If the improvement fails to reach a satisfactory stable point additional diagnostic efforts should be pursued. It is important to note that regardless of diagnosis, an improving clinical picture supports continuing with nonsurgical modalities. If symptoms are persistent, the following tests may be ordered by your doctor. Likewise, if pain radiates into the extremities or around the chest well past the spinal epicenter of the pain focus, it is important to rule out underlying causes such as an undetected spinal disc injury. Flexors (abdominal muscles and iliopsoas muscles)ĭiagnostic testing is usually necessary only when the pain has been present for more than two weeks and has not improved as expected.Extensors (back muscles and gluteal muscles).Three types of muscles support the spine: These usually involve spinal pain that radiates into arms, legs or around the rib cage from back toward the anterior chest. Spinal pain can be caused by things more severe that might require surgical consideration. Even though lumbar strain or sprain can be very debilitating, neither usually requires neurosurgical attention. This inflammation causes pain and may cause muscle spasms. When the lumbar spine is strained or sprained, the soft tissues become inflamed. Both of these can result from a sudden injury or from gradual overuse. Lumbar sprain is caused when ligaments - the tough bands of tissue that hold bones together - are unusually stretched. Lumbar muscle strain is caused when muscle fibers are abnormally stretched or torn. The lumbar and cervical spine are prone to strain because of its weight-bearing function and involvement in moving, twisting and bending.
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