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Presenter:
Dr. Md. Riadul Zannat Riad
Resident, MS Anatomy
Phase- A, Year- 2, Block- 5
Guide:
Dr. Latifa Nishat
Assistant professor
Dept. of anatomy, BSMMU
4
Objective
After attending the seminar, the audience will be able to
explain anatomical perspective of the ‘advices for back pain’.
5
Sources of the back pain
6
Sources of the back pain
7
8
9
While sitting on the chair, keep the neck and back
straight
10
11
Sitting and back pain
http://tuans.info/flash/t/thoracic-spine-pain.awp
12
Sitting and back pain
13
Sitting and back pain
http://www.thetallcyclist.com/2016/01/fit-fast-but-are-you-funcitonal/fit-fast-and-functional-cycling_flexion_overextension/14
Sitting and back pain
http://www.positivehealth.com/article/back-pain/the-vital-role-of-seating-in-back-care
15
Sitting and back pain
https://es.videoblocks.com/video/correct-sitting-human-position-at-the-table-infographics-animation-bprjnw6piquzpgth
16
Sitting and back pain
Do not stand or sit long enough
https://www.innovativehealthclinic.com/local-chiropractor-wausau/sitting-is-the-new-smoking/
17
• Insufficient nutrition of the intervertebral discs
due to lack of spinal motion
19
Sitting and back pain
Sitting and low back pain: the positive effect of rotatory dynamic stimuli during prolonged sitting, Leo L. van Deursen et al, 1999.
20
Cause increased stress of the back, neck, arms and legs
and can add a tremendous amount of pressure to the back muscles
and spinal discs.
Sitting and back pain
21
Overstretch the spinal ligaments and strain the spinal discs
Sitting and back pain
22
Leave the habit of sleeping in foam beds, sofa etc.
23
http://128h.pw/detail/106927/how-many-pillows-should-you-sleep-with-the-facts-you-need-to-know.html
Mattress and back pain
24
Too soft
Too firm
Just right
25
Mattress and back pain
26
http://www.gladesvillechiropractic.com.au/correct-lifting/
Do not work at lean
27
http://www.hardingchiropractic.co.uk/back-pain-advice-on-lifting/
Weight lifting and back pain
28
https://www.youtube.com/watch?v=lVxnRAiuGas
29
Weight lifting and back pain
30
Avoid high-heel shoes
31
http://www.juliafrancopodologa.com/conoces-el-dano-que-hacen-los-tacones-altos-sobre-nuestro-cuerpo
Shoes and back pain
32
http://www.juliafrancopodologa.com/conoces-el-dano-que-hacen-los-tacones-altos-sobre-nuestro-cuerpo
33
Shoes and back pain
Higher the heel
Shorter and tighter the tendon
TIGHTENED RELAXED
https://erikdalton.com/media/newsletters-online/high-heels-and-back-pain/
34
Shoes and back pain
35
Stop smoking
36
http://www.orthoneurospine.com/how-smoking-harms-the-disc
Smoking and back pain
37
38
Weight loss
39
40
Center of gravity
41
Center of gravity
42
Center of gravity
43https://www.scienceabc.com/sports/what-makes-messi-such-a-prolific-dribbler-the-science-
behind-lionel-messis-brilliance.html
Center of gravity
44
http://www.yourpregnantcore.com/2016/06/14/hip-and-pelvic-pain-during-pregnancy/
Before Pregnancy During Pregnancy
Overweight and back pain
http://www.thrombocyte.com/lower-back-pain-relief/
45
Overweight and back pain
http://www.mybariatriclife.org/weight-loss-for-obesity-and-back-pain/
46
Overweight and back pain
Summary
47
Courtesy: Dr. Suman Kollayan Bose
• Sitting and low back pain: the positive effect of rotatory dynamic stimuli during prolonged
sitting, Leo L. van Deursen et al, 1999.
• http://www.gladesvillechiropractic.com.au/correct-lifting/
• http://www.hardingchiropractic.co.uk/back-pain-advice-on-lifting/
• http://www.thetallcyclist.com/2016/01/fit-fast-but-are-you-funcitonal/fit-fast-and-
functional-cycling_flexion_overextension/
• https://www.spine-health.com/wellness/ergonomics/good-posture-helps-reduce-back-pain
• http://www.positivehealth.com/article/back-pain/the-vital-role-of-seating-in-back-care
• https://es.videoblocks.com/video/correct-sitting-human-position-at-the-table-infographics-
animation-bprjnw6piquzpgth
48
References
• http://www.juliafrancopodologa.com/conoces-el-dano-que-hacen-los-tacones-altos-sobre-
nuestro-cuerpo
• http://www.juliafrancopodologa.com/conoces-el-dano-que-hacen-los-tacones-altos-sobre-
nuestro-cuerpo
• https://erikdalton.com/media/newsletters-online/high-heels-and-back-pain/
• http://www.orthoneurospine.com/how-smoking-harms-the-disc
• http://128h.pw/detail/106927/how-many-pillows-should-you-sleep-with-the-facts-you-need-to-
know.html
• http://www.mybariatriclife.org/weight-loss-for-obesity-and-back-pain/
• http://www.thrombocyte.com/lower-back-pain-relief/
49
References
50

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Advice for Back Pain

Editor's Notes

  1. Ai typer sill amra kothy dekheci? Kon Pt er jonne bebohar kora hoy? Anatomy behind these advice
  2. In this seminar I will not explain back pain associate with specific disease
  3. In this seminar I will not explain back pain associate with specific disease
  4. Muscle stretch, Muscle fatigue causes pain
  5. Anatomy behind this advice
  6. The primary curves (thoracic and sacral curvatures) form during fetal development. The secondary curves develop after birth. The cervical curvature forms as a result of lifting the head and the lumbar curvature forms as a result of walking.
  7. Back Muscle
  8. Figure 1 (Left) Unhealthy sitting position: pelvic crest leaning back, strained spinal column, lower abdomen compressed and breathing and circulation restricted Figure 2 (Right) Healthy sitting position: pelvic crest rotated forwards, spinal column extended, circulation and breathing unrestricted and less strain on the back
  9. Bend your knees at a right angle. Keep your knees even with or slightly higher than your hips. (use a foot rest or stool if necessary). Your legs should not be crossed. adjust your chair height and work station . Rest your elbows and arms on your chair or desk, keeping your shoulders relaxed. don't twist at the waist while sitting. Instead, turn your whole body. Avoid bending forward at your waist.
  10. Chronic Pain and Osteoarthritis If you’ve learned anything from reading my articles it’s that your body was made to move. Without movement your muscles become weak from a lack of freshly oxygenated blood flow. A build-up of lactic acid can lead to muscle spasms and trigger points.  Joints that do not move do not produce the synovial fluid necessary to lubricate the joint and protective cartilage, eventually leading to breakdown, calcification, pain, and osteoarthritis. These are basic body mechanics that are pretty easy to understand once they are explained.
  11. Sitting for prolonged periods of time can be a major cause of back pain, cause increased stress of the back, neck, arms and legs and can add a tremendous amount of pressure to the back muscles and spinal
  12. The heels lean forward the body and the muscles of the back should work twice as hard to do their job of protecting the spine
  13. This excess pressure compresses the plantar nerves, causes inflammation, fibrosis and decreased blood flow which results in tingling, pain, burning worse when walking
  14. Smoking inhibits circulation to the disc, dehydrating it and making it difficult for these discs to absorb the nutrients they need to stay healthy. Degenerative disc disease occurs when these discs dry out, thin, or crack. Nicotine restricts blood flow to the disks that cushion your vertebrae and increases the rate of degeneration, Shin says. This loss of cushioning can causeback pain.
  15. Centre of gravity is the point at which the distribution of weight is equal in all directions, and does depend on gravitational field