The spine is made up of 33 separate bones that act together to protect the spinal cord, support the entire body, all while adding flexibility.

The spine forms a hollow column running from the pelvis to the skull. Each of the bones, called vertebrates, is separated by thin round layers of cartilage, called disks. These disks provide cushioning and prevent the vertebrae from rubbing together. The spinal cord runs through the hollow center of the spine.

Because of the twisting, bending motion the spine provides the body, there are many forms of back pain. The most common pain is from muscle strains. Other ailments include ruptured disks, pinched nerves, cracked vertebrae, or a degenerative disease like arthritis or osteoporosis.

The cause of the pain or discomfort can be as simple as overexertion or poor posture, or as serious as a traumatic injury from a fall, or an auto accident.

Quite often, rest is all you need for you back to feel better. Acute back pain may need a couple of days of bed rest followed by cutting down on strenuous physical activity. Over-the-counter pain relievers such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin, etc.) or naproxen (Aleve) may give temporary relief.

If the pain continues after rest and over-the-counter medication, the best place to start is with your family physician. Primary care physicians are qualified to treat many types of back pain, including muscle spasms, minor strains and soreness due to overexertion. They may recommend specific forms of physical therapy, hot- or cold-pack compresses, hydrotherapy (whirlpool treatment), or special exercises.

If these treatments do not work, you may need surgery. Ask your family physician to refer you to one of the experts at Michigan Orthopaedic Specialty Hospital or by calling 1-888-DMC-2500.