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Most of the people suffers from back pain.90 % of American suffering from back pain.it is second most disease after common cold.Back pain is not disease, it is symptom may occur from different process.

CAUSES FOR BACK PAIN :

  • common cause for back pain is injury to the muscles ,bones nerves of the spine
  • degeneration of the vertebral bones , discs known as lumbar spondylosis.spondylosis occurs due to loosing moisture in central portion of the disc known as nucleus pulposum.
  • disc herniation:nerve root syndromes are those that produce nerve compression due to herniation /bulging of the disc developed due to degeneration,or over strain or due to injury.disc prolapsed pushes against the nerve root.
  • Infections of the spine ex osteomylitis,tb spine
  • Cauda equine syndrome: It is a medical emergency where the spinal cord is directly compressed.this causes possible loss of sensation , paralysis ,bladder disfunction.
  • Congenital anomalies ex scoliosis,defect in spine curvature,spina bifida.
  • ANKYLOSING SPONDYLITIS.
  • Tumours of the Spine

OTHER CAUSES WHICH REFERS BACK PAIN

  • Pregnancy
  • Kidney Stones
  • Endometriosis
  • Pelvic Inflammatory diseases

RISK FACTORS FOR BACK PAIN

  • Age above 50 yrs ,as age advances degeneration of discs will be there, causes back pain
  • People who do not exercise.
  • Over strain like lifting wts,bending , sitting for long hours.
  • Smoking
  • Over Weight or Obesity.
  • People who do not maintain proper posture in their daily activities .
  • People who do not take proper diet like low calcium low vitamin-D.
  • Women after child birth/ pregnancy
  • Menopause

SYMPTOMS AND SIGNS OF BACK PAIN

  • Pain in lower portion of the spine
  • Pain may radiate down the front back of the leg due herniated disc . this condition called as sciatica pain.this condition called as radiculopathy
  • Numbness in leg.
  • In severe compression of spinal cord /spinal canal stenosis neurological symptoms seen this condition called as myelopathy
  • Myelopathy we see paralysis of the limb,bladder dysfunction leads to incontinence of urine and stool
  • Difficulty in walking

MANAGEMENT IN CHRONIC BACK PAIN

  • Avoid overstrain like lifting weights, bending forward
  • Maintaning good posture during daily activities
  • Avoid travelling for long distances
  • Wearing lumbo sacral belt which gives support to the back
  • Applying hot cool pads over the pain area.
  • Taking proper diet rich in vitamin sd, calcium ,vitamin b12 , omega 3 fatty acids.

HOMEOPATHIC MEDICINES FOR BACK PAIN

  • RHUSTOX : violent pain in back as if broken, pains cold damp weather , bed in, pains are relieved by movement ,pressure hot applications
  • RUTA :pain in nape , back , loins.back ache is better by pressure lying on back.acts upon periosteum,cartlages.
  • HYPERICUM:usefull in compressed injuries punctured wounds.pain in spine due to concussion,injury to coccyx.jerking twitching of muscle. Usefull in radiculopathy,myelopathy.spinal canal stenosis,disc compression
  • CALC FLOUR :pain in lower part of the back,fullness burning pain. Pains due to early degeneration , caries necrosis of the discs.pains after operations.tendency to form adhesions, tumours in spine. INDICATED IN SPINAL TUMOURS,LUMBAR SPONDYLOSIS,ANKYLOSING SPONDYLITIS.
  • NUX VOMICA: burning pain in back 3 to 4 am
    Cervico brachial neuralgia,touch Must sit up in order to turn in bed.
  • KALI CARB :sharp stitching pains.back feels stiff , weak, burning pain sweat over back.pain from hip to knee. Pains cool climate.SUITED TO BACK PAIN IN PREGNANCY
  • GUIACUM :chief action on fibrous tissue, adopted to rheumatism, gout Stiffness in back , lower limbs.stiffnewss in neck sore shoulder .left sided sciatica.pains motion , cool climate,touch.
  • GAULTHERIA :suited to sciatica , neuralgic pains.neuralgia associated with gastralgia.
  • GNAPHALIUM:sciatica associated with numbness.rt sided sciatica. Back pain >resting on back
  • CAUSTICUM:stiffness between shoulders , dull pain in neck, lt sciatica with numbness.contraction of tendons.unsteady walking
  • SEPIA :weakness in small of back restless in all limbs,back pain before menses Back pain associated with pelvic inflamtory diseases.