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CHECK UP
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Check Up is your chance to talk to doctors about the health issues that most concern you and your family. Each week Barbara Myers is joined by a medical expert to take your calls and emails on a particular topic and give you the most up to date advice. No appointment necessary.
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"There is no substitute for one-to-one advice from a听top medical expert and that's what we offer our callers and emailers. But for each person who calls to ask for help, someone else phones in to pass on a tip or a suggestion -听it's a great programme to present."
Barbara Myers |
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| A 1940s physiotherapy technique |
 Full programme transcript >>
Back pain
Back pain is the biggest single medical cause of time off work,听accounting for nearly half of all sickness-related absence from the workplace 鈥撎齮hat鈥檚 just over 50 million lost working days every year.
Up to half of us will suffer from at least one episode of lower back pain every year, and around 5 million people will end up at their GPs.
In this week's Check Up, Barbara Myers and her guest, GP Dr Stephen Longworth, will be answering your questions about back pain.
Lower Back Pain
The most common type of back pain is found in the lower back.听
In most cases the pain should go of its own accord in a week or so.听 However, in a minority of cases, it persists for several months or longer.
Typically, the pain is in one area of the lower back, but sometimes it spreads to the buttocks or thighs.
Trapped nerve pain听
A trapped nerve听means that a nerve coming from the spinal cord is irritated or pressed on.
Pain may be felt down a leg to the calf or foot, with the pain in the leg or foot often being worse than in the back.
A common example is sciatica, where a main nerve to the leg is irritated or pressed on.
Nerve root pain can range in severity from mild to very bad. The irritation or pressure on the nerve may also cause pins and needles, numbness or weakness in part of a buttock, leg or foot.
A trapped nerve is the cause of back pain in less than one out of 20 cases.
Slipped disc
A slipped disc is another well known cause of back pain.
The听disc does not actually 'slip' - part of the inner softer part of the disc bulges out or prolapses through a weakness in the outer harder part of the disc. The prolapsed part of the disc can then press on a nerve nearby, causing pain.
Back pain can sometimes be caused by arthritis, or very rarely by a tumour or infection affecting the spine.
Treatment
In most cases of back pain, doctors advise you to continue with normal activities as far as possible.听
You are more likely to recover more quickly and are less likely to develop chronic back pain by keeping active.
If you need painkillers, it is best to take them regularly rather than when you feel pain acutely.
Paracetamol is often sufficient but some people choose anti-inflammatory painkillers like ibuprofen. Other types such as diclofenac or naproxen need a prescription.
Some people visit a physiotherapist, chiropractor, or osteopath for听treatment for back pain.听These physical treatments provide some short-term comfort and hasten recovery in some cases.
If you have any questions about the causes or treatments of back pain, please get in touch.
Contact the programme:
Please contact the programme with your questions or comments on 03700 100 444 on the day of broadcast or e-mail using the Contact Check Up link. |
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RELATED LINKS
成人论坛 Radio 4: Case Notes - Slipped Discs
成人论坛 Health: Back Pain
成人论坛 Science & Nature: Your Spine
成人论坛 News Health
The 成人论坛 is not responsible for the content of external websites
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