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Learn about the causes and management of lower back pain in computer professionals. Discover trigger factors, exercise types, and complementary therapies for relief. Take control of your posture and workplace ergonomics to prevent exacerbation.
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; Lower back painin computer professionals Dr Hemant K. Kalyan MBBS, MS(Orth), DOrtho, FCPS, DSportsMed(Edin) Consultant in Orthopedic Surgery and Sports Medicine, Bangalore
Schematic cross-section of an inter-vertebral disc Herniated disc
Causal factors forback pain… Spinal Fracture • Spinal fracture • Herniated disc • TB spine • Mechanical low back pain - Diagnosis of exclusion – 75-80% of cases. Herniated Disc TB Spine
Triggerfactors • Excessive load on normal back • Long / erratic hours • Poor workplace ergonomics • Stress: Physical, mental and emotional • Travel
Triggerfactors(contd)… Poor posture • Normal load on weak or unprepared back • Fatigue • Improper posture/ chronic malpositioning • Lack of exercise, poor physical conditioning • Weight control problems
Three phases ofmanagement strategy… • Treatment of acute episodes. • Amelioration of chronic condition. • Prevention of exacerbation/ reinjury.
The case against protracted rest • Deconditioning: Loss of muscle strength and endurance • Chance of micro traumatic injury • Protracts recurrent episodes • Maintains chronic disability • Decreased flexibility • Adversely modifies spinal biomechanics • Physiology of disc hydration affected “Avoid pill popping”
Exercise - for which patients? Central focus in 95% cases • “YES”in mechanical causes • “NO”in non-mechanical causes
Exercisetypes… • Back-specific exercises • Peri-pelvic and LL flexibility and strengthening • Aerobic conditioning Double knee to chest stretch
Pelvic tilt Some exercises for the back… Lower trunk rotation stretch
Trunk Flexion Stretch Some exercises for the back… Trunk flexion stretch Prone lumbar extension
Alternate Prone Leg Extension Alternate prone leg extension Aerobic conditioning
Abdominal Strengthening Abdominal strengthening
Lower Limb Stretches Lower limb stretches
Complementary therapy • Back hygiene and back school • Correction of biomechanical factors • Posture • Weight control
Weight training Yoga
Yoga The right chair Counter height
The right posture… Working Posture Posture at work
Sitting Posture Sitting posture Forward bending
Pulling an Object Pulling an object