Low back pain...2


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Low back pain...2

  1. 1. LOW BACK PAIN…<br />Pranav Khawale<br />BNYS(2nd year),<br />SVYASA.<br />
  2. 2. Definition <br /><ul><li> Low back pain, which affect 60% to 80% of the </li></ul>adult population at one time or another<br /><ul><li> It is sharp or diffuse pain and often accompanied by inflexibility and tenderness at the lumbar region</li></li></ul><li>Etiology<br /><ul><li>The most common cause of low back pain is relatively minor trauma or injury to the supporting muscles, spinal disks in lumbar region
  3. 3. Generally, repeated twisting or lifting of heavy object triggers the injury
  4. 4. Compression fractures at the lower part of the spine occur relatively frequent in older women with osteoporosis</li></li></ul><li>Etiology<br /><ul><li>Other cause of lower back pain includes a number of degenerative and mechanical conditions, most commonly lumbar degenerative disk disease
  5. 5. Spondylosis (degenerative spondyolisthesis, arthritis of the spine)
  6. 6. Low back pain can be caused by Sciatica, Ulcer, Nephrolithiasis, ovarian cyst, pancreatitis, etc…</li></li></ul><li>Risk factor<br /><ul><li>People who lift over weight, and operate vibrating equipment
  7. 7. Wrong postures</li></li></ul><li>Risk factor<br /><ul><li>Trauma, infection, heredity a history of intermittent sciatica, poor overall fitness
  8. 8. Smoking seem to increase a person's risk for developing degenerative back conditions
  9. 9. depression or some personality disorders …</li></li></ul><li>Signs and Symptoms<br /><ul><li>Tenderness, pain, and stiffness in the lower back
  10. 10. Pain that radiates into the buttocks or legs
  11. 11. Difficulty standing erect or in one position for an extended time
  12. 12. Discomfort while sitting
  13. 13. Weakness and leg fatigue while walking</li></li></ul><li>Differential Diagnosis<br />Since low back pain can be a symptom of other condition<br /><ul><li>Lumbar degenerative disk disease (chronic low back pain)
  14. 14. Spondylosis (degenerative spondylolisthesis)
  15. 15. Spinal or lumbar stenosis
  16. 16. Sciatica (lumbar radiculopathy)
  17. 17. Spinal fracture
  18. 18. Herniated nucleus pulposus or ruptured intervertebral disk</li></li></ul><li>Differential Diagnosis<br /><ul><li>Ovarian cyst
  19. 19. Nephrolithiasis
  20. 20. Pancreatitis
  21. 21. Ulcers
  22. 22. Depression</li></li></ul><li>Investigations<br /><ul><li>X-ray of lumbar spine
  23. 23. Alkaline phosphatase to rule out bone tumor
  24. 24. ESR
  25. 25. Rheumatoid factor to rule out rheumatoid arthritis</li></li></ul><li>Pathophysiology<br /><ul><li>Blood tests that reveal elevated erythrocyte sedimentation rate or WBC suggest infection.</li></li></ul><li>Treatment option<br /><ul><li>Allopathy
  26. 26. Homeopathy
  27. 27. Ayurveda
  28. 28. Naturopathy</li></li></ul><li>NATUROPATHY<br /><ul><li>Chiropractic or osteopathic manipulation can help to release muscle spasm, improve flexibility, and increase parasympathetic response to induce pain relief…</li></li></ul><li>NATUROPATHY<br /><ul><li>Hydrotherapy- Alternating hot and cold applications brings nutrients to the site and diffuses metabolic waste from inflammation.
  29. 29. Castor oil pack- Used externally, castor oil is a powerful anti-inflammatory. </li></li></ul><li>Acupuncture<br /><ul><li>It helps to relieve spasm and pain
  30. 30. Increases circulation to the affected area </li></li></ul><li>Massage<br /><ul><li>Massage is helpful in both acute conditions and to prevent chronic problem
  31. 31. It gives strength to the back muscles
  32. 32. Gives relaxation
  33. 33. Improves circulation
  34. 34. Increases the tone of the muscles</li></li></ul><li> Yoga and Exercise<br /><ul><li>Yoga and Exercise helps to improve the Low back pain
  35. 35. It gives relaxation to the back muscles
  36. 36. Helps to improve circulation </li></li></ul><li>THANK YOU…<br />