Rabu, 02 Mei 2012

LOW BACK PAIN


Low back pain or lumbago is one of the musculoskeletal disorder most often experienced of people in their lives.

The classification of lower back pain based on the duration of symptoms as follow :
  • Acute ( less than 4 weeks )
  • Sub acute ( 4 - 12 weeks )
  • Chronic ( greater than 12 weeks )
The causes of lower back pain most often are :

1. Stretch of waist bone.
Stretch of waist bone include stretch of ligament, waist muscle and tendon that be caused of several things such as abundant movement, movement not true or trauma, so that cause very small injury at these organ. Acute situation if taking place in a few day or week, and situation of chronis if taking place more than 3 months.

2. Iritasi of nerve.
Fibre nerve that unfolding as long as backbone can experience of iritasi because of mechanical friction or by disease. This situation including radiculopathy, bone disorder, and inflammatory of nerve as a effect of virus infection.

3. Radiculopathy of lumbar.
Radiculopathy of lumbar is iritasi of nerve that be caused damage of discus among backbone. This damage happened as a effect the existence of degeneracy from external ring of discus, and trauma, or combination between both.

4. Condition of bone and joint.
Condition of bone and joint can cause low back pain such as congenital disorder, disorder as a effect of process of degenerative and inflammatory that happened at joint.

The cause that another of low back pain as follow :

1. Renal disorder.
Renal disorder that often be attributed to low back pain for example renal infection, calculi, and hemorrhage of renal as a effect of traumatic.

2. Pregnancy.
Pregnant woman often experience low back pain in consequence of mechanical pressure at waist bone and effect from position of baby in womb.

3. Problem at reproduction organ.
Some problem at reproduction organ of woman which can generate low back pain for example ovary cyst, tumor of womb and endometriosis.

4. Tumor.
Low back pain can also be caused of tumor. Tumor earn happened local at waist bone or happened in other place but experience spreading or metastasis to waist bone.

The main principle of treatment at case of low back pain is to overcome its pain in bone beforehand, afterwards just searched cause from these low back pain. Surgery may be indicated when conservative treatment is not effective in reducing pain or when the patient develops progressive and functionally limiting neurologic symptoms such as leg weakness, bladder or bowel incontinence, which can be seen with severe central lumbar disc herniation causing cauda equina syndrome or spinal abscess.

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