Low Back Pain (LBP)

Keywords: Lumbago, Lumbago-sciatica syndrome, Sciatica, lousy/ bad back, backaches, lumbar rheumatism. 

What is the basis of the pain in the lower back?  

Lower back pain is the most common musculoskeletal disorder. It is the most common cause of absence from work, and it can be debilitating. Though the back pain can be due to multiple reasons, the primary causative factor in most patients is a sedentary lifestyle.

It can also be from physical work or any injury to the spine, and it can be from certain pathological medical conditions, etc. It is commonly seen in any age group but more common in 45 above age group.

However, there are other causative factors behind your lower back that gives you pain and discomfort.

A few of them are:

  • Degeneration of vertebral bones in older people
  • Occupational causes like lifting heavyweight, sitting for a prolonged period in the office,
  • History of trauma in the lower back,

Lower back pain is related chiefly to vertebrae, intervertebral joints, fasciae, ligaments of the spine and spinal cord, pelvic and abdominal organs, and lower back muscles and around the lumbar area.

Back pain and related symptoms are the most common cause of disability in patients under 45.

What are the reasons for low back pain?

As mentioned earlier, there may be various reasons causing low back pain. From the basis of causative factors, lower back pain can be classified as:

  • Developmental defects – abnormal vertebrae facets, spondylosis, lithiasis between lumbar vertebras and lumbosacral joint
  • Deformities – Kyphosis, Scoliosis
  • Trauma- to the ligaments, muscles, vertebrae, disc prolapse.
  • Infections- Pyogenic infections, tuberculosis of spine etc.
  • Inflammatory- Ankylosing spondylitis
  • Degenerative- Disc disease, arthropathy, spinal canal stenosis, osteoarthritis, osteoporosis, etc.
  • Mechanical  – poor posture, conditioning is aggravated by pregnancy, obesity, and overuse.
  • Soft tissue rheumatism – fibromyalgia
  • Malignancies – Involving vertebrae, pelvis, retroperitoneum.
  • Miscellaneous – Osteitis, Paget’s disease
  • Referred pain – arising from abdominal viscera and secondary to spinal cord tumours, visceral pain may also radiate to the back or present as typical low back pain.

What are the other symptoms you may experience along with LBP?

Lower back pain can present with a wide variety of symptoms. It can be mild and continuously aching, and it can become severe and debilitating.

These associated symptoms vary depending on the underlying cause for low back pain:

  • Spinal pain – it is sharp and dull, aggravated by motion and movement
  • Disco genic– deep pain, aggravated by bending and sitting Valsalva manoeuvre
  • Nerve root pain– paraesthesia’s, numbness, aggravated by sneezing, coughing, stretching.
  • Spinal canal stenosis– paraesthesia, claudication, aggravated by lumbar extension, walking, and standing.
  • Referred visceral pains are deep pains, and they are not affected by motion
  • Muscular – cramping, aches locally and aggravated by movement
  • Radicular pain– Lumbago Sciatica Syndrome- stinging and burning pain radiates from the back to thighs and lower legs and feet with numbness and tingling.
  • Sciatica- It is characterized by pain radiating along the sciatic nerve, irritating the nerve roots or nerves anywhere in the spinal cord: muscle spasms, tightness in back, hips, and pelvis.

What are the characteristics of the pain?

Lower back pain is usually described by the duration of the pain and onset.

  • Acute pain: acute pain comes suddenly and lasts for one or two weeks, and it may be caused by injury or any tissue damage. It lasts for days and subsides after the healing.
  • Subacute lower backache- It usually appears for 5to 6 weeks to 3or 4 months, such as muscle strain, joint pain, mechanical in nature, limiting the daily activities.
  • Chronic pain – If a lower backache lasts more than three or four months, it is considered chronic back pain; it needs a thorough investigation to know the underlying cause of the pain.

Is there any self-help?

Lower backache may be associated with 50 to 60 different illnesses.

The most common is mechanical factors like overuse of muscles, powerlifting, getting older, etc.

Rest – rest is helpful but not too much; continuous rest leads to muscle weakness, makes back pain worse.

Exercise is necessary to keep the muscles and ligaments around the spine strong and flexible, like aerobic exercises, daily brisk walking, swimming, warmup exercises.

Posture- soft sofas are not suitable for the back, and because lack of support in the seat makes muscles work continuously, this is why the back feels sore and painful.

Flat or low heel shoes are better for back muscles and legs.

Heat and cold compress- can be used alternatively to relieve the pain; it can be used for 5 to 10 minutes on the painful area to relieve pain.

The heat helps in increasing the blood flow to the muscles. Using ice compresses initially and then heat compresses will help in back pain.

Homoeopathy for lower back pain:

A well selected Homeopathic medication is much better than any conventional pain-relievers in lower back pain cases; it treats the pain and addresses the underlying cause.

Remedies are selected based on cause, location, sensation, modalities, and radiation of the pain.

Here are Homeopathic remedies that are incredibly useful for treating lower back pain, like- Rhus Tox, Bryonia Alba, Causticum, Radium B, Actea R, Ruta G, Hypericum etc.

Along with plenty of others, we prescribe these medications according to cause, location, diagnosis, and individual’s constitution. However, self-prescription can prove harmful, and parents are not encouraged to self-prescribe any of the Homeopathic medications without consulting an appropriately qualified doctor from a recognized university.

So, why wait? Get a consultation with a qualified and experienced Homeopath today from the comfort of your home through Let’s Homeopathy. We will deliver the medicines to your doorstep too!