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Lower back pain also known as lumbago, affects the muscles, ligaments, nerves and inter vertebral discs under the musculoskeletal disorders. The intensity of lower back pain can be acute, sub acute or chronic. It is not a problem to go away on its own after completing a particular period of time like other diseases. Rather it may exist on the lower back part of body for long, go off on its own and re-occur again any time. 

Lower back back pain affects approximately 50% pregnant women in America. There has been found no any perilous impact of lower back pain on women resulting due to maternal weight gain, physical exercise, birth length and Apgar scores. However, the lower right back pain is a medical problem needed to be treated with a great care and seriousness.

The significant symptom of lower back pain complication varies from person to person. In some people the lower back pain disappears within a few days of its occurance by its waxing and waning quality, while some remain victimized of its chronic impact for a longer period of time. Existing for more than one and half months in period the lower back pain complication is known as a chronic pain as well. Through extensive research on the lower back pain complication what has come into light is being penned down over here.

• The lower back pain emerges only in adults at a particular age.
• It causes tremendous pain in lower part of body including hip, waist and thigh.
• The lower back pain can be caused by accidents or excessive work, causing exertion on the lower part of body.
• It can occur anytime anywhere else.
• Weakened vertebral bones also cause fractures leading to lower back pain.
• Lower back pains are recognized as such as coccyx pain(coccydynia) and sacroiliac joint pain hitting the bottom of the lumbar spine.
• Osteoarthritis, rheumatoid arthritis, degeneration of the discs between the vertebrae(spinal disc herniation), osteoporosis(a vertebral fracture) and a tumor play their major role in causing lower back pain.
• Lower back pain has been classified as acute pain(existing for less than a month), sub acute pain(remaining from one month to three months) and chronic pain(remaining up to complete three months of time) on the lower back of individual’s body.

Causes

The skeletal degeneration causes severe pain in the lower back commonly known as  musculoligamentous. Muscle strains, muscle spasm and muscle imbalances cause the lower back pain in the body. Such skeletal degeneration, causing lower back pain, has been categorized as inflammatory, neo-plastic and  metabolic causes.

• Mechanical Lower Back Pain- Apophyseal osteoarthritis, Diffuse Idiopathic, Skeletal Hyperostosis, Degenerative discs, Scheuermann’s kyphosis, Spinal disc herniation, Spinal stenosis, Spondylolisthesis, Fractures, Leg length difference, Restricted hip motion and Misaligned pelvis.
• Inflammatory Lower Back Pain– Seronegative spondylarthritides, Rheumatoid arthritis, Infection(epidural abscess or osteomyelitis).
• Neo-plastic– Bone tumors (primary or meta static) and Intradural Spinal tumors.
• Metabolic Pain– Osteoporotic fractures, Osteomalacia, Ochronosis, Chondrocalcinosis, Psychosomatic, Tension myositis syndrome, Paget’s disease.
• Other causes of lower back pain– Pelvic/abdominal disease, Prostate Cancer and
  oxygen deprivation.

Treatment Of lower back pain

The lower back is needed to be treated under strict supervision of an osteopathic physician or a chiropractor. Entire medical history is studied and analyzed before initiating medical treatment. Medical examination of entire body is conducted through MRI scan before treating the lower back pain. Physical exercise, Schroth physical exercise therapy, Acupuncture, Muscle Energy Technique(MET), Behavioral therapy, Alexander Technique, Massage therapy, Viniyoga, Iyengar and Hatha yoga are some of the proven treatments regarding the lower back pain. In acute lower back pain the analgesic such as NSAIDs or acetaminophen are recommended.

Muscle relaxants are another remedy to treat the complication of lower back pain. Regular physical exercises under a supervision of health experts also can reduce and prevent the lower back pain from emerging again. Spinal manipulation (SM) therapy and hip exercise also should be done to cope with lower back pain of your body.

Surgery

It is the last option to be applied in order to treat the lower back pain complication. When all the conservative treatments fail in reducing pain and controlling neurologic symptoms such as leg weakness, bladder or bowel incontinence following caudal equina syndrome caused by central lumbar disc herniation, the surgery is executed. Microdiscectomy, discectomy, laminectomy, foraminotomy and spinal fusion are the effective ways of surgical therapy to reduce the lower back pain. Following conditions call for surgery to treat the lower back pain.

• Severe Degenerative disc disease.
• Spinal stenosis.
• Spondylolisthesis.
• Scoliosis.
• Compression fracture.
• Spinal instability.
• Spinal trauma.
• Spinal malignancy(cancer).
• Spinal hematoma.
• Spinal Disc replacement.