low back pain in men

8/13/2019 Low Back Pain in Men

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ABSTRACT

This paper is made to complete the assignment for Medical English 3 in Faculty of

Medicine, Trisakti University. In this paper, I would like to give the reader a etter

understanding aout low ack pain in men so they can prevent it. !ow ack pain is one of the

most significant health prolems. "ain in the lower ack can generate from ony lumar spine,

discs etween the verterae, ligaments around the spine and discs, spinal cord and nerves,

muscles of the low ack, internal organs of the pelvis and adomen, and the skin covering the

lumar area. "ain in the lower ack is generally called lumar strain, and is a stretching in#ury to

the ligaments, tendons, and$or muscles of the low ack, which can result in microscopic tears in

these tissues. It is a soft tissue in#ury, which can occur ecause of overuse, improper use, or

trauma.

Keyword% !ow ack pain, men

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INTRODUCTION

I would like to give the reader a etter understanding aout low ack pain in men ecause

!ow ack pain & or lumago' is a common musculoskeletal disorders affecting ()* of people at

some point in their life. +out two thirds of adults suffer from low ack pain at some time.

+lthough the overall occurrence of ack pain similar in men and women, a greater percentage of

men &-.-*' eperience low ack pain than women &/-.0*'. I hope this paper can reduce the

incidence of low ack pain. The reader can prevent it and not cause disadvantage. !ow ack

pain can cause deformity and lost of #o in +merican. 1eventy to (/ percent of all people have

ack pain at some time in their life. !ow ack pain can range from mild, dull, annoying pain, to

persistent, severe, disaling pain in the lower ack. "ain in the lower ack can restrict moility

and interfere with normal functioning. Many things can cause low ack in#uries like muscle

strain or spasm, sprains of ligaments &which attach one to one', #oint prolems or a 2slipped

disk. The associationetween symptoms and imaging results is weak. The treatment very much

depends on the precise cause of the low ack pain. Moreover, each patient must e individually

evaluated and managed in the contet of the underlying ackground health status and activity

level.&-'

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LOW BACK PAIN

Definition

!ow ack pain is when you feel sore or uncomfortale in your lower ack or uttocks. It

is usually caused y muscle strain in your lower ack. If you strain a muscle in your ack, it can

hurt to move it.&-'

Frequency

4early everyone has low ack pain sometime. Men and women are e5ually affected. It

occurs most often etween ages 3) and /). +lthough the overall occurrence of ack pain similar

in men and women, a greater percentage of men &-.-*' eperience low ack pain than women

&/-.0*', while more women &6.*' suffer from upper ack pain than men &.*'.&0'

Ris F!ctors

7isk factors include heavy lifting and twisting, odily viration, oesity, and poor

conditioning, although low ack pain is commoneven in people without these risk factors. &0'

C!uses

The followingare the causes of low ack pain&3,8'

In#ury or overuse of muscles, ligaments, facet #oints, and the sacroiliac #oints.

"ressure on nerve rootsin the spinal canal. 4erve root compression can e caused y%

o + herniated disc, often rought on y repeated viration or motion &as during

machine use or sport activity, or when lifting improperly', or y a sudden heavy

strain or increased pressure to the lower ack.

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http://www.webmd.com/hw-popup/sacroiliac-jointshttp://www.webmd.com/hw-popup/spinal-nerve-rootshttp://www.webmd.com/hw-popup/spinal-nerve-rootshttp://www.webmd.com/hw-popup/herniated-disc-7991http://www.webmd.com/hw-popup/spinal-nerve-rootshttp://www.webmd.com/hw-popup/herniated-disc-7991http://www.webmd.com/hw-popup/sacroiliac-joints


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o 9steoarthritis oint degeneration', which typically develops with age. :hen

osteoarthritis affects the small facet #oints in the spine, it can lead to ack pain.

9steoarthritis in other #oints, such as the hips, can cause you to limp or to change

the way you walk. This can also lead to ack pain.

o 1pondylolysis and spondylolisthesis,vertera defects that can allow a vertera to

slide over another when aggravated y certain activities.

o 1pinal stenosis, or narrowing of the spinal canal, which typically develops with

age.

o Fractures of the verterae caused y significant force, such as from an auto or

icycle accident, a direct low to the spine, or compressing the spine y falling

onto the uttocks or head.

o 1pinal deformities, including curvature prolems such as severe scoliosis or

kyphosis.

;ompression fractures. ;ompression fractures are more common among postmenopausal

women with osteoporosis, or in men or women after long


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spine directly during surgery or in#ection treatments, or as the result of in#ury. >ack pain

may e the result of an infection in the one &osteomyelitis', in the spinal discs, or in the

spinal cord.

1pinal tumors, or growths that develop on the ones and ligaments of the spine, on the

spinal cord, or on nerve roots.

"edic!# $istory

;lues to underlying systemic disease include the patient@s ageA a history of cancer,

uneplained weight loss, in#ection


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P%ysic!# &'!(in!tion

The physician will eamine the ack and conduct neurologic tests to determine the cause

of pain. The remainder of the neurologic eamination should focus on ankle and great


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Magnetic resonance imaging &M7I' < a diagnostic procedure that uses a comination of

large magnets, radiofre5uencies, and a computer to produce detailed images of organs

and structures within the ody.

7adionuclide one scan < a nuclear imaging techni5ue that uses a very small amount of

radioactive material, which is in#ected into the patient@s loodstream to e detected y a

scanner. This test shows lood flow to the one and cell activity within the one.

Electromyogram &EMD' < a test to evaluate nerve and muscle function.

Classification

9ne method of classifying lower ack pain is y the duration of symptoms%

acute &less than weeks'

su acute &-0 weeks'

chronic &greater than -0 weeks'

Tre!t(ent

Most low ack pain can e treated without surgery. Treatment involves using analgesics,

reducing inflammation, restoring proper function and strength to the ack, and preventing

recurrence of the in#ury. Most patients with ack pain recover without residual functional loss.

"atients should contact a doctor if there is not a noticeale reduction in pain and inflammation

after 0 hours of self


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;ompresses may help reduce pain and inflammation and allow greater moility for some

individuals.

>ed rest G -0 days at most."atients should resume activities as soon as possile. +t

night or during rest, patients should lie on one side, with a pillow etween the knees

&some doctors suggest resting on the ack and putting a pillow eneath the knees'.

Medications including nonsteroidal anti


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Low *!c )!in re%!*i#it!tion+

Denerally, there are three phases to low ack pain rehailitation. &'

"hase I% +cute "hase

Huring this initial phase, the physiatrist and treatment team focus on making a diagnosis,

developing a treatment plan, and starting treatment to reduce the pain and inflammation. This

may include some of the items listed aove and possily the utili=ation of ultrasound, electrical

stimulation, or special in#ections.

"hase II% 7ecovery "hase

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9nce the initial pain and inflammation are reduced, the rehailitation team then focuses on

helping the patient restore function. This includes returning the patient to normal daily activities,

while starting an eercise program that is designed to help the patient regain fleiility and

strength.

"hase III% Maintenance "hase

The goal of this phase is two


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It is a comple structure of verterae, disks, spinal cord, and nerves, and includes five

ones, called lumar verterae, stacked one upon the other that connect the upper spine to

the pelvis si shock asorers, called disks, which act oth as cushions and staili=ers to

protect the lumar verterae

The spine has four regions%


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:hen standing, the lower ack holds most of the weight of the ody.

:hen ending, etending or rotating at the waist the lower ack is involved in the

movement.

CONCLUSION

!ow ack pain is one of the most significant health prolems. . Men and women are

e5ually affected. It occurs most often etween ages 3) and /). +lthough the overall occurrence

of ack pain similar in men and women, a greater percentage of men eperience low ack pain

than women. 7apid return to normal activities is usually the est course. >ack eercises are not

useful for the acute phase ut help to prevent recurrences and treat chronic pain. 1urgery is

appropriate for a small proportion of patientswith low ack symptoms.

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R&F&R&NC&S

-. University of Maryland Medical ;entre. !iterature reviews. +vailale at %

http%$$www. umm.edu . +ccessed Hecemer -0, 0))6.

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http://www/http://www/


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0. Rodts M. !ow >ack pain getting to the root of the prolem. +vailale at %

http%$$www. spineuniverse.com$ack

low back pain in men

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