Back
pain, a leading cause of disability worldwide, is an ache, pain, or
debilitating discomfort either due to an injury or some other affliction of the
back which is felt anywhere in the back or felt down the buttocks.
Anybody can get back pain, including children and teens. However, it is more common in adults beyond 40 years of age.
Back pain is usually caused by muscle or ligament strain caused by repeated heavy lifting, incorrect sitting or standing postures for long periods, sudden awkward movements, etc.
Back pain can start as a muscle ache or pain and can turn into a shooting, stabbing, or burning sensation. The pain may also radiate down to the hips and legs and may worsen with twisting, bending, lifting, standing, or walking.
The diagnostic modalities for back problems usually include x-ray, MRI or CT scans, bone scans, nerve studies, blood tests, etc., as the case warrants.
A lot of back pains get better within a month or two with home treatments like pain relievers, heat pads, cold packs, stretches, plenty of rest, etc. However, depending on the complexity of the case, the time taken to recover could vary.
The following are the easy-to-follow and effective ways to not only relieve the symptoms of back pain but also to maintain good back health. Let’s dive into the subject right away.
1. Maintain good posture
Good
posture for good back health refers to the way we carry ourselves in our
day-to-day activities, especially when standing, sitting, walking, and
sleeping.
Good
standing postures include keeping the shoulders straight, keeping the head up,
having the chest forward, applying the body weight evenly on both feet, tucking
the hips in, etc.
Good
sitting postures include keeping the hips and the knees at a right angle,
keeping the back and shoulders straight and relaxed taking the support of a
chair, not crossing the legs, and keeping the feet flat on the floor.
Good
walking postures include not leaning forward or backward, keeping the eyes
forward, keeping the chin forward, keeping the shoulders and back relaxed, and
standing up straight visualizing being tall.
Good
sleeping postures include sleeping on the side with the legs slightly up
towards the chest like in a fetal position, with a pillow between the legs if
comfortable, sleeping on the back in a reclined position, sleeping on the side
by placing a pillow between the knees with pillow support to the neck, sleeping
on the stomach with a pillow below the pelvis.
These
postures help not only in maintaining good back health but also in reducing the
symptoms of mild-to-moderate back pain.
2. Usual daily activities
It
is important to lead an active lifestyle with moderately-strenuous activities
to maintain good back health. Activities help in relaxing the joints and
muscles around the spine and the back and prevent them from becoming weak.
People with back pain might not feel like keeping up with usual daily
activities, but it is highly recommended by doctors. The activities can be modified
to a less-tolerable level till the symptoms dissipate. However, if the back
pain is too bad and restricts usual daily activities, pain killers, ice packs,
and/or heat pads can be tried before getting professional help.
3. Stretching and strengthening
Stretching
reduces the tension in the spine and back muscles, prevents the worsening of
pain in several back conditions, reduces the risk of disability caused by back
pain, and improves range of motion and mobility. Some of the stretching
exercises include child’s pose, hip circles, windshield wipers, knee-to-chest,
reclining single-leg stretch, piriformis stretch, seated spinal twist, pelvic
tilt, Cat-Cow, sphinx stretch, etc.
Strengthening
of the back ensures improved posture, prevents back pain by maintaining the
core muscles strong, and ensures the stability of the spine. Strengthening
exercises prevent the straining of soft tissues like ligaments and tendons of
the abdominal muscles by strengthening them and allowing them to provide optimum
support to the structures of the spine. Some of the strengthening exercises
include drawing-in maneuver, lateral leg raises (lying), superman's, partial
curls, etc.
4. Maintain a healthy weight
As
we all agree, being overweight can cause many health problems, and back
problems are not an exception. Back pain usually occurs in patients with
overweight and obesity due to the buildup of extra weight around the midsection
of the body. This extra weight not only pulls the pelvis forward but also strains
the low back, creating low back pain.
Therefore,
reducing and maintaining appropriate body weight becomes important for good
back health. Excessive weight can be
reduced either with a balanced diet or with regular exercise. Appropriate body weight helps with coping
with back problems effectively, maintaining good back health, and preventing
any future back problems.
5. Foods to take and avoid
When
dealing with back pain, it is important to follow a healthy diet and avoid
foods that could cause inflammation and worsen the pain. Eating unhealthy foods
can slow down the healing process whereas healthy nutritious foods help in
faster healing.
The
foods (anti-inflammatory foods) that need to be taken for keeping the back
healthy and when having back problems include kinds of seafood like tuna,
salmon, mackerel, sardines, anchovies, shellfish, fruits like blueberries,
strawberries and raspberries, dark leafy vegetables, legumes or pulses, nuts
and seeds, olives and olive oil, herbs and spices like ginger, turmeric,
garlic, oregano, cinnamon, rosemary, cloves, etc.
The
foods (inflammatory foods) that need to be avoided for keeping the back healthy
and when having back problems include sugary foods, vegetable oil, refined
grains, dairy products, processed corn, foods that contain artificial flavoring
and coloring agents, and additives and preservatives, red meat, etc. These
foods are one of the contributing factors to overweight and obesity.
6. Quit smoking
Smoking
is connected to back pain. Cigarette smoking damages the arteries, and the
damaged arteries in the discs and joints of the back can lead to injury and
pain. Smoking increases the risk for osteoporosis (bone-thinning disease) which
can lead to back pain. Back pain could become a chronic problem in smokers. The
conditions like high blood pressure, high blood cholesterol, atherosclerosis
(narrowing of arteries), etc., that are caused due to smoking could contribute
to the development of degenerating spine problems. Cigarette smoking causes
inflammation and impaired immune function and could interfere with different
stages of healing processes. Smoking impacts the blood flow to different parts
of the body as the nicotine content in cigarettes can narrow down the size of
the blood vessels and this could cause damage to ligaments and muscles in the
spine region. Smoking decreases the oxygen and carbon dioxide exchange rate in
the blood. Smoking also increases the fatigue feeling. Thus, smoking cessation not
only helps with back health but also with overall health.
7. Use ice packs and heat pads
Ice
packs and heat pads can be used either as primary therapy or as adjunctive
therapy. These are the simple,
inexpensive, readily available, and easy-to-apply therapies for back conditions
like herniated or degenerated discs, spinal stenosis, spondylolisthesis, direct
back injuries from falls, sprains, sports injuries, collisions, overstretching
of muscles from lifting weights, trying new exercises, exercise-induced muscle
soreness, overdoing exercises, etc.
Both
heat and cold therapies can intermittently be applied for 15-20 minutes at
two-hour intervals. Two-hour intervals between therapies help to prevent any
skin damage or nerve damage.
A
heat pack can be made at home by heating a sock filled with rice in the
microwave oven. A commercial adhesive
heat wrap can also be used for continuous low-level heat. For a cold pack, ice cubes
can be wrapped in a cloth or a towel. Instant cold packs are available in the market,
which would be useful while traveling or at work.
These
therapies should be avoided on open wounds and bleeding spots. Heat therapy
should also be avoided in chronic conditions such as multiple sclerosis, poor
circulation, spinal cord injuries, diabetes mellitus, rheumatoid arthritis,
etc. Heat therapy in such conditions
could cause skin ulceration, excessive burns, and increased inflammation.
8. OTC medications
There
are both prescription medicines and OTC (over-the-counter or nonprescription)
medicines available at pharmacies for back pain. These can further be
classified as steroidal and non-steroidal anti-inflammatory drugs (NSAIDs).
Most prescription medicines are narcotics. These are used for short-term relief
of back pain but they come with side effects like dependence and addiction.
Over time, narcotic medicines may lead to tolerance (needing higher doses of
the medicine to achieve the same effect).
NSAIDs
are known to work equally well in fighting the symptoms of back pain when
compared to steroids, with lesser side effects.
The
NSAIDs most commonly used to treat back problems are ibuprofen (Advil, Motrin),
naproxen (Aleve, Anaprox DS, Naprosyn), aspirin (Bayer, Bufferin, and Ecotrin,
St. Joseph), and celecoxib (Celebrex).
Topical
painkillers for painful muscles and joints come in the form of creams, rubs,
sprays, roll-ons, and patches. The common ingredients in these preparations
include methyl salicylate, camphor as counter-irritants, topical NSAIDs that
work by getting absorbed in the skin, capsaicin that works by causing warm
tingling and burning sensation, and lidocaine, which works by numbing the area
for relieving the pain.
Medicines
should always be used as directed on the label or as instructed by the
physician.
9. Water therapy
Water
therapy, also known as pool therapy, hydrotherapy, and aquatic therapy, is one
of the most effective ways to treat back pain.
The soothing effects of water help in alleviating the pain in the
muscles and nerves of the affected areas, especially for those who are not
comfortable with land-based therapies due to severe discomfort and intensity of
pain, decreased bone density, disability, or other factors.
Water
therapy programs consist of various exercises that are pool-based and are
designed to provide relief from low back pain. These exercises also help in
strengthening the back muscles to help avoid future back problems.
The
major benefits of pool therapy are:
Hydrostatic
pressure:
The powerful effects produced by hydrostatic pressure improves heart and lung
function, and aid in improving the blood flow to the muscles.
Buoyancy: The
counteraction of water with gravity helps in supporting the weight of a person in
a controlled way when immersed. This helps in developing improved strength
balance. The buoyancy of water also allows a wide range of positions because of
the counteraction with gravitational forces, especially with positions
requiring leg lifts.
Viscosity: As water
provides resistance by gentle friction, strengthening, and conditioning of an
injury is made possible, reducing the risk of possible further injuries due to
loss of balance.
Water
therapy exercises should be performed only under the guidance of a qualified
health professional. Water therapy should be avoided if a person has severe
heart failure, fever, incontinence, and certain infections.
10. Try yoga
Yoga
is a highly effective activity (asanas) that helps with both strengthening and
stretching the back muscles. Beginners should slowly start the asanas to avoid
aggravating any possible existing conditions with the back. Yoga offers
tailor-made stretching and strengthening movements specifically to correct any
back problems and also to avoid any future back problems. The yoga instructor
can recommend necessary modifications that will protect the spine while helping
in getting the most out of each movement.
Popular
stretching and strengthening movements in yoga for back health include reclined
supine twists that help relieve back pain,
cobra backbend stretches to relieve stress and fatigue due to back pain
and to soothe sciatica, extended triangle to help reduce backache and sciatica,
locust stretches to relieve back pain and fatigue and strengthen back torso,
two-knee spinal twists that promote mobility of the spine, cat-cow stretches
for mobilizing the spine, child’s stretches that release tension in the back,
downward-facing dog for relieving back pain and sciatica, sphinx stretches for
strengthening the spine and buttocks, Half Lord of the Fishes twisting
movements that energize the spine and alleviate fatigue, and bridge backbend
stretch that help in stimulation and restoration.
Conclusion:
As
already referred, most back pains go away on their own with some easy-to-use
home remedies. Techniques like usual daily activities, maintaining good
posture, stretching and strengthening exercises, maintaining a healthy weight,
quitting smoking, using ice packs and heat pads, using OTC medications, balancing
the food intake and avoiding the unhealthy foods, trying water therapy and
yoga, help a lot in resolving most of the back problems and help in maintaining
good back health.
The
above-mentioned simple tips help a lot in keeping good back health and in
relieving various types of back pains. Some methods may seem easy to some
people and some methods may seem not so easy to some people, but these are the
scientifically proven techniques that do provide the desired results.
I wish you all the very best in getting and keeping a healthy back.
Thanks for reading.
0 Comments