Low Back Pain
80% of people have low back pain some time during their life. It is second most common reason for disability, over a 100million of loss of a year just because of chronic low back pain (LBP).
If a low back pain (LBP) Stay more than six week than it becomes a chronic.
The Causes of low back pain is:-
- Poor posture.
- Weak core muscles.
- Stressful job.
- Poor nutrition.
- Less amount of water intake.
- Muscular imbalance/dysfunction.
- Psychosocial factors.
Disc herneation or disc prolapsed lead to a major imbalance in the spine. Role of diet & life style can play a significant role in low back pain (LBP).Our modern lifestyle might not be so good for us. Infect what we eaten & how we leave may really be contributing to sensitize nervous system, like smoking, taking alcohol, nutrition & physical activity level.
he treatment of chronic Low Back Pain (LBP) is not that easy because it’s a whole mind body aspect. The traditional pain treatment is less effective & medicines have lots of side effects. Now the modern Chronic Low Back Pain Management is based on –The focus is on the whole person & less on the body structures.
Low back pain (LBP) is the most prevalent of all musculoskeletal problems, afflicting everyone at some time in their life. Over the past century, low back Pain (LBP) Syndromes have become increasingly problematic, receiving an escalating amount of attention & concern in the medical, industrial and political world because of the burdens placed on health care & social care systems. Because of the health care worlds failure to bring Low Back Pain (LBP) syndromes under control, Waddel labeled back pain” a twentieth century medical disaster”. In India incidence of Low Back Pain (LBP) has been reported to be 23.09% and has a lifetime prevalence of 60-85%. Low Back Pain (LBP) affects men & women equally with onset most often between the age group of 30 to 50 years. It is the most common cause of disability in individuals under 45 years of age & Third most common cause in the age group of 45 to 65 years. Low Back Pain (LBP) is believe to involve 60% to 90% of their adult population at some point in their life. It has been reported that 37% of Health care costs associated with low back pain (LBP) are a direct result of Physical Therapy/Physiotherapy services.
There are enormous causes of Low Back Pain (LBP).This constitutes Congenital, Trumatic, Inflammatory, Degenerative, Neoplastic, metaboliuc, postural, idiopathic, pain referred from viscera, genitourinary diseases, pregnancy, gynecological diseases etc. Of these causes majority of sufferers see by Physiotherapists/Physical Therapy may involve those with Spondylosis & Prolapsed Inter Vertebral Disc (PIVD).
Lumber Spondylosis and Prolapsed inter vertebral disc can cause Low Back Pain (LBP) with radiating pain often called Sciatica. Back Pain can occur as a consequence of deficits in control of lumber spine when the stress on the spine causes compression or stretch on the neural structures or abnormal deformation due to faulty mechanics. The majority of people presenting with the symptom have no pathoanatomic diagnosis excluding severe pathology such as Fractures, Surgery, tumors & infections. Fear of movement & reinjures induce inactivity & therefore, contribute to risks of chronic disability. Manual Therapy techniques were selected based on the presence of limitation in active or passive joint & soft tissue (muscle, ligament, tendon, capsule) mobilization.