in this article:
Nearly 80% of us have suffered, suffer, or suffer from back pain at some point in our lives. Back pain is even called ‘evil of the century’, as it is difficult to escape, and unfortunately sometimes to get rid of it. Having back pain is very common. The pain usually occurs in the lower back, ie in the lumbar spine, but some also get thoracic back pain. For the most part, the pain goes by itself, but sometimes you may need some form of treatment.
Anatomy of the back and back pain
The vertebral column consists of 24 vertebrae (7 cervical, 12 dorsal or thoracic, 5 lumbar), to which are added ‘welded’ vertebrae such as the sacrum and coccyx. Between the mobile vertebrae, the intervertebral disks (consisting of a ring of fibrous cartilage and a gelatinous nucleus) allow the movements of the column and play a role of shock absorber. The vertebrae present a ‘hole’ in their center. Inside this canal (spinal canal) is the spinal cord. It is divided into different nerve roots, which emerge at the back of each vertebra to innervate a specific part of our body. All around our spine, ligaments and powerful muscles reinforce this frame.
The most common type of back pain is pain in the lower back, called the lumbar spine. But you may also get pain in what is called the backbone.
Back pain is a very common pain that can be located at different heights of the spine. Cervicalgia is experienced as neck pain, lumbar is low back pain, etc. Whatever the localization, these pains can have several origins: osteo-articular, muscular or nervous.
Overview of different types of back pain: joint wear
In our daily movements, vertebral joints are subject to strong constraints. This is especially the case in the lumbar vertebrae, located at the bottom of the column and at the crossroads of many forces (pressure, weight, shear, etc.). It is especially the posterior (rear) joints that are most likely to suffer from our bad positions, the carrying of loads, etc. The cervical vertebrae are subject to lesser forces, but they are extremely mobile. At this level of the column, it is therefore the repeated and inappropriate movements that can damage the joints in the long term.
These chronic wear can lead to a progressive destruction of the cartilages located between each joint and create osteoarthritis (rheumatic degenerative damage), causing pain. Osteoarthritis is a common cause of back pain, especially after 40 years. The pains caused are rather muted and chronic, accentuated at night and during periods of prolonged immobility. They cause stiffness in the joints, particularly remarkable in the morning when waking up.
By promoting the formation of small bone growths (called ‘parrot beaks’), osteoarthritis can also be responsible for nerve pinches. The pain is then acute, felt like ‘a discharge’. In advanced stages, osteoarthritis can also be responsible for narrowing of the spinal canal, also known as lumbar stenosis. Pain is not the main symptom of this narrowing, which is more likely to manifest as gait disorders and numb limbs. But if a pain appears, it is often similar to sciatica pain (back of the thigh) or cruralgia (above the thigh).
Some rheumatic diseases can affect the spine. This is the case of ankylosing spondylitis, an autoimmune disease that is manifested by outbreaks of arthritis and inflammation of the tendons and ligaments. The lower spine and the sacroiliac joint are the preferred locations for this disease, which affects adolescents and young adults more frequently. It is characterized by chronic lower back pain and morning stiffness of the spine, which improves with movement.
Another bone disease that can cause pain in the spine: osteoporosis. This condition, characterized by a decrease in bone density, can affect the entire skeleton. Spinal involvement affects women more than men, especially after menopause and falling estrogen levels. Osteoporosis can also be secondary to prolonged corticosteroids, malnutrition (e.g. anorexia nervosa) or intense sports. In the spine, osteoporosis often remains asymptomatic, the pain being caused more by the possible fractures in the advanced stage of the disease.
Several attacks can cause deformations of the spine and cause pain. This is the case of spondylolisthesis: this condition corresponds to a slippage of the 4th lumbar vertebra on the 5th, most often caused by an accident or repeated trauma. This movement often remains asymptomatic, but it can cause pain, localized in the lower back and sometimes radiating to the thighs. They can appear day and night and are accentuated by movement.
Other deviations from the spine may be painful, the most common being scoliosis. This deformation occurs during growth, with no identifiable cause in the majority of cases. The vertebral column, which has a natural curvature in the physiological state, can then deform in several directions, the most common being lateral deformation (leaning to the side). If scoliosis becomes painful, these pains are rheumatic. Kyphosis is a special form of scoliosis. This attack corresponds to an exaggeration of the natural curvature of the column at the level of the dorsal vertebrae, causing a ‘curved back’ impression. The cervical and lumbar parts adapting their own curvature to compensate for this malformation, multiple pains can appear at different levels of the spine.
Patients with spina bifida also face chronic back pain. This condition is related to a lack of closure of the neural tube during embryonic development, which then becomes the spinal canal containing the spinal cord. Such diagnosis is usually made from birth. Spina bifida occulta (closed) is asymptomatic. In the case of open spina bifida, there is a fistula at the back of the spinal canal in which nerve roots can lodge. These ‘tumors’ called meningoceles or myelomeningoceles cause sensory and motor disorders. They are usually accompanied by chronic pain.
Back pain of neuralgic origin
A herniated disc corresponds to the projection of a part of the nucleus of an intervertebral disc. It occurs when the disc is worn, cracked or due to a large shock or a bad movement. The pain is persistent, in the form of a horizontal ‘bar’ on both sides of the hernia. When the hernia is posterior, it can be in contact with the spinal nerve. It is then the electrical discharge by irritation and compression of the nerve, and the pain can spread throughout this nerve. Depending on the vertebral floor of the nerve root, it may be a sciatica (sciatic nerve that innervates the posterior part of the thigh and leg) or a cruralgia (crural nerve that innervates the anterior part of the thigh).
Nerve pinching at the level of osteoarthritic joints is described in the same way: during a movement, a sharp and striking pain appears at the level of the nervous conflict and can radiate, as in the case of a hernia, towards the zone d concerned innervation.
Back pain of muscular origin
This is the infamous lumbago or ‘renal column’. It occurs suddenly in the lumbar region, after a false movement, and is accompanied by a sensation of ‘rupture’, ‘tearing’ or ‘breakdown’.
The pain is sudden, intense and paralyzing. Often, there is no particular damage to the joints or discs. There is a very significant inflammation of the muscles and ligaments around the spine. The pain is accentuated by coughing, sneezing, defecation. They are relieved when lying down, which often causes people suffering from lumbago to remain motionless. It is however recommended to move as much as possible, movement being the best treatment against lumbago.
Back pain can be acute or chronic, when it persists beyond 3 months. To relieve him, one must of course know the exact cause. Your doctor will perform a thorough examination and a full examination before prescribing, possibly, additional tests to confirm his diagnosis. He can then propose, if necessary, a suitable treatment. Dorsalgia is often associated with poor postures, you will need to correct your daily habits: adopt the right positions in everyday life, exercise adapted to strengthen the back and abdominals, etc. In many cases, these preventive measures are sufficient to relieve some back pain, and to prevent it from reappearing.
Pain in the lower back: causes, symptoms and treatment
Low back pain is pain located in the lumbar vertebrae, more precisely at the level of the last vertebra that bears a rib. These pains can go down to the buttocks, even to the back of the knee. There are two types of low back pain: symptomatic low back pain and common low back pain. Different causes may explain lower back pain. The causes are numerous, but we exclude from this definition the lumbar pains due to nephritic colic, gynecological, nervous or intestinal affections.
- It can be low back pain:
Inflammatory low back pain causes inflammatory pain: spontaneous, unrelated to the movement of the joint, nocturnal, which manifests itself during the second half of the night, in the early morning, and wakes up the patient. It is prolonged by a stiff morning stiffness of the spine decreasing more or less during the day. From a biological point of view, sedimentation rate is high.
Mechanical low back pain, the most common, causes a mechanical pain, which appears during the use of a joint, most often in the day and is not intense enough to wake the patient during his changes of position during the sleep. It is often maximum at the end of the day and can interfere with falling asleep. From a biological point of view, the sedimentation rate is normal.
There are several varieties:
- Low back pain: lumbago, sometimes referred to as ‘lump of the kidneys’, due to disco-radicular conflict, vertebral collapse or trauma;
- Lumbar osteoarthritis (lombarthrosis) is the most common cause of chronic low back pain;
- Static low back pain is related to hyperlordosis; hyperlordosis causes osteoarthritis of the posterior articular processes;
- Senile osteoporosis is more common in women after menopause. The bone structure is rarefied but the intervertebral discs are most often respected;
- Spondylolisthesis is the sliding forward of the body of a vertebra. Spondylolisthesis may be due to either posterior interapophyseal osteoarthritis or isthmic lysis of L4 / L5. Radiological examination allows diagnosis;
- Sometimes a narrow lumbar canal or an intraspinal tumor is suspected.
Narrow lumbar spinal syndrome is seen mainly in the 50-year-old man and results in intermittent neurological stress claudication. The sensory and motor nerves of the lower limbs are felt by the patient as fatigability when walking. Radiculalgia (pains and tingling along the path of a nerve root) bilateral and asymmetrical are sometimes associated. Pains appear when walking each time for the same distance. The pains disappear at the end of the effort. Genito-sphincter disorders are sometimes found (retention of urine, incontinence, impotence).
The treatment of low back pain includes rules of hygiene of life, if necessary a rest of a few days, banal analgesics or anti-inflammatories if necessary, an active physiotherapy.
The contact of the disc with the root of the sciatic nerve then causes the sciatica, very sharp pain that starts from the lower back on one side, down into the buttock, thigh, calf, feet and toes. The term hernia covers a wide range of lesions, ranging from intact but protruding discs, to discs whose fragments of the gelatinous nucleus have escaped through the ring into the spinal canal.
The rest is effective: strict rest, in bed, on a firm plane without pillow or bolster, the legs in half-flexion. The duration of this rest is discussed but currently the majority agrees that it should be as short as possible: 48 hours seem to allow a faster recovery.
The drugs used for lower back pain management are:
- Peripheral analgesics are prescribed in case of troublesome pain: paracetamol, etc.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) may be needed, as well as muscle relaxants.
- Local heat is used: hot baths are advised. Epidural infiltrations of corticosteroids aim at introducing a corticosteroid in suspension in contact with the inflammatory root with diffusion of the product along the sheath which surrounds the nerve.
- Orthopedic methods: the purpose of the mechanical traction is to widen the space between the vertebrae in order to promote the reintegration of the herniated nucleus. They can be done in bed with a strap around the waist and hanging weights, the tensile force being equal to 25% of the weight of the subject. They allow in some cases sciatica relief;
- The vertebral manipulations have the same purpose as the elongations and consist, by a helical twist movement, in obtaining the forced spacing of the space between the vertebrae with aspiration or repression by the posterior ligament of the moved disc piece. The risks of clinical aggravation and serious complications (fractures, compression of the ponytail) justify a strict medical control;
- Massages remain the treatment of choice as long as they are gentle and accompanied by physiotherapy;
- Acupuncture can help relieve the patient;
- Thalassotherapy: baths, jets, swimming pool, mobilization under water, massages, localized reeducation, exercise adaptation gymnastics.
Rehabilitation is an essential part of the treatment of lumbosacral patients. In a schematic way, the rehab:
- Should start at a distance from painful seizures (except for sedative techniques);
- Requires the cooperation of a motivated patient;
- Should be adapted to each patient.
The massage is an integral part of the rehabilitation session.
Some global maneuvers are sedative, others seek to treat specific painful areas:
- The deep transverse massage of Cyriax (MTP) has an analgesic effect on the pain of ligament or posterior articular origin;
- Wetterwald’s maneuvers aim to disrupt the cellulite infiltrates found in chronic low back pain.
- The beneficial effect of heat on pain is well known. Different heat sources are used: infrared rays, hot wraps, hot balneotherapy.
- Different electrotherapy techniques can also be used: ultrasound, radar waves, short pulsed waves, low and medium frequency currents, ionizations, laser.
- Balneotherapy has a good sedative action thanks to the discharge of the spine, the heat of the aquatic environment and the use of the techniques of shower, jet massage and whirlpools.
The lumbar interlock teaches the patient to voluntarily immobilize his lumbar spine in the middle position. The lock is active and is done through the simultaneous contraction of all muscles in the region. This lumbar locking is essential when handling heavy loads.
The control of the movements frees the patient from the lock which in fact is never absolute. This control focuses on two parameters: speed; amplitude. The movement must be slow and distributed over the spine, the coxofemoral, the knees and the feet, with a well-coordinated participation of the various muscular groups. Physiotherapy also concerns the different joints and muscles of the lower limbs. Different relaxation techniques are used: active stretching, passive stretching.
A simple exercise consists of the patient sitting at a table with his hands on the tray, making a simultaneous self-leveling effort, pushing upwards with his knees and downwards with his hands.
Lumbar restraints are sometimes used in low back pain but their usefulness is not unanimous. Rigid lombostats are plaster, scotchcast resin or thermomouldable materials. The rigid lumbar does not completely reduce lumbar mobility, but is primarily aimed at dissuading the patient from bringing his spine to its extreme position and making uncontrolled movements.
They are reserved for the treatment of low back pain and lumbago-sciatic disc, in relay of rest in supine position, or immediately for patients cannot stop their work. They are left in place 4 to 6 weeks. The vertebral (CMV), abdominal (CMA), lumbar (CMB), and reinforced lumbar (CMC) support belts are also used.
Disc chemonucleolysis: the chemical destruction of the disc is achieved by the injection of an enzyme, chymopapain, into the disc. This technique is not without risk.
Percutaneous nucleotomy: it is a method of aspirating the nucleus of the disc through a cannula, under radiological control.
Microsurgery allows, after skin incision and muscle dissection, a direct approach to the compressed root and the herniated disc. Excision of the disc is easy. Microsurgery involves a risk of postoperative fibrosis that can cause stubborn and prolonged pain over one or two years despite treatment with infiltration and neurostimulation. No prevention of this risk is currently possible.
The disc prosthesis is to replace the disc. The prosthetic material is a polyethylene disc sandwiched between two steel blades. It is a seductive intervention that does not have the disadvantages of intraductal fibrosis and avoids, by restoring the height of the disc, the risk of disc nip existing with other techniques. It restores a physiological function to the lumbar region. It is however a heavy surgical act.
Intersomatic arthrodesis consists of fusing the vertebral bodies between which the disc is no longer functional. This procedure relieves pain and restores the stability of the column. It is performed only after failures of previous treatments. In case of disc herniation, ethanol gel injections may be offered as an alternative to surgery.
In first intention, the doctor prescribes:
- Bed rest as short as possible;
- An analgesic;
- A nonsteroidal anti-inflammatory drug (NSAID);
- With or without muscle relaxant or central neurosedative.
Usually, the pain returns quickly and the prevention of recurrence relies on the cautious and progressive recovery of the professional activity sparing the lumbar spine, the eventual wearing of a lumbostat and a physiotherapy treatment at a distance from the acute episode.
In case of failure of this treatment, we propose:
- Epidural corticosteroid infiltration possibly preceded by an intradural;
- Lumbar traction in the bed or table;
- Some spinal manipulation sessions;
- The installation of a lombostat 4 to 6 weeks.
In case of failure of neuroradiological explorations are then necessary in order to choose between chemonucleolysis or nucleotomy, and surgery. The nucleolysis remains the first treatment to propose in front of a disc sciatic rebel to the medical treatment. In case of contraindication, percutaneous nucleotomy is proposed. The surgery keeps some indications: hyperalgic or deficit sciatic discs, syndrome of the ponytail, sciatic uncured by the previous treatments. In case of postoperative chronic sciatica, neuro-radiological examinations must be performed again. A surgical reoperation is sometimes necessary. Transcutaneous neurostimulation and symptomatic treatment are often sufficient in epidural fibrosis.
Exeresis surgery is only performed in 10 to 20% of cases, when sciatica has been resistant to medical treatment for more than 3 months. In case of disc herniation, ethanol gel injections may be offered as an alternative to surgery.
Prevention of low back pain
- Adapt the furniture to its size (desk, chair);
- Playing sports: walking, running, dancing, jumping, swimming, trotting, skating (roulette and ice), practicing ball sports, tennis, foil;
- Make sandcastles on the beach where he is spontaneously squatting symmetrically. Gardening (mowing grass, picking up dead leaves, raking, pruning roses);
- Prefer the backpack (not too heavy) to the schoolbag;
- Regularly check his column by asking him to squat heels on the ground and stay in balance; ask him then to put himself in a tailor position sitting on the buttocks, legs crossed;
- Choose pants and belts adjusted to prevent distension of the abdominal strap;
- Work abdominals (pedaling) and glutes;
- Lose the extra pounds
- Sleeping flat on your back on a firm bed; choose a soft pillow, neither too thick nor too soft;
- Learn to sit: the pressures on the disc are greatly increased when sitting. You have to sit on the bottom of the hard seat with a straight backrest. To get up, rest on the armrests or on the thighs. Discard soft, deep and low seats (chairs, armchairs, sofas, deckchair);
- Choose folders that fit the arch of the lumbar vertebrae;
- Avoid prolonged standing and trampling, long walks, long car journeys;
- Do not wear heels that are too high or very flat;
- Tilt the back of the car seat backwards: the more vertical the backrest, the greater the pain; when cornering, press the upper back against the backrest so that the arms support it, which relieves the lumbar vertebrae;
- Keep your back straight on a bike;
- Contract the abdominal muscles as often as possible to relieve lumbar lordosis;
- To get out of the car, make a first movement that approaches the edge of the seat by leaning on the fist, then pivot on the buttocks to get out the feet and sit up gently;
- Do not bend forward to pick up an object on the ground but stand next to it, bend your knees with your back straight, take the object against the body and get your back straight;
- Carry packets with both hands;
- Do not lift or carry heavy objects;
- Bring the baby on the back rather than in the arms;
- Use wheeled suitcases; wear two medium load suitcases rather than a heavy one;
- Do not twist the trunk but rotate on the feet to turn around;
- In front of a table or sink, do not bend down without taking a hand on the table or sink;
- Rest for half an hour in the day lying on your back with your knees bent;
- Avoid cooling and enjoy the soothing virtues of heat: hot baths or showers, hair dryers, spa treatments;
- Take a hot or warm shower after exercise;
- Avoid drafts in the back;
- In the event of a profession involving the carrying of heavy loads, consider the problem with the occupational physician.
- Wear tribo-electric underwear;
- Choose good shoes;
- Watch the television from the front;
- Choose functional office furniture; adjust the height of the worktop and seats;
- Choose a functional kitchen: the oven must be high and not at the bottom of the ranges; provide a fairly high cooker, a folding ironing board and light for ironing at a good height;
- Sweeping, mopping the floor, vacuuming can trigger cold lumbago in the morning. Choose a broom and a long-handled vacuum cleaner. To make his bed on his knees;
- Never pull a heavy object to move it: you shoot with your back, you push with your body;
Back pain and sports: safety tips
Services and smashes are responsible for low back pain because of hyperlordosis. In service, the ball will if possible be thrown a little forward of the player, the pelvis locked trying to use the best knees.
Low back pain may occur during twists or during blocked efforts with sudden stop of the club on an obstacle. Myalgias (paravertebral muscle pain) without gravity are common. Knowing that a good pivot is done at the back and in S1, the possible wearing of a well adapted lumbar should not handicap the player. Golf does not particularly favor osteoarthritis; preheating is desirable.
The low back pain they cause is relatively unattractive, except for beginners or during falls or jumping. Number of riders whose behavior is flexible with the retroversion basin even disappear their low back pain on the horse. Significant spondylolisthesis or painful sequelae of Scheuermann’s disease may be a contraindication to their practice.
Contrary to popular belief, except in acute periods, windsurfing can be useful for low back pain, on the one hand by the refinement of proprioceptive sensations in the spine (in case of error, the fall is only in the water!) on the other hand by improving the musculature.
The descent on foot in the mountains is a good sport activity: going down 7 to 8 km is an excellent exercise for the heart and the body because the braking work performed by the posterior muscles of the body benefits the straightness and the flexibility of the column spinal.
Back pain in children
It is unusual for children to have a back pain but it is more common in puberty when the child grows a lot in the long run. Back pain in children is mostly mild and goes by itself. In severe conditions, treatment with corset or surgery may be required.
Herniated disk: between the vertebrae in the spine are so-called disks of cartilage that are important for the mobility of the back. They also act as shock absorbers. If a disc is broken, it can bend out and push against the nerve roots of the lumbar spine. Disc fractures may occur from teens and upwards in the ages. Symptoms are usually more unclear and difficult to interpret in children than in adults, and sometimes it takes a long time before diagnosis is made.
The child may have pain in the lumbar spine that radiates to one or both bones. The back muscles are often very tight and the back is inclined. Sometimes symptoms of disc rupture can be shown by the child going in a different way, often with bent knee and hip joints. The muscles on the back of the thighs are often tight. The child usually no longer takes the steps altogether.
Congenital incision in the cervical spine: сongenital obliqueness of the cervical spine, torticollis congenita, is quite common in newborns and is due to tightness in one side’s neck muscle. It is a muscle that passes from the buttocks behind the ear and attaches to the clavicle. The tightness causes the head to bend against the sick side and turns to the healthy side. It usually affects the right side.
The symptoms are usually discovered a few days after delivery as a swelling of the muscle, which is not sore. The swelling gets bigger for a few weeks and disappears within six months. It leaves an error and tightness in the cervical spine. If the condition is not treated or reversed by itself, the faces of the face and skull may have different shapes. Inborn obliqueness of the cervical spine is treated with physical therapy.
You can also get advice from the physiotherapist about thoughts that you can do at home. You can often tighten your baby‘s cervical spine several times daily, for example when changing the diaper of the child. This is done by gently bending the child’s head towards the healthy side and turning the face to the sick side. Most often these upsets give a good result. You can also have the child turned towards something interesting when it is awake so that it looks towards the sick side. If it is not possible to deal with the inconvenience on its own, surgery may be necessary. Then a cut in the tight muscle makes it longer.
It is unusual for children to have a back pain, but it is more common in puberty when the child grows a lot in the long run. Back pain is most common in long and slender teens. It usually hurts either in the chest or lumbar spine, approximately the same as in adults. The trouble is usually quite mild or moderate. They usually come in periodes and usually disappear by themselves after some time.
The cause of back pain is usually hard to find, but in growing teenagers, the pain usually comes with undue strain movements, for example in heavier body work. Back pain can also be caused by long-term sitting, especially in forward-looking position. In more rare cases, the cause may be disc rupture or inflammatory spinal cord.
If the child is so bad in the back that it avoids movement, if the child has recurrent back pain or has been injured for several weeks, you can contact a healthcare center. If the child has other symptoms associated with back pain, such as fever or shortness of breath, seek care directly at a healthcare center or emergency department.
The doctor is doing a body examination of the child. If the child has had a lot of pain for a long time or if the doctor finds something different in the body examination, his back sometimes uses X-rays, but usually the doctor finds nothing abnormal.
No special treatment is needed, but the child usually advised to avoid things that can hurt them. It is important to sit right in the school and that the height of the chair and bench is adapted to the body length. Being in motion is generally good. The child is going to participate in as much physical activity as it can without having serious inconveniences. Doing gymnastics at school is not a good solution in the long run. Physiotherapy may be needed, but then most to strengthen the child’s fitness, especially abdominal and back muscles. Swimming is usually good.
Teens that exercise a lot, such as those engaged in wrestling, gymnastics, weightlifting and soccer, rarely get back pain. They are usually caused by an incorrect and sometimes ambitious exercise program. If you cannot correct the symptoms after the training program has changed, try to find a more appropriate level of sports activity. If the symptoms are difficult and prolonged, the child should be physiced.
In connection with the rapid growth during puberty, some teens have a tendency to hang their backs and bring their shoulders together. It is most common in long and narrow children, and rarely occurs in short children with more developed muscles. The attitude is improved by itself in most cases. The condition does not hurt and requires no special treatment. General physical activity is good for training the muscles in the back.
A problem for these children may be that parents and relatives claim that they are going to stretch, which only leads to conflicts. If the back looks straight after the child has stretched out, do not worry about something wrong or that it has any consequences in adulthood.
Scheuermann’s disease turns out to be a rigid cure and the child cannot straighten the back. The disease is quite common and occurs most often in boys. Symptoms usually appear between the ages of 12 and 17 in puberty.
The child gets back pain because of rheumatoid arthritis that makes the skeleton wedge-shaped on the front. This makes the back changes shape and becomes rounder. The reason that the carcasses are squeezed together in this way is unknown, but there is some heredity. The changes can also be found in the lumbar spine. Most people are completely free from trouble, while others sometimes feel a little tired and pain in that part of the back where the malformed spine is present. Symptoms tend to be more common during the early years of the disease and when the disease is in the lumbar spine.
Most people do not need treatment. If the child is very nauseous, corset treatment may be applicable. The corset should be worn for at least one to two years, around the clock. If the child has very severe anxiety, surgery may be needed, but it is very rare.
Naprapathy against back pain, sciatica and lumbar pain
Backache may occur suddenly and perceived as acute and sharp, but it can also be sneaky and perceived as a dull nagging ache. Some people only feel that it hurts when they perform certain movements, others are injured at rest and activity. Chronic spinal pain is considered to be if the pain lasts longer than three months, although the pain is called chronic, it can be relieved by means of Naprapathy.
Naprapathy is used successfully in the treatment of both acute and chronic disorders related to motion and support organs. It can be back shots, lumbar spine, sciatica, neck, muscular tension, tension headache, tennis armpit, migraine and knee, foot and hip disorders. Naprapathy is also used in rehabilitation and prevention to avoid future inconvenience.
A naprapath works primarily with its hands through so-called manual treatment techniques. Often combined management-oriented treatment techniques, such as manipulation and mobilization, with soft tissue treatment, such as massage and stretching. In Naprapathy, they often supplement the manual treatment with acupuncture, various types of electrical treatments, and laser therapy.
Back pain is often caused by tense muscles, muscle fits or joints, but back pain may also occur if a nerve, disc or spinal cord is affected. The pain may occur acute, for example in case of heavy lifting or when you suffer from back problems. The pain can also be caused by a longer period of stress, for example due to long-term and one-sided posture, obesity, sedation, pregnancy or stress.
If the pain radiates down the spine and into the hip and the legs, it usually stems from problems in the sciatic nerve in the spine. The term ischias actually describes a pain condition caused by mechanical and / or chemical irritation of the sciatic nerve. It may, for example, be a disc problem, but it might as well be a muscle in the seat that presses the nerve. In order to be able to treat correctly, it is important to first investigate the underlying causes.
Pain and stiffness in the lower part of the back often coincide with prolonged unilateral stress and incorrect posture. Local muscle tension occurs which affects the mobility of the spine and makes it more difficult to find a comfortable work position.
The word lumbago is usually used for sudden or gradual pain in most of the lumbar spine. At the back of the head you experience difficulty walking straight and getting up from sitting and lying down. You can also experience the pain radiating in the legs. Rare shot is rarely due to any serious injury or illness. The pain can come from almost all parts of the back, for example from muscles, joints between the bones, dishes or ligaments.
Between the vertebrae in the spine are so-called cartons of cartilage that are important for the mobility of the back and at the same time act as shock absorbers. If a disc slips, it can bend out and press against the spinal cord or nerve roots. It is not clear what causes the disease, but heredity is important for the development of it. Disc fractures are common and often cause no major inconvenience, but sometimes it leads to pain that can come very quickly or develops over a long period of time.
Symptoms of disc rupture are back pain, pain that shines down in a leg or in the arms and fingers, numbness and tingling of the legs, feeling of heaviness, difficulty in controlling movement of the legs, impaired leg and foot sensation, neck tightness and urinary control and stools. Most often, the trouble gets better within a few weeks and eventually eventually goes over by themselves. At Naprapathy, we can relieve pain and give tips on exercises that increase mobility and prevent pain.