Pain that originates in the bony structures or muscles of the lower back.
Amongst the most common causes are: herniated disc, lumbar spinal stenosis, rupture of the vertebral lamina and facet syndrome.
It manifests with pain in the lower and/or lateral part of the back, buttocks, and even pain and tingling sensation in the lower limbs. The pain typically worsens with movement and improves at rest.
Diagnosis is done through the patient's clinical history and a physical examination. Sometimes the study is completed with X-rays, ultrasounds, an MRI, an electromyography (EMG) or gammagraphy.
Treatment consists of an initial period of relative rest, local application of dry heat, analgesics, anti-inflammatory drugs (NSAIDs) and muscle relaxants. It is advisable to complement it with rehabilitation treatment after overcoming the acute phase, exercise to tone the muscles and to carry out postural hygiene habits to prevent relapse.
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