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Lower back pain   in computer professionals Dr Hemant K. Kalyan MBBS, MS(Orth), DOrtho, FCPS, DSportsMed(Edin) Consultant ...
Schematic cross-section of  an  inter-vertebral disc Herniated  disc
Causal factors    for   back pain… <ul><li>Spinal fracture </li></ul><ul><li>Herniated disc </li></ul><ul><li>TB spine </l...
Trigger   factors <ul><li>Excessive load on normal back </li></ul><ul><li>Long / erratic hours </li></ul><ul><li>Poor work...
Trigger   factors   (contd)… <ul><li>Normal load on weak or unprepared back </li></ul><ul><li>Fatigue </li></ul><ul><li>Im...
Three phases of   management strategy… <ul><li>Treatment of acute episodes. </li></ul><ul><li>Amelioration of chronic cond...
The case against protracted rest <ul><li>Deconditioning: Loss of muscle strength and endurance </li></ul><ul><ul><ul><li>C...
Exercise  -  for which patients? <ul><ul><li>Central focus in 95% cases </li></ul></ul><ul><li>“ YES”   in mechanical caus...
Exercise   types… <ul><li>Back-specific exercises </li></ul><ul><li>Peri-pelvic and LL flexibility and  strengthening </li...
Pelvic tilt Some exercises  for the back… Lower trunk    rotation stretch
Trunk Flexion Stretch Trunk flexion stretch Prone lumbar extension Some exercises  for the back…
Alternate Prone Leg Extension Alternate prone leg extension Aerobic conditioning
Abdominal Strengthening Abdominal strengthening
Lower Limb Stretches Lower limb stretches
Complementary  therapy <ul><li>Back hygiene and back school </li></ul><ul><li>Correction of biomechanical factors </li></u...
Weight training Yoga
Yoga The right chair Counter height
Working Posture Posture at work The right  posture…
Sitting Posture Sitting posture Forward bending
Pulling an Object Pulling an object
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Low Back Pain In Computer Professionals

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Low Back Pain In Computer Professionals

  1. 1. Lower back pain in computer professionals Dr Hemant K. Kalyan MBBS, MS(Orth), DOrtho, FCPS, DSportsMed(Edin) Consultant in Orthopedic Surgery and Sports Medicine, Bangalore ;
  2. 2. Schematic cross-section of an inter-vertebral disc Herniated disc
  3. 3. Causal factors for back pain… <ul><li>Spinal fracture </li></ul><ul><li>Herniated disc </li></ul><ul><li>TB spine </li></ul><ul><li>Mechanical low back pain - Diagnosis of exclusion – 75-80% of cases. </li></ul>Spinal Fracture Herniated Disc TB Spine
  4. 4. Trigger factors <ul><li>Excessive load on normal back </li></ul><ul><li>Long / erratic hours </li></ul><ul><li>Poor workplace ergonomics </li></ul><ul><li>Stress: Physical, mental and emotional </li></ul><ul><li>Travel </li></ul>
  5. 5. Trigger factors (contd)… <ul><li>Normal load on weak or unprepared back </li></ul><ul><li>Fatigue </li></ul><ul><li>Improper posture/ chronic malpositioning </li></ul><ul><li>Lack of exercise, poor physical conditioning </li></ul><ul><li>Weight control problems </li></ul>Poor posture
  6. 6. Three phases of management strategy… <ul><li>Treatment of acute episodes. </li></ul><ul><li>Amelioration of chronic condition. </li></ul><ul><li>Prevention of exacerbation/ reinjury. </li></ul>
  7. 7. The case against protracted rest <ul><li>Deconditioning: Loss of muscle strength and endurance </li></ul><ul><ul><ul><li>C hance of micro traumatic injury </li></ul></ul></ul><ul><ul><ul><li>Protracts recurrent episodes </li></ul></ul></ul><ul><ul><ul><li>Maintains chronic disability </li></ul></ul></ul><ul><li>Decreased flexibility </li></ul><ul><ul><ul><li>Adversely modifies spinal biomechanics </li></ul></ul></ul><ul><ul><ul><li>Physiology of disc hydration affected </li></ul></ul></ul>“ Avoid pill popping”
  8. 8. Exercise - for which patients? <ul><ul><li>Central focus in 95% cases </li></ul></ul><ul><li>“ YES” in mechanical causes </li></ul><ul><li>“ NO” in non-mechanical causes </li></ul>
  9. 9. Exercise types… <ul><li>Back-specific exercises </li></ul><ul><li>Peri-pelvic and LL flexibility and strengthening </li></ul><ul><li>Aerobic conditioning </li></ul>Double knee to chest stretch
  10. 10. Pelvic tilt Some exercises for the back… Lower trunk rotation stretch
  11. 11. Trunk Flexion Stretch Trunk flexion stretch Prone lumbar extension Some exercises for the back…
  12. 12. Alternate Prone Leg Extension Alternate prone leg extension Aerobic conditioning
  13. 13. Abdominal Strengthening Abdominal strengthening
  14. 14. Lower Limb Stretches Lower limb stretches
  15. 15. Complementary therapy <ul><li>Back hygiene and back school </li></ul><ul><li>Correction of biomechanical factors </li></ul><ul><li>Posture </li></ul><ul><li>Weight control </li></ul>
  16. 16. Weight training Yoga
  17. 17. Yoga The right chair Counter height
  18. 18. Working Posture Posture at work The right posture…
  19. 19. Sitting Posture Sitting posture Forward bending
  20. 20. Pulling an Object Pulling an object
  21. 21. Thank you

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