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Sunday, May 26, 2019

Back Pain

What is Back Pain?
Back pain is also known by the name dorsalgia. Dorsalgia is the medical term for back pain. The back region of the person’s body is painful during this condition. The pain can arise from the muscles of the back. The nerve supply of the back could be affected in this condition. Bones and joints on any part of structure of the spine with a problem can cause back pain or dorsalgia.

Symptoms of Back Pain
There are several symptoms experienced by the person with back pain. A few people lose the ability to stand straight as their lower back muscles get a severe spasm, hence making it difficult for them to move or stand. Persistent stiffness or pain can be experienced in the spinal region. A few patients experience sharp pain occurring in the neck or upper and lower back. Pain in the middle or the lower back can also be present for a long time, which is known as chronic pain.

The pain can radiate as far down as the buttocks of the person. This radiating pain in buttocks is known as sciatica. Different acts or postures can cause pain, including bending awkwardly, pushing, pulling something, carrying something, lifting something, standing for long periods, sitting down for long periods, twisting, coughing, sneezing, muscle tension, over-stretching, straining the neck forward and long driving sessions without a break.

Causes of Back Pain
There are several factors responsible for back pain. It could occur due to trauma or injury to the lower back. Bone and joint disorder like arthritis can also cause back pain. If there is a cancer in the spine, it can result in back pain. If there is an infection present in the spine, it will also cause back pain. Irregularities in the skeleton also result in back pain. Sciatica is also a major cause of back pain. Back pain can happen due to strain development in the back. The strain could be in the muscles or ligaments of the back. Any structural problem like collapsed disc of spine, bulging disc or osteoporosis can also cause back pain.

Risk factors of Back Pain
There are many risk factors associated with back pain. Smoking can increase someone’s chances of developing back pain. Being overweight and obese puts strain on the spine, hence weight is a major risk factor. Some people are prone to developing back pain due to their genetics, which they have inherited. Old age patients are also at risk. The female gender is at higher risk as compared to males. People who have a poor or bad posture are also prone. People who do physically strenuous work regularly are at a higher risk compared to normal population. A few jobs have hazards associated with them which can cause back pain, such as those that involve hard labour. Patients with anxiety and depression are at also risk of developing back pain.

Complications of Back Pain
There are a few complications associated with having back pain. Patients with back pain can develop Cauda equina syndrome (CES). Patients with back pain experience pain while sleeping, hence they have sleepless nights. This affects their daily activity and routine.

Lab Investigations and diagnosis of Back Pain
Your doctor will take a detailed history from you and conduct a general physical examination. The doctor will check the functioning of your back and your posture by making you sit, walk, lift your legs and stand. The doctor will also check your reflexes by using a plastic hammer. This hammer is not at all painful. If your doctor thinks that the cause of your back pain may be due to the presence of any tumour, an infection on any fracture is causing it.

Your doctor might order a few tests to confirm the diagnosis. These tests include tests for blood and urine. For that, you need to give fresh blood and urine samples. The doctor will also order an X-ray of your back. Advance tests can also be performed, which include CT scans and Magnetic Resonance Imaging (MRI). Your doctor may also order a bone scan.

Treatment of Back Pain
Treatments of back pain include homeopathic treatment, treatment through acupuncture and acupressure, psychotherapy, using conventional or allopathic treatments, dietary and herbal treatment and others.

Homeopathic treatment if back pain
Homeopathic treatment tends to have a major effect on pain in the back which occurs due to an injury to the back or misatunement of the vital force. The homeopathic approach not only treats the symptoms but also treats the cause. It acts at the root of the disease. The homeopathic medication or remedies used for back are Arnica, Calcarea C, Rhus Tox, Hypericum and Kali C, among others.

Acupuncture and acupressure treatment of back pain
Acupuncture needles are inserted in the region of the pain and areas distal to the painful region. Patient with acute pain find acupuncture of distal region very helpful. This can provide very good relief from pain. The practitioner will feel and determine the sensitive part of the body and then insert needle.

Psychotherapy and hypnotherapy treatment of back pain
Patients with back pain tend to go through emotional stress and depression. Hence, for that they require psychological intervention. This help in improving the quality of life of the patient. Counselling helps the patient in opting for a better routine of sleep, which improve the functioning of the person and helps them cope with their problem.

Conventional or Allopathic treatment of back pain
This treatment involves an ice and heat application to the region. Your sleeping position will be changed. In addition, drugs to relieve the pain, for example aspirin, ibuprofen and acetaminophen, can be given. If these drugs do not help due to the severity of the pain, narcotic drugs are prescribed. These include morphine or Vicodin. A steroid injection can also be used which helps with the inflammation in the nerve, helping with the pain for a few months.

Surgical treatment of  back pain
The surgeries performed are fusion surgery, partial removal of the disk if that is the cause and partial removal of the vertebra.

Dietary and herbal treatment of back pain
You should avoid high sugar foods, junk food and processed foods. You should eat fresh fruits and vegetables.

Other treatments of back pain
Viniyoga, a type of yoga which deals with posture and breathing exercises, helps reduce the pain, along with the medication.

Precautions and prevention of  Back Pain
There are few precautions that should be taken by you to avoid getting back pain. These precautions include doing exercises to improve flexibility and muscle strength. You should keep your BMI in a healthy range by keeping your weight healthy. Smoking acts as a cause as well, hence stop smoking or attempt to quit. If you are addicted seek help. Always look for a comfortable seat which has a good back support for the lower region of back.  You can opt for aerobics exercised that have a low impact.

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