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Chronic Low Back and Buttock Pain Treatment is a common pain that is experienced by most adults at some point in their lives. Different situations could lead to lower back pains.

Staying in a particular position for too long such as sitting in a position for too long could lead to lower back pains.

Lifting heavy objects, strenuous exercise, poor posture over time, aging, etc, could lead to lower back pains.

Buttock pain is mostly caused when you seat in a particular position for too long. The strain on the muscle and bones in the buttock causes you to feel pains.

Office workers are more prone to lower back and buttock pains due to long hours of sitting in a particular position.

Other several conditions could lead to buttock pains such as bruises, bursitis, herniated disc, pilonidal cyst, perirectal abscess, etc.

Both men and women are affected by low back pain. You could feel a sharp sensation or constant pain at your lower back and buttock.

Most low back pain is short term and lasts for a few days or few weeks while in some cases low back pain could be chronic.

Causes of Chronic Lower back and buttock pain

Chronic lower back pain is usually caused by natural mechanical issues and disruptions in the movement and alignment of the back components. The causes of lower back and buttock pain include:

  • Sprains and strains

    Sprains and strains are the cause of most lower back and buttock pains. They are brought about by overstretching or tearing tendons, and strains are tears in ligament or muscle. Both can happen from twisting or lifting something inappropriately, lifting something excessively heavy, or overstretching. Strains occur by exerting too much pressure on the bones.

  • Spondylolisthesis

    This is a condition whereby a vertebra of the lower spine slips out of place, causing serious back pain.

  • A traumatic injury

    A traumatic injury is an injury sustained from an accident, fall, playing of sports that affects or injures the tendons, ligaments or muscles which result in lower back pains. When there is excessive pressure on the spine, the intervertebral could become ruptured and exerts pressure on the nerve roots resulting in chronic low back pains.

  • Intervertebral circle degeneration

    This is another most common mechanical causes of lower back pains. It occurs when the discs lose their integrity due to aging. The discs lose their cushioning abilities due to aging and deterioration.

  • Herniated or ruptured disc

    This can happen when the intervertebral disc is herniated or ruptured thereby leading to chronic back pain.

  • Spinal stenosis

    This is a situation whereby the spinal column becomes narrow, thereby exerting pressure on the spinal cord and nerves leading to lower back pains. This could also lead to numbness, sensory loss or weakness of the leg.

  • Skeletal irregularities

    Skeletal irregularities usually result from aging. It is a situation whereby the spine starts to curve causing lower back pain.

  • Radiculopathy

    This is a condition brought about by pressure, aggravation as well as damage to a spinal nerve root. The pressure to the nerve root causes numbness, pains that travel to other parts of the body.

  • Sciatica

    This is a form of radiculopathy caused by compression of the sciatic nerve. The sciatic nerve is the large nerve that travels through the buttocks and extends down to the back of the leg. The compression causes burning low back and buttock pain down to one of the legs. It could also be caused by a tumor or cysts which put pressure on the sciatic nerve.

Chronic Low Back and Buttock Pain Treatment

  • Hot or cold packs

    These are used to help ease the pain and reduce inflammation to allow for better mobility.

  • Engage in exercise and activities

    Back pains could be as a result of inactivity. Limit the number of hours you lay on the bed, engage in routine exercises such as stretching and yoga. Strenuous physical exercises whereby you lift heavy objects could lead to back pain, hence reduce the weight of the object you lift.

  • Physical therapy

    Physical therapy programs to support low back, increase flexibility, improve mobility, promote proper posture are used to treat back pains.

  • Acupuncture 

    Acupuncture involves the insertion of thin needles into specific areas throughout the body. It is regarded as a traditional method of treating back pains.

  • Spinal manipulations and mobilizations

    This is done by specialized doctors of chiropractic care. They use their hands to massage, adjust, stimulate, and mobilize the spine and surrounding tissues. These are done to relieve pains are aligning disjointed bones.

  • Epidural steroid injections

    These are mostly short-term treatment for lower back pains and inflammations.

  • Medications

    There are several types of medications that are used in the treatment of chronic low back and buttock pains. Consult with your health provider for the right medication for you. Medications for the treatment of low back pains include:

1. Analgesic medications – Analgesic is specifically to reduce pains. They include OTC acetaminophen and aspirin. They also include opioids such as morphine, codeine, hydrocodone, and oxycodone. Opioids are used for a short period and should be used under the supervision of your doctor.

2. Antidepressants medications – Antidepressants are also used in the treatment of chronic lower back pains. Antidepressants include serotonin, tricyclics, and norepinephrine. 

3. Counter-irritants – These include sprays and creams applied to the affected part of the back and buttock to stimulate the nerves of the skin and provide a feeling of warmth or cold to relieve pains. They can also stimulate blood flow and reduce inflammation.

4. Nonsteroidal anti-inflammatory drugs (NSAIDs) – These are inflammation and pain reduction medications. They include ibuprofen, ketoprofen, naproxen sodium, and other COZ-2 inhibitors. These medications are short term and should not be taken for a long period. Side effects may occur if taken for a long period.

5. Anticonvulsants – These are medications that are used to treat seizures associated with chronic back pains.

  • Surgery – Surgery is needed in case of extreme chronic back pain caused by musculoskeletal injuries or never compression. Surgery is mostly done when all other means of treatment have failed. Patients are informed of the risk of undergoing surgical procedures.

The surgical options for Chronic Low Back and Buttock Pain Treatment are Vertebroplasty and kyphoplasty, Spinal laminectomy, Discectomy or microdiscectomy, Foraminotomy, Intradiscal electrothermal therapy, Nucleoplasty, also called plasma disc decompression, Radiofrequency denervation, Spinal fusion, and Artificial disc replacement


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