^ Jump up to: a b Chou, Roger; Qaseem, Amir; Owens, Douglas K.; Shekelle, Paul; Clinical Guidelines Committee of the American College of Physicians (2011-02-01). "Diagnostic imaging for low back pain: advice for high-value health care from the American College of Physicians". Annals of Internal Medicine. 154 (3): 181–189. CiteSeerX 10.1.1.690.1604. doi:10.7326/0003-4819-154-3-201102010-00008. ISSN 1539-3704. PMID 21282698.

I suffer from pain in my back only at night. The pain is more to the left side spreading over to the front, just below my ribs. What I find strange, is that even though the are is tender to touch during the day, I suffer from severe pain mostly at night when lying down. Any ideas what it could be? I am not losing wieht and I do have a spactic colon, but it is more or less under control.
Biofeedback is used to treat many acute pain problems, most notably back pain and headache. The therapy involves the attachment of electrodes to the skin and the use of an electromyography machine that allows people to become aware of and selfregulate their breathing, muscle tension, heart rate, and skin temperature. People regulate their response to pain by using relaxation techniques. Biofeedback is often used in combination with other treatment methods, generally without side effects. Evidence is lacking that biofeedback provides a clear benefit for low back pain.
If you can’t set up an ergonomic workstation, Dr. Oberle recommends taking regular breaks to stretch and move around. Though this of course varies by individual, she suggests doing so every 15 minutes. (This is her recommendation for generally healthy people—if you have health issues that don’t make this feasible, check in with your doctor for specific guidelines.) Even if you can’t actually move this often, you should be checking your posture regularly and adjusting accordingly.
Degenerative disc disease. At birth, intervertebral discs are full of water and at their healthiest. As people age over time, discs lose hydration and wear down. As the disc loses hydration, it cannot resist forces as well, and transfers force to the disc wall that may develop tears and cause pain or weakening that can lead to a herniation. The disc can also collapse and contribute to stenosis.
The vast majority of low back pain is mechanical in nature. In many cases, low back pain is associated with spondylosis, a term that refers to the general degeneration of the spine associated with normal wear and tear that occurs in the joints, discs, and bones of the spine as people get older. Some examples of mechanical causes of low back pain include:
Inflammatory arthritis, including ankylosing spondylitis and related conditions – In these disorders, there is pain in the lower back, together with morning stiffness in the back, hips or both. There also can be pain and stiffness in the neck or chest or an extremely tired feeling. Other features may include psoriasis, eye pain and redness, or diarrhea, depending on the specific disorder causing back pain. This group of diseases is a relatively rare cause of back pain.
A herniated disc. This occurs when one of the small, spongy discs that cushion your spine bulges or breaks open and presses on the nerves in the spine. A herniated disc may be caused by normal wear and tear of the disc as you age. Or it may be brought on by activities that you do over and over again that cause a lot of vibration or motion (such as using a jackhammer) or by a sudden heavy strain or increased force to your back. In most cases, a herniated disc occurs in the lower back or neck. It can occur in the upper or middle back, but this is rare. See a picture of a herniated disc.
Rest. If your back hurts a lot, take a break. But try not to let too much time pass before you get moving again. Instead, return to your activities slowly, and avoid things that make your pain worse. Studies show that bed rest doesn't relieve back pain better than staying active. And bed rest of more than a couple of days can make your back pain worse and lead to other problems, such as stiff joints and muscle weakness.
Disc degeneration remains a key cause of chronic low back pain and the pain often persists despite surgery. NIH-funded basic science and preclinical studies are investigating molecular-level mechanisms that cause discs in the spine to degenerate, as well as protective mechanisms involved in disc remodeling that may diminish with advancing age. Such studies may help identify future therapeutic strategies to block degenerative mechanisms or promote remodeling processes. NIH also is funding early research on stem cell approaches to promote disc regeneration and rejuvenate cells of the nucleus pulposus, the jelly-like substance in the center of intervertebral discs that loses water content as people age.
Sciatica and nerve related conditions causing nerve compression, particularly on the right side can cause right lower back pain which can extend into the right buttocks. It can be associated with numbness and tingling in the right leg. If the condition affects both sides, both legs may be involved. Injury or damage to a nerve in the lower back can cause sharp, severe lower right back pain.
A 68-year-old man came to the emergency department complaining of left-side thoracic back pain, after 5 days of outpatient treatment with analgesics did not help him. His pain started after physical labor, but he did not recall any trauma. A review of his medical history revealed only coronary artery disease, with coronary stent placement several years before this event. He had not been hospitalized recently, undergone an invasive procedure, or taken antibiotics.
Sciatica and nerve related conditions causing nerve compression, particularly on the left side can cause left lower back pain which can extend into the left buttocks. It can be associated with numbness and tingling in the left leg. If the condition affects both sides, both legs may be involved. Injury or damage to a nerve in the lower back can cause sharp, severe left lower back pain.
The older a person is, the more likely they are to experience back pain. According to the American Association of Retired Persons, back pain is most likely to occur in 30- to 50-year-olds. The aging process naturally wears on the body, including thinning bones, reduction in muscle mass, and a reduction of fluid between joints in the spine. All these things can cause back pain.
Taking NSAIDs like ibuprofen can irritate the lining of your stomach, bringing on a burning sensation. While it’s more common to have generalized abdominal pain, as well as indigestion, heartburn, or bloating with this type of irritation, the pain can localize in your upper abdomen. You can avoid trouble by sticking to your doctor’s instructions on how long and how much to take of these drugs. Don’t miss these reasons why your back pain treatment isn’t working.

There is controversy and scientific uncertainty about trigger points. It’s undeniable that mammals suffer from sensitive spots in our soft tissues … but their nature remains unclear, and the “tiny cramp” theory could be wrong. The tiny cramp theory is formally known as the “expanded integrated hypothesis,” and it has been prominently criticized by Quintner et al (and not many others). However, it’s the mostly widely accepted explanation for now.

Shingles (herpes zoster) is an acute infection of the nerves that supply sensation to the skin, generally at one or several spinal levels and on one side of the body (right or left). Patients with shingles usually have had chickenpox earlier in life. The herpes virus that causes chickenpox is believed to exist in a dormant state within the spinal nerve roots long after the chickenpox resolves. In people with shingles, this virus reactivates to cause infection along the sensory nerve, leading to nerve pain and usually an outbreak of shingles (tiny blisters on the same side of the body and at the same nerve level). The back pain in patients with shingles of the lumbar area can precede the skin rash by days. Successive crops of tiny blisters can appear for several days and clear with crusty inflammation in one to two weeks. Patients occasionally are left with a more chronic nerve pain (postherpetic neuralgia). Treatment can involve symptomatic relief with lotions, such as calamine, or medications, such as acyclovir (Zovirax), for the infection and pregabalin (Lyrica) or lidocaine (Lidoderm) patches for the pain.

On examination, a left thoracic paraspinal muscle was tender without fluctuance, overlying skin redness, or a lesion. An elevated white blood cell count of 12,300/mcL was the only laboratory test with abnormal results. The patient did not have fever, and results of urinalysis, chest radiograph, and abdominal sonogram were normal. Computed tomography (CT) images of the abdomen and pelvis showed inflammation of a left thoracic paraspinal muscle.
This Australian study concluded that “prognosis is moderately optimistic for patients with chronic low back pain,” contradicting the common fear that any low back pain that lasts longer than 6-9 weeks will become a long-term chronic problem. This evidence is the first of its kind, a rarity in low back pain research, a field where almost everything has been studied to death. “Many studies provide good evidence for the prognosis of acute low back pain,” the authors explain. “Relatively few provide good evidence for the prognosis of chronic low back pain.”
Constipation or sluggish bowels, the problem with many terms that afflicts many people. According to statistics, approximately every tenth person has problems with irregular bowel movement. It is crucial to heal constipation. Not only because of the annoying pain that produces in the lower left abdomen but for the reason that the waste products in the body should be retained as short as possible. Fortunately, there are many ways to cure constipation. Constipation can be a result of taking opiates (morphine and codeine), or certain medications, bad habits when it comes to nutrition, such as insufficient intake of dietary fiber, or inadequate hydration.
Disclaimer: The entire contents of this website are based upon the opinions of Dr. Mercola, unless otherwise noted. Individual articles are based upon the opinions of the respective author, who retains copyright as marked. The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Mercola and his community. Dr. Mercola encourages you to make your own health care decisions based upon your research and in partnership with a qualified health care professional. If you are pregnant, nursing, taking medication, or have a medical condition, consult your health care professional before using products based on this content.
Don’t medically investigate back pain until it’s met at least three criteria: (1) it’s been bothering you for more than about 6 weeks; (2) it’s severe and/or not improving, or actually getting worse; and (3) there’s at least one other “red flag” (age over 55 or under 20, painful to light tapping, fever/malaise, weight loss, slow urination, incontinence, groin numbness, a dragging toe, or symptoms in both legs like numbness and/or tingling and/or weakness).
Sorry to all of you guys with back pain it is seriously nothing to brush off or take lightly. Im 28 years old and have had 3 failed back surgeries permanent nerve damage on my right foot required to wear a foot brace and now i am going to be working on getting yet another referral for an MRI. for anyone who goes to the doctor and gets told “you just pulled a muscle”rest for a couple days . if those couple days go by and your still in pain keep going back till you get an MRI. A doctor cant see inside your back but the machine will tell you exactly the problem. I had my first surgery at 16 years old i cant even remember how many times i was told to rest and stress from high scool ect.. Long story short dont be fooled by those uneducated doctors who send you on your way do self research. Take care all

Sorry to all of you guys with back pain it is seriously nothing to brush off or take lightly. Im 28 years old and have had 3 failed back surgeries permanent nerve damage on my right foot required to wear a foot brace and now i am going to be working on getting yet another referral for an MRI. for anyone who goes to the doctor and gets told “you just pulled a muscle”rest for a couple days . if those couple days go by and your still in pain keep going back till you get an MRI. A doctor cant see inside your back but the machine will tell you exactly the problem. I had my first surgery at 16 years old i cant even remember how many times i was told to rest and stress from high scool ect.. Long story short dont be fooled by those uneducated doctors who send you on your way do self research. Take care all
For example, rupture of the main artery in the abdomen (called a ruptured splenic artery aneurysm) can be a very serious cause of sharp back pain. Also, kidney infection (pyelonephritis) and an infection of the lining of the lungs and chest (pleurisy) can mimic back pain. In these cases, treatment of the underlying cause will usually resolve the back pain.
Your doctor will ask about your symptoms and your medical history. He or she will examine your back muscles and spine and will move you certain ways to check for pain, muscle tenderness or weakness, stiffness, numbness or abnormal reflexes. For example, if you have a disk problem, you may have pain in your lower back when the doctor raises your straightened leg.
Sometime we suggest our book called The 7 Day Back Pain Cure as we like to have our members more educated and aware of their options when dealing with their health care provides and sometime we have to say straight out go to the Doctor, there is no way anyone can tell you or suggest what could be going on inside your body, Please go to see your physician…
If your back pain is not relieved using other forms of treatment, your doctor may prescribe medication. The medication chosen depends on the back pain. For example, medications called analgesics can help relieve pain. Other medications called muscle relaxants can help relax tight muscles. If your back pain is caused by arthritis, your doctor can give you medication that will reduce inflammation as well as relieve your back pain. The most common medications prescribed are called nonsteroidal anti-inflammatory drugs (NSAIDs). These medications can reduce inflammation without working like cortisone, the body's anti-inflammation steroid hormone. Aspirin and ibuprofen are NSAIDs. Other NSAID medications are prescribed when needed. Learn all you can about your medications by asking your doctor or pharmacist questions such as those listed below.
Lower back pain is so common and unavoidable that almost 60% adults will experience it at some point in their life. Lower back pain on left side is more common compared to lower back pain on right side . Lower back pain on left side can cause dull aching which may increase in intensity and may affect the hip and the leg. Some people complain this pain as a cold sensation in their leg or in their foot but some describe the pain as a hot poker sensation.
Muscle strains and sprains are perhaps the most common causes of back pain, especially in the lower back. A strain refers to tearing of a muscle or a tendon (a fibrous tissue that connects muscle to bone), while a sprain refers to tearing of a ligament (a fibrous tissue that connects two bones together). With these tears—which result from an injury like lifting a couch or gradual overuse)—inflammation occurs, causing pain and, in some cases, muscle spasms.
×