Chronic low back pain is located in the low back portion. Bending, prolonged sitting, sneezing, coughing or even turning over in bed can make it worst. The pain normally radiates to the buttocks down to the leg. Unfortunately the exact event or injury responsible for it is undetermined at times which include effective treatment. Non steroidal inflammatory drugs along with physical activity or exercise management are often given in rehab clinics to moderate severe chronic low back pain. This concept made it impossible to design a program that will correspond in the order that they occur for patients with low back pain. Please note that interventions applicable to or recommended for acute or subacute low back pain may not be appropriate for chronic low back pain nor one can apply it vice versa.

Appropriate intervention in the early stage of the problem directed in the pursuit of prognostic risk factor may reduce chronic disability. The knowledge of this prognostic risk factor is valuable for direct management and consideration of other issues or domains. Demographic and clinical features like frequency, duration of pain and leg pain are significant predictors of poor outcome. Patients that tend to develop chronic pain are usually depressed, focused on their complaints, unable to cope with their pain and most of the time experience fear aggravating their pain. Disability is not only dependent on the severity of the pain but one can tell that it is an outcome based not only of their pain but also of their response to their pain.

Manage your pain before it manages you! Repeated low back surgeries often do not result in pain relief. Stop bending and stop lifting weights that could increase your discomfort. Management of chronic low back pain with chronic sciatica can be identified as those experiencing pain radiating past the knee. Walking in balanced alignment with good posture pumps a steady, ample flow of oxygen to the discs with the rhythmic muscular contraction and expansion of every step.
Today’s modern chair-bound lifestyles cramp the discs into a stressed position and starve them of oxygen for hours at a stretch. This weakens abdominal and back muscles while reducing hip flexion and range of motion. Along with this are factors of being overweight, out of shape or being a smoker which may help worsen the condition. No doctor can take away your stress. Listen to your body better and treat small injuries before they become big ones. This could be some form of lifestyle problem punishing your backs with prolonged chair sitting. Low back pain needs a recovery program that gives first aid to injured muscles and discs, tune up poorly developed muscles and tendon in your hips to reset the balance between core muscle groups.

Remember that a healthy back is a back in balance being the supportive center of every imaginable movement. The back’s function is to support balanced movement and posture to protect the nerve bundles within the spinal cord. First stage care could be a combination of rest, medication, heat and ice or gentle rehabilitative exercise. Second stage care for ongoing low back pain that does not respond to first stage care may involve injection of saline solution to inflamed areas of fluoroscopy to selective nerve root epidurals which delivers directly to the source of pain a carefully calibrated dose of lidocaine and corticosteroid with the aid of fluoroscopy. Fluoroscopy is usually given to those who are suffering with low back pain and leg sciatica. These injections effect are still temporary even if combined with icing and exercise.
Stage 3 care could be radio frequency denervation. It is done by heating the nerves which innervates SI joints. This halts pain because the nerves are made inactive for a couple of years. Stage 3 care could also be intradiscal electrothermal therapy, nucleoplasty, micro-discectomy and laminectomy. The last two are surgical procedures which attempt to remove the herniated portion of the disc.
Whatever stage you are in right now, it always pays to go to your doctor and request for some form of rehabilitative exercise program that could help you ease your pain. In my case, proper posture, weight control, early morning walk or jog and managing pain not to sit for more than an hour helps. When you think you are likely to reach an hour sitting, stand and stretch a little and perform stationary walk right at where you are standing. This will help get your blood and oxygen flow to your body. The contents of this post are from various materials in my research. This may help you understand what your condition is and what you need to do to avoid progressing to stage 2. Exercise and proper diet…. This is always the case…. And proper posture!