It refers to pain in the part of the spine that starts from the neck and extends to the hips, and its lifetime prevalence in industrial societies in the West is between 70-75%. According to a study conducted in 15 provinces in our country, low back pain ranks second among the causes of pain
Not every low back pain is a herniated disc. If there is only low back pain, problems related to muscles and ligaments, posture and sitting disorders, colds or excessive fatigue should be suspected. In addition, gynecological diseases, kidney and bowel problems can also cause low back pain. If the pain also hits the leg, it means that there is pressure on the nerves coming out of the spinal cord. The most important reason for this pressure is lumbar hernia.
What is lower back stiffness?
If the complaints started very suddenly, if a sudden stiffness is felt below the entire waist, if pain occurs as the legs move, it means Facet Locking, that is, the sliding of the joints behind the spine, on each other, in medical language.
HOW LONG DOES LACK PAIN LAST?
Low back pain attack will go away on its own after a certain period of time, depending on the repair of the tissue itself, regardless of the source of the pain. 80% of acute back and low back pain has a good course, 10% recurs, and the remaining 10% becomes chronic. Patients with pain lasting longer than four weeks have a reduced chance of improving.
Back and low back pain is often one of the manifestations of psychological burdens. It is the result of problems in business life, private life or one’s own internal conflicts. This should be taken into account, especially in chronic pain.
WHEN SHOULD YOU BE AWARE?
Low back and/or leg pain that does not go away after 6 weeks
Feeling loss of strength in the leg
Difficulty urinating or holding back
Numbness including the breech region
Numbness, tiredness that develops in both or one leg, even when walking for short distances – having to rest.
If the above-mentioned tables occur, urgent surgical intervention is required. However, this situation constitutes a very small part of low back pain, such as 3-5%.
The onset of the complaints, the severity of the pain, its character and extent, whether it changes with movement are important, and it is necessary to establish a temporal connection between the various events experienced by the person, the diseases he has undergone and surgical interventions. For this reason, a comprehensive history of the person is taken and noted. Physical examination is as important as X-ray and MRI. Because sometimes the patient has many complaints, but there is no significant finding in MRI or vice versa. In other words, the patient is not treated according to the MR imaging and report without examination.
TREATMENT:
Short-term bed rest in acute pain attack is beneficial as it will reduce the load on the waist. However, if bed rest exceeds 3-4 days, it may do more harm than good as the muscles will weaken.
If surgical treatment is not required, drug therapy or physical therapy or Complementary Medicine methods that offer a more comprehensive treatment should be applied. This decision is made by the Physician after a good examination is explained to the patient.
Back and Low Back Pain is a complex structure that occurs depending on the Bio-Psycho-Social cause and effect relationship. Complementary Medicine Methods have tools that allow a Bio-Psycho-Social approach to the treatment of the patient.
Neural therapy provides improvement of blood flow in problem areas, removal of destruction products with improvement of lymphatic flow and healing of tissue damage. In addition, the elimination of disruptive fields will also regulate the psychological component of the disease, leading to the recovery of even the cases that do not respond to any treatment. It also provides very fast and effective treatment in facet joint locking.
Acupuncture activates the body’s own drug store, increases the release of substances with analgesic and muscle relaxant effects, and improves the patient’s psychology by increasing the amount of Serotonin, which has a psychological relaxing effect.
On the other hand, Manual Therapy provides relaxation of tense, spastic muscles, mobilization of joints, and posture disorders are corrected with the help of given exercises. It provides the opportunity to intervene not only in the waist but also in all dysfunctions that occur along the entire spine.
These methods described above are extremely reliable options without side effects, while providing a definitive treatment for the cause. Not only the aching place, but also the affected joints and muscles are treated, and the psychological state of the person at that moment also benefits from the treatment. This is a holistic Complementary Medicine approach.
