• What is a back sprang?

    by Dr. Shawn Henry
    on Sep 13th, 2018

My Aching Back! Back Sprains and Strains and How to Treat Them

About 80% of us experience back pain of some kind during our lifetime. In the majority of cases, pain occurs in the lumbar spine (the lower back), because this is the area that bears the most weight, especially when moving, twisting, and bending. Back sprains are caused when ligaments—the tough bands of tissue that hold bones together—become overstretched or torn. Back strains involve a muscle and/or tendon. However, many times the source of the pain can't be clearly defined. Sometimes the condition or injury that triggered the pain may be healed, but the pain still persists.Sometimes the condition or injury that triggered the pain may be healed, but the pain still persists.How Back Sprains and Strain Can Happen

A back sprain or strain can occur when you lift too much weight, play a strenuous sport, or even bend or twist improperly during the course of a regular day. Whether it’s a sprain or a strain, the result is the same: Soft tissues become inflamed and cause pain, and often muscle spasms, which can be quite debilitating to a person’s movement and activities of daily living.

The pain may be aching, burning, stabbing, tingling, sharp, or dull. It can last for a couple of weeks, or go on for months, becoming chronic with more serious implications.

Ligaments in the Spine (Below)

There are three types of muscles that support the spine:  Extensors (back and gluteal muscles), flexors (abdominal and iliopsoas muscles), and obliques or rotators (side muscles). Through a complex system of nerves, muscle pain or muscle stiffness may develop in the low back, which can restrict your range of motion. Muscle spasms may affect your normal posture or inability to stand up straight.

Is an X-ray or other diagnostic test necessary?
Diagnostic testing (eg, MRI) is usually not required unless the pain doesn’t go away. Of course, if pain and/or other symptoms suddenly or progressively worsen it’s time to call your doctor. At that point, your doctor will want to rule out any underlying causes of back pain like a disc injury or a pinched nerve. Your doctor may order an X-ray, CT Scan, or an MRI to examine the vertebrae, joints, spinal cord, and nerve roots. Early diagnosis and treatment may help prevent acute pain from becoming chronic.

Initial Treatment

You may want to crawl into bed! However, bed rest should be limited because, when prolonged, it can lead to loss of muscle mass and strength. Your doctor may recommend a nonsteroidal anti-inflammatory drug (NSAID), pain medication and/or physical therapy (PT).

An organized program of PT may include pelvic traction, gentle massage, ice and heat therapy, electrical muscle stimulation, core strengthening and stretching.  Your doctor may prescribe a combination of two or more treatments.

Put Good Posture to Work

Since we spend so many hours at work, many back injuries can occur at a desk, especially if you sit at a computer for most of the day.

Heres the Good News!

More than 90% of patients completely recover from lumbar muscle sprain or strain within a month. After that, heat and ice treatments are indicated as necessary to manage flare-ups, along with an anti-inflammatory medication.

Author Dr. Shawn Henry Texas Spine Solutions

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