Low Backache

BACK PAIN

Most of the people suffers from back pain.90 % of American suffering from back pain.it is second most disease after common cold.

Back pain is not disease, it is symptom may occur from different process.

CAUSES FOR BACK PAIN :

1 common cause for back pain is injury to the muscles ,bones nerves of the spine

2 degeneration of the vertebral bones , discs known as lumbar spondylosis.spondylosis occurs due to loosing moisture in central portion of the disc known as nucleus pulposum.

3 disc herniation:nerve root syndromes are those that produce nerve compression due to herniation /bulging of the disc developed due to degeneration,or over strain or due to injury.disc prolapsed pushes against the nerve root .

4 infections of the spine ex osteomylitis,tb spine

5 cauda equine syndrome:it is a medical emergency where the spinal cord is directly compressed.this causes possible loss of sensation , paralysis ,bladder disfunction

6 congenital anomalies ex scoliosis,defect in spine curvature,spina bifida

7 ANKYLOSING SPONDYLITIS.

8 tumours of the spine

OTHER CAUSES WHICH REFERS BACK PAIN

A pregnancy

B kidney stones

C endometriosis

D pelvic inflammatory diseases

RISK FACTORS FOR BACK PAIN

1 age above 50 yrs ,as age advances degeneration of discs will be there, causes back pain

2 people who do not exercise

3 over strain like lifting wts,bending , sitting for long hours

4 smoking

5 over weight or obesity

6 people who do not maintain proper posture in their daily activities

7 people who do not take proper diet like low calcium low vitamin d,

8 women after child birth/ pregnancy

9 menopause

SYMPTOMS AND SIGNS OF BACK PAIN

1 pain in lower portion of the spine

2 pain may radiate down the front back of the leg due herniated disc . this condition called as sciatica pain.this condition called as radiculopathy

3 numbness in leg

4 in severe compression of spinal cord /spinal canal stenosis neurological symptoms seen this condition called as myelopathy

5 myelopathy we see paralysis of the limb,bladder dysfunction leads to incontinence of urine and stool

6 difficulty in walking

MANAGEMENT IN CHRONIC BACK PAIN

1 avoid overstrain like lifting weights, bending forward

2 maintaning good posture during daily activities

3 avoid travelling for long distances

4 wearing lumbo sacral belt which gives support to the back

5 applying hot cool pads over the pain area

6 taking proper diet rich in vitamin d, calcium ,vitamin b12 , omega 3 fatty acids

HOMEOPATHIC MEDICINES FOR BACK PAIN

1 RHUSTOX : violent pain in back as if broken, pains movement ,pressure hot applications

2 RUTA :pain in nape , back , loins.back ache is better by pressure lying on back.acts upon periosteum,cartlages.

3 HYPERICUM:usefull in compressed injuries punctured wounds.pain in spine due to concussion,injury to coccyx.jerking twitching of muscle.

Usefull in radiculopathy,myelopathy.spinal canal stenosis,disc compression

4 CALC FLOUR :pain in lower part of the back,fullness burning pain.

Pains due to early degeneration , caries necrosis of the discs.pains after operations.tendency to form adhesions, tumours in spine.

INDICATED IN SPINAL TUMOURS,LUMBAR SPONDYLOSIS,ANKYLOSING SPONDYLITIS.

5 NUX VOMICA:burning pain in back <3 to 4 am

Cervico brachial neuralgia,

Must sit up in order to turn in bed.

7 KALI CARB :sharp stitching pains.back feels stiff , weak, burning pain sweat over back.pain from hip to knee. Pains

8 GUIACUM :chief action on fibrous tissue, adopted to rheumatism, gout

Stiffness in back , lower limbs.stiffnewss in neck sore shoulder .left sided sciatica.pains

9 GAULTHERIA :suited to sciatica , neuralgic pains.neuralgia associated with gastralgia.

10 GNAPHALIUM:sciatica associated with numbness.rt sided sciatica.

Back pain >resting on back

11CAUSTICUM:stiffness between shoulders , dull pain in neck, lt sciatica with numbness.contraction of tendons.unsteady walking

12 SEPIA :weakness in small of back restless in all limbs,back pain before menses

Back pain associated with pelvic inflamtory diseases