Patient: I have been having Back pain for over a year now. Getting worst as the days go by. Lower back, both sides of thr back, neck, headacks, shoulder pains and pain in both kneens. My Doc says I am fine and its just a muscle in back.I cant stand for long time or sit for long time. Cant even pick things from floor. I cant walk for long cause back and legs hurt so much I almost fall down. What do I do now?
Doctor: Chronic low back pain (LBP) is the most expensive benign condition in industrialized countries and the most common caus se of activity limitation in persons younger than 45 years. It is defined as pain that persists longer than 12 weeks and is often attributed to degenerative or traumatic conditions of the spine. Mechanical or activity-related spinal pain is most often aggravated by static loading of the spine (prolonged sitting or standing), long-lever activities (vacuuming or working with the arms elevated and away from the body), and levered postures (forward bending of the lumbar spine). Pain is reduced when walking or constantly changing positions, and when the spine is unloaded (reclining). However, a persistent, relenting pain requires further investigation, as follows: evaluation by a physician, imaging studies (MRI, CT scan) and sometimes even functional studies as electromyography. Your case may be managed as chronic low back pain (LBP), you might benefit of a longer course of Physical Therapy and anti-inflammatory medication (“Aleve”, “Motrin”). Some antidepressants are useful in chronic LBP to alleviate insomnia, and pain In addition, these medications may improve the patient’s ability to cope, and they may reduce depression, anxiety, or fatigue associated with chronic LBP. Local anesthetics, corticosteroids, or other substances may be directly injected into painful soft tissues, facet joints, nerve roots, or epidural spaces.