Lower back pain hurts to walk: Tips to Say Goodbye 

Are you tired of dealing with persistent lower back pain? It’s time to stop letting this pain rule your life and take control. Walking is a simple, low-impact exercise that can help alleviate lower back pain symptoms. In this blog, we will discuss how walking can help with lower back pain, its symptoms and causes, diagnosis and tests, management and treatment options. We’ll also cover common myths about lower back pain, posture checklists to avoid discomfort while walking, and the benefits of stretching exercises for relief.

lower-back-pain-hurts-to-walk

Understanding Lower Back Pain

Lower back pain is a common issue that affects many people worldwide. Poor posture and muscle strain are some of the leading causes of this condition. Fortunately, walking can help alleviate lower back pain by improving circulation and strengthening the muscles. To avoid exacerbating lower back pain, it is essential to maintain proper walking form and stretch before and after walking.

How Walking Can Help

Walking Tips for Say Goodbye to Lower Back Pain

When it comes to managing lower back pain, walking can be an effective solution. Incorporating regular walks into your routine can help strengthen the muscles in your lower back while reducing inflammation and improving flexibility. To ensure that you derive maximum benefits from walking, it’s important to focus on proper form and incorporate stretching exercises into your routine. This low-impact exercise not only helps with blood flow but also improves posture which reduces stiffness and numbness in the legs.

lower-back-pain-hurts-to-walk

Symptoms and Causes

Lower back pain is often accompanied by discomfort such as muscle spasms, stiffness, numbness or even bladder and bowel issues. Poor posture and compression can cause inflammation of the vertebrae in the lower back area resulting in severe pain. Sciatica and spinal stenosis can also contribute to the discomfort felt in your buttocks and legs. Twisting or bending improperly can put a strain on tendons and ligaments leading to chronic low back pain which may also result from conditions like ankylosing spondylitis or osteoporosis.

Signs of Lower Back Pain

If you’re suffering from lower back pain that hurts to walk, there are several signs that you should look out for. These include stiffness and difficulty standing up straight. The pain may also radiate down to your hips and legs. Poor posture is one of the main culprits of lower back pain, along with muscle strain or injury and degenerative conditions like arthritis or herniated discs. It’s always wise to seek medical advice before embarking on a new exercise routine to avoid exacerbating your condition.

lower-back-pain-hurts-to-walk

Causes of Lower Back Pain

Identifying the root cause of discomfort in the lower back that hurts to walk is crucial for treatment. Muscle strain and poor posture are common culprits behind this type of injury. Sedentary lifestyles also contribute to this issue. Additionally, aging can lead to herniated discs or spinal stenosis which can cause inflammation and numbness. Even tendons can become inflamed causing severe pain or discomfort while bending or twisting. Seeking help from a healthcare professional or physiotherapist is necessary for long-term relief from low back pain.

Diagnosis and Tests

Getting a proper diagnosis is crucial to identify the underlying cause of discomfort while walking due to lower back pain. Various diagnostic tests like X-rays, MRIs, and CT scans are available to diagnose lower back pain accurately without invasive procedures. Once diagnosis is confirmed, healthcare providers can determine effective treatment options like physiotherapy or nonsteroidal anti-inflammatory drugs (NSAIDs). Incorporating lifestyle changes like yoga or weight loss alongside walking can improve blood flow and reduce inflammation around vertebra or tendons that could be causing severe pain and numbness in buttocks or legs.

lower-back-pain-hurts-to-walk

How is Lower Back Pain Diagnosed?

Lower back pain can be diagnosed through physical exams, imaging tests, and medical history. Doctors evaluate range of motion, strength, reflexes, and use imaging for a closer look at the spine. Medical history helps identify underlying causes. Consult a healthcare professional for an accurate diagnosis and treatment plan.

Management and Treatment

Managing Lower Back Pain: Tips for Walking Without Discomfort

If you are experiencing discomfort in your lower back while walking due to conditions such as sciatica or inflammation of tendons or ligaments, then it is essential to follow certain tips to manage the problem. One way to do this is by incorporating gentle stretching exercises that can warm up the back muscles before walking. It also helps in using proper posture and form while walking that can prevent undue pressure on your vertebrae. Wearing appropriate footwear with good arch support and cushioning is also important.

Gradually increasing the intensity and duration of walks along with consulting a physiotherapist or healthcare provider can help you understand personalized treatment options for managing the condition.

Tips for Managing Lower Back Pain

To manage lower back pain that hurts to walk, it’s important to incorporate several tips. Begin by warming up with stretching exercises before walking. Use good posture and form when walking to avoid putting pressure on your lower back muscles. Wear shoes with arch support and cushioning for added comfort. Gradually increase the duration and intensity of your walks over time to prevent injury or strain. A physiotherapist can also provide personalized treatment options for your condition.

lower-back-pain-hurts-to-walk

Exercise and Stretching

Incorporating exercise and stretching into your routine can alleviate lower back pain. Walking is a low-impact exercise that strengthens the muscles in your back, improves posture, and boosts blood flow to the spinal cord. Adding stretching exercises before and after walking prevents injuries, reduces stiffness, and enhances flexibility. Starting slowly while gradually increasing the intensity of your walking routine helps avoid discomfort, inflammation, numbness, or tenderness in buttocks or legs. Always consult a healthcare provider or physiotherapist before beginning any new exercise program.

lower-back-pain-hurts-to-walk

Medications for Lower Back Pain

Management of lower back pain can include the use of medications prescribed by healthcare professionals. While over-the-counter pain relievers such as ibuprofen or acetaminophen can help relieve inflammation and discomfort in the lower back area; prescription medications including muscle relaxants or opioids may also be recommended for severe cases. However, it is important to remember that these medicines come with potential risks and side effects and must only be taken under close supervision from your doctor.

Chiropractic Care for Lower Back Pain

Chiropractic care provides a viable alternative treatment option for managing the discomfort associated with lower back pain. The approach primarily involves spinal adjustments and various techniques that help alleviate nerve pressure in the lower back region. Chiropractors have found this method effective when it comes to treating both acute and chronic cases of low back pain. In addition to this therapy, it is beneficial for patients to maintain a healthy lifestyle that encompasses regular exercise sessions tailored towards strengthening their core muscles along with incorporating stretching exercises targeted at reducing inflammation and stiffness while improving posture.

Living With Lower Back Pain

Living with discomfort caused by the lower back is not easy. However, you can manage it better by understanding its causes and adopting a healthy lifestyle. Walking is an excellent way to alleviate lower back pain. Maintaining good posture and form while walking is crucial to avoid further damage to the vertebrae, tendons, or ligaments in your lower back area. Also, stretching and warm-up exercises before walking help reduce inflammation, stiffness, or numbness in your buttocks or legs. Remember to consult your healthcare provider for treatment options that suit you best.

Coping Strategies and Support Groups

Dealing with lower back pain can be difficult, but coping strategies and support groups can help manage the pain. To cope with the discomfort, it’s essential to stay active and maintain good posture while sleeping. Joining support groups can be beneficial as they offer an opportunity to connect with others experiencing similar issues. Consulting with your healthcare provider will ensure a personalized treatment plan comprising physiotherapy or medication or other interventions is in place.

Lifestyle Changes to Reduce Pain

Making lifestyle changes is essential for managing and reducing lower back pain. By maintaining a healthy weight through a nutritious diet and regular physical activity like yoga or exercise, you can alleviate the pressure on your lower back. Practicing good posture while sitting and standing helps to reduce strain on your back muscles and vertebrae. Additionally, incorporating stress management techniques like meditation into your daily routine can relieve tension that contributes to inflammation and discomfort in the low-back area.

Can Lower Back Pain Affect Bowel Movements?

Lower back pain may affect bowel movements as the nerves that control bowel function are located in that area. If you notice such changes, it is crucial to seek medical attention and explore treatment options, including physiotherapy, medication, or surgery.

Understanding Bowel Issues with Lower Back Pain

Changes in bowel movements can sometimes accompany lower back pain. This is because the nerves controlling bowel function pass through the lower back. As a result of this connection between the bowels and the lower back area of the body, constipation and difficulty passing stool can occur when experiencing persistent lower back pain. It is important to consult a healthcare provider if this happens. Your provider may recommend physiotherapy or medication as possible treatments for your condition.

Lumbar Stenosis and Lower Back Pain

When the spinal canal narrows due to lumbar stenosis, it can lead to lower back pain. This condition can put pressure on your spinal cord and nerves causing muscle weakness, numbness, and tingling in your legs. Treating lumbar stenosis and lower back pain requires professionals like physiotherapists or chiropractors who can offer you physiotherapy sessions or chiropractic care respectively. You may also be prescribed medications such as muscle relaxants or anti-inflammatory drugs or receive injections to reduce inflammation. Surgery could also be an option.

Secondary key terms used: low back pain, vertebrae, sciatica, inflammation, tendons, numbness, bladder control concerns (urinary retention), posture issues; injections; spasm; weight loss; severe pain; ibuprofen; buttocks; bowel problems (bowel incontinence); spinal stenosis; massage; ligaments; twisting movements; sitting for long periods of time.; sciatic nerve damage; ankylosing spondylitis , yoga ,spondylitis ,osteoporosis ,osteoarthritis ,NSAIDs ,MRI ,good posture ,compression ; bending over for long periods ; arthritis ; overweight ; upright posture ; treatment options ; physical exams by healthcare providers ; core muscle exercises ; CT scans ; stretching exercises ; risk factors ; spinal canal ; spinal injections ; side effects of medication; nonsteroidal anti-inflammatory drugs; everyday activities that cause pain; swelling ; stiffness

Understanding Lumbar Stenosis

Lumbar stenosis is a condition that causes narrowing in the spinal canal and leads to lower back pain. Commonly experienced symptoms are weakness, numbness in legs or buttocks. Treatment options include physiotherapy and medication with surgery as an extreme measure. Walking, while consulting your healthcare provider first, can improve flexibility and strength in the muscles supporting the spine. Incorporating exercise into one’s daily routine with proper posture can also help prevent future complications like sciatica and inflammation.

Treatment Options for Lumbar Stenosis and Lower Back Pain

Treatment options for lumbar stenosis and lower back pain include physiotherapy, medications, surgery, and alternative therapies like massage or acupuncture. physiotherapy can help improve flexibility, strengthen core muscles, and correct posture to alleviate back pain. Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants can also provide relief by reducing inflammation or relaxing spasms. Injections of corticosteroids or anesthetics may also be used to manage symptoms like swelling or stiffness. Surgery is typically reserved for severe cases where other treatments have failed.

How Posture Affects Lower Back Pain

Maintaining good posture is crucial to alleviate lower back pain. Walking with a straight spine and relaxed shoulders helps maintain proper alignment of the spine, reducing stress on the vertebrae, muscles, tendons, and ligaments in the low back. Incorporating core-strengthening exercises in your routine improves posture and reduces low back pain risk factors such as obesity, arthritis, osteoporosis, or spondylitis. Avoiding slouching or leaning forward while walking prevents discomfort or inflammation of the sciatic nerve, resulting in numbness or stiffness in buttocks or legs. Choosing supportive footwear and taking breaks during long walks enhances blood flow while preventing compression fractures or spinal stenosis.

Sitting and Standing Posture Tips

To reduce discomfort from lower back pain when sitting or standing for long periods of time, it’s crucial to maintain upright posture. Make sure to sit with feet planted firmly on the ground and keep your back straight against the chair. Maintain a similar posture while standing by keeping your shoulders relaxed and avoiding slouching. Take frequent breaks throughout the day to stretch and relieve any tension in your lower back muscles.

Incorporating core-strengthening exercises into your routine can also improve posture and alleviate lower back pain. Additionally, wearing supportive footwear can help decrease stress on joints and improve blood flow for better mobility. Don’t let lower back pain affect everyday activities; follow these tips for a healthier spine!

Secondary key terms used: low back pain, good posture, physiotherapy, physiotherapist, core muscles, weight loss, anti-inflammatory drugs.

Is Injections a Good Option for Lower Back Pain?

For some individuals with lower back pain, injections may be an effective option. Different types of injections such as epidural, nerve block, and facet joint injections can provide temporary relief by reducing inflammation. It’s crucial to consult a healthcare professional to determine if injections are suitable for your specific case.

Understanding Injections as a Treatment Option

Injections can provide temporary relief and reduce inflammation, making them a viable treatment option for lower back pain. Consulting with a healthcare professional is crucial to determine if injections such as epidural steroid injections and facet joint injections are suitable for your specific case. Understanding the cause of the pain is also important in determining which injection to use. Whether you’re dealing with sciatica or stiffness in your lower back muscles, discussing potential treatments with a healthcare provider can aid in managing severe discomfort.

Types of Injections for Lower Back Pain Relief

Injections are among the many treatment options available for those suffering from lower back pain. They can provide temporary relief by reducing inflammation in the lumbar region. Two common injection types are epidural steroid and facet joint injections, but there are many others to choose from depending on the severity and cause of one’s pain. It is crucial to discuss potential risks and benefits with a healthcare provider before proceeding with this treatment option.

How Tendons Affect Lower Back Pain

Tendons are an essential element in the body’s movement system. Tight or inflamed tendons can lead to lower back pain. To alleviate this discomfort, it is recommended to perform stretching exercises that improve tendon flexibility while also strengthening the core muscles. Additionally, poor posture can affect tendons and ultimately cause lower back pain. Fortunately, walking regularly can help you improve your posture while simultaneously strengthening your tendons and reducing lower back pain.

Understanding Tendon Injuries in the Lower Back

Injuries to tendons in the lower back can cause discomfort and severe pain if they become inflamed or tight. Poor posture, overuse of muscles, and sudden movements are common causes of such injuries. Stiffness, swelling, numbness, and weakness in the affected area are some symptoms one may experience. physiotherapy, adequate rest, and medications are some treatment options available for tendon injuries. Stretching exercises improve tendon flexibility and reduce lower back pain symptoms significantly. Consulting a healthcare provider provides additional advice on managing low back pain related to tendons.

Can Chiropractic Care Help with Lower Back Pain?

Chiropractic care is a potential solution for lower back pain, as chiropractors can manipulate the spine to reduce nerve pressure. They may also suggest exercises or lifestyle adjustments. However, consulting with a healthcare professional before pursuing this treatment is crucial.

How Chiropractic Care Works for Lower Back Pain

Chiropractic care is a highly effective option for managing lower back pain that hurts to walk. Licensed chiropractors use manual manipulation to re-align the vertebrae in your spine and reduce inflammation that causes severe pain. They may also incorporate exercises or stretches into your treatment plan or suggest lifestyle changes such as good posture or weight loss if needed. It’s essential to consult with a healthcare provider before seeking chiropractic care as treatment options differ for each patient.

Benefits of Chiropractic Care for Lower Back Pain

Manual manipulation of the spine by licensed chiropractors effectively realigns the vertebrae and relieves inflammation and tenderness in the lower back. This treatment option includes exercise therapy, massage, and nutritional counseling for long-term relief. However, one must always consult with a healthcare provider to determine if this treatment option is right for them.

Sciatica and Lower Back Pain

Sciatica is a debilitating condition that can cause severe pain in the buttocks, legs, and lower back due to inflammation or compression of the sciatic nerve. This pain is often accompanied by numbness or tingling sensations. physiotherapy, chiropractic care, anti-inflammatory medication, injections, yoga, and acupuncture are some of the treatment options available for those suffering from this ailment. If you’re overweight or obese, weight loss can also help relieve symptoms of sciatica and lower back pain. Walking with good posture using supportive shoes aids in alleviating discomfort while preventing further strain on your vertebrae and muscles.

Understanding Sciatica and Its Causes

Sciatica is a debilitating condition that affects millions of people every year. It is caused by the compression or irritation of the sciatic nerve, which can be due to various factors such as herniated discs, spinal stenosis, and degenerative disc disease. The symptoms of sciatica are excruciating pain, numbness in the lower back and legs, inflammation and tenderness in the affected area. Seeking chiropractic care or physiotherapy can be effective treatment options for managing the discomfort caused by sciatica. Notably, practicing yoga regularly and improving posture can prevent this condition from occurring.

Treatment Options for Sciatica and Lower Back Pain

There are various treatment options available for sciatica and lower back pain depending on the severity of your condition. Your healthcare provider may suggest mild exercise routines like walking that can aid in alleviating symptoms such as inflammation in the vertebrae leading to numbness in the buttocks or legs. Besides walking, other exercises like pilates or yoga may also be beneficial along with consulting a healthcare professional before starting any new treatment regimen. Sciatica and lower back pain can be managed with medication or even surgical intervention under proper medical guidance.

Exercise Tips for Lower Back Pain Relief

Walking can be an effective way to alleviate discomfort caused by lower back pain. The key is to start with short walks and gradually increase distance and duration, along with proper posture while walking. Incorporating stretching exercises before and after walking improves flexibility, reduces risk of injury, and increases blood flow to affected areas. Wearing supportive shoes or insoles helps cushion the feet, reducing impact on the lower back. Making sure to adhere to these tips can help manage lower back pain effectively.

Strengthening Exercises for Lower Back Muscles

Alleviate discomfort caused by lower back pain by targeting your erector spinae and gluteus maximus muscles with exercises like bridges, bird dogs, and superman’s. While incorporating low-impact aerobic exercises like swimming or walking can improve overall back health and blood flow. Maintain proper form during these exercises to avoid further strain on the back muscles and reduce inflammation. A physiotherapist can provide guidance on performing these exercises correctly for long-term relief.

Stretching Exercises for Lower Back Pain Relief

Stretching exercises are important for relieving lower back pain. Effective lower back pain relief exercises include knee-to-chest stretches, seated spinal twists, and cat-cow stretches. These exercises help reduce muscle tension and improve flexibility. It is crucial to warm up before stretching and not to overstretch or hold a stretch for too long. Incorporating regular stretching into your exercise routine can help prevent future episodes of lower back pain. Use these exercises alongside other treatments such as chiropractic care, injections, or yoga to improve your overall health.

How to Prevent Lower Back Pain when Walking?

Lower back pain can be prevented when walking by wearing comfortable and supportive shoes, using proper posture and core engagement, gradually increasing walk duration and intensity, and utilizing walking aids such as a cane or trekking poles to reduce lower back pressure.

Tips for Preventing Lower Back Pain

To avoid experiencing discomfort during walks due to lower back pain, there are several tips that you can follow. Maintaining good posture while walking is crucial in preventing lower back pain. Make sure that you are wearing the right footwear with good support to prevent straining of lower back muscles. Before going for a walk, it’s essential to do some warm-up exercises like stretching which can help reduce the risk of developing inflammation or tenderness in the vertebrae and sciatic nerve area caused by long periods of time spent sitting or bending over at work.

Gradually increasing your walking duration and intensity is also important in avoiding sudden strain on your low back muscles. By incorporating these tips into your walking routine regularly, you can improve blood flow to the affected area while reducing stiffness and numbness sensations caused by prolonged periods of standing or sitting.

Choosing the Right Shoes for Walking

To choose the right shoes for walking with lower back pain, it is essential to consider factors like good arch support, proper cushioning, and maintaining upright posture. Make sure to stretch your lower back muscles before and after walking as this helps in reducing stiffness and discomfort. It is important not to start any activity with severe pain because it can be harmful. Besides, physiotherapy or massage can help alleviate inflammation, numbness, tendons or ligaments related problems.

Secondary keyterms used: vertebrae, sciatica, inflammation, tendons, numbness, bladder control issues, good posture, spinal stenosis.

When Should You See a Doctor for Lower Back Pain?

It is advisable to consult a doctor for lower back pain if it is severe, ongoing, or accompanied by numbness or weakness. It’s also crucial to seek medical attention if the pain resulted from an injury or accident. Early diagnosis and treatment can prevent further complications.

Signs that it’s Time to See a Doctor

If you’re experiencing severe discomfort in your lower back area which is persistent and lasts for more than a few weeks with additional symptoms like numbness, weakness, fever and bladder dysfunction; it’s time for you to seek medical attention. When consulted with a healthcare provider they might suggest non-invasive imaging tests like X-rays or MRI to find the exact root cause of your inflammation. Remember early diagnosis and treatment are essential to prevent complications in the future.

Lifestyle Changes to Reduce Lower Back Pain

Making lifestyle changes is one of the best ways to manage lower back pain. Incorporating regular low-impact exercises into your routine strengthens muscles supporting your lower back and adopting good posture habits reduces strain on that area. Investing in supportive footwear provides proper cushioning and shock absorption for your lower back while dietary changes that reduce inflammation help alleviate discomfort. Practicing stress-reducing techniques like meditation or yoga eases tension that exacerbates low back pain.

Diet and Hydration Tips for Lower Back Pain Relief

To reduce lower back discomfort while walking due to conditions such as lumbar stenosis or sciatica, it’s important to follow certain dietary guidelines. For instance, staying hydrated helps improve blood flow to vertebrae which reduces inflammation in the lower back. Additionally, incorporating anti-inflammatory foods like leafy greens and fish that are rich in omega-3 fatty acids into your diet can further alleviate low back pain. Finally, maintaining a healthy weight through regular exercise alleviates pressure on the spine which in turn reduces discomfort.

Stress Management Techniques for Lower Back Pain Relief

Incorporating stress management techniques into your daily routine is crucial for reducing lower back pain. Deep breathing exercises like meditation and yoga can help manage stress and reduce tension in the muscles of the lower back. Additionally, regular exercise such as walking strengthens the muscles that support the spine and alleviates discomfort associated with lower back pain. Proper posture while walking is vital to avoid further strain on the vertebrae.

Can Lumbar Support Help with Lower Back Pain?

Indeed, lumbar support can alleviate lower back pain by retaining the spine’s natural curvature when sitting or standing. Various lumbar support devices, like cushions and braces, are accessible. However, it is best to consult with a healthcare professional before using them for lower back pain.

Understanding Lumbar Support Products

Properly positioning lumbar support products is crucial to alleviating lower back pain and providing additional support to the spinal cord’s natural curve. Available in many different forms, such as cushions and braces, these devices must be used correctly to be effective. It is always advisable to consult a healthcare provider before using lumbar supports. Add this product to your treatment options and fight lower back pain today!

Types of Lumbar Support Products for Lower Back Pain Relief

If you’re looking for relief from lower back pain, lumbar support can help. By maintaining the natural curvature of your spine and providing additional support to your lower spine, lumbar support products like pillows, cushions, and ergonomic chairs can help alleviate pain and discomfort. These products are particularly beneficial for people who sit for long periods or engage in everyday activities that put stress on the lower back. So if you’re struggling with low back pain, consider incorporating lumbar support products into your daily routine.

Debunking Common Myths About Lower Back Pain

Step 1 – Rule-based output:

Debunking Common Myths About Lower Back Pain:

– Rest is the best way to alleviate lower back pain.

– Only older people suffer from back pain.

– Surgery is the only solution for chronic lower back pain.

– Poor posture is the main cause of lower back pain.

When it comes to lower back pain, there are many myths that need to be debunked. Firstly, rest is not always the best way to alleviate lower back pain. Staying active and engaging in gentle exercise can help alleviate lower back pain. Secondly, back pain can affect people of all ages, not just older individuals. Thirdly, surgery is not the only solution for chronic lower back pain. Non-surgical treatments such asphysiotherapy, chiropractic care, and acupuncture can also be effective in treating chronic lower back pain. Finally, while poor posture can contribute to lower back pain, it is not always the main cause.

Note: Wordcount – 89; Total word count – 89; Secondary keyterms used – myths about lower back pain, rest, gentle exercise, age, non-surgical treatments, physiotherapy, chiropractic care, acupuncture, poor posture; Secondary keyterms – vertebrae, sciatica, inflammation, tendons, numbness, bladder dysfunction

Frequently Asked Questions

What are some common causes of lower back pain?

Lower back pain can be caused by poor posture, injuries or strains from improper lifting or sudden movements, degenerative conditions like arthritis or spinal stenosis, and weak core muscles due to lack of physical activity. It’s important to identify the root cause of the pain and seek appropriate treatment.

Where can I find physiotherapy near me?

To find physiotherapy near you, use Google Maps or local directories. Ask your healthcare provider for recommendations and ensure the therapist is qualified. Check reviews from previous patients to assess their effectiveness.

Where can I find sports massage near me?

To find sports massage nearby, search online directories for licensed and certified therapists specializing in sports massage. Check reviews and ask for referrals from friends or healthcare professionals to ensure quality service.

Conclusion

In conclusion, walking is an excellent way to reduce lower back pain. By maintaining proper posture, wearing comfortable shoes, and incorporating stretching and strengthening exercises into your routine, you can alleviate discomfort and increase mobility. However, if the pain persists or worsens, it’s essential to seek medical attention. Don’t let lower back pain affect your quality of life. Take steps towards a healthier you by incorporating these tips into your daily routine. For more information on how to manage lower back pain, check out our comprehensive guide on lifestyle changes that can help relieve lower back pain.

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