Monday, May 26, 2008

Symptoms of back pain

Most simple back pain only lasts a few days and gets better on its own. You should see a doctor as soon as possible if, as well as back pain, you have:

1.fever
2.redness or swelling on your back
3.pain down your legs and below your knees
4.numbness or weakness in one or both legs or around your anus
5.loss of bladder or bowel control

What should I do when I’ve hurt my lower back?

The best position for relief when your back hurts is to lie on your back on the floor with pillows under your knees, with your hips

and knees bent and your feet on a chair or just with your hips and knees bent. This takes the pressure and weight off your back. If

you’re resting a hurt back, you may need a day or two of this sort of rest. Resting longer than this can cause your muscles to

weaken, which can slow down your recovery. Even if it hurts, walk around for a few minutes every few hours.



Tips for preventing back strain

There are few habits which we have to accept in our daily life to avoid back pain

1) standing position

Stand with your head up, shoulders straight, chest forward, weight balanced evenly on both feet and your hips tucked in.

Avoid standing in the same position for a long time.

If possible, adjust the height of the work table to a comfortable level.


2)Sitting position

There are several ways for humans to sit. Sitting - Floor sitting positions. Sitting - Tailor Indian style Crisscross applesauce.

To sit in the Tailor style: sit on floor any way bend one knee so that heel moves toward buttocks. bend other knee in same fashion,

but place leg over other bent leg. Sitting - Lotus position. To sit in the lotus position: Start in the Tailor style described

3)sleeping position

Sleep so that your back is in a neutral position. The neutral position keeps the back in its natural three front-to-back curves

that give the spine an "S" shape.Place a pillow under your knees when sleeping on your back. You may also want to try using a towel

roll to support your lower back.Place a pillow between your knees when sleeping on your side.

Wednesday, May 21, 2008

Treatment of Low Back Pain

Low back pain is very common. It affects 4 of 5 people at some time during their lives. It is the leading cause of disability for those aged 19 to 45 and is the second most common cause of missed work days (after the common cold) for adults younger than 45. Low back pain becomes more common as people age. It affects half of the people older than 60 at any given time. Each year, the treatment of low back pain costs more than $80 billion, and insurance claims for disability due to low back pain exceed $8 billion. Thus, although low back pain rarely results from life-threatening disorders, it is a significant health problem. However, the number of back injuries in the workplace is decreasing, perhaps because awareness of the problem has increased and preventive measures have improved.

Treatment

* The main thing about most low back pain is do not worry - it will usually get better on its own, within a few days, or possibly a few weeks.
* Stay active, and if at all possible, stay at work.
* The pain may force you to rest, but this is a result of the pain, and not a good treatment for back pain. If you have to take to your bed, limit it, if possible, to a day or two at the most.
* Use simple pain killers, such as paracetamol or ibuprofen if necessary.
* Avoid activities likely to put unnecessary strain on your back.

Beginning treatment for back pain

Treatment of low back pain usually begins with a few basic steps. Before beginning any back pain treatment program, be sure you know your diagnosis, and discuss the treatment plan with your doctor. There are some conditions that cause back pain and require immediate treatment. For most cases of back pain, the first treatments are as follows:

* Rest
The first step in the treatment of low back pain is to rest the spine. Because most cases of back pain are due to muscle strain, it is important to avoid further irritation to the spine and the muscles that surroung the spinal column. Bed rest is fine, so long as this only lasts two to three days. Prolonged bed rest can actually lead to more persistent back pain. Once the acute back pain eases, avoid lifting, twisting, and physical exertion.


Treatment

Non-Surgical Treatments

Guidelines for management of uncomplicated acute low back pain include:

* Assessment: Carry out diagnostic triage and consider psychosocial factors.
* Drug therapy: prescribe analgesics at regular intervals, not p.r.n.
* Start with paracetamol (acetaminophen). If inadequate, substitute with NSAIDs (e.g. ibuprofen or diclofenac) and then acetaminophen-weak opioid compound (e.g. acetominophen+codeine)
* Finally consider adding short course of muscle relaxant such as diazepam or baclofen.
* Staying active: advise patients to stay as active as possible, to continue normal daily activities and stay at work; advise patients to increase their physical activities progressively over a few days or weeks.

Physical therapy and exercise

A physical therapist can apply a variety of treatments, such as heat, ice, ultrasound, electrical stimulation and muscle-release techniques, to your back muscles and soft tissues to reduce pain. As pain improves, the therapist can teach you specific exercises to increase your flexibility, strengthen your back and abdominal muscles, and improve your posture. Regular use of these techniques will help prevent pain from coming back.