by Troy Hurst DC, DAAPM

The American College of Physicians and the American Pain Society have released a new set of guidelines. They will help doctors and patients classify types of low back pain and plan a course of treatment.

The doctors recommend that a patient think about when and how the pain developed before visiting a physician. At the appointment, a history will be taken that focuses on precipitating circumstances and present symptoms.  There are a few symptoms that can tell you whether your backache is more than the result of too much physical work on the previous day:

•  If there is any loss of sensation or strength in the leg, immediate medical attention
is needed.
•  If there is fever, immediate treatment is required.
•  If pain lasts through the night, you should see a doctor soon.
•  Shooting pain and tingling could be caused by lumbar disc disease.
•  Back pain that intensifies and subsides repeatedly might be caused by a kidney stone.
•  Pain that shoots down one leg to behind the knee is an indication of sciatica.
•  Tender points and pain in the spine, neck, shoulders and hips could be caused
by fibromyalgia.
•  Most back pain can be treated without surgery. Physical therapy and education
on lifting and movement techniques are recommended. To prevent back injuries:
•  Lift with your legs. If you have back problems, don’t lift much at all.
•  Stretch daily to keep the back limber and to improve circulation.
•  Keep abdominal muscles strong. They support your back.