Orthopaedic Surgeon Questions Orthopedist

Can you fix lower back pain?

I have lower back pain and want to fix it. What are my options?

3 Answers

OrthopaedicSurgeonOrthopedist
Unfortunately your question is much too broad to answer. There are many causes of low back pain that can be alleviated (fixed), some with therapy, some with lifestyle changes and even some with surgery. You need to be evaluated and examined by a physician beginning with a primary care doctor, cbm Christopher B Michelsen, MD, FAOA, FAAOS, FACS Col (Ret) USA Professor (Emeritus) Orthopaedic Surgery Columbia University, College of P&S
Many causes of back pain, so much more detailed info would be necessary to help guide you through the treatment or management options. Several basic details of how it started, where it is, when it comes, what makes it better or worse, constant, intermittent, radiating down the butt or leg, how far down the leg, numbness or tingling, bowel or bladder or weakness in legs, prior interventions like surgery, medications, PT, chiro, acu, or injections, or disabling or bothersome, quality of life, etc etc etc..
Hello, and good day. I hope you are well. Thanks for sharing your lower back question with the FATD community. Please allow me to offer my tips, suggestions and thoughts regarding your question. Obtaining a thorough history and performing a physical examination can greatly help determine what is causing your lower back pain and the best care plan to help alleviate it. Are you sure your pain is not coming from your hips? Sitting puts a lot of pressure on your hips, as well as stresses the postural muscles around your lower back. Therefore, sometimes the fatigue of the muscles of your lower back (back muscles and abdominal muscles) causes pain. Lifting, carrying, pushing and/or pulling with poor technique can also cause lower back pain. Kidney stones and infections can also cause lower back pain. Lower back pain can include buttock (and shooting pain down the leg) pain which is due to the nerves being irritated in your lower back. However, if the pain is in the groin area, then it could be hip pain. I am a firm believer in exercise as a way to lower your feeling of pain in your muscles, bones and joints. The right exercise done at the right time, and done the right way, is THE key to alleviating pain and preserving your lower back function for a very long time, with less feelings of pain. As we age, the normal activities of life can put low-grade stress on the small joints of the lower back (the area of the lower back where the bones -vertebrae- connect to each other and permit motion). Therefore, having occasional lower back pain and loss of function is normal. In addition, the fatigue of the muscles of your abdomen and lower back (the postural muscles) occurs with prolonged sitting (in a car, or anywhere). I believe in daily stretching and range of motion activities for the lower back. The following link is to some great exercises. I think that you first want to regain full active and range of motion (active is moving your lower back on your own, and passive motion involves using your hand or a pillow/towel to do the moving). After motion, increase the action with flexibility and then shape (tone) and strengthen-condition. https://www.pop-doc.com/browse.cgi?category1=Lower%20Back If you work the lower back a lot during one day, I recommend that you let the neck area recover for a day or two before working it again. I hope this helps.