Back Pain (Lumbago): cases, symptoms, investigations, lifestyle modification

Pain in back a major problem worldwide. We often ignore it by thinking it a minor issue. Life in modern era is too fast and too hard, that is why we used to compromise with the pain often, and that is the worst part. However, if you will the reasons behind this pain, it will make to think in a different way.

Causes

• Uncomfortable sitting for a long time in a regular manner that used to do
• Uncomfortable journey for a long time and is very common in developing and under developed countries due to non-availability of enough public transports.
• Uncomfortable sleeping habit that is seen mostly in young’s, workers working abroad where they uses to compromise with bed, and financial crisis. 
• Traumatic injury in the back (like Public Assault or Family Violence)
• Accidental injury in the back (Road traffic accidents or accidental history of fall at home) 
• Post-surgical complication is very common due to spinal anesthesia and most commonly seen in women operated caesarean section.
• Modern Smart phone or I-Pad or Laptop users often uses  all those sitting in a uncomfortable manner regularly
• After pregnancy in normal deliveries, also back pain sometimes comes later as a complication.
• Obesity causes the bulging of the abdomen causes stress in back bone and causes back pain
• Excess weight lifting often causes muscles strains resulting back pain
• Most of the women (90%) wear a wrong bra and incidentally women having larger breasts and wearing a wrong bra suffers from back pain.
• Expensive and fancy chair though looks good but causes back pain.
• Abnormal shoe wearing causes abnormal heel-toe gait, stressing your knees, hips, and back and causes back pain.
• Using a tight belt or trouser causes sever back pain
• Abnormal ratio of chair and table in the office desk or study room
• Gases distension of the abdomen
• Pregnancy causes extra load of the abdomen and that causes inward bending of vertebra.
• Sprains
• Muscle stretches in the gyms
• Broken bones history
• Constipation (habitual)

Diseases Associated With Back Pain

• Coccydynia
• Degenerative discs
• Lumber spondylitis
• Fibromyalgia
• Osteophytes occurrences in the vertebra 
• Bone carcinoma or cancer
• Herniated disc
• Scoliosis
• Lumber Spinal stenosis
• Endometriosis
• Osteoporosis
• Dengue fever
• Kidney stone
• Psoriatic Arthritis
• Ankylosing Spondylitis
• Abdominal Aortic Aneurism
• Diffuse Idiopathic Skeletal Hyperostosis
• Osteoarthritis
• Paget’s Disease
• Sciatica
• Arthritis (Reactive, Gouty, Rheumatoid)

Symptoms

• Pain in back
• Difficulty in walking
• Difficulty in sleeping
• Mental irritation
• Change in normal gait
• Change of posture
• Difficulty in defecation
• Difficulty in normal activities
• Numbness in lower limbs
• Tingling sensation on the lower limbs
• Radiating pain from back to lower limbs

Investigations

• X ray (Lumbo-Sacral/Thoraco-Lumber Spine)
• MRI (Lumbo-Sacral/Thoraco-Lumber Spine)
• CT Scan (Lumbo-Sacral/Thoraco-Lumber Spine)
• RA Factor, ASO Titre
• Serum Uric Acid, CRP
• Serum Calcium Estimation

Life Style Change & Things To Remember

• Comfortable Chairs with straight at back
• Comfortable sitting habit
• Chair table ratio should be comfortable
• Always try to seat straight
• Keep yourself in rest
• Try to avoid lifting weights
• Breaks in between a long sitting habit
• Do not share your seat with anyone in journey because a comfortable journey mast needed.
• Avoid long uncomfortable journey
• Avoid journey as far as possible
• Two wheelers mast have a good shock absorbers
• Avoid journeys in the damage roads
• Avoid super soft beds (A hard bed is more preferable)
• While using gadgets always prefer your comfortable sitting first
• Avoid prolong time standing
• Avoid tight belt with trousers
• Comfortable Trousers
• Use alternate Hot and Cold exposer to the affected area
• Plenty of water orally
• More green vegetables
• Plenty of seasonal Fruits
• As constipation is a major factor so more fibrous food mast be intake
• Use a lumber belt during the journeys and at home
• For Women an accurate bra size is mast

Medicines

Oral Drugs

• Tab. Trayodasanga Guggulu
• Tab. Simghandh Guggulu
• Tab. Yogaraj Guggulu
• Tab. Swarna Guggulu
• Tab. Yogendra Ras
• Tab. Brihat Vata Chintamani Ras
• Tab. Vatagajankush Ras
• Tab. R Compound
• Tab. Amvatari
• Tab. Arnopen
• Tab. Arthro Care
• Tab. Arthronav
• Tab. arthrodol
• Tab. Ayurfine
• Cap. Flexibility
• Tab. Joint Care
• Cap. Ksheerabala
• Cap. Kineaz
• Tab. Mysotaal forte
• Cap.Navaaswagandha
• Cap. Stresscom
• Cap. Stressgaurd
• Tab. Neurokil
• Tab. Orthonervin
• Cap Orthronil
• Cap. Remorin
• Cap. Rheumadin
• Cap Sagun
• Tab. Auryog
• Tab. Dazzle
• Tab. Rumalaya
• Tab Rumalaya forte
• Cap Rumartho gold
• Cap Alopagesic
• Syp. Auryog
• Syp. Dashmoolarista
• Syp. Maharasnadhi kwath
• Syp. Balarista
• Syp. Abhyarista

Local Applications

• Mahanarayan Oil
• Maha Vish Garbha Oil
• Mahamash Oil
• Panchaguna Oil
• Arjit Liniment
• Rumalaya Liniment/Gel
• Alopagesic Liniment
• Ayuryog Liniment
• Dazzle Liniment
• Flex Liniment
• Flex IMAC gel/Oil
• Pyroflex Liniment/Gel

Conclusion

        So as we discussed earlier that your back pain may be a symptom of other prevailing diseases. So, better to take a consultation with a doctor as early as possible. Life style changes are must in almost all cases.