AcuHealth Chiropractic Columbus Ohio – Causes of Low Back Pain
Lower back pain causes can stem from many locations in the body (as well as a combination of locations), which always makes it interesting when a patient asks, “…doc, where in my pain coming from?” In context of a typical 1st visit we take an accurate history and perform a physical exam to try to reproduce symptoms to give us clues as to what tissue(s) may be the primary pain generators.
In spite of our strong intent to be accurate on diagnosing lower back pain, did you know, regardless of the doctor type, there is only about a 45% accuracy rate when making a low back pain diagnosis? This is primarily because there are many tissues that can be damaged or injured that are controlled by the same nerve and because of this can look very similar to each other.
In order to improve this rather sad statistic on lower back pain causes, in 1995 the Quebec Task Force published research reporting that accuracy could be improved to over 90% if we utilize a classification approach where low back conditions are divided into 1 of 3 broad categories.
These categories are as follows:
Red flags – These include dangerous conditions such as cancer, infection, fracture, cauda equina syndrome (which is a severe neurological condition where bowel and bladder function is impaired). These conditions generally require emergency care due to the life threatening and/or surgical potential.
Mechanical back pain – These diagnoses include facet syndromes, ligament and joint capsule sprains, muscle strains, degenerative joint disease (also called osteoarthritis), and spondylolisthesis.
Nerve Root compression – These conditions include pinching of the nerve roots, most frequently from herniated disks. This category can include spinal stenosis (SS) or, combinations of both, but if severe enough where the spinal cord is compromised (more commonly in the neck), SS might then be placed in the 1st of the 3 categories described above.
The most common category is mechanical back pain of which “facet syndrome” is the most common condition. This is the typical patient who simply over did it (“The Weekend Warrior”) and can hardly get out of bed the following day.
These lower back pain causes can include tearing or stretching of the capsule that surrounds the facet joint due to performing too many bending, lifting, or twisting related activities. The back pain is usually localized to the area of injury but can radiate down into the buttocks or back of the thigh and can be mild to very severe in nature.
We realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain causes, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.
If you would like to have the cause of your lower back pain evaluated in the Columbus Ohio Area, please call AcuHealth Chiropractic 24 hours a day for a free consultation with a doctor who specializes in spinal related problems.