By: Arvie C.Vitente, MPH, PTRP
Are you having trouble in your low back or loin area? Is it painful every time you move to do your daily chores? LBP or low back pain is one of the most common musculoskeletal pain syndromes experienced by most people. Maybe most of you are wondering what are the different causes and necessary treatments for this pain syndrome. It is very important for one to be aware of these causes of LBP for them to know the essential things to do to prevent it from occurring.
Causes of LBP
The most common cause of LBP is strain of the muscles or sprain of the soft tissues or ligaments of the low back area. This strain or sprain is due to improper positioning of the spine. This is very common for example among typists because of the reason that the chair they are using does not appropriately support the lumbar area of the spine or better known as the low back area. This is the reason why the companies must consider purchasing ergonomically designed chairs to prevent strains and sprains among their workers. Another common cause of LBP is herniated nucleus pulposus or commonly known as slipped disc. Slipped disc involves the structure located in between the bones of the spinal column. This structure is known as the intervertebral (IV) disc. The IV disc is composed of an outer cartilage and an inner liquid component. If the liquid component of the IV disc squirts out from the damaged outer cartilage, this will impinge the spinal nerves or in severe case, it could also affect the spinal cord. This will lead to loss of skin sensation and muscle weakness on the area supplied by the affected spinal nerve or spinal cord, and would also cause severe pain in the low back area. The most common cause of slipped disc is improper lifting and wrong positioning of the joints at the back. Other common causes are fracture of the bones of the spinal column caused by weakening of the bones brought by osteoporosis, rheumatoid arthritis, osteoarthritis which is considered as the most common type of arthritis. This could also be caused by problems in the kidneys; this is the reason why doctors are careful in diagnosing the cause of LBP.
Treatment of LBP
Prevention is better than cure that is why physical therapists and doctors would always advise their patients with LBP to do exercises at the low back muscles to improve the flexibility and strength. There are conservative treatments for LBP and these include physical therapy, wearing of back support, Alexander technique, and massage therapy among others. If conservative treatment is not effective, surgery will be indicated if there are progressive neurological symptoms which include weakness and incontinence.
Remember that LBP would limit someone to function well in their job. It affects the productivity and overall performance of a worker. This is an eye-opener not only to the workers but to the employers as well. The cost of preventing it is a lot smaller than the loss that it could give to the company. Keep in mind that a healthy back means a healthy body!
