The Back Pain Most Surgeons Won’t Find

The sacroliac, or SI, joint, bears and transfers weight and movement from your upper body to your legs.

STORY HIGHLIGHTS Studies show 20 to 25% of all chronic lower back pain comes from the sacroliac joint Most spine surgeons aren’t trained to look at this joint and may miss it in a patient Finding out if the SI joint is the source of pain is usually pretty easy, Dr. Nick Shamie says Editor’s note: Dr. Nick Shamie is Chief of Orthopaedic Spine Surgery at Ronald Reagan UCLA Medical Center and is a professor of orthopedic surgery and neurosurgery at UCLA School of Medicine. He is also President of the American College of Spine Surgery. (CNN) — Tom wasn’t accustomed to not knowing the right answer. A business executive in his 50s, he had been suffering from agonizing back pain for nearly two years, and all his doctors could tell him was that they couldn’t find the cause or an appropriate treatment. So Tom did what most people wouldn’t — he started researching to find a doctor anywhere in the world who could help him. The problem, as it turned out, was that Tom’s doctors were looking at his spine for the source of his pain, and that’s not where it was coming from. He was suffering from sacroiliac joint dysfunction, the deterioration of the two joints on the side of the lower spine that connect it to the pelvis. Studies have found that 20 to 25% of all chronic lower back pain comes not from the spine but from the sacroliac, or SI, joint, which bears and transfers weight and movement from your upper body to your legs. When the ligaments wear out and the SI joint becomes unstable, it can generate a similar kind of sharp back pain — or sciatica-like pain down your leg — as a ruptured disc. Most spine surgeons, however, aren’t trained to look at the sacroiliac joint; they generally don’t learn about it during their residency or fellowships. And it doesn’t occur to most patients to ask.
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Can a nerve stimulator stop my back pain?

The patient should try to remain active and limit bed rest. Engaging in supervised exercise therapy that includes stretching and strengthening is an important part of therapy, as is some aerobic activity Consider yoga, spinal manipulation, massage therapy, cognitive behavioral therapy and acupuncture. Do not use lumbar supports. Use nonopioid analgesics such as acetaminophen or nonsteroidal anti-inflammatory drugs. Only the most severely disabled, with a low vulnerability for drug abuse, should use opioids. Opioids should then be used sparingly for acute exacerbations of back pain. Avoid use of anti-epileptic medications, muscle relaxants and benzodiazepines such as valium for long-term low back pain. A nerve generates an electrical signal. In sensory nerves, these signals may communicate pain to the brain. A nerve stimulator is used to cancel out the electrical pain signals in the nerve. The peripheral nerve stimulator is implanted under the skin and is placed to send electrical pulses to the problematic nerve directly. A very few patients do get relief with implantable nerve stimulators and other treatments such as interferential therapy, low level laser therapy, short-wave diathermy, traction, transcutaneous electrical nerve stimulation (TENS), ultrasound or percutaneous electrical nerve stimulation (PENS).
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Best Mattress for Back Pain – Review of DreamFoam Mattress and Sleep Innovations Mattress

Having said this, there are 10 comfort levels available and customers are free to email or call a DreamFoam representative who will help them make the best choice. DreamFoams mattress is composed of the following: – 3 inches of Talalay Latex foam. According to the specifications, this type of foam takes the shape of the body for best comfort, while alleviating pressure, providing relief from pain and orthopedic support. In theory, this type of foam helps a person to sleep better without having to turn around during the night to feel comfortable. The manufacturer also states that Tatalay is also suitable for allergy sufferers. – 1.5 inches of soft reflex foam with a quilted bamboo cover on top. Apparently, this foam is softer than cotton while being much more absorbent then cotton itself. – 5.5 inches of convoluted base foam. The manufacturer states that this layer of foam increases comfort and air flow. DreamFoams Ultimate Dreams is selling very well on and as a matter of fact it has achieved a very good average rating of 4.6 out of 5 stars by customers. One particular reviewer stated that the Ultimate Dreams is the most comfortable mattress she has ever slept in her whole life.
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19 practical tips for back pain sufferers

The dull pain can be annoying and persistent, while the shooting or stabbing pain can leave you with limited mobility for days. The spine comprises seven cervical (neck region) vertebrae, 12 thoracic (upper back) vertebrae, five lumbar vertebrae (lower back), the sacrum and the coccyx. All these help keep our body erect, so it’s crucial to take care of the spine. As we age, bone strength, muscle elasticity and muscle tone tend to decrease. The intervertebral discs begin to lose fluid and flexibility, which decreases their ability to cushion the vertebrae. The causes of lower back pain are aplenty, and it can occur from lifting heavy objects, sports injuries, pottering around the house or in the garden, a sudden jolt such as a car accident, degenerative conditions, or other stresses on spinal bones and tissues. If the spine becomes overly strained or compressed, a disc may rupture or bulge outward. This rupture may put pressure on one of the more than 50 nerves rooted to the spinal cord that control body movements and transmit signals from the body to the brain. When these nerve roots become compressed or irritated, it results in back pain. Too much or too little exercise, combined with the ageing process, also contributes to lower back pain. 19 practical tips to preventing back pain Click on thumbnail to view.
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