The interaction between the low back and chair support is an important health factor for employees using seated work stations. Canadian statistics indicate that back injuries make up 28.8% of the lost time claims and 7.0% occur in clerical jobs . The result of the musculoskeletal conditions is a reduction in work attendance and performance. For instance, 19% of those with low back pain (LBP) lose 6.2 hours of work per month and those with severe pain lose 8.2 hours of work per month .
Anyone with severe or worsening back pain, particularly after a fall or injury, should speak to a doctor. People should also speak to a doctor if they experience pain that gets worse after resting or at night.
^ Jump up to: a b Walker, BF; French, SD; Grant, W; Green, S (1 February 2011). A Cochrane review of combined chiropractic interventions for low-back pain. Spine. 36 (3): 230–42. doi:10.1097/BRS.0b013e318202ac73. PMID 21248591.
Spondylolisthesis: A bone in the spine slips forward and out of place, typically in the lower back. The degenerative form of this condition is arthritis, which weakens the joints and ligaments keeping the spine aligned. It can cause a disc to move forward over a vertebra.
It began as a twinge. Then the pain started to radiate down my back when I biked. Bothersome became dangerous when it hurt to turn my head; do not try cycling with impaired neck mobility. Yet I saw no reason to modify my fitness routine. I pedaled. I kickboxed. I lifted weights. And after about three weeks, I paid the price. One sleepless night, pain that felt like a knife in my back pinned me to the couch.
You should also include high-intensity sessions, like Peak Fitness, in your exercise routine, although you only need to do these once or twice a week at the most. You should also include exercises that not only challenge your body intensely, but also promote muscle strength, balance, and flexibility. Remember to build up your abdominals to avoid back pain. And, as mentioned above, always do some stretching and warm-ups before engaging in strenuous physical activity.
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Facet joint dysfunction. There are two facet joints behind each disc at each motion segment in the lumbar spine. These joints have cartilage between the bones and are surrounded by a capsular ligament, which is richly innervated by nerves. These joints can be painful by themselves, or in conjunction with disc pain.
Boswellia – Also called boswellin or Indian frankincense, this herb has been prized for thousands of years for its powerful anti-inflammatory properties. This is one of my personal favorites, as I have seen it work well with many of my rheumatoid arthritis patients.
Common causes of lower back pain include strain injury from athletics or overuse, disc herniation, kidney infection, pinched nerve in the spine, and pregnancy. Less common causes of back pain include infection of the spine, ankylosing spondylitis with lumbosacral and sacroiliac joint disease, compression fracture of a spinal vertebra, disc ligament tear (annular tear), and spinal tumor or cancer in the bone of the spine.
Size and weight: choose a cushion that suits the dimensions of your back. Shorter people would require thicker cushions in general while heavier people should go with firmer designs that are less likely to compress over time.
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Table 2 provides details of the descriptive statistics for the CoP LSR. The results of the three-factor ANOVA for the entire sample of participants suggested that there was a significant effect of Condition (p = 0.017) and Epoch (0.028) but not Group (p = 0.095). The lack of any significant interaction effects, however, suggested that the effect of Condition was consistent over Epoch, in that the LSR was consistently lower in the lumbar support condition for both healthy and LBP groups than in the standard chair condition, suggesting greater comfort.
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Foraminotomy is an operation that “cleans out” or enlarges the bony hole (foramen) where a nerve root exits the spinal canal. Bulging discs or joints thickened with age can cause narrowing of the space through which the spinal nerve exits and can press on the nerve, resulting in pain, numbness, and weakness in an arm or leg. Small pieces of bone over the nerve are removed through a small slit, allowing the surgeon to cut away the blockage and relieve pressure on the nerve.
The lumbar portion of the spine bears the most body weight and also provides the most flexibility, a combination that makes it susceptible to injury and wear and tear time. This is why low back pain is so prevalent.
Long periods of inactivity in bed are no longer recommended, as this treatment may actually slow recovery. Spinal manipulation for periods of up to one month has been found to be helpful in some patients who do not have signs of nerve irritation. Future injury is avoided by using back-protection techniques during activities and support devices as needed at home or work.
Nerve root syndromes are those that produce symptoms of nerve impingement (a nerve is directly irritated), often due to a herniation (or bulging) of the disc between the lower back bones. Sciatica is an example of nerve root impingement. Impingement pain tends to be sharp, affecting a specific area, and associated with numbness in the area of the leg that the affected nerve supplies.
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This occurs in less than 1 case in 20 of acute low back pain. Nerve root pain means that a nerve coming out from the spinal cord (the root of the nerve) is irritated or pressed on. (Many people call this a trapped nerve.) You feel pain along the course of the nerve. Therefore, you typically feel pain down a leg, sometimes as far as to the calf or foot. The pain in the leg or foot is often worse than the pain in the back. The irritation or pressure on the nerve may also cause pins and needles, numbness or weakness in part of a buttock, leg or foot.
cauda equina syndrome pinching of the lowest part of the spinal cord Hard to mistake for anything else: hard to pee, fecal incontinence, numb groin, weak legs. Caused by ruptured discs, trauma, cancer, infection.
Jump up ^ Chaparro, LE; Furlan, AD; Deshpande, A; Mailis-Gagnon, A; Atlas, S; Turk, DC (Apr 1, 2014). Opioids compared with placebo or other treatments for chronic low back pain: an update of the Cochrane Review. Spine. 39 (7): 556–63. doi:10.1097/BRS.0000000000000249. PMID 24480962.
As a general guide, if any of the following occur then it may not be nonspecific low back pain, and there may be a more serious underlying cause. But note: the vast majority of people with low back pain do not have any of the following symptoms or features. They are included here for completeness and as an aid to what to look out for and to tell your doctor should they occur.
Suspected disk, nerve, tendon, and other problems – X-rays or some other imaging scan, such as a CT (computerized tomography) or MRI (magnetic resonance imaging) scan may be used to get a better view of the state of the soft tissues in the patient’s back.
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2016 — Correction: Removed overconfident statements about the clinical significance of the effects of psychoactive drugs, plus related minor updates. [Section: A trigger point checklist: does this sound like you?]
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As pain improves, the therapist can teach you exercises that can increase your flexibility, strengthen your back and abdominal muscles, and improve your posture. Regular use of these techniques can help prevent pain from returning.
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