Treatment for lower back pain in elderly

Any failure to a particular nerve will affect the function of that part of the body the nerve controls. When the nerves in and around the cervical spine (neck) get compressed or inflamed, it can result to symptoms like headaches and neck pain or even twitching (spasm) of facial muscles. Traumas or poor posture like FORWARD HEAD POSTURE could cause the nerves around the neck to become inflamed or be compressed by the spinal bones. Many people suffer from pain, weakness, numbness in the legs and even have difficulty walking. Apart from injuries and diseases of the spine and nerves, some of the most common conditions are Lumbar Spinal Stenosis and Sciatica.
Chiropractic has been effective for relieving nerve pressure by alleviating nerve impingements due to misaligned spinal bones.
Sciatica is caused by the compression of one or more of the lumbar nerve roots L3, L4, or L5 or sacral nerve roots S1, S2, or S3. Sciatica caused by compression of a nerve root can occur as a result of a spinal disc bulge or spinal disc herniation, or as a result of degenerated discs that can reduce the size of the space through which nerve roots exit the spine. As the nerves are responsible for carrying sensory information as well as innervating the muscles for strength and movement, sciatica can have various symptoms. Assessment involves diagnosing which of the nerves could be affected and whether the nerves are irritated from surrounding inflammation, compressed or irritated & compressed. If the nerves are irritated, various types of pain may be felt in the back and down the leg, such as: burning, shooting or aching. Various treatment techniques such as: soft tissue release, spinal mobilisations, neural stretches, dry needling and strapping can be used in the treatment of sciatica.
Long before degenerative disc disease can be seen on an x-ray, biochemical and histologic (structural) changes occur. Over time, the collagen (protein) structure of the annulus fibrosus weakens and may become structurally unsound. Usually during the first six weeks, acute low back pain is treated with a couple of days of bed rest (slightly longer with a herniated disc) and appropriate medication. If the symptoms of degenerative disc disease and low back pain persist despite non-operative treatment, further diagnostic tests may be necessary.
Although most degenerative disc disease patients with herniation respond well to non-surgical treatment, a small percentage do not.
Lumbar (low back) herniation causing loss of bowel or bladder control, or major lower extremity deficit, requires immediate surgery. Cauda Equina Syndrome is a serious disorder that may be caused by a large central herniation. The type of surgical procedure depends on the patient, the diagnosis, and the treatment goals. Although lumbar degenerative disc disease is relatively common in aging adults, it seldom means spine surgery.
Sign up to receive free updates on back pain treatments, research, and doctor-reviewed spine health information. This information is not designed to replace a physician's independent judgment about the appropriateness or risks of a procedure for a given patient. The chiropractic low back exercises we provide have been designed to be simple to do but very effective  in helping you to both restore and maintain the suppleness in your lower back.  Ideally please do these exercises every morning.
Our Plymouth Chiropractic Clinic provides a full selection of rehabilitation exercises for our patients who have both spinal and sporting injuries.  Plymouth chiropractor Kevin Kelly has a lot of experience in providing exercises for the rehabilitation of spinal and sports injuries.
Often the onset of symptoms occurs in the absence of trauma, patients finding it difficult to relate this to any particular event.

The pain often starts within the lower back radiating into the buttock and then into the area supplied by the nerve, which is being compressed. In most patients the symptoms improve within six weeks with physiotherapy treatment and analgesics.
Very rarely the prolapse disc may press on the central area of nerves known as the cauda equina.
Improving spinal mobility, strength and overall fitness may improve symptoms to a satisfactory level. The natural history of the condition is that over 90% of patients will improve without interventional treatment.
Spinal injections are extremely useful in some patients to help to relieve the leg or back pain symptoms associated with a disc prolapse, while the natural healing occurs. Nerve root blocks, periradicular injections, root canal injections, or transforaminal epidurals are some of the names given to injections around an individual nerve. Epidurals are an injection into the spinal canal that will treat the whole area of the lumbar spine. Approximately 10 percent of patients will experience a recurrent disc prolapse where a further piece of nucleus herniates through the annulus fibrosis and irritates a nerve to cause leg pain. Overtime, the numbness and tingling may progress to muscle weakness, spasm, pain and even joint problems.
See chest pain. Considerations With a broken rib, the pain gets worse when bending and twisting the body.
The physio can then come up with a plan of action of what to do in treatment to alleviate the symptoms and aid recovery.
Although DDD is relatively common, its effects are usually not severe enough to warrant medical attention. The intervertebral disc is one structure prone to the degenerative changes associated with wear and tear aging, even misuse (eg, smoking). It is interesting to note that although 80% of adults will experience back pain, only 1% to 2% will need lumbar spine surgery! These exercises help maintain the spinea€™s natural lordotic curve, important to good posture.
Strong abdominal muscles work like a brace (or corset) to reduce the loads to the lumbar spine. It has been suggested that acupuncture stimulates the production of endorphins, acetylcholine, and serotonin. Some may include acetaminophen, anti-inflammatory agents, muscle relaxants, narcotics, and anti-depressants. For patients without radiculopathy (pain stemming from a spinal nerve root), manipulation may be effective during the first month. Most herniated discs often do not require surgical intervention and respond quite nicely to non-surgical treatments (within 6 weeks). Patients who are obese, smoke, or who have psychological problems experience lower rates of success. As we grow older our bodies change, and the spine is not immune to changes at its cellular level. Please upgrade to the latest version or consider using a free alternative, such as Firefox. The central portion of the lumbar disc (nucleus pulposis) bulges through the surrounding fibrous tissue (annulus fibrosis) and may cause irritation or compression of an adjacent nerve. This usually affects the back or outer aspect of the leg and can spread down the leg as far as the foot.

Further investigation may then be required to confirm the diagnosis of a disc prolapse and plan further treatment. The patient may experience sciatica down both legs, which may be associated with numbness of both legs. The vast majority of patients with an acute disc prolapse will not require a scan as their symptoms will get better with analgesics and physiotherapy.
Simple pain control, using over the counter medication such as Paracetamol or anti inflammmatories, such as Ibuprofen, are helpful.
They have the advantage of being performed under local aneasthetic and although there are potential risks and side effects, these are extremely rare. A percentage of patients will experience back pain as a result of the disc prolapse, irrespective of whether surgery is performed or not. We can also improve or prevent that by correcting our daily postural habits, stretch often and reduce physical and emotional stress. Compression of the sciatic nerve itself in the buttock area can also produce sciatica symptoms. During the acute phase, bed rest may be recommended for a few days, but beyond that, experts advocate stretching, flexion and extension exercises, and no- or low-impact aerobics. However, acupuncture should be combined with an exercise program for many of the reasons outlined in prior paragraphs.
Early ambulation is encouraged to increase circulation (aids healing), improve flexibility, and build strength. Some patients may be referred to physical therapy or a supervised work-conditioning program. If people stop smoking (all tobacco use), keep up with a regular fitness program and good diet, most can enjoy the benefits of a healthy spine. This article explains how DDD begins and why neck and back pain, including upper or lower body extremity pain and symptoms may develop. This often occurs in the presence of an abnormal or degenerate disc, which has a small tear in the annulus fibrosis. An MRI is useful when, there is persisting symptoms, or if there are any symptoms to suggest cauda equina syndrome.
They may also be used to determine if a particular disc prolapse is causing the patients pain, this may be very useful when planning surgery.
It is estimated that 60% of patients will have significant relief of symptoms, which may be permanent. These changes are linked and may lead to the disca€™s inability to handle mechanical stress. The intervertebral (between the vertebrae) foramen are small canals through which the nerve roots exit the spinal cord. When this sac is compressed the patient may present with the following symptoms: low back pain, bilateral lower extremity weakness, radiculopathy (pain from a nerve root), and incontinence.
Cauda equina syndrome is a surgical emergency and if patients have any concerns about this they should consult their doctor without delay, as emergency surgery may be required.
Understanding the lumbar spine carries a large portion of the bodya€™s weight; the stress from motion may result in a disc problem (eg, herniation). Acute low back pain, chronic low back pain, and degenerative disc disease without nerve compression may respond to manipulation.

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