Types of Back Pain:

There are two types of back pain:

• Acute, or short-term back pain; it only lasts a few days to a few weeks. Most low back pain is acute. It can be resolved by simple proper body posture, exercises and some stretching. In some cases a few months are required for the symptoms to disappear.

• 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. In chronic type of back pain the pain becomes stressful and may affect your daily routine. Even if pain persists, it does not always mean there is a medically serious underlying cause or one that can be easily identified and treated. In some cases, treatment successfully relieves chronic low back pain, but in other cases pain continues despite medical and surgical treatment.

Disc Herniation:

• Disc herniation can cause LBP

• Our spine has a disc between each bone to promote movement and give space to our spinal cord and other structure that passes our spine

• If this disc herniates it can irritate those structures and may cause pain on the back upto the lower legs.

• Those pain are treatable but depends on their severity

Types of Herniation

• HERNIATION - any change in the shape of annulus that causes it to

  bulge beyond its normal perimeter

• PROTRUSION – nuclear material is contained by the outer layers of

  annulus and ligamentous structures

• PROLAPSE – rupture of the nuclear material into the vertebral canal

• EXTRUSION – extension of nuclear material beyond confines of PLL

• or above and below disc space but still in contact with the disc

• FREE SEQUESTRATION – extruded nucleus has separated from the

• disc and moved away from the prolapsed area

Peripheralization and Centralization

These two bill be assess so we know how to address the pain

• Peripheralization means the symptoms are experienced farther

  down the leg. Backward bending is limited; when repeating the

  backward-bending test, the pain lessens or centralizes.

• Centralization means that the symptoms recede up the leg or

  become localized to the back. If the protrusion cannot be

  mechanically reduced, backward bending peripheralizes or

  increases the symptoms.

To be continue....

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