Back pain is a common condition with varying symptoms depending on the cause. The sensation of pain can be dull, sharp, throbbing, stabbing, aching, or searing. It can be constant, intermittent, or worsen with exercise or prolonged sitting. As annoying as back pain can be, it usually goes away or improves with rest within a few weeks. Serious conditions may necessitate ongoing care and treatment, including surgery. Back pain can have a variety of causes. Back pain is most commonly caused by strains and sprains, particularly in the lower back. A strain is the tearing of a muscle or tendon (the connective tissue that connects muscles to bones), whereas a sprain is the tearing of a ligament (which connects bones in a joint). A torn tendon or ligament can be caused by a fall or sports injury, or it can be caused by overuse of a joint, which is known as a repetitive stress injury. The pain can be mild to severe and is frequently described as "all-over pain" that spreads to the buttocks. The pain gets worse with movement and better with rest. In addition to pain, muscle stiffness, spasms, and a limited range of motion are common. Back pain is diagnosed by reviewing your medical history and performing a physical exam. You will be asked when the pain began, how it feels, what makes the pain better or worse, and if you have any other symptoms (such as numbness or swelling). Your doctor will order lab and imaging tests based on the results to investigate the suspected causes. Back pain treatment can be time-consuming. Most people recover by resting and avoiding lower-back-stressing activities. Other treatments may be used to alleviate pain and restore spinal or back muscle function.
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