Research shows that: Lying down longer than a day or two day isn't helpful for relieving back pain. People can recover more quickly without any bed rest. The sooner you start moving, even a little bit, or return to activities such as walking, the faster you are likely to improve.
Bed rest is no longer the go-to treatment for moderate back strain. Although it does minimize stress on the lower spine, it can also create other problems. Too much time in bed weakens muscles, including those needed to support the back.
Chronic back pain is defined as pain that continues for 12 weeks or longer, even after an initial injury or underlying cause of acute low back pain has been treated. About 20 percent of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year.
If you're experiencing back pain when sitting, your impulse may be to lie down and then try to slowly progress back to sitting, says Dr. Atlas. But this is the wrong approach. You should lie down to relieve the pain, but the goal should be not to return to sitting, but rather to regain your ability to stand and move.
Research shows that: Lying down longer than a day or two day isn't helpful for relieving back pain. People can recover more quickly without any bed rest. The sooner you start moving, even a little bit, or return to activities such as walking, the faster you are likely to improve.
Your spinal disc is at the bottom of your back, so if you have pain in your lower back, you may assume it is a slipped disc. Furthermore, the feeling of pain will differ between the two. Muscle pain will feel like post-workout soreness, while disc pain will feel debilitating and tingly.
“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 ...
Contact your health care provider for back pain that: Lasts longer than a few weeks. Is severe and doesn't improve with rest. Spreads down one or both legs, especially if the pain goes below the knee.
Back muscle strains typically heal with time, many within a few days, and most within 3 to 4 weeks. Most patients with mild or moderate lumbar strains make a full recovery and are free of symptoms within days, weeks, or possibly months.
The simple movement of walking is one of the best things we can do for chronic lower back pain. Ten to fifteen minutes of walking twice a day will help ease lower back pain. Substitute this activity for a more vigorous type of exercise if you prefer and/or are able.
Though resting can sometimes help, back pain may feel worse when lying down or sitting down due to the increased pressure on parts of the spine. Excessive bed rest can make back pain worse as the muscles get stiff and sore. Sprains occur when the ligaments are overstretched.
In general, osteoarthritis (the most common type of arthritis) and degenerative disk disease (the natural wear and tear of spinal disks) are the underlying cause of many types of chronic lower back pain. However, lower back pain can also be caused by accident-related trauma and acute stress.
Common Causes of Chronic Back Pain
Arthritis of the spine —the gradual thinning of the cartilage inside the spine. Spinal stenosis —narrowing of the spinal canal that may lead to nerve pain. Disc problems, such as a herniated or bulging disc. Myofascial pain syndrome—unexplained muscle pain and tenderness.
See a GP if:
back pain does not improve after treating it at home for a few weeks. the pain is stopping you doing your day-to-day activities. the pain is severe or getting worse over time. you're worried about the pain or you're struggling to cope.
If your back pain lasts more than two weeks and keeps you from participating in normal, daily activities, see your family doctor. If your pain is severe, you should see a doctor sooner. You should seek urgent medical care if you have: Fever associated with back pain.
Don't assume pain in the lower back, cramping in the legs and that “pins and needles” feeling are the result of a problem with your spine. Symptoms of artery disease, arthritis and neuropathy often masquerade as spinal pain.
Your doctor will likely perform a physical exam, which may include: Examining your spine and posture to look for changes in the bony structure. Asking you to bend or lift your legs to determine how movement affects your pain. Testing your reflexes, muscle strength, and sensation.
If your herniated disk is in your lower back, besides pain in your lower back, you'll typically feel pain in your buttocks, thigh and calf. You might have pain in part of the foot as well. For a herniated disk in your neck, you'll typically feel the most pain in your shoulder and arm.
Walking, swimming, and biking may all help reduce back pain. Start with short sessions and build up over time. If your back is hurting, try swimming, where the water supports your body.
Herniated disc symptoms
The bulging or herniated part of the disc presses on nerves as they exit the spine, resulting in pain and other symptoms. Since herniated discs involve nerve compression, the symptoms they cause can feel a lot different from the symptoms associated with muscle strain.
While stretching is highly recommended before physical activity and even as a way to release tight muscles in the morning, it may not be wise when suffering with current back pain. It can actually aggravate the muscles that are already inflamed due to injury.
Lie on your back with both knees bent and your feet flat on the floor. Place your right ankle at the base of your left thigh. Then, place your hands behind your left thigh and pull up toward your chest until you feel a stretch. Hold this position for 30 seconds to 1 minute.