Are you having back pain with any of the following?

  • Severe pain, weakness or tingling in your leg(s).
  • Difficulty stopping urination or loss of control of bladder or bowels.
  • Unexplained fever, nausea or vomiting.
  • A history of cancer or unexplained weight loss.

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.



Measles is a highly contagious disease caused by a virus. An infected person may sneeze or cough droplets into the air. It’s spread when you breathe in these droplets.

Measles causes a red, itchy rash. Before the rash appears, you may have:

  • Fever
  • Red eyes
  • Cough
  • Runny nose
  • Light sensitivity

The MMR vaccine (measles, mumps, and rubella) provides lifetime protection for most people who receive 2 doses.

There is treatment for measles. Home care soothes symptoms. Most people recover at home.

Young babies and older adults may need hospital care to prevent complications.


Measles generally has 2 stages. Most people feel better within 2 weeks after symptoms first begin.

Early Stage

Symptoms usually begin 7 to 14 days after you’re exposed and may include:

  • Mild to moderate fever (100.4°F, or higher).
  • Cough, runny nose, and sore throat.
  • Red eyes that may be sensitive to light.
  • Small grey-white spots in the mouth (Koplik's spots), 2 to 3 days after other symptoms.
Later Stage

About 14 days after exposure to the virus (3 to 5 days after early symptoms appear), you develop an itchy, red rash. You may develop a high fever, over 103°F (39°C).

The rash typically:

  • Starts on the face, near your hairline and behind the ears.
  • Spreads down your neck to your torso, arms, legs, and feet.

This stage lasts 4 to 7 days.

Possible Complications

Complications usually occur in children under age 5 and in older adults, but they can occur at any age. Possible complications are:

  • Severe diarrhea
  • Ear infection
  • Pneumonia, the leading cause of death in young children with measles

Serious brain infection (encephalitis) can develop and cause:

  • Seizures, especially in babies
  • Permanent neurological damage
  • Loss of hearing
  • Death

Pregnant women with measles may:

  • Have a miscarriage
  • Give birth too early
  • Have a low-birth weight baby

Causes and Treatment

Measles is caused by a highly contagious virus. The virus grows in the cells that line the back of the throat and upper airways of the lungs, which is why complications often involve the respiratory system.

An infected person:

  • Can spread it to others about 4 days before the rash appears.
  • Is most contagious just before the rash appears.
  • Remains contagious until 4 days after the rash appears.
  • Can spread measles to others without knowing it.

Measles spreads when an infected person coughs, sneezes, or speaks. Tiny contaminated droplets spray into the air. It also spreads when a person who has not had the measles vaccine:

  • Breathes in contaminated droplets.
  • Touches an infected person or a shared surface.

If you’ve been exposed to measles, we may give you an immune globulin shot or the MMR vaccine. You’ll be less likely to get sick or may have milder symptoms.

Risk Factors

You’re at risk of getting measles if you have not:

Received 2 doses of the MMR vaccine. * Already had the measles.

Babies younger than 12 months are at high risk because they haven’t yet had the MMR vaccine.

If you haven’t had the MMR vaccine, you have a 90 percent chance of developing the measles just by being in the same room as an infected person.


Your risk for measles is higher if you travel to countries where people aren’t routinely vaccinated. Your safest option is to be fully vaccinated.

California had measles outbreaks within the past few years. This reminds us that measles can occur anywhere, at any time.


Call the appointment and advice line (1-866-454-8855), 24 hours a day, 7 days a week if:

  • You or your child has measles symptoms.
  • Anyone in your family has been exposed.

Call us about your symptoms before you come in for an appointment.

To diagnose measles, we:

  • Learn about your symptoms.
  • Perform a physical examination.

We may also take:

  • Blood tests, to look for antibodies.
  • Samples from your nose, throat, or urine.

We’ll check to see if you’re developing any complications.

We’re required to report measles to the local Public Health Department. They document cases and manage outbreaks in the United States.


The best way to prevent measles is to get immunized. The MMR vaccine (measles, mumps, and rubella) is safe and provides lifetime protection for nearly 99 percent of people who receive 2 doses.

In the U.S. you are protected against (immune to) measles, if you were:

Born before 1957 and had measles as a child. * Received 2 MMR vaccine doses as a child.

MMR vaccine

Children get their first dose at 12 months or older. The second dose is given between ages 4 and 6.

Treat minor discomfort such as fever or swelling at the injection site with acetaminophen (Tylenol).

Do not get vaccinated if you:

  • Are pregnant.
  • Have a severely weakened immune system.

Not everyone is protected:

  • Some children are behind on vaccinations.
  • Adults with only 1 MMR dose can have a blood test to learn if they need a second dose.

Home Treatment

Most people recover with home care, including:

  • Drinking plenty of fluids.
  • Getting extra rest.
  • Taking ibuprofen or acetaminophen for fever and sore throat (follow the package instructions).
  • Using a humidifier to ease coughing and runny nose.

Never give a child aspirin unless we prescribe it. Aspirin can cause a rare but serious reaction (Reye’s syndrome).

You can avoid infecting others by:

  • Covering your mouth and nose when coughing or sneezing.
  • Placing used tissues in the trash.

A caregiver should:

  • Empty the used tissue trash bin often.
  • Wash your hands regularly with soap and warm water, or use antibacterial sanitizer.
  • Keep visitors away until the fever breaks and the rash fades.

Young babies and older adults may need hospital care to prevent complications.

Call the appointment and advice line at 1-866-454-8855 if you or your child develops symptoms or has been exposed to measles.

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.