If the pain you feel extends to your arms, forearms, and hands, the source may be your cervical spine. On the other hand, if you feel the pain radiating to your legs, it may be a problem with the lumbar spine.
Back pain can range from a muscle aching to a shooting, burning or stabbing sensation. Also, the pain can radiate down a leg. Bending, twisting, lifting, standing or walking can make it worse.
Sprains and strains usually cause a broad, aching pain across the lower back. The pain may be limited to one side or the other. You may have trouble bending your back or standing up completely straight. You may also have an occasional muscle spasm, especially when moving around or while sleeping.
While pain in your mid-back may be related to a disc, it's more likely caused by muscle strain or other issues. Your symptoms feel worse when you bend or straighten up from a bent position. Movement can increase pressure on the herniated disc and the surrounding nerves, causing symptoms to increase.
Inflammatory pain would more likely be of insidious onset and of longer duration (i.e. more than three months) whereas mechanical pain tends to be more acute and can often be linked to an injury.
An MRI will not show muscle strains or other problems with soft tissues. The pain usually will go away on its own, although it may take several months. An MRI won't change your treatment plan.
If the herniated disc is enough to impinge in other spinal structures pain can present in the hip and either one or two legs, radiation of the pain is not always constant and it feels sharp at times. A low back sprain can have referred pain but it feels the same across the back and it will not involve the legs.
If the pain lasts four weeks or longer. If the pain keeps getting worse as time goes by. If you are experiencing other symptoms, such as fever, major weight loss or weight gain, loss of function or weakness in extremities, bladder problems, etc.
“Red flags” include pain that lasts more than 6 weeks; pain in persons younger than 18 years or older than 50 years; pain that radiates below the knee; a history of major trauma; constitutional symptoms; atypical pain (eg, that which occurs at night or that is unrelenting); the presence of a severe or rapidly ...
During a lumbar puncture (spinal tap) procedure, you typically lie on your side with your knees drawn up to your chest. Then a needle is inserted into your spinal canal — in your lower back — to collect cerebrospinal fluid for testing. A lumbar puncture (spinal tap) is a test used to diagnose certain health conditions.
Numbness or decreased sensation in the area supplied by the nerve. Sharp, aching or burning pain, which may radiate outward. Tingling, pins and needles sensations (paresthesia) Muscle weakness in the affected area.
"Most people's back pain dissipates in about a week or two, but if your pain is long-term or chronic, it's time to see a spine specialist."
Activities like walking, swimming, yoga and pilates may also help ease back pain.
Acute, or short-term back pain lasts a few days to a few weeks. Most low back pain is acute. It tends to resolve on its own within a few days with self-care and there is no residual loss of function. In some cases a few months are required for the symptoms to disappear.
Some common symptoms of a herniated or slipped disc include: Pain that occurs on one side of the body. Sharp pain in one part of the leg, hip, or buttocks and numbness in other parts. You may also feel pain or numbness on the back of the calf or sole of the foot.
X-rays. Plain X-rays don't detect herniated disks, but they can rule out other causes of back pain, such as an infection, tumor, spinal alignment issues or a broken bone. CT scan.
Inflammatory MRI lesions in early AS are seen more often in posterior structures of the spine. This may be relevant for the diagnosis of early AS and the early detection of inflammatory spinal involvement.
With many nuances, accuracy relies heavily on the skill of the reading radiologist. In a study published by The Spine Journal, the diagnostic error rate for lumbar MRI interpretations was a striking 43.6 percent.
Trigger points do not show up on X-ray, CT, or MRI. They can't be detected with a blood test. Trigger points are diagnosed by feeling for them. Trigger points can not be cured with the traditional approach of muscle relaxers, anti-depressants, or pain pills.
Prolonged nerve irritation, which occurs when back pain is left untreated for too long, can lead to permanent disabilities. Untreated vertebrae injuries can even lead to spinal stenosis (the narrowing of the spinal canal), radiculopathy (severe nerve pain), and nerve damage.
Symptoms. Patients with spinal inflammation will experience back pain in some form. Those with infections, for example, may experience a slow onset of severe back pain, accompanied by fever, chills, and fatigue. Patients with ankylosing spondylitis experience slow-onset pain as well, but it may come and go.
Pain in inflammatory back pain is more often localized to the lumbar spine and may be associated with buttock pain that alternates from one side to another; though, it is patient characteristics, chronicity, and pain progression that set IBP apart from other causes.