Exercise For Back Pain: Mattresses

Night time is a period when we all want to relax from our everyday tensions and troubles of life. However, if this also turns out to be a discomforting experience, there cannot be anything more annoying. We all want to stay comfortable in our cocoons at night, but money is also an important consideration.

Due to this, homeowners have been divided into two divisions – ones who are ready to spend any price for their comfort and the others who are quite economical and therefore not very choosy about the mattress they are using unless they can actually afford those expensive comforts of luxurious mattresses.

Memory foam mattresses – a remedy for your back pain

The good news especially for these economical homeowners is that superior memory foam mattresses are now accessible at affordable rates providing you a refreshing and relaxed sleep.

One of the most common complaints that people make relating to their sleep is about their back pain. People are more likely to change sides frequently during the sleep if their hips or back is getting hurt. Foam mattresses cushion the body so well that you do not feel any pain and ensures you a sound sleep.

Even when you have any temporary pains like pregnancy, upgrading to this fine quality mattress can provide you with great rest.

By enhancing your experience of sleep, it can help you to rest your body and thereby increase your energy levels, so that you achieve more than what you decide without feeling lethargic.The popularity of memory foam mattresses has increased tremendously in the past few years.Also, its price is dropping with every passing year.

Regular v/s memory foam mattress

The disparity that lies between any regular mattress and memory foam mattress is awesome. They don’t only have a visual appeal, they are something that you should actually go to the sales floor and feel it yourself to realize its true worth. Though most manufacturers make available a complimentary trial period for these mattresses, but it is hardly possible to return it
back after the trial period once you have experienced the luxury of sleeping on them.

Upgrade gradually to mattress

In case, you don’t want to invest straightway into the memory foam mattress, you can initiate with a memory foam pillow or a topper. This will gradually acquaint you with the benefits of these luxurious products. It is advisable to start with a topper only and then shift to the mattress to make your experience the most contented one.

Exercise For Back Pain: Mattresses

Alternative Treatments For Back Pain

The term alternative therapy covers a wide array of treatments, with a corresponding variation in levels of acceptance amongst the medical community.

Alternative medicine is a growing field, but sometimes relies more on anecdotal evidence than careful study.

The most reputable alternative treatments include chiropractic, prolotherapy, acupuncture and acupressure, and massage therapy.

Chiropractors use spinal manipulation to adjust the spine. Their goal is to ease pressure on the nervous system by properly aligning the spine. Spinal manipulation tries to restore joint mobility by applying a controlled force into joints that have become restricted in their movement. Chiropractic is the most popular form of alternative therapy.

Prolotherapy is a treatment in which a sugar solution or other irritating substance is injected into the periosteum, the fibrous tissue covering the bones, in order to strengthen the attachment of tendons and ligaments.

Acupuncture and acupressure are based on the ancient Chinese philosophy that a life force called Qi flows through the body. If the flow is impeded, the body can become ill. Acupuncture uses needles to unblock the flow of Qi, while acupressure uses massage to accomplish the same thing.

Massage therapy can benefit back pain sufferers by increasing blood flow and circulation, decreasing tension in the muscles, reducing pain caused by tight muscles and even improving sleep. Massage therapy can provide relief for many common conditions that cause back pain, such as arthritis, fibromyalgia, sports injuries and various other soft tissue sprains and strains.

Alternative Treatments For Back Pain

Surgical Treatments For Back Pain

While the majority of treatment for lower back pain is non-surgical, there are some conditions for which surgery is appropriate. As well, in some rare cases, surgery can be used to treat chronic back pain for which other treatments have failed.

In a laminectomy, part of the lamina, a portion of the bone on the back of the vertebrae, is removed. It can be used to treat herniated discs and spinal stenosis. In microdiscectomy a much smaller incision is made and the doctor uses a magnifying lens to locate the disc.

The smaller incision may reduce pain and the disruption of tissues, and it reduces the size of the surgical scar.

With a laser discectomy, a laser is used to vaporize the tissue in the disc, reducing its size and relieving pressure on the nerves.

Spinal fusion may be used to treat spondylolisthesis and degenerative disc disease. In spinal fusion, two or more vertebrae are joined together using bone grafts, screws, and rods. The fused area of the spine becomes immobilized.

Vertebral fractures can be caused by trauma or by osteoporosis. A vertebroplasty injects a cement-like mixture called polymethyacrylate into the fractured vertebra to stabilize the spine. Kyphoplasty inserts a balloon device to help restore the height and shape of the spine before injecting polymethyacrylate to repair the fractured vertebra.

Disc replacement surgery can now be done in cases where the disc is severely damaged. Here the disc is simply removed and replaced with a synthetic disc.

Surgical Treatments For Back Pain

Non Surgical Treatment For Back Pain

Back pain may be relieved with a variety of techniques. For most common occurrences of back pain, a regiment of rest, hot and cold compresses, exercise and therapy, as well as various pain medications can be used to reduce the pain and provide a level of comfort.

Hot and cold compresses, used separately or by alternating, can have great benefit in reducing back pain. Heat is used to relax the muscles. It works by dilating the blood vessels, which improves the flow of oxygen to the affected area and reduces pain and muscle spasms. Cold packs are used to reduce inflammation, such as that from arthritis or injury. This works by decreasing the size of blood vessels and the flow of blood to the area. It is important to avoid prolonged application of either heat or cold packs, especially near the organs found in the abdominal cavity.

Exercising is of great benefit both to someone suffering from back pain and for anyone hoping to avoid it in the future. If you are suffering from acute back pain, exercising may not be possible or even a good idea.

However, for chronic back pain, a regular exercise program is recommended. Exercises will help strengthen the muscles that support the back, and increase flexibility and range of motion.A physical therapist can help you in developing an exercise plan that is suitable for you and your condition.

Nonprescription medicines can be used to reduce pain. They include medications like aspirin Tylenol, which are meant for general pain relief. Anti-inflammatory drugs are used to reduce swelling. These include such nonprescription medications as ibuprofen (Motrin, Advil). Stronger prescription-based medication is available, both as pain relievers and anti inflammatories.

Non Surgical Treatment For Back Pain

How To Prevent Back Pain

Simple lower back pain can be caused by straining the muscles, tendon or ligaments of the lower back. The most effective prevention is to take care as to how you lift heavy objects. Do not try to lift any significant weight by bending over the object. You should bend your knees and then lift with your legs. Avoid twisting your body while lifting. When moving heavy objects,pushing is less stressful than pulling. Routine activities, such as housework or gardening, can cause back pain. Avoid standing flat-footed while bent over.

A sedentary lifestyle will contribute to back problems.

Regular exercise will improve the flexibility and strength of the muscles which support your lower back. These include the abdominal muscles, as well as those in the legs and back. A simple exercise routine can help prevent back pain throughout your life. Obesity is a common cause of back pain. Aerobic exercise can help manage weight concerns. Swimming, jogging or even walking are all activities that will help you lose weight and feel better.

In addition to exercise, a proper diet is essential in managing your weight. However, there are also two nutrients, calcium and vitamin D, that help build healthy and strong bones and prevent osteoporosis, which can cause bone fractures that lead to back pain.

Many people whose jobs involve sitting for long periods of time experience back pain. It is important to get up and move around regularly. If driving for long periods of time, take the time to stop and get out of your vehicle.

Stretching your muscles and improving blood flow to your lower body will help prevent back pain, as well as help keep you alert for the rest of your trip.

Changing the position in which you sleep can also help prevent back pain. The best positions are either to sleep lying on your side with your legs bent, or lying on your back with a pillow under your knees. A firm mattress is usually the best bet. A sheet of plywood can be placed between the box spring and the mattress in order to increase the firmness of your bed.

How To Prevent Back Pain

What are treatment options for sciatica?

 Bed rest has been traditionally advocated for the treatment of acute sciatica. But how useful is it?

To study the effectiveness of bed rest in patients with sciatica of sufficient severity to justify treatment with bed rest for two weeks, a research team in the Netherlands led by Dr. Patrick Vroomen randomly assigned 183 such patients to bed rest or, alternatively, to watchful waiting for this period.

To gauge the outcome, both primary and secondary measures were examined. The primary outcome measures were the global assessments of improvement after two and 12 weeks by the doctor and the patient. The secondary outcome measures were changes in functional status and in pain scores, absenteeism from work, and the need for surgical intervention. Neither the doctors who assessed the outcomes nor those involved in data entry and analysis were aware of the patients' treatment assignments.

The results, reported in the New England Journal of Medicine, showed that after two weeks, 64 of the 92 (70%) patients in the bed-rest group reported improvement, as compared with 59 of the 91 (65%) of the patients in the control (watchful-waiting) group. After 12 weeks, 87% of the patients in both groups reported improvement. The results of assessments of the intensity of pain, the aggravation of symptoms, and functional status revealed no significant differences between the two groups. The extent of absenteeism from work and rates of surgical intervention were similar in the two groups.

The researchers concluded that "among patients with symptoms and signs of a lumbosacral radicular syndrome, bed rest is not a more effective therapy than watchful waiting." Sometimes, conventional wisdom is not as wise as research!

Other treatment options for sciatica include addressing the underlying cause, medications to relieve pain and inflammation (including oral and injectable cortisone) and relax muscles, and physical therapy. A variety of low back conditioning and stretching exercises are employed to help people recover from sciatica. Surgical procedures can sometimes be required for persisting sciatica that is caused by nerve compression at the lower spine. Sometimes pain management specialists help with chronic sciatica conditions.

What are treatment options for sciatica?

What are sciatica symptoms?

Sciatica causes pain, a burning sensation, numbness, or tingling radiating from the lower back and upper buttock down the back of the thigh to the back of the leg. The result is lumbar pain, buttock pain, hip pain, and leg pain. Sometimes the pain radiates around the hip or buttock to feel like hip pain. While sciatica is often associated with lower back pain (lumbago), it can be present without low back pain. Severe sciatica can make walking difficult if not impossible. Sometimes the symptoms of sciatica are aggravated by walking or bending at the waist and relieved by lying down. The pain relief by changing positions can be partial or complete.

What are sciatica symptoms?

What is sciatica?

Sciatica is pain in the lower extremity resulting from irritation of the sciatic nerve. The pain of sciatica is typically felt from the low back (lumbar area) to behind the thigh and radiating down below the knee. The sciatic nerve is the largest nerve in the body and begins from nerve roots in the lumbar spinal cord in the low back and extends through the buttock area to send nerve endings down the lower limb. The pain of sciatica is sometimes referred to as sciatic nerve pain.

What is sciatica?

What are other causes of lower back pain?

Other causes of low back pain include kidney problems, pregnancy, ovary problems, and tumors.

Kidney problems

Kidney infections, stones, and traumatic bleeding of the kidney (hematoma) are frequently associated with low back pain. Diagnosis can involve urine analysis, sound-wave tests (ultrasound), or other imaging studies of the abdomen.

Pregnancy

Pregnancy commonly leads to low back pain by mechanically stressing the lumbar spine (changing the normal lumbar curvature) and by the positioning of the baby inside of the abdomen. Additionally, the effects of the female hormone estrogen and the ligament-loosening hormone relaxin may contribute to loosening of the ligaments and structures of the back. Pelvic-tilt exercises and stretches are often recommended for relieving this pain. Women are also recommended to maintain physical conditioning during pregnancy according to their doctors' advice. Natural labor can also cause low back pain.

Ovary problems

Ovarian cysts, uterine fibroids, and endometriosis not infrequently cause low back pain. Precise diagnosis can require gynecologic examination and testing.

Tumors

Low back pain can be caused by tumors, either benign or malignant, that originate in the bone of the spine or pelvis and spinal cord (primary tumors) and those which originate elsewhere and spread to these areas (metastatic tumors). Symptoms range from localized pain to radiating severe pain and loss of nerve and muscle function (even incontinence of urine and stool) depending on whether or not the tumors affect the nervous tissue. Tumors of these areas are detected using imaging tests, such as plain X-rays, nuclear bone scanning, and CAT and MRI scanning.

What are other causes of lower back pain?

What are uncommon causes of low back pain?

 Uncommon causes of low back pain include Paget's disease of bone, bleeding or infection in the pelvis, infection of the cartilage and/or bone of the spine, aneurysm of the aorta, and shingles.

Paget's disease of bone

Paget's disease of the bone is a condition of unknown cause in which the bone formation is out of synchrony with normal bone remodeling. This condition results in abnormally weakened bone and deformity and can cause localized bone pain, though it often causes no symptoms. Paget's disease is more common in people over the age of 50. Heredity (genetic background) and certain unusual virus infections have been suggested as causes. Thickening of involved bony areas of the lumbar spine can cause the radiating lower extremity pain of sciatica.

Paget's disease can be diagnosed on plain X-rays. However, a bone biopsy is occasionally necessary to ensure the accuracy of the diagnosis. Bone scanning is helpful to determine the extent of the disease, which can involve more than one bone area. A blood test, alkaline phosphatase, is useful for diagnosis and monitoring response to therapy. Treatment options include aspirin, other anti-inflammatory medicines, pain medications, and medications that slow the rate of bone turnover, such as calcitonin (Calcimar, Miacalcin), etidronate (Didronel), alendronate (Fosamax), risedronate (Actonel), and pamidronate (Aredia).

Bleeding or infection in the pelvis

Bleeding in the pelvis is rare without significant trauma and is usually seen in patients who are taking blood-thinning medications, such as warfarin (Coumadin). In these patients, a rapid-onset sciatica pain can be a sign of bleeding in the back of the pelvis and abdomen that is compressing the spinal nerves as they exit to the lower extremities. Infection of the pelvis is infrequent but can be a complication of conditions such as diverticulosis, Crohn's disease, ulcerative colitis, pelvic inflammatory disease with infection of the Fallopian tubes or uterus, and even appendicitis. Pelvic infection is a serious complication of these conditions and is often associated with fever, lowering of blood pressure, and a life-threatening state.

Infection of the cartilage and/or bone of the spine

Infection of the discs (septic discitis) and bone (osteomyelitis) is extremely rare. These conditions lead to localized pain associated with fever. The bacteria found when these tissues are tested with laboratory cultures include Staphylococcus aureus and Mycobacterium tuberculosis (TB bacteria). TB infection in the spine is called Pott's disease. These are each very serious conditions requiring long courses of antibiotics. The sacroiliac joints rarely become infected with bacteria. Brucellosis is a bacterial infection that can involve the sacroiliac joints and is usually transmitted in goat's milk.

Aneurysm of the aorta

In the elderly, atherosclerosis can cause weakening of the wall of the large arterial blood vessel (aorta) in the abdomen. This weakening can lead to a bulging (aneurysm) of the aorta wall. While most aneurysms cause no symptoms, some cause a pulsating low back pain. Aneurysms of certain size, especially when enlarging over time, can require surgical repair with a grafting procedure to repair the abnormal portion of the artery.

Shingles

Shingles (herpes zoster) is an acute infection of the nerves that supply sensation to the skin, generally at one or several spinal levels and on one side of the body (right or left). Patients with shingles usually have had chickenpox earlier in life. The herpes virus that causes chickenpox is believed to exist in a dormant state within the spinal nerve roots long after the chickenpox resolves. In people with shingles, this virus reactivates to cause infection along the sensory nerve, leading to nerve pain and usually an outbreak of shingles (tiny blisters on the same side of the body and at the same nerve level). The back pain in patients with shingles of the lumbar area can precede the skin rash by days. Successive crops of tiny blisters can appear for several days and clear with crusty inflammation in one to two weeks. Patients occasionally are left with a more chronic nerve pain (postherpetic neuralgia). Treatment can involve symptomatic relief with lotions, such as calamine, or medications, such as acyclovir (Zovirax) for the infection and pregabalin (Lyrica) or lidocaine (Lidoderm) patches for the pain.

What are uncommon causes of low back pain?

What is the function of the low back?

 The low back, or lumbar area, serves a number of important functions for the human body. These functions include structural support, movement, and protection of certain body tissues.

When we stand, the lower back is functioning to support the weight of the upper body. When we bend, extend, or rotate at the waist, the lower back is involved in the movement. Therefore, injury to the structures important for weight bearing, such as the bony spine, muscles, tendons, and ligaments, often can be detected when the body is standing erect or used in various movements.

Protecting the soft tissues of the nervous system and spinal cord as well as nearby organs of the pelvis and abdomen is a critical function the lumbar spine and adjacent muscles of the low back.

What is the function of the low back?

What is the anatomy of the low back?

 The first step to understanding low back pain is appreciating the normal design (anatomy) of the tissues of this area of the body. Important structures of the low back that can be related to symptoms in this region include the bony lumbar spine (vertebrae, singular = vertebra), discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, muscles of the low back, internal organs of the pelvis and abdomen, and the skin covering the lumbar area.

The bony lumbar spine is designed so that vertebrae "stacked" together can provide a movable support structure while also protecting the spinal cord from injury. The spinal cord is composed of nervous tissue that extends down the spinal column from the brain. Each vertebra has a spinous process, a bony prominence behind the spinal cord, that shields the cord's nervous tissue from impact trauma. Vertebrae also have a strong bony "body" (vertebral body) in front of the spinal cord to provide a platform suitable for weight bearing of all tissues above the buttocks. The lumbar vertebrae stack immediately atop the sacrum bone that is situated in between the buttocks. On each side, the sacrum meets the iliac bone of the pelvis to form the sacroiliac joints of the buttocks.

The discs are pads that serve as "cushions" between the individual vertebral bodies. They help to minimize the impact of stress forces on the spinal column. Each disc is designed like a jelly donut with a central, softer component (nucleus pulposus) and a surrounding, firm outer ring (annulus fibrosus). The central portion of the disc is capable of rupturing (herniating as in a herniated disc) through the outer ring, causing irritation of adjacent nervous tissue and sciatica as described below. Ligaments are strong fibrous soft tissues that firmly attach bones to bones. Ligaments attach each of the vertebrae to each other and surround each of the discs.

The nerves that provide sensation and stimulate the muscles of the low back as well as the lower extremities (the thighs, legs, feet, and toes) all exit the lumbar spinal column through bony portals, each of which is called a "foramen."

Many muscle groups that are responsible for flexing, extending, and rotating the waist, as well as moving the lower extremities, attach to the lumbar spine through tendon insertions.

The aorta and blood vessels that transport blood to and from the lower extremities pass in front of the lumbar spine in the abdomen and pelvis. Surrounding these blood vessels are lymph nodes (lymph glands) and tissues of the involuntary nervous system that are important in maintaining bladder and bowel control.

The uterus and ovaries are important pelvic structures in front of the pelvic area of women. The prostate gland is a significant pelvic structure in men. The kidneys are on either side of the back of the lower abdomen, in front of the lumbar spine.

The skin over the lumbar area is supplied by nerves that come from nerve roots that exit from the lumbar spine.

What is the anatomy of the low back?

Low back pain facts

•     Functions of the low back, or lumbar area, include structural support, movement, and protection of certain body tissues.
•     Pain in the low back can relate to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, muscles of the low back, internal organs of the pelvis and abdomen, and the skin covering the lumbar area.
•     Treatment of low back pain is optimally directed toward a diagnosed or suspected specific cause. For acute lumbar strain, use of a home remedy initially can be beneficial.

Low back pain facts