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Several different types of nerve fibers carry out the transmission of the electrical signal from the transducing cell to the posterior horn of spinal cord , from there to the brain stem , and then from the brain stem to the various parts of the brain such as the thalamus and the limbic system.

In the brain, the pain signals are processed and given context in the process of pain perception. Through modulation, the brain can modify the sending of further nerve impulses by decreasing or increasing the release of neurotransmitters.

Parts of the pain sensation and processing system may not function properly; creating the feeling of pain when no outside cause exists, signaling too much pain from a particular cause, or signaling pain from a normally non-painful event.

Additionally, the pain modulation mechanisms may not function properly. These phenomena are involved in chronic pain. As the structure of the back is complex and the reporting of pain is subjective and affected by social factors, the diagnosis of low back pain is not straightforward.

There are a number of ways to classify low back pain with no consensus that any one method is best.

Low back pain may be classified based on the signs and symptoms. Diffuse pain that does not change in response to particular movements, and is localized to the lower back without radiating beyond the buttocks , is classified as nonspecific , the most common classification.

The symptoms can also be classified by duration as acute, sub-chronic also known as sub-acute , or chronic.

The specific duration required to meet each of these is not universally agreed upon, but generally pain lasting less than six weeks is classified as acute , pain lasting six to twelve weeks is sub-chronic , and more than twelve weeks is chronic.

The presence of certain signs, termed red flags , indicate the need for further testing to look for more serious underlying problems, which may require immediate or specific treatment.

It is only suggestive, [38] [39] and most people with red flags have no serious underlying problem.

The usefulness of many red flags are poorly supported by evidence. With other causes ruled out, people with non-specific low back pain are typically treated symptomatically, without exact determination of the cause.

Imaging is indicated when there are red flags, ongoing neurological symptoms that do not resolve, or ongoing or worsening pain.

Complaints of low back pain are one of the most common reasons people visit doctors. Exercise appears to be useful for preventing low back pain.

A few studies that have contradicted this notion have also failed to include sleep posture and mattress firmness. The most comfortable sleep surface may be preferred.

Most people with acute or subacute low back pain improve over time no matter the treatment. The condition is normally not serious, resolves without much being done, and recovery is helped by attempting to return to normal activities as soon as possible within the limits of pain.

Increasing general physical activity has been recommended, but no clear relationship to pain or disability has been found when used for the treatment of an acute episode of pain.

These exercises only work if they are limiting low back pain. Generic or non specific stretching has also been found to not help with acute low back pain.

Stretching, especially with limited range of motion , can impede future progression of treatment like limiting strength and limiting exercises.

Exercise therapy is effective in decreasing pain and improving physical function, trunk muscle strength and mental health for those with chronic low back pain.

Aquatic therapy is recommended for chronic and subacute low back pain in those with a preexisting condition. Aquatic therapy is not recommended for people that have no preexisting condition that limits their progressive walking.

The management of low back pain often includes medications for the duration that they are beneficial.

With the first episode of low back pain the hope is a complete cure; however, if the problem becomes chronic, the goals may change to pain management and the recovery of as much function as possible.

As pain medications are only somewhat effective, expectations regarding their benefit may differ from reality, and this can lead to decreased satisfaction.

The medication typically recommended first are acetaminophen paracetamol , NSAIDs though not aspirin , or skeletal muscle relaxants and these are enough for most people.

Thus, NSAIDs are a second choice to acetaminophen, recommended only when the pain is not handled by the latter. If the pain is still not managed adequately, short term use of opioids such as morphine may be useful.

If prescribed, a person and their clinician should have a realistic plan to discontinue its use in the event that the risks outweigh the benefit.

For older people with chronic pain, opioids may be used in those for whom NSAIDs present too great a risk, including those with diabetes, stomach or heart problems.

They may also be useful for a select group of people with neuropathic pain. Antidepressants may be effective for treating chronic pain associated with symptoms of depression, but they have a risk of side effects.

Surgery may be useful in those with a herniated disc that is causing significant pain radiating into the leg, significant leg weakness, bladder problems, or loss of bowel control.

Discectomy the partial removal of a disc that is causing leg pain can provide pain relief sooner than nonsurgical treatments.

For those with pain localized to the lower back due to disc degeneration, fair evidence supports spinal fusion as equal to intensive physical therapy and slightly better than low-intensity nonsurgical measures.

It is unclear if among those with non-chronic back pain alternative treatments are useful. Acupuncture is no better than placebo, usual care, or sham acupuncture for nonspecific acute pain or sub-chronic pain.

Massage therapy does not appear to provide much benefit for acute low back pain. For acute or chronic radicular pain syndromes massage therapy is recommended only if low back pain is considered a symptom.

Mechanical massage tools are not recommended for the treatment of any form of low back pain. Prolotherapy — the practice of injecting solutions into joints or other areas to cause inflammation and thereby stimulate the body's healing response — has not been found to be effective by itself, although it may be helpful when added to another therapy.

Herbal medicines, as a whole, are poorly supported by evidence. Behavioral therapy may be useful for chronic pain. Tentative evidence supports neuroreflexotherapy NRT , in which small pieces of metal are placed just under the skin of the ear and back, for non-specific low back pain.

KT Tape has been found to be no different for management of chronic non-specific low back pain than other established pain management strategies.

There is strong evidence that education may improve low back pain, with a 2. This was more effective for people with acute rather than chronic back pain.

Overall, the outcome for acute low back pain is positive. At one year, pain and disability levels are low to minimal in most people.

Distress, previous low back pain, and job satisfaction are predictors of long-term outcome after an episode of acute pain. For persistent low back pain, the short-term outcome is also positive, with improvement in the first six weeks but very little improvement after that.

At one year, those with chronic low back pain usually continue to have moderate pain and disability. Prognosis may be influenced by expectations, with those having positive expectations of recovery related to higher likelihood of returning to work and overall outcomes.

Low back pain that lasts at least one day and limits activity is a common complaint. It is not clear whether men or women have higher rates of low back pain.

Low back pain has been with humans since at least the Bronze Age. The oldest known surgical treatise — the Edwin Smith Papyrus , dating to about BCE — describes a diagnostic test and treatment for a vertebral sprain.

Hippocrates c. Physicians through the end of the first millennium did not attempt back surgery and recommended watchful waiting.

Through the Medieval period , folk medicine practitioners provided treatments for back pain based on the belief that it was caused by spirits.

Der Teig haftet darauf hin an der Backform fest, darauf achten das der Teig die Form nicht vollständig umschliesst, maximal bis zur oberen Kante der Formen eintauchen!

Jetzt die Form wieder in das heisse Fett oder Öl eintauchen, leicht anheben, bis das ent- standene Gebäck von der Backform fällt und goldbraun ausbacken lassen.

Die Form zurück ins Fett bzw. Öl stellen und wieder aufheizen, diesen Backvorgang beliebig oft mit den Motiv- formen wiederholen.

Rezepte Video Backform. Porto Bestellen Sie hier XML dumps are less likely to cause problems with character encoding , as a means of transferring large amounts of content quickly, and can easily be used by third party tools, which makes XML dumps a good fallback should your main database dump become unusable.

To create an XML dump, use the command-line tool dumpBackup. See Manual:dumpBackup. You can also create an XML dump for a specific set of pages online, using Special:Export , although attempting to dump large quantities of pages through this interface will usually time out.

To import an XML dump into a wiki, use the command-line tool importDump. For a small set of pages, you can also use the Special:Import page via your browser by default, this is restricted to the sysop group.

As an alternative to dumpBackup. If you have no shell access, then use the WikiTeam Python script dumpgenerator. Requires Python v2 v3 doesn't yet work.

To get an XML, with edit histories, dump and a dump of all images plus their descriptions. Without extensions and LocalSettings.

Full instructions are at the WikiTeam tutorial. See also Meta:Data dumps. From MediaWiki.

Translate this page. Other languages:. Help:Export is a quick and easy way to save all pages on your wiki. Namespaces Manual Discussion.

Views Read Edit View history. Bug tracker Code docs Code repository Statistics. Add links. Do not attempt to back up your MediaWiki database using mysqlhotcopy.

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