W E L COMES YOU AL L

AL RAFFAH MEDICAL CENTRE, LIWA

AL RAFFAH MEDICAL CENTRE, LIWA

Basic Anatomy of Spine

AL RAFFAH MEDICAL CENTRE, LIWA

Anatomy

AL RAFFAH MEDICAL CENTRE, LIWA

What Are the Causes of Back Pain?
Back pain is a symptom of a medical condition, not a diagnosis. Mechanical problems: Perhaps the most common mechanical
cause of back pain is a condition called Intervertebral disk degeneration The disks located between the vertebrae of the spine break down with age, and lose their cushioning ability. ‡ Other mechanical causes of back pain include Spasms, Muscle tension, and Ruptured or Herniated disks.

Injuries: Strains are tears in the ligaments that support the
spine, and they can occur from twisting or lifting improperly. Fractured vertebrae are often the result of osteoporosis. They may be caused by more severe injuries resulting from accidents or falls.
AL RAFFAH MEDICAL CENTRE, LIWA

Disc and Bone causes for Back Pain

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Other Causes,
Acquired conditions and diseases: Scoliosis and Kyphosiscurvatures of the spine. Spondylolisthesis slipping of one vertebra over the other. Osteoarthritis, Rheumatoid Arthritis, and Ankylosing Spondylitis varieties of arthritis. Spinal Stenosis -narrowing of the spinal column that puts pressure on the spinal cord and nerves. ‡ Other causes of back pain include Kidney stones or infections; Pregnancy & Endometriosis (in females), and Fibromyalgia, a condition of widespread muscle pain and fatigue. Infections and tumors: Not common causes of back pain. Osteomyelitis, when they involve the vertebra. Diskitis, when they involve the disks.

Tumors are relatively rare causes of back pain.

Deformities of Spine

AL RAFFAH MEDICAL CENTRE, LIWA

Prevention of Back Pain
Prevention is always better than cure. Exercise is considered to have a vital role in preventing and recurrence of back pain. It helps in correcting the posture, strengthens the back muscles and improves flexibility.

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How to prevent back pain while lifting or bending
‡ Do not try to lift heavy objects alone. ‡ Get a proper support by spreading your legs to a comfortable position ‡ Be as close to the object being lifted as possible. ‡ One should always bend at the knees and not at the waist while bending ‡ Do not bend forward as one lifts the object and do not twist the waist while lifting or carrying the object
AL RAFFAH MEDICAL CENTRE, LIWA

How to lift things from the floor

AL RAFFAH MEDICAL CENTRE, LIWA

Measures to prevent back pain in Office
‡ Avoid high heels. ‡ Make sure the chair one sits on has a straight back and, its height and arm rests can be adjusted to a comfortable position. ‡ When sitting for long time keep the knees at the level of the hips or slightly higher (use a small stool if needed), use a small pillow behind the lower back. ‡ Avoid sitting continuously for long periods; get up from the seat, walk a few steps and stretch the back a little.

‡ Practice relaxation techniques such as Exercises or Yoga. AL RAFFAH MEDICAL CENTRE, LIWA

How to sit at your Table

AL RAFFAH MEDICAL CENTRE, LIWA

When to See a Doctor for Back Pain?
‡ Severe pain that does not improve with rest ‡ Pain after a fall or an injury ‡

Numbness or tingling

‡ Pain plus any of the below problems:
-- Trouble urinating -- Weakness -- Numbness in your legs -- Accompanying Fever -- Weight loss when not on a diet.
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Diagnosis of Back Pain
‡ Medical history and Physical Examination. ‡ Other tests, such as: -- X rays -- Magnetic resonance imaging (MRI) -- Computed tomography (CT) scan -- Blood tests.

Many times, the cause of back pain is never known. AL RAFFAH MEDICAL CENTRE, LIWA

Diagnostic Images

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Treatment
Hot or Cold Packs (or Both)
--- Hot packs can soothe sore, stiff backs, by reducing the muscle spasms and pain. --- Cold packs reduce swelling and thus pain.

Exercise
--- Proper exercise can help ease chronic pain but should not be used for acute back pain.

Medications
--- Analgesics. --- Topical analgesics like creams & ointments,rubbed onto the skin over the site Some act as counter irritants. --- Nonsteroidal anti-inflammatory drugs (NSAIDs) are drugs that reduce both pain and swelling. Eg. Ibuprofen, Ketoprofen, Naproxen sodium and Diclofenac. --- Muscle relaxants and antidepressants may be prescribed for some types of chronic AL RAFFAH MEDICAL CENTRE, LIWA back pain.

Complimentary Measures
Behavioral Changes
‡ You can learn to lift, push, and pull with less stress on your back. ‡ ‡

Changing how you exercise, relax,and sleep can help lessen back pain. Eating a healthy diet and not smoking also help.

Alternative Treatments
‡ Manipulation & Physiotherapy ‡ TENS.( Transcutaneous electrical nerve stimulation ).It sends mild electrical pulses to nerves over the painful area. ‡ Short Wave Diathermy (SWD) or Infra Red Radiation (IRR). ‡ Ultra Sound Massaging. ‡ Lumbar Corsets .
AL RAFFAH MEDICAL CENTRE, LIWA

Bad Standing Posture

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Maintain Good Posture

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Good Postures(cont d)-

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Cauda Equina Syndrome
It is an emergency and surgery is needed right away, to relieve pain and other symptoms like weakness of the Lower limbs , with or without loss of bladder and bowel control.
AL RAFFAH MEDICAL CENTRE, LIWA

Surgery
Most people with chronic back pain do not need surgery. You may need surgery if you have
‡ Herniated disk --- which is compressing on the spinal cord or the nerve roots. ‡ Spinal stenosis --- where the spinal canal or the nerve root canal become narrow. ‡ Spondylolisthesis ---when one or more vertebrae slip out of place. ‡ Vertebral fractures --- caused by a blow/ trauma to the spine or by crumbling of the bone due to osteoporosis. ‡ Degenerative disk disease ---due to ageing, some have disks that break down and cause severe pain. AL RAFFAH MEDICAL CENTRE, LIWA

Exercises or Yoga help your Back

AL RAFFAH MEDICAL CENTRE, LIWA

Although the causes of back pain are usually physical, Emotional stress can play a role in how severe pain is and how long it lasts.
AL RAFFAH MEDICAL CENTRE, LIWA

RELAX , FREE YOUR MIND OF ALL TENSIONS . TAKE A VACATION. YOU WILL BE

BACK TO NORMAL.

AL RAFFAH MEDICAL CENTRE, LIWA

DO NOT BE A COUCH POTATO
OBESITY AND LACK OF EXERCISE WILL KILL YOU AND YOUR BACK

AL RAFFAH MEDICAL CENTRE, LIWA

Timing Morning : 9:00 am to 1:00 pm Evening : 5:00 am to 10:00 pm Friday holiday
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