Back pain is a very common complaint. According to the Mayo Clinic, approximately 80% of all Americans will have low back pain at least once in their lives.
Back pain is a common reason for absence from work and doctor visits. Although back pain may be painful and uncomfortable, it is not usually serious.
Even though back pain can affect people of any age, it is significantly more common among adults aged between 35 and 55 years. Experts say that back pain is associated with the way our bones, muscles and ligaments in our backs work and connect together.
Pain in the lower back 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, abdomen and pelvic internal organs, and the skin around the lumbar area. Pain in the upper back may be due to disorders of the aorta, tumours in the chest, and spine inflammation.
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Causes of back pain
The human back is composed of a complex structure of muscles, ligaments, tendons, disks and bones – the segments of our spine are cushioned with cartilage-like pads called disks. Problems with any of these components can lead to back pain. In some cases of back pain, its cause is never found.
Strain – the most common causes of back pain are:
Things that can lead to strains or spasms include:
Structural problems – the following structural problems may also result in back pain:
Osteoporosis – bones, including the vertebrae of the spine, become brittle and porous, making compression fractures more likely
Below are some other causes of back pain:
Everyday activities or poor posture.
Back pain can also be the result of some everyday activity or poor posture. Examples include:Adopting a very hunched sitting position when using computers can result in increased back and shoulder problems over time.
The following factors are linked to a higher risk of developing low back pain:
Strenuous physical work.
A symptom is something that the patient feels and reports, while a sign is something other people, such as the doctor detect. For example, pain may be a symptom while a rash may be a sign.
The main symptom of back pain is, as the name suggests, an ache or pain anywhere on 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.
In most cases, signs and symptoms clear up on their own within a short period.
If any of the following signs or symptoms accompanies a back pain, people should see their doctor:
According to the British National Health Service (NHS), the following groups of people should seek medical advice if they experience back pain:
Most GPs (general practitioners, primary care physicians) will be able to diagnose back pain after carrying out a physical examination, and interviewing the patient. In the majority of cases imaging scans are not required.
If the doctor or patient suspects some injury to the back, tests may be ordered. Also, if the doctor suspects the back pain might be due to an underlying cause, or if the pain persists for too long, further tests may be recommended.
Suspected disk, nerve, tendon, and other problems – X-rays or some other imaging scan, such as a CT (computerized tomography) or MRI (magnetic resonance imaging) scan may be used to get a better view of the state of the soft tissues in the patient’s back.
In the vast majority of cases back pain resolves itself without medical help – just with careful attention and home treatment.
Usually back pain is categorized into two types:
If home treatments do not give the desired results, a doctor may recommend the following:
In Our Pain Management Center, our pain physicians/doctors perform Caudal ESI, nerve root block & other procedures.
CBT (cognitive behavioural therapy) – CBT can help patients manage chronic back pain. The therapy is based on the principle that the way a person feels is, in part, dependent on the way they think about things.
People who can be taught to train themselves to react in a different way to pain may experience less perceived pain. CBT may use relaxation techniques as well as strategies to maintain 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.
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