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Best Non-Surgical Treatment for Severe Low Back Pain in Malaysia
Chiropractic Specialty Center® provides the best non-surgical treatment for severe low back pain in Malaysia.
Severe low back pain is the most common cause of disability in persons under 45. The most common causes of severe lower back pain are spinal canal stenosis or foraminal stenosis. The spinal canal houses the spinal cord. Vertebral foramina is a small opening between spinal bones (vertebra) through which spinal nerves exit the spine. Spinal canal and foraminal stenosis are caused by mechincal spine conditions such as:
- Slip-disc
- Hypertrophy of ligamentum flavum
- Facet hypertrophy
- Spondylolisthesis
- Moderate or severe forms of Spondylosis
An infection may also cause severe low back pain. Patients presenting with severe, progressive low back pain, fever, history of intravenous drug use, and recent infection require additional imaging to rule out infection of the spine. Spinal infection is not a common cause of severe low back pain as it only affects about 0.01% of patients with back pain. However, the spinal infection can cause significant pain in the back. Spinal infection can affect the spinal bone, the intervertebral disc, the spinal canal, or any combination. A negative X-ray imaging cannot rule out the spinal infection. This is because 30-50% of bony changes at the affected site are required before being shown on the plain film. MRI, magnetic resonance imaging of the spine is needed to diagnose or rule out spinal infection.
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About 80% to 90% of lower back pain cases are diagnosed as non-specific low back pain as it is difficult to pinpoint one structural or functional cause. In most cases of low back pain, the adjacent structures in and around the painful site, such as the intervertebral discs, facet and sacroiliac joints, ligaments, and muscles, can all contribute to the pain. Therefore, an effective treatment program for lower bck pain should include different modalities to address every component of the back pain.
