Factors of Back Pain
Upper body weight is more or less 2/3 of the total body weight. Upper body
weight is transmitted by vertebras. Vertebrae has anterior and posterior
segment is vertebral body and disk.
segment is facet joint.
the softer component of the weight bearing structure. Disruption of the
weight bearing system can lead to moderate to severe pain. Pain could be
secondary to fracture of vertebrae or injury to disk. Disk injury may
set off bulge, herniation or degeneration.
disease of posterior component of the vertebrae may lead to pain
secondary to fracture of facet joint or facet joint disease. Back Pain
is common in the lower back among all patients. But upper back (neck)
and middle back (thorax) also are common complaints in the younger age
could also be secondary to muscle injury or spasm. Paravertebral muscle
is predominantly situated on side of vertebral body and facet joint.
disease such as Fibromyalgia, myofascial syndrome or myositis can cause
severe back pain.
spasm may be protective when anterior or posterior segment of vertebral
system has a pathological reason to convey pain.
Paravertebral muscle spasm may disappear once the illness causing pain
from vertebrae, disk and facet joint is treated.
on history, clinical examination and outcome of investigations.
Demographic Risk Factors
Common in female Age- Older age Weight - Obesity Tissue hypoxia- Smoking
Obesity Pregnancy- Lordosis posture
Physical Risk Factors- Activities- Stressful job, Physical
strenuous work Laborious physical effort Carrying a heavy purse, briefcase
Chronic Disease as risk factors- Disease- Osteoporosis Cognitive
symptoms- Anxiety, Depression
of Back Pain
Back pain predominantly occurs in low back and neck. Prevention involves
preclusion of origin of cause of pain. If any of the following cause of
pain is eliminated or minimize, the occurrence of pain will be less severe
or abolish. Back pain prevented by eliminating abnormal posture,
scrutinize weight distribution and avoid execution of actions beyond
limitation. One must know the limitation.
Inappropriate lifting- in erroneous posture
physical effort- when not trained
injury or fall- unaware of posture or imbalance
injury- unaware of posture, object weight or imbalance Auto accident-
speed, acceleration and whiplash injury
sitting or standing posture- improper weight distribution Bending
forward too long- strain on muscle and ligaments Carrying a heavy purse,
briefcase or backpack
muscle tension- prolong muscle spasm Working at a desk with poorly
designed seats Lack of muscle tone- inadequate exercise Sleeping
position and/or pillow positioning- overextended or flex neck
weight- obesity, excessive strain on skeletal system
Lordosis posture Foot problems/improper shoes
Maintain proper posture at work and while lifting or carrying heavy
object. Decent posture maintains the weight distribution in properly
aligned musculoskeletal system. Proper posture balances the bilateral
muscle tightening and reduces stress on tendons and ligaments. Properly
aligned bones and joints during activities eases the contraction of
muscles involved in maintaining posture. In return the spasm of muscle
is least and residual pain is also minimal.
exercise- Exercise is performed either to build the physique or improve
cardiovascular fitness. Exercise could be outdoor or indoor. Outdoor
cardio exercises are walking, swimming and bicycling. Indoor cardio
exercise are walking or running on treadmill, steps ladder, elliptical
trainer and stationary bicycle.
lifting could be either use of free weights such as dumbbells or cable
weights. Weight lifting is strenuous and could be harmful if not done
right. Proper posture and positioning of body is essential while lifting
heavy weights to prevent any injury to joint and muscles. Lifting of
incremental weights during exercise depends on body weight and muscle
strength as well as muscle mass.