Lumbago: Diagnosis and Treatment

lumbago: diagnosis and treatmentHow does the doctor gives a diagnosis?

In most cases, the doctor reaches a diagnosis from the information provided by the patient. Chiropractors usually perform a detailed exploration watching the movements of the joints of the spine, hips and pelvis, making muscle and joint tests and checking whether there is a pinched nerve in the spine.

Usually you do not need X-rays or blood tests to rule out more serious causes of back pain.

How is lumbago?

Acute Lumbago

- It is beneficial to the adiministración of NSAIDs and stay active.

- You can benefit the administration of analgesics and spinal manipulation.

- With the advantages and disadvantages: take muscle relaxants.

- No one knows the efficacy of colchicine, steroid epidural injections, injections into the facet joint, healthy posture, the EMG feedback, back exercises, the use of lumbostato (band), physical therapy sessions, TENS (transcutaneous electrical nerve stimulation).

- Possibly harmful Reusltan bed rest and traction.

Chronic low back pain

- Exercises are beneficial for strengthening the back muscles and postural hygiene.

- Are possibly beneficial: analgesics, NSAIDs, injections into ligaments and trigger points, spinal manipulations.

- They are of unknown efficacy of colchicine, antidepressants, muscle relaxants, epidural steroid injections, acupuncture, TENS, physical therapy, the use of lumbostato, stay active.

- They are probably not beneficial bed rest, the EMG feedback.

- Are potentially harmful injections into the facet joint and traction.

Evolution of lumbago

Evolution is good as long as the person remains active and receive appropriate treatment early in the picture.

It is shown that a weak abdominal muscles and lower back increases the risk of low back pain, so we recommend moderate exercise designed to strengthen that muscle.

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