Cure For Lower Back Pain – Part 2

In part one, we discussed how back pain is an epidemic with seemingly no end in sight. And that despite huge investments in research, there seems to be blockages to a cure for lower back pain. We suggested chief among theses reasons was medical physicians unwillingness to change. Despite evidence suggesting things like drugs and bed rest are abject failures they continue to be the mainstay of medical lower back treatment.

In this article we will discuss the delicate issue of misdiagnosis as a reason why peopel with back problems cannot find a cure for their lower back condition.

There are many causes of a painful lower back:

Strains and Sprains (traumatic and postural)
Emotional stress
Subluxations (misaligned spinal bones)
Arthritis (osteoarthritis is the most common, but many other forms exist)
Degenerative disc disease
Herniated discs
Disc bulges
Spinal stenosis
Fractures
Tumors

Often, back sufferers have more than one condition contributing to their pain. This makes arriving at a clear diagnosis difficult at times. Doctors must use their clinical judgment as to which condition is likely to be causing certain symptoms. Sometimes a condition is present, but has very little to do with the patients’ pain. This requires great skill and experience on the doctor’s part to discern.

And therein lies the problem.

Our medical system forces doctors to see ever increasing numbers of patients each day. Less time is spent on consulting and examining. Combine that with the fact that most medical schools spend a miniscule amount of time training students in the diagnosis and management of physical ailments and in particular lower backs and you have a situation where doctors provide inadequate examinations.

The proper diagnosis of a back problem requires the doctor to understand all the possible causes of back problems and how each presents clinically. It may appear to a layperson and even to a large percentage of general doctors not versed in the specialty of lower back issues that “back pain is back pain.”

There are, however many variations of symptoms from a back condition that must be distinguished.

Believe it or not, a ligament in your back presents with a unique pain pattern that is different than say a degenerative disc. Likewise, a degenerative disc can present with a totally different pain pattern than a bulging or herniated disc. The doctor must understand this.

All too often, generalist doctors and even some specialists perform a cursory exam and then rely on imaging such as x-rays and/or MRI. They allow a structural finding on a film to dictate to them what is functionally wrong. That is not always the best method of diagnosing a complex problem. A disc that is degenerative on film may not be the culprit causing the back pain. Likewise relatively benign MRI finding does not mean that the patent’s condition is not serious.

Finding a cure for lower back pain is difficult, but if your doctor is open to newer technologies and performs a careful and specialized examination, it is possible to achieve in many instances.

Dr. Barry Marks, Chiropractor, Author & Lecturer practices in Orange County, CA. He invites you to learn more about lower back pain diagnosis and treatment including details about his latest book, Cure for Lower Back Pain, and special offers by going to http://www.squidoo.com/cure-for-lower-back-pain-book

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