Low back pain can be either an acute or chronic disabling condition.
For many, it may be an ongoing condition that flares up occasionally
for a few days or weeks, then becomes more manageable again.
It will affect most adults at some stage in their life and
accounts for more sick leave taken than any other single condition.
An acute lower back injury may be caused by a traumatic event, like a car accident
or a fall. It occurs suddenly and its victims will usually be able to pinpoint
exactly when it happened. In acute cases, the structures damaged will more than
likely be soft tissue like muscles, ligaments and tendons. With a serious accident,
vertebral fractures in the lumbar spine may also occur. At the lowest end of
the spine, some patients may have tailbone pain (also called coccyx pain or coccydynia).
Chronic lower back pain usually has a more insidious onset, occurring over a
long period of time. Physical causes may include osteoarthritis, rheumatoid arthritis,
degeneration of the discs between the vertebrae, or a spinal disc herniation,
a vertebral fracture (such as from osteoporosis), or rarely, a tumor (including
cancer) or infection. The cause may also be psychological or emotional, and can
be diagnosed as TMS or tension myositis syndrome.
Possible causes of low back pain:
• Apophyseal osteoarthritis
• Diffuse Idiopathic Skeletal
• Degenerative Discs
• Scheuermann's kyphosis
• Spinal disc herniation
• Spinal stenosis
• Spondylolisthesis and
other congenital abnormalities
• Non-specific muscular
or ligamentous strains or sprains
• Leg Length Difference
• Restricted hip motion
• Misaligned pelvis
• Seronegative spondylarthritides
(e.g. ankylosing spondylitis)
• Rheumatoid arthritis
• Bone tumors (primary or metastatic)
• Intradural Spinal tumors
• Osteoporotic fractures
• Paget's disease
• Pelvic/abdominal disease
• Tension myositis syndrome
Diagnosing the underlying cause of low back pain is usually done by a medical
doctor or by a chiropractor. Often, getting a diagnosis of the underlying cause
of low back pain and/or related symptoms, such as sciatica, is quite complex.
A complete diagnosis is usually made through a combination of a patient's medical
history, physical examination, and, when necessary, diagnostic testing, such
as an MRI scan or x-ray.
The course of treatment for low back pain will usually be dictated by the diagnosis
of the underlying cause of the pain. For the vast majority of patients, low back
pain can be treated with non-surgical care.
Main Greensboro Office
3410 West Wendover Aveue Suite A
Greensboro, North Carolina 27407
Phone: 336-274-3500 / Fax: 336-292-1928
© 2010 Salama Chiropractic
Greensboro, North Carolina (NC) Chiropractors, - Oak
Ridge & Winston-Salem