Types of Low Back Pain

Dr. Melissa Guanche, Physiatrist at Baptist Health Neuroscience Center, explains there are 3 types of low back pain: acute, sub-acute and chronic.

Acute low back pain phase (lasts 4 weeks) resolves with over-the counter-medicines, rest and anti-inflammatories. Sub-acute (lasts 4 to 12 weeks) is not getting better despite typical exercises or stretches. Chronic low back pain (more than 12 weeks) is the most advanced phase, because the patient took medication for a long time, suffered its side effects and pain persists. His quality of life diminished.

The specialist recommends visiting the physician when the patient is in the acute or sub-acute phase.

Transcript
We understand that there are different types of back pain and I think that’s imperative to showcase what they are so let’s take it step by step I think we have a great analogy here in terms of a graphic that breaks it down for us here they are doctor three types of low back pain acute subacute and chronic can you walk us through what we’re seeing and explain each one? Great my pleasure to explain this so acute back pain is that back pain when it first develops we’re talking about the first four weeks you may have back pain immediately after doing something or you may have just had a really busy weekend or just move some heavy boxes and furniture and a few days later you’re developing this is a pain that usually resolves with just you know over-the-counter medicines some rest some anti-inflammatories concerning when it doesn’t respond to the usual remedies and that would typically put you to the subacute phase subacute is pain it’s lasting longer than usual so it’s been beyond four weeks your pain is not getting better despite your typical exercises or stretches this is actually when I see a lot of my patients they come in and say I’ve had this pain before but this episode is just it’s awful it’s not getting better I thought I was getting better but it’s not I’m nervous that there could be something else going on what do you recommend I do is everything okay is there something that I’m missing and then you have the chronic back pain. And that really now getting very painful. Absolutely these patients a lot of times they’re miserable they’ve been living like this for three months and their quality of life has just diminished they’ve been you know taking medicines longer than they would like they’re getting side effects they are just they’re not functioning and it’s harder to treat at this stage ideally the time to see your doctor would be in the acute or the subacute place.
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