Monthly Archives: July 2013

How The Skeletal Muscles Cause Back Pain

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The skeletal bones make up more than 200 short, long, irregular, and flat structures. Inside the bones is calcium, phosphorus, magnesium, and RBCs, or marrow, which produces and generate red blood cells. The bones work along side the muscles. The muscles and bones afford support, defense for the internal organs, and locomotion.

The skeletal muscles are our source of mobility, which supports the posture. The muscles work alongside the posture by shortens and tighten it. The bones attach to the muscles via tendons. The muscle then starts to contract with stimulus of muscle fibers via a motor nerve cell, or neuron. The neurons consist of axon, cell bodies, and dendrites, which transport to the nerve impulses and are the essential makeup of our functional components within the larger system of nerves. (Central Nervous System-CNS) CNS is a network or system of nerve cells, fibers, etc, that conveys and transmits sensations to the brain, which carries on to the “motor impulses” and onto the organs and muscles.

Skeletal muscles supply movement for the body and the posture; as well, the skeletal muscles also submit energies to create contractions that form from ATP or adenosine Triphosphate and hydrolysis, ADP or adenosine Diphosphate and finally phosphate.

The skeletal muscles also preserve muscle tone. What happen are the skeletal acts as a retainer by holding back a degree of contractions and breaking down acetylcholine by cholinesterase to relax the muscles? Muscles are made up of ligaments.

Ligaments are robust bands combined with collagen threads or fiber that connect to the bones. The bands, fiber, and bones join to encircle the joints, which gives one a source of strength. Body weight requires cartilages, joints, ligaments, bones, muscles, etc to hold its weight. Next to ligaments are tendons. Tendons are ligaments and muscles combined, since it connects to the muscles and are made of connective proteins, or collagen. Tendons however do not possess the same flexibility as the ligaments do. Tendons make up fiber proteins that are found in cartilages, bones, skin, tendons, and related connective tissues.

Joints are the connective articulated junctions between the bones. Joints connect to two bones and its plane and provide stability as well as locomotion. ROM is the degree of joint mobility, which if ROM is interrupted, the joints swell, ache, and cause pain. The pain often affects various parts of the body, including the back. Joints connect with the knees, elbow, skull, bones, etc, and work between the synovium. Synovium is a membrane. The membrane lines the inner plane of the joints. Synovium is essential since it supplies antibodies. The antibodies combined with this membrane create fluids that reach the cartilages. The fluids help to decrease resistance, especially in the joints. Synovium works in conjunction with the cartilages and joints.

Cartilage is the smooth plane between the bones of a joint. The cartilage will deteriorate with restricted ROM or lack of resistance in the weight bearing joints. This brings in the bursa. Bursa is a sac filled with fluid. Bursa assists the joints, cartilages, bones, and synovium by reducing friction. Bursa also works by minimizing the risks of joints rubbing against the other. In short, bursa is padding.

If fluids increase, it can cause swelling, and inflammation in turn causing body pain, and including back pain. Sometimes the pain starts at the lower back, yet it could work around various areas of the body. The assessments in this situation revolve around symptoms, including pain, fatigue, numbness, limited mobility, joint stiffness, fevers, swelling, and so on. The results of skeletal muscle difficulties can lead to muscle spasms, poor posture, skeletal deformity, edema, inflammation, and so on. As you see from the medical versions of the skeletal muscles, back pain results from limited ROM, joint stiffness, etc.

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How Back Pain Starts

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Only with a medical history and exam—and sometimes medical tests—can a doctor diagnose the cause of back pain. Many times, the precise cause of back pain is never known. In these cases, it may be comforting to know that most back pain gets better whether or not you find out what is causing it

When considering back pain we must concern ourselves with its variants. For instance, back pain can start with slip disks, which in medical terms is called “Herniated nucleus pulposa.” (HNP) Doctors define slip disks as ruptures of the “intervertebral disk.” The intervertebral rests between the vertebrae (Spinal Column) of the backbone.

The interruption has variants, including the “Lumbrosacral,” (L4 and L5) as well as cervical C5-7. The cervical is at the neck and belongs to other parts of the back and neck as well. When doctors consider slip disks they often look through etiology, which includes neck and back strains, trauma, congenital/inborn bone malformation, heavy lifting, degenerated disks, and/or weakness of ligaments.

After carefully considering, etiology doctors consider Pathophysiology, which includes protrusions of the “nucleus pulposus.” The center connects to the column or spinal canal and perhaps compressing the spinal cord or the nerve core, or roots, which causes back pain. If the spinal cord is compressed restraining the roots and cord often back pain, numbness, and the motor functions may fail.

The assessments in medical terms are based on Lumbrosacral, which may include acute or chronic pain at the lower back. The pain may spread out to the buttocks and move toward the legs. The person may feel weakness, as well as numbness. In addition, such pain can cause tingling around the legs and foot. The final assessment may include ambulation, which emerges from pain.

The cervical is considered. The symptoms experts look for is neck rigidity, deadness, weakness, and “tingling of the” hands. If the neck pain spreads the pain down to the arms and continue to the hands, experts will consider slip disks. Yet other symptoms may occur, such as weakness that affects the farthest points, or the higher boundaries of the body. The lumbar curves is at the lower back region and is situated in the loins or the smaller area of the back, which doctors consider also, especially if the patient has difficult straightening this area with the curvature of the spine (scoliosis) and away from the area influenced.

When doctors consider back pain, they will review the diagnostics after conducting a series of tests. Diagnostics may arise from tendon reflex, x-rays, EMG, myelograms, CSF, and/or Laséque signs. CSF helps the doctor to analyze the increases in protein while EMG assists experts in viewing the involvement of the spinal nerves. X-rays are used to help experts see the narrow disk space. Tendon reflexes are tested, which the doctors use tests to look deep into the depressed region, or the absent upper boundary reflexes, or in medical lingo the Achilles’ reactions or reflex. Myelograms assist the expert in seeing if the spinal cord is compressed. The tests start if the Laséque signs show positive results behind etiology findings, Pathophysiology, assessments, and so on.
How doctors manage slip disks:
Doctors prescribe management in medical schemes to isolate or relieve back pain. The management schemes may include diet whereas the calories are set according to the patient’s metabolic demands. The doctor may increase fiber intake, as well as force fluids.

Additional treatment or management may include hot pads, moisture, etc, as well as hot compressions. Doctors often recommend pain meds as well, such as those with NAID. The pain meds include Motrin, Naproxen, Dolobid, or Diflunisal, Indocin, ibuprofen, and so on. Additional meds may include muscle Relaxers, such as Flexeril and Valiums. The common Relaxers are diazepam and cyclobenzaprine hydrochloride, which diazepam is valiums and the other Flexeril.

Orthopedic mechanisms are also prescribed to reduce back pain, which include cervical collars and back braces.

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Herniated Disk And Back Pain

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The disk at the back spinal column divides the skeletal structures. Disk does not compose blood vessels or nerves like other elements of the skeletal structure. Instead, disks are made up of fat, water, and tissues that connect to the skeletal structure. During all hours of the day, the disks leak water, which is caused from forces of gravity. For instance, when we sit it is a gravity force in action, which one might think that it takes little effort to sit, but contrary to the notion, it is adding a lot of weight to the spine and disk.

The disk restores water that has leaked out during the day, yet the water is restored at slower paces. Fat and water is balanced in the disk, yet when it is not it causes a person to shrink height. Fat and water inside disks are thick, yet when a person starts aging, the substances begin to thin. When fat and water begins to thin, it can lead to osteoarthritis. Thinning water and fat of the disk is also the leading cause of back pain, especially at the lower region.

Disks exterior are covered by “Annulus Fibrosis.” Sometimes the connective tissues lead to abnormal thickening, which scars the tissue. Usually injury follows, then infection, and moves to restrained oxygen intake. Surgery is often the result. The inner area of the disk is shielded by “Nucleus Pulposis.” The pulp makes up the hub of the disk, which is polished and soft. The disks make up the primary supporting force that regulates the spinal column, bones, muscles, etc.

When the disk is not protecting the spinal structures it is often dehydrated, pressured, or deformed. The disk has strength that combines with flexibility to withstand high loads of pressure, yet when that flexibility and strength is interrupted, it can result to herniated disk slips, or other injuries.

Slipped disks in medical terms are known as HNP. (Herniated Nucleus Pulposa) As outlined the intervertebral disks are ruptured, which interrupts the nucleus pulposa. In medical terms, slipped disks can include L4, L5, which is Lumbrosacral and C5-7, which is Cervical. L4 is a single area of the spinal column and disks, which defines the numerical disk ruptured.

Slipped disks are caused from accidents, trauma, strain of the back and neck, lifting heavy objects, disk degeneration, weak ligaments, and congenital deformity of the bones. Disk degeneration is outlined in this article.

Symptoms:
Lumbrosacral will show apparent symptoms, such as acute lower back pain, which radiates to the buttocks and down to the leg. The person will feel weak, numb, or tingling that stretches to the leg and foot. Ambulation also causes pain.

If cervical disk problems are present, the patient will feel stiffness around the neck. As well, the symptoms will make the patient feel weak, numb, and he/she will feel tingling around the hands. Neck pain often generates pain, extending it to the arms and onto the hands, which cause weakness to the upper region of the body. The weakness often targets the triceps and biceps, which become atrophy. The lumbar is affected also, which the patient will find it difficult to straighten the back.

What happens when a disk is slipped and/or broken the annulus fibrosis reacts by pushing its substance into the hollow spacing between the spinal column. The spinal column is made up of nerves, which travel to various parts of the body, including the brain. These nerves are affected when the disk is slipped. Learn more about the Central Nerve System (CNS) to relate to slipped disks. First, understand how the joints and connective tissues can cause back pain.

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Depression And Back Pain

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Depression and Back Pain

Back pain includes depression, which emerges from fractures. Fractures include pathologic, complete/incomplete, avulsion, comminuted, depressed, compression, and oblique, greenstick, simple, compound, spiral, and transverse. The conditions noted in hip fractures include intracapsular, Intertrochanteric, and extracapsular. Each problem rests within the blood vessels, yet it starts with fractures. Blood vessels make up the arteries, capillary, and veins. As you can see chest pain can lead to back pain, since the blood vessels travel. Overexerting the bones can cause fractures, which lead to depression and related symptoms.

In fact, damage here may derive from osteomyelitis, Cushing’s syndrome, bone tumors, aging, malnutrition, immobility, multiple myeloma, osteoporosis, trauma impacts, and so on. Fractures can lead to serious back pain. When fractures break the bones, it affects the bone covering known as penosteum. The covering is transparent and has a rich outlay of neurons. Fractures often are caused by trauma impacts, such as car accidents, falls from horses, etc.

The signs:
If neurological conditions are, involved the patient will feel toe numbness. The legs and feet may feel weak. Abolish reflexes are reduced if the fracture is at the lower region of the back. Muscle spasms and muscle reflexes often occur at the higher area of the back. If you have such fracture, bed rest is recommended to reduce the pain. If acute back conditions exist, experts will need to assess the problem. Broken back is an acute condition, which you should avoid rolling, or logrolling.

Fractures include the stable and unstable breaks. If the fracture is unstable, it can severely damage the spine. In such case, the doctor will surgically correct the problem or recommend that the patient wear a cast. The damage can tear the nerves. If you feel you have broken your back, you are wise to avoid atypical movement, since it will progress the problem when pressure is applied to the area.

If the fracture is spontaneous, the doctor can help minimize the pain by prescribing a brace. You will need to avoid applying weight to the area where the fracture rests. Bad falls can break the coccyx, which can sit in coccygodynia. Below the triangular bones at the lower back and near the baseline of the spinal column, the hips are joined with bones that set on either side and form parts that connect to the pelvis. (Sacrum) This area joins with five merging bones, which are fused with the sacrum and is commonly known as the coccyx.

Fractures emerging from the coccyx may include bruising of the periosteum, which is treated by steroid injections. Periosteum is a membrane, which the connective’ tissues meticulously empower each bone within the skeletal structure, excluding the articular exteriors.

Fractures can also invent bursitis. When one of the bursa is disrupted it will inflame, swell, and cause pain. The problem emerges from friction. Friction is often increased when bursitis starts, since instead of separating particular tissues, the fluids emerging from bursa stand in the way. Bursitis includes obturator internis, trochanteric, and ischial. Bursa conditions such as the named rest near the buttocks, lower back, and hip.

To avoid bursitis you may want to avoid sitting, standing, or lying in one position at all times. Instead, shift your resting states. Doctors will often inject a mixture of anesthetic lidocaine and steroids to correct bursitis.

In addition to fractures and bursitis, back pain can start from gynecological conditions. The condition is related to reproductive organs and disease. Females are the prime targets who experience pain from this condition. The condition causes pain, swelling, and inflammation. The condition will affect the spinal cord.

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Back Pain And Diagnosis

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Did you know that many doctors miss areas of concern that could lead to cures? Did you know that back pain is common, yet many doctors fail to see the cause? The answer is simple. The reason is most medical doctors have little experience in the system of healing so to speak. Rather many doctors focus on prescribing medicines and searching for answers, which many times rest in front of them. Don’t get me wrong, good doctors reach everywhere, yet these people lack educational knowledge of the spinal column, central nervous system and so on. As well, these people fail to see that many causes of back pain rests in misaligned bones, or spine. Of course, diseases may cause back pain as well. Sitting too long, lack of stretch exercises, etc, all cause lower back pain.

If the back pain is, serious it will often show up in MRI or CT scans. X-rays will show back conditions, however since doctors review all areas, except the alignment of the bones and spine, thus most times the x-rays only reveal what the doctor wants to see. This happens to many people, including myself. A pro in analyzing the spine and bones is the man you want to see if you have chronic back conditions.

The types of back pain include sciatica. The back problem may be listed as slip disk in some instances, yet the pain often challenges doctors diagnose since a sharp, electrical shock-like and distressing ache starts at the back and then travels to the legs. Sometimes the pain is intermittent, while other times the pain may be chronic. The particular problem often requires surgery to correct. Sciatica according to few experts is one of the worst backaches endured, since even when the pain has mild pain it is difficult to bend forward and over to tie a shoe. The problem rests in the spine, joints, and connective elements of the spinal column that links to the entire body.

The spinal column makes up muscles, bones, central nerves, etc. What holds the spine together is disks, connective tissues, tendons, ligaments, etc? When a person stands erect, the spine’s elements will join to apply tension. You can visualize the tension by considering how a string will respond when you pull it down. The changes assist the body in mobility; as well, it determines how the body responds to movement.

The lower back is made up of large-scale structures, including the backbone and the hip joints. The hip joints connect to the pelvis and each element joins with the spinal column at the triangle bone in the lower back and at the baseline of the spine that joins the hipbones on either side and forms part of the pelvis. (Sacrum)

The large bones attach to the legs, which provide us strength and support to the vertical spinal column. We have thick bones that start at the opposite side of the thick cord of nerve tissues (Spinal Cord) that is near the neck. Along this area, the joints are thick and the bones start to thin and shrink. The spinal cord is a “thick whitish” nerve cord surrounded by tissues and extends from the base of the brain and continues to the spinal column, giving mount to a pair of spinal nerves that contribute the body.

Combined these elements give us the ability to move and provides flexibility. In addition, the organs are directed by these elements.

The spine is held up by the larger group of bones at the lower region, smaller base, and the top architectures. Stress occurs at the area, since below this region larger muscles work by directing and sparking movement. This is how the legs are able to move, which brute stress is applied to the vertebrae. At the back, we also have a lumbar spinal disk. The disk is affected by the brute stress, since each time we bend and sit, we are applying more than 500 pounds to this area, yet it stretches to a “square inch” around the disks and per count along the area.

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Back Pain And Considerations

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When back pain occurs, the process of consideration must start. Back pain can emerge from various causes, yet when the pain is severe, one should seek medical advice immediately. When injuries occur and the back delivers messages that signal us that a problem exists, one must also seek medical advice. Injuries often cause neurological conditions.

When to visit your doctor:
If you are in an accident or fall and cause injury, seek medical assistance instantly. Delaying the problem can lead to further complications. If you lift a heavy object and your back starts to ache, seek help. If the muscles in your legs cannot provide you support and stability to stand erect on your toes, seek help. If slapping of your feet start when you begin walking, you will need medical support also. At the lower trunk, legs, and back, if you feel weakness, tingling, or numbness you will need medical assistance. During sleep hours if your back gives you problems, you endure fevers, and if you experience chills, seek help. If you loose control of your bladder and bowels, medical treatment is needed.

If you notice pain traveling down your arm or leg, in addition to back pain, seek help. If you notice joint pain or swelling in all areas, including the back seek help. If you have back pain and perform home treatment, such as bed rest and taking over-the-counter meds, seek help.

If you feel pain in the back, which you believe is not an emergency; you should rest your back. When pain starts from common activates, it is often because you have over-exerted the joints, muscles, etc. When treating the problem at home, rest in a comfortable position. Lie on your back and place a pillow under your knees. You can also try resting on your back while placing your feet on your couch or chair. The knees should bend at a 90-degree angle. Roll a towel up and situated it so that it supports your neck.

Whatever method you choose and if it is right for you, allow your back to rest until the pain vanishes. If the pain continues however, seek medical assistance. Sometimes you have to rest the back a few days before it ceases aching. Ultimately, you can visit a massage therapist, chiropractor, or someone who performs acupuncture to seek help. In fact, many doctors and mental health experts are incorporated acupuncture into their treatment plans. The process includes needles, which treats the disorder by inserting the injections into the skin at points believed to cause the pain. Acupuncture originated in China, which blocked flow of energy is believed to create pain.

When you rest the back, make sure that you lay on a firm surface, especially if you are resting for a day or so. If you lie on soft mattresses for a length of time, it could cause problems to the muscles that support the back. During the wake hours, you want to continue lying on your back, rather than sitting up to read a book. You can continue the treatment at home by moving around every couple of hours. You want to focus on balancing the body when walking around and use hard surfaces to support your weight.

When you lie back down to rest, make sure you move gradually in position. If you have a back mattress at home, lie on the mattress and allow the heat and vibration motions comfort your aching back.

How to lie in bed properly:
Whichever side your pain is, sit on the edge of your bed and lower the head, so that it balances with your trunk. Raise the legs and slowly turn over onto your back. Use your arms to erect from bed rest.

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