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Where to Turn for Low Back Pain Relief

Man suffering from back pain. Photo credit: Wavebreakmedia
Man suffering from back pain. Photo credit: Wavebreakmedia
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Where to Turn for Low Back Pain Relief

Man suffering from back pain. Photo credit: Wavebreakmedia
Man suffering from back pain. Photo credit: Wavebreakmedia

Low back pain is one of the most common complaints on the planet. And you may wonder where to turn when you start experiencing some of those aches or twinges in the lower part of your back. Take heart. "In most cases, you won't need a specialist," says Dr. Robert Shmerling, a rheumatologist at Harvard-affiliated Beth Israel Deaconess Medical Center.

When pain strikes
There are many causes of low back pain. Some of the most common include an injury to a muscle or tendon (a strain), an injury to a back ligament (a sprain), and a herniated or "slipped" disc (when the soft material inside of a disc between spinal bones leaks and irritates nerves). Many of these issues will eventually resolve on their own.

But some causes of low back pain, such as a narrowing of the spinal canal (spinal stenosis), may require a specialist. "A referral makes sense when conservative measures have failed to address your back pain, symptoms aren't improving or are getting worse, or there's a suspicion that surgery might be needed," says Dr. Shmerling.

Where to turn
Since you shouldn't try to diagnose your own back pain, make your first call to a professional who can assess your problem, such as a primary care physician or a chiropractor. "Both can serve as the entry point for back pain," says Dr. Matthew Kowalski, a chiropractor with the Osher Clinical Center for Integrative Medicine at Harvard-affiliated Brigham and Women's Hospital. "And 35% to 42% of people with their first episode of back pain will consult a chiropractor."

Chiropractors use posture exercises and hands-on spinal manipulation to relieve back pain, improve function, and help the body heal itself. They often work in conjunction with other doctors, and they can prescribe diet, exercise, and stretching programs. "A well-trained chiropractor will sort out whether you should be in their care or the care of a physical therapist or medical doctor," Dr. Kowalski explains.

The next step
If you do need a specialist on your team, there are many experts who can help, depending on your needs. You may be referred to any of these:

- A neurologist, a doctor specializing in treatment of the nervous system. "Back pain is commonly associated with lower-extremity symptoms, such as numbness and tingling. These symptoms can also be caused by neurological conditions that are not spine-related, such as multiple sclerosis. Neurologists are great at sorting this out and offering solutions," says Dr. Kowalski.

- A physiatrist, a doctor with expertise in physical medicine and rehabilitation. "This may be helpful for back pain related to a sports injury, if surgery is not needed, and when medications are not working," says Dr. Shmerling.

- A rheumatologist, a doctor who treats diseases of the joints, muscles, and bones. "Referral is most appropriate when there is inflammation of the joints in the back, or if the back pain might be related to an inflammatory disease, such as psoriatic arthritis," explains Dr. Shmerling.

- A physical therapist, a licensed therapist who can help you strengthen back and core muscles to absorb pressure on the spine.

- A pain management physician, a doctor who can prescribe medications, provide injections, and consider other approaches. "People with symptoms that aren't responding to treatment are great candidates for pain management, such as injections or procedures to smaller joints in lower back," says Dr. Kowalski.

- An orthopedic spinal surgeon or a neurosurgeon who primarily does spine surgery, if surgery is likely needed for severe, unrelenting pain that may be due to a disc or spinal column problem.

Keep in mind
It may take several types of tests, such as x-rays, MRIs, and blood tests, to determine the exact cause of your back pain.

And you may need more than one expert managing your back pain. It just depends on the situation. "Most people who see more than one expert have more than one problem or have not improved with prior treatments," says Dr. Shmerling.

But for back sprains, strains, and herniated discs, a visit to your primary care physician or chiropractor may be all it takes to feel better. Make that initial call if back pain is interfering with your day.

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National Wildlife Center Launches 2nd Phase to Regulate Unlicensed Species in Saudi Arabia

National Wildlife Center Launches 2nd Phase to Regulate Unlicensed Species in Saudi Arabia
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National Wildlife Center Launches 2nd Phase to Regulate Unlicensed Species in Saudi Arabia

National Wildlife Center Launches 2nd Phase to Regulate Unlicensed Species in Saudi Arabia

The National Center for Wildlife (NCW) has launched the second phase of its initiative to regulate the status of unlicensed wildlife species in the Kingdom, representing one of the most prominent national efforts to control wildlife possession, document ownership, and ensure that all practices related to housing, breeding, and trading comply with the Environmental Law and its implementing regulations, according to SPA.

The regularization period extends until the end of February 2026 and targets those who keep or handle wildlife on a large scale, including private collections (farms) containing more than 10 species, facilities engaged in breeding and housing wildlife, and businesses involved in selling wildlife products or derivatives.

This phase follows the success of the first, which focused on regulating the status of falcons, and reinforces the Kingdom's role in curbing illegal practices that could harm natural environments or threaten the survival of wildlife species. The initiative reflects a growing national commitment to protecting biodiversity and developing a more regulated system for managing wildlife within the Kingdom.

The regulation aims to build an accurate database of wildlife, enhance monitoring, and improve housing standards in accordance with environmental and health considerations.

The NWC emphasizes that this step aligns with national efforts to protect wildlife, support ecosystem sustainability, and address the challenges of illegal wildlife trafficking. It calls on all owners and relevant facilities to take advantage of the grace period, review the regulations through the "Fitri" platform, and contribute to a safer and more balanced ecosystem

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Islamabad Puts Drivers on Notice as Smog Crisis Worsens

This picture taken on December 9, 2025, shows buildings engulfed in dense smog due to severe air pollution in Islamabad. (Photo by Aamir QURESHI / AFP)
This picture taken on December 9, 2025, shows buildings engulfed in dense smog due to severe air pollution in Islamabad. (Photo by Aamir QURESHI / AFP)
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Islamabad Puts Drivers on Notice as Smog Crisis Worsens

This picture taken on December 9, 2025, shows buildings engulfed in dense smog due to severe air pollution in Islamabad. (Photo by Aamir QURESHI / AFP)
This picture taken on December 9, 2025, shows buildings engulfed in dense smog due to severe air pollution in Islamabad. (Photo by Aamir QURESHI / AFP)

Truck driver Muhammad Afzal was not expecting to be stopped by police, let alone fined, as he drove into Islamabad this week because of the thick diesel fumes emanating from his exhaust pipe.

"This is unfair," he said after being told to pay 1,000 rupees ($3.60), with the threat of having his truck impounded if he did not "fix" the problem.

"I was coming from Lahore after getting my vehicle repaired. They pressed the accelerator to make it release smoke. It's an injustice," he told AFP.

Checkpoints set up this month are part of a crackdown by authorities to combat the city's soaring smog levels, with winter months the worst due to atmospheric inversions that trap pollutants at ground level.

"We have already warned the owners of stern action, and we will stop their entry into the city if they don't comply with the orders," said Dr Zaigham Abbas of Pakistan's Environmental Protection Agency (EPA), as he surveyed the checkpoint at the southeast edge of the capital.

For Waleed Ahmed, a technician inspecting the vehicles at the site, "just like a human being, a vehicle has a life cycle. Those that cross it release smoke that is dangerous to human health".

While not yet at the extreme winter levels of Lahore or the megacity Karachi, where heavy industry and brick kilns spew tons of pollutants each year, Islamabad is steadily closing the gap.

So far in December it has already registered seven "very unhealthy" days for PM2.5 particulates of more than 150 micrograms per cubic meter, according to the Swiss-based monitoring firm IQAir.

Intraday PM2.5 levels in Islamabad often exceed those in Karachi and Lahore, and in 2024 the city's average PM2.5 reading for the year was 52.3 micrograms -- surpassing the 46.2 for Lahore.

Those annual readings are far beyond the safe level of five micrograms recommended by the World Health Organization.

Built from scratch as Pakistan's capital in the 1960s, the city was envisioned as an urban model for the rapidly growing nation, with wide avenues and ample green spaces abutting the Himalayan foothills.

But the expansive layout discourages walking and public transport remains limited, meaning cars -- mostly older models -- are essential for residents to get around.

"The capital region is choked overwhelmingly by its transport sector," which produces 53 percent of its toxic PM2.5 particles, the Pakistan Air Quality Initiative, a research group, said in a recent report.

"The haze over Islamabad... is not the smoke of industry, but the exhaust of a million private journeys -- a self-inflicted crisis," it said.

Announcing the crackdown on December 7, EPA chief Nazia Zaib Ali said over 300 fines were issued at checkpoints in the first week, with 80 vehicles impounded.

"We cannot allow non-compliant vehicles at any cost to poison the city's air and endanger public health," she said in a statement.

The city has also begun setting up stations where drivers can have their emissions inspected, with those passing receiving a green sticker on their windshield.

"We were worried for Lahore, but now it's Islamabad. And that's all because of vehicles emitting pollution," said Iftikhar Sarwar, 51, as he had his car checked on a busy road near an Islamabad park.

"I never needed medicine before but now I get allergies if I don't take a tablet in the morning. The same is happening with my family," he added.

Other residents say they worry the government's measures will not be enough to counter the worsening winter smog.

"This is not the Islamabad I came to 20 years ago," said Sulaman Ijaz, an anthropologist.

"I feel uneasy when I think about what I will say if my daughter asks for clean air -- that is her basic right."

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Spider-Like Scar Haunts Jupiter's Moon Europa

A dendritic “lab star” formed by liquid water flowing through Europa ice simulant at NASA JPL, modeling how features like Damhán Alla could form on Jupiter's icy moon, similar to how lake stars form on Earth. (Image credit: Prof. Lauren Mc Keown.)
A dendritic “lab star” formed by liquid water flowing through Europa ice simulant at NASA JPL, modeling how features like Damhán Alla could form on Jupiter's icy moon, similar to how lake stars form on Earth. (Image credit: Prof. Lauren Mc Keown.)
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Spider-Like Scar Haunts Jupiter's Moon Europa

A dendritic “lab star” formed by liquid water flowing through Europa ice simulant at NASA JPL, modeling how features like Damhán Alla could form on Jupiter's icy moon, similar to how lake stars form on Earth. (Image credit: Prof. Lauren Mc Keown.)
A dendritic “lab star” formed by liquid water flowing through Europa ice simulant at NASA JPL, modeling how features like Damhán Alla could form on Jupiter's icy moon, similar to how lake stars form on Earth. (Image credit: Prof. Lauren Mc Keown.)

Scientists have explored a strange, spider-like scar on Jupiter's icy moon Europa, suggesting the feature might have formed from briny water eruptions beneath the moon's ice.

NASA's Galileo spacecraft, whose mission ended in 2003, spotted the unique feature - officially named Damhán Alla, an Irish word meaning “spider” or “wall demon” - within Europa's Manannán crater.

The starburst-like pattern first appeared in images captured by the spacecraft in the late 1990s, but scientists are only now piecing together how it may have formed, according to a statement from Trinity College Dublin.

“The significance of our research is really exciting,” Lauren Mc Keown, lead author of a study published in The Planetary Science Journal.

“Surface features like these can tell us a lot about what's happening beneath the ice. If we see more of them with Europa Clipper, they could point to local brine pools below the surface.”

On Earth, lake stars emerge when snow falls on frozen lakes and holes form in the ice, allowing water to flow upwards and melt surrounding snow, carving radial, branching channels as it spreads.

Such patterns are common in nature, from lightning scars to tidal channels, illustrating the movement of fluids and energy through different surfaces.

The researchers suggest that Europa's version might form the same way - except the liquid in this case would be salty brine forced upward after an impact disrupted the ice shell.

“Lake stars are really beautiful, and they are pretty common on snow or slush-covered frozen lakes and ponds,” McKeown said in the statement. “It is wonderful to think that they may give us a glimpse into processes occurring on Europa and maybe even other icy ocean worlds in our solar system.”