“Back pain is a problem facing the workforce in the world today. Eight out of ten people will have a problem with back pain at sometime during their life-time. Back pain is more likely to occur between the ages of 30 and 50, the most productive period of most people's lives. The back pain continues and causes problems indefinitely. Low back pain is a common problem for all, no matter what their job”.

What are the common causes?


Sprain and strain
             Low back pain can be caused by a number of factors, from injuries to the effects of ageing. Sprain and strain are the most common cause. The muscles of the low back provide power and strength for activities such as standing, walking and lifting. A strain of the muscle can occur when the muscle is poorly conditioned or overworked. A sprain of the low back can occur when a sudden, forceful movement injures a ligament that has become stiff or weak.

Pelvic infection
             Next cause that has to be looked into is constipation and pelvic infections. Most of the complaints by women are associated with backache always. Leucorrhoea invariably indicate the pelvic infections.

Degeneration
             The natural effects of normal ageing on the body, in general, the factors may be osteoporosis or decreased amount of bone, decrease in strength and elasticity of muscles, decrease in elasticity and strength of ligaments. "Wear and tear" and inherited factors will cause degenerative changes in the discs, and result in degenerative disc disease and arthritic changes in the small joints.

Disc prolapse

             The disc is composed of a soft centre, which, in children and young adults, is jelly-like. With normal ageing, the disc becomes tougher. During middle age, fissures or cracks may occur in the disc. These may be the source of back pain. If the crack extends out of the disc, material from the disc may push out or rupture. This often is referred to as a herniated or slipped disc, it may cause pain on movement. If the protruded disc presses a nerve, it may cause weakness of a muscle, usually in one leg and numbness or a tingling sensation.   

Sciatica
             Practitioners diagnose this as "Sciatica or Lumbo sacral syndrome", by which the pain spreads down to one leg from the buttock on one side. It originates in the lower back where the “Electric cable sciatic nerve” is pinched as it leaves the spine, and this causes pain to be felt behind thigh, calf muscles and all the way down the leg.

Ankylosing spondylitis
             Ankylosing spondylitis usually presents with low back pain. Back pain is generally very common. A history of morning stiffness or pain and stiffness at night is typical. The pain may radiate down the back of the thigh, but not beyond the knee, which sometimes results in a mistaken diagnosis of sciatica. There may be a family history of the condition or related disorders such as psoriasis or inflammatory bowel disease. It is important that the diagnosis is made at an early stage to allow treatment to prevent loss of mobility of the spine.

How is low back pain diagnosed?          

   Most cases of low back pain are not severe and respond to simple treatment. We can accurately diagnose and effectively treat most types of low back pain. For many episodes of low back pain no expensive tests are needed for initial assessment and treatment. If your pain is severe and not responding to treatment or if you have significant leg pain, some imaging tests may be required.

   Plain X-rays will show arthritis and bone diseases, but will not show soft tissues such as the lumbar discs or nerves. For conditions or injuries that involve these soft tissues, Computerized Tomography (CT) scan, or Magnetic Resonance Imaging (MRI) may be needed. Occasionally, a bone scan will be needed to assess bone activity and electrical test -- Electromyography(EMG) may be needed to determine if the spine condition has caused nerve or muscle damage.

How to prevent?

    The normal effects of ageing that results in decreased bone mass, and decreased strength and elasticity of muscles and ligaments, can't be avoided. However, the effects can be minimised by:

Exercising regularly to keep the muscles that support your back strong and flexible.

Using the correct lifting and moving techniques; get help if an object is too heavy or of an awkward size.

Maintaining your proper body weight; being over weight puts a strain on your back muscles.

Avoid smoking.

Maintaining a proper posture when standing and sitting; don't slouch.         

What is the best treatment?

  Mostly low back pain, whether acute or chronic, can always be treated without surgery. Homoeopathic Medicines do miracles, in Arthritis and Cervical spondylitis, and in the treatment of disc lesions also. It makes everybody surprise and ask, " How it is possible?" I do envy with some patients! Homoeopathic medicines work wonderfully on soft tissue lesions

            I had gone through many cases with excellent results.

 

Clinical evidence

 

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