When backache returns

By Dr. Rubaiul Murshed
10 February 2005, 18:00 PM
All health information to keep you up to date

Many people at some stage in their life suffer from back pain. Back pain can be just an uncomfortable annoyance in the beginning but eventually can become excruciatingly painful within minutes.

In general causes of back pain can be quite ill defined and complex. Back pain can be a symptom of a myriad of underlying problems or diseases including abdominal, renal (kidney) and spinal problems.

Back pain onset can be sudden linked to trauma or slow linked to disease. Overweight people have greater risk for certain back conditions as their extra weight puts extra pressure on their frames.

Even an office chair can play a big role in causing backache. Sitting in an office chair without enough back support can create a great deal of pressure on the lower back. Many low back conditions can cause a suffering called Sciatica

An exact diagnosis of the low back problem is the most important thing in order to make a decision on the best course of treatment. Sciatica is a set of symptoms caused by nerve compression in the lower back. Back pain is thought to have a hereditary factor.

So if your parents suffered then take extra precautions. If you have severe or chronic pain you should consult with a specialist doctor and a thorough screening will be essential.

Sometimes diagnosing back pain can be very difficult.You need to go for X-rays or even an MRI scan to identify the cause.

Unfortunately there are lots of misconceptions about back pain treatment. Bed rest is NOT the best way to cure back pain.

May be in the beginning, when the back is so painful, Nothing other than bed rest can be tolerated. However, eventually when the really acute phase is over, mobility is extremely important.

According to some studies if backache remains after rest, an inflammatory cause is likely.

So what's the good news for back pain sufferers? There are a number of useful guidelines when selecting a chair especially for the office or a bed mattress as well as suggestions for sleep positions.

Contact a qualified orthopedic /spinal surgeon for proper guidelines which can be important to help you with your particular back problem.

Learn qualified physiotherapist's safe lifting skills. During lifting always bend your knees and keep your back straight.

There are also roles for rehabilitation exercises. Although it's true that sleep/sitting position can aggravate the back pain if the chair/mattress isn't a good selection.

For instance, a lumbar back support is important for an office chair. It helps promote good posture by simply filling in the gap between the lumbar spine and the seat supporting the natural inward curve of the lower back.

There are many causes of back problems and different back conditions may respond better to specific types of beds, mattresses and sleep positions. There is very little research in general about what types of mattresses and beds are best for the back. Similarly, there is no unique sleep position known to be best for all people.

Pain management also known as pain medicine can play a useful role in evaluation, diagnosis and treatment as well as the rehabilitation of painful disorders like backache.

Pain management aims also help to identify the source of neck and back pain, and if necessary may determine areas to be addressed surgically. Pain Management is a well established and defined subject specialty in many countries but still relatively new in our country.

In many cases, back pain is temporary and will naturally heal itself otherwise other simple measures like physiotherapy may help. Most back pain, ultimately does not require surgery

Less weight + good posture + regular exercise usually result in NO MORE BACK PAIN