Low back pain (lumbago)

About Low back pain (lumbago)

Low back pain is pain in the lower (lumbar) area of the spine and is defined as chronic if the symptoms last longer than three months. Over time gravity and normal use can result in the gradual degeneration of the spine. A variety of spinal structures are affected by this steady gravitational pull and their degeneration is thought to cause low back pain. Strains and other injuries to the bones, ligaments, muscles and intervertebral disks in the spine are commonly diagnosed along with arthirits all of which lead to low back pain. Low back pain is the most common cause of disability in Americans younger than 45.

Symptoms

Symptoms include back pain, pain radiating down the leg, decreased flexibility, pain with movement, and occasionally numbness and weakness.

Tests & Diagnostics

A history and physical will be performed. Imaging tests and possibly blood samples may be performed depending on the symptoms.

Common tests: CT Scan, MRI, Urinalysis (UA), X-ray.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Therapy depends on the extent of the disease and symptoms. Treatment may include: pain medications, muscle relaxants, non-steroidal anti-inflammatory medications (ibuprofen/Motrin or Advil, naproxen/Naprosyn), acetaminophen (Tylenol), exercise and physical therapy. Epidural steroid injections and/or surgery may be considered for persistent pain. Numbness, weakness, or loss of bowel or bladder control may require emergent surgery.

Medical specialties

Internal Medicine · Neurosurgery · Family Practice · Pain Medicine · Spine Surgery · Physical Medicine and Rehabilitation

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Low back pain (lumbago).