Caution and intense care are needed by people with lumbago which lasts more than a month and a half, as they are at risk of turning back pain into chronic state.
In a review of studies published in the Canadian Medical Association Journal, it was found that people with acute and hypocritical back pain show improvement of the pain and difficulties they face in everyday life due to the first 6 weeks.
However, there is a percentage of patients with sub-skin back pain that is recovering very slowly. Because these symptoms are very likely to be converted into years and do not significantly improve over time (as it has been shown by the study), it is advisable to identify and intensify their care in order to prevent such a development.
‘The back pain is very common orthopedic problemsince over 600 million people worldwide experience pain in the middle each year. This pain may come from any structure of the area, such as bones, joints, muscles, tendons, joints and nerves.
Although does not make age discriminationback pain is more common in people between 30-50 years, especially in those who are not practiced, since then the muscles are not so strong that they can adequately support the spine.
The increased weightthe repeated lifting of weight, the poor posture and smoking (due to the causing reduced blood flow to spine discs) are the most common causes of its challenge. Genetics also plays an important role, as it is responsible for the appearance of certain diseases, such as ankylosing spondylitis, “explains the spine surgeon, Director of Spine & Scoliosis at the Athens Medical Center and Scientific Director Spine Clinic, Dr. Constantine Starantzis.
Sometimes the pain is caused by a specific reason, such as by injury or condition (disc, stenosis, osteoporosis, etc.), but in most cases the pain is non -specialist, that is, the cause that causes it has not been clarified. It is often the result of simple stress.
The onset of pain in the waist varies from person to person, and is also different from incident to the same patient. May appear suddenly, after a bad movement or incorrect posture or weight lifting, or gradually. Sometimes it is mild and bearable and sometimes unbearable.
Its retreat also has a long time variation, from a few days to weeks, or much more. According to the American Academy of Orthopedic Surgeons, most patients recover in a few weeks. In about 90% of cases the pain is temporary. But 50% of people who experience back pain will relapse within one year.
Understanding the clinical course of back pain is essential to detect patients who are at risk of permanently perpetuated the pain they feel in the middle in order to receive proper treatment and tips.
In their review, Australian researchers included 95 studies involving people with non-specialized, at the start of the study, acute back pain (<6 weeks), sub-speech (6 to 12 weeks) or persistent-time (12 to less than less than 52 weeks).
It was found that participants in the third category had high levels of pain and disability with minimal improvements over time. Most of the people who belonged to the other two categories began to improve within the first 6 weeks, but a significant number in the sub-surgery team had constant pain and physical difficulties. Detecting them and taking increased care is the endpoint of the study in order to speed up their slow recovery and to avoid their back pain.
“Managing non -specific back pain includes medication, such as oral non -steroidal anti -inflammatory drugs and muscle relaxants and/or local analgesics, non -medicinal options, such as rest (not immobility but limited activity) and heat. Physiotherapy is valuable both for recovery from an episode and for prevention of relapse, as it strengthens the back and abdomen muscles, enhances flexibility and trains the patient to stand and sits by aligning his body properly so as not to his waist is strangled.
There are invasive techniques to treat pain in patients who do not improve in conservative ways. At our disposal we have drugs, granted through Injection to the spine (intra -diarrhea – peripheral – epidural infusions), which aim to reduce edema and inflammation of the spinal nerve. They are made in unnatural patients, without narcosis, under radiological guidance. The duration of the process does not exceed 10 minutes in total. Repeating these injections is permitted in people who cannot be operated on, regardless of speech, but there is a number per year.
Patients with special pain, that is, known as the reason for its challenge, the therapeutic course is the same, only to have another final option: surgery, which gives a definitive solution to pain and daily difficulties of self -care. The type of procedure depends on the condition.
The main thing, however, should be taken into account by those who experience back pain is that they should address the specialized spine surgeon when the pain lasts more than two to three weeks in order to evaluate and perform clinical and imaging tests to do identify its cause and recommend appropriate treatment.
Early diagnosis can accelerate definitive treatment and relieve them of recurring incidents that have inevitable impact on their quality of life, ”concludes Dr. Starantzis