CAUSES OF LOW BACK PAIN.

We all know that lower back pain is a usual symptom amoung the modern civilised people.And that it affects mainly the middle aged and young adults of both sexes.And that people who work on the chair with out exercise and those who carry heavy loads regularly are prone to get this complaint. Note that any of us can hardly find a person who has not suffered from back pain atleast once in life.The causes of  low backpain ranges from simple reasons like muscular strain to cancer of spine and hence backache should not be ignored. And the pain is felt in lumbar and sacral region and may radiate to nearby sites.

The following are some causes for backache.

1)  Backache due to gynaecological problems.

2)  Backache due to diseases in the back..

3) Backache due to problems in other parts of the body.


1) Backache due to diseases in the back:--
                            
a) Injuries :-

     1)  Injuries to ligaments and muscles of back.
     2) Rupture of intervertebral discs.
     3)  Compression fracture of the vertebral column
     4) Lumbosacral strain.
     5)  Fracture of processes of vertebra. 
     6)  Intervertebral joint injuries. 

b) Functional backache due to imbalance:-

     1)  Diseases of the hip joint.
     2) Pot belly.
     3) During pregnancy.
     4) Curvature in the spine due to congenital defect.
     5) Short leg in one side.
 
c) Backache due to inflammatory conditions:-

     1) Arthritis.
     2) Tuberculosis of the spine.
     3)  Infection of the bone due to bacteria.
     4) Brucellosis.
     5) Anchylosing spondylitis.
     6) Inflamation of the muscles.
     7)  Lumbago or fibrositis.

d) Backache due to degenerative diseases in the back.

     1) Osteoarthritis.
     2) Osteoporosis in old people.
     3) Degenaration of the intervertebral disc.

e) Tumour in the spine:--

     1) Primory tumour of the bones in the spine.
     2) Metastatic tumours from other sites like prostate,lungs,kidneys,intestine ect.

2) Backache due to gynaecological problems:-

     a) After childbirth.
     b) After gynaecological operations.
     c) Prolapse of the uterus.
     d)  Pelvic inflammatory diseases.
     e) Cancerous lesions of the pelvic organs.
     f) Endometriosis.

3) Backache due to problems in other parts of the body.

     a) Cancer of prostate.
     b) Ureteric stone.
     c)  Renal stones.
     d) Pancreatitis.
     e) Biliary stones.
     f) Peptic ulcer.
     g) Inflammations of pelvic organs.
     h) Occlusion of aorta and illiac arteries.


Investigation of a case of backache:-

1)  Ultrasonography of the abdomen and pelvis.

2) Routine urine examination.

3) Complete blood count.

4) X-ray of the lumbar and sacral region.

5)  Examination of rectum,prostate,genito urinary organs.

6) CT scan of abdomen and pelvic region.

7) MRI of the spine.


Treatment of back ache:-

1) Traction.

2) Symptomatic treatement.

3)  Removing the cause for backache.

4) Traction.

5) Homoeopathy.

6) Surgery.

7) Yoga.