back-pain
By Medicover Hospitals / 16 Sept 2020

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Article Context:

  1. What is Back Pain
  2. Causes
  3. Symptoms
  4. Diagnosis

What is Back Pain?

  • Back pain is often a common reason to get off from the work. Though it is painful and uncomfortable, it is not usually taken as a serious condition. To prevent further complexities, it should be treated as early as possible before it persists for a long time. Even though if it affects people of any age, it is significant & common among all adults aged between 35 and 55 years. Back pain is associated with the way our bones, muscles, and ligaments in the back work and connect together.
  • Pain in the lower back may be linked to the bony lumbar spine, discs in between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, lower back muscles, abdomen, and pelvic internal organs, and also skin around the lumbar area. Pain in the upper back may due to disorders of the aorta, tumors in the chest, and spine inflammation.
  • Causes:

  • The human back is composed of a complex structure for muscles, ligaments, tendons, disks, and bones the segments of the spine are cushioned with cartilage-like pads called disks. Problems with any of these components can be lead to back pain. In some of the cases of the cause of it was never found.
  • Strain – Is one of the most common causes:
    • Strained muscles
    • Strained ligaments
    • A muscle spasm
  • Things that can lead to strains or spasms include:
    • Lifting something improperly
    • Lifting something too heavy
    • The result of an abrupt and awkward movement

    Symptoms:

  • A symptom is something that the patient feels and reports, while a sign is something other people, such as the doctor detect. Symptoms may suggest, an ache or pain anywhere on the back of the body, and sometimes down to the buttocks and legs. Some back issues can cause pain in other parts of the body, depending on the nerves affected. In most cases, signs and symptoms may clear up on their own within a short period.If any of the following signs or symptoms accompanies back pain, people should see their doctor:
    • Weight loss
    • Elevated body temperature (fever)
    • Inflammation (swelling) on the back
    • Persistent back pain
    • Pain down the legs
    • Urinary incontinence – you pee unintentionally (even in small amounts)
    • Difficulty urinating – passing urine is hard
    • Fecal incontinence – you lose your bowel control (you poo unintentionally)
    • Numbness around the genitals
    • Numbness around the anus
    • Numbness around the buttocks

    Diagnosis:

  • Most GPs (general practitioners, primary care physicians) will be able to diagnose back pain after carrying out a physical examination and interviewing the patient. In the majority of the cases imaging, scans are not be required.
  • X-rays can show the alignment of the bones and whether the patient has arthritis or broken bones. These are not ideal for detecting problems with the muscles, the spinal cord, nerves, or disks.
  • MRI or CT scans – these are good for revealing herniated disks or problems with tissue, tendons, nerves, ligaments, blood vessels, muscles, and bones.
  • Bone scan – It may be used for detecting bone tumors or compression fractures caused by brittle bones (osteoporosis). The patient receives an injection of a tracer (a radioactive substance) into a vein. The tracer will collect in the bones and it helps the doctor to detect the bone problems with the aid of a special camera.
  • Electromyography or EMG – the electrical impulses produced by nerves in response to muscles are measured. It can be confirmed as nerve compression which may occur with a herniated disk or spinal stenosis (narrowing of the spinal canal).
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