In a busy primary clinical practice, at least one patient a day comes in with a backache. It is one of the most common human ailments. Most of the problems are with the lower back; and no wonder. The lower back is the "axle" on which most of the other muscle movements base their action. By going through an approach which looks at the history of the pain and the mechanics of the lower back, the doctor can hopefully come up with a successful plan of treatment.Although people complain of back pain, it is not a diagnosis but rather a symptom of an underlying disorder. There are two types of back pain, acute and chronic. Acute back pain is pain with a new onset. It comes on suddenly, usually due to injury. This is the most common type of back pain. It is usually resolved in less than one month but no more than 6 weeks duration. Chronic pain is pain that can have a quick or slow onset, but it lingers for long periods of time. Although it may last three months or longer, some people experience a lifetime of chronic back pain. Chronic pain is the least common type of pain.

So generally to treat lower back spasms, the first thing to do is to ice the affected area of the back - heat can also be applied to the back muscles.Causes of primary amenorrhea may include chromosomal disorders such as Turner's syndrome (a genetic disorder that prevents sexual maturing in girls); hypothalamic or pituitary diseases; moderate or excessive exercise; dietary deficiencies resulting from disorders such as anorexia nervosa and obesity; extreme physical or psychological stress or a combination of both; and adverse effect of a variety of medication including some tranquilisers and progesterone. The common causes of secondary amenorrhea include many of those listed for primary amenorrhea as well as pregnancy; ovarian cysts and/or tumors; extreme weight loss and/or vigorous physical activity; radiation therapy or an abnormally adherent placenta in a prior pregnancy; and damage to the pituitary.

One exercise is to stretch the back by arching it. To do this, first lie with your face on the floor, put your hands on the floor and lift your upper body upwards so that it forms a slight arch. This will stretch your lower back. Stay in this position for 10-15 seconds and come back to the earlier position. Repeat this exercise 5-10 times.Epidural steroid injection and nerve blocks help to relieve the inflammation and pain of spinal nerves caused by the compression. This is particularly useful for pain that radiates from the lower back into a leg, and is caused by Herniated Discs. However, it is dangerous and has side effect.

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