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Weekly show summary

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July 6, 2013 - Chronic Low Back Pain






Here are the additional tips Dr. Cassaro promised to add to this week's show summary:

Tip! If you have chronic low back pain and it hurts more when you lay down, consider asking your doctor to perform flexion and extension Xrays on your spine. These special Xrays can show instability in the back as well as images of potential issues not detected on traditional Xrays.



Chronic Low Back Pain


This week, Dr. Cassaro discussed Chronic low back pain.

Low back pain is very common. So common, in fact, that it's estimated that 4 out of 5 people will experience it sometime in their lives. The difference between low back pain that goes away and the kind that becomes a chronic pain struggle are discussed in this show. Read the summary and listen to the show to hear causes and effective treatments for chronic low back pain.


Q- How does low back pain start?

A- Low back pain usually starts with an injury. This injury may not be a direct "blunt trauma" to the back, but may be a strain, often from lifting objects that are very heavy, or lifting the wrong way.


Q- Can my low back pain be coming from somewhere else?

A- Yes. The most common place is the neck. An injury in the neck can cause a great deal of low back pain symptoms. In many cases, if your chronic low back pain treatment isn't working--the source of the pain is probably in your neck. Get an x-ray of your neck.


Q- What are some of the most common causes of chronic low back pain?

A. Here is a list of some of the most common reasons why you may experience chronic low back pain:

  • Disks (elaborate)
  • Arthritis
  • Ligaments
  • Metabolism
  • Tendons
  • Muscle spasm
  • Nerve injuries
  • Alignment problems
  • Sciatica
  • Spondylolisthesis
  • Neoplasms
  • Neurological causes
  • Neck (referred)
  • Hip (referred)
  • Upper back (referred)
  • bone spurs
  • Ankylosing spondylitis
  • Spinal stenosis
  • Fractures
  • Foot conditions (referred)
  • Chronic inflammation
  • Bacterial infections
  • Atherosclerosis
  • sacroiliac joint (age, arthritis)

Q- Can medications I take daily lead to chronic low back pain?

A- YES! Some medications can affect digestion. When the digestive system is not working correctly, toxins can build up and cause nerve irritability. In addition, your body may not be extracting vitamins and minerals as it should. This deficiency may lead to low back pain. Make sure you are eating right, and talk with your doctor about the medications you are taking-and the possible side effects it may have on your digestive system.