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Lower Back Pain and the Role of Massage Glossary abdominal muscles acetaminophen acute pain annulus fibrosa antiplatelet agents cartilage chronic pain coccyx corticosteroids degenerative disc disease disc replacement erector spinae gluteal muscles hamstrings herniated disc hip flexors iliac crest intervertebral large group of muscles in the front of the abdomen that assists in the regular breathing movement and supports the muscles of the spine while lifting and keeping abdominal organs such as the intestines in place an analgesic drug used to treat headaches, arthritis, etc., and also to reduce fever, often as an alternative to aspirin (Tylenol) pain of short duration that gradually resolves as the injured tissues heal tough circular exterior of the intervertebral disc that surrounds the soft inner core medication that is used to eliminate or reduce the risk of blood clots that help prevent or break up clots in your blood vessels or heart tough, elastic, fibrous connective tissue that is a major constituent of embryonic and young vertebrate skeletons, is converted largely to bone with maturation, and is found in various parts of the adult body, such as the joints, outer ear, and larynx pain that persists—often for months or even longer a small, triangular bone at the base of the spinal column in humans and some apes, formed of fused vestigial vertebra any of a group of steroid hormones (two kinds: glucocorticoids and mineralocorticoids) produced in the adrenal cortex or made synthetically general term for the condition in which a damaged vertebral disc causes chronic pain – either low back pain (and/or leg pain, sciatica) in the lumbar spine or neck pain (and/or arm pain) in the cervical spine surgical procedure in which degenerated intervertebral discs in the spinal column are replaced with artificial devices in the lumbar (lower) or cervical (upper) spine a large muscle that originates near the sacrum and extends vertically up the length of the back and lies on each side of the vertebral column, extending alongside the lumbar, thoracic and cervical sections of the spine group of three muscles which make up the buttocks: the gluteus maximus, gluteus medius and gluteus minimus any of five tendons at the back of a person's knee condition in which the annulus fibrosus (outer portion) of the vertebral disc is torn, enabling the nucleus (inner portion) to herniate or extrude through the fibers the iliopsoas or inner hip muscles psoas major and iliacus muscle used in flexing the hip the thick curved upper border of the ilium, the most prominent bone on the pelvis a layer of cartilage separating adjacent vertebrae in the spine 1 Lower Back Pain and the Role of Massage disc intradiscal electrothermal therapy kyphoplasty laminectomy ligaments lumbar spinal stenosis lumbar vertebrae microdiscectomy muscles NSAIDs nucleus pulposus oblique muscle osteoarthritis osteoporosis psoas muscle quadratus lumborum where disc pain is caused by nerve fibers that have grown from their normal location in the outer layers of the disc, reaching into the disc interior with heat to destroy the nerve fibers and toughen the disc tissue, sealing any small tears followed by antibiotics to prevent a disc infection medical spinal procedures in which bone cement is injected through a small hole in the skin (percutaneously) into a fractured vertebra after a balloon is injected to make space with the goal of relieving back pain caused by vertebral compression fractures back surgery used to relieve compression on the spinal cord in which the lamina, part of the bone that forms the vertebral arch in the spine, is removed a short band of tough, flexible, fibrous connective tissue that connects two bones or cartilages or holds together a joint or supports an organ and keeps it in place medical condition in which the spinal canal narrows and compresses the spinal cord and nerves at the level of the lumbar vertebra; usually due to the common occurrence of spinal degeneration that occurs with aging the five vertebrae (L1-L5) between the rib cage and the pelvis a small portion of the bone over the nerve root and some of the disc material from under the nerve root is removed to relieve pressure on the nerve and provide room for the nerve to heal a band or bundle of fibrous tissue in a human or animal body that has the ability to contract, producing movement in or maintaining the position of parts of the body non-steroidal anti-inflammatory drugs are a class of analgesic medication that reduces pain, fever and inflammation the inner core of the vertebral disc composed of a jelly-like material that consists of mainly water, as well as a loose network of collagen fibers; its elastic inner structure allows the vertebral disc to withstand forces of compression and torsion the largest and the most superficial (outermost) of the three flat muscles of the lateral anterior abdomen degeneration of joint cartilage and the underlying bone causing pain and stiffness, especially in the hip, knee and thumb joint a medical condition in which the bones become brittle and fragile from loss of tissue two psoas muscles on each side of the back; psoas major originates at the spine around the bottom of the rib cage and runs down to the thigh bone (the femur), acting to flex the hip a quadrilateral-shaped muscle of the abdomen that arises from the iliac crest and the iliolumbar ligament, inserts into the lowest rib and the upper four lumbar vertebrae, and functions especially to flex the trunk laterally 2 Lower Back Pain and the Role of Massage quadriceps sacrum sciatica spinal cord spinal fusion spinal multifidus spine spondylolisthesis spondylolysis tendons vertebroplasty the large muscle at the front of the thigh, which is divided into four distinct portions and acts to extend the leg a triangular bone in the lower back formed from fused vertebrae and situated between the two hipbones of the pelvis pain affecting the back, hip, and outer side of the leg, caused by compression of a spinal nerve root in the lower back, often owing to degeneration of an intervertebral disk the cylindrical bundle of nerve fibers and associated tissue that is enclosed in the spine and connects nearly all parts of the body to the brain, with which it forms the central nervous system surgery to permanently connect two or more vertebrae in your spine, eliminating motion between them a muscle of the fifth and deepest layer of the back filling up the groove on each side of the spinous processes of the vertebrae from the sacrum to the skull and consisting of many fasciculi that pass upward and inward to the spinous processes and help to erect and rotate the spine series of vertebrae extending from the skull to the small of the back, enclosing the spinal cord and providing support for the thorax and abdomen condition in which one vertebral body is slipped forward over another most likely caused by an underlying condition of spondylolysis condition in which there is a defect in the pars interarticularis (a small segment of bone from the vertebral arch joining the facet joints of the spine) of the vertebra; this defect is usually due to degeneration in older people or more common in younger athletes a flexible but inelastic cord of strong fibrous collagen tissue attaching a muscle to a bone medical spinal procedures in which bone cement is injected through a small hole in the skin (percutaneously) into a fractured vertebra with the goal of relieving back pain caused by vertebral compression fractures 3