Back Pain

Back Pain, also known as Backache, is the pain that is felt anywhere in the region extending between the top of the buttocks and the back of the neck and shoulders. It is a condition that affects most people at some point in their lives and is a common cause of disability and reduced quality of life.

It may be classified depending on the section of the back that is affected as follows:

  • Neck or cervical pain
  • Mid  or thoracic pain
  • Lower or lumbar pain – This is the most commonly seen Back Pain.
  • Coccydynia or tail bone or sacral pain

Based on the duration of the pain, backache may be:

  • Acute – Lasts less than 6 weeks
  • Sub-acute – Lasts between 6 weeks to 12 weeks
  • Chronic – Lasts for more than 12 weeks

Causes

    The majority of the complaints of backache are due to non-specific causes while in a few cases the pain might be due to an internal cause and due to the involvement of nerves, bones, and/or soft tissues.

    Some of the causes include:

    • Non-specific causes – In over 90% of the cases
    • Vertebral Compression fractures – 4% of the cases
    • Ruptured or bulging discs
    • Metastatic cancer – <1%
    • Infections of the spine – Such as spinal osteomyelitis, or abscess
    • Muscle or ligament strain
    • Arthritis
    • Osteoporosis
    • Skeletal Irregularities or deformities
    • Cauda equina
    • Referred pain from internal organs such as kidney, urinary bladder, pancreas
    • Low backache of pregnancy

    Risk Factors

      Some of the risk factors for developing include:

      • Age – The risk of developing backache increases with increasing age.
      • Smoking
      • Lack of exercise and sedentary lifestyle
      • Obesity
      • Poor posture
      • Improper lifting of weights
      • Illness or medical conditions such as arthritis, cancer, etc

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