Low back pain -exam,test,treatment,exercise,advice.

Low Back Pain Exam, Tests,Treatment & Exercises
Medical history

Your doctor will first ask you many questions regarding the onset of the pain. (Were you lifting a heavy object and felt an immediate pain? Did the pain come on gradually?) He or she will want to know what makes the pain better or worse. The doctor will ask you questions referring to the red flag symptoms. He or she will ask if you have had the pain before. Your doctor will ask about recent illnesses and associated symptoms such as coughs, fevers, urinary difficulties, or stomach illnesses. In females, the doctor will want to know about vaginal bleeding, cramping, or discharge. Pain from the pelvis, in these cases, is frequently felt in the back.
Physical examination
• To ensure a thorough examination, you will be asked to put on a gown. The doctor will watch for signs of nerve damage while you walk on your heels, toes, and soles of the feet. Reflexes are usually tested using a reflex hammer. This is done at the knee and behind the ankle. As you lie flat on your back, one leg at a time is elevated, both with and without the assistance of the doctor. This is done to test the nerves, muscle strength, and assess the presence of tension on the sciatic nerve. Sensation is usually tested using a pin, paper clip, broken tongue depressor, or other sharp object to assess any loss of sensation in your legs.

• Depending on what the doctor suspects is wrong with you, the doctor may perform an abdominal examination, a pelvic examination, or a rectal examination. These exams look for diseases that can cause pain referred to your back. The lowest nerves in your spinal cord serve the sensory area and muscles of the rectum, and damage to these nerves can result in inability to control urination and defecation. Thus, a rectal examination is essential to make sure that you do not have nerve damage in this area of your body.
Treatment .
Common medications such as acetaminophen (also known as Tylenol), NSAIDs, oral steroids, narcotic drugs, muscle relaxants, and anti-depressants all have their uses, benefits and risks in the struggle against back pain.
• No specific back exercises were found that improved pain or increased functional ability in people with acute back pain. Exercise, however, may be useful for people with chronic back pain to help them return to normal activities and work.
Before starting exercise you must concern your physiotherapist because every exercise is not suitable for a patient.at first physiotherapist diagnosis your exact problem then given exercise………..

Exercise is one of the most significant ways we can increase our longevity, improve our health, and decrease our pain and suffering. Proper exercise can improve flexibility, increase strength, and even reduce back pain. Knowing the best exercises to improve your health or decrease your pain is essential to a workout plan .
Orthosis also support for back pain relief……..
As few seats provide adequate support for the lower back ,dr.m.r.islam found it provide his patients with a portable lumbar roll that could be used when sitting . A portable roll is essential equipment for people with ongoing back problems. When sitting on seat with a back –rest, a lumbar roll will facilitate the maintenance of a correct lordosis (curve in the spine )and posture.
Ideally the back of all chairs should provide lumbar support so that the lordosis , naturally present during standing , is also maintained while sitting. It is relatively easy to find seating that has some degree of lumbar support . but few seats or chairs provide adequate support for the low back and it is usually still necessary to use a lumbar roll.
Medi-care belt taylor brace provides gentle and flexible support whilst stabilising the hips, pelvis and spine providing protection and helping banish pain.