Pain control

The most optimistic estimate that 80% of the population have suffered or suffer from back pain at some point in their lives. Most heal spontaneously, without any medical treatment. But more often than desired, many patients are subjected to excessive tests to diagnose his poor, are therapies that are not always the most effective and, at worst, cause more harm than good. Treatment of low back pain is further complicated because it involved various specialists (rheumatologists, family physicians, neurosurgeons, traumatologists, rehabilitation ...) applying different formulas to a patient and sometimes contradictory. Back pain or lumbago is coming or localized pain in the lumbar area but does not specify the exact cause of the pain. In the vast majority of cases the pain is mechanical-functional, ie, an aberrant function of articulating the lumbar vertebrae and also may be submitted to other influential factors associated with muscle contractions, slipped discs, scoliosis, and osteoarthritis (wearing , etc.). Contrary to what is traditionally said, osteoarthritis (wear) despite being related, it is not a cause of spinal pain. There have been several studies to determine the relationship between radiographic evidence of arthritis and pain of the column, and showed that there is no connection and that osteoarthritis has the same effect on people in pain who do not . That means that may be present in the patient but not the cause but rather a consequence of the real cause. Lumbar vertebrae.   In some cases, though few, can be another source such as a fracture, tumor, or referred to some internal organ. So it is important to determine the cause in particular through a comprehensive review. However, over 90% of low back pain is actually caused by the functional spinal pathologies (eg, articulate hypomobility, compression of a nerve, miofascitis, etc.). And not structural pathologies (eg, tumor , wear, herniated disk. The lower back is a very vulnerable area of our body, which is subject to constant efforts, poor posture, trauma, misuse, hereditary defects, and so on. Among the risk factors are: Bad postural habits, previous episodes of back pain, under a state of physical, sedentary lifestyle, lack of strength and endurance of the muscles of the spine, injuries / accidents before, heavy physical work, drive or be seated for long time, combined with movements of the trunk flexion and rotation, frequent exposure to vibration (eg, machinery and vehicles), repetitive tasks, advanced age, congenital diseases, overweight, scoliosis, corticostriatum-thalamic-cortical steroid treatment, osteoporosis, alcohol , drugs, psycho-social problems, cancer, snuff, infections, circulatory diseases, stress and job dissatisfaction.. All this can lead to painful back injury problems that almost always can be treated without surgery, and that surgery should be considered only in cases where conservative treatment has not been successful in controlling severe or chronic pain or neurological symptoms . In that case has always been to consult with several different professional before taking this step. It should identify what kind of functional or structural problem that causes the symptoms to implement specific treatment and avoid surgery wherever possible. 8 in 10 people suffer from back pain at some point in their lives and this is the main cause of absence from work in the western world. It is also one of the most costly health problems for our industry and society by the loss of working days and cost of treatment. So that the back pain can be considered endemic, which has been studied by most leaders in the health sciences to develop a multidisciplinary treatment guidelines, treatment with medication and rest simply wait to see if it passes, a treatment designed to restore functionality of the column as soon as possible in a multidisciplinary approach coordinated by the rheumatologist and supported by professional experts in education correct postural habits prevention in everyday activities, rehabilitation exercises