Lower Back Pain Causes, Investigation and Treatment

Low back pain is a usual symptom among the modern civilized people. It affects mainly the middle aged and young adults of both sexes. People who work on the chair with out exercise and those who carry heavy loads regularly are prone to get this complaint. We can hardly find a person who has not suffered from back pain at least once in life. The causes of lower back pain ranges from simple reasons like muscular strain to cancer of spine and hence backache should not be ignored. The pain is felt in lumbar and sacral region and may radiate to nearby sites.

The following are some causes for backache.

1) Backache due to diseases in the back.

2) Backache due to gynecological problems.

3) Backache due to problems in other parts of the body.

1) Backache due to diseases in the back:--

a) Injuries :-

1) Compression fracture of the vertebral column.
2) Rupture of intervertebral discs.
3) Injuries to ligaments and muscles of back.
4) Lumbosacral strain.
5) Intervertebral joint injuries.
6) Fracture of processes of vertebra.

b) Functional backache due to imbalance:-

1) During pregnancy.
2) Pot belly.
3) Diseases of the hip joint.
4) Curvature in the spine due to congenital defect.
5) Short leg in one side.

c) Backache due to inflammatory conditions:-

1) Infection of the bone due to bacteria.
2) Tuberculosis of the spine.
3) Arthritis.
4) Brucellosis.
5) Lumbago or fibrositis.
6) Inflammation of the muscles.
7) Anchylosing spondylitis.

d) Backache due to degenerative diseases in the back.

1) Osteoarthritis.
2) Osteoporosis in old people.
3) Degeneration of the intervertebral disc.

e) Tumor in the spine:--

1) Primory tumour of the bones in the spine.
2) Metastasis tumors from other sites like prostate, lungs, kidneys, intestine ect.

2) Backache due to gynecological problems:-

a) After childbirth.
b) After gynecological operations.
c) Prolapse of the uterus.
d) Pelvic inflammatory diseases.
e) Cancerous lesions of the pelvic organs.
f) Endometriosis.

3) Backache due to problems in other parts of the body.

a) Renal stones.
b) Ureteric stone.
c) Cancer of prostate.
d) Pancreatitis.
e) Biliary stones.
f) Peptic ulcer.
g) Inflammations of pelvic organs.
h) Occlusion of aorta and illiac arteries.

Investigation of a case of backache:-

1) Complete blood count.

2) Routine urine examination.

3) Ultrasonography of the abdomen and pelvis.

4) X-ray of the lumbar and sacral region.

5) MRI of the spine.

5) CT scan of abdomen and pelvic region.

6) Examination of rectum, prostate, genito urinary organs.

Treatment of back ache:-

1) Removing the cause for backache.

2) Symptomatic treatment.

2) Back exercises.

3) Traction.

3) Yoga.

5) Surgery.

7) Homoeopathy.

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Back Pain Facts?

There are several causes of back pain: mechanical causes, eg lumbar disc disorders; degenerative conditions, eg degenerative disc disease; inflammatory conditions, eg ankylosing spondylitis; infective causes, eg osteomyelitis; neoplastic causes, eg primary benign or malignant tumours; metabolic bone disease, eg osteoporosis; referred pain, eg from duodenal ulcer; psychogenic pain - originating in the mind rather than the body.

Back pain is one of humanity's most frequent complaints and does not usually reflect any underlying disease. However, anyone with back pain that does not improve after a few days should first consult a Physician, as back pain can sometimes indicate significant and serious conditions which might not otherwise be diagnosed. Back pain is very rarely a sign of a serious medical problem. It is however important that the treatable medical causes are identified early on.

Back pain affects 50 to 80 percent of people in the U.S. at some point in their lives. In any given year, 10 percent of adults experience back pain or other symptoms, such as limited mobility or stiffness. Each year, Americans spend an estimated $24 billion on treatments for back pain - not including missed time from work nor the emotional costs of enduring pain and not being able to participate in daily activities. Imagine what it would be like to have problems working, golfing or enjoying playtime with children!

Back pain can be mildly uncomfortable, excruciating or anywhere in between. It can start slowly, sometimes a result of poor posture, or come on suddenly because of injury. If your question is not answered here, please contact one of our information specialists. Back pain can last for a few short days or can linger for weeks, months and even years. Arthritis is a common form of back pain. The earlier arthritis is diagnosed, the more steps can be taken to reduce disability in the future. Other factors that aggravate back pain include suffering from stress, not getting enough sleep, being overweight, having poor posture or not being physically fit.

Back pain should not be considered a normal part of aging; it is a chronic condition that calls for similar lifestyle changes as diseases like arthritis and diabetes do.