2015년 2월 26일 목요일

Create a plan to relieve your back pain

HEALTHbeat
February 26, 2015
Harvard Medical School
HEALTHbeat

Create a plan to relieve your back pain

If you suffer from back pain, you've probably tried one or two ways to ease it. The range of options — from doing nothing at all to having surgery — is quite large. But the abundance of choices also presents a challenge. How do you know which therapy is right for you?
Get your copy of Back Pain: Finding solutions for your aching back

Product Page - Back Pain
Treatment of back pain has undergone a recent sea change. Experts now appreciate the central role of exercise to build muscles that support the back. This Special Health Report, Back Pain: Finding solutions for your aching back, helps you understand why back pain occurs and which treatments are most likely to help. This report describes the different types of back problems and the tailored treatments that are more likely to help specific conditions.

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Before you decide on a course of treatment, keep these four things in mind.
  1. Identifying the type of back disorder you suffer from is the first — and most important — step in finding how best to treat it. Although options abound, not all are appropriate for your specific back problem.
  2. Whether you're experiencing back pain for the first time or you've suffered a relapse, seek the advice of an experienced, certified, and well-recommended health specialist. That might be an internist, family practitioner, orthopedist, rheumatologist, neurologist, neurosurgeon, or physiatrist.
  3. Be an active participant in your care. Learn as much as you can about the risks and benefits of the treatments you are considering. Be clear on your treatment goals. Perhaps you don't intend to hike up a mountain, but you do want to go on that long-awaited trip and enjoy the view of the Eiffel Tower.
  4. Don't be afraid to question advice. If a health professional recommends an invasive, experimental, or expensive treatment, consider seeking a second opinion from a physician who frequently deals with your specific condition.
How you decide to manage your back pain will ultimately depend on many things. Taking all these factors into account will help you and your physician determine which of the available options are right for you.
For more on healing your aching back, buy Back Pain: Finding solutions for your aching back, a Special Health Report from Harvard Medical School.
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Bed rest for back pain? A little bit will do you

Bed rest, once a key part of treating back pain, has a limited role in healing sore backs. In very small doses, bed rest can give you a break when standing or sitting causes severe pain. Too much may make back pain worse. Here is how to do bed rest "right."
To get the most from staying in bed, limit the time you are lying down to a few hours at a stretch, and for no longer than a day or two. You can rest on a bed or sofa, in any comfortable position. To ease the strain on your back, try putting pillows under your head and between your knees when lying on your side, under your knees when lying on your back, or under your hips when lying on your stomach. These positions reduce forces that sitting or standing impose on the back — especially on the discs, ligaments, and muscles.
An extended period of bed rest isn't helpful for moderate back strain at any stage of therapy. While your back may feel a little better in the short term, too much time in bed can trigger other problems. Muscles lose conditioning and tone, you may develop digestive issues such as constipation, and there is some risk of developing blood clots in the veins of your pelvis and legs. And being on prolonged bed rest does nothing for your mental health and sense of well-being. Depression, as well as an increased sense of physical weakness and malaise, is common among people confined to bed.
Is it okay to try to get active as quickly as possible? Well-designed clinical trials suggest that an early return to normal activities — with some rest as needed — is better than staying home from work for an extended period.
For more on healing your aching back, buy Back Pain: Finding solutions for your aching back, a Special Health Report from Harvard Medical School.
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Featured in this issue

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Back Pain: Finding solutions for your aching back

Featured content:


Who develops back problems?
The anatomy of your back
Why does your back hurt?
Diagnosing back pain
Assessing your treatment options
• ... and more!

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