Causes of Low Back Pain

Nishahameetha

Ruler's of Penmai
Joined
Jul 5, 2011
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Trichy
#1
Causes of Low Back Pain

1. Mechanical or Activity Related Causes:

i.Degenerative Changes of Disc
ii.Soft tissue injury, disorder or strain
iii.Herniated Disc
iv.Vertebral body fractures
v.Spinal Canal or recess stenosis
vi.Spondylosis

2.Systemic Disorders

i.Primary or metastatic neoplasm
ii.Osseous, discal or epidural infection
iii.Inflammatory spondyloarthropathy
iv.Vascular disorders – atherosclerosis or vasculitis

3.Neurologic Syndromes

i.Myelopathy
ii.Lumbosacral plexopathy – from Diabetes mellitus
iii.Mononeuropathy
iv.Myositis and metabolic causes

4.Referred pain

i.GI disorders
ii.Genitourinary disorders – infections of renal tract
iii.Hip pathology
iv.Psychosocial causes
v.Psychiatric syndromes – delusional pain
vi.Drug addiction
vii.Abusive relationships
 

Nishahameetha

Ruler's of Penmai
Joined
Jul 5, 2011
Messages
18,266
Likes
28,602
Location
Trichy
#2
Management of Low Back Pain

A.In cases of evidence for improvement


i.Advise to stay active and continue usual activities
ii.Non Steroidal Anti Inflammatory Drugs
iii.Physiotherapy in the first 4-6 weeks only.

B.In cases of evidence of no improvement

i.Bedrest for more than 2 days
ii.TENS
iii.Traction
iv.Specific Back Exercises
v.Educating about low back symptoms

C.In cases of some improvement in clinical outcome

i.Conditioning exercises for trunk muscles
ii.Aerobic conditioning
iii.Epidural steroid injections
iv.Acupuncture
v.Shoe lifts
vi.Lumbo-sacral corsets
vii.Physical Modalities – Icing – Cryotherapy, Heat, Shortwave Diathermy, Ultrasonic therapy.
 

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