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Most of the reasons for absenteeism from work is back pain which can be debilitating and stressful. Many activities and some medical conditions can cause severe back pain.. Back pain can affect people more commonly seen in elderly. As people get older, the chance of developing lower back pain increases. As tissues starts ageing they start losing strength and flexibility and ultimately causes compression leading to disability and pain in back
Lower back pain may be linked to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, lower back muscles, abdominal and pelvic internal organs, and the skin around the lumbar area.
Pain in the upper back may be due to disorders of the aorta, tumors in the chest, and spine inflammation.
Back pain is typically divided into three distinct categories:
Involves lumbar region. The core muscles which includes abdomen , thighs , buttocks becomes weak . Pain also arises from impingement of nerves in the back causing the back to swell up and gives tingling type of sensation down the feet.
Middle back pain is not common as compared to neck and low back pain. Most often occurs during bad posture or when there is Vitamin D3 deficiency in the body .Pain in mid back also occurs due ti any infection lodged in spine eg tuberculosis of spine.
It involves the upper regions of the spine and the neck, known as the cervical region.
Upper back pain most common type of Pain. Most commonly seen in people who sit constantly before a computer without taking sufficient rest and without exercises. Also seen in most of people as neck movements are quite wide and also carries the weight of the head. Deficiency in calcium is also a good reason for increase in neck pain. Upper back is most commonly involved with neck pain
Prevention generally involves:
Back pain can be caused by a number of factors, including:
Back pain can also result from some everyday activities or poor posture.
You should seek medical help if you experience any numbness or tingling, or if you have back pain:
Back pain usually resolves with rest and home remedies, but sometimes medical treatment is necessary. If home treatments do not relieve back pain, a doctor may recommend the following medication, physical therapy, or both.
Back pain that does not respond well to OTC painkillers may require a prescription NSAID. Codeine or hydrocodone, which are narcotics, may be prescribed for short periods. These require close monitoring by the doctor. In some cases, muscle relaxants may be used.
Antidepressants, such as amitriptyline, may be prescribed, but research is ongoing at to their effectiveness, and the evidence is conflicting.
Applying heat, ice, ultrasound, and electrical stimulation — as well as some muscle-release techniques to the back muscles and soft tissues — may help alleviate pain.
As the pain improves, the physical therapist may introduce some flexibility and strength exercises for the back and abdominal muscles. Techniques for improving posture may also help.
The patient will be encouraged to practice the techniques regularly, even after the pain has gone, to prevent back pain recurrence.
Pulleys and weights are used to stretch the back. This may result in a herniated disk moving back into position. It can also relieve pain, but only while traction is applied.
CBT can help manage chronic back pain by encouraging new ways of thinking. It may include relaxation techniques and ways of maintaining a positive attitude. Studies have found that patients with CBT tend to become more active and do exercise, resulting in a lower risk of back pain recurrence.
Complementary therapies may be used alongside conventional therapies or on their own.
Chiropractic, osteopathy, and acupuncture may help relieve back pain, as well as encouraging the patient to feel relaxed.
Transcutaneous electrical nerve stimulation (TENS) is a popular therapy for patients with chronic back pain. The TENS machine delivers small electric pulses into the body through electrodes that are placed on the skin.
Experts believe TENS encourages the body to produce endorphins and may block pain signals returning to the brain. Studies on TENS have provided mixed results. Some revealed no benefits, while others indicated that it could be helpful for some people.
A TENS machine should be used under the direction of a doctor or health professional.
TENS is considered “safe, noninvasive, inexpensive, and patient friendly,” and it appears to reduce pain, but more evidence is needed to confirm its effectiveness in improving activity levels.
TENS machines and other pain relief methods can be purchased online.
Surgery for back pain is very rare. If a patient has a herniated disk surgery may be an option, especially if there is persistent pain and nerve compression which can lead to muscle weakness.
Examples of surgical procedures include:
Hello Folks, I am Dr. Vigil Kavanal, Head Physiotherapist at Dr. Vigil's Advanced Physiotherapy Clinic. Through Physiotherapy Contribution, I am trying to provide quick tips to live healthy without pain. Almost all pain can be reduce, condition can be change through exercises.
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4.7 out of 5 stars
1 out of 5 starsposted 1 month ago
Very Pathetic Experience. I had taken my Mother for Frozen shoulder. Doctor told to cure her within 15 treatments. But her pain goes on increasing. He gave her such heavy exercises that has caused to increase in the pain. Charges are very costly. Strictly No.
5 out of 5 starsposted 3 days ago
My husband aged 66 had undegone hip surgery 6 months back. After starting physiotherapy treatment here, he started walking without stick. His confidence in writing is improved. His balanced is improved. Very good treatment has been given in the clinic.
5 out of 5 starsposted 4 months ago
"You be rest assured.. You are in best hands" .this statement is certainly aapt for this place.. Dr Vigil has been a savior in disguise.
Was very apprehensive initially seeing this young gentleman... Later He proved me wrong from the very first session... He knew his subject well and a master in his skills.. This is certainly different from others physio...
Personal attention.. Good listening ear....motherly care... Friendly advice.... Fatherly strictness.. All in one place...
What more a patient needs.. I would certainly recommend him if.. you have tried all and still not got desired results... God bless you Dr Vigil...