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INTRODUCTION

 
Back pain is one of the most common human ailments, and it can be caused by everything from bad posture to a cancerous growth. The most common problems include muscle strains, arthritis and herniated discs. Back injuries are the leading cause of poor working mechanisms and work related disabilities. In fact, low back pain is the fifth-leading cause of trips to the doctor in the United States.
 
Although back pain is quite common and rarely life threatening, it's also possible for you to prevent most back problems with simple steps such as exercise and adopting new ways to sit and stand. Even if you've injured your back before, you can learn techniques to help avoid recurrent injuries.
  

CAUSES OF BACK ACHE


Backache usually arises from a spasm of the muscles that supports your back.
Due to strains and sprains.
Due to torn or strained of some soft tissue, such as a muscle, or ligaments.
Lifting unwisesly or bending over too sharply (and too far) in the garden or sitting in a totally unsuitable chair also
   cause backache.
Poor posture is one of the most common causes of backaches.
Some other causes are due to muscle strain, poor posture, arthritis, pressure on a nerve root, gynecological
   problems in women, fractures, tumours, bacterial and viral infection and bladder or kidney infection.
 

Brief Outlook On Causes Of Backache
 

How your back is built: Your backbone consists of more than 30 small bones called vertebrae, which create a bony canal that surrounds and protects your spinal cord. Small nerves enter and exit the spinal cord through spaces in your vertebrae that are held together by muscles, tendons and ligaments. Between the vertebrae are intervertebral disks, which act as "shock absorbers" and prevent the vertebrae from hitting one another when you walk, run or jump. They also allow your spine to twist, bend and extend. Your lower back, which carries most of your weight, is the site of most back pain.

   

Strains, sprains and spasms: The most common cause of back pain is a small injury to a muscle (strain) or a ligament (sprain). Strains and sprains can occur due to improper lifting, excess body weight and poor posture and also from carrying around a heavy handbag or snoozing at an awkward angle. If you strain or sprain your back, you may feel pain immediately or develop soreness and stiffness later. An injured muscle may also "knot up." This muscle spasm is a common response to injury, designed to immobilize the painful area and prevent further damage.

 

Osteoarthritis: Osteoarthritis is a degenerative joint condition that causes slow deterioration of cartilage. Osteoarthritis of the spine results in narrowed cartilage disks between the bones that make up your backbone. Without this cartilage cushioning, the joints (facets) between adjacent bones compress and become irregular, causing inflammation, pain, swelling and stiffness. Your body tries to compensate for this form of arthritis, but the repairs are often inadequate, resulting in little growths of additional bone (spurs). Osteoarthritis is known as wear-and-tear arthritis, because it usually develops over many years of use. Overloading, injury and obesity also are risk factors for osteoarthritis

  

Osteoporosis As you age, the amount of calcium in your bones decreases. This lowers the density or mass of your bones, making them porous and brittle — a condition known as osteoporosis. People with osteoporosis are prone to compression fractures in the bones of their back. These fractures can be the result of a fall, or they can develop from the stress of everyday lifting and activities. Osteoporosis is common in older adults, particularly postmenopausal women. Bone loss is a natural part of aging, but you can maintain optimal bone.

 

Fibromyalgia: Fibromyalgia is a chronic condition characterized by fatigue and widespread pain in the fibrous tissues in your muscles, ligaments and tendons. To be diagnosed with fibromyalgia, you must have widespread pain lasting three months in at least 11 of the 18 "tender points" identified by the American College of Rheumatology. People with fibromyalgia often feel pain in their neck, spine, shoulders and hips.

 
When to seek medical advice

 
In rare cases, back pain can signal a serious medical problem. See a doctor immediately if your back pain:

Feels constant or intense, especially at night
Spreads down one or both legs
Causes weakness, numbness or tingling in one or both legs
Causes new bowel or bladder problems
Is associated with abdominal pain or pulsation (throbbing)
Is the result of a fall or blow to your back
Is accompanied by unexplained weight loss

Also see your doctor if you're older than age 50 or have a history of back pain or cancer.
 

Preventive Measures


With a little care and attention, you may be able to avoid an aching back in the first place. Getting in better physical condition may help prevent back pain.

Excessive lifting
Lifting in a wildly dangerous way, with straight knees
Bending over to an extent that our spines can't cope with
Twisting our spines
Sitting in diabolically uncomfortable chairs
Riding in cars with truly terrible seats
Putting enormous strains on our spines by simply being overweight. People who are carrying too much weight are far
   more liable to serious back trouble than those who are slim.
Regular exercises that don’t strain your back can increase the strength and endurance in your lower back, allowing
   the muscles to function better. Consult your doctor about which activity is best for you.
Always maintain a good posture and a healthy and proportionate weight. Avoid being overweight.
In addition, following proper body mechanics in everyday activities such as standing, sitting, sleeping and lifting
   objects in a proper manner thus preventing backache.

 

Practice healthy posture and give your back a break
  

 
Poor posture can cause problems:
Your spine is strong and stable when you practice healthy posture. But when you stoop or slouch, your body's center of gravity shifts. Your muscles and ligaments struggle to keep you balanced. This can lead to painful strains and sprains of ligaments and muscles in your back. If you have chronic backaches, healthy posture will help relax your back muscles and may reduce your pain.

 
Your spine's curves:
Your spine has three normal curves: an inward curve at the neck (cervical curve), an outward curve at the upper back (thoracic curve), and an inward curve at the lower back (lumbar curve). Poor posture leads to changes in normal spinal curves, which can stress or pull muscles leading to increased muscle contraction, which causes pain.

 
Keep your shoulders straight:
Pay attention to the position of your shoulders while you're sitting in a chair or standing. Avoid slouching or rolling your shoulders forward or keeping your shoulders too far back.

Note: by concerning doctors about your posture you can avoid problems caused by bad posture.

  
Your daily back routine Exercises
  

Knee to chest stretch:

Lie on your back on a firm surface with your knees bent and feet flat. Pull your left knee toward your chest with both hands. Hold for 15 to 30 seconds. Return to the starting position. Repeat with opposite leg. Repeat with each leg three or four times.

 

Cat stretch: Step 1:

Get down on your hands and knees. Slowly let your back and abdomen sag toward the floor.

 

Cat stretch: Step 2:

Remain on your hands and knees. Slowly arch your back away from the floor. Repeat steps 1 and 2 several times.

 

Half sit-up:

Lie on your back on a firm surface with your knees bent and feet flat. With your arms outstretched, reach toward your knees until your shoulder blades no longer touch the ground. Don't grab your knees. Hold for a few seconds and slowly return to the starting position. Repeat several times.

 

Leg lifts with leg straight:

Lie on your stomach on a firm surface with your head turned to the side. Raise one leg slightly off the surface and hold for about 5 seconds. Return to the starting position. Repeat several times. Change legs and repeat the exercise.

 

Chair stretch

Sit in a chair. Slowly bend forward toward the floor until you feel a mild stretch in your back. Hold for 15 to 30 seconds. Return to the starting position. Repeat three or four times. Don't do this exercise if you have osteoporosis.

 

Shoulder blade squeeze:

Sit upright in a chair. Keep your chin tucked in and your shoulders down. Pull your shoulder blades together and straighten your upper back. Hold a few seconds. Return to the starting position. Repeat several times.

 

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