Acute Back Pain
July 2008
Look around the waiting room; about 3 of every 4 adults here will have at least 1 bout of acute back pain at some time in life. It may start suddenly or slowly, and it may be mild or severe. Although muscle spasms, slipped discs, pinched nerves, sciatica, and arthritis are often blamed, doctors don’t know the true cause of most episodes. Fortunately, 75% of cases clear up in less than a month, even without special tests or treatments.
If you have ordinary acute low back pain, you won’t need x-rays or lab tests. You don’t have to stay in bed, either. In fact, you should be up and around as much as the pain allows. You should, however, avoid lifting, bending, and prolonged sitting. A heating pad or over-the-counter pain reliever may help. Ask your doctor about muscle relaxants or stronger pain killers if you need them. As you improve, cut down on medications and ease your way back to normal activities.
If you have fever, weakness, numbness, very severe or long-lasting pain, serious medical conditions, or other warning symptoms, see your doctor and ask about an MRI and blood tests. Depending on the results, you may need special treatments or a referral to a back specialist or physical therapist.
To keep your back healthy, stay lean and active, practice good posture, and learn to lift from your legs, not your back.
For more information see the PEC brochure,
‘My Aching Back.’