Low Back Pain
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What is low back pain?
Low back pain is a common problem for many people. It can be caused by many different things, but you can easily prevent it by learning how to improve your posture and lift and exercise correctly.
When is low back pain serious?
Contact your healthcare provider if:
- Pain goes down your leg below your knee
- Your leg, foot, groin or rectal area feels numb
- You have fever, nausea, vomiting, abdominal pain, weakness or sweating
- You lose control over going to the bathroom
- Your pain was caused by an injury
- Your pain is so intense you can’t move around
- Your pain doesn’t seem to be getting better after 2 to 3 weeks
CAUSES & RISK FACTORS
What can cause low back injuries?
Many things can cause low back injuries, such as muscle strain or spasm, sprains of ligaments (which attach bone to bone), joint problems or a “slipped disk.” The most common cause is using your back muscles in activities you’re not used to, such as lifting heavy furniture or doing yard work. Unexpected events such as taking a fall or a car accident can also cause low back pain.
A slipped disk (also called a herniated disk) happens when a disk between the bones of the spine bulges and presses on nerves. This is often caused by twisting while lifting. Many people who have a slipped disk don’t know what caused it. In most cases, slipped disks and other low back pain can be relieved by following a few simple methods.
What can I do for relief when I’ve hurt my lower back?
The best position for relief when your back hurts is to lie on your back on the floor with pillows under your knees, with your hips and knees bent and your feet on a chair or just with your hips and knees bent. This takes the pressure and weight off your back.
Rest your lower back by lying on the floor with a pillow under your knees or with your legs on a chair.
You may need 1 to 2 days of this sort of rest for a hurt back. Resting longer than this can cause your muscles to weaken, which can slow your recovery. Even if it hurts, walk around for a few minutes every hour to help keep your back muscles strong.
What else can I do for relief?
Heating pads can help to relax painful muscle spasms. Use heat for 20 to 30 minutes at a time. Ice packs and massages may also give relief.
Non‑prescription medicines that reduce pain and/or swelling include aspirin, acetaminophen (brand name: Tylenol), naproxen (brand name: Aleve) and ibuprofen (some brand names: Advil, Motrin).
Is there relief for ongoing back problems?
Treatment of ongoing back problems must be directed at the cause. This may mean losing weight (because being overweight can make back pain worse), exercising and improving your posture when you’re sitting, standing and sleeping.
What’s the best way to sit?
Sit in chairs with straight backs or low-back support. Keep your knees a little higher than your hips. Adjust the seat or use a low stool to prop up your feet. Turn by moving your whole body rather than by twisting at your waist.
When driving, sit straight and move the seat forward. This helps you not lean forward to reach the controls. You may want to put a small pillow or rolled towel behind your lower back if you must drive or sit for a long time.
What’s the best position for standing?
If you must stand for long periods, rest 1 foot on a low stool to relieve pressure on your lower back. Every 5 to 15 minutes, switch the foot you’re resting on the stool. Maintain good posture: Keep your ears, shoulders and hips in a straight line, with your head up and your stomach pulled in.
What’s the best position for sleeping?
The best way to sleep is on your side with your knees bent. You may put a pillow under your head to support your neck. You may also put a pillow between your knees.
If you sleep on your back, put pillows under your knees and a small pillow under your lower back. Don’t sleep on your stomach unless you put a pillow under your hips.
Use a firm mattress. If your mattress is too soft, use a board of 1 cm (1/2-inch) plywood under the mattress to add support.
Tips for preventing back strain
- Don’t lift by bending over. Lift an object by bending your knees and squatting to pick up the object. Keep your back straight and hold the object close to your body. Avoid twisting your body while lifting.
- Push rather than pull when you must move heavy objects.
- If you must sit at your desk or at the wheel of a car or truck for long hours, break up the time with stops to stretch.
- Wear flat shoes or shoes with low heels (3 cm (1 inch) or lower).
- Exercise regularly. An inactive lifestyle contributes to low back pain.
What exercises can I do to strengthen my back?
Some specific exercises can help your back. To gently stretch your back muscles, lie on your back with your knees bent and slowly raise your left knee to your chest. Press your lower back against the floor. Hold for 5 seconds. Relax and repeat the exercise with your right knee. Do 10 of these exercises for each leg, switching legs.
While some exercises are specific for your back, it’s also important to stay active in general. Swimming and walking are good exercises to improve your overall fitness.
QUESTIONS TO ASK YOUR HEALTHCARE PROVIDER
- What is the likely cause of my back pain?
- What’s the best way to relieve my pain?
- How do I prevent low back injury?
- I’ve heard a lot about core strength. Will improving my core strength help? What kind of exercises makes my core stronger?
- Is it safe for me to do other forms of exercise? What kind of exercise should I do?
- Do I need to make any lifestyle changes?