Individuals over the age of 50 and above are likely to
suffer from pain related to degeneration of the joints in the spine. My father
has complained several times of back aches and I sometimes wonder what the
cause could be. The pains, from the look on his face could be severe, so much
so that I began to imagine what he could be going through as an old aged man.
My father’s condition led me to read up about the causes of back pain and what
can be done to alleviate the condition. From my readings I learnt that the common
causes of back pain in adults include nerve irritation, lumber radiculopathy, and
bone encroachment, conditions of the bone and joints, inflammation of the
joints of the spine, osteoarthritis, and various uncommon bone disorders,
tumours, infections and pressure from structures near to the spine. Please, see below for the explanations of all
these technical/medical terms. I did not understand them myself until I read up
further from
Lumbar strain
A lumbar strain is a
stretch injury to the ligaments, tendons, or muscles of the low back. The
stretching incident results in microscopic tears of varying degrees in these
tissues. Lumbar strain is considered one of the most common causes of low back
pain. The injury can occur because of overuse, improper use, or trauma.
Soft-tissue injury is commonly classified as "acute" if it has been
present for days or weeks. If the strain lasts longer than three months, it is
referred to as "chronic." Lumbar strain most often occurs in people
in their 40s, but it can happen at any age. The condition is characterized by
localized discomfort in the low back area with onset after an event that
mechanically stressed the lumbar tissues. The severity of the injury ranges
from mild to severe, depending on the degree of strain and resulting spasm of
the muscles of the low back. The diagnosis of lumbar strain is based on the history
of injury, the location of the pain, and exclusion of nervous system injury.
Usually, X-ray testing is only helpful to exclude bone abnormalities. The
treatment of lumbar strain consists of resting the back (to avoid injury),
medications to relieve pain and muscle spasm, local heat applications, massage,
and eventual (after the acute episode resolves) reconditioning exercises to
strengthen the low back and abdominal muscles.
Nerve irritation
The nerves of the lumbar spine can be irritated by
mechanical pressure (impingement) by bone or other tissues, or from disease,
anywhere along their paths, from their roots at the spinal cord to the skin
surface. These conditions include lumbar disc disease, bone encroachment, and
inflammation of the nerves caused by a viral infection.
Lumbar radiculopathy
Lumbar radiculopathy
is nerve irritation that is caused by damage to the discs between the
vertebrae. Damage to the disc occurs because of degeneration of the outer ring
of the disc, traumatic injury, or both. As a result, the central softer portion
of the disc can rupture through the outer ring of the disc and abut the spinal
cord or its nerves as they exit the bony spinal column. This rupture is what
causes the commonly recognized "sciatica" pain of a herniated disc
that shoots from the low back and buttock down the leg. Sciatica can be
preceded by a history of localized low-back aching or it can follow a
"popping" sensation and be accompanied by numbness and tingling. The
pain commonly increases with movements at the waist and can increase with
coughing or sneezing. In more severe instances, sciatica can be accompanied by
incontinence of the bladder and/or bowels.
Bone encroachment
Any condition that
results in movement or growth of the vertebrae of the lumbar spine can limit
the space (encroachment) for the adjacent spinal cord and nerves. Causes of
bone encroachment of the spinal nerves include foramina narrowing (narrowing of
the portal through which the spinal nerve passes from the spinal column, out of
the spinal canal to the body, commonly as a result of arthritis),
spondylolisthesis (slippage of one vertebra relative to another), and spinal
stenosis (compression of the nerve roots or spinal cord by bony spurs or other
soft tissues in the spinal canal). Spinal-nerve compression in these conditions
can lead to sciatica pain that radiates down the lower extremities. Spinal
stenosis can cause lower-extremity pains that worsen with walking and are
relieved by resting. Treatment of these afflictions varies, depending on their
severity, and ranges from rest, and exercises to epidural cortisone injections
and surgical decompression by removing the bone that is compressing the nervous
tissue.
Possible Treatment for back pain
Back pain makes it hard to stand or sit straight. Stretching
and exercising the lower back can reduce the pain. Although there are several
treatments for alleviating back pain, recent researches reveal that the
following methods can work well to relieve back pain.
Change sleeping
position: Some people develop back
pain from their sleeping position. Changing your sleeping position can take
some of the strain off your back and ease the pain. If you sleep on your side,
draw your legs up slightly towards your chest and put a pillow between your
legs. If you sleep on your back, placing a pillow under your knees will help
maintain the normal curve of your lower back.
Create time to relax:
A lot of people don’t find time to relax. But when dealing with somebody with
back aches, relaxation is a crucial part of easing the pain because muscle
tension caused by worrying about your condition can make things worse.
Always Exercise:
Exercise is very important whether you are suffering from back pain or not. You
should try to address the causes of your back pain to prevent further episode.
Common causes include being overweight, poor posture and stress. Regular
exercise and being active on a daily basis will help keep your back strong and
healthy. Activities such as walking and swimming are popular choices. The
important thing is to choose an enjoyable activity that you can benefit from
without feeling pain. The exercise should be to strengthen your muscles and
improve your posture.
Surgery: Surgery
for back pain is usually recommended when all other treatments have failed to
work.
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