Low back
pain is a usual symptom amoung the modern civilised people.It affects mainly
the middle aged and young adults of both sexes.People who work on the chair
with out exercise and those who carry heavy loads regularly are prone to get
this complaint.We can hardly find a person who has not suffered from back pain
atleast once in life.The causes of low
backpain ranges from simple reasons like muscular strain to cancer of spine and
hence backache should not be ignored.
The pain is felt in lumbar and sacral
region and may radiate to nearby sites.
The
following are some causes for backache.
1) Backache
due to diseases in the back.
2) Backache
due to gynaecological problems.
3) Backache
due to problems in other parts of the body.
1) Backache
due to diseases in the back:--
a) Injuries :-
1) Compression fracture of the vertebral
column.
2) Rupture of intervertebral discs.
3) Injuries to ligaments and muscles of
back.
4) Lumbosacral strain.
5) Intervertebral joint injuries.
6) Fracture of processes of vertebra.
b)
Functional backache due to imbalance:-
1) During pregnancy.
2) Pot belly.
3) Diseases of the hip joint.
4) Curvature in the spine due to
congenital defect.
5) Short leg in one side.
c) Backache due to inflammatory conditions:-
1) Infection of the bone due to bacteria.
2) Tuberculosis of the spine.
3) Arthritis.
4) Brucellosis.
5) Lumbago or fibrositis.
6) Inflamation of the muscles.
7) Anchylosing spondylitis.
d) Backache
due to degenerative diseases in the back.
1) Osteoarthritis.
2) Osteoporosis in old people.
3)
Degenaration of the intervertebral disc.
e) Tumour
in the spine:--
1) Primory tumour of the bones in the
spine.
2) Metastatic tumours from other sites
like prostate,lungs,kidneys,intestine ect.
2) Backache
due to gynaecological problems:-
a)
After childbirth.
b) After gynaecological operations.
c) Prolapse of the uterus.
d) Pelvic inflammatory diseases.
e) Cancerous lesions of the pelvic organs.
f) Endometriosis.
3) Backache
due to problems in other parts of the body.
a) Renal stones.
b) Ureteric stone.
c) Cancer of prostate.
d) Pancreatitis.
e) Biliary stones.
f) Peptic ulcer.
g) Inflammations of pelvic organs.
h) Occlusion of aorta and illiac arteries.
Investigation
of a case of backache:-
1) Complete
blood count.
2) Routine
urine examination.
3)
Ultrasonography of the abdomen and pelvis.
4) X-ray of
the lumbar and sacral region.
5) MRI of
the spine.
5) CT scan
of abdomen and pelvic region.
6)
Examination of rectum,prostate,genito urinary organs.
Treatment
of back ache:-
1) Removing
the cause for backache.
2)
Symptomatic treatement.
2) Back
exercises.
3)
Traction.
3) Yoga.
5) Surgery.
7)
Homoeopathy.
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written by:
Agus Kurniawan - Sunday, September 30, 2012