Back pain is a prevalent health issue that affects people across all age groups. It is among the primary reasons for medical consultations and work absences due to injury. In severe cases, it can be extremely debilitating, significantly impacting the quality of life.
Back pain can affect any part of the back, but it most commonly impacts the lumbar area, also known as the lower back. This is because this region bears much of the body's weight and load, especially when lifting objects.
There are various ways in which back pain can manifest. It can be a dull ache, a shooting pain that alternates with periods of apparent remission, or a "burning" sensation. The nature of the pain often depends on its cause and can vary significantly from one person to another.
Back pain arises from a variety of causes and risk factors. In many cases, it is due to muscular problems. Less commonly, it can be a result of a vertebral fracture, a herniated disc, sciatica, cruralgia, and, even more rarely, spinal stenosis, spondylolisthesis, spondylosis, or a spinal neoplasm.
Lifestyle habits can significantly influence the risk of back pain. Factors such as obesity, sedentary lifestyle, incorrect posture, inappropriate weight lifting technique, and stress can all contribute to its development.
Reducing the loads on your back, protecting it from trauma, avoiding sudden movements, and regularly engaging in physical activity can significantly help manage and prevent back pain. Toning and stretching exercises, in combination with moderate aerobic activity, can be particularly beneficial.
Maintaining an ideal weight is crucial as obesity is a risk factor for back pain. It is also essential to perform movements appropriate to the extent of any back trauma and avoid prolonged rest, which can lead to muscle weakening.
Certain foods can support spinal health and help manage back pain. These include foods rich in calcium and phosphorus, alkalizing foods (especially fruits and vegetables rich in magnesium), broths, tripes, boiled meats (sources of collagen), and foods rich in phytoestrogens and Omega 3 and 6.
On the other hand, it is advisable to avoid foods that are difficult to digest, such as gravies, fried foods, and foods rich in fat, as they can contribute to overweight and obesity, predisposing individuals to back pain.
Applying creams, ointments, or compresses with rubefacient active ingredients can help relieve low back pain caused by incorrect postures. Additionally, stress-relieving herbal teas can be beneficial, especially since stress and tension can exacerbate lower back pain.
Non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroid drugs, local anesthetic injections, and opioid painkillers can all play a role in managing severe back pain. However, these should be used under the guidance of a healthcare professional.
Alternative therapies such as acupuncture, massage physiotherapy, osteopathy, chiropractic, laser therapy, electrotherapy, and cryotherapy can also be beneficial for back pain management.
In some cases, medical intervention may be necessary, especially when back pain is caused by a herniated disc. In such instances, discectomy surgery may be required. However, any medical intervention should only be undertaken after thorough diagnostic tests to identify the underlying cause of the back pain.