PAIN Problems and
Solutions
Back Pain
What is Back Pain?
Back pain is a prominent cause of disability across the world. It is commonly described as a painful or uncomfortable sensation felt anywhere in the back, and is one of the most common reasons people visit the doctor or miss work.
Back Pain may also present with Sciatica when you feel pain or pins and needles or even numbness radiating from your lumbar (lower) spine to your buttock, as well as down the back and outer side of your leg.
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What Causes Back Pain?
Generally, back pain can originate from:
- Muscle or ligament stiffness
- Injured muscles, ligaments, or nerves
- Bulging, ruptured discs or slipped discs
- Arthritis
- Osteoporosis
Lower back pain is estimated to affect up to 80% of adults in Singapore. Most acute lower back pain is caused by the body’s inflammatory healing response to injury to the muscles, ligaments, discs, or nerves.
Symptoms
Based on the cause of the pain, symptoms might appear in various ways. These can include:
- Achy or dull pain localised at the lower back
- Numbness or tingling can accompany stinging, searing pain that travels from the lower back down the thighs, and occasionally into the foot (sciatica)
- Low back, pelvic, and hip muscle spasms and stiffness
- Pain that gets worse after standing or sitting for a long time
- Walking, standing straight, or transitioning from sitting to standing (or vice versa) might become difficult
These symptoms can be categorised into two types:
- Mechanical pain: Also known as axial pain, it is the most common reason for back discomfort in the lower back. It is a pain caused by the muscles, joints, ligaments, or bones near the spine. The buttocks, lower back, and hip are the most common locations for this type of pain. Motion, movement, sitting, standing, or sleeping can all impact how it feels.
- Radicular pain: A spinal nerve root might become impinged or irritated, causing this form of discomfort. Radicular pain can travel down the buttocks and legs in a nerve root pattern or dermatome. It causes excruciating pain, as well as numbness and weakness. The condition usually affects only one side of the body.
Back Pain Treatment & Management
Back pain management can be easily addressed with a combination of home remedies and by seeking consultation with multidisciplinary lower back pain specialists in Singapore.
Weight loss, medication, physiotherapy, non-standard therapies, and regular fitness activity all play an essential role in back pain management. For persistent sciatic back pain, physiotherapy would be the most ideal non-surgical treatment.
While surgery is rarely needed for back pain, it may be an option if it involves slipped discs or more severe conditions like arthritis and osteoporosis.
When Should I Consult A Professional?
If your back pain persists even after resting and attempting self-management techniques, preventing you from completing day-to-day tasks or if you are beginning to feel radiating pain, numbness, weakness or loss of bowel and bladder control, please consult a medical practitioner, specialist, or physiotherapist in Singapore for immediate treatment.
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- www.msk.org.au: Musculoskeletal Australia is the voice of Arthritis and Osteoporosis
- www.versusarthritis.org: Versus Arthritis is a merger of Arthritis Care and Arthritis Research in UK
- www.betterhealth.vic.gov.au: Better Health Victoria State Government Australia is a site that provide health and medical information to improve the health and wellbeing of people and the communities they
live in.
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There Are Three Main Categories Of Pain:
Acute Pain
Lasts for a short time and occurs following surgery or trauma or other condition. It acts as a warning to the body to seek help. Although it usually improves as the body heals, in some cases, it may not.
Cancer Pain
Lasts beyond the time expected for healing following surgery, trauma or other condition. It can also exist without a clear reason at all. Although chronic pain can be a symptom of other disease, it can also be a disease in its own right, characterised by changes within the central nervous system.
Chronic Pain
Can occur in patients with early stage and advanced disease, and in cancer survivors as a severe and debilitating side-effect of treatment.