Managing Chronic Back Pain
Low-back pain is considered chronic if it persists for more than three months. Symptoms vary some people experience stabbing or shooting pain, and others a steady ache accompanied by stiffness. Sometimes pain is localized; in other cases, it radiates to another part of the body. Underlying causes of chronic back pain include injuries, infection, muscle or ligament strains, and disk herniations.
Because symptoms and causes are so varied, different people benefit from different treatment strategies, and researchers have found that many treatments have only limited benefits.
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Potential treatments include over-the-counter or prescription medications; exercise; physical therapy, massage, yoga, or chiropractic care; acupuncture; percutaneous electrical nerve stimulation (PENS), in which acupuncturelike needles deliver an electrical current; education and advice about posture, exercise, and body mechanics; and surgery (see the box “Yoga for Relaxation and Pain Relief”).
Psychological therapy may also be beneficial in some cases. Reducing emotional stress that causes muscle tension can provide direct benefits, and other therapies can help people deal better with chronic pain and its effects on their daily lives. Support groups and expressive writing are beneficial for people with chronic pain and other conditions.