Thursday, November 5, 2009

Can't Sleep Because Of Your Back Pain?

By Dr. Richard E. Busch III

Do you need a good night's sleep? Have you been up most of the night because of back pain? You may have insomnia because of your back pain. I personally have treated many patients that were suffering from this problem. I can tell you that I have treated thousands of patients for back pain, and prior to seeing them many had tried everything they could think of to get comfortable. Some patients have told me it had gotten to the point they are literally praying for sleep, because they had their sleep ruined due to back pain.

It is not uncommon for back pain to drive a patient to sleep in the recliner or on the couch propped up with pillows, just to get some pain relief. It is common for some to sleep on the floor next to their bed, put boards under their mattress, or purchase all different types of pillows: hard, soft, contour, and memory. Putting a body-pillow between the knees is a method many of my patients had tried. Sufferers that have tried everything are desperate and are praying they can just sleep.

Being a couch potato, improper posture and sitting, leaning and peering at a computer screen can be examples of causes of back pain. Pregnancy, with the extra mid section weight, is another reason. The same problem comes with being overweight. Having to carry a child perched on your hip or continually carrying a heavy purse on the shoulder, or to one side, will cause biomechanical changes and will cause back pain. There can be temporary reasons for back, but it can be a symptom of a more serious problem.

If you are suffering with back pain to point you are not able sleep, then you should see a doctor. Sleep loss and back pain affect your whole life, and you need to find out the cause. It is normal to be given pain pills, anti-inflammatory medications, and muscle relaxants when you first go to see a doctor for back pain. In the beginning, many doctors do not want to take too much time examining you, and they may give you a diagnosis of "nonspecific" back pain.

If you have suffered through long and agonizing, sleepless nights due your back pain, you know just how miserable this can be. If back pain is affecting your life and keeping you awake at night, you should see a doctor and find out what exactly is causing your pain. If you see your medical doctor, he or she will most likely prescribe pain medications and muscle relaxants. If your pain continues and you return to a medial doctor, then you most likely will be sent out for physical therapy. Then if your pain continues, you will be directed to finally have X-rays or an MRI to look into an actual diagnosis, or cause, of your pain.

First visit, you could get pain pills and muscle relaxants, and you will have a "nonspecific" back pain diagnosis. If the pills do not help, on the second visit, you may be sent to physical therapy. If that does not help, on your third visit, the doctor may order X-rays or MRIs and direct you to a specialist (an orthopedic or neurologist). If you have a problem such a herniated disc, degenerative disc, spinal stenosis or facet syndrome, the doctor will probably have you get an epidural. This is a temporary pain blocker and may last a while or only a few days, if at all.

If there is post-surgery pain, they may have to go under the care of a pain specialist. Some surgeries are successful and the symptoms are gone, others might last for two to five years or less, and some are not successful - failed surgery syndrome - at all.

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