CAUSES OF LOW BACK PAIN.

Low again pain is a usual symptom amoung the cutting-edge civilised people.It affects mainly the center aged and young adults of both sexes.People who work on the chair with out exercising and those who carry heavy masses regularly are prone to get this complaint.We can infrequently find a person who has no longer suffered from back pain atleast as soon as in life.The causes of  low backpain ranges from easy reasons like muscular strain to most cancers of spine and hence backache must not be ignored.The pain is felt in lumbar and sacral area and may radiate to nearby sites.

The following are some motives for backache.

1. Backache due to diseases in the back.
2. Backache due to gynaecological problems.
3. Backache due to problems in different parts of the body.

1) Backache due to diseases in the back:

a) Injuries :

1. Compression fracture of the vertebral column.
2. Rupture of intervertebral discs.
3. Injuries to ligaments and muscle tissue of back.
4. Lumbosacral strain.
5. Intervertebral joint injuries.
6. Fracture of processes of vertebra.

b) Functional backache due to imbalance:

1. During pregnancy.
2. Pot belly.
3. Diseases of the hip joint.
4. Spine curvature by congenital defect.
5. Short leg in one side.

c) Backache due to inflammatory conditions:

1. Infection of the bone due to bacteria.
2. Tuberculosis of the spine.
3.  Arthritis.
4.  Brucellosis.
5. Lumbago or fibrositis.
6.  Inflamation of the muscles.
7. Anchylosing spondylitis.

d) Backache due to degenerative ailments in the back.

1.  Osteoarthritis.
2.  Osteoporosis in old people.
3.  Degenaration of the intervertebral disc.

e) Tumour in the spine:

1. Primordial bone tumour in the spine.
2.  Metastatic tumours from other web sites like prostate,lungs,kidneys,intestine ect.

2) Backache due to gynaecological problems:

1.  After childbirth.
2.  After gynaecological operations.
3.  Prolapse of the uterus.
4.  Pelvic inflammatory diseases.
5.  Cancerous lesions of the pelvic organs.
6.  Endometriosis.

3) Backache due to problems in other components of the body.

• a) Renal stones.
• b) Ureteric stone.
• c) Cancer of prostate.
• d) Pancreatitis.
• e) Biliary stones.
• f) Peptic ulcer.
• g) Inflammations of pelvic organs.
• h) Occlusion of aorta and illiac arteries.

Investigation of a case of backache:

1.  Complete blood count.
2.  Routine urine examination.
3.  Ultrasonography of the abdomen and pelvis.
4.  X-ray of the lumbar and sacral region.
5.  MRI of the spine.
6.  CT scan of abdomen and pelvic region.
7.  Examination of rectum,prostate,genito urinary organs.

Treatment of lower back ache:

1.  Removing the cause for backache.
2.  Symptomatic treatement.
3.  Back exercises.
4.  Traction.
5.  Yoga.
6.  Surgery.
7.  Homoeopathy.