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It may get worse: After standing or sitting During certain times of the day, such as at night When sneezing, coughing, or laughing, especially if caused by a herniated disk When bending backward or walking more than a few yards or meters, especially if caused by spinal stenosis When straining or holding your breath, such as during a bowel movement Exams and Tests The health care provider will perform a physical exam

The 2026 edition became effective October 1, 2025, under the standard annual ICD-10-CM update cycle maintained by NCHS

The main downside is that injections require more care

What are Vitamin D Injections