Most of us have had back pain at some point in our lives, right? Sometimes this pain , which comes on suddenly when we sit down for a while, or when we lift a heavy object, can be so severe that it stops us from doing all our daily activities. However, for some people, this pain gradually increases and lasts for a long time. Why does this back hurt? Is this normal? Or is it something to be worried about? Okay, let's talk about this in a little more detail.
What are the main causes of back pain?
Simply put, our spine is like the main pillar of our body. It helps to keep us upright, and it also gives us the flexibility to bend and turn in any way. This spine is like a chain made up of 24 small bones (which we call `vertebrae`) stacked on top of each other. From here, the nervous system, which controls sensation and movement throughout our body, runs, called the `spinal cord`. So, since it performs such an important function, it is not surprising that sometimes problems arise with it.
Often, we ourselves are the ones who cause back pain due to our bad habits. Think about it, do you also have habits like these:
- Bad posture : Sitting hunched over while working at a desk or driving a vehicle.
- Lifting weights incorrectly: Lifting a load by bending over suddenly, pulling things incorrectly.
- To keep doing the same thing: To keep doing the same job or the same movement over and over again.
In addition to these habits , there may be other reasons.
- Muscle strain: The most common cause is a strain on the muscles and ligaments around the spine. This is especially true in the lower back, where the spine curves, as this area bears the most weight.
- Injury: Back pain can occur due to injuries sustained during sports, accidents, or falls.
- Muscle spasms : A sudden tightening and `locking` of the muscles in the back, similar to a twitching of the muscles in a leg. This can cause severe pain, like a stab wound.
- Other medical conditions: Osteoarthritis, a condition caused by the wear and tear of the cartilage between the bones as we age, herniated discs (or slipped discs), and weight gain and hormonal changes during pregnancy can also cause back pain.
Sometimes, there is no clear cause for back pain. We call it `nonspecific backache`. This may be because the muscles around the back are not strong enough to support daily activities.
Are there any other symptoms besides back pain?
Yes. Not only back pain , but other related symptoms can be felt in your arms and legs. It is very important to pay attention to these.
| Symptom | Simply put... |
|---|---|
| Radiating pain | Feeling like pain is traveling from the back down a leg or arm. |
| Numbness | A tingling sensation, as if feeling has been lost in an arm or leg. |
| Tingling | Feeling in the arms/legs like ants running or a current being passed. |
| Weakness | Feeling like you are losing strength in an arm or leg, having difficulty walking or holding objects. |
But be very careful about this!
If you have back pain, uncontrollable urination or bowel movements , or difficulty urinating , and complete loss of strength in your legs , it could be a sign of spinal cord compression. This is a serious emergency. So see a doctor immediately or go to the nearest hospital emergency department (ETU).
When should we see a doctor?
A simple backache may subside in a few days, but you should definitely see a doctor in cases like these:
- If the pain came after a fall or accident.
- If the pain is interfering with your daily activities.
- If the pain lasts more than 6 weeks, gets worse, or spreads to other areas.
When you see your doctor, he or she will examine your spine, check how far you can bend it, and check if your nerves are working properly. This examination may also be used to decide what to do next. If necessary, you may be referred for tests such as an X-ray, MRI, or CT scan.
What are the treatments for back pain?
Many people think that when they have back pain, they should just lie down and rest. But that's not really recommended anymore. Light exercise and staying active are the best ways to reduce pain.
- Exercise: A physical therapist can teach you a series of exercises that are right for you and will strengthen your back. This will help reduce pain and help you get back to normal activities.
- Painkillers: Over-the-counter painkillers like paracetamol, ice, or heat can help relieve most back pain. Your doctor may prescribe stronger medications.
- Alternative treatments: Some people also find pain relief through things like chiropractic care (spinal adjustments), acupuncture, and massage.
- Surgery: If a bone is damaged, or if a nerve is severely compressed due to a herniated disk, surgery may be necessary. However, doctors usually only recommend surgery if all other treatments have failed.
How can I prevent back pain from recurring?
Isn't prevention better than cure? So practice these things to stay safe from back problems.
1. Exercise! Do exercises that strengthen the muscles around your back and your core muscles. Walking is a great, simple exercise for your back.
2. Maintain good posture. Try to keep your ears, shoulders, and hips in a straight line when sitting, standing, and walking.
3. Be careful when lifting weights. When lifting weights, bend at the knees and use your strength to lift the weight, not your back. Keep your back straight.
4. Sleeping position. It is best to sleep on your side with a pillow between your knees. Use a mattress that is not too soft, but a bit firm.
5. Avoid smoking. Smoking constricts blood vessels, reducing the supply of nutrients and oxygen to muscles.
Take-Home Message
- Don't stay in bed when your back hurts. Ask your doctor for advice and engage in light exercises and activities that are appropriate for you.
- Be mindful of the way you sit, stand, and lift. These habits can make a big difference.
- Strengthening the muscles around the spine is the best way to prevent back pain.
- If you have symptoms such as numbness, weakness in your legs, or uncontrollable bowel/urine leakage, it is an emergency. Seek medical advice immediately.
- Don't take any back pain lightly, talk to your family doctor, find the real cause, and get the right treatment.


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