Lower Back Pain – Everything You Need to Know | Lower Back Pain Exercises | lower back pain relief | back pain relief exercises | lower back pain stretches

Back pain is one of the most common causes for patients to seek emergency care
It has a broad range of potential causes.
About 23% of world’s adults suffers from chronic low back pain

Risk factors for lower back pain:

Age: People over 30 have more back pain

Weight: Overweight/Obese people have more chances

Overall health: Weakened abdominal muscles, smoking, drink alcohol excessively or live a sedentary lifestyle have a higher risk of back pain.

Occupation and lifestyle: Jobs and activities that require heavy lifting or bending can increase the risk of a back injury.

Structural problems: scoliosis, Kyphosis

Disease: H/O osteoarthritis, cancer and other disease have a higher risk

Mental health: Back pain can result from depression and anxiety.

Symptoms of lower back pain: Watch the video for more details

Causes of back pain:

Tight Hamstrings
Strains and sprains
Fractures
Arthritis: Osteoarthritis, Ankylosing spondylitis
Diseases: Spine tumors, infections and several types of cancer.
Spondylolisthesis
Your bag: Wallet under back
Workout: over workout
Posture:
Herniated disc:
Chronic conditions causing back pain:

Other reasons your low back may hurt include:
Being overweight
Being sedentary
Lifting heavy stuff on the job

Lower back pain Treatment:

Home care for low back pain
Stretching tight hamstrings
Yoga
Spinal manipulation
Massage
Medications
Surgery
Physical therapy
Strengthening the Back

Preventing Low Back Pain:
There’s no sure way to prevent back pain as you age, but there are steps you can take to lower your risk:
Stay at a healthy weight.
Exercise regularly.
Strengthen your abdominal muscles: Pilates and other exercise programs strengthen core muscles that support the spine.
Lift with your legs, not your back.  Hold heavy items close to your body. Try not to twist your torso while you’re lifting.
Make sure your work station position isn’t contributing to your pain.
Now to answer the question, about when should I see my healthcare provider about lower back pain?
See your provider if you have:
Pain that doesn’t get better after about a week of at-home care.
Tingling, numbness, weakness or pain in your buttocks or legs.
Severe pain or muscle spasms that interfere with your normal activities.
Fever, weight loss, bowel or bladder problems or other unexplained symptoms.

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Orthopedics – Low Back Pain
Whiteboard Animation Transcript
with Simon Harris, MD
https://medskl.com/Module/Index/low-back-pain

Low back pain will occur in 75% of people at some point in their lives. Thankfully, 90% of episodes are benign and self limiting.

We can group low back pain into four types dependent on the main site of pain and positions of exacerbation:

Mechanical low back pain dominant; Worse with flexion. These patients typically have worn-out discs as the source of their pain, so it hurts when they bend to lift things.
Mechanical low back pain dominant; Worse with extension. These patients typically have osteoarthritis of their facet joints and are more comfortable slouching forward
Leg pain dominant – Constant and worse with flexion. These patients are your typical sciatica patients, which comes from a disc herniation pushing on a nerve root.
Leg pain dominant – Intermittent and relieved by flexion. These are your classic neurogenic claudication patients. They are comfortable at rest but because they have spinal stenosis, when they stand up and walk they get leg pain which improves if they push a shopping cart!

It is important that the doctor rules out anything dangerous first! Check the patient’s bowel and bladder are working well, that their legs are strong and they have no numbness in the perineal region.

If they have a fever, are immunosuppressed or a history of cancer or weight loss then the patient needs more urgent investigations.

Otherwise the management is simple: education and exercise. Low back pain is a chronic disease which will have flares of symptoms that can be managed with simple pain killers, anti-inflammatories, physiotherapy, stretches, chiropractic manipulations, acupuncture, weight loss, smoking cessation and reassurance.

If the patient’s symptoms last for longer than 6 weeks, the physician can consider an MRI and referral to a spine surgeon or chronic pain physician for assessment.
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