ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation
About 80 per cent people will experience back pain at some point in their lives.
The spine is a very important part of the body because it serves as the sole foundation of movement. And when there is pain in that area, it can be a troublesome sign.
Most people who suffer from back pain are of working or “career” age. For most patients under 50 years old, back pain mostly relates to daily activities, working posture, or an accident.
For people in older age groups, the causes of back pain usually come from joint degeneration, osteoporosis, or a spinal fracture-related trauma.
Another cause of back pain that people often do not take into consideration is smoking. Nicotine can lead to inter-vertebral disc and early spinal degeneration.
Back pain is widely divided into two major types:
1. Back pain only
2. Back pain with associated symptoms such as radiated pain to a leg or numbness or weakness of the leg muscles.
Doctors begin the diagnosis process by reviewing patients’ medical histories and performing physical examinations. Some patients might be sent for additional testing, such as x-rays or magnetic resonance imaging (MRI) in order to provide the doctor with more in-depth information to aid in diagnosis.
The treatment depends on the diagnosis and the overall medical condition of the patient. Medications, physiotherapy or surgery will be recommended based on what is appropriate for each individual patient.
Back muscle exercises are important for improvement in handling daily activities. Strengthening the back and the abdominal muscles is very important to help decrease back pain. Doctors can provide assistance to patients to ensure that exercises are done safely and correctly. This part of the treatment will be controlled and closely monitored by the spine doctor.
The following are precautions you can take to prevent accelerated spinal deterioration:
- Sit up straight, preferably in a chair that has lumbar support
- Do not sit with incorrect posture for extended periods of time
- Do not reach for objects if they are elevated beyond your comfortable field of reach
- Do not carry items that are too heavy and can strain your back
- Do not bend from the back, instead crouch from the knees to pick up objects
- If you have had a back problem, check with your doctor to determine the best sleep position to help your back
- Maintain a healthy weight
- Avoid smoking
- Exercise regularly
- See a doctor immediately if you start experiencing back pain. Otherwise, the condition may worsen to the point of requiring surgery.
You should consult a spine orthopaedic doctor immediately if you are experiencing any of the following symptoms:
1. Chronic back pain for more than 4-6 weeks
2. Unimproved back pain, even with prescribed medications
3. Back pain associated with work posture, daily activities or movement
4. Back pain with poor function or difficulty controlling bowel movements
5. Severe back or leg pain
6. Numbness or weakness in lower extremities
7. Recurring back pain at night
8. Recurring back pain with poor appetite and weight loss
9. Back pain with fever
Dr Prakit Tienboon is an Orthopaedic Surgeon attached to Samitivej Srinakarin Hospital’s Spine and Joint Centre.
Call (02) 378 9000.