Nearly everyone will experience low back pain at some point in their life; it is the second most common cause of missed days of work in the United States--only a common cold causes more missed work. Almost all of these low back injuries are due to injuries of the muscle or ligament. If you don't know the cause of your back pain, you should have it evaluated by a doctor. Some warning signs of a serious injury to the spine include:
- Loss of control of bladder or bowels
- Progressive lower extremity weakness
- Pain that wakes you from sleep
- Severe, constant pain
While most back pain is caused by a muscle strain or ligament sprain, there are serious conditions that require more immediate treatment. If you are unsure of the cause of your symptoms, you should be evaluated by a physician.
Low Back Muscle StrainsThe spine is supported by large muscles called the paraspinal muscles. These muscles both support the spinal column as well as the weight of the upper body. The five lumbar vertebrae are connected by tough ligaments that help to maintain the position of the spinal column.
These muscles, ligaments, and bones all work together to provide control and strength for nearly all activities. The lumbar spine and its muscles are needed for most all movements and activities. For this reason, the lumbar spine is prone to injury, and when an injury has been sustained, people have difficulty performing many activities.
Symptoms of a Low Back StrainMost lumbar muscle strains and sprains cause symptoms isolated to the low back, usually they do not cause problems in the legs like some other spine conditions. The most common symptoms of a lumbar strain or sprain are:
- Pain around the low back and upper buttocks
- Low back muscle spasm
- Pain associated with activities, and generally relieved with rest
When the lumbar spine is strained or sprained, inflammation of the soft-tissues results. This inflammation causes pain and can cause muscle spasm. People are often surprised at how painful and debilitating a lumbar strain or sprain can be--these are not minor injuries. They often cause severe symptoms for a few days and may not completely resolve for weeks or months. That said, over 90% of patients are completely recovered from an episode of lumbar muscle strain or sprain within one month.
We do know some factors that tend to influence the development of this type of problem, but often these symptoms strike in unexpected situations. Most commonly, patients who develop a lumbar strain or sprain are doing an activity that places their back at risk. This may be a sudden forceful movement, lifting a heavy object, or twisting the back in an unusual manner. Knowing how to properly lift can help to prevent many back injuries.
Some well known factors that contribute to low back pain include:
- Poor conditioning
- Improper use/lifting technique