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Lumbago is often termed as pain in the lower part of the back (Lumbar region).
It can be described as mild to severe pain or discomfort in the region of the lower back.
The pain can be acute (sudden and severe) or chronic if it has persisted more than three months.
Most people will have an incident of lumbago at some point in their life.
It can happen at any age but is a special problem in younger people whose work requires physical effort and much later in life, in the elderly.
In most patients it resolves in a few weeks but for some it is a persistent disorder.
More men
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Produktbeschreibung
Lumbago is often termed as pain in the lower part of the back (Lumbar region).
It can be described as mild to severe pain or discomfort in the region of the lower back.
The pain can be acute (sudden and severe) or chronic if it has persisted more than three months.
Most people will have an incident of lumbago at some point in their life.
It can happen at any age but is a special problem in younger people whose work requires physical effort and much later in life, in the elderly.
In most patients it resolves in a few weeks but for some it is a persistent disorder.
More men have lumbago than women.
Backache is most frequent among people in their middle age.
Back pain is second only to colds and flu.
The patients will normally first experience back pain just after the patient carries a heavy object, moves suddenly, sits in one location for a long time, or has a trauma or accident.
Acute low back ache is most often produced by a sudden injury to the muscles and ligaments supporting the back.
Causes of sudden low back pain are:
1. Compression fractures to the spine from osteoporosis
2. Cancer affecting the spine
3. Injury of the spinal cord
4. Spasm of the muscles (very tense muscles)
5. Ruptured or herniated disk
6. Sciatica
7. Spinal stenosis (narrowing of the spinal canal)
8. Spine curvatures (scoliosis or kyphosis), which may be inherited and seen in children or teens
9. Strain or tears to the muscles or ligaments supporting the back
Low back pain may also be caused by:
1. An abnormal aortic aneurysm that is leaking
2. Arthritis conditions, such as osteoarthritis, psoriatic arthritis, and rheumatoid arthritis
3. Infection of the spine (osteomyelitis, diskitis, abscess)
4. Kidney infection or kidney stones
5. Problems linked to pregnancy
6. Medical disorders that involve the female reproductive organs, such as endometriosis, ovarian cysts, ovarian cancer, or uterine fibroids
In most patients, a back problem can be diagnosed by a doctor from the information given by the patient.
In some patients an X-ray or MRI of the spine can be very helpful to evaluate the health of the inter-vertebral discs, examine for fractures and test for compression of the nerves.
Bone density test is useful to rule out osteoporosis.
Acute low back pain treatment
1. Use simple painkillers, NSAIDs and muscle relaxant regularly.
2. Activity is helpful for the muscles
3. Good posture is important
4. Rest and sleep lying on a hard, flat surface, if possible.
5. Avoid bending, lifting, stooping, and sitting on low chairs
Chronic low back pain
1. A structured exercise program, which should be individualized to the person and consists of up to a maximum of 8 sessions over a period of up to 12 weeks
2. A course of manual therapy such as physiotherapy
3. Treatments of unknown effectiveness are: muscle relaxants, colchicine, antidepressants, epidurals, steroid injections, acupuncture, TENS, physical treatments, lumbar supports, advice to stay active
4. Treatment that is not likely to be beneficial: bed rest, EMG biofeedback.
5. Treatment that is likely to be ineffective or harmful: facet joint injections, traction.
Danger signs of low back pain:
If the patient suddenly discovers that the patient is unable to control the bladder or bowel movements or if the area of the lower back or legs suddenly becomes numb or weak, contact a doctor or accident and emergency (A&E) immediately.
If the patient suffers from backaches and observe reduced strength or muscle bulk in one or both legs, the patient should also get examined by a doctor.

TABLE OF CONTENT
Introduction
Chapter 1 Lumbago
Chapter 2 Cause
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Sciatica
Chapter 8 Ankylosing Spondylosis
Epilogue


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...