Understanding Back Pain: A Comprehensive Guide

Causes, Symptoms, Treatment Options, and Prevention Strategies

Orthopedics

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Last updated: Mar 24, 2025

Overview

Back pain is one of the most common medical problems, affecting 8 out of 10 people at some point in their lives. It can range from a dull, constant ache to sudden, sharp sensations.

Types of Back Pain

  • Acute: Pain lasting less than 6 weeks
  • Subacute: Pain lasting 6-12 weeks
  • Chronic: Pain persisting for 12 weeks or longer

Common Causes

Mechanical Causes

  • Muscle or ligament strain
  • Bulging or ruptured disks
  • Arthritis
  • Osteoporosis
  • Poor posture

Medical Conditions

  • Fibromyalgia
  • Scoliosis
  • Spinal stenosis
  • Infections
  • Tumors (rare)

Risk Factors

  • Age (30+ years)
  • Lack of exercise
  • Excess weight
  • Smoking
  • Occupational activities
  • Mental health conditions

When to See a Doctor

Seek immediate medical attention if your back pain:

  • Follows a fall or injury
  • Is severe and doesn't improve with rest
  • Spreads down one or both legs
  • Causes weakness in legs
  • Is accompanied by fever

Treatment Options

Conservative Management

  1. Over-the-counter pain relievers
  2. Physical therapy
  3. Heat/cold therapy
  4. Gentle exercise
  5. Proper posture

Medical Interventions

  • Prescription medications
  • Cortisone injections
  • Surgery (in severe cases)

Prevention Strategies

  1. Exercise regularly
    • Focus on core strength
    • Maintain flexibility
  2. Maintain good posture
    • Use ergonomic furniture
    • Take regular breaks from sitting
  3. Lift properly
    • Bend at knees, not waist
    • Keep objects close to body
  4. Maintain healthy weight
  5. Stop smoking

Recovery Tips

  • Stay active within pain limits
  • Apply ice/heat as needed
  • Sleep on a supportive mattress
  • Practice stress management
  • Follow medical advice consistently

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