Back pain

Overview | Causes | Symptoms | Diagnosis | Treatment | FAQ

Overview

Back strain is a fairly broad category called “soft tissue injury,” which covers muscles, tendons and ligaments. About 80% of back and neck pain is muscle-related.

Suffering from lower back pain? Click here to learn about lower back pain and sacroiliac joint pain.

The stomach muscles, or abdominals, enable the back to bend forward. They also assist in lifting. The abdominals work with the buttock muscles to support the spine. The oblique muscles go around the side of the body to provide additional support to the spine.

back pain los angeles, back pain treatment los angeles, spine surgery los angeles, Spine surgeon second opinion beverly hills, Spine surgeon second opinion Newport Beach, Spine surgery second opinion Los Angeles, Second opinion for spine surgery Southern California, Second opinion for back surgery beverly hills, Second opinion for back surgery Newport Beach, Second opinion for back surgery Los Angeles, Spine surgeon beverly hills, Laser spine surgery beverly hills, Laser spine surgery Newport Beach, Minimally invasive spine surgery beverly hills, scoliosis surgery beverly hills, scoliosis surgery Los Angeles, Home remedies for back pain beverly hills, Home remedies for back pain Los Angeles, Home remedy back pain beverly hills, Herniated disc beverly hills, Non-surgical treatement back pain beverly hills, Artificial disc replacement neck beverly hills, Artificial disc replacement back beverly hills, Spine Group Beverly Hills

Another type of strain relates to spinal ligaments that run in front and in back of the vertebral bodies. Tendons, which also connect muscles in the spine, can develop inflammation, or tendonitis.

Some people believe that part of what makes the back muscles more prone to strain is that they are shorter than other big muscles in the body. The muscles in our thighs that enable us to walk, run and jump are longer and less prone to strain. It’s very unusual to strain a thigh muscle.
[top]

Causes

Muscles in the back can strain or spasm and form a hard lump, like a charley horse in the leg. Back muscle spasms can be caused by injury and pain, whether the source is muscle strain, or a disc problem. A spasm, defined as an involuntary convulsive contraction of muscle fibers, can be excruciating. The muscle spasm can be steady or come in waves of contractions. Your muscle is sending you a signal that it has been pushed beyond its ability.
[top]

Symptoms

A symptom of muscle strain may be an excruciating spasm in the back that is very painful.
[top]

Diagnosis

Outlined below are some of the diagnostic tools that your physician may use to gain insight into your condition and determine the best treatment plan for your condition.

  • Medical history: Conducting a detailed medical history helps the doctor better understand the possible causes of your back and neck pain which can help outline the most appropriate treatment.
  • Physical exam: During the physical exam, your physician will try to pinpoint the source of pain. Simple tests for flexibility and muscle strength may also be conducted.
  • X-rays are usually the first step in diagnostic testing methods. X-rays show bones and the space between bones. They are of limited value, however, since they do not show muscles and ligaments.
  • MRI (magnetic resonance imaging) uses a magnetic field and radio waves to generate highly detailed pictures of the inside of your body. Since X-rays only show bones, MRIs are needed to visualize soft tissues like discs in the spine. This type of imaging is very safe and usually pain-free.
  • CT scan/myelogram: A CT scan is similar to an MRI in that it provides diagnostic information about the internal structures of the spine. A myelogram is used to diagnose a bulging disc, tumor, or changes in the bones surrounding the spinal cord or nerves. A local anesthetic is injected into the low back to numb the area. A lumbar puncture (spinal tap) is then performed. A dye is injected into the spinal canal to reveal where problems lie.
  • back pain los angeles, back pain treatment los angeles, spine surgery los angeles, Spine surgeon second opinion beverly hills, Spine surgeon second opinion Newport Beach, Spine surgery second opinion Los Angeles, Second opinion for spine surgery Southern California, Second opinion for back surgery beverly hills, Second opinion for back surgery Newport Beach, Second opinion for back surgery Los Angeles, Spine surgeon beverly hills, Laser spine surgery beverly hills, Laser spine surgery Newport Beach, Minimally invasive spine surgery beverly hills, scoliosis surgery beverly hills, scoliosis surgery Los Angeles, Home remedies for back pain beverly hills, Home remedies for back pain Los Angeles, Home remedy back pain beverly hills, Herniated disc beverly hills, Non-surgical treatement back pain beverly hills, Artificial disc replacement neck beverly hills, Artificial disc replacement back beverly hills, Spine Group Beverly Hills
  • Electrodiagnostics: Electrical testing of the nerves and spinal cord may be performed as part of a diagnostic workup. These tests, called electromyography (EMG) or somato sensory evoked potentials (SSEP), assist your doctor in understanding how your nerves or spinal cord are affected by your condition.
  • Bone scan: Bone imaging is used to detect infection, malignancy, fractures and arthritis in any part of the skeleton. Bone scans are also used for finding lesions for biopsy or excision.
  • Injections: Pain-relieving injections can relieve back pain and give the physician important information about your problem, as well as provide a bridge therapy.

[top]

Treatment

Surgery is never appropriate for muscle strain.

As with any muscle injury, it’s natural for an individual to stop moving the injured area and wait for it to heal. Ironically, this is counter-productive. Restricting movement causes the muscle to weaken , become less flexible, and receive less circulation. In fact, gentle stretching and exercise is the best way to resolve the injury by getting it moving and increasing circulation.

Recommendations:

  • Rest.
  • Apply ice for five minutes at a time for the first 48 hours, then switch to heat.
  • Take anti-inflammatories, preferably ibuprofen like Advil or Nuprin as directed on the bottle. Acetominophen (Tylenol) may be taken for pain, if you are allergic to ibuprofen.
  • Try our home remedy exercises. But remember, no exercise should be painful. Stop if they cause an increase in pain or symptoms.
  • An appointment with a nonsurgical spine specialist is most appropriate for muscle-related back pain.
  • Call us immediately if you experience any emergency, red-flag symptoms.

[top]

FAQ

What's the difference between a sprain and a strain?

While someone may argue that the two words are different, that a sprain is a more serious injury than a strain, in reality, sprain and strain have evolved to mean essentially the same things to doctors and lawyers. Both words relate to an overworked muscle, ligament or tendon that is overstretched.

Some may argue that strain relates to stretching or tearing of muscles or tendons, while sprain relates to tearing of ligaments or tissues in a joint area. For example, if bones in a joint are forced beyond a comfortable range of motion, the joint may be sprained.

Another word that you may hear is “muscle spasm,” where a muscle locks up in an excruciating, hard lump.

What’s the difference between a simple strain or a more serious herniated disc?

Most people erroneously think that the more excruciating the pain, the more likely that you herniated a disc. That is not the case at all. In some cases a back spasm can knock you down to your knees. A person can have excruciating pain, but if it is mostly in the low back, it’s probably not a herniated disc. Typically, a herniated disc in your back will radiate pain down into your leg, or pain will radiate down your arm if you have a blown disc in your neck.
[top]

Physician Biographies
Education
  • Anatomy Library
    • View medical illustrations that may help you understand conditions and pain symptoms.
  • In the News
    • View the latest news on what is happening at Spine Group Beverly Hills.
  • Medical Animations
    • Watch various medical animations to learn about conditions and treatment options.
  • Consultations
    • We enable you to set up a consultation in advance, to determine if a trip would be worthwhile.
Locations
  • Beverly Hills
    • 8929 Wilshire Blvd., Suite 302
      Beverly Hills, CA 90211
      Phone: 310.385.8010
  • Newport Beach
    • 3501 Jamboree Road
      Newport Beach, CA 92660
      Phone: 310.385.8010

As a free community service, Spine Group Beverly Hills mails out Home Remedy Books on a limited basis to residents in Southern California.