Lumbago is the pain that is located in the lower back and is related to the musculoskeletal structure of the spine. It is one of the most common source of pain and may become crippling, as it limits or prevents movement.
In fact, 80% of people have had or will have one of the different types of low back pain in their lifetime, and approximately 70% of young people experience this type of back pain before the age of 16.
The following are the main causes and symptoms, as well as ways to relieve this painful condition.
What causes low back pain?
Some time ago, when specialists talked about low back pain and its causes, they always mentioned herniated discs or scoliosis. That is, they thought it was a consequence of an alteration in the structure of the spine.
However, the Kovacs Foundation points out that this is not true. Although herniated discs in the lumbar region are among the identifiable causes, this diagnosis is often overused.
The foundation states that lumbago is caused by a neurological mechanism in which the nerves that transmit pain are activated and muscle contraction and inflammation are triggered. Additionally, sometimes the nerve root is also compressed. Determining what triggers this mechanism is not easy in many cases, so the pain is often attributed to muscle strain or contracture.
If you suffer from low back pain, it’s most often mechanical in origin:
● Degenerative problems of the intervertebral disc or posterior vertebral joints
● Scoliosis or alteration of the static of the spine
● Mechanical or tensional overload (muscle contractures)
● Violent trauma
● Fractures due to osteoporosis
Other less frequent causes are infections, tumors, or inflammatory diseases of the vertebral structures.
Symptoms of lumbago
When we talk about lumbago and its symptoms, the usual manifestations are inflammation, local or radiating pain, and muscle contractures.
Likewise, depending on the degree of radicular involvement and compression, these may be manifested through various alterations of sensitivity (tingling, hyperesthesia, hypoesthesia, anesthesia, etc.) and specific movement alterations (paralysis or paresis, among others).
Types of lumbago
There is no specific classification for low back pain. Even so, many specialists tend to differentiate between the following two categories:
Acute low back pain
Low back pain causes pain and is sometimes accompanied by stiffness in the area lying between the end of the ribs and the buttocks.
Acute lumbago occurs when the symptoms appear suddenly. In this case, the pain in the lumbar region can last from a few days to about four weeks. This pain may be accompanied by stiffness in the back, difficulty standing, or reduced movement of the lower back.
Chronic pain is defined as pain that lasts for months.
What are some good treatments for acute low back pain?
There is a broad consensus as to what should not be the first option for treating acute low back pain: pharmacological treatment.
For this reason, the first indications given by professionals revolve around self-care: practicing specific exercises to prevent any pain and maintaining activity in the case of acute or subacute low back pain.
Relaxation techniques and alternative therapies are more recommended for cases of chronic low back pain, but expert manipulation and massage can improve both chronic and acute pain.
On the other hand, electrical muscle stimulation can be another weapon in the fight against low back pain. Thanks to the electrostimulation suits by Wiemspro, you’re able to work specific muscle areas, exercising the muscles using local electrical impulses. These impulses are generated from devices and transmitted through the electrodes in the electrostimulation suit. These electrodes are placed on the muscles to be stimulated. The impulses mimic the action potential coming from the central nervous system, causing muscle contraction.
Low back pain with sciatica
Cases where the pain goes beyond the lumbar region and extends to the lower limbs are considered to be radiating lumbar pain. If it runs from the lower back to the foot or heel, down the side or back of the thigh, it is called sciatica or lumbosciatica.
This condition suggests injury to the nerve roots that come out of the spine and carry the command to contract muscles to the lower limbs through the sciatic nerve.
If the pain does not go beyond the knee area, it should not be called sciatica. Moreover, in this case, the cause is not usually an injury to the nerve roots, but rather of a different origin.
How can one get better from low back pain?
In the initial stages of low back pain, one of the most widespread pieces of advice is to rest. However, you should not lie on your back for too long either, as this posture can be harmful in the long run. This is so much so that it may even delay recovery, but one way to be rested and active is to use Wiemspro’s relaxation program with electrostimulation, which aims to relieve stress and combat tension.
The following are also widely used measures:
The administration of anti-inflammatory drugs and pain relievers is one of the immediate solutions to try to relieve pain in people with low back pain. However, on certain occasions, medical professionals decide that for a specific case, it’s better to resort to a muscle relaxant.
Heat and cold
To help reduce inflammation, you can apply cold gel packs or compresses. On the other hand, if you suffer from a chronic condition, you should use heat packs to promote muscle relaxation.
Muscle relaxants, anti-inflammatory drugs, and pain relievers are the drugs indicated for the treatment of the lower back. They can be given as injections, ointments, tablets, or transdermal patches.
What medicines are indicated to treat low back pain?
● Painkillers. Dipyrone or paracetamol are the right drugs for mild to moderate low back pain. Your doctor may prescribe them on their own or in combination with opioids or muscle relaxants.
● NSAIDs or non-steroidal anti-inflammatory drugs. These are alternatives to painkillers. This includes naproxen, diclofenac, or ibuprofen, all of which are recommended for the relief of acute low back pain.
● Muscle relaxants. Diazepam, cyclobenzaprine, or carisoprodol are some of the most commonly used relaxants for cases of low back pain. These are usually combined with a pain reliever (diclofenac, naproxen, or meloxicam) to increase the effectiveness of the treatment and mitigate pain.
● Opioids. Codeine or tramadol are two opioids that are used for a short period of time for acute pain and must always be prescribed by a doctor. These drugs are not indicated in cases of low back pain.
● Antidepressants. Occasionally, your doctor may prescribe some types of antidepressants, like amitriptyline, to relieve chronic low back pain.
● Ointments and patches. This form of dosage is used for specific types of anti-inflammatory drugs and pain relievers, such as Voltaren. Its use is recommended for mild pain or to complement systemic drug therapy.
● Injections. If there are signs of compression of the sciatic nerve, the pain is very intense, or prevents the patient from walking or sitting, it’s common practice to prescribe muscle relaxants and anti-inflammatory drugs in injections. What’s more, in some cases, when the treatment administered is not proving to be effective in reducing pain or the pain radiates, cortisone injections are administered to reduce inflammation.
Exercises for lumbago
Specific exercises to treat this ailment include different forms of muscle strengthening, stretching, and aerobic exercises. All of these are very helpful when it comes to soothing pain and restoring the mobility of your back. They also help you prevent new episodes of low back pain.
A physical therapist can teach you exercises to improve your posture, strengthen your abdominal and back muscles, and increase your flexibility. Regular use of physical therapy techniques can prevent the pain from coming back. These specialists are also the best people to teach you how to change movements during an episode of back pain to prevent it from getting worse.
Electrostimulation for physical therapy, also called electrotherapy, can be an added value when it comes to treating low back pain. The Wiemspro electrostimulation suit can work at very low intensities and frequencies that promote muscle rehabilitation and recovery.
In addition to all the above-mentioned exercises to combat lumbago, it’s also a good idea to practice yoga, Pilates, tai-chi, or similar disciplines. All of them help to strengthen the back muscles and are recommended for people suffering from both chronic and acute low back pain.
To ensure a quick recovery and avoid any movements or postures that may provoke a new episode of low back pain, it’s important to pay attention to postural hygiene. Learning to have a proper posture will prevent any future pain from popping back up.
Pilates and Global Postural Re-education (GPR) are some of the best alternatives in terms of preventing future crises and strengthening the muscles of the spine.
Electrostimulation for low back pain
Electrical muscle stimulation is a very effective method to treat lower back pain. It not only relieves pain, but at the same time can help in the treatment of what’s causing the problem to prevent it from recurring.
The benefits of electrostimulation for back pain are scientifically proven and is one of the preferred solutions among health professionals, especially physical therapists.
Specifically, the proper use of an electrostimulation vest allows you to direct impulses to the lumbar region, which causes a pain-relieving effect that soothes any back pain located in the middle and lower back. And so, thanks to this guided action, contractures can be reduced, mobility can be restored, and muscle pain can be relieved in a highly sensitive area.In short, lumbago is a very common condition, which may be prevented with the right exercises and which may be treated through the use of innovative techniques such as electrostimulation. Subscribe to our blog to learn more about this topic!