Back pain can be caused by a fall or heavy lifting and last for less than six weeks or for over three months. In many cases, a specific cause of back pain becomes impossible to detect for the doctor. Lower back pain is the most common type of back pain. People aged between 35-55 years are most likely to be affected by back pain but it can also affect people of all age groups. There are many types of back pain treatments available including surgery even though the latter is rarely required.
Low back treatment can start in a man’s mid-twenties and continue all through adulthood. Studies have shown that up to 80% of the comprehensive group are affected by low back distress (LBP) in the end in the midst of their lives. Make sense of how to hinder bring down back torment by acknowledging what activities could be placing you in threat.
Common Causes of Low Back Pain
- Manual materials handling
- Twisting of the trunk
- Bending the trunk forward
- Bending the trunk to the side
- Excessive reaching
- Prolonged sitting
- Sedentary jobs
- Highly physical jobs
- Exposure to whole-body vibration
- Cigarette smoking
- Extreme tallness
Causes and Symptoms
Back pain can be caused by strain on muscles and ligaments or muscular spasm. This can occur due to lifting very heavy weights, improper movements and abrupt movements. Back pain can also be caused by ruptured or bulging disks present between the vertebrae pressing on the nerve. Pressure on the nerve running from pelvis to feet by a bulging disk also results in back pain. This condition is called sciatica.
Abnormal curvature of the spinal column can also lead to back pain. The most common condition is scoliosis in which the spinal cord curves to the side. Osteoarthritis of the spinal column and osteoporosis of the vertebrae can cause lower back pain.
Other causes of back pain include spinal cancer, sleep disorders, spinal infection, shingles and poor postures.
Some of the symptoms of back pain include the following.
- Persistent pain in back
- Pain radiating down to the legs
- Weight loss
- Swelling on the back
- Weakness and numbness in one or both the legs
- Difficulty in urination
- Numbness around genitals, buttocks and anus
The back pain treatment is started after a physical examination and diagnostic tests are carried out. Diagnostic tests include X-ray, blood test, MRI or CT scan, nerve studies and bone scan.
The following types of back pain treatments are given depending upon the type and cause of back pain.
#1. Medicines – Pain killers such as ibuprofen or naproxen sodium are prescribed to the patient for pain relief. Anti-inflammatory drugs or NSAIDs are prescribed if pain relief is not achieved by over-the-counter pain killers. Narcotic drugs such as codeine or hydrocodone can also be prescribed for back pain treatment. Muscle relaxants can also be prescribed if pain does not subside by consuming pain killers.
#2. Topical treatment – Topical back pain treatment means applying ointments, salves or medicated creams at the area of pain.
#3. Injection – When the back pain reaches the legs and the pain refuses to subside by medications or other techniques, cortisone injection becomes necessary. Cortisone is injected into the epidural space. Epidural space is the space around the spinal cord. Cortisone is an anti-inflammatory drug which relieves inflammation around nerve roots and provides pain relief. The pain subsides for less than six weeks. Botox injection can also be given to paralyze the muscles at the sites of pain. This method is useful to provide relief from back pain caused by sprained muscles.
#4. Surgery – Surgery is a rare back pain treatment modality. Surgery is considered when the pain is persistent and there is muscle weakness caused by nerve compression. Surgery can be performed to remove a portion of the disk by pressing the nerve, placing an artificial disk between two vertebrae, removing a portion of vertebrae pressing the nerves or joining two vertebrae with each other using metal plates or screws.
#5. Physical therapy – Physical therapy includes application of heat and cold stimulations, muscle release techniques and ultrasound and electric stimulation to relieve back pain. Exercises to strengthen muscles and improve flexibility are also taught to the patient.
Consider Lower Back Pain
It is trusted that the module has been of commonsense utilize and there the references have been given on the off chance that you need to research further. There are some helpful introductions and essential care torment assets on. All in all, the key messages for basic mechanical low back agony are:
- Ought to be overseen in essential care
- Self-administration is critical; consider straightforward absense of pain at first and after that manual treatment, exercise and needle therapy if torment not settling
- Don’t MRI or X-beam for low back torment unless surgery is being mulled over or warnings are suspected
- Attempt and keep the patient dynamic – HURT DOES NOT EQUATE TO HARM – remaining dynamic for the most part implies remaining in work. It might likewise be worth specifying that it isn’t important to be 100% fit to backpedal to work and that the new fit note gives the choice of coming back to chip away at modified obligations and so on if the business can suit this
- Try not to allude to optional care unless complex case or warnings are suspected or if the many-sided quality and chronicity of the back torment requires expert agony administrations
- Early evaluation and administration of yellow banners ought to be attempted if psychosocial factors are deferring recuperation
- Keep away from utilization of unhelpful allegories (disintegrating spine, touch of joint pain)
- De-medicalise back agony – utilization of group based assets, for example, practice referral and so forth.
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