The lower back, or lumbar spine,
is a complex structure of vertebrae, disks, spinal cord, and
nerves, it includes:
Five lumbar vertebrae, stacked one upon the other that connect the
upper spine to the pelvis.
Six shock absorbers,or disks, which act as cushions and stabilizers
to protect the lumbar vertebrae
Spinal cord and nerves, travelling through a central canal in the
lumbar vertebrae, connecting your brain to the muscles of the
legs
Small joints,to provide stability and allow for functional
movement
Muscles and ligaments, provide strength, power, support and
stability
The lower back protects the soft tissues of the nervous system and
spinal cord, as well as adjacent organs of the pelvis and
abdomen.
When standing the lower back holds most of the weight of the body;
when bending, extending or rotating at the waist the lower back is
involved in the movement.
Acute back pain is diagnosed if the condition has been
present for a day to weeks. Chronic back pain lasts longer than 3
months.
The most common causes of low back pain are frequently a
combination of factors that increase the likelihood of injury or
disease. These may include:
normal aging (wear and tear), osteoporosis/fractures, a protruding
disk, poor conditioning of the back muscles, overuse or improper
use of the back, obesity, smoking.
EMERGENCY:
If you also have lost bladder or bowel control, call your
doctor or be seen in an Accident and Emergency hospital right
away.
How low back pain can be prevented:
Aging decreases bone mass, strength and flexibility, and cannot be
prevented. But its effects on the body can be better controlled
with:
• regular appropriate exercises to keep the muscles that support
back strong and flexible
• proper lifting and moving techniques
• maintaining a correct posture when standing and sitting
• maintaining proper body weight -- being over weight puts strain
on back muscles
• avoiding smoking
Low back pain can often be treated, but requires a
professional examination . The following may be used (and
often in combination) for the treatment of low back pain:
• resting the back
• medications to relieve pain and muscle spasm
• local heat applications
• massage
• reconditioning exercises to strengthen the low back and abdominal
muscles
• weight loss
• quitting smoking
• a rehabilitation program to increase muscle strength
• light physical activity
• surgery
DO NOT IGNORE THE PAIN! It is there for a reason —
the body's way of telling you something is wrong. It may sound
obvious, but the first step is to stop doing whatever started the
pain attack in the first place. Stop what you are doing, and ease
yourself gently into a more comfortable position.
Exercises increase ability to be physically mobile, along with
strengthening the muscles, and improving disks' stability.
A day of rest in the early stages may profit by lessening the pain
initially by inactivity.
Physiotherapy: a physiotherapist can select from
a wide range of treatment options to help relieve pain restore
normal movement and strength which will change to suit your
improving condition
Herbal Medicine: Chronic pain often creates
other problems besides the pain itself. These may include: tension,
spasm, insomnia, and depression. One herbal combination may include
equal parts of willow bark (for pain), cramp bark (for spasm),
valerian (a sedative), and St. Johns wort (an
antidepressant).
Osteopathy: Osteopaths use manipulation and
specific thrusts to restore mobility to the musculoskeletal
structure of the body. Diagnostic techniques are also similar to
those of physiotherapy. Methods for treating acute or chronic back
pain depend on the cause of the problem, and range from gentle
massage to ease muscle tension, to pressure and stretching
techniques to restore mobility to the joints. Several studies have
shown that osteopathy can aid in the recovery from lower back
pain.
Acupuncture: It has a wide variety of medical
uses and can be especially helpful in dealing with musculoskeletal
problems, such as arthritic symptoms, neck, back and joint
pain.
The pain relief comes quickly and is often long lasting;
acupuncture combines well with osteopathy or
physiotherapy
