Spinal Centres
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Antidepressant drugs, including the best-selling Prozac, simply do not work as advertised, according to a comprehensive review by U.S. and Canadian researchers.

After examining all data available for the drugs -- including clinical trials that manufacturers did not publish at the time -- it was found that patients taking the drugs improved just as much as those taking placebo pills. This study is unique as it is the first time all data was used for the antidepressants Prozac, Seroxat, Effexor, and Serzone.

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Back pain is its own symptom. However, there are various ways to feel back pain, and your symptoms depend on what is causing your pain and where it is affecting your spine.

Your back pain may be acute or chronic. Acute pain lasts four to six weeks, but chronic pain is persistent, long-term pain-sometimes lasting throughout life. At times, people with chronic pain can have episodes of acute pain.

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Back pain is a condition that affects many people in both childhood and adulthood. Left untreated, it can develop into a debilitating complaint that impeeds on many aspects of your life.

A major part of your treatment is educating you on how, why and where your pain originates. Learning and understanding the Anatomy of your Back Pain will provide you with a big step towards feeling better, quicker.

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Back Pain>Conditions> The Anatomy of Back Pain

The Anatomy of Back Pain

As you can see from the image below, your back, or spine, is made up of many parts. First, we're going to look at the bone structures. Your backbone, also called your vertebral column, helps support a lot of your body weight, and it protects your spinal cord. You have 33 vertebrae (bones) that make up the vertebral column. In the image, they're labeled as "Vertebral Body."


Parts of the Spine

Your spine is divided into regions: there's your neck (cervical spine), mid-back (thoracic spine), and low back (lumbar spine). At the bottom of your spine, you also have the sacrum and the coccyx, which is commonly called your tailbone.

The vertebrae in your neck are labeled C1-C7, meaning that you have seven vertebrae in that region. Most adults have 12 vertebrae in the thoracic spine (T1-T12), which goes from your shoulders to your waist. Then there are five vertebrae in your low back (L1-L5), and below that, your sacrum is made up of five vertebrae between the hipbones. By the time you're an adult, these five bones have fused into one bone. The coccyx is made of small fused bones at the very tail of your spine (hence the tailbone).

Your spine also has facet joints, which are on the posterior side (back) of your vertebrae. These joints (like all joints in your body) help facilitate movement and are very important to your flexibility.

Another vertebral bone structure that's labeled in the image is the pedicle. These are on either side of your vertebrae, and they are part of the "walls" for your spinal canal.

In between your vertebrae, you have intervertebral discs (also labeled on the image). These act like pads or shock absorbers for your spine as it moves. Each disc is made up of a tire-like outer band called the annulus fibrosus and a gel-like inner substance called the nucleus pulposus.

Together, the vertebrae and the discs provide a protective tunnel (the spinal canal) to house the spinal cord and spinal nerves. These nerves run down the center of the vertebrae and exit to various parts of the body, where they help you feel and move.

Your back also has muscles, ligaments, tendons, and blood vessels. Muscles are strands of tissues that act as the source of power for movement. Ligaments are the strong, flexible bands of fibrous tissue that link the bones together, and tendons connect muscles to bones and discs. Blood vessels provide nourishment. These parts all work together to help you move.

Back pain may be a result of injury to any or all of these body parts. Injury to the muscles, ligaments, tendons can result in sprains or strains, which are generally not considered serious. However, injury to bones, nerves, or blood vessels may be more serious. Also, the outer layers of the intervertebral discs can get tears or cracks, allowing the annulus fibrosus or nucleus pulposus to bulge out. Any of these injuries can cause inflammation and pain.

 

 

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