The lumbar spine, or low back, is a remarkably well-engineered structure of interconnecting bones, joints, nerves, ligaments, and muscles all working together to provide support, strength, and flexibility. However, this complex structure also leaves the low back susceptible to injury and pain. Injury to any of the structures in the lumbar spine can lead to low back pain. Watch: Lumbar Spine Anatomy Video. To help understand this complicated topic, this article presents a model for understanding symptoms, physical findings, imaging studies and injection techniques to come to a precise diagnosis.
Apply heat or ice to the painful area. Spinal stenosis is when the spinal column narrows, putting pressure Main bottom back the spinal cord and spinal nerves. The outside Main bottom back the disc can tear or herniate. In spinal stenosisthe open spaces in the spine narrow, which can also put pressure bavk spinal nerves. Many people feel better within 1 week. Sprains and strains. However, a person should see their doctor for lower back pain that is severe, not getting bbottom, or occurs at the same time as other concerning symptoms.
Gay minnesota site. Latest news
Indeed, the practice of showing explicitness on the lower back has been performed Main bottom back centuries. The time now is PM. Kind of like driving mph on the Florida Turnpike in South Florida while the speed limit is 65 mph or 70 mph James, Derek, There are no silly arguments when discussing code. All of these were in the same county, with the same rules, and possibly with the same inspectors. Sorry this didn't help. Nittany Lion Don't think it got corrected as the builder got their electrician to "bless it" and they had their occupancy permit Happy Main bottom back to you'all. The central feature of the human back is the vertebral columnspecifically the length from the top of the thoracic vertebrae to the bottom of the lumbar vertebraewhich houses the spinal cord in its spinal canaland which generally has some curvature that gives shape to the back. Originally Posted by Main bottom back Amelin. Main bottom back is composed of trapeziuslatissimus dors i, rhomboid majorrhomboid minor and levator scapulae. Re: Can a top Beaker Main panel be feed from the Bottom This is another case where there is no right Gay small penis wrong.
At least 80 percent of Americans will experience low back pain in their lifetime.
- Medically reviewed by Drugs.
- Tech support scams are an industry-wide issue where scammers trick you into paying for unnecessary technical support services.
- The human back is the large posterior area of the human body , rising from the top of the buttocks to the back of the neck and the shoulders.
The lumbar spine, or low back, is a remarkably well-engineered structure of interconnecting bones, joints, nerves, ligaments, and muscles all working together to provide support, strength, and flexibility.
However, this complex structure also leaves the low back susceptible to injury and pain. Injury to any of the structures in the lumbar spine can lead to low back pain.
Watch: Lumbar Spine Anatomy Video. To help understand this complicated topic, this article presents a model for understanding symptoms, physical findings, imaging studies and injection techniques to come to a precise diagnosis. The low back supports the weight of the upper body and provides mobility for everyday motions such as bending and twisting. Muscles in the low back are responsible for flexing and rotating the hips while walking, as well as supporting the spinal column.
Nerves in the low back supply sensation and power the muscles in the pelvis, legs, and feet. The body also reacts to injury by mobilizing an inflammatory healing response.
While inflammation sounds minor, it can cause severe pain. There is a significant overlap of nerve supply to many of the discs, muscles, ligaments, and other spinal structures, and it can be difficult for the brain to accurately sense which is the cause of the pain. For example, a degenerated or torn lumbar disc can feel the same as a pulled muscle — both creating inflammation and painful muscle spasm in the same area.
Muscles and ligaments heal rapidly, while a torn disc may or may not. The time course of pain helps determine the cause. Low back pain can incorporate a wide variety of symptoms. It can be mild and merely annoying or it can be severe and debilitating. Low back pain may start suddenly, or it could start slowly—possibly coming and going—and gradually get worse over time.
Depending on the underlying cause of the pain, symptoms can be experienced in a variety of ways. For example:. See Radiculopathy, Radiculitis and Radicular Pain. There are many additional sources of pain, including claudication pain from stenosis myelopathic pain, neuropathic pain, deformity, tumors, infections, pain from inflammatory conditions such as rheumatoid arthritis or ankylosing spondylitis , and pain that originates from another part of the body and presents in the lower back such as kidney stones, or ulcerative colitis.
It is also possible for low back pain to develop with no definitive cause. For subacute and chronic lower back pain, a thorough diagnosis is important to lay the foundation for appropriate treatment and rehabilitation.
Lower back pain treatment reduces the likelihood of recurrent back pain flare-ups and helps prevent the development of chronic lower back pain. Lumbar Herniated Disc Video. Back Care for Lower Back Pain. Lumbar Degenerative Disc Disease Video. Lower Back Strain Video. Peer Reviewed. National Institute of Neurological Disorders and Stroke. Pain: Hope Through Research. June 9, Editor's Top Picks. Health Information Sponsored.
The upper-middle back is also the one area of the body which a typical human under normal conditions might be unable to physically touch. Yes No. For example, heel pain that is related to obesity should improve gradually as you lose weight. If you are prone to plantar fasciitis, exercises that stretch the Achilles tendon heel cord and plantar fascia may help to prevent the area from being injured again. The Feeder cable went under the garage in conduit and the meter was on the back of the house with-the main disconnect a few feet away. Body part.
Main bottom back. Navigation menu
Back pain is a common medical condition, generally benign in origin. The central feature of the human back is the vertebral column , specifically the length from the top of the thoracic vertebrae to the bottom of the lumbar vertebrae , which houses the spinal cord in its spinal canal , and which generally has some curvature that gives shape to the back. The width of the back at the top is defined by the scapula , the broad, flat bones of the shoulders. Posterior view of muscles connecting the upper extremity to the vertebral column.
Distribution of cutaneous nerves , dorsal aspect. Dorsal and lateral cutaneous branches labeled at center right. The muscles of the back can be divided into three distinct groups; a superficial group, an intermediate group and a deep group.
The superficial group, also known as the appendicular group, is primarily associated with movement of the appendicular skeleton. It is composed of trapezius , latissimus dors i, rhomboid major , rhomboid minor and levator scapulae.
It is innervated by anterior rami of spinal nerves , reflecting its embryological origin outside the back. The intermediate group is also known as respiratory group as it may serve a respiratory function. It is composed of serratus posterior superior and serratus posterior inferior.
Like the superficial group, it is innervated by anterior rami of spinal nerves. The deep group, also known as the intrinsic group due to its embryological origin in the back, can be further subdivided into four groups:. The deep group is innervated by the posterior rami of spinal nerves. The lungs are within the ribcage, and extend to the back of the ribcage making it possible for them to be listened into through the back.
The kidneys are situated beneath the muscles in the area below the end of the ribcage, loosely connected to the peritoneum. A strike to the lower back can damage the kidneys of the person being hit.
The skin of the human back is thicker and has fewer nerve endings than the skin on any other part of the torso. With some notable exceptions see, e. George "The Animal" Steele , it tends to have less hair than the chest on men. The upper-middle back is also the one area of the body which a typical human under normal conditions might be unable to physically touch. The skin of the back is innervated by the dorsal cutaneous branches , as well as the lateral abdominal cutaneous branches of intercostal nerves.
The intricate anatomy of the back provides support for the head and trunk of the body, strength in the trunk of the body, as well as a great deal of flexibility and movement. The lower back lumbar vertebrae allows for flexibility and movement in back bending extension and forward bending flexion.
It does not permit twisting. The back comprises interconnecting nerves, bones, muscles, ligaments, and tendons, all of which can be a source of pain. The back muscles can usually heal themselves within a couple of weeks, but the pain can be intense and debilitating. Other common sources of back pain include disc problems, such as degenerative disc disease or a lumbar disc herniation , many types of fractures, such as spondylolisthesis or an osteoporotic fracture, or osteoarthritis.
The curvature of the female back is a frequent theme in paintings, because the sensibilities of many cultures permit the back to be shown nude - implying full nudity without actually displaying it. Indeed, the practice of showing explicitness on the lower back has been performed for centuries.
Certain articles of clothing, such as the haltertop and the backless dress , are designed to expose the back in this manner. This happens for a variety of reasons- the lower waist area is a pivot point for the body and lengthens and arches as a person sits or bends.
Secondly, woman's fashion typically favors tops that are waist length, allowing the back to be left bare during slight movement, bending or sitting. Bursitis — Bursitis involving the heel causes pain in the middle of the undersurface of the heel that worsens with prolonged standing and pain at the back of the heel that worsens if you bend your foot up or down.
Pump bump — This condition causes a painful enlargement at the back of the heel, especially when wearing shoes that press against the back of the heel. Local bruises — Heel bruises, like bruises elsewhere in the body, may cause pain, mild swelling, soreness and a black-and-blue discoloration of the skin. Achilles tendonitis — This condition causes pain at the back of the heel where the Achilles tendon attaches to the heel. The pain typically becomes worse if you exercise or play sports, and it often is followed by soreness, stiffness and mild swelling.
In addition, there are often other symptoms — such as swelling or discoloration — if the trapped nerve was caused by a sprain, fracture or other injury. Your medical and orthopedic history, especially any history of diabetes, arthritis or injury to your foot or leg. An evaluation of your gait — While you are barefoot, your doctor will ask you to stand still and to walk in order to evaluate how your foot moves as you walk.
An examination of your feet — Your doctor may compare your feet for any differences between them. Then your doctor may examine your painful foot for signs of tenderness, swelling, discoloration, muscle weakness and decreased range of motion. A neurological examination — The nerves and muscles may be evaluated by checking strength, sensation and reflexes.
In addition to examining you, your health care professional may want to examine your shoes. Signs of excessive wear in certain parts of a shoe can provide valuable clues to problems in the way you walk and poor bone alignment. How long heel pain lasts depends on the cause. For example, heel pain that is related to obesity should improve gradually as you lose weight. If your heel pain is related to a specific sport or exercise regimen, a period of rest may bring relief.
Once your heel is pain-free, you may need to modify your training program to prevent your pain from returning. You can help to prevent heel pain by maintaining a healthy weight, by warming up before participating in sports and by wearing shoes that support the arch of the foot and cushion the heel. If you are prone to plantar fasciitis, exercises that stretch the Achilles tendon heel cord and plantar fascia may help to prevent the area from being injured again.
You also can massage the soles of your feet with ice after stressful athletic activities. Sometimes, the only interventions needed are a brief period of rest and new walking or running shoes.
If this conservative treatment doesn't help, your doctor may recommend that you wear a night splint or a short leg cast, or he or she may inject corticosteroid medication into the painful area. Surgery is rarely necessary and is not always successful. Heel spur — Conservative treatment includes the use of shoe supports either a heel raise or a donut-shaped heel cushion and a limited number of local corticosteroid injections usually up to three per year.
As in plantar fasciitis, surgery is a last resort. Calcaneal apophysitis — This condition usually goes away on its own. In the meantime, conservative treatment includes rest and the use of heel pads and heel cushions. Bursitis — Treatment is similar to the treatment of heel spurs. Changing the type of footwear may be essential. Pump bump — Treatment is similar to the treatment of bursitis and heel spurs.
In rare cases, the bony growth at the heel may need to be removed surgically. Local bruises — Heel bruises can be treated by applying an ice pack for the first few minutes after injury. Trapped nerve — If a sprain, fracture or other injury has caused the trapped nerve, this underlying problem must be treated first. In rare cases, surgery may be done to release the trapped nerve. Make an appointment to see a health care professional if you have significant heel pain that does not improve within a few days.
Heel pain may return if you return too soon to your previous level of exercise or sports participation. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records.
Available for Android and iOS devices. Subscribe to Drugs. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. We comply with the HONcode standard for trustworthy health information - verify here.
Skip to Content. Heel Pain Medically reviewed by Drugs. Health Guide What Is It? Symptoms The heel can be painful in many different ways, depending on the cause: Plantar fasciitis — Plantar fasciitis commonly causes intense heel pain along the bottom of the foot during the first few steps after getting out of bed in the morning.
Expected Duration How long heel pain lasts depends on the cause. Prevention You can help to prevent heel pain by maintaining a healthy weight, by warming up before participating in sports and by wearing shoes that support the arch of the foot and cushion the heel.
Lower Back Pain: Causes, Relief and Treatment | Live Science
The bark of low back pain is usually much worse than its bite. The power of justified, rational confidence is a huge factor in back pain. Once in a while back pain is a warning sign of cancer, autoimmune disease, infection, or a handful of other scary culprits. But how can you tell? It can be tricky. This is a concise, readable guide to symptoms that need better-safe-than-sorry investigation with your doctor. Tables, checklists, and examples ahead. Back pain can suck the joy out of your days for week, months, even years.
I have worked with many truly miserable chronic low back pain patients, and of course the huge economic costs of back pain are cited practically anywhere the subject comes up. But your typical case of chronic low back pain, as nasty as it can be, has never killed anyone.
Low back pain is ominous when it is caused by something that can cripple or kill you. Such causes are rare, fortunately.
None of these are common. All of them usually cause serious symptoms that are easy to take seriously. The names of the conditions link to carefully chosen articles from good sources. People understandably assume that the worst back pain is the scariest. For instance, someone could experience the symptoms of cauda equinae syndrome, and be in real danger of a serious and permanent injury to their spine, but have surprisingly little pain — even none at all in some cases!
Meanwhile, many non-dangerous problems can cause amazingly severe back pain. A muscle cramp is a good analogy — just think about how painful a Charley horse is! These two back pain scenarios might be medical emergencies.
These symptoms indicate spinal cord injury or compression 15 and require immediate medical attention. You need an X-ray to ensure that your spine is not actually broken. But consider this story of a motorcycle accident: many years ago, a friend hit a car that had pulled out from a side street.
Bystanders showed their ignorance of spinal fracture by, yikes, carelessly moving him. In fact, his thoracic spine was significantly fractured … yet the hospital actually refused to do an X-ray because he had no obvious symptoms of a spinal fracture.
The presence of the big three does not confirm that something horrible is going on. It only means that you need to check carefully. At his physical peak, not long before getting sick. The first sign of his cancer was steadily worsening back pain. The story of actor Andy Whitfield is a disturbing and educational example of a case that met these conditions — for sure the first two, and probably the third as well if we knew the details.
Whitfield was the star of the hit TV show Spartacus which is worthwhile, but rated very, very R The first sign of the cancer that killed him in was steadily worsening back pain. Weight loss could have even seemed like a training victory at first! It was many long months before he was diagnosed — not until the back pain was severe and constant.
A scan finally revealed a large tumour pressing against his spine. Working at the edge is a risk. But then again, so is walking out your front door. Red flags are not reliable, and their presence is not a diagnosis. Sometimes red flags are missing there really is something serious going on … and sometimes they are a false alarm. Some of these red flags are much less red than others, especially depending on the circumstances.
Well, at least temporarily successful, anyway. But why not check? So it truly is an extraordinary circumstance for back pain to be ominous without causing other symptoms that raise the alarm. Your doctor may not appreciate how true this is, and may over-react to all persistent low back pain, even without other red flags.
Pain on the right side of the back is not particularly worrisome, no. Same with the left. There are two main kinds of back pain that occurs only on one side:. Some of the guts are not symmetrical, and only some of those is a plausible cause of right-sided back pain.
In other words, the only reason to worry about right or left lower back pain is if it is otherwise worrisome: if you have other red flags or significant non-back symptoms. Did you find this article useful? Please support independent science journalism with a donation.
I am a science writer, former massage therapist, and I was the assistant editor at ScienceBasedMedicine. I have had my share of injuries and pain challenges as a runner and ultimate player. My wife and I live in downtown Vancouver, Canada. See my full bio and qualifications , or my blog, Writerly. You might run into me on Facebook or Twitter. Eleven updates have been logged for this article since publication All PainScience.
Like good footnotes, this sets PainScience. I log any change to articles that might be of interest to a keen reader. Complete update logging of all noteworthy improvements to all articles started in Added some better information about pain being a poor indicator, and the role of myofascial trigger points. Miscellaneous editing and organizing. Added the barking dog image. Added one red flag. Their research differs from past studies of chronic low back pain, which tended to focus on patients who already had a well-established track record of long-term problems in other words, the people who had already drawn the short straw before they were selected for study, and are likely to carry right on feeling rotten.
For this study, CFT was tried with 62 patients and compared to 59 who were treated with manual therapy and exercise. The CFT group did better: a point boost on a point disability scale, and 3 points on a point pain scale.
As the authors put it for BodyInMind. Why is back pain still a huge problem? Well said. If only I could edit it, though, I would say that it is difficult to alter that belief in anyone , patient or professional. Marvelously progressive, concise, and cogent guidelines for physicians on the treatment of low back pain. Andy Whitfield as Spartacus At his physical peak, not long before getting sick.
Hard to mistake for anything else: hard to pee, fecal incontinence, numb groin, weak legs. Caused by ruptured discs, trauma, cancer, infection. Hard to detect, often for a long time. Pain may throb in sync with pulse. Long term back pain starting well before middle age and progressing slowly and erratically, improves with activity but not rest , prolongued morning stiffness, possible involvement of other areas.