Lower back pain is pain which occurs between the bottom of the rib cage and the buttock creases with or without pain in the upper legs .
Although most people get back pain, and although there are a large number of possible causes, a precise diagnosis is made in only a few cases.
The recommended approach includes:
Lower back pain can be divided according to its duration:
Such a rigid categorization might not be useful in practice since symptoms in patients may wax and wane
In acute low back pain patients can be counselled that :
Serious conditions whose signs and symptoms can cause low back pain are listed below.
Cancer. Red flags include:
Many individuals will not need extensive treatment for back pain. Over-the-counter pain medications are often sufficient.
In more severe cases, stronger treatments may be necessary, but they’re typically provided under close supervision from your doctor.
Alternative therapies that may help relieve back pain include:
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Predictors of poor prognosis include:
depression
passive coping strategies
job dissatisfaction
somatization
higher disability levels
The possibility that a person may die within the next few days or hours should be recognised and communicated clearly. Decisions should then be made and actions taken in accordance with the person’s needs and wishes. These should be regularly reviewed and decisions revised accordingly. Sensitive communication should take place between healthcare professionals and the dying person, and those identified as important to them. The dying person, and those identified as important to them, should be involved in decisions about treatment and care to the extent that the dying person wants. The needs of families and others identified as important to the dying person should be actively explored, respected and met as far as possible. An individual tailored plan of care should be agreed, coordinated and delivered with compassion.This includes support to eat and drink as long as they wish to do so, as well as symptom control and psychological, social and spiritual support to ensure their comfort and dignity.
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