1. Degeneration
The rate of degneration is vary from
people. Generally, the interverbral disc and joints will become unstable
after aged 30, leading to back pain or sciatia caused by nerve
compressions.
2. Bone Projection / over-growth
Osteophytes (bone spur) form naturally on the back of the spine as a
person ages and are a sign of degeneration in the spine. In most cases,
the spur are not the source of back pains. However, if the bone
projections compress the adjunct nerves and suppress the blood supply to
the nerve, the patients would suffer pain in running or standing
position.
3. Others
If back pain caused by tumor/
cancer or bacterial infections, patients may experience persistent pain
in back, leading to insomnia and other associated syndromes.
Back pain - prevention
Exercise
is an effective way to strengthen your muscles. The strong muscles can
help to maintain a correct position of spine. Low-impact activities can
increase overall fitness without straining the low back.
Back pain - treatment
1. Physiotherapy. It can be classified as active and inactive treatment.
Active – effectively strengthen the patient’s muscle through persistent specific exercise.
Inactive – relieve pain in specific position through micro-current therapy
Misconception:
Many
patients believe that reductions of physical activity can relieve their
pain conditions, however, it is incorrect as physical acticity can help
to strengthen your muscle and relieve the pain in long term. You are
recommend to consult physiotherapy to personalize an exercise plan for
you.
Medication
Depends on the severity of pain,
orthopaedic doctor would prescribe oral medications for pain reliever.
If needed or pain persist, orthopaedic doctor may recommend for
intramuscular or percutaneous injections of nerve blocks to control your
back pain.
Surgery
Orthopaedic doctor would recommend for orthopaedic surgery if needed, especially for patients suffering:
i. Medications and physiotherapy treatments cannot manipulate the back pain
ii. Incontinence caused by nerve compression
iii. Progressive muscle weakness caused by nerve compression
iv. No improvement of pain conditions after 4-6 weeks physiotherapy treatment.
references:
www.ispine.com.hk/It
is not intended as medical advice to any specific person. If you have
any need for personal advice or have any questions regarding your
health, please consult your orthopedic doctors for diagnosis and
treatment.
