kristine: WHEN I HEAR PEOPLE SAYING, I’VE HAD LOW BACK PAIN ALL MY LIFE. DOES THAT MEAN THEY’RE GOING TO HAVE IT FOR THE REST OF THEIR LIVES OR CAN SOME OF THIS TREATMENT AND LIFESTYLE CHANGE I DON’T KNOW IF YOU SAY CURE — BUT MANAGE IT. PUTTING THEM TOGETHER, TO CONTROL THE BACK PAIN IS VERY EFFECTIVE WHEN USING A LOT OF MODALITIES TOGETHER. COGNITIVE BEHAVIORAL THERAPY, NONSTEROIDAL ANTI-INFLAMMATORY, APPROPRIATE EXERCISES. Kristine: JUST DON’T ACCEPT THE LOW BACK PAIN. YOU CAN DO SOMETHING.

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