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Lumbar Pain Tips

Lumbar Disc Pain - Understanding The Types & Treatment Of It!

Dr. Avinash Jain 91% (142 ratings)
MBBS, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Indore
Lumbar Disc Pain - Understanding The Types & Treatment Of It!

There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.

Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:

  1. Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
  2. Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
  3. Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
  4. Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
  5. Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.

There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:

  1. Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
  2. Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
  3. Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root. If you wish to discuss about any specific problem, you can consult an Orthopedist.
2665 people found this helpful

6 Causes Of Lumbar Disc Pain!

Dr. Rahul Nerlikar 85% (10 ratings)
MS - Orthopaedics, M.Ch - Orthopaedics, FRCS, MBBS
Orthopedist, Pune
6 Causes Of Lumbar Disc Pain!

There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.

Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:

  1. Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
  2. Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
  3. Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
  4. Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
  5. Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.

There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:

  1. Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
  2. Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
  3. Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root.
2521 people found this helpful

Reasons Behind The Lumbar Disk Pain

Dr. Shyam Bhairi 90% (61 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Hubli-Dharwad
Reasons Behind The Lumbar Disk Pain

There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.

Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:

  1. Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
  2. Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
  3. Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
  4. Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
  5. Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.

There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:

  1. Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
  2. Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
  3. Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root.

All About Lumbar Disc Pain!

Dr. Himanshu Gupta 89% (54 ratings)
Fellow Adult Knee Reconstruction and Sports Injuries, Fellowship in Interventional Pain Practice, MS - Orthopaedics, MBBS
Orthopedist, Gurgaon
All About Lumbar Disc Pain!

There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.

Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:

  1. Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
  2. Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
  3. Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
  4. Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
  5. Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.

There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:

  1. Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
  2. Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
  3. Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root.
2402 people found this helpful

Back Pain Lumbago Sciatica

Dr. Qaisar Raza 86% (53 ratings)
BHMS
Homeopath, Kolkata
Back Pain Lumbago Sciatica

Hypericum perforatum
This honeopathic remedy relieves lower back pain with sharp throbbing pain.

Ruta graveolens
This is used to relieve lower back pain caused or worsened by staying immobile.

 Causes
Umbago is often provoked by banal causes, i. E. A muscular or ligaments’ sprain, that may occur after a bad movement (as a fall), or after having lifted heavy weights or having done an exaggerated physical effort.
Obviously inadequate training, a wrong posture, overweight together with many other factors can help the happening of the problem.Other causes source from the spine itself: lumbago may descend from an arthritis of the spine (spondylosis) degenerative arthritis of the spinal vertebrae and related tissue; on the vertebral surface they may form the so called osteophytes (bony projections) that sometimes impinge on nerves causing pain.

Spine arthritis often shows up together with a problem of the intra vertebral discs that tend to become more thin. This causes the vertebrae to come closer with a consequent reduction of the space left for the nerve roots.The result is an irritation of the nerve structures that causes a lumbar sciatica. Another possible cause of compression of the nerve’s root is spinal disc herniation, main factor of sciatica.

Lumbar sciatica may also be caused by a narrowing (stenosis) of the vertebral canal inside which is contained the spinal marrow. Some persons are simply born with a more narrow canal than normal, while in some other cases stenosis can appear later, in example caused by an arthritis.There can also be an alteration of the spine, when a displacement of a vertebra in relation to the vertebrae below occurs (spondylolisthesis).

Symptoms


Almost everyone knows what is back pain. Lumbago is one of the most frequent problems: it is the second cause of medical visits after influenza and it has been estimated that 4 on 5 people suffer from it sooner or later in life.The spine is made by vertebras, separated by intra vertebral discs that act as shock absorbers, and its stability is assured by a group of ligaments and muscles.Inside the spine it is located the spinal marrow from which the nerves source and, coming out from spaces between a vertebra and another, they reach different parts of the body.The lumbar section of the spine, composed by 5 vertebras, is involved in almost every movement: it is fundamental to hold the back straight, to allow the torso rotation and its flexion. The back sustains most of the body weight and efforts and if its functions are compromised this can be strongly invalidating.The main symptom of lumbago is obviously pain that can locate in a specific area of the back.

The main symptom of lumbago is obviously pain that can locate in a specific area of the back.

It is often provoked by a muscle or ligaments sprain and it usually shows up together with a trauma, also called back strain.
Pain can be continuous and can sometimes ease by changing posture or practicing a light physical activity.
It is recommended not to practice heavy physical activity because it causes the symptoms to increase. When pain is provoked by a compression of one of the nerves' roots that come out from the lumbar spine, it tends to irradiate to the area reached by the entire nerve.So, if speaking of the lumbar spine, pain reaches the lower limb on the interested side of the body. In these cases the result is lumbar sciatica.
Ache may be felt after making an effort but also spontaneously and tends to be continuous and characterized by peaks of pain.

Prevention

Improving the physical conditions and following some simple rules can help preventing back ache: it is important to do aerobic physical activity periodically (i. E. Swimming or walking).In fact, training helps to strengthen the back and its resistance. Moreover it is important to hold in check the body weight, losing weight if necessary and doing reinforcement and stretching exercises focused on the abdomen, buttocks and back muscles.

Here are some suggestions that can turn useful in daily life.

  • When standing: if forced to spend a long time standing it is important to shift weight support from a leg to the other.
  • When sitting: it is recommended to use a chair suitable for the lumbar area;
  • The chair seat must allow to keep knees folded and feet well laid on the ground.
  • When lifting a weight. Knowing how to lift a weight in the correct way it is really useful to prevent low back pain: it is important to avoid using the back while doing it. Legs must be folded so that arms are at the same level of the object that needs to be lifted ; the object must be kept near the body. Moreover, it is better to avoid putting weights over the head.
  • When sleeping: in general the advice is to sleep on a hard mattress, even if recent studies recommended medium-hard ones. Avoid pillows which are too thick because they force the neck to bend excessively.

Self healing

  • It is important to avoid too long periods in bed: a light physical activity helps the recovery, obviously avoiding those movements that increase pain.
  • If lumbago is caused by an acute trauma it can be useful to initially apply ice. The latter can be applied for 15 minutes several times a day. Once spasm and acute pain are gone, heat can be applied.
  • With regard to body belt and corset, opinions are sometimes discordant therefore it is necessary a suggestion of an orthopedic specialist. In fact, even if they help keeping warmth on the damaged area, they tend to weaken the back muscle in the long term. For this reason it is better to do some exercises in order to reinforce the musculature.


Homoeopathic remedies
 

Aesculus
Pain in the very low back (the sacral or sacroiliac areas) that feels worse when standing up from a sitting position, and worse from stooping, may be eased with this remedy. Aesculus is especially indicated for people with low back pain who also have a tendency toward venous congestion and hemorrhoids.

Arnica montana
This remedy relieves lower back aches and stiffness from overexertion or minor trauma.

Bryonia
This remedy is indicated when back pain is worse from even the slightest motion. Changing position, coughing, turning, or walking may bring on sharp, excruciating pain. This remedy can be helpful for back pain after injury and backaches during illness.

Calcarea carbonica
This is often useful for low back pain and muscle weakness, especially in a person who is chilly, flabby or overweight, and easily tired by exertion. Chronic low back pain and muscle weakness may lead to inflammation and soreness that are aggravated by dampness and cold.

Calcarea phosphorica
Stiffness and soreness of the spinal muscles and joints, especially in the neck and upper back, may be relieved by this remedy. The person feels worse from drafts and cold, as well as from exertion. Aching in the bones and feelings of weariness and dissatisfaction are often seen in people who need this remedy.

Natrum muriaticum
Back pain that improves from lying on something hard or pressing a hard object (such as a block or book) against the painful area suggests a need for this remedy. The person often seems reserved or formal, but has strong emotions that are kept from others. Back pain from suppressed emotions, especially hurt or anger, may respond to natrum muriaticum.

Nux vomica
This remedy is indicated for muscle cramps or constricting pains in the back. Discomfort is made worse by cold and relieved by warmth. Pain usually is worse night, and the person may have to sit up in bed to turn over. Backache is also worse during constipation, and the pain is aggravated when the person feels the urge to move the bowels.

Rhus toxicodendron
This remedy can be useful for pain in the neck and shoulders as well as the lower back, when the pain is worse on initial movement and improves with continued motion. Even though in pain, the person finds it hard to lie down or stay still for very long, and often restlessly paces about. Aching and stiffness are aggravated in cold damp weather and relieved by warm applications, baths or showers, and massage.

Sulphur
This remedy is often indicated when a person with back pain has a slouching posture. The back is weak and the person feels much worse from standing up for any length of time. Pain is also worse from stooping. Warmth may aggravate the pain and inflammation.

Other remedies
Cimicifuga (also called actaea racemosa)

Severe aching and stiffness in the upper back and neck, as well as the lower back-with pains that extend down the thighs or across the hips - may be eased with this remedy. It is often helpful for back pain during menstrual periods, with cramping, heaviness, and soreness. A person who needs this remedy typically is talkative and energetic, becoming agitated or depressed when ill.

Dulcamara

If back pain sets in during cold damp weather, along with catching a cold, or after getting wet and chilled, this remedy may be indicated. Stiffness and chills can be felt in the back, and pain is usually worse from stooping.

Ignatia

Back pains related to emotional upsets-especially grief-will often respond to this remedy. Thee muscles of the lower back may spasm, and twitches, drawing pains, and cramps often occur in other areas.

Kali carbonicum

Kali carbonicum is a homeopathic medicine for lower back pain with the feeling that the knees are going to" give in"

Hypericum perforatum

This honeopathic remedy relieves lower back pain with sharp throbbing pain.

Ruta graveolens

This is used to relieve lower back pain caused or worsened by staying immobile.

 

The Lumbar Roll: Remedy for Back Pain

Dr. Vishwas Virmani 92% (23114 ratings)
MPT, BPT
Physiotherapist, Noida
The Lumbar Roll: Remedy for Back Pain

The Lumbar Roll

  • As few seats of chairs provide adequate support for the lower back, a portable lumbar roll is essential equipment for people with ongoing back problems. When sitting on a seat with a backrest(supported sitting), a lumbar roll will facilitate the maintenance of a correct lordosis and posture.A lumbar roll is a support specially designed for the low back.
  • Without this support,the low back will slouch when ever you are distracted or cease to concentrate on anything other than holding the lordosis actively with your own muscles-for example, when talking, reading, writing, watching television or driving your car. To counteract this slouching you must place a lumbar roll in the small of your back at the level of your belt line whenever you sit in an easy chair ,car or office chair.
  • The lumbar roll should be no more than 4 to 5 inches in diameter before being compressed and should be moderately filled with foam so that under compression its diameter reduces to about 1.5 inches. A cushion does not serve the same purpose as it has the wrong shape and does not provide adequate pressure at the precise level of the low back. A regular cushion should not be relied upon for long-term... use but may be of some assistance in an emergency.
  • The aim is  first to restore the correct posture and then to maintain it. It may take up to a week of practice to master this fully. As a rule, pain of postural origin will decrease as your sitting posture improves, and you will have no pain once you maintain the correct posture. The pain will readily recur in the first few weeks should you allow yourself to slouch while sitting. 
  • Eventually you will remain completely pain free even when you forget your posture; however, never again should you allow yourself to sit slouched for long periods.When first starting these procedures to correct your sitting posture, you will experience some new pains. These are different from your original pain and may be felt in other places. 
  • New pains are the result of performing new exercises and maintaining new positions; they should be expected and will wear off in a few days,provided postural correction is continued on a regular basis. Once you have become used to sitting correctly you will enjoy it and will soon notice the reduction or absence of pain and the improved comfort. From then on you will automatically choose chairs that allow you to sit correctly.
  • Regular Interruption of Prolonged Sitting

Travelling for long distances by bus, car or airplane, especially when sitting in a cramped seat and without regular breaks which permit you to restore the lordosis, may cause a gradual and progressive attack of low back pain or may aggravate existing problems. Nearly everyone will be aware of some stiffness or discomfort in the low back after an uninterrupted car ride of a few hours. If you already have back problems, such a journey may be a risk situation for you. If you are the driver yourself, the risk is even greater.In order to minimise the risks of prolonged sitting, it is necessary that you interrupt sitting at regular intervals and before pain starts.For example, when undertaking long car journeys, you should stop the car every hour, get out and bend backward five or six times and walk about for a few minutes. This will reduce the pressure within the discs and relieve the stresses on the surrounding tissues. As airlines continue to provide seating calculated to damage the human spine, you should, when flying long distances, regularly stand and walk up and down the aisle of the plane. This is not only important for the sake of your back but is also necessary to assist in the stimulation of the circulation in the legs. These are simple measures you can take that will significantly reduce the risk of another episode of back pain.

3 Best Stretches/exercises for Low Back Pain/lumbar Spondylosis

Dr. Vishwas Virmani 92% (23114 ratings)
MPT, BPT
Physiotherapist, Noida
3 Best Stretches/exercises for Low Back Pain/lumbar Spondylosis

I  Low Back Foam Roll

Lower back pain is one of the leading reasons people visit a doctor or chiropractor. This foam rolling technique releases tension in the lower back,strengthens the muscles, and improves flexibility.

Low Back Foam Roll 

LOWER BACK 

1. Lie on your back with your knees bent and feet on the floor. Place the foam roller in the middle of your back and relax your arms out to the sides.

2.Roll up and down the mid- to lower part of your back. If you feel a spot that’s tender or tight,spend more time working that particular area. Perform the rolling movement for 15 to 30 seconds

II Cat and Camel

Whether your issue is neck stiffness, low back pain, trouble squatting, or struggling to stand tall, all of these can be improved by increasing flexibility in your spine. This stretch targets the entire length of the spine Cat and Camel.

1. Begin in a table top position with your back flat, knees on the floor, and hands positioned directly under your shoulders. Your neck should align with your spine.

2.Slowly arch your spine downward by releasing your hips. Press down as far as is comfortable as you exhale.

3.Arch your back upward by rounding your shoulders at the top. Rise up as far as is comfortable as you inhale. Repeat this sequence 5 to 10 times.

III Spinal Rotation

Low back pain is one of the most common reasons for missed work, but it can be relieved or even prevented with proper stretching. The spinal rotation is great for alleviating low back pain as it allows the spine to elongate and relax,releasing tension and tightness in the area.

1. Lie flat on your back with your legs bent and feet flat on the floor. Use your abdominal muscles to push the small of the back into the floor. Extend your arms in line with your shoulders with palms down.

2.Keeping your shoulders and arms flat on the floor, drop both knees toward the left side as far as is comfortable. Hold the stretch in this position for 15 seconds and repeat on the opposite side.

CHALLENGING: 

For a more extensive stretch, raise your feet off the ground with knees bent at a 90-degree angle. Challenge yourself even more by fully extending your legs throughout the stretch.

Why God Made My Lower Back Curved?

Dr. Vishwas Virmani 92% (23114 ratings)
MPT, BPT
Physiotherapist, Noida
Why God Made My Lower Back Curved?

THE LUMBAR VERTEBRAE

The vertebrae are the individual building blocks of the spine. Each has a front and back compartment. The front compartment consists of the circular vertebral body, shaped like a cotton reel, which is specifically designed to stack easily and bear weight. 

The back compartment protects the spinal segments together so they stay in place.Five lumbar vertebrae make up the low back. At the base of the spine the bottom vertebrae (L5) sits on the sacrum and the junction between the two is called the lumbo-sacral or L5-S1 joint. As the most compressed level in the spine it is the most problematic. Nearly all back pain comes from dysfunction of the front or back compartment (sometimes both) at this level.The back compartment is a ring of bone extending backwards from the vertebral body which barely takes weight. In standing it bears takes weight. 

In standing it bears approximately 16 percent of body weight, but less if the spine is more humped in the sitting position where the facets are less engaged. With severe disc narrowing-the primary form of breakdown of the spine-the facets may be forced to take much more weight (upto 70 percent of the weight through the spine), which is tremendously destructive.

Each ring of the back compartment has small projections of bone sprigging from the outside corners: two wings out either side, called the transverse processes and a fin projecting out the back called the spinous process (these are the knobs of the spine running down the back you can see through the skin). All these bony bars serve as levers for the attachment of muscle which make the vertebrae move.All the muscles working the segments exert a downward pull as they make them move. 

This is noteworthy because lumbar compression is the main cause of low back pain. If you bear in mind how much time we spend upright, fighting the weighing-down effects of gravity, you can see there are two factors at the start-our weight and the muscular strings moving the vertebrae-contributing to compression caused by sitting.The cotton reels superimposed on one another at the disc-vertebrae union make up the beautifully bendable neurocentral core, and the junctions between are often called the inter body joints. 

The bony inter-notching either side at the back makes a chain of mobile juicy aphophyseal or facet joints, running down the entire length of the spine. Together, the two different types of joints of the front and back compartment make up the total ‘motion segment’ at each spinal level.

The vertebrae are prevented from grinding on one other by the intervertebral discs. These are high pressure fibrous sacks containing a central unsquashable sphere of mucoid fluid called a nucleus. The long column of bones with its high-tensile fibro-elastic pillows makes the neuro centralcore thrusting and resilient, able to take nearly all of the weight passing down through the body.

The actual shape of the bodies of the vertebral helps spread the load. They have a narrow waist which flares out to a broad weight-bearing upper and lower surface. Unlike the other lumbar vertebrae, L5 is thinner at the back which helps to form the lumbar lordosis. Its disc is also slightly wedge-shaped although it is still the fattest disc in the spine, helping it to bear the load of the rest of the spine on top.

Knowing Your Spine Is Knowing Your Back Pain

Dr. Vishwas Virmani 92% (23114 ratings)
MPT, BPT
Physiotherapist, Noida
Knowing Your Spine Is Knowing Your Back Pain

WHAT IS A SPINE?

The human spine is an upright bendy column. It consists of 24 separate segments called vertebrae which sit on top of each other in a vertical stack. There are seven in the neck (cervical), twelve in the middle back (thoracic) and five in the low back (lumbar). 

The base of the spine sits on the sacrum, w s a solid triangular block of bone at the back of the pelvis. The sacrum tilts down at the front to an angle of approximately 50 degrees below the horizontal, making a concavity in the low back as the spine arches to compensate.

The spine rises out of the pelvis in three gentle curves like a cobra from a basket. Its “S’’ shape helps hold it upright, and by arching back and forth over a central line of gravity it balances the top-heavy torso over its narrow base. With perfect spinal alignment or posture, a straight line can be drawn through the ear, the tip of the shoulder, the spine at waist level, the knee joint and the back of the ankle.The hollow in the low back is called a lumbar lordosis. This is followed by a gentle hump the other way in the chest region, called the thoracic kyphosis, and another arch in the neck called the cervical lordosis.

The lumbar lordosis lessens with sitting when the pelvis tips backward on the sitting bones (the ischial tuberosities) and increases with standing.Perfect lumbar alignment achieves two important ends: it ensures the correct distribution of body weight through the front and back compartment of the spine, and allows your low back to bow forward slightly to absorb impact during walking. 

As you might imagine, the right amount of lumbar lordosis is an important factor with back pain.The following discussion highlights the anatomy which allows the spine to move in its free-flowing way-guiding it and controlling it so it doesn’t go too far.

1 person found this helpful

Endoscopic Discectomy - Pin Hole Stitchless Techniques

Dr. Sanjay Sharma 88% (293 ratings)
Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
Endoscopic Discectomy - Pin Hole Stitchless Techniques

What's pivd?
Also called as slipdisc pain or sciatica may affect your lumbar or cervical or throracic spine. But most common is l4 5and l5-s1 level or c5-6 level.
Most of painful condition of pertaining to your spine due to bulge, prolapse (protrusion), extrusion, sequestration. In with all condition nucleus pulposus come out from it originally site. Causing pressure over traversing or exiting nerve roots. Most of time patient getting treatment for of slipdisc or sciatica etc without any radiological evidence.

What causes pivd?
*unwanted prolonged exposure to sitting posture
*acute forward flexion
*unwanted weight lifting
*trauma or accident
*overweight body
*undesirable exercise
*keep on exercise for chronic pain condition

What is symptoms?
Paresthesia, numbness, tingling sensation, burning sensation, spasms in thigh's and calf muscles, radiating pain upto knee or foot. Unable to sitting or standing for long hours, bowl or bladder incontinence, motor power affected

What are basic investigation?
X-rays only show alignment and fracture and displacement of vertebrae,
Mri scan shows all soft and hard structure of spine-all disc, nerve, ligaments, joint, vessel and muscles etc can be seen in perfect way
Emg, ncv, neurometry etc

Treatment options?
There's two types of options for your spine pain, one is conservative treatment with bed rest, exercises and medicine. But upto certain duration 6week to 6month you can try with. If no red flag sign like loss of motor power. Or bowl bladder involvement should take opinion from surgeon.

Second way is surgical procedure-like conventional open surgery or endoscopic minimal invasive techniques choice of your surgeon. As common man had reservation about spine surgery as thoughts to be risky, chance of bowl and bladder incontinence, or power loss of limbs, because in conventional surgery a small percentage of cases use to face failed back surgery syndrome. Where such complaint were invitable. Big skin incision. Long bed rest. Long hospital stays. Even with expert surgeon these complications were enviably there.
Secondly there is minimal invasive like pin hole stitchless techniques are now choice for spine disc pain problem. Day care surgery with out any blood loss. 24hrs hospital stay, no incision like conventional surgery. Done under local anaesthesia and sedation. Patient can resume daily activities same day. Can go to work with safety measures after 2weeks. And safety precautions to be followed for strengthening your back spine. Now like day care surgery endoscopic discectomy for slipdisc pain can be managed in our hands. All surgery can be seen even by patients on screen, what exactly happened to your spine and disc material.

Post procedure- follow up-
Regular physiotherapy and rehabilitation services is mandatory for strengthening of your spine.
Prognosis-success of procedure is 95%with all precautions and safety measures.

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