Symptoms of back pain may include:
- Muscle ache
- Shooting or stabbing pain
- Pain that radiates down your leg
- Limited flexibility or range of motion of the back
- Inability to stand up straight
When to see a doctor
Most back pain gradually improves with home treatment and self-care. Although the pain may take several weeks to disappear completely, you should notice some improvement within the first 72 hours of self-care. If not, see your doctor.
In rare cases, back pain can signal a serious medical problem. Seek immediate care if your back pain:
- Causes new bowel or bladder problems
- Is associated with pain or throbbing (pulsation) in the abdomen, or fever
- Follows a fall, blow to your back or other injury
Contact a doctor if your back pain:
- Is constant or intense, especially at night or when you lie down
- Spreads down one or both legs, especially if the pain extends below the knee
- Causes weakness, numbness or tingling in one or both legs
- Is accompanied by unexplained weight loss
- Occurs with swelling or redness on your back
Also, see your doctor if you start having back pain for the first time after age 50, or if you have a history of cancer, osteoporosis, steroid use, or drug or alcohol abuse.
Sept. 11, 2012
- Adult acute and subacute low back pain. Bloomington, Minn.:Institute for Clinical Systems Improvement. http://www.icsi.org/low_back_pain/adult_low_back_pain__8.html. Accessed July 10, 2012.
- Balague F, et al. Non-specific low back pain. The Lancet. 2012;379:482.
- Wheeler SG, et al. Approach to the diagnosis and evaluation of low back pain in adults. http://www.uptodate.com/index. Accessed July 14, 2012.
- Low back pain fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm. Accessed July 15, 2012.
- Duffy RL. Low back pain: An approach to diagnosis and management. Primary Care: Clinics Office Practice. 2010;37:729.
- Devereaux M. Low back pain. Medical Clinics of North America. 2009;93:477.
- Hoy D, et al. The epidemiology of low back pain. Best Practice & Research Clinical Rheumatology. 2010;24:769.
- Jensen JN, et al. The greatest risk for low-back pain among newly educated female health care workers; body weight or physical work load? BMC Musculoskeletal Disorders. 2012;13:87.
- Coenen P, et al. Cumulative low back load at work as a risk factor of low back pain: A prospective cohort study. Journal of Occupation Rehabilitation. In press. Accessed July 15, 2012.
- Pepijn DDM Roelofs, et al. Non-steroidal anti-inflammatory drugs for low back pain. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000396.pub3/abstract. Accessed July 15, 2012.
- Knight CL, et al. Treatment of acute low back pain. http://www.uptodate.com/index. Accessed July 14, 2012.
- Engers AJ, et al. Individual patient education for low back pain. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004057.pub3/abstract. Accessed July 15, 2012.
- Hayden J, et al. Exercise therapy for treatment of non-specific low back pain. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000335.pub2/abstract.. Accessed July 15, 2012.
- Last A, et al. Chronic low back pain: Evaluation and management. American Family Physician. 2009;79:1067.
- Carneiro K, et al. The role of exercise and alternative treatments for low back pain. Physical Medicine and Rehabilitation Clinics of North America. 2010;21:777.
- Furlan AD, et al. Acupuncture and dry-needling for low back pain. Cochrane Database of Systematic Reviews. http://www.thecochranelibrary.com/view/0/index.html. Accessed July 15, 2012.
- Furland AD, et al. Massage for low-back pain. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001929.pub2/abstract. Accessed July 15, 2012.
- Henschke N, et al. Behavioural treatment for chronic low-back pain. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002014.pub3/abstract. Accessed July 15, 2012.
- Tillbrook HE, et al. Yoga for chronic low back pain. Annals of Internal Medicine. 2011;155:569.
- Sherman KJ, et al. A randomized trial comparing yoga, stretching, and a self-care book for chronic low back pain. Archives of Internal Medicine. 2011;171:2019.
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