Back pain is a widespread medical condition, as it is estimated that 80% of people suffer from back pain that may appear in different parts of the back, but most of them are concentrated in the lower back, and it is interesting to note that lower back pain is the main reason for absence from work In many countries around the world, where the study of the global burden of disease carried out by the World Health Organization in 2010 showed that back pain is one of the ten diseases that most burden human life according to the disability-adjusted life years- DALYs , And is expressed by the number of years lost due to morbidity For health.
Low back pain treatment
There are many options that can be used to treat lower back pain, including:
– Doing cold water compresses during the first two days of injury to reduce inflammation, after which hot compresses can be used, as they help reduce pain, and you should not use compresses for more than twenty minutes.
Muscle relaxants and antispasmodics.
Pain relievers and NSAIDs, such as ibuprofen.
Manual therapy, which includes massages and pressure on specific areas of the body, is usually performed by physiotherapists, spine correction and orthopedists, and orthopedists.
– Cognitive behavioral therapy, which aims to train the patient in ways to manage pain through positive thinking, and this type of treatment can include a combination of group therapy, relaxation training, and exercise.
– Treatment by a procedure called “electrical stimulation of the nerve through the skin” and through which low-frequency electrical impulses are passed to the nerves, which reduces the feeling of pain, knowing that this type of treatment is not recommended.
Treatment with a “corticosteroid” needle to relieve infections that cause back pain.
The antidepressant medications that your doctor prescribes. It is believed that antidepressants prevent the transmission of pain signals, which reduces back pain.
– In the event that back pain is not relieved using the previous treatments, the doctor may resort to surgery as a last option in some cases, such as removing a part of the herniated disc, or removing part of the vertebrae to relieve pressure on the spinal cord and nerves, or merging some vertebrae to reach Spinal stability.
Tips to relieve back pain
– Doing exercises designed for low back pain that the attending physician recommends, along with walking, swimming, and yoga may help relieve back pain, according to a study published in the scientific journal published by (Cochrane Library).
Relaxation and positive thinking to relieve muscle tension and back pain.
Constant activity and movement to maintain the strength of the muscles that support the spine.
Get enough sleep, and the best sleeping position for those with back pain is to sleep on the side, with a pillow between the knees to relieve pressure on the back, while when sleeping on the back, it is preferable to place a pillow under the knees.
Sleeping on a firm, comfortable mattress.
– Sitting in a correct way, with the back straight on the back of the chair, keeping the shoulders relaxed, and feet flat on the floor, and it is preferable to place a pillow between the chair and the lower back.
Wear low-heeled shoes to relieve back strain.
When lifting heavy objects, the knees should be bent instead of bending from the waist.
Refrain from smoking, as smoking causes osteoporosis, which causes stress on the spine and fractures.
Keeping the weight within its normal levels.
Types of lower back pain
There are two types of lower back pain:
It is a pain that lasts from several days to several weeks.
It is back pain that lasts for three months or more.
Causes of low back pain
The causes of lower back pain vary, including:
Wrong sitting, standing for hours.
Tearing muscles and tendons in the lower back, caused by excessive use of muscles.
Irritation of the nerves in the spine.
Bone and joint diseases such as degenerative disc disease and arthritis.
Fractures of bones and joints in the lower back.
Arthritis such as Reiter’s syndrome (active arthritis) and ankylosing spondylitis, a disease that causes the vertebrae to stick together.
Kidney disorders such as nephritis and kidney stones.
Pregnancy: Pain results from fetal pressure on the spine, and the estrogen and relaxin hormones cause the pelvic ligaments to relax.
Ovarian problems such as: endometriosis, ovarian cyst syndrome, and fibroids in the womb.
Tumors: such as spinal bone tumors, spinal cord, and pelvic tumors.
Vitamin D deficiency: A study conducted at a university affiliated with the Primary Care Clinic in Minneapolis showed that 93% of patients with structural pain were suffering from vitamin D deficiency, and it was found that 83% of patients with lower back pain who visited medical clinics The internal and spinal column in Saudi Arabia for the past 6 years have had a deficiency of vitamin D.
The causes of chronic lower back pain are:
Herniated disc: wear of a herniated disc that separates the vertebrae, which causes pressure on the nerves.
Spondylolisthesis: A vertebral column of the spine slips forward over the next vertebra, causing pressure on nerves, and lower back pain.
Osteoporosis that causes spinal fractures.
Spinal stenosis around the spinal cord, which causes pressure on the nerves.
Scoliosis disease (spinal sprain disease toward one side of the body).
Factors that increase the likelihood of developing causes of lower back pain include:
Having a previous low back pain, or spinal fractures.
Age: the infection rate increases when middle age is reached, then the percentage decreases again after the age of (65) years.
Gender: Men are more likely to develop back pain than women.
A family history of back pain.
– The presence of birth defects in the spine.
Performing back surgery earlier.
Take weakened bone medications – such as corticosteroids – for extended periods.
Exposure to psychological pressure that causes tension and depression.
Symptoms that require a doctor’s review
Symptoms that require a person with back pain to see a doctor include:
– If the pain is accompanied by unexplained weight loss.
– If there is swelling or redness in the place of pain.
– If the pain is sharp and persistent, especially at night, or when lying down.
If the pain extends below the knee, in one leg or in both legs.
If there is a feeling of tingling, weakness or numbness in the leg.
There are also cases that call for emergency medical intervention, such as:
– If the pain is accompanied by incontinence in the urine, or incontinence.
– If the pain was caused by a severe fall, or a car accident.
If back pain is accompanied by a rise in temperature.