Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Acne is the most common skin problem in the United States, affecting millions of adolescents and adults. About 85 percent of teens have acne, and it may continue into adulthood.
Acne is a complex condition in which hormones and other factors can cause the hair follicles in your skin to become clogged. This can create pimples or pus bumps that become visible on your face, neck, back, chest, and shoulders. Acne can be distressing, but there are effective combinations of treatments available that can help you.
The symptoms of acne can be mild to severe, and they include:
Severe acne can also lead to other problems. It may affect your emotional well-being, causing depression, embarrassment, or lowered self-esteem. These negative feelings can discourage you from interacting socially, on the job, or at school.
We can usually diagnose acne by looking at your skin. In most cases, no additional testing is needed.
In rare cases, there are problems with hormone levels that may be linked to a condition called polycystic ovary syndrome, or PCOS. If you are a woman with moderate to severe acne, irregular menstrual periods, and excess hair on the face or body, you may have PCOS or another hormonal imbalance.
There are several different types of acne lesions. Most of the time, if you have acne, you will have a combination of these lesions in varying severity:
Comedonal lesions, also known as blackheads and whiteheads.
Example of an inflammatory lesion, also known as a pimple or pus bump.
Nodulocystic acne, also called an acne cyst.
Nodulocystic acne, also called an acne cyst.
The following factors cause acne:
As you go through puberty, some hormones cause your skin to produce more oil. This oil combines with a buildup of debris and shedding skin, causing hair follicles on your face and other acne-prone areas to plug up. This causes the acne lesions.
More sebum results in an increase in the number of bacteria (P. acnes) on the skin surface. As bacteria break down surface oil and interact with your immune system, your skin becomes irritated and inflamed. This causes acne pimples to form.
Because the highest concentration of the sebaceous or oil glands is present on the face, chest, and back, these are the areas where acne usually develops.
Hormones are one of the most important causes of acne. Several kinds of hormonal changes can affect this condition, including:
The role of diet in acne remains controversial. It is best to avoid foods that make your acne worse. Some studies suggest that milk and other dairy products may increase the risk or severity of acne because of the animal hormones they contain.
Foods rich in carbohydrates, such as simple sugars found in candy, cookies, and other baked goods, may make acne worse. There is no good evidence that chocolate or fried foods cause or worsen acne.
Stress and tension have been shown to worsen acne. When we are stressed, our body releases cortisol – a natural steroid hormone that further increases your skin's production of oil.
Certain medications are known to worsen acne. These include medications that contain steroids such as prednisone, methyl prednisolone, topical steroids, and some psychiatric medications such as lithium.
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.