Posts Tagged ‘Lower Back Pain’

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Lower Back Pain In Women – Some Important Dos And Don’ts

July 22nd, 2011
Abhishek Agarwal asked:




Women generally suffer from back pain in lower portion of the body due to many common reasons along with a few only due to feminine problems such as endometriosis, fibroids, pregnancy, cysts or due to cramps when they are in periods. If we move on to the corporate world, then many women are employed as sales clerks, day care workers, firefighters, job on docks, computer operators etc. that could be one of the reason behind this lower back pain suffering in women. All these jobs require continuous sitting, standing or working in an uncomfortable working environment. Moreover, the level of flexibility or strength required for such jobs increase with time that results in lower back pain.

Although it is uncommon, but problem or suffering in tailbone results in pain in lower back. A broken, bruised or crushed tailbone would hurt more than you can expect as you would not even be capable of sitting easily. It may not only due to trauma but can be due to tumor or an infection. Such type of pain in tailbone which is just at the end of your spine results in a serious problem resulting in quick move to a doctor for medical assistance.

In case of pregnancy, your body has to accommodate space for fetus that puts an extra pressure on various organs including your lower back which results in pain sometimes. It is very common to gain some weight during pregnancy and your ligaments has to bear so much stress when you move with baby in your stomach. Pain in lower back might be due to the change in center of gravity when you are in pregnancy. Therefore, it would not be untrue to say that pregnancy is one of the most common reason behind lower back pain in women and almost all women has to bear this pain at least once in their life.

Once you get pregnant, it is very important to take care of yourself. Now you should discontinue doing those tasks that require you to lift any kind of heavy weight, vacuuming etc. as it is advised by doctors. These rules apply for a certain period even after the delivery. Many women start doing those household chores soon after their delivery which is not right. You should take proper rest or else you might end up with lower back pain. It is advised that if you are pregnant then you should avoid wearing those high spike heels. We completely understand that those heels add to your looks but are also a main cause behind the lower back pain trouble. In such high spike heels there is very little or no support for arch support.

So, if you are pregnant and is planning to shift an iron stove that weighs 850 pounds or more then forget such an act as it could harm you and your child. Therefore, women need to take special care of their schedules and the task they do to avoid such lower back pain problems.

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The Cause of Lower Back Pain. Five Primary Problems

July 5th, 2011
Stephen O'Dwyer asked:




A Holistic View Points Toward Skeletal Muscles

It is often stated in conventional literature that the cause of lower back pain cannot be precisely identified. This perspective derives from a mechanistic, non-integrated view of the body which has been our legacy since the scientific revolution. When the body is viewed as a collection of isolated parts rather than an elegant, integrated whole, the cause of lower back pain becomes a bewildering puzzle.

However, a holistic view of the body can begin to sort out the confusion. By evaluating the relationship between the body’s overall structure in gravity and it’s function in movement, the causes of lower back pain begin to reveal themselves.

A holistic perspective guides us to one of the most overlooked sources, not only of lower back pain, but chronic pain in general. That source is skeletal muscles.

As Drs. Janet Travell and David Simons made explicitly clear in their exhaustive 2-volume work, Myofascial Pain and Dysfunction: The Trigger Point Manual, a vast proportion of chronic pain in the body is not due to problems with damaged nerves, disrupted bursae, and degenerative joints, but dysfunction in the soft tissue, especially skeletal muscles.

The cause of lower back pain can be broken down into five primary problems which interconnect with one another. The following breakdown is adapted from the St. John Neuromuscular Therapy training, a method of postural analysis and clinical massage therapy focused on musculoskeletal alignment and treating compensatory muscular patterns.

Five Primary Problems

1) Ischemia (pronounced: Iz skeem ee ah)

The first cause of lower back pain is ischemia. “Ischemia” means lack of blood. Without adequate blood to provide nutrients and oxygen, soft tissues such as muscles, tendons, ligaments, and fascia build up lactic and other toxins and become painful. Ischemia occurs when muscles are chronically contracted over a period of time. The most prevalent cause of lower back pain, by far, is muscular strain and spasm due to ischemia.2) Trigger Points

The second cause of lower back pain is trigger points. A trigger point is an area of the soft tissue which, after chronic contraction and reduced blood flow, becomes an area of high neurological activity. For example, fibers in an ischemic muscle (a muscle with low blood) can become an active trigger point in response to biochemical changes in the tissue. Active trigger points cause referred sensation to other parts of the body. That sensation can be pain, tingling, numbness, thermal sensations (hot or cold), weakness, a general achy quality, or the feeling that “it just doesn’t feel right.” For example, you might have a trigger point in a muscle of your lower back which refers sensation down into your buttocks, or even down the leg. This is NOT same thing as the referred pain caused by nerve compression and nerve entrapment which will be covered next.

3) Nerve Compression and Nerve Entrapment

The third cause of lower back pain is nerve compression and entrapment. Nerve compression is the pressure put on a nerve by a bone or an intervertebral disc. Nerve compression occurs when the spine becomes misaligned for some reason (faulty movement patterns, injury, chronic muscular tightness) and one of the discs between the vertebrae get squeezed on one side so that it bulges out the other side. If the bulging puts pressure on a spinal nerve, then you’ve got pain! Nerve entrapment is when a nerve is caught or pinched by the soft tissues. For example, the sciatic nerve (the largest nerve in the body) runs down through the buttocks and can become entrapped by the piriformis muscle when that muscle is very tight. This can result in pain down the back of the leg.

4) Structural Imbalance, aka Postural Distortion

The fourth cause of lower back pain is structural imbalance or postural imbalance. In a sense, this issue is the most significant of all. The reason for that lofty status is due to the fact that structural imbalance is often the root problem responsible for ischemia, trigger points, and nerve compression or entrapment.

If the body is distorted off its center line of gravity, compensating muscular patterns can result. To illustrate the point, put your elbow on the table in front of you with your forearm pointed straight up to the ceiling. Now imagine you’ve got a bowling ball resting in your palm. If your forearm is completely straight up and down, the weight of the bowling ball will be supported by the bones of your forearm. Theoretically, you could hold that bowling ball there indefinitely.

But if you shifted off that center line, even a tiny bit, then the muscles of your arm would have to engage in order to hold up the bowling ball. Even the strongest human in the world wouldn’t be able to hold that ball there for long. This is precisely what can happen with your body. If your alignment is off such that your head is not centered over your shoulders over your hips over you feet, then the core muscles of your body must perpetually engage in order to hold your body up!

5) Dysfunctional Biomechanics

The fifth cause of lower back pain is dysfunctional biomechanics. This is often a secondary result of structural imbalance and is evidenced by faulty movement patterns. For example, if you’ve got nagging lower back pain you might hold your body in a restricted way, walk differently, or reach for things with limited range of movement. It’s logical to do that, and not recommended to fight against your body’s self-imposed limitations. It’s trying to protect you from pain. Until the structural imbalance is addressed, and the pain is relieved, there’s wisdom in those limits. However, repetitive movements can become patterned into your nervous system such that, even after structural and muscular problems have been eliminated, you still move in a limited, protective way. This can revive structural and muscular imbalances. That’s why even a minimum regime of daily stretches can be vital to full recovery.

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Back Pain Management

June 15th, 2011
Jannah J Smith asked:




Pain Management is a way of alleviating the suffering and improving the quality of life of those who are in pain. Pain is a discomfort physical suffering to which living organism experiences. It may be considered as acute and chronic pain. Chronic pain is one of the major causes of mental and physical disability that are commonly misdiagnosed by many health practitioners. Pain interferes with the quality of life and the general well being of a person.

Back pain also known as dorsalgia is a kind of pain that is felt in the back. It can be divided into neck pain, upper back pain and lower back pain. Back pain is the most common complaints of those who are busy in their work for the whole day. A remedy for back pain is to have plenty of rest and analgesic medications. However, studies revealed that no conclusive findings shows that rest can bring improvements in the condition. Better methods and therapy has been discovered on how to manage pain that is associated with back ache.

A Rehabilitation program is useful to condition the back. There are exercises that are recommended that can bring back the full function of the back area. Through this exercises, one can regain good physical health. The program has a specific goal that encourages the patients to meet the set targets and is increased based on the progress of the patient. Exercises for this rehabilitation program includes: simple walking, jogging, quadriceps exercises and many more. In addition to exercises, the patient will be able to learn pain management and techniques. The use of medications is also useful in treating and managing back pain. Patients are given simple anti-inflammatory medication that has lesser side effects.

To help you deal with back pain that is temporary, doctors recommend analgesics such as acetaminophen, aspirin, and ibuprofen or naproxen sodium. Aside from these, you can try a topical analgesic such as creams and ointments that is rubbed into the affected area. Using hot or cold pack is also recommended to reduce muscle spasm and pain. Cold packs can reduce swelling and numb the pain. Massage can also help ease back pain. For chronic pain, you can perform exercises that can improve the strength of the abdominal and lower back muscles. You can take muscle relaxants or anti depressants that are prescribed by your doctor. A physical therapist can also help in teaching safer ways to push, pull and lift objects with less stress on the back.

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Low Back Pain Relief – Exercises You Can Do At Home

April 17th, 2011
Tom Charles asked:




Low back pain relief is foremost on the mind of those who suffer from chronic back pain. A lot of people are suffering from pain in the back; although in most cases, the pain is completely manageable. One of the major causes of the pain are inflexible and weak core back muscles that include the lower back muscles, the abs, the hamstrings, and the butt muscles. If these muscles are kept supple and strong, you will be taking away one of the chief causes of lower back pain.

The problem is easy to correct with proper exercise. You can combine it with a complete body workout that will also condition the rest of your body. If the pain is being aggravated by excess weight, you need to shed off those extra pounds. But before performing any exercise, be sure that you have your lower back examined by a doctor.

One of the exercises you can perform for low back pain relief is the stability ball hyperextension. This is done by lying down on the stability ball with your stomach. Your upper thigh should cover the top part of the ball. You should then put your feet flat against the wall with the toes touching the floor. Put your fingers on your temples and point the elbows on the sides. You will then have to lean forward as far as you can without moving the feet. Pull the torso as far up as you can and feel the tightening in your lower back at the end of each repetition. This exercise should be done from five to twenty times.

You can also do the toe touch. With your feet together, bend over while slowly ensuring that your knees remain straight. The arms should be fully relaxed and hanging loose, with the fingers pointed towards the toes. Do not force the stretch; rather, let gravity work on your form and hold the position for around thirty seconds. This exercise is one of the low back pain relief exercises that you should do on a regular basis.

There are a lot more exercises that can help relieve any back issues that you are having. You need to work through a variety of them to see which works best on the pain you are having. Make sure before starting any exercise that you get the approval of your doctor, as you do not want to injure yourself any further.

You do not have to continue to suffer in pain there are lots of low back pain relief options available to you. Find out what works best for you, and get back into your pain-free life.

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Use of Muscle Relaxers for Lower Back Pain

March 20th, 2011
David Altfeder asked:


Lower back pain (also called lumbar pain or backache) is very common. Virtually everyone at some time in their life experiences a backache. Except for the common cold, backaches account for more doctor visits and more missed days of work than any other illness. Typically, lower back pain sufferers experience a sharp pain or dull ache, occasionally accompanied by a tingling or burning sensation. The pain can result from a specific event such as lifting something which is too heavy, but often can be the result of numerous factors which weaken the back, such as sitting in a single position too long, then making a sudden movement. Most commonly, backaches are the result of a muscle strain (where the muscle fibers are stretched or torn) or a lumbar sprain (where the ligaments which tie muscles to bone separate from their attachments). Many problems can result in a backache including herniated, ruptured or degenerated intervertebral disks, structural problems like improper spinal alignment and scoliosis, or pain radiating from the testes, ovaries, kidneys and other tissues. Frequently, the specific structure causing the pain is not identified.

Regardless of the cause, lower back pain typically involves spasms of the muscles along the spine, where the muscles tighten and do not release. These spasms and the associated stiffness can result in severe pain, often leaving patients unable to walk or move normally.

To reduce the pain, a wide range of choices are available. These include applying ice for the first 2-3 days, followed by heat. Over the counter medication such as acetaminophen (Tylenol) or ibuprofen (Motrin, Advil) may provide relief. Many physicians will prescribe Soma (or its generic form carisprodol) to relieve the muscle spasms.

Soma is a muscle relaxant used to relieve the pain and stiffness of muscle spasms and discomfort due to strain and sprain. It blocks signals between nerves in the brain and the spinal cord. It’s action is not completely understood- Soma does not directly relax tense skeletal muscles. Its action may be related to its sedative properties instead. Regardless of the mechanism of action, for many patients the reduction of muscle spasm associated with lower back pain brings considerable relief. For these patients, the back relaxes, pain is reduced, and their ability function normally is enhanced.

Soma comes in a 350 mg round, white tablet. Its onset of action is rapid, and it effects last 4-6 hours. The usual dose is one 350mg tablet 3 times per day and at bedtime. Many patients now order this medication from online pharmacies without visiting a physician in person, so it is important to understand which back symptoms should cause you to visit a physician first. If you experience any of the following symptoms, consult a physician.

- Loss of bladder or bowel control – Severe back pain following trauma like an object hitting you or a fall – Fever – Redness or swelling of the back – Pain which radiates below the knee – Weakness or numbness in the leg or pelvis – Blood in the urine or a burning sensation when urinating – Very severe pain

It is also important to be aware of the side effects of Soma to assure you are taking it safely and to avoid adverse reactions. Soma is a sedative and can cause drowsiness, dizziness, vertigo, agitation, irritability, headache and insomnia. Occasional allergic reactions are known to occur, including a skin rash and itching. Like all medications, there are very rare idiosyncratic reactions as well. Avoid taking Soma when drinking alcohol, as the alcohol will greatly increase the sedative effect of the medication. Avoid driving or operating machinery when taking this medication.

Lower back pain tends to resolve on its own. Most patients feel significantly better one week after the first onset of pain. After 4-6 weeks, the pain is typically completely resolved.



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Which is the Single Best Exercise For Lower Back Pain?

March 20th, 2011
Mark Perren-Jones asked:




If I was asked which the best exercise for lower back pain is and I could only choose one which would it be.

I am sure that if you are reading this you probably are suffering from lower back pain or at least have at some point been suffering from back ache. Let’s face it, haven’t we all at some stage.

One of the biggest problems for back pain sufferers is that if you surf the net there are literally thousands of people claiming that they have miraculous exercises to cure your back pain. However there is only one problem. If you don’t know what to do you could make your problem worse, much worse.

Let’s take a lower back L5-S1 disc bulge as an example. It’s the most commonly affected disc because it’s at the end of the spine and has the most amount of stress put on it. It’s also the area where the lumbar curve changes from a lordosis to a kyphosis where it meets the sacrum. This area of changing curves is another reason that the stresses are greater at this region. The sciatic nerve exits at this region and this is why sciatica is most common as far as lumbar pinched nerves are concerned. The majority of disc bulges in this region tend to be posterior disc bulges, in other words the bulge is being pushed from the front of the spine to the back (away from the navel). Therefore if you were to do exercises that exacerbate it such as flexion exercises you could push the disc bulge further in the wrong direction making your problem worse. In fact, I had a client see me this morning who had been doing yoga for the past 6 months and every time she did forward bending yoga postures she made her back worse, so much so that she has given up yoga altogether. I would surmise that she has a posterior disc problem or at very least ligament problems that are constantly being overstretched doing these exercises. If you have read my other posts you will know that bringing knees to your chest, touching toes and other lumbar spine flexion exercises can be very damaging to the lumbar spine and should be avoided!

Another problem stretch for lumbar disc problems is the lumbar torsion stretch. Many of you would be aware of this one too. It’s where you lay on your back and pull one leg across your body with the opposite am outstretched. This too can make certain disc bulges worse!

Likewise if your problem was from spinal stenosis you could do extension exercises and aggravate your pain by doing these.

So the stretch I would do is one that is safe, both stretches and strengthens common weak and tight muscles and will ease back pain. The stretch I choose is to loosen our lower back muscles that are contracted chronically all day every day and are major contributors to back pain in most cases. The majority of us sit all day at our desks, in our cars or at the computers and chronically shorten a muscle called the illiopsoas. When this is tight it can pull on our lower backs and make sleeping on our backs and stomachs, sitting and even standing painful. If I was on a desert island and could only do one stretch it would be to loosen the illiopsoas muscles. One of the major problems when this muscle is too tight is that it restricts our amount of hip extension. This is very important because when we don’t have enough hip extension which we need to walk and do our daily tasks, our body compensates and finds extension elsewhere. This happens at the lumbar spine which is not good! If your hip can’t extend like it should your lower back does the compensating which means you now have hips that are to tight and a back that is getting too much movement when it should be doing its role as a stabiliser. It is imperative that this be turned around because it will and does lead commonly to back pain. What you want is to have the hips more mobile by doing the lunge stretch and your back staying in its more neutral position with reduced movement. Your back needs to be stabile not moving around all over the place to compensate for other tight and poorly performing muscle groups. Therefore the lunge stretch is the best single back exercise if you had to do just one! It also makes your body work hard to balance whilst you do it so it hasn’t the added bonus of strengthening certain other integral muscle groups as well.

I must add that it is very often taught poorly and not correctly. To be effective it must be done properly otherwise you can aggravate your back by doing it.

I have a full explanation on how to do the lunge stretch both properly and safely. So for those of you who don’t have time to do your back exercises here is one that you can do several times a days you stand up from your computer and it will help enormously.

One final word- remember to sit properly, to lift correctly, to get up and down from your chairs correctly and your back will be very happy indeed!

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