Back Pain
Physical discomfort occurring anywhere on the spine or back, ranging from mild to disabling. It can result from injury, activity, and some medical conditions. Back pain can affect people of any age, for different reasons. As people get older, the chance of developing lower back pain increases, due to factors such as previous occupation and degenerative disk disease.
What is causing this back pain?
Back pain is categorized into two types:
- Chronic and acute pain.
- Acute pain starts suddenly and lasts for up to 6 weeks.
- Chronic or long-term pain develops over a longer period, lasts for over 3 months, and causes ongoing problems.
- If a person has both occasional bouts of more intense pain and fairly continuous mild back pain, it can be hard for a doctor to determine whether they have acute or chronic back pain.
Common Causes :
Back pain can have causes that aren't due to underlying disease. Examples include overuse such as working out or lifting too much, prolonged sitting and lying down, sleeping in an uncomfortable position, or wearing a poorly fitting backpack.Back pain commonly stems from strain, tension, or injury. Frequent causes of back pain are:
- Strained muscles or ligaments
- A muscle spasm
- Muscle tension
- Damaged disks
- Injuries, fractures, or falls
Activities that can lead to strains or spasms include:
- Lifting something improperly
- Lifting something that is too heavy
- Making an abrupt and awkward movement
- Structural problems
- A number of structural problems may also result in back pain.
Some other causes of back pain are :
- Ruptured disks: Each vertebra in the spine are cushioned by disks. If the disk ruptures there will be more pressure on a nerve, resulting in back pain.
- Bulging disks: In much the same way as ruptured disks, a bulging disk can result in more pressure on a nerve.
- Sciatica: A sharp and shooting pain travels through the buttock and down the back of the leg, caused by a bulging or herniated disk pressing on a nerve.
- Arthritis: Osteoarthritis can cause problems with the joints in the hips, lower back, and other places. In some cases, the space around the spinal cord narrows. This is known as spinal stenosis.
- Abnormal curvature of the spine: If the spine curves in an unusual way, back pain can result. An example is scoliosis, in which the spine curves to the side.
- Osteoporosis: Bones, including the vertebrae of the spine, become brittle and porous, making compression fractures more likely.
- Kidney problems: Kidney stones or kidney infections can cause back pain.
- Movement and posture: Back pain can also result from some everyday activities or poor posture.
Examples include
- Twisting
- Coughing or sneezing
- Muscle tension
- Over-stretching
- Bending awkwardly or for long periods
- Pushing, pulling, lifting, or carrying something
- Standing or sitting for long periods
- Straining the neck forward, such as when driving or using a computer
- Long driving sessions without a break, even when not hunched
- Sleeping on a mattress that does not support the body and keep the spine straight
Some medical conditions can lead to back pain.
- Cauda equina syndrome: The cauda equine is a bundle of spinal nerve roots that arise from the lower end of the spinal cord. Symptoms include dull pain in the lower back and upper buttocks, as well as numbness in the buttocks, genitalia, and thighs. There are sometimes bowel and bladder function disturbances.
- Cancer of the spine: A tumor on the spine may press against a nerve, resulting in back pain.
- Infection of the spine: A fever and a tender, warm area on the back could be due to an infection of the spine.
- Other infections: Pelvic inflammatory disease, bladder, or kidney infections may also lead to back pain.
- Sleep disorders: Individuals with sleep disorders are more likely to experience back pain, compared with others.
- Shingles: An infection that can affect the nerves may lead to back pain. This depends on which nerves are affected.
Risk factors
The following factors are linked to a higher risk of developing low back pain:
- Occupational activities.
- Pregnancy.
- A sedentary lifestyle.
- Poor physical fitness.
- Older age.
- Obesity and excess weight.
- Smoking.
- Strenuous physical exercise or work, especially if done incorrectly.
- Genetic factors.
- Medical conditions, such as arthritis and cancer.
- Lower back pain also tends to be more common in women than in men, possibly due to hormonal factors. Stress, anxiety, and mood disorders have also been linked to back pain.
Lower back pain in women
Another, less discussed, the possibility of back pain in women is having had a C-section. “The big area that concerns me is for those women who’ve had a C-section (elective or emergency),” says Fatica. “A C-section disrupts the core muscles of the back and the impact of this is that, later on, when that woman injures her back, she has a harder time recovering as there is an inherent lack in core competence. This is often because there’s very little focus on C-section rehabilitation.”
Symptoms :
- The main symptom of back pain is an ache or pain anywhere in the back, and sometimes all the way down to the buttocks and legs.
- Some back issues can cause pain in other parts of the body, depending on the nerves affected.
The pain often goes away without treatment, but if it occurs with any of the following people should see their doctor:
- Weight loss.
- Fever.
- Inflammation or swelling on the back.
- Persistent back pain was lying down or resting does not help.
- Pain down the legs.
- Pain that reaches below the knees.
- A recent injury, blow or trauma to the back.
- Urinary incontinence.
- Difficulty urinating.
- Fecal incontinence, or loss of control over bowel movements.
- Numbness around the genitals.
- Numbness around the anus.
- Numbness around the buttocks.
When to see a doctor :
You should seek medical help if you experience any numbness or tingling, or if you have back pain:
- that does not improve with rest.
- after an injury or fall.
- with numbness in the legs.
- with weakness.
- with fever.
- with unexplained weight loss.
- Diagnosis.
A doctor will usually be able to diagnose back pain after asking about symptoms and carrying out a physical examination.
Other types of diagnosis :
- A chiropractor will diagnose through touch, or palpation, and a visual examination. Chiropractic is known as a direct approach, with a strong focus on adjusting the spinal joints. A chiropractor may also want to see the results of imaging scans and any blood and urine tests.
- An osteopath is also diagnosed through palpation and visual inspection. Osteopathy involves slow and rhythmic stretching, known as mobilization, pressure or indirect techniques, and manipulation of joints and muscles.
- A physical therapist focuses on diagnosing problems in the joints and soft tissues of the body.
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