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lumbar vertebrae, backache, low back pain, lumbar pain, pain, pain felt in lower back, spine, muscles, nerves, structures in that region, radiate from other areas, upper back, a hernia, in the groin, a problem, in the testicles, ovaries, feel a variety of symptoms, 've hurt back, tingling, burning sensation, a dull aching, sharp pain, experience weakness in legs, feet, won't necessarily be one event that actually causes, pain, have been doing many things improperly, standing, sitting, lifting, long time, suddenly, one simple movement, reaching, something, in the shower, bending from waist, leads, feeling of pain, have at least one backache in life, such pain, discomfort, happen anywhere in back, most common area affected is low back, the low back supports most of body's weight, low back pain, #2 reason that americans see doctor, second only to colds, flus, many back-related injuries happen at work, change, many things, to lower chances of getting back pain, most back problems, get better on own, key, seek medical help, self-care measures alone, allow to get better, low back pain acute, short-term, lasting less than one month, chronic, long-term, continuous, ongoing, lasting longer than three months, getting acute back pain more than once is common, continuous long-term pain, you'll, first feel back pain just after lift a heavy object, move suddenly, sit in one position, long time, have an injury, accident, prior to that moment in time, structures in back losing strength, integrity, specific structure in back responsible, pain is hardly ever identified, whether identified, several possible sources of low back pain, small fractures, spine from osteoporosis, muscle spasm, very tense muscles that remain contracted, ruptured, herniated disk, degeneration, the disks, poor alignment, the vertebrae, spinal stenosis, narrowing, the spinal canal, strain, tears, muscles, ligaments supporting the back, spine curvatures, scoliosis, kyphosis, inherited, seen in children, teens, fibromyalgia, low back pain from any cause, involves spasms, the large, supportive muscles alongside the spine, muscle spasm, stiffness accompanying back pain, feel particularly uncomfortable, at particular risk, low back pain, work in construction, another job requiring heavy lifting, lots of bending, twisting, whole body vibration, truck driving, using a sandblaster, have bad posture, pregnant, over age 30, smoke, don't exercise, overweight, have arthritis, osteoporosis, low pain threshold, feel stressed, depressed, back pain from organs, in the pelvis, elsewhere, bladder infection, kidney stone, endometriosis, ovarian cancer, ovarian cysts, testicular torsion, twisted testicle, feel better, one week, start of back pain, after another 4-6 weeks, back pain, likely be completely gone, to get better quickly, take the right steps, first get pain, a common misconception, back pain, need to rest, avoid activity, long time, in fact, bed rest is not recommended, have no indication of a serious underlying cause, back pain, loss of bowel, bladder control, weakness, weight loss, fever, should reduce physical activity only, the first couple of days, gradually resume usual activities after, tips, how to handle pain early on, stop normal physical activity, the first few days, helps calm symptoms, reduce inflammation, apply heat, ice, painful area, try ice, the first 48-72 hours, use heat after, take over-the-counter pain relievers ibuprofen, advil, motrin ib, acetaminophen, tylenol, sleeping, try lying, curled-up, fetal position, a pillow between legs, sleep on back, place a pillow, rolled towel under knees to relieve pressure, not perform activities that involve heavy lifting, twisting of back, the first 6 weeks, pain begins, after 2-3 weeks, should gradually resume exercise, light cardiovascular training, walking, riding a stationary bicycle, swimming, great examples, such aerobic activities, blood flow to back, promote healing, strengthen muscles in stomach, stretching, strengthening exercises, in the long run, starting these exercises too soon after an injury, make pain worse, a physical therapist, to begin stretching, strengthening exercises, how to, avoid the following exercises, initial recovery, physical therapist says it is okay, jogging, football, golf, ballet, weight lifting, leg lifts, lying on stomach, sit-ups, straight legs, rather than bent knees, have lost bowel, bladder control, call doctor, unexplained fever, back pain, back pain after a severe blow, fall, redness, swelling on the back, spine, pain traveling down legs below the knee, weakness, numbness in buttocks, thigh, leg, pelvis, burning, urination, blood in urine, worse pain, lie down, pain that awakens at night, very sharp pain, have been losing weight unintentionally, use steroids, intravenous drugs, have never had, been evaluated, back pain, back pain, but this episode is distinctly different, episode of back pain has lasted longer than four weeks, of these symptoms, check, sign of infection, meningitis, abscess, urinary tract infection, ruptured disk, spinal stenosis, hernia, cancer, kidney stone, twisted testicle, serious problem, first see doctor, asked questions, back pain, how often it occurs, how severe it, try, the cause of back pain, whether it is likely to quickly get better, simple measures ice, mild painkillers, physical therapy, proper exercises, the time, back pain, get better using these approaches, questions, pain on one side only, sides, what does the pain feel, is it dull, sharp, throbbing, burning, the first time have had back pain, did the pain begin, did it start suddenly, did have a particular injury, accident, what were doing, the pain began, were lifting, bending, sitting at computer, driving a long distance, back pain, pain similar, different, in what way is it different, know the cause of previous episodes of back pain, how long does each episode of back pain, last, feel the pain anywhere other than back, hip, thigh, leg, feet, have any numbness, tingling, weakness, loss of function in leg, elsewhere, what makes the pain worse, lifting, twisting, standing, sitting, long periods of time, what makes feel better, any other symptoms present, weight loss, fever, change in urination, change in bowel habits, physical exam, try to pinpoint the location, the pain, figure out how it affects movement, sit, stand, walk, walking, ask to try walking on toes, heels, bend forward, backward, sideways, lift legs straight up lying down, pain is worse, this, have sciatica, feel numbness, tingling in one of legs, move legs in different positions, bending, straightening knees, all the, doctor is assessing strength, ability to move, to test nerve function, use a rubber hammer to check reflexes, touching legs in many locations, a pin, cotton swab, feather tests sensory nervous system, how well feel, instruct to speak up, areas, sensation, pin, cotton, feather is duller, back pain recover, four to six weeks, not order any tests, first visit, have any, circumstances below, order imaging tests at this initial exam, pain that has lasted longer than one month, numbness, muscle weakness, accident, injury, fever, over 65, cancer, strong family history of cancer, weight loss, in these cases, doctor is looking, tumor, infection, fracture, serious nerve disorder, clues that one of these conditions present, presence of a tumor, infection, fracture, serious nerve disorder change how back pain is treated, tests that might be ordered include an x-ray, a myelogram, an x-ray, ct scan, the spine after dye has been injected, spinal column, a ct, the lower spine, mri, the lower spine, hospitalization, traction, spinal surgery should only be considered, nerve damage is present, condition fails to heal after a prolonged period, benefit from physical therapy, see a physical therapist, refer to one in area, physical therapist, begin by using methods to reduce pain, therapist, teach ways, prevent getting back pain again, pain lasts longer than one month, primary care doctor, send, either an orthopedist, bone specialist, neurologist, nerve specialist, exercise is important, preventing future back pain, exercise can, improve posture, strengthen back, improve flexibility, lose weight, avoid falls, a complete exercise program should include aerobic activity, walking, swimming, riding a stationary bicycle, stretching, strength training, prevent back pain, very important to learn to lift, bend properly, follow these tips, an object is too heavy, awkward, spread feet apart, to give a wide base of support, stand, object, lifting, bend at knees, not at waist, tighten stomach muscles, lift the object up, lower it down, hold the object, close to body, can, lift using leg muscles, stand up, the object, not bend forward, not twist, bending, the object, lifting it up, carrying it, measures to take, prevent back pain, avoid standing, long periods of time, work, try using a stool, alternate resting each foot on it, not wear high heels, use cushioned soles, walking, sitting, work, using a computer, make sure that chair has a straight back, adjustable seat, armrests, a swivel seat, use a stool under feet sitting so that knees, higher than hips, place a small pillow, rolled towel behind lower back sitting, driving, long periods of time, drive long distance, stop, walk around every hour, bring seat, far forward, to avoid bending, don't lift heavy objects just after a ride, quit smoking, lose weight, learn to relax, try methods, yoga, tai chi, massage, rakel d, low back pain, integrative medicine, elsevier, 423-431, sierpina vs, curtis p, doering j, an integrative approach to low back pain, clin fam pract, 4(4), 817, preventative services task force, primary care interventions, prevent low back pain, brief evidence update,  agency, healthcare research, quality, february 2004.