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Low back pain

Low back pain

Almost every person experience low back pain at some point in their lifetimes. Leading cause of this problem is job culture, age factor, physical trauma or permanent disability. Low Back pain is mostly affecting the adult population.

It is usually defined as pain, muscle tension, swelling in the back or stiffness below the costal margin and above the inferior gluteal folds, with or without leg pain (sciatica) pain, and is defined as chronic when it lasts for more than 12 weeks.

Incidence/ Prevalence

Low back pain is a considerable health problem in all developed countries. In developed countries, 70% of people experience low back pain at some time in their lives. Each year, between 15% and 45% of adults suffer low back pain. About 10% remained off work and about 20% had persistent symptoms at 1 year. It can occur in both men and women.

Etiology/ Risk factors :

In most cases Pain is non-specific. Only about 4% of people with low back pain is diagnosed with compression fractures, and about 1% have a tumor. However, tumor affected pain is less common.

Risk factors include:

  • Occupational factors: Individual and workplace factors have been reported with low back pain. Heavy physical work or a job that includes heavy lifting, pushing- pulling, frequent bending, twisting, and lifting; particularly when it involves twisting or vibrating the spine, can lead to injury and back pain. Again an inactive job or a desk job also leads to low back pain. This condition is more common in people with poor posture or who sit all day in a chair or having inadequate back support. Individual and workplace factors have also been reported to be associated with the transition to chronic low back pain.
  • Age:  However the adult population between the ages of 30 and 50 is mostly affected by back pain but it becomes more common with advancing age. With the increase in age bone losses, strength and osteoporosis can lead to fractures, and at the same time, muscle elasticity and tone decrease. The risk of spinal stenosis also increases with age.
  • Pregnancy:  pelvic changes and weight loading during pregnancy also accounts for low back pain. However, these symptoms not last for longer and almost resolve postpartum.
  • Psychosocial or mental health: include anxiety, depression, and mental stress or Pre-existing mental health also responsible for low back pain. Stress can affect the body in various ways, including causing muscle tension.
  •  Physical injury:  People with the back injury and previous history of injury are significant risk factors for low back pain.
  • Fitness level:  Neither heavy physical work nor physical inactiveness is good for our body. Back pain is more common among people who are not physically active. Weak back and abdominal muscles may not properly support the spine. Both type of people equally suffers painful back.
  • Weight gain: Being overweight, obese, or quickly gaining significant amounts of weight can put stress on the back and lead to low back pain.
  • Genetics: also account for back pain, such as ankylosing spondylitis, a form of arthritis that involves fusion of the spinal joints leading to some immobility of the spine, have a genetic component.
  • Backpack overload: This problem is more common in pre-teen children who carry overloaded backpacks. A backpack overloaded with schoolbooks can strain the back and cause muscle fatigue. The American Academy of Orthopedic Surgeons recommends that a child’s backpack should weigh no more than 15 to 20 percent of the child’s body weight.

Treatment:

  • Home Care: Back pain caused by muscle strain can be cured at home and do not last for long. A heating pad or warm baths help to improve the condition. Heat and cold both method is used for this.
  • Medication: A wide range of medications is used to treat both acute and chronic low back pain. Nonsteroidal anti-inflammatory drugs (NSAIDS)  and analgesics can also be used to relieve pain and inflammation.
  • Yoga: Yoga helps in improves the back pain if the pain doesn’t go away in three months or more, and the benefits lasted several. 
  • Physical therapy: Physical therapy is the most commonly used treatment people prefer for low back pain.it  can not only help in the healing but also decrease the risk of reinjuring the low back.  Stretching, strengthening, and low-impact exercises are used to improve the pain.
  • Body belts and braces: Along with regular exercise and posture improvements; back pain specific health and orthopedic products i.e. lumber support, LS Belt Lumbopore, Lumbo Sacral Belt, rib belts and pregnancy back support are also helping to improve the condition. These products are available at https://thecarekart.in.

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