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Acute Low Back Pain

WHAT YOU NEED TO KNOW:

Acute low back pain is sudden discomfort in your lower back area that lasts for up to 6 weeks. The discomfort makes it difficult to tolerate activity.


DISCHARGE INSTRUCTIONS:

Return to the emergency department if:

  • You have severe pain.
  • You have sudden stiffness and heaviness on both buttocks down to both legs.
  • You have numbness or weakness in one leg, or pain in both legs.
  • You have numbness in your genital area or across your lower back.
  • You cannot control your urine or bowel movements.

Contact your healthcare provider if:

  • You have a fever.
  • You have pain at night or when you rest.
  • Your pain does not get better with treatment.
  • You have pain that worsens when you cough or sneeze.
  • You suddenly feel something pop or snap in your back.
  • You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

  • NSAIDs help decrease swelling and pain. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly. Do not use more than 4 grams (4,000 milligrams) total of acetaminophen in one day.
  • Muscle relaxers decrease pain by relaxing the muscles in your lower spine.
  • Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen without talking to your healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation.

Self-care:

  • Stay active as much as you can without causing more pain. Bed rest could make your back pain worse. Start with some light exercises, such as walking. Avoid heavy lifting until your pain is gone. Ask for more information about the activities or exercises that are right for you.
  • Apply ice on your back for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel before you apply it to your skin. Ice helps prevent tissue damage and decreases swelling and pain.
  • Apply heat on your back for 20 to 30 minutes every 2 hours for as many days as directed. Heat helps decrease pain and muscle spasms. Alternate heat and ice.

Prevent acute low back pain:

  • Use proper body mechanics.
    • Bend at the hips and knees when you pick up objects. Do not bend from the waist. Use your leg muscles as you lift the load. Do not use your back. Keep the object close to your chest as you lift it. Try not to twist or lift anything above your waist.
    • Change your position often when you stand for long periods of time. Rest one foot on a small box or footrest, and then switch to the other foot often.
    • Try not to sit for long periods of time. When you do, sit in a straight-backed chair with your feet flat on the floor. Never reach, pull, or push while you are sitting.
  • Do exercises that strengthen your back muscles. Warm up before you exercise. Ask your healthcare provider the best exercises for you.
  • Maintain a healthy weight. Ask your healthcare provider how much you should weigh. Ask him or her to help you create a weight loss plan if you are overweight.

Follow up with your healthcare provider as directed:

Return for a follow-up visit if you still have pain after 1 to 3 weeks of treatment. You may need to visit an orthopedist if your back pain lasts longer than 12 weeks. Write down your questions so you remember to ask them during your visits.

© 2017 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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