Adjust your heart and possibly relieve your pain

  Boos et al. wrote that non-anatomical factors, specific work situations, and psychosocial factors are strongly associated with physical discomfort. There is a high prevalence of abnormal imaging findings in asymptomatic controls, up to 76%.  Unfavorable work situations, work stress, work psychological stress, low education, and low compensation for work are all associated with the development of lower back pain.  Many studies on occupational low back pain have shown that depression, occupational stress, job satisfaction, level of concentration, anxiety, and marital status are all associated with the patient’s chief complaint and dysfunctional condition.  In reports, there are often more women than men with lower back pain, but there are no racial differences, and the prevalence of low back pain is higher in those with lower education.  Patients who take a 6-month leave of absence have a 50% chance of successfully returning to work afterwards, compared to a 25% chance if they take a 1-year leave of absence.  The simplest treatment for acute low back pain is rest. Patients are allowed to walk as long as they feel comfortable, but sitting, especially in a seated position in a car, is not advocated. Recovery is faster when general activity is continued to the extent that pain allows.  The goal of surgical treatment must be clear: it is not a cure. Rather, it is to relieve the symptoms. Surgery can neither terminate the pathological process that led to the herniated disc. Nor does it restore the back to its previous state. It is still necessary to maintain good posture and body mechanics after surgery, without movements including repeated bending, twisting and lifting heavy objects in a flexed spinal position. If prolonged pain relief is desired, the patient’s lifestyle will require certain permanent adjustments.