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Dr.Aman Sachdeva

Dr.Aman Sachdeva. Senior Physiotherapist SitaramBhartia Institute of Science and Research. LOW BACK ACHE. BACK ACHE AND MOTHER IN LAW. Most people have got it If you don’t have it, it will come sometimes If you are lucky it wont visit you for long

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Dr.Aman Sachdeva

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  1. Dr.Aman Sachdeva Senior Physiotherapist SitaramBhartia Institute of Science and Research

  2. LOW BACK ACHE

  3. BACK ACHE AND MOTHER IN LAW • Most people have got it • If you don’t have it, it will come sometimes • If you are lucky it wont visit you for long • When it leaves you hopefully it wont take away too much • Even when it goes away there is always a chance it will come back

  4. Anatomy : Complex structure of bones & cartilge supported by muscles Bones: 33 vertebra Ligaments Muscles Nerves & Spinal Cord KNOW YOUR BACK

  5. CAUSES OF LOW BACK PAIN • Non Specific • Nerve root entrapment- Sciatica • Spondylolysis • Spine fracture • Infection eg. TB • Cancer • Arthritis eg Ankylosing Spondylitis • Traumatic • Metabolic- Osteoporosis/ Osteomalacia • Referred pain from abdomen

  6. RISK FACTORS • Overweight • Sedentary lifestyle • Heavy manual workers • Prolonged standing in an awkward posture • Physical factors such as heavy physical work, frequent bending, twisting, lifting, pulling and pushing, repetitive work, static postures and vibrations.

  7. CLASSIFICATION • MECHANICAL • NEUROLOGICAL

  8. MECHANICAL BACK PAIN • By far the commonest type, possibly related to posture/ activities cannot identify any disease process • Dysfunction of ligamentous or musculoskeletal structures) Ligament strain Facet joint strain Muscle strain Disc degeneration • Types • Acute • Chronic

  9. MECHANICAL BACK PAIN cont ... • Acute Low back pain Less than 6 weeks old Overall good prognosis Postural cause very common May be related to over activity ,lifting weights/ twisting • Chronic back pain Over 6 weeks duration Needs evaluation

  10. DIAGNOSIS • History • Examination • Blood test Hb, TLC, DLC ESR Calcium/ Phosphate Alkaline Phosphatase • Radiological investigations X rays CT Scan MRI Bone Scan Bone Density

  11. RED FLAGS Worry • Very young and very old with first onset of pain (below 20 yrs & above 55yrs) • History of Cancer • History of fever & weight loss • Night pain • Ill health or other medical problems • Bladder & Bowel problems • Mid back pain • Significant & progressive weakness

  12. PREVENTIONOF LOW BACK PAIN

  13. EDUCATION IS THE KEY TO PREVENTION WHAT SHOULD WE KNOW • RISK FACTORS • IDEAL POSTURES • EXERCISES

  14. STATIC POSTURE SITTING DRIVING LYING STANDING DYNAMIC POSTURES WALKING LIFTING GETTING UP FROM BED GETTING UP FROM CHAIR POSTURE : THE RULE OF THUMB

  15. SITTING STANDING STANDING IDEAL POSTURES

  16. LYING DRIVING PICKING UP IDEAL POSTURES

  17. OFFICE OF HORRORS !

  18. WHAT TO CHECK WORKSTATION AND YOUR POSTURE

  19. IDEAL SITTING POSTURE AT DESKTOP

  20. CORRECTING POSTURE

  21. CORRECTING POSTURE

  22. MATTRESS FOOTWEAR FEW MORE CULPRITS WALLET OVERLOADED BAG

  23. EXERCISES DEPENDS UPON THE CAUSE OF PAIN INCLUDES • SPINAL MOBILIZATION EXERCISES • STRECHING EXERCISES • STRENGTHENING EXERCISES • GENERAL CONDITIONING EXERCISES

  24. GOALS OF TREATMENT • To recognize red flags • To recognize disability from simple low back pain • To relieve pain • To improve ability to function and alleviate disability • To prevent recurrence and the development of chronicity

  25. TREATMENT • REST • MEDICINES • PHYSIOTHERAPY Electrotherapy Exercises Postural care • SURGERY

  26. QUESTIONS

  27. THANK YOU

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