Back Pain


What Causes Back Pain?


The back is a complicated structure of bones, joints, ligaments and muscles. You can sprain ligaments, strain muscles, rupture disks, and irritate joints, all of which can lead to back pain. While sports injuries or accidents can cause back pain, sometimes the simplest of movements—for example, picking up a pencil from the floor— can have painful results. In addition, arthritis, poor posture, obesity, and psychological stress can cause or complicate back pain. Back pain can also directly result from disease of the internal organs, such as kidney stones, kidney infections, blood clots, or bone loss.

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A few interesting facts about back pain:

  • Back PainOne-half of all working Americans admit to having back pain symptoms each year. (2)
  • Back pain is one of the most common reasons for missed work. In fact, back pain is the second most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory infections.
  • Most cases of back pain are mechanical or non-organic—meaning they are not caused by serious conditions, such as inflammatory arthritis, infection, fracture or cancer.
  • Americans spend at least $50 billion each year on back pain—and that’s just for the more easily identified costs. (3)
  • Experts estimate that as many as 80% of the population will experience a back problem at some time in our lives. (4)

Tips to Prevent Back Pain

  • Maintain a healthy diet and weight.
  • Remain active—under the supervision of your doctor of chiropractic.
  • Avoid prolonged inactivity or bed rest.
  • Warm up or stretch before exercising or other physical activities, such as gardening.
  • Maintain proper posture.
  • Wear comfortable, low-heeled shoes.
  • Sleep on a mattress of medium firmness to minimize any curve in your spine.
  • Lift with your knees, keep the object close to your body, and do not twist when lifting.
  • Quit smoking. Smoking impairs blood flow, resulting in oxygen and nutrient deprivation to spinal tissues.
  • Work with your doctor of chiropractic to ensure that your computer workstation is ergonomically correct.

References:
1. Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331: 69-116.

2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.

3. This total represents only the more readily identifiable costs for medical care, workers compensation payments and time lost from work. It does not include costs associated with lost personal income due to acquired physical limitation resulting from a back problem and lost employer productivity due to employee medical absence. In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville, MD, Summer 1994.

4. In Vallfors B, previously cited.