Most of the people suffers from back pain.90 % of American suffering from back pain.it is second most disease after common cold.Back pain is not disease, it is symptom may occur from different process.
CAUSES FOR BACK PAIN :
common cause for back pain is injury to the muscles ,bones nerves of the spine
degeneration of the vertebral bones , discs known as lumbar spondylosis.spondylosis occurs due to loosing moisture in central portion of the disc known as nucleus pulposum.
disc herniation:nerve root syndromes are those that produce nerve compression due to herniation /bulging of the disc developed due to degeneration,or over strain or due to injury.disc prolapsed pushes against the nerve root.
Infections of the spine ex osteomylitis,tb spine
Cauda equine syndrome: It is a medical emergency where the spinal cord is directly compressed.this causes possible loss of sensation , paralysis ,bladder disfunction.
Congenital anomalies ex scoliosis,defect in spine curvature,spina bifida.
Tumours of the Spine
OTHER CAUSES WHICH REFERS BACK PAIN
Pelvic Inflammatory diseases
RISK FACTORS FOR BACK PAIN
Age above 50 yrs ,as age advances degeneration of discs will be there, causes back pain
People who do not exercise.
Over strain like lifting wts,bending , sitting for long hours.
Over Weight or Obesity.
People who do not maintain proper posture in their daily activities .
People who do not take proper diet like low calcium low vitamin-D.
Women after child birth/ pregnancy
SYMPTOMS AND SIGNS OF BACK PAIN
Pain in lower portion of the spine
Pain may radiate down the front back of the leg due herniated disc . this condition called as sciatica pain.this condition called as radiculopathy
Numbness in leg.
In severe compression of spinal cord /spinal canal stenosis neurological symptoms seen this condition called as myelopathy
Myelopathy we see paralysis of the limb,bladder dysfunction leads to incontinence of urine and stool
Difficulty in walking
MANAGEMENT IN CHRONIC BACK PAIN
Avoid overstrain like lifting weights, bending forward
Maintaning good posture during daily activities
Avoid travelling for long distances
Wearing lumbo sacral belt which gives support to the back
RHUSTOX : violent pain in back as if broken, pains cold damp weather , bed in, pains are relieved by movement ,pressure hot applications
RUTA :pain in nape , back , loins.back ache is better by pressure lying on back.acts upon periosteum,cartlages.
HYPERICUM:usefull in compressed injuries punctured wounds.pain in spine due to concussion,injury to coccyx.jerking twitching of muscle. Usefull in radiculopathy,myelopathy.spinal canal stenosis,disc compression
CALC FLOUR :pain in lower part of the back,fullness burning pain. Pains due to early degeneration , caries necrosis of the discs.pains after operations.tendency to form adhesions, tumours in spine. INDICATED IN SPINAL TUMOURS,LUMBAR SPONDYLOSIS,ANKYLOSING SPONDYLITIS.
NUX VOMICA: burning pain in back 3 to 4 am
Cervico brachial neuralgia,touch Must sit up in order to turn in bed.
KALI CARB :sharp stitching pains.back feels stiff , weak, burning pain sweat over back.pain from hip to knee. Pains cool climate.SUITED TO BACK PAIN IN PREGNANCY
GUIACUM :chief action on fibrous tissue, adopted to rheumatism, gout Stiffness in back , lower limbs.stiffnewss in neck sore shoulder .left sided sciatica.pains motion , cool climate,touch.
GAULTHERIA :suited to sciatica , neuralgic pains.neuralgia associated with gastralgia.
GNAPHALIUM:sciatica associated with numbness.rt sided sciatica.
Back pain >resting on back
CAUSTICUM:stiffness between shoulders , dull pain in neck, lt sciatica with numbness.contraction of tendons.unsteady walking
SEPIA :weakness in small of back restless in all limbs,back pain before menses
Back pain associated with pelvic inflamtory diseases.
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