Over 85% of the population in the industrial world will experience low back pain sometimes in their lives.In fact back pain is the most frequent cause of activity limitation in people younger than 45 years.It generally remains a benign condition.Some 60% of patients recover in a week and about 90% in 6 weeks.
✅Faulty posture habit especially seen in people who tend to sit around for long time at one place (e.g.those working with computers).✅Osteoarthritis (especially in old people).
✅Osteoporosis (especially in post-menopusal women).
✅Tuberculosis.
✅Injury to spine.
✅Cancer prostate (especially in old age).
✅Stress also plays an important in causing low back pain.
Usually low back pain resolves within a few days to 1-2 months.Following symptoms may be suggestive of serious low back pain:
✅Weight loss, fever and chill (indicative of infection & sometimes malignancy)
✅Intolerable pain, patient tosses about in bed and is unable to lie still due to pain (indicative of kidney stone or ruptured organ)
✅Evolving nerve problems such as bladder/bowel problems (e.g.repeated urination without adequate control)
✅Early morning stiffness (for more than 30 minutes) in a person less than 45 years of age (indicative of rheumatoid arthritis).
✅Unresponsive pain (lasting for more than 2 months).
X-ray of spine, MRI (for tumor), CT (for tumor), Bone densitometry (for thinning of spine), Radionuclide scanning (for tumor and osteomyelitis- infection of the inner part of bone i.e.till bone marrow) may be advised.
Key elements of the conservative treatment for low back pain includes:
✅Taking medication for pain regularly as advised.
✅Maintaining proper body weight- Education and activity alteration.Certain precautions need to be taken in low back pain:
✅Avoid lifting heavy objects .
✅Use the legs rather than the back lifting
✅Maintain proper posture while sitting and standing, do not slouch .
✅Use a chair with arm rests.
✅Rise from the bed by first rolling to one side and then using the arms to push to an upright position.