Pranav KhawaleBNYS(2nd year),SVYASA.

LOW BACK PAIN…

Definition

•Low back pain, which affect 60% to 80% of the adult population at one time or another, is sharp or diffuse pain and often is accompanied by inflexibility and tenderness at the lumbar region.

Etiology

•The most common cause of low back pain is relatively minor trauma or injury to the supporting muscles, spinal disks in lumbar region.•Generally, repeated twisting or lifting of heavy object triggers the injury.•Compression fractures at the lower part of the spine occure relatively frequent in older women with ossteoporosis.

•Other cause of lower back pain includes a number of degenerative and mechanical conditions, most commonly lumbar degerative disk disease.•Spondylosis (degenerative spondylolisthesis, artritis of the spine).•Low back pain can be caused by Sciatica, Ulcer, Nephrolithiasis, ovarian cyst, pancreatitis, etc…

Etiology

Risk factor

•People who regularly lift, twist, bend, and operate vibrating equipment.•Trauma, infection, heridity a history of intermittent sciatica, poor overall fitness.•Smoking seem to increase a person's risk for developing degenerative back conditions. •depression or some personality disorders …

Signs and Symptoms

•Tenderness, pain, and stiffness in the lower back•Pain that radiates into the buttocks or legs•Difficulty standing erect or in one position for an extended time•Discomfort while sitting•Weakness and leg fatigue while walking

Differential Diagnosis

Since low back pain can be a symptom of other condition

•Lumbar degenerative disk disease (chronic low back pain)•Spondylosis (degenerative spondylolisthesis)•Spinal or lumbar stenosis•Sciatica (lumbar radiculopathy)•Spinal fracture•Herniated nucleus pulposus or ruptured intervertebral disk

•Ovarian cyst•Nephrolithiasis•Pancreatitis•Ulcers•Depression

Differential Diagnosis

Laboratory Tests

•Alkaline phosphatase to rule out bone tumor. CBC, ANA, ESR, rheumatoid factor to rule out rheumatoid arthritis, infection, and osteomyelitis

Pathophysiology

•Blood tests that reveal elevated erythrocyte sedimentation rate or WBC suggest infection.

Treatment option

•Allopathy

•Homeopathy

•Ayurveda

•Naturopathy

•Chiropractic or osteopathic manipulation can help to release muscle spasm, improve flexibility, and increase parasympathetic response to induce pain relief…

NATUROPATHY

•Hydrotherapy- Alternating hot and cold applications brings nutrients to the site and diffuses metabolic waste from inflammation.

•Castor oil pack- Used externally, castor oil is a powerful anti-inflammatory.

NATUROPATHY

Acupuncture

•It help to relieve spasm and pain

•Increase circulation to the affected area

Massage•Massage is helpful both acutely and to prevent chronic problem•It give straighten to the back muscles•Gives relaxation•Improves circulation

Yoga and Exercise

•Yoga and Exercise helps to improve the Low back pain

•It gives relaxation to the back muscles

•Helps to improve circulation

THANK YOU…