Back pain is one of the most common painful conditions men and women face. When it occurs, you want relief. You want the aches to stop...

Harvard Health Publications

Harvard Medical School

Back pain is one of the most common painful conditions men and women face. When it occurs, you want relief. You want the aches to stop and your life to start again.

The good news is that there are more treatment options than ever. To get the most benefit, it's important to choose the therapy that's appropriate for your back problem.

Back Pain: Finding solutions for your aching back addresses this crucial topic. It will give you the tools to match the cause to the cure and to understand what has triggered your pain, and will tell you which avenue of treatment is the best fit for relief and healing.

The report will brief you on your choices in pain relievers, on seeking professional advice, and on which regimens are most effective for sprains, disc disease, spinal stenosis, fractures, and other back problems.

The report will tell you which backaches are likely to get better without medical intervention. You’ll learn about the effectiveness of chiropractic care and acupuncture, four simple ways to lessen the odds of recurrence, the questions to ask before deciding on  back surgery, and more.

As people enter middle age, they are more likely to experience bouts of low back pain. In fact, according to the Harvard Special Health Report Men's Health: Fifty and Forward, back pain affects about four in five Americans at some point in their lives and equally strikes men and women.

Age is often the culprit. Over time, the bones and joints in your lower back begin to change. Your discs (the structures that serve as cushions between the bones in the spine) tend to wear out and sometimes become fragmented. These structural alterations sometimes cause pain.

Another cause of low back pain, although it occurs less often, is a herniated disc. Sometimes, a disc pushes outside the space between the bones and compresses a nerve at the point where it branches off the spinal cord. When the sciatic nerve that leads into the buttocks and leg is affected, the pain is called sciatica.

Yet, most cases of low back pain stem from strain or sprain due to simple overuse, unaccustomed activity, excessive lifting, or an accident. In most cases the best move is to wait and see if the pain resolves on its own. If the pain does not improve after three to four days, then it's time to see a doctor.

However, depending on the source of your back pain and its severity, you might try a few home remedies for low back pain to help ease the pain until your back returns to normal. Here are several options to consider:

Cold and heat therapies. It's best to use cold compresses or an ice pack, not heat, immediately following a back injury, since this can alleviate pain by numbing the area and prevent or reduce swelling. About 48 hours after the onset of back pain, though, applying heating pads or a hot-water bottle to your back may be helpful. The warmth soothes and relaxes aching muscles and increases blood flow, which helps the healing process. Keep in mind that heat therapy is only helpful for the first week.

Limited bed rest. Once the mainstay of treatment for back pain, bed rest has fallen out of favor. Doctors now know it's better to keep moving, so that your muscles don't become stiff. Bed rest can still be useful relief from low back pain, particularly if your pain is so severe that it hurts to sit or stand. But try to limit it to a few hours at a time and for no more than one or two days.

Physical activity. Exercise helps build strong, flexible muscles that will be less prone to injury. It can also help the healing process for an aching back, prevent problems in the future, and improve function. Work with your doctor to develop an exercise program, or seek a referral to another health professional who can. A good program typically includes the three major forms of exercise: aerobic activity, strength training, and flexibility exercises.

Complementary therapies. Several types of complementary therapy may be helpful for relief from low back pain. These include:

·        acupuncture, in which therapists insert hair-thin sterilized needles into precise points in the body to release blocked energy

·        spinal manipulation, in which chiropractors apply pressure directly to the body to correct spinal alignment

·        therapeutic massage to relax aching muscles

·        movement therapies, such as yoga and tai chi, which can help stretch and strengthen back muscles.

Although the evidence is mixed about whether these therapies are effective, when they do work, it is often when they are combined with the other home remedies for low back pain.

– By Matthew Solan

Executive Editor, Harvard Men's Health Watch