Pain in the back anywhere below the ribs and up to the hips is called low back pain. It is a condition that affects over 90% of the population at one time or the other. Next to common cold, it remains the most common reason why people seek medical help
Many people who experience low back pain do not meet up with a doctor since it usually resolves on its own. They may suffer from any dull aches to sharp pains or even numbness. The pain characteristically lingers on for a day or two before it gradually subsides. In many, the pains keep recurring in varying intensities
Studies have shown that back pain is the single most reason cited by employees for taking maximum number of 'sick leaves'. Stresses and strains of daily living and overuse and misuse of the muscles of the back are the commonest causes of backache
Why is back pain so common ?
The curvature of the normal spine is such that, the bony column is weakest at two points. The cervical spine (the nape of the neck) and the dorsal spine are the weakest points. The lower back bears at least one half of the body weight. Hence, these points bear the brunt of repeated stresses and strains
Every joint has an optimum position of function, departures from which increase the likelihood of strains and pains. Over time muscle strains lead to an overall imbalance in the muscle structure. There is constant strain on the muscles, bones, tendons, discs etc. The most common cause of back pain is poor posture
The real pain might be triggered by sudden lifting of weights, a sudden turn or a wrench, a fall on the back, sitting in a cramped position for a long time, horse-riding, riding a tractor etc. Occasionally, it won't be one event alone which triggers your backache. You may have been doing things improperly for a long time standing, sitting or walking, until suddenly one simple movement might trigger your pains.
These so-called last straws to the already overburdened back are some of the following
Trauma: acute or chronic unusual lifting, sudden wrenches, fall etc
Psychic factors like depression ' can cause lowered (poor) muscle tone and cause backache
Any acute illnesses can cause poor muscle tone
Fatigue
Pregnancy
Obesity causes increased lordosis
General poor health
Localized, focal infections
Faulty structure of feet
What makes backache worse is that once the pain starts, in order to avoid stressing the painful parts, we tend to perform actions ( walk, stand, lift etc.) with the use of other muscles which are not used to moving in that pattern. This further increases the stress on the muscles
Causes of backache
Apart from the above mentioned triggers, backache can be caused by a number of other conditions
Osteoarthritis (OA): with increasing age, the joints of the backbones undergo degeneration. OA of the joints that link one vertebra to its neighboring ones (called the facet joints) causes back pains
Herniated Discs (disc prolapse): any heavy strain or increased pressure in the back can displace the round, resilient discs which act as shock absorbers for the back bones. They cushion every impact on the back such as when jogging, weight lifting, horse-riding etc. injuries, normal wear and tear, and diseases that affect the backbones can cause minor tears on the disc surfaces as well as make them bulge out from their places. Displaced discs can press on surrounding nerves and cause pain, tingling & numbness in the legs
Injuries and fractures of the vertebrae (backbone): conditions that cause nerve, bone and tissue injury can cause back pain ' vehicular accidents, fall from a bike, fall on the back compressing the structures in the back
Compression of the spinal cord itself (Spinal stenosis): the spinal cord travels through a narrow, hollow shaped bony canal called the 'spinal canal'. With aging, the lumen of this canal tends to become narrow, compressing the contents within it. Back pain is a common symptom of spinal stenosis
Deformities: often the backbone curvature is damaged secondary to other diseases. The alignment which is usually straight tends to deviate either to the sides (scoliosis) or appear bent forwards (kyphosis). Long-term mal-alignment of the vertebral column can cause tremendous stress and strain on the supportive muscles that surround it. This usually gives rise to backache
Occupational: many occupations can take a toll on your back. If your work requires long hours of standing, lifting of heavy weights or sitting in an uncomfortable position, your back will possibly suffer
Athletes are very prone to low back aches
Back pain might also originate from the nerves, spine and muscles of the back. Conditions affecting structures present in the abdomen and pelvis - (kidneys, ovaries, intestines, prostate etc.) can cause a backache. In general backache is never really serious. It is self-resolving and lasts only for some days.
70% of persons approaching a GP are better in 3 weeks while 90 % are better in 6 weeks time, irrespective of the treatment received
Auroh Advanced Homeopathy Treatment
Homeopathic medicines offer excellent relief for low back pains. Homeopathic medications can relieve the spasms of the back muscles and provide effective pain relief without any side effects and are considered good for raising the immunity. homeopathy is of use in eradicating chronic relapsing conditions. Homoeopathy doesn’t treat the ‘disease in man’ but it treats the ‘man in disease’. Homoeopathy treats the cause of disease and the illness will disappear. homeopathy is strongly recommended for acute or long lasting chronic back pains
When to see my doctor ?
Your back pains definitely deserve medical attention in the following situations
Your pains are accompanied by persistent fever
You suddenly lose control over your bowel and bladder movements
There are additional symptoms of numbness in the feet, nausea vomiting etc
You have had a violent accident involving the back
There is redness of the skin overlying the backbones
Pain is elicited even with slight application of pressure
You have developed weakness in the legs along with or after onset of the back pains
The pains radiate below the hips to the legs
Even the slightest movement in intolerable
You have been on steroid treatment for other conditions
You have a positive medical history of a tumor in the past
You are HIV positive or have an addiction to drugs
You have lost weight in the recent past
You are above 50 years of age
You are less than 20 years and feel this is the worst back ache of your life
Your low grade pains persist for more than two weeks
In spite of resting your back, the pains do not improve significantly in one or two day's time
How do I prevent backaches ?
Some simple measures can help keep back pain at bay !
Learn to bend and lift objects properly
Avoid standing for long periods at a stretch. If you stand for a long time, make sure your ears, shoulders, hips and knees are in the same straight line
If you have long hours of sitting, like a long car drive, try taking stops every one hour and walk around a bit
When sitting for long, make sure your chair has a high back and supports your back (especially the region between the ribs and hip-bones) curvature properly. You may need the help of a pillow for the same
Your chair should not be too high or too low either. Again, when sitting on a chair, make sure that both your feet touch ground completely. Your knees should extend beyond the seating provided and they should also be higher than your hips
Don't slouch when sitting
Exercise daily. A good exercise will improve
Back pain relief
If you have hurt your back and suffering from backache, follow these steps to get some quick relief
Lie on your back on the floor with pillows under your knees as shown in the picture
You may also keep your feet on a chair with your hips and knees bent as depicted in the picture
Do this simple procedure for 1–2 days
Do not do this procedure for long as it can weaken your muscles and delay pain relief
Walk for 5–10 min once in a while, even if you have pain as physical movement can aid in faster recovery
Other procedures such as using heating pads, ice packs and body massages can also provide relief. But it is best to consult your doctor before doing any of these procedures
Seeking medical help
If you experience one or more of the following symptoms, get in touch with your doctor immediately
Your back pain spreads down up to your knees
You feel numb in your groin, rectal area, legs and foot
You have fever, weakness and sweating
The pain is so unbearable that you are not able to move
The pain does not go away even after 2 or 3 weeks
Preventing back pain
The following tips will help you guard yourself from hurting your back
When you lift heavy objects, keep your knees bent and squat while lifting the object. Do not bend to lift it
While carrying the object hold it close to your chest, keep your spine erect and straight
When you lift heavy objects, keep your knees bent and squat while lifting the object. Do not bend to lift it
While carrying the object hold it close to your chest, keep your spine erect and straight
When you are lifting the object, do not twist your body
When you move heavy objects, push it instead of pulling it
Do not remain seated for long hours. Get up once in a while and stretch your body
Do not wear high heeled footwear
Exercise regularly. Lack of it can cause back ache
Exercise daily. A good exercise will improve your posture
A complete workout session should include walking/swimming aerobic activity + riding a stationary bike
Never skip your warm-up exercises, even if you do regular workouts
Manage your weight. Try maintaining your body weight within the range optimal for your age, sex, and daily routines
Have foods rich in calcium, Vitamin D, phosphorus and proteins. They both help in building and repairing bones and muscles
Wear low-heeled shoes. Avoid wearing stilettos for long periods
Quit smoking. Smoking contributes to osteoporosis. It hardens the arteries supplying blood to our bones and reduces the blood supply to other vital structures that form your backbone
Relax. Avoid stress from getting at you. Stress causes the supportive muscles of the back to go into an abnormally contracted state. Try yoga, tai chi and massages which are known to help
Diagnosis
Backache is a symptom, causes for which are numerous. A sound clinical evaluation often suffices to trace the cause. Most physical exams will involve an examination of the following
Palpation: Your doctor will check for any sign of pain produced with application of pressure. He will also need to verify whether you have any outward signs of trauma broken bones, brazed skin etc. your doctor will also assess your reflexes, joint stability and flexibility of the muscles around the joints
Gait: Check the way you walk. Is pain or stiffness preventing a normal gait ?
Stance: any abnormal posture adopted when standing
Range of motion: To check if the range of motion is painless or painful, restricted and stiff
Straight leg test: this test is done to confirm the affection of the sciatic nerve as it passes through your leg
Doctors may even advice a few tests and laboratory investigations
A complete blood count along with erythrocyte sedimentation rates this would help in tracing causes like infections
Other tests depending on presentation of symptoms may be required e.g. the test for tumor markers where malignancies are suspected
Radiographic evaluation: where the back pains are not relieved by rest or medications and where there is a history of acute trauma to the back, or other symptoms like weakness of legs or numbness, a radiographic evaluation becomes necessary
Magnetic Resonance Imaging and Computed Tomographic Scanning: both non-invasive tests that provide highly accurate results. These tests can often diagnose the presence of an illness, or herniated discs even in asymptomatic patients
MRI uses no ionizing radiation and is better at imaging soft tissue (e.g., herniated discs, tumors). CT scanning provides better imaging of cortical bone (e.g., osteoarthritis). Compared with MRI, CT scanning is less sensitive to patient movement and is also less expensive
Bone scanning: also called Bone Scintigraphy useful when radiographs of the spine are normal but the clinical findings are suspicious for osteomyelitis and bony tumors or hidden fractures
Needle electromyography and nerve conduction studies: useful in differentiating peripheral nerve damage from disorders of single nerve roots or muscles
Treatment of Low Backache
Conventional treatment Painkillers and correction of structural deformities are the mainstay of conventional approach to back pains
Pain killers: Non-Steroidal Anti-inflammatory Drugs (NSAIDs) given for two weeks usually reduce the pains
Physiotherapy: physical treatment through appropriate exercises for improving posture and muscle tone provide lasting relief
Homeopathy For Low Backache
Homeopathic medicines offer excellent relief from low back pains. Homeopathic medications can relieve the spasms of the back muscles and provide effective pain relief without any side effects and good for raising the immunity. homeopathy is of use in eradicating chronic relapsing conditions. Homoeopathy don’t treat the ‘disease in man’ but it treats the ‘man in disease’. Homoeopathy treats the cause of disease and the illness will disappear. homeopathy is strongly recommended