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All about the back
 

All about the back

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Learn about all about the back, and learn how to make yours more

Learn about all about the back, and learn how to make yours more

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    All about the back All about the back Presentation Transcript

    • ANATOMY, YOUR ACHING BACK, AND KEEPING THE BACK HEALTHY All About the Back
    • Your healthy back: anatomy
    • A healthy spine
      • A Healthy Back is affected by:
      • Muscles
      • Ligaments
      • Vertebrae
      • Discs
      • Joints
      • Nerves
      • Spinal cord
      From: Chiropractic Resource Organization
    • Back: X-ray view Here is an x-ray view of the spine. Notice the cervical (neck), thoracic (mid-back) and lumbar (lower back) vertebra. See how vertebra change as you look down the spine. This reflects the different functions of the neck, mid back and lower back.
    • Your pain, where it is and why it is
      • Cervical spine (neck): Neck pain often caused by muscle, ligament or tendon strain. Will usually heal with time and treatment (ice, heat, medication, chiropractor.
      • Thoracic Spine (upper back): Rarely source of pain. Can have pain with shoulder or upper back muscular strain.
      • Lumbar spine (lower back): More motion than thoracic. Also, carries all the weight. Most injured area. We will look at this in depth.
      • Sacral region (bottom of spine): pain mostly caused by sacroiliac joint, and more common in women.
    • Symptoms of back pain
      • Back pain symptoms include:
      • Aching or stiffness anywhere along spine from neck to hips
      • Sharp localized pain in neck, upper back, or lower back
      • Chronic ache in middle or low back
      • Back pain that radiates from low back to buttocks, thigh, calf and toes
      • Inability to stand straight without having pain
      From: Chiropractic Resource Organization
    • When to call the doctor
      • Call your doctor if:
      • You feel numbness, tingling or loss of control in arms or legs (may indicate damage to spinal cord)
      • The back pain extends down the leg (may indicate sciatica)
      • Pain increases when you cough or bend forward (may be herniated disc)
      • Urine or fecal incontinence
      • Dull pain in one area of spine when lying or getting out of bed (could be osteoporosis)
    • Sources of back pain
      • Although the source is not always known, here are some possibilities:
      • Disc degeneration
      • Kidney problems
      • Muscle spasm
      • Alignment of vertebrae
      • Ruptured disc
      • Osteoporosis
      • Spinal stenosis (narrowing of spinal canal)
      • Severe curvatures (scoliosis or kyphosis)
      • Strain to muscles or ligaments of back
    • The discs of the back
      • There are 26 bones in the spine.
      • The vertebral column protects the spinal cord.
      • Between each vertebrae is an intervertebral disc.
      • The discs are filled a gelatinous liquid, called nucleus pulposus .
      • The liquid nucleus pulposus provides cushioning to the spinal column.
      • The annulus fibrosus surrounds the nucleus pulposus to keep it intact during periods of stress to the spinal column.
      • The intervertebral discs allows the vertebral column to be flexible and act as shock absorbers during activity.
    • What is disc degeneration?
      • Disc degeneration refers to changes in the spinal discs. The changes can results from
      • osteoarthritis (breakdown of cartilage the protects the joint),
      • herniated disc (a bulge or breaking open of a spinal disc) or
      • spinal stenosis (narrowing of spinal column)
      • View diagrams of each condition on next screen…
    • Osteoarthritis of spine Herniated disc Spinal Stenosis
    • Home treatment for back pain
      • Bed rest is NOT recommended.
      • Reduce regular physical activities for a few days to calm back and reduce inflammation
      • Apply ice for the first 48 to 72 hours, then heat and/or ice after that.
      • An over the counter pain reliever (ibuprofen) will relax the muscles and decrease inflammation
      • When sleeping, a side position (fetal) with a pillow between the knees might help. If you sleep on your back, then put a rolled towel under knees.
      • Avoid heavy lifting or twisting of back
      • Return to activity with light cardiovascular activity
      • See a physical therapist for stretching and strengthening AFTER the pain subsides.
    • Avoid these exercises until approved by doctor.
      • Jogging
      • Golf
      • Ballet
      • Weight lifting
      • Leg lifts when lying on stomach
      • Sit ups with straight legs
    • Additional treatments
      • Possible treatments may include:
      • Injection of steroids or anesthetics
      • Radiofrequency ablation (electrical stimulation to specific nerves)
      • Antidepressants and/or anticonvulsants
      • Chiropractors (use with caution)
      • Acupuncture
      • Psychotherapy (stress management & relaxation)
      • Biofeedback
      • Alexander Technique, Pilates, Feldendkrais Method, aquatic therapy and yoga have all been used with some success
    • Interventions: Video Spinal Fusion Low back surgery Acupuncture Uncommon pain relievers Distraction therapy Artificial discs Extreme exercise for back pain WebMD has a series of instructional videos. Here are a sampling of videos which help explain interventions for back pain. Click on the links.
    • Maintain a healthy back: Exercise
      • Regular exercise is crucial in maintaining a healthy back. In addition to your regular exercise program, the following websites offer some specific ideas:
      • FDA Lower-Back exercises
      • WebMD (video)
      • WebMD (text)
    • Other ways to maintain a healthy back
      • Maintain a healthy weight
      • Lift properly
      • Maintain good posture
      • Buy a good mattress
      • Reduce stress
      • Warm up before exercise
      • Support lower back when sitting
      Posture illustration from APT
    • Additional things for a healthy back
      • Avoid standing for long periods of time
      • NO high heels
      • If you sit for a long period of time, the chair should have an adjustable seat, back, armrests & swivel seat
      • Use a stool under your feet so the knees are higher than your hips
      • Place a small pillow or rolled towel behind your lower back
      • Get up and walk around at least once an hour
      • Quit smoking
      • Relax…Try yoga, tai chi or massage
    • Final note
      • Don’t let a bad back ruin a good life. Do something now!