BACK ACHE | Cause, singn & symptoms, Diagnosis, Prevention | HOMEOPATHY
Pain
in the back from cervical vertebrae to coccyx is called back pain. Lower Back
pain is called as Lumbago. Back pain which leads to thighs is called sciatica. The
spine is a complex interconnecting network of nerves, joints, muscles, tendons
and ligaments, and all are capable of producing pain
Back pain
may have a sudden onset or can be a chronic pain; it can be constant or intermittent,
stay in one place or radiate to other areas. It may be a dull ache, or a sharp
or piercing or burning sensation. Backache Is not a disease but a symptom of a
illness.
What cause back ache?
· Occupational
hazards:- Lifting
heavy objects, prolonged standing or sitting, sitting in front of the computer
for long hours at a stretch, are the most common cause of back ache.
·
Diseases
of vertebral column – like pott’s spine, tumor, and disk prolapse or herniated
intervertebral disk, degenerative disk disease, osteomalacia, osteoporosis,
spondylosis.
·
Spinal
cord infection can cause back pain.
·
Mechanical
causes:- abnormal
sitting postures, injury or trauma, extreme obesity, sleeping on very soft
mattresses.
·
Extra
spinal causes:-
Peripheral vascular diseases, Hip osteo arthritis, Peripheral nerve lesion like
neuropathy and herpes zoster.
·
Referred
pain – of renal calculi, renal tumors, renal tuberculosis, pancreas tumor,
diseases related to female genital organs.
·
Surgical
causes like Lumbar
puncture.
·
Prolaps
of inter vertebral disc ( IVDP)
·
Metastasis – cancer may spread to the bones
like breast cancer, lung cancer and causes back pain.
·
Psychological factors: Some factors like anxiety,
depression, lack of inner peace, death of a loved one, etc. contribute to back
pain.
·
Obesity:
Back pain increases in overweight and obese patients.
Read more: Rheumatoid arthritis | Homeopathy
Read more: Rheumatoid arthritis | Homeopathy
Sing and symptoms related to
back ache
·
Pain
that develops gradually and slowly gets worse and worse over days or weeks.
·
Constant
back pain that is not eased by lying down or resting.
·
Pain
that travels to the chest, or is higher in the back behind the chest.
·
Extension
of the pain may occur to the other parts of the body especially to the
buttocks, back of thigh, calf muscles.
Inflammatory (Arthritic) Symptoms:-
·
Constitutional
symptoms like fever, redness and pain.
·
Pain
worse at night
Diagnosis
·
History
should be taken to know any triggering factors like fall and trauma.
·
Physical examination
should be done :- giant, Posture and extension of pain etc
·
Blood routine:-
CBC(complete blood count) to rule out the infection. Blood culture.
·
X-ray spine
To detect Disc prolapse
·
CT Scan and MRI
to find out nerve compression and other neuropathies.
·
SLR( Straight Leg Rise ) :-
To evaluate disc herniation. Positive SLR is defined as pain in the
posterior leg that radiates below the knee with the hip flexed 60⁰ or less and the patient lying
supine and is suggestive of disc herniation.
Management of backache
Making
small changes to your lifestyle can reduce your risk of back pain.
If you
smoke, stop. It puts you at increased risk for back problems since your blood
has trouble delivering oxygen to working tissues, making your back weaker.
Prevention & precautions
·
Always
stretch before exercise or other strenuous physical activity. Don’t slouch when standing or sitting. When
standing, keep your weight balanced on your feet. Your back supports weight
most easily when curvature is reduced.
·
At
home or work, make sure your work surface is at a comfortable height for you.
·
Sit
in a chair with good lumbar support and proper position and height for the
task. Keep your shoulders back. Switch sitting positions often and periodically
walk around the office or gently stretch muscles to relieve tension. A pillow
or rolled-up towel placed behind the small of your back can provide some lumbar
support. If you must sit for a long period of time, rest your feet on a low
stool or a stack of books.
·
Wear
comfortable, low-heeled shoes.
·
Sleep
on your side to reduce any curve in your spine. Always sleep on a firm surface.
·
Ask
for help when transferring an ill or injured family member from a reclining to
a sitting position or when moving the patient from a chair to a bed.
·
Don’t
try to lift objects too heavy for you. Lift with your knees, pull in your
stomach muscles, and keep your head down and in line with your straight back.
Keep the object close to your body. Do not twist when lifting.
·
Maintain
proper nutrition and diet to reduce and prevent excessive weight, especially
weight around the waistline that taxes lower back muscles. A diet with
sufficient daily intake of calcium, phosphorus, and vitamin D helps to promote
new bone growth.
·
If
you smoke, quit. Smoking reduces blood flow to the lower spine and causes the
spinal discs to degenerate
Bed rest versus exercise
Doctors used to recommend long periods
of rest for people with backache, but research has shown this is actually bad
for backs. Even crawling around on your hands and knees is better than no
movement at all.
Some kinds
of exercise, such as walking, don't put too much stress on your back. It's a
good idea to make a start on them even if your back is a bit sore, just to get
your joints moving and your heart and lungs working.
Use a firm
chair when sitting down, or sit on the floor rather than a sofa that’s too
soft. Similarly, make sure your bed is firm enough.
Homeopathy for Backache
Homeopathy gives better results in
Chronic as well as acute back aches. There are many homeopathic remedies for
back ache. Patient should consult a classical homeopath to start treatment.
Homeopathy considers the patient as whole just not the disease. To prescribe a
remedy a homeopath need the complete history of the disease and the patient as
well.
Most
commonly prescribed homeopathic medicines for back ache are
Bryonia, Rhus tox,
cimicifuga,
Arnica,
nux
vomica, calc carb,
lycopodium, Hypericum,
calc
phos, Kali carb,
Sulphur
, ruta & Sepia etc
Source:-
http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm
http://www.bbc.co.uk/health
http://en.wikipedia.org/wiki/Back_pain
Frymoyer JD. Back
pain and sciatica. N Engl J Med. 1988;318:291–300.
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