12:00 AM, January 05, 2013 / LAST MODIFIED: 12:00 AM, January 05, 2013

Physiotherapy to treat and prevent back pain

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Back pain can have many causes, such as a pulled back muscle, disc problems, arthritis, or sacroiliac joint dysfunction, ligament sprain or strain. This misalignment causes increased wear and tear on the joints, muscles, and ligaments — even the discs.
The most important thing to understand any back pain is — barring trauma, it does not happen overnight. You may be symptomatic very quickly, but it takes a long time for the condition to get to the point where your back finally gives way and becomes painful.
Back pain is often triggered by some combination of overuse, muscle strain or injury to the muscles and ligaments that support the spine.
Back pain that causes loss of bowel or bladder control is deemed a medical emergency.
Think through your daily activities and change those may cause back pain. Your list might include lifting a small child throughout the day, a long commute to work, sitting in front of a computer all day, wearing high-heeled shoes, or doing yard work or landscaping work.
Many people, who have low back pain, or leg pain from a low back problem, notice that the pain interferes with sexual activity.
Physical therapists usually offer spinal mobilisation, hot packs, ultrasound, IFT, electrical stimulation, and therapeutic exercises, myofascial release, manipulation therapy, decompression therapy.
The use of ice (first 48 hrs) and or heat (after 48 hrs) can help control inflammation, pain and stiffness.
The most important thing to address back pain is muscle imbalance. While there are many things that cause or contribute to back pain, muscle imbalances are the biggest physical cause as they pull your body out of alignment.
The good news is muscle imbalances are relatively easy to identify and address. Once you know which imbalances you have, you then can correct the imbalances by performing the right combination of corrective
Exercise and staying active may relieve back pain and can help speed your recovery. Stretching and strengthening your stomach, back, and leg muscles helps make them less susceptible to injury that can cause back pain. Strong stomach, back, and leg muscles also better support your spine, reducing pressure on your spinal discs. This may help prevent disc injury.
Aerobic exercises — such as walking, swimming, or walking in waist-deep water — also help you maintain a healthy back. Talk to your physical therapist before you start an exercise programme.
Research has shown that it is difficult to prevent back pain completely, but there are a number of things you can do to:
-Reduce the risks of developing back pain, and
-Reduce the impact back pain has on your life when back pain does occur.
Besides using these activities to keep your back fit and healthy, your mind and the rest of your body will also experience the benefits.
A healthy diet and drinking sufficient water is important for everyone, including people with back pain. It has been suggested that drinking sufficient water is important to keep the intervertebral discs hydrated. Over weight should be reduced.
Surgery should always be your last option and should only be considered if the severity of your condition warrants it.
People with back pain taking pain killer should discontinue. Pain killer may harm your stomach creating ulceration, kidney failure, cardiac disease, liver damage occur due to pain killer. So stop painkiller intake much.

The write up is compiled by Dr Md Shafiullah Prodhan, Chairman & Chief Consultant of Dhaka Pain Physiotherapy & Rehabilitation Center (DPRC).

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