Oh My Aching Back!

Back pain is one of the most common reasons for missed work and keeping us on the sidelines when we want to be active. In fact, it is estimated that up to 80% of the population will experience a problem with their back sometime during their lives.

Back pain can be caused by:

Injuries — Whether it’s occupational or recreational, repetitive movements or even one wrong move can leave you hurting.

back injury
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Arthritis — Causes may include degenerative changes from overuse, inheritance, and immune system dysfunction.

Back Pain
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Poor posture — This puts stress on your spine and may constrict blood vessels and nerves which can result in pain.

Why-Poor-Posture-May-Be-the-Cause-of-Your-Lower-Back-Pain-758x506
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Obesity — Excess weight=excess stress.  When you carry excess weight especially around your middle, your pelvis is pulled forward and this causes strain on your low back.

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Stress — Anxiety and stress increase muscle tension which in turn increases pain.

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Conservative treatment is your first line of defense. Rest, ice or heat, and NSAIDS (non-steroidal anti-inflammatory drugs) such as ibuprofen, acetaminophen are what you should try in the first 24-48 hours.

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But as counterintuitive as it may seem, too much rest may make your back pain worse.

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Gentle exercise such as walking and stretching can relieve back pain. And, when you are feeling better, you need to do exercises that strengthen your back and core muscles.

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If conservative measures do not bring you relief to your back pain, try alternative measures such as:

Massage

Massage
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Acupuncture

Ed's 1 second acupuncture treatment (man holding porcupine).
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Chiropractic Care

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The American Chiropractic Association recommends the following spinal health tips:

Standing

  • When standing, keep one foot slightly in front of the other, with your knees slightly bent. This position helps to take the pressure off your low back.
  • Keep your head level. Your earlobes should be in line with your shoulders. Do not push your head forward, backward or to the side.
  • Shift your weight from your toes to your heels, or one foot to the other, if you have to stand for a long time.
  • At all times, avoid twisting while lifting. Twisting is one of the most dangerous movements for your spine, especially while lifting.
  • If the item is too heavy to lift, pushing it is easier on your back than pulling it. Whenever possible, use your legs, not your back or upper body, to push the item.
  • If you must lift a heavy item, get someone to help you.

Sitting

  • Keep your knees slightly lower than your hips, with your head up and back straight.
  • Avoid rolling your shoulders forward (slouching).
  • Try to maintain the natural curve in your low back.
Back Pain Cartoon
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Reaching and Bending

  • When reaching for something above shoulder level, stand on a stool. Straining to reach such objects may not only hurt your mid-back and neck, but it can also bring on shoulder problems.
  • Do NOT bend over at the waist to pick up items from the floor or a table.
  • Instead, kneel down on one knee, as close as possible to the item you are lifting, with the other foot flat on the floor and pick the item up.
  • Or bend at the knees, keep the item close to your body, and lift with your legs, not your back.

Sleeping

  • Sleeping on your back puts approximately 50 pounds of pressure on your spine. Other positions may be better.
  • Placing a pillow under your knees while lying on your back cuts the pressure on your spine roughly in half.
  • Lying on your side with a pillow between your knees may also reduce the pressure on your back.
  • Never sleep in a position that causes a portion of your spine to hurt. Most often, your body will tell you what position is best.

Technology

  • When texting, bring your arms up in front of your eyes so that you don’t need to look down to see the screen.
  • When using a computer or mobile device, look down with your eyes, and if you wear glasses, make sure you also can scan the entire screen without moving your head.
  • When sitting at a device, make sure your feet are firmly flat on the floor or footrest with your knees lower than your hips. Make sure you can use the device without reaching.
  • Never pinch the phone between your ear and shoulder. Use a headset to reduce shoulder strain.

Family Health Clinic

Just remember, the Family Health Clinic cares about your aching back as well as the rest of you. Call or come by today. We can help diagnose and treat back pain as well as most other health conditions.

We are open Monday—Friday, 8 a.m. to 4:30 p.m. Call (618) 468-6800 for more information. We are conveniently located in Fobes 1525.

Additional Sources

1. Rubin Dl. Epidemiology and Risk Factors for Spine Pain. Neurol Clin. 2007; May;25(2):353-71.

2. https://www.acatoday.org/Patients/Health-Wellness-Information/Spinal-Health

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