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![Low Back Pain
Presented by: Dr. [Your Name]
Intern Doctor, [Medical College
Name]
Date: September 8, 2025](https://image.slidesharecdn.com/lowbackpainpresentation-250907163205-5554e210/85/Low_Back_Pain_Presentation-pptx-1-320.jpg)
Low_Back_Pain_Presentation..........pptx
- 1. Low Back Pain Presentedby: Dr. [Your Name] Intern Doctor, [Medical College Name] Date: September 8, 2025
- 2. Objectives • Define andunderstand low back pain (LBP). • Discuss epidemiology and risk factors. • Review relevant anatomy of the spine. • Understand causes and clinical features. • Discuss investigations and management. • Highlight prevention and key takeaways.
- 3. Introduction • Low backpain is a common musculoskeletal condition. • Affects up to 80% of adults at some point in life. • One of the leading causes of disability worldwide. • Significant socioeconomic and healthcare burden.
- 4. Epidemiology • Lifetime prevalence:60–80% of population. • Most common in ages 30–50 years. • Higher prevalence in sedentary lifestyle populations. • Accounts for significant work absenteeism.
- 5. Relevant Anatomy ofthe Spine • Five lumbar vertebrae (L1–L5). • Intervertebral discs act as shock absorbers. • Supporting muscles: erector spinae, multifidus. • Nerve roots and spinal cord involvement important in LBP.
- 6. Causes of LowBack Pain • Mechanical: muscle strain, ligament injury. • Degenerative: disc herniation, osteoarthritis. • Traumatic: fractures, spondylolisthesis. • Inflammatory: ankylosing spondylitis. • Other: infections, tumors, referred pain.
- 7. Risk Factors • Poorposture and ergonomics. • Sedentary lifestyle or lack of exercise. • Occupational heavy lifting or repetitive strain. • Obesity and poor core muscle strength. • Smoking and psychosocial factors.
- 8. Clinical Features • Localizedor radiating back pain. • Stiffness and limited range of motion. • Neurological symptoms: numbness, tingling, weakness. • Red flag symptoms: fever, weight loss, night pain, bladder/bowel dysfunction.
- 9. Differential Diagnosis • Herniateddisc. • Spinal stenosis. • Ankylosing spondylitis. • Osteoporotic compression fracture. • Metastatic spinal tumor. • Pyogenic spondylitis.
- 10. Investigations • X-ray: ruleout fractures, degenerative changes. • MRI: gold standard for soft tissue evaluation. • CT scan for detailed bony anatomy. • Blood tests: ESR, CRP for infection/inflammation. • Electromyography (EMG) for nerve involvement.
- 11. Management • Conservative: rest,posture correction, physical therapy. • Medical: analgesics (NSAIDs), muscle relaxants. • Interventional: epidural steroid injections. • Surgical: discectomy, laminectomy (severe cases).
- 12. Prevention • Maintain healthybody weight. • Regular exercise to strengthen core muscles. • Proper lifting techniques. • Ergonomic workplace setup. • Avoid prolonged sitting and inactivity.
- 13. Complications if Untreated •Chronic back pain and disability. • Nerve damage leading to weakness or paralysis. • Cauda equina syndrome. • Reduced quality of life and productivity.
- 14. Case Example • A35-year-old office worker with 3 months of lower back pain. • Pain worsens after long sitting hours. • No neurological deficits, no red flag signs. • Diagnosis: Mechanical low back pain. • Treatment: Conservative management with exercise and posture correction.
- 15. Summary • Low backpain is a leading cause of disability. • Most cases are mechanical and self-limiting. • Identify red flags to rule out serious pathology. • Management is stepwise: conservative → medical → surgical. • Prevention is key to reducing recurrence.
- 16. References • Kumar, Abbas,Aster. Robbins & Cotran Pathologic Basis of Disease, 10th Edition. • Harrison's Principles of Internal Medicine, 21st Edition. • NICE Guidelines on Low Back Pain. • UpToDate: Evaluation and Management of Low Back Pain.