A member asked:

Please share some do's and don'ts when it comes to chronic back pain.

114 doctors weighed in across 153 answers

Do: Do not shovel snow if you have chronic back pain.

Answered 2/16/2015

5.3k views

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Dr. Robert Lowe answered

Specializes in Pediatric Rheumatology

Ankylosing: Ankylosing spondylitis is one of the most hereditary forms of arthritis causing chronic back pain.

Answered 2/6/2014

5.3k views

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Acupuncture: Acupuncture -beneficial in reducing pain ; increasing range of motion for actute ; chronic back pain.

Answered 6/25/2014

5.3k views

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Dr. Milroy Samuel answered

Specializes in Obstetrics and Gynecology

Good: Good posture can reduce or eliminate chronic back pain.

Answered 1/5/2014

5.3k views

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Dr. Suzanne Fiala answered

Specializes in Family Medicine

Strengthen: Strengthen your core musculature with exercises such as pilates to decrease chronic back pain.

Answered 5/13/2013

5.2k views

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Opioids: Opioids have not been reliably found to reduce chronic back pain when compared w/ placebo.

Answered 11/22/2013

5.2k views

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Poor: Poor lifiting dynamics can stress your back - when lifiting something - bend with and use your legs.

Answered 4/9/2013

5.2k views

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Its: It's generally better to take meds as prescribed by time of day vs. Pm - this helps avoid rebound.

Answered 5/27/2014

5.2k views

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Clinical: Clinical and health psychologists are often trained in chronic pain cognitive behavioral management.

Answered 1/25/2015

5.2k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Stretching: Stretching before exercise, then strengthening your abdominal muscles and lower back muscles!

Answered 4/8/2013

5.2k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Smiling: Smiling and helping others with greater challenges will make your own feel very small.

Answered 5/9/2014

5.2k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Don't: Don't flex at the hip, instead, bend your knees when lifting. (even a pencil off the floor!).

Answered 4/10/2013

5.2k views

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Dr. Scott J. Wolfson answered

Specializes in Pediatrics

Know: Know you limitations and do not attempt lifting from awkward postitions.

Answered 6/9/2013

5.2k views

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Do: Do rest when symptoms worsen. Don't lay in bed all day. Too much rest is worse than activity.

Answered 4/10/2013

5.2k views

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Learn: Learn the principles of good posture and how to bear the weight of your body and with your body.

Answered 4/11/2013

5.2k views

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Make: Make sure that there is no structural problem that can remedied, then keep as active as feasible.

Answered 5/7/2014

5.2k views

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Avoid: Avoid surgical procedures that are controversial with respect to their efficacy.

Answered 9/29/2016

5.2k views

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Spinal: Spinal cord stimulators have been beneficial in improving the quality of life in chronic back pain.

Answered 5/15/2013

5.2k views

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Spinal: Spinal cord stimulators are helpful for some with chronic back pain.

Answered 12/18/2017

5.2k views

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Dr. Udit Patel answered

Specializes in Pain Management

Consider: Consider stretching, a good exercise program, weight loss and a healthy diet.

Answered 4/13/2013

5.2k views

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When: When picking up, bend from the knees, not the waist.

Answered 5/1/2013

5.2k views

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Acupuncture: Acupuncture is very helpful in many cases.

Answered 4/16/2013

5.2k views

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Try: Try to stay active. Pace your activity.

Answered 5/1/2013

5.2k views

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Do: Do not measure success by your pain score. Measure it by your improvements in activities.

Answered 4/18/2014

5.2k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Cymbalta (duloxetine): Cymbalta (duloxetine) is very effective in treating back pain and is non-narcotic!

Answered 6/24/2014

5.2k views

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Dr. Tarek Shahbandar answered

Specializes in Anesthesiology

Keep: Keep good posture and bend at your knees when lifting objects from the ground.

Answered 6/13/2016

5.2k views

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Dr. Tarek Shahbandar answered

Specializes in Anesthesiology

Inactivity: Inactivity may make back pain symptoms worse not better.

Answered 9/29/2016

5.2k views

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Dr. Tarek Shahbandar answered

Specializes in Anesthesiology

Be: Be cognizant of your posture. For example, sit upright when driving.

Answered 5/22/2015

5.2k views

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Stay: Stay active. Find exercise & activities you can do, especially with family & friends.

Answered 4/7/2014

5.2k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Keep: Keep your core muscles strong and lift heavy objects properly! keep flexible!

Answered 5/16/2014

5.2k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Avoid: Avoid spine surgery for sciatica until documented on emg!

Answered 9/17/2014

5.2k views

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Control: Control your weight, keep posture, back stretching exercise, strengthen your abdomen.

Answered 5/1/2013

5.2k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Do: Do hydrate, and don't get dehydrated. You are only asking for more pain if you are dehydrated.

Answered 5/8/2016

5.2k views

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After: After clearing it with your doctor get a trainer and work on core strength to diminish back pain.

Answered 5/21/2013

5.1k views

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Avoid: Avoid inactivity/sedentary lifestyle. Stay active and mobile. Stretch regularly. Avoid obesity.

Answered 5/13/2014

5.1k views

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Keep: Keep your core strong. Strong abdomen will help minimize back pain.

Answered 5/24/2013

5.1k views

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Yoga: Yoga creates balance on your body with poses that create flexibility and strength.

Answered 6/5/2013

5.1k views

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Abdominal: Abdominal core strengthening and stretching low back muscle daily may prevent back pain.

Answered 7/17/2017

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

A: A gravity inversion device can help many patients with DJD of the spine and with back spasm!

Answered 11/4/2017

5.1k views

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Stay: Stay as active and mobile as your condition allows you to. Stretch, do your core exercises!

Answered 1/14/2018

5.1k views

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Medications: Medications are not always necessary for treatment of chronic pain; other treatments are worth a try.

Answered 6/3/2013

5.1k views

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Do: Do activities that you enjoy and that take your mind off the pain.

Answered 5/7/2014

5.1k views

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Remain: Remain active! chronic pain does not improve with constant rest.

Answered 5/29/2013

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Do: Do strengthen your core muscles. Lose abdominal fat!

Answered 6/7/2013

5.1k views

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Try: Try to keep correct posture especially while sitting for long periods of time.

Answered 5/22/2014

5.1k views

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Dr. Manish Varma answered

Specializes in Palliative Care

The: The worst thing to do in an exacerbation of chronic back pain is 'bedrest'! be as active as possible.

Answered 6/12/2013

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Avoid: Avoid narcotics if possible. They are overprescribed by mds! they will severely lower testosterone!

Answered 5/19/2014

5.1k views

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Don't: Don't be a stranger! ask your doctor for advice & help please.

Answered 10/4/2016

5.1k views

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Dr. Thomas Wright answered

Specializes in Phlebology

Stay: Stay active , flexible and keep muscle tone up this will help long term.

Answered 10/12/2017

5.1k views

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Strengthen: Strengthen your abdominals and keep your hamstring muscles loose - this will help.

Answered 2/25/2018

5.1k views

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Dr. Tod Haller answered

Specializes in Ophthalmology

DON'T: Do get proper physical therapy training before doing pt on your own. Form is very important!

Answered 6/13/2014

5.1k views

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Dr. Tod Haller answered

Specializes in Ophthalmology

DON'T: Don't do physical therapy on your own. Only with trained professional because form is important!

Answered 6/19/2013

5.1k views

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As: As soon as your back starts to ache, you should stretch it out by lying down with your knees bent.

Answered 10/8/2014

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You: You should be sure to have good posture all the time, even when you are sitting down.

Answered 1/22/2014

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You: You should always take time to properly line up a lift to minimize strain and injury.

Answered 6/28/2013

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If: If you are experiencing back pain caused by spasms, you should try to calm them to get relief.

Answered 1/10/2015

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It: It is a good idea to drink a lot of water and lower your sodium intake while you are in pain.

Answered 6/28/2013

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When: When caring for back pain, start off with a simple routine. A few days’ rest can be beneficial.

Answered 9/29/2016

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You: You can get some immediate relief from an anti-inflammatory pain reliever like Naproxen or ibuprofen.

Answered 7/29/2014

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Heavy: Heavy lifting can exacerbate a back problem. Always take precautions when lifting objects.

Answered 2/14/2014

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If: If you want to cure your back pain – quit smoking!

Answered 6/28/2013

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Smoking: Smoking cuts down flow of blood to the body, and that might result in spinal disc degeneration.

Answered 6/28/2013

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Back: Back discomfort can sometimes be caused due to a lack of vitamin b12.

Answered 6/28/2013

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A: A massage is one of the best ways of getting rid of back pain.

Answered 11/20/2013

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Give: Give your back the support it needs.

Answered 1/10/2015

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Poor: Poor posture is a major factor in back problems.

Answered 2/21/2014

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Back: Back discomfort is nothing to laugh at. It should be treated as soon as it is diagnosed.

Answered 11/5/2020

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Riding: Riding around in the car a lot can cause back discomfort.

Answered 11/15/2013

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Adjust: Adjust the seat so you can drive without straining your back.

Answered 2/22/2014

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Many: Many women are opting for breast reduction surgery to help ease their back discomfort.

Answered 6/28/2013

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Getting: Getting breast implants could be harmful for your back.

Answered 6/28/2013

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If: If you are overweight, go on a calorie controlled diet and lose the extra pounds you are carrying.

Answered 2/17/2014

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Try: Try to lighten your work load if you’re suffering from back discomfort.

Answered 3/4/2014

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Try: Try resting for a couple days after you experience pain.

Answered 2/5/2014

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Consider: Consider raising the countertop and sink, or try placing a hand on the countertop when brushing.

Answered 9/28/2016

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Shoes: Shoes play an important role in the comfort of your feet and your back.

Answered 1/21/2014

5k views

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Dr. Joseph Accurso answered

Specializes in Radiology

Do:: Do: follow dr and physical therapist advice; lift with proper technique; strengthening exercises.

Answered 7/8/2013

5k views

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Dr. Joseph Accurso answered

Specializes in Radiology

MRI: Mri is not required for most patients with chronic back pain. History and exam determines exam need.

Answered 9/29/2016

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Dr. Joseph Accurso answered

Specializes in Radiology

Correct: Correct strengthening and stretching exercises, muscle relaxants and proper lifting technique.

Answered 7/8/2013

5k views

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Dr. Joseph Accurso answered

Specializes in Radiology

Always: Always use proper lifting technique and positioning. Stronger body core lowers injury risk.

Answered 7/8/2013

5k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Treatment: Treatment with narcotics immediately lowers testosterone levels in males. This always happens!

Answered 5/28/2014

5k views

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Do: Do not get immobilized, as it makes all worse. Try to stretch and exercise, stay flexible.

Answered 11/27/2013

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Manipulative: Manipulative therapy from osteopath or chiropractor has shown to benefit many back patients.

Answered 10/4/2016

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Do: Do not get overweight, stay flexible and do core strengthening exercises.

Answered 2/27/2014

5k views

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Avoid: Avoid surgery unless you possess critical bladder, strength, or atrophy issues. Risk of worsening.

Answered 7/8/2014

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Avoid: Avoid narcotics, stay active, do not get overweight, avoid smoking, exercise regularly (maybe swim).

Answered 2/11/2014

5k views

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Don't: Don't ignore your other muscles if you have back pain - stretch from head to toe twice daily.

Answered 6/9/2015

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Moving: Moving to arizona or any warm, dry state is great for arthritis pain that is worse in the morning.

Answered 8/14/2013

5k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Don't: Don't take a short acting pain medicine for a problem that has been around for a long time.

Answered 7/3/2014

5k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

It: It takes a village to raise a child, and sometimes to cure chronic pain, it takes a team conference.

Answered 3/20/2015

5k views

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Dr. Vikram Patel answered

Specializes in Pain Management

Rule: Rule of 10! stand up for at least 10 sec every 10 min.

Answered 10/4/2016

5k views

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Dr. Vikram Patel answered

Specializes in Pain Management

Most: Most of the back pain can be blamed on the front! big belly!

Answered 8/9/2013

5k views

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Dr. Vikram Patel answered

Specializes in Pain Management

Avoid: Avoid narcotics! they don't cure anything and may even worsen the pain by making muscles lazy.

Answered 10/25/2015

5k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Don't: Don't sleep on a soft bed, or soft couch. You will regret it.

Answered 2/4/2014

4.9k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Prevention: Prevention of chronic back pain can start at a young age. Don't let a child engage in risky sports.

Answered 10/4/2016

4.9k views

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Dr. John Michalski answered

Specializes in Orthopedic Surgery

Your: Your hamstring flexibility and core strength is your key to better back health.

Answered 4/3/2014

4.9k views

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Dr. John Michalski answered

Specializes in Orthopedic Surgery

Do: Do lift with your knees and hips to protect your spine.

Answered 8/30/2013

4.9k views

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Dr. Soren Singel answered

Specializes in Neurosurgery

Do: Do stay active, do not slow down.

Answered 8/17/2014

4.9k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Don't: Don't delay diagnosis for controlling pain. If you cover up cancer, it doesn't get better.

Answered 8/27/2013

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Do: Do exercise to strengthen and stabilize your back.

Answered 11/7/2017

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Good: Good posture helps prevent back pain.

Answered 9/14/2014

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Yoga: Yoga can help reduce chronic back pain.

Answered 10/4/2016

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Exercise,: Exercise, strengthening, drugs, massage, and chiropractic care may all help back pain.

Answered 9/29/2016

4.9k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Prevent: Prevent becoming a chronic patient by treating pain when it occurs and preventively in anticipation.

Answered 2/17/2014

4.9k views

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Dr. Eyal Simchi answered

Specializes in Pediatric Dentistry

Make: Make sure you are doing exercises that strengthen your lower back as well as your core abdominals.

Answered 9/8/2013

4.9k views

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Dr. Su Fairchild answered

Specializes in Integrative Medicine

Drink: Drink lots of water. Being well hydrated helps decrease pain.

Answered 4/11/2015

4.9k views

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Dr. Jimmy Bowen answered

Specializes in Physical Medicine and Rehabilitation

Pain: Pain medications are not a good substitute for activity and strengthening exercises. Participate!

Answered 9/11/2013

4.9k views

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Dr. John Michalski answered

Specializes in Orthopedic Surgery

Consider: Consider the basics of posture, exercise, weight control, meditation, tai chi, and balance.

Answered 4/30/2015

4.9k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

At: At bedtime, give your children an opportunity to get a back rub, a prayer, a story or 5 min talk.

Answered 9/16/2013

4.9k views

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If: If it hurts, dont extend yourself.

Answered 5/18/2015

4.9k views

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Learn: Learn how to lift appropriately, follow all work safety rules, wear seatbelt and avoid forklifts.

Answered 1/20/2014

4.9k views

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You: You are not your pain. Look for new interests, friends, and tolerable activities and nurture them all.

Answered 4/30/2015

4.9k views

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All: It's a myth that: all chronic back can be managed without narcotics.

Answered 10/4/2016

4.9k views

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There: There are nerve blocks, nerve ablations, helpful lifestyle changes, joint injections, pain pumps and many helpful medications.

Answered 7/30/2014

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Do: Do not abuse your pain meds. Do expect to be rejected from the clinic if you miss appt / misuse pain meds.

Answered 7/28/2014

4.9k views

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Dr. Robert Kent answered

Specializes in Physical & Rehabilitation Medicine

Exercise: Exercise and core strength are important to prevent back pain and relieve chronic back pain.

Answered 9/15/2013

4.9k views

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Dr. Jimmy Bowen answered

Specializes in Physical Medicine and Rehabilitation

Repeated: Repeated surgeries usually not beneficial and may make back pain worse.

Answered 9/26/2013

4.9k views

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Consider: Consider alternative treatments such as acupuncture and chiropractic.

Answered 9/16/2013

4.9k views

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Stretch: Stretch and mobilize, early and often. Ice packs are anesthetic. Heat is good for muscle spasms.

Answered 9/20/2013

4.9k views

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Ignore: If you do what you've always done, you'll get what you've always gotten. Get evaluated ; some help!

Answered 10/4/2016

4.8k views

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Dr. Tracy Berg answered

Specializes in General Surgery

Ignore: Don't give up, check out "back in control" by spine surgeon dr. David hanscom.

Answered 10/4/2016

4.8k views

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Ignore: Every morning and evening, i get on the floor and stretch. Its as good as a chiropractic adjustment.

Answered 11/16/2013

4.7k views

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Ignore: Do not do any one activity for too long: standing, sitting, walking. Vary it up.

Answered 11/20/2013

4.7k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Ignore: Sleep with pillow under bent knees or between bent knees.

Answered 12/3/2013

4.7k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Ignore: Always lift with your knees bent not bending over.

Answered 12/3/2013

4.7k views

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Dr. Clarence Lyons answered

Specializes in Family Medicine

Ignore: Tricyclic antidepressants may help with back pain.

Answered 12/3/2013

4.7k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Ignore: Be sure you find a doc who works with chronic pain on all levels, not just meds.

Answered 9/28/2016

4.7k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Sleep: Sleep with knees bent, roll between and beneath knees.

Answered 12/5/2013

4.7k views

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Ignore: Avoid heavy lifting while bending back.To lift, bring weights nearer while bending legs. Quit smokin.

Answered 12/7/2013

4.7k views

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Dr. Clarence Lyons answered

Specializes in Family Medicine

Ignore: Do stay active, but avoid lifting and bending.

Answered 12/15/2013

4.7k views

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Dr. Bradford Romans answered

Specializes in Internal Medicine

Ignore: Back exercises are as good as surgery for most back pain.

Answered 12/21/2013

4.7k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

A: A ten percent weight loss, one pound per week, a walking exercise daily routine maybe the answer.

Answered 12/28/2013

4.6k views

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Dr. Bradford Romans answered

Specializes in Internal Medicine

Ignore: 5-10 minutes of daily back exercises will reduce or eliminate back pain.

Answered 12/29/2013

4.6k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Consider: Consider proper stretching before and after exercising. Exercise should be a part of your recovery.

Answered 1/3/2014

4.6k views

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Dr. Robert Kent answered

Specializes in Physical & Rehabilitation Medicine

Ignore: Keep moving, strengthen your core to help feel better and avoid progression.

Answered 1/22/2014

4.6k views

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Dr. Robert Kent answered

Specializes in Physical & Rehabilitation Medicine

Ignore: Do keep moving, don't stop exercising in a manner that doesn't further damage your back.

Answered 2/10/2014

4.5k views

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Dr. Robert Kent answered

Specializes in Physical & Rehabilitation Medicine

Ignore: Treat underlying psychosocial issues like stress, anxiety or depression, can do wonders for pain.

Answered 4/30/2015

4.5k views

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Ignore: Good posture make a real difference. So does back exercise.

Answered 4/13/2016

4.5k views

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Ignore: Back ms exercises (swimming-- back strokes) to strengthen them = less pain. Keep fit. Quit smoking.

Answered 9/29/2016

4.4k views

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Ignore: Chronic back pain often needs a multi-disciplinary approach.

Answered 2/25/2014

4.4k views

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Ignore: Pain and stress often go hand in hand. Watch for signs of stress that can be easily overlooked.

Answered 9/29/2016

4.4k views

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Ignore: Work on posture during all times of the day. Don't give up because it takes time to find what works.

Answered 2/25/2014

4.4k views

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Dr. Robert Kent answered

Specializes in Physical & Rehabilitation Medicine

Stay: Stay well hydrated to help hydrate discs and keep them healthier.

Answered 3/3/2014

4.4k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Don't lift anything after your back is in pain. The signals trouble.

Answered 3/31/2014

4.3k views

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Ignore: Don't be a couch potato-do regular exercise with stretching, cardio and core strengthening

Answered 9/8/2014

4.2k views

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Dr. Paul Grin answered

Specializes in Pain Management

Ignore: Always try conservative and reversible treatment first. Surgery is the last resort.

Answered 9/28/2016

4.2k views

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Dr. William Newton answered

Specializes in Pain Management

Ignore: Keep moving and stay active. Research shows that more than 2 days of bed rest is no better than 7.

Answered 5/7/2014

4.1k views

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Ignore: Most back pain is due to structural wear and tear and inflammation over time.

Answered 6/30/2014

3.9k views

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Dr. Qamar Khan answered

Specializes in Pain Management

Ignore: Consider Your Chronic Pain Like a Disease, You Need to Treat The Cause to Get Pain Relief Management.

Answered 7/7/2014

3.9k views

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Ignore: Some Do's: Lift Safely, Drink Plenty of Water, Maintain a Healthy Weight, Avoid Long Sitting Periods.

Answered 4/24/2015

3.9k views

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Dr. Andrew Germanovich answered

Specializes in Pain Management

Ignore: Do psoas-muscle stretches, crunches, and planks. Don't do sit-ups or sit without back support.

Answered 9/9/2014

3.8k views

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Dr. Mark Weston answered

Specializes in Orthopedic Spine Surgery

Ignore: Dont get a operation just because nothing else works. Do identify the pain generator with injections.

Answered 11/24/2014

3.5k views

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Dr. Joshua Rovner answered

Specializes in Orthopedic Spine Surgery

Ignore: Keep active exercise regularly avoid activities that aggravate the pain.

Answered 11/27/2014

3.5k views

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