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Neurosurgery

Lower Back Pain

The treatment of lower back pain depends on the underlying cause and the severity of the pain and requires the intervention of a traumatology specialist or a neurosurgeon's diagnosis.

Lower Back Pain

Lower back pain, also known as lumbago, affects the lumbar region of the spine, which includes the L1 to L5 vertebrae, as well as the surrounding muscles, ligaments and nerves.


This condition is characterized by the presence of pain, stiffness, or tension in the lower part of the spine. It can be a debilitating experience for those who suffer from it. Therefore, it is advisable to consult a traumatologist, who can diagnose lower back pain. In cases of severe injury, a visit to a neurosurgeon might be required. If the lower back pain persists and becomes chronic, a pain management specialist can provide treatment options.



Causes of Lower Back Pain

The causes of lower back pain can be several and multifactorial. Some of the most common causes include:

  • Muscle or Ligament Injuries

Excessive exertion, sudden movements, or sports injuries can cause strains or tears in the muscles or ligaments of the lower back.


When the pulposus nucleus of an intervertebral disc herniates, it can put pressure on the spinal nerves and cause lower back pain.


  • Disc Degeneration

With aging, the intervertebral discs can lose their flexibility and cushioning, which can lead to pain and stiffness.


  • Spondylolisthesis

This happens when a vertebra shifts from its normal position and slides over the adjacent vertebra, which can compress spinal nerves.


  • Spinal Stenosis

This is a narrowing of the spinal canal that can compress the nerves and cause lower back pain.


  • Medical Conditions

Health problems, such as arthritis, osteoporosis, or fibromyalgia, can also contribute to the development of lower back pain.



Symptoms of Lower Back Pain

The symptoms of lower back pain can vary depending on the cause and the severity of the problem. Some common symptoms include:

  • Localized Pain: The sensation of pain is concentrated in the lower back, usually in the area between the ribs and the buttocks.

  • Radiated Pain: In some cases, the pain can spread towards the buttocks, legs, and even feet, following the path of the affected nerves.

  • Stiffness and Tension: The muscles in the back can feel tense and stiff, making movements difficult.

  • Pain on Movement: The pain can worsen when performing certain activities, such as lifting heavy objects, sitting for a long time, or bending over.

  • Muscle Weakness: In more severe cases, lower back pain can weaken the leg muscles and cause difficulty in walking.



Treatment for Lower Back Pain

The treatment of lower back pain depends on the underlying cause and the severity of the pain and requires the intervention of a traumatology specialist or a neurosurgeon's diagnosis. For chronic lower back pain treatment, it is recommended to consult a pain management specialist also known as Algologist. Some common treatment options include:

  • Medications: Over-the-counter or prescription pain relievers can help alleviate pain and reduce inflammation.

  • Physical Therapy: Specific exercises can strengthen the back muscles, improve flexibility, and alleviate tension.

  • Alternative Treatments: Some people find relief through therapies like acupuncture, chiropractic, or physiotherapy.

  • Self-care Measures: Rest, applying heat or cold to the affected area, and maintaining proper posture can be helpful.

  • Surgery: In severe cases or when other options are not effective, surgery may be required to address the underlying cause. A neurosurgeon can guide you through the whole process.



When to See a Specialist?

If you experience lower back pain that doesn't improve with home care, it's important to seek medical attention from a traumatology doctor. In case of a severe injury, the same doctor might refer you to a neurosurgeon, who can present other treatment options. When the pain becomes chronic, it's recommended to see a pain management specialist also known as an Algologist. At BlueNetHospitals, we provide specialized medical care to alleviate pains like lumbago.


It's advisable to consult a neurosurgeon if the pain is accompanied by symptoms like fever, unexplained weight loss, significant muscle weakness, or problems with bladder or bowel control. These symptoms could indicate severe problems that require immediate evaluation.



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