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Overview

Pelvic Pain: Treatment, Cost and Side Effects

What is the Pelvic Pain?

Pelvic pain may occur in both men and women. It is a pain that mainly affects the lower abdomen area. The pain may not necessarily stay for very long and can be intermittent. You may feel either a sharp pain in a particular spot or the pain be spread out on a broader space of the lower abdomen. Pelvic pain may occur due to several reasons. A woman may experience pelvic pain during her periods or while having sex or can also occur due to some problems in one of the internal organs that lie in the lower abdomen region like the ovaries, uterus, fallopian tubes, vagina or cervix. In men the problem could be due to infection in the prostate. Pelvic pain can also happen due to some infection in the urinary tract, muscles in the lower abdomen, the intestines in the lower abdominal region and the bones in the same region. Pelvic pain can be experienced due to more than one reason at the same time. The problems can be diagnosed with the help of imaging or other lab and medical tests. When the cause of the pain identified, treatment can be started accordingly. The treatment options for pelvic pain can be many depending upon the severity, symptoms and cause of the pain. So, the treatments are basically focused at alleviating the pain rather than treating the main cause. Medicines, hormonal treatment, physical therapy and surgery can be used to treat pelvic pain. Although medicines cannot cure pelvic pain but it can help manage and keep the pain under control so that it does not become chronic. Some other treatment options that can be adopted if required are neurostimulation or stimulation of the spinal cord, trigger point injections and psychotherapy. The option for surgery is recommended only when the pain becomes chronic.

How is the Pelvic Pain treatment done?

Treatment for pelvic can be done with two approaches: either treating the actual cause of the pain or treating the pain or even both depending upon the doctor’s discretion. Medicines like nonsteroidal anti-inflammatory drugs (NSIDs) are often used first for relieving pain and inflammation especially in case of menstrual pain. Birth control pills are medicines that help control hormonal levels in the body can be used for managing pelvic pain and in case of chronic pelvic pain and sometimes tricyclic antidepressants can also be used. In case of endometriosis related pain also doctors may prescribe you with birth control pills, high-dose progestin and gonadotropin-releasing hormone agonists. Gonadotropin-releasing hormone agonists may also relive pain due to irritable bowel syndrome. Sometimes gabapentin is also used to treat chronic pelvic pain and as a last option to treat sever pelvic pain, opiate can also be used. Sometimes cognitive therapy can also be used to manage pelvic pain and relieve stress. Pelvic pain is treated with surgery when it becomes chronic and due to a specific condition like endometriosis or fibroids. For some women even hysterectomy, that is, uterus removal has also proved beneficial as a last option. Other surgical options like removal of scar tissue adhesions or cutting of certain nerves in the pelvic region are also done.

Who is eligible for the treatment? (When is the treatment done?)

Men or women who feel persistent pain, which sometimes even come and go depending upon the cause of the pain. If the pain does not go away on its own, medications will be required to manage and control it. Anybody diagnosed with an actual underlying cause of the pain is eligible for treatment.

Who is not eligible for the treatment?

Any person if diagnosed with the main cause of pelvic pain which can be bladder problems, appendicitis or any lower abdomen related problems and does not experience severe or chronic pain, then in that case pain relieving medication or any other therapy is not required. Hence, such a person will not be eligible for the pelvic pain treatment.

Are there any side effects?

Yes, there can be some side effects due to treatment with medications like nausea, vomiting and diarrhoea and can have side effects on the brain also. Muscle spasms and twitches can happen if treated with medications like gabapentin. Birth control pills taken for controlling and managing hormone function in the body can cause several side effects like weight gain, missed periods, breast tenderness, mood changes, decreased libido and mane more. High dose of projestin can even cause acne, fatigue, depression and ovarian cysts etc. Likewise other medicinal treatments may also have several side effects. Treatment with antidepressants is often helpful but may cause some side effects like insomnia, blurred vision, dry mouth, constipation, drowsiness, increased appetite and weight gain.

What are the post-treatment guidelines?

There isn’t any specific step to be taken post treatment. But you can maintain basic hygiene, take proper and ample amount of rest, do light exercises or yoga, meditate and try to distress and remain calm.

How long does it take to recover?

If you take the aid of medication, the pain can be alleviated with few hours but this can either be short term or long term relief. Pelvic pain does not have a complete cure. The treatments are only to manage the pain.

What is the price of the treatment in India?

The price of pelvic pain treatment can range from Rs. 200 to Rs. 15,000 including consultation fees, medication, surgery, physical therapy with specialised machines etc.

Are the results of the treatment permanent?

No, the results cannot be said to be permanent because the treatment methods are all to manage and control the pain. Only if the actual cause of the pain is eradicated by surgery like removal uterus or by removal of ovarian cysts, the results can be permanent. But pelvic pain may be caused due to more than one reason. If one cause is treated, it can happen due to some other reason also later in life.

What are the alternatives to the treatment?

Pelvic pain can be managed by adopting some lifestyle changes and with some home remedies. You can adopt some relaxation techniques, yoga, meditation and deep breathing to control pain. You can also use warm or hot water bag to alleviate your lower abdominal pain. There are other methods also to manage pelvic pain like acupuncture.

Safety: High Effectiveness: Medium Timeliness: Medium Relative risk: Low Side Effects: Low Time for Recovery: Medium Price Range:

Rs. 200 to Rs. 15,000

Popular Health Tips

Rectal Prolapse - Are You Aware Of These Signs?

MBBS, MS - General Surgery
General Surgeon, Delhi
Rectal Prolapse - Are You Aware Of These Signs?

Rectal prolapse means complete rectal prolapse where the rectal walls have prolapsed to a degree where they protrude out of the anus and are visible outside the body.

Types

The different types of prolapse are as-Internal prolapse (internal intussusception). A full thickness or a partial rectal wall is affected but the prolapsed tissue does not pass out of the anus.

  1. External Prolapse- If they protrude from the anus and are visible externally. Full thickness, circumferential, true intussusception of the rectal wall which protrudes from the anus and is visible externally.
  2. Full-thickness rectal prolapse- A full thickness of the rectal wall protrudes through the anus.
  3. Mucosal prolapse- Protrusion of only the rectal mucosa (not the entire wall) from the anus.
  4. Circumferential- Where the whole circumference of the rectal wall prolapse.
  5. Segmental- Where only parts of the circumference of the rectal wall prolapse.

Grades of Prolapse

Grade I: Non-relaxation of the sphincter mechanism

Grade II: Mild intussusception

Grade III: Moderate intussusception

Grade IV: Severe intussusception

Grade V: Rectal prolapse

Causes

  1. Pelvic floor dysfunction
  2. Parasitic infections such as Amoebiasis, schistosomiasis
  3. Pregnancy
  4. Cystic fibrosis
  5. Pertussis (whooping cough)
  6. Neurologic disorders - Previous lower back or pelvic trauma/lumbar disk disease, cauda equina syndrome, spinal tumors, multiple sclerosis
  7. Disordered defecation (stool withholding)
  8. Previous surgery
  9. Diarrhea
  10. Benign prostatic hypertrophy
  11. Chronic obstructive pulmonary disease (COPD)

Symptoms of Rectal Prolapse
History of a protruding mass- Initially, the mass protrudes from the anus only after a bowel movement and usually retracts when the patient stands up. As the disease process progresses, the mass protrudes more often, especially with straining and valsalva maneuvers such as sneezing or coughing.

  • Degrees of fecal incontinence which may simply present as a mucous discharge
  • Fecal leakage
  • A sensation of obstructed defecation (tenesmus)
  • Pelvic pain
  • A feeling of bearing down
  • Rectal bleeding
  • Diarrhea
  • Constipation(20%-50% of patients) also described as tenesmus (a sensation of incomplete evacuation of stool) and obstructed defecation
  • Erratic bowel habits 

Signs of Rectal Prolapse 

  • Sulcus noted between anal canal and rectum
  • Solitary rectal ulcer (10%-25%)
  • Decreased anal sphincter tone
  • Protruding rectal mucosa
  • Thick concentric mucosal ring

How will you Diagnose?

  1. Proctoscopy/ sigmoidoscopy/ colonoscopy
  2. Colonic transit studies
  3. Anorectal manometry
  4. Anal electromyography/Pudendal nerve testing
  5. Differential
  6. Diagnosis
  7. Hemorrhoids
  8. Intussusception
  9. Proctitis 

Treatment

  1. Conservative- Dietary adjustments, including increasing dietary fiber may be beneficial to reduce constipation. 
  2. Surgery- Surgical approaches in rectal prolapse can be either perineal or abdominal.

A perineal approach refers to surgical access to the rectum and sigmoid colon via an incision around the anus and perineum. Abdominal approach (trans-abdominal approach) involves the surgeon cutting into the abdomen and gaining surgical access to the pelvic cavity.

  • Laparoscopic procedures 
  • Perineal procedures
  • Perineal rectosigmoidectomy

In case you have a concern or query you can always consult an expert & get answers to your questions!

1793 people found this helpful

Blood Clots - 4 Common Signs That Indicate It!

Diploma In Endoscopic Surgery, DGO, MBBS
Gynaecologist, Delhi
Blood Clots - 4 Common Signs That Indicate It!

Blood clots can be alarming, more so during pregnancy. The seriousness is much more because of the baby growing inside you. However, the good part is that this condition is considerably rare.
However, one can take steps to minimize the risks of this condition during pregnancy.

What is a blood clot?
Blood clots develop when the platelets obstruct blood flow. Normally, this happens after any injury or a cut, in order to prevent continuous bleeding. During pregnancy, blood clots act as a safeguard against losing excessive blood at the time of labor. Deep vein thrombosis (DVT) is however, a serious condition wherein a blood clot forms within the leg’s deep veins or the pelvic area. DVT is linked to Pulmonary Embolism, a condition wherein a blood clot ruptures and travels all the way to the lungs’ blood vessels.

Bear in mind that statistically, a blood clot may affect one or two out of every 1000 women. So there should be no real alarm unless you realize that you could be at risk. The risks of this condition are at their highest, either during the initial six weeks post-childbirth or the first 3-4 months post pregnancy.

The risk factors are:

  1. Family history of DVT
  2. Smoking or having been exposed to passive smoke
  3. Age- especially above the age of 35
  4. Being overweight or obese
  5. Sedentary lifestyle devoid of any exercise
  6. Childbirth via a C-section

Common symptoms:
Although rare, some of the common symptoms include:

  1. Pain or swelling in the affected leg
  2. Pelvic pain
  3. Pain that deteriorates while walking/moving around
  4. Abnormally large veins

Possible complications:
Placental abruption or blood clots in the placenta

  1. Stroke
  2. Heart attack
  3. Miscarriage
  4. Pulmonary Embolism

Treatment and prevention
Adopting a healthier way of life by following a proper diet and exercising regularly is the basic preventive measure you can take. Discuss the type of exercises you can do with the healthcare provider. Exercising regularly ensures better circulation, thus averting the formation of blood clots. Now is as good a time as ever when it comes to quitting tobacco. An anticoagulant will be administered that prevents blood clotting.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3585 people found this helpful

Ovarian Cysts And Pregnancy - Understanding The Connection!

DGO, MBBS
Gynaecologist, Chandigarh
Ovarian Cysts And Pregnancy - Understanding The Connection!

Are you aware of the connection between ovarian cysts and pregnancy? A woman’s ovaries produce eggs and sex hormones, namely estrogen and progesterone. Sometimes, a sac filled with fluid may develop on one of your ovaries. Ovarian cysts are common and are experienced by all women in their lifetime. Commonly, these cysts are painless, accompanied by no specific symptoms. As the cysts grow, symptoms such as swelling or bloating, painful bowel movements, painful sexual intercourse, and pelvic pain during menstrual periods are indicated. Other symptoms like breast tenderness, lower back and thigh pain, nausea and vomiting are also likely.

Link between ovarian cysts and pregnancy
Ovarian cysts are connected to pregnancy as they are associated with a woman’s fertility. Some ovarian cysts which can affect your fertility and hence pregnancy include the following:

Endometriomas
• These are ovarian cysts, which are associated with complications in fertility and occur on account of endometriosis. This is a health condition in which the normal tissue lining around your uterus or the endometrium starts growing outside your uterus.

Ovarian cysts occurring because of polycystic ovary syndrome
• Polycystic ovary syndrome (PCOS) is featured by the development of several small cysts on the surface of your ovaries.

• Irregular menstrual periods and the increase in levels of certain hormones are indicated.
• This condition is associated with fertility. It results in irregular ovulation that causes complications in fertility in many women.

Ovarian cysts which only affect fertility after becoming large
There are some types of ovarian cysts, which do not affect fertility unless they become very large. They are as follows:

Functional cysts

  • These cysts include corpus luteum cysts and follicular cysts. These are the most common forms of ovarian cysts.
  • Functional cysts from a usual menstrual cycle do not contribute to infertility in any way. Instead, they indicate the functions, which lead to fertility.

Cystadenomas

  • These are developments or growths in your ovaries. They usually occur from the surface of your ovaries.
  • These cysts require treatment, but do not affect fertility in any negative way.

Dermoid cysts

  • These are solid cysts containing tissues similar to skin, teeth and hair instead of fluid content.
  • These cysts too are not related to infertility problems during pregnancy.

If you are diagnosed with ovarian cysts and are concerned whether they will affect your pregnancy, it is important for you to consult your doctor. You will be able to discuss the various treatment measures, which revive your pregnancy chances. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

4145 people found this helpful

Can Pelvic Pain Be A Sign Of Endometriosis?

MBBS, MS - Obstetrics and Gynaecology, Gynae-Laproscopy
Gynaecologist, Delhi
Can Pelvic Pain Be A Sign Of Endometriosis?

For most women, the week of her period is uncomfortable. However, for some women, periods are associated with debilitating pelvic pain. This is usually the result of a condition known as endometriosis. This is a condition where the tissue that lines the uterus or the endometrium is found outside the uterus as well. It usually involves the ovaries, fallopian tubes and tissues lining the pelvic region. In rare cases, it may be found in other parts of the body as well. Endometriosis can lead to cysts in the ovaries, adhesion of pelvic tissues and organs and also cause infertility.

The pain associated with endometriosis is caused due to the fact that the tissue that is outside the uterus behaves in the same manner as that inside the uterus but has no way of being removed from the body. Hence, it causes an inflammatory reaction that can be felt as a dull ache or muscle cramps. Cysts formed as a result of endometriosis may also put additional pressure on pelvic organs while urinating, passing stool or during intercourse and hence cause pain.

However, endometriosis is not the only cause for pelvic pain. Some of the other causes of pain in the abdomen include:

  • Ovulation
  • Dysmenorrhoea
  • Pelvic inflammatory disease
  • Rupture of an ovarian cyst
  • Fibroids in the uterus
  • Appendicitis
  • Cystitis
  • Irritable bowel syndrome
  • Hernias
  • Muscle and bone problems

Hence, it is necessary to understand and recognise the other symptoms of endometriosis as well. While some women may exhibit no other symptoms, others may experience:

If the pain in the pelvic region is accompanied by any of the above symptoms for an extended period of time, you must consult a doctor immediately. Though endometriosis is not a cancerous condition, it can lead to further complications like blockages in the bowel if left untreated. To confirm a diagnosis of this condition, you will usually be advised to undergo laparoscopy.

This is a minor surgical procedure that involves making a small incision in the abdomen through which a telescope-like instrument is passed into the body. This allows the doctors to look inside and identify any patches of endometrium tissue. Once confirmed, your doctor may advise you leave it under observation, give you a course of painkillers or advise hormone replacement therapy or surgery to remove the extra endometrium tissue.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3628 people found this helpful

Chronic Pelvic Pain - Common Causes Behind It + Related Symptoms!

DGO , MBBS
Gynaecologist, Pune
Chronic Pelvic Pain - Common Causes Behind It + Related Symptoms!

Are you suffering from chronic pelvic pain? Well, then it is time to consult your doctor. Chronic pelvic pain can be the indication or symptom for other serious disorders. It is often difficult to figure out the exact cause of the pain. Chronic pelvic pain refers to the persistent pain in the pelvic region that has been lasting for over six months. Your doctor needs to carefully examine your symptoms to know the source of the pain.

Here are some of the causes that lead to chronic pelvic pain:

Endometriosis: In this disease, cells that form the lining of the uterus grow abnormally. These cells grow on organs like the ovaries, urinary bladder or rectum. Symptoms that can be accompanied with pelvic pain in Endometriosis.

  • Pelvic pain or cramps before or during your period
  • Pain during or post sex
  • Pain at the time you ovulate
  • Pain during bowel movements
  • Rectal bleeding during period
  • Pain during urination
  • Lower back pain
  • Infertility
  • Spotting in between periods
  • Bloating

AdenomyosisThis disease is similar to endometriosis. Cells lining the uterus tend to invade the uterus and muscle tissues of the uterine wall. In many cases, women with adenomyosis are devoid of any symptoms. Some of the common symptoms are:

  • Pain during period
  • Pressure on bladder or rectum
  • Massive periods
  • Long periods

Interstitial CystitisWomen suffering from interstitial cystitis have inflammation of the urinary bladder. The inflammation is due to any infection. This affects women as a result of their aging. Symptoms:

Bacteria cause urinary tract infections. This, in turn, leads to pelvic pain. Infections can affect any part of the urinary tract. It can also affect the kidneys, bladder, and urethra. Urinary tract infections are common in women mainly. Symptoms:

  • Pressure in lower pelvis
  • Pain or a burning sensation during urination
  • Needing to urinate frequently
  • Cloudy urine
  • Blood in urine

When to visit a doctor?
It is difficult to know and assess the right time to visit the doctor. But the pain may be very irritating. It can also lead to fatal and chronic disorders. Therefore, it is best to consult a doctor if the pain persists for a long period and doesn’t vanishes with the home-based remedies or medication. The doctor may conduct lab tests, laparoscopy, or radiological tests to come to a conclusion.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5253 people found this helpful

Popular Questions & Answers

I am suffering from lower pelvic pain and needle like sensation on the lower right abdomen .I am also suffering from constipation.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, The pain could be due to ovulation period if you are in mid cycle. Else urinary tract infection or PID ( pelvic inflammation ) can be possible causes.

Hi I am 64, female. I am having sharp pain near pelvic area, on the mound to be exact. I have had UTI last month & treated with Norflox. Since pain medicines doesn't suit me, I am taking Dolo to ease my pain & shall consult a Urologist or a Gynaecologist, I have to decide. Please advise.

Diploma In Obstetrics & Gynaecology, FCPS - Mid. & Gynae
Gynaecologist, Mumbai
Dear lybrate-user, first visit a gynecologist nd get proper examination and investigation done to know cause of pain. If required your gynecologist will refer to urologist.
1 person found this helpful

Hi I am 36 years old after 4 days of intercourse  . I feel pain in my pelvic and back like feel pain in days of periods. After 10 days of intercourse I check pregnancy through kit but it's shows negative. Am I pregnant or not.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
It is not days after intercourse but missing period is important for doing test. For your complaints should meet Gynecologist.
1 person found this helpful

Sir you had pain in my left pelvis some tyms, when I touch abd push the pelvis it feels like paining from 3 days. And sometimes it feels like paining I do exercise for 3 days for fat reduction.

MBBS, Craniosacral Balancing, Quantum Touch, Visceral manipulation
Pain Management Specialist, Panchkula
It may be due to improper exercise or warm up before exercise. U should discontinue for some days or do exercise under guidance of instructor/ gym instructor.

Table of Content

What is the Pelvic Pain?
How is the Pelvic Pain treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
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Chronic Pain
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Back Pain
Few daily habits to get rid of Back Pain
Hi I am Dr. Sidharth Verma and today I will tell you about Back Pain and how to prevent back pain. So back pain is, one of the most common pain which hampers the activities of mankind and it is so common that all of us will suffer from it at some point in our lifetime.
So how can you prevent that?
You can very easily prevent back pain and most of the cases which we see in our daily practice are due to lifestyle disorders and some other factors. So as far as lifestyle is concerned. Humans, when they evolved and became erect, so their back pain is the cost they have to give; and as the back is made of very small, small bones which are known as vertebrae. This is a model of the human back, you can see there are small, small bones which make up the back and there are a lot of small intervertebral discs in between. These are the structures that provide cushion and hold the vertebrae and there are a lot of small, small joints and many nerves and structures which are coming out, therefore, the back is a very complex structure and if you do not maintain it properly then you might have back pain. Now, this is all complicated stuff. Furthur, I will tell you how to easily prevent it.
First and foremost is which you can do from day 1 is maintain adequate hydration. Human body is 70% water, and if you see the back, The back has intervertebral discs and they are 90% water. So if you are not hydrated well then you will probably have more problems.
Number 2 is to control your body weight. So it has been seen that in patients or in persons who are obese, this problem occurs more. That is, they have more back pain. The causes are many but you should try to control your weight this will result in lesser back pain.
Number 3 is proper posture while you are you are doing your jobs or in your workplace or while you are driving or you are travelling. By proper posture, I mean that you should always sit with your back straight, and not hunching forward. This is one of the techniques.
Number 4 you should avoid sitting for long period of time without taking a break. This will help you to redistribute the weight of the back to different muscles and this will avoid fatigue, thereby resulting in lesser incidence of back pain.
Number 5 is selecting ergonomic furniture. Ergonomic furniture means which is designed for your body. If you go to the market usually the furniture and the kind of furniture you will get is designed more or less for a similar kind of individual maybe 5 ft 5 inches height or maybe who is sitting for a few hours. However, in actual practice, if you see that nobody is the same so everyone is different and hence you will need to have ergonomic furniture which will be specifically designed for you or there is kind of furniture available which has lots of keys or levers with which you can adjust the height, for example, the chair or the table where you are going to sit or at your workplace, you can get it all adjusted. And it may seem very difficult but if you actually start doing it is very easy. Most of the chairs which we use in our offices, they are rolling chairs which have adjustable levers and height as well as the seat quality and backrest all of it can be adjusted. Similarly the height of the tables can also be adjusted in many cases, if not all. So you can have these ergonomic furniture and this also will help.
Another factor which is responsible for majority of back pain, is unaccustomed activity. By unaccustomed activity I mean, that if you are not used to a particular activity and you do it once then probably you will have some problems. Say for example there is a folder which is kept at a height and you want to fetch it and you stretch your hand and you stretch it so much that your back muscles and your full arms, hand has to stretch so much which is unphysiological. So in these cases, it may result in micro injuries or macro injuries and this may result in back pain. Another common example can be, while lifting heavy loads. So in our routine structure, most of the people are sitting or doing jobs which do not involve lifting of heavy loads. So if you lift some heavy load on one particular day say for example, I got something to install in my house and when that thing comes and I lift it and I try to fit somewhere then that is unaccustomed for me because I am not doing it every day. So this may result in unaccustomed stress and sprains and strains to my back and this may result in back pain. So these are how you can prevent it.
Another very common cause is sleeping on very soft mattress or sleeping for inadequate amount of time. Some people have a habit of surfing mobile phone for a long period of time and they sleep on their table chair maybe on their bed with unphysiological postures. So these will result in increased incidents of back pain. Another common cause which you can prevent is while travelling. So if you are travelling and you are driving a car for example you should adjust your seat so that your back is always upright. And while taking the support, many people ask me if it is helpful to use fancy supports that are available for the car seats. The answer is no. They will not help you. In most cases, they are just fancy items and they will not help you. However, straightening your seat will help you a lot. If you straighten your seat to a point where you are sitting independently and you are seeking only the lower back support from your seat and you are sitting on your own then probably the chances of you getting back pain are less.
Another common thing which you can apply when you are travelling is do not drive for extended period of hours like, I have seen people who drive for maybe 6 hours at a stretch so if this is done occasionally or frequently then it may result in back pain. So if you can avoid and take a break maybe around 45 minutes to an hour every 45 minutes or an hour you can stop and walk around maybe for one or two minutes or you can get out of your car or you can just get down and have a break then you can continue driving so you can drive in bits and bytes then you can travel long distances also. But please be sure to take a small break at least so that your back is not strained unnecessarily.
Another common reason why people come with this back pain are these motorcycle riders or scooter riders who are travelling these long distances throughout the day. What they often do is that they carry these bags. So they carry these bags and backpacks and they funnily carry it on one shoulder. So it will be like a strap and they will carry it on one shoulder and they will do this throughout the day and then after one month or two months they will start having a pain on one side. So this one-sided stress is one of the reasons why people have back pain. If you are not driving a vehicle, then also if you are carrying a load or a backpack or if you are a student or if you are an office goer who has to carry these laptops. Because I have often seen these laptops come in suitcases or briefcases and obviously you have to carry them with one hand. SO it is better to switch from these one handed or one sided carrying devices to devices or bags which are distributing the load equally to both shoulders and back. So that the load is distributed and there is no asymmetrical stress that is the back, on one side, is not stressed unnecessarily.
Another common reason for people who travel a lot is that their legs are not properly placed. So, in addition to the back of the seat, the height of the seat also plays a role. In majority of vehicles however, the height is not an adjustable portion. So the one thing you can do is, you can go forward or you can go backwards that is towards the steering and away from the steering. This mechanism is available for most of the cars or most of the vehicles and with the help of this, you can have enough distance between the steering and your body so that your thighs are touching your seat till the point they can leave the seat that is until the maximum point they should be able to touch the seat. So this will again be helpful to reduce the stress on the back.
Another common cause of back pain is the lack of exercise. For exercise, I don t mean well I don t advise that you should go to the gym and lift weights or something like that. But by exercise, I mean exercises like walking. Even simple walking is one of the best exercises for back, swimming or even cycling, or even exercises for your abs. You may underestimate the importance of the exercises for your abs but you should know that abs they support the back to a great extent and weak abs or abdominal muscles are the common causes of back pain in healthy adults.
Other than these, there are causes like nutritional causes. By nutritional causes I mean the deficiency of specific nutrients in your diet. This may be deficiency of Vitamin D .This is one of the most common deficiencies which I see in my practice that most of the people who come to me with these deficiencies they are normal healthy individuals otherwise but due to some reasons, they have this Vitamin D deficiency. Many of them are non-vegetarians so it is a myth that you cannot have Vitamin deficiency if you are a non-vegetarian. So you may have deficiency of Vitamin D, which is necessary for the calcium metabolism and in the deficiency of this Vitamin you are more likely to have weak bones and this pain.
In elderly individuals, however, you may have other causes of weak bones and they may also lead to this back pain. So last but not the least, we have population which is ageing now. So we have more number of people who are above 40 years of age. In these people there are conditions known as degenerative conditions which is, due to age, the body starts degenerating. So if you don t use your body properly, it will start to degenerate. In many people, who are using the body properly also, due to genetic reasons, and environmental factors, it starts to degenerate. So in these patients there are lot of conditions that develop, and these may affect the intervertebral discs, the joints of the back, the muscles, as well as the ligaments. So these conditions can lead to the back pain in this age group, the elderly age groups that is. So these are the common causes and if you are careful enough, you can easily prevent them and help yourself to prevent your back pain. Prevention is always better than cure, so I will strongly recommend that you take my advice and follow these steps, and you are less likely to have back pain.
To know more, you can always visit my Lybrate website on www.lybrate.com/drsidharthverma or you can also visit my website www.pain.org.in. Thank You.

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