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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.
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