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Opioid treatment for chronic low back pain increases the risk for lifetime illicit drug use [100] and the effect of long-term use of opioids for lower back pain is unknown. [101] For older people with chronic pain, opioids may be used in those for whom NSAIDs present too great a risk, including those with diabetes, stomach or heart problems.
Low to moderate-quality evidence suggests that spinal manipulation is an effective treatment for acute sciatica. [3] [61] For chronic sciatica, the evidence supporting spinal manipulation as treatment is poor. [61]
PTs share the best lower back stretches to release tightness, aches, and lower back pain. These 8 stretches can be done in 10 minutes or less for fast results. ... to or turn into a lumbar strain ...
A spinal disc herniation is an injury to the intervertebral disc between two spinal vertebrae, usually caused by excessive strain or trauma to the spine. It may result in back pain , pain or sensation in different parts of the body, and physical disability .
Spinal manipulation appears to provide similar effects to other recommended treatments for chronic low back pain. [57] There is no evidence it is more effective than other therapies or sham, or as an adjunct to other treatments, for acute low back pain [58] "Back school" is an intervention that consists of both education and physical exercises.
Strains and sprains to the back muscles can be caused by improper movements while lifting heavy loads, overuse of a muscle, sudden forceful movements, or direct trauma. [8] Herniated discs are associated with age-related degeneration, trauma such as a fall or car accident, and bending or twisting while lifting heavy weights. [ 9 ]
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