How Back Pain Starts

When considering back pain we must concern ourselves with its variants. For instance, back pain can start with slip disks, which in medical terms is called “Herniated nucleus pulposa.” (HNP) Doctors define slip disks as ruptures of the “intervertebral disk.” The intervertebral rests between the vertebrae (Spinal Column) of the backbone.

The interruption has variants, including the “Lumbrosacral,” (L4 and L5) as well as cervical C5-7. The cervical is at the neck and belongs to other parts of the back and neck as well. When doctors consider slip disks they often look through etiology, which includes neck and back strains, trauma, congenital/inborn bone malformation, heavy lifting, degenerated disks, and/or weakness of ligaments.

After carefully considering, etiology doctors consider Pathophysiology, which includes protrusions of the “nucleus pulposus.” The center connects to the column or spinal canal and perhaps compressing the spinal cord or the nerve core, or roots, which causes back pain. If the spinal cord is compressed restraining the roots and cord often back pain, numbness, and the motor functions may fail.

The assessments in medical terms are based on Lumbrosacral, which may include acute or chronic pain at the lower back. The pain may spread out to the buttocks and move toward the legs. The person may feel weakness, as well as numbness. In addition, such pain can cause tingling around the legs and foot. The final assessment may include ambulation, which emerges from pain.

The cervical is considered. The symptoms experts look for is neck rigidity, deadness, weakness, and “tingling of the” hands. If the neck pain spreads the pain down to the arms and continue to the hands, experts will consider slip disks. Yet other symptoms may occur, such as weakness that affects the farthest points, or the higher boundaries of the body. The lumbar curves is at the lower back region and is situated in the loins or the smaller area of the back, which doctors consider also, especially if the patient has difficult straightening this area with the curvature of the spine (scoliosis) and away from the area influenced.

When doctors consider back pain, they will review the diagnostics after conducting a series of tests. Diagnostics may arise from tendon reflex, x-rays, EMG, myelograms, CSF, and/or Laséque signs. CSF helps the doctor to analyze the increases in protein while EMG assists experts in viewing the involvement of the spinal nerves. X-rays are used to help experts see the narrow disk space. Tendon reflexes are tested, which the doctors use tests to look deep into the depressed region, or the absent upper boundary reflexes, or in medical lingo the Achilles’ reactions or reflex. Myelograms assist the expert in seeing if the spinal cord is compressed. The tests start if the Laséque signs show positive results behind etiology findings, Pathophysiology, assessments, and so on.
How doctors manage slip disks:
Doctors prescribe management in medical schemes to isolate or relieve back pain. The management schemes may include diet whereas the calories are set according to the patient’s metabolic demands. The doctor may increase fiber intake, as well as force fluids.

Additional treatment or management may include hot pads, moisture, etc, as well as hot compressions. Doctors often recommend pain meds as well, such as those with NAID. The pain meds include Motrin, Naproxen, Dolobid, or Diflunisal, Indocin, ibuprofen, and so on. Additional meds may include muscle Relaxers, such as Flexeril and Valiums. The common Relaxers are diazepam and cyclobenzaprine hydrochloride, which diazepam is valiums and the other Flexeril.

Orthopedic mechanisms are also prescribed to reduce back pain, which include cervical collars and back braces. 

10 Self-Help Tips For Pain Management

Whether your pain has just come on or you’ve lived with it for years, these tried-and-tested self-help steps can bring you relief.


1. Get some gentle exercise. Simple, everyday activity like walking, swimming, gardening and dancing can ease some of the pain directly by blocking pain signals to the brain. Activity also helps to stretch stiff and tense muscles, ligaments and joints, which can lessen pain.
It’s natural to be hesitant if exercise is painful and you’re worried about doing more damage. But if you become more active gradually, it's unlikely you will cause any damage or harm. The pain you feel when you start gentle exercise is because the muscles and joints are getting fitter.
In the long term, the benefits of exercise far outweigh any increase in pain. Also, if you avoid exercise completely, the lack of activity could lead to other problems like stiff joints, weight gain, heart disease, osteoporosis, poor balance and falls.

2. Breathe right. Concentrating on your breathing when you’re in pain can help. When the pain is intense it’s very easy to start taking shallow, rapid breaths which can make you feel dizzy, anxious or panicked. Instead, breathe slowly and deeply. This will help you to feel more in control of the situation and will keep you relaxed and prevent any muscle tension or anxiety from worsening your pain.

3. Read books and leaflets. The Pain Toolkit is a free NHS-endorsed booklet packed with simple practical advice on how to live better with long-term pain. Download the booklet (PDF) or order a copy by telephoning 0300 123 100.  Quote 403298/Pain Toolkit.
You can also download and print out a free 2012 paintoolkit calendar packed with simple reminders or day-to-day pain management.
There is also a list of suggested self-help books and leaflets on The British Pain Society's website.

4. Stay positive. Pain can make you tired, anxious, depressed and grumpy. This can make the pain even worse, making you fall into a downward spiral. Be more kind to yourself. Living with pain isn’t easy and you can be your own worst enemy by being stubborn, not pacing your activities every day and not accepting your limitations. Some people find it useful to seek help from a counsellor, psychologist or hypnotherapist to discover how to deal with their emotions in relation to their pain. Ask your GP for advice and a referral, or read this article on getting access to counselling.

5. Distract yourself. Shift your attention onto something else so the pain isn’t the only thing on your mind. Get stuck into an activity that you enjoy or find stimulating. Many hobbies, like photography, sewing or knitting, are possible even when your mobility is restricted.

6. Share your story. It can help to talk to someone else who has experienced similar pain themselves and understands what you’re going through. Pain Concern, Action on Pain, Arthritis Care and BackCare all have telephone helplines manned by people with long-term pain, who can put you in touch with local patient support groups. The healthtalkonline and youthhealthtalk websites let you watch or listen to videos of other people’s experiences of pain.

7. Get some sleep. "Many people with chronic pain dread going to bed as that's when the pain is worst," says Heather Wallace from Pain Concern. But it’s important to try to stick to a normal sleep routine so you've got the best chance of sleeping through the night. Also, "sleep deprivation can worsen pain", says Heather. Go to bed at the same time each evening, and get up at a regular time in the morning and avoid taking naps in the day. If sleep problems persist, see your GP.

8. Take a course. The Expert Patients Programme (EPP) is a free NHS-based training programme for people who live with long-term chronic conditions such as arthritis to develop new skills to manage their condition (and any related pain) better on a day-to-day basis. Many people who have been on an EPP course say they take fewer painkillers afterwards. For further details, including how to find your nearest programme, visit www.expertpatients.co.uk. 

9. Socialise. Don’t let pain mean that you lose contact with people. Keeping in touch with friends and family is good for your health and can help you feel much better. Try shorter visits, maybe more often, and if you can’t get out to visit people, phone a friend, invite a family member round for a coffee or have a chat with your neighbour. Aim to talk about anything other than your pain, even if other people want to talk about it.

10. Relax. Practising relaxation techniques regularly can help to reduce persistent pain. There are many types of relaxation techniques, varying from breathing exercises to types of meditation. Ask your GP for advice in the first instance. There may be classes available locally or at your local hospital’s pain clinic. For more information, read this article on relaxation tips.

Back Pain:First Aid

                                                                                                                   
The following self-help treatments may help to relieve back pain.

Apply Heat And Ice

Apply an ice pack to the affected area. If you haven't got an ice pack, use a bag of frozen vegetables instead. Don't put the ice directly on your skin, as it might cause a cold burn. Put a wet cloth between the ice and your skin.

If ice doesn't work, try applying gentle warmth with a hot water bottle. Don't apply the hot water bottle directly to the skin - cover it so it isn't too hot. A hot bath or shower might also help.

Some people find alternating heat and cold produces most relief. Try to get professional advice on applying heat and ice if you can.

Medication

Take painkillers following the instructions on the packet - never take more than the recommended dose. Many people find that paracetamol or ibuprofen helps - your pharmacist can advise you.

Painkillers shouldn't be used as a long-term solution. If you find you still need them after a week or so, consult your doctor.

Relaxation

Muscle tension is bad for back pain, so try to relax as much as possible. Take a long bath or listen to soothing music. Use a relaxation tape if you have one.

A gentle massage from a partner or friend may help, but make sure they don't do anything that causes pain.

Topical anti-inflammatory gels such as ibuprofen can also be massaged gently onto the skin over the back.

Bed Rest Versus Exercise

Doctors used to recommend long periods of rest for people with backache, but research has shown this is actually bad for backs. Even crawling around on your hands and knees is better than no movement at all.

Some kinds of exercise, such as walking, don't put too much stress on your back. It's a good idea to make a start on them even if your back is a bit sore, just to get your joints moving and your heart and lungs working.

Use a firm chair when sitting down, or sit on the floor rather than a sofa that’s too soft. Similarly, make sure your bed is firm enough.

Getting Back To Normal

In most cases, the back recovers naturally if allowed to do so and the pain should settle in a couple of days. Once this has happened, continue getting back to normal activities and try not to stay in one position or do any one activity for more than 30 minutes.

Avoid lifting, bending or twisting until the pain has gone for a few days. Refrain from returning to the activity that caused the pain for a week or so, even if you feel better, and gradually build up your exercise and activities day by day.

Don't just listen to your friends and relatives - ask an expert. Talk to your doctor or a properly physiotherapist, osteopath or chiropractor.

Relaxation Tips

Relaxation can help to relieve the symptoms of stress. It can help you calm down and take a step back from a stressful situation,and I've found that it can also be beneficial when dealing with backpain.
Although the cause of the anxiety won’t disappear, you will probably feel more able to deal with it once you've released the tension in your body and cleared your thoughts.

All relaxation techniques combine breathing more deeply with relaxing the muscles.
Don't worry if you find it difficult to relax at first. It's a skill that needs to be learned and it will come with practice.
Yoga and tai chi are both good ways to improve breathing and relaxation

Relaxed Breathing

Practise deep breathing at a regular time and in a quiet place where you won’t be disturbed. Loosen or remove any tight clothes, such as shoes or jackets. Be completely comfortable.
Sit in a comfy chair which supports your head or lie on the floor or bed. Place your arms on the chair arms, or flat on the floor or bed, a little bit away from the side of your body with the palms up. If you’re lying down, stretch out your legs, keeping them hip-width apart or slightly wider. If you’re sitting in a chair, don’t cross your legs.
Good relaxation always starts with focusing on your breathing. The way to do it is to breathe in and out slowly and in a regular rhythm as this will help you to calm down.

• Fill up the whole of your lungs with air, without forcing. Imagine you're filling up a bottle, so that your lungs fill from the bottom.
• Breathe in through your nose and out through your mouth.
• Breathe in slowly and regularly counting from one to five (don’t worry if you can’t reach five at first).
• Then let the breath escape slowly, counting from one to five.
• Keep doing this until you feel calm. Breathe without pausing or holding your breath.
• Practise this relaxed breathing for three to five minutes, two to three times a day (or whenever you feel stressed).

Deep Muscle Relaxation

This technique takes around 20 minutes. It stretches different muscles in turn and then relaxes them, to release tension from the body and relax your mind.
Find a warm, quiet place with no distractions. Get completely comfortable, either sitting or lying down. Close your eyes and begin by focusing on your breathing; breathing slowly and deeply, as described above.
If you have pain in certain muscles, or if there are muscles that you find it difficult to focus on, spend more time on relaxing other parts.
You may want to play some soothing music to help relaxation. As with all relaxation techniques, deep muscle relaxation will require a bit of practice before you start feeling its benefits.
For each exercise, hold the stretch for a few seconds, then relax. Repeat it a couple of times. It’s useful to keep to the same order as you work through the muscle groups:

• Face: push the eyebrows together, as though frowning, then release.
• Neck: gently tilt the head forwards, pushing chin down towards chest, then slowly lift again.
• Shoulders: pull them up towards the ears (shrug), then relax them down towards the feet.
• Chest: breathe slowly and deeply into the diaphragm (below your bottom rib) so that you're using the whole of the lungs. Then breath slowly out, allowing the belly to deflate as all the air is exhaled.
• Arms: stretch the arms away from the body, reach, then relax.
• Legs: push the toes away from the body, then pull them towards body, then relax.
• Wrists and Hands: stretch the wrist by pulling the hand up towards you, and stretch out the fingers and thumbs, then relax.

Spend some time lying quietly after your relaxation with your eyes closed. When you feel ready, stretch and get up slowly.

Back Pain and Diagnosis

Did you know that many doctors miss areas of concern that could lead to cures? Did you know that back pain is common, yet many doctors fail to see the cause? The answer is simple. The reason is most medical doctors have little experience in the system of healing so to speak. Rather many doctors focus on prescribing medicines and searching for answers, which many times rest in front of them. Don’t get me wrong, good doctors reach everywhere, yet these people lack educational knowledge of the spinal column, central nervous system and so on. As well, these people fail to see that many causes of back pain rests in misaligned bones, or spine. Of course, diseases may cause back pain as well. Sitting too long, lack of stretch exercises, etc, all cause lower back pain.

If the back pain is, serious it will often show up in MRI or CT scans. X-rays will show back conditions, however since doctors review all areas, except the alignment of the bones and spine, thus most times the x-rays only reveal what the doctor wants to see. This happens to many people, including myself. A pro in analyzing the spine and bones is the man you want to see if you have chronic back conditions.

The types of back pain include sciatica. The back problem may be listed as slip disk in some instances, yet the pain often challenges doctors diagnose since a sharp, electrical shock-like and distressing ache starts at the back and then travels to the legs. Sometimes the pain is intermittent, while other times the pain may be chronic. The particular problem often requires surgery to correct. Sciatica according to few experts is one of the worst backaches endured, since even when the pain has mild pain it is difficult to bend forward and over to tie a shoe. The problem rests in the spine, joints, and connective elements of the spinal column that links to the entire body.

The spinal column makes up muscles, bones, central nerves, etc. What holds the spine together is disks, connective tissues, tendons, ligaments, etc? When a person stands erect, the spine’s elements will join to apply tension. You can visualize the tension by considering how a string will respond when you pull it down. The changes assist the body in mobility; as well, it determines how the body responds to movement.

The lower back is made up of large-scale structures, including the backbone and the hip joints. The hip joints connect to the pelvis and each element joins with the spinal column at the triangle bone in the lower back and at the baseline of the spine that joins the hipbones on either side and forms part of the pelvis. (Sacrum)

The large bones attach to the legs, which provide us strength and support to the vertical spinal column. We have thick bones that start at the opposite side of the thick cord of nerve tissues (Spinal Cord) that is near the neck. Along this area, the joints are thick and the bones start to thin and shrink. The spinal cord is a “thick whitish” nerve cord surrounded by tissues and extends from the base of the brain and continues to the spinal column, giving mount to a pair of spinal nerves that contribute the body.

Combined these elements give us the ability to move and provides flexibility. In addition, the organs are directed by these elements.

The spine is held up by the larger group of bones at the lower region, smaller base, and the top architectures. Stress occurs at the area, since below this region larger muscles work by directing and sparking movement. This is how the legs are able to move, which brute stress is applied to the vertebrae. At the back, we also have a lumbar spinal disk. The disk is affected by the brute stress, since each time we bend and sit, we are applying more than 500 pounds to this area, yet it stretches to a “square inch” around the disks and per count along the area.

Causes Of Back Pain

Your back is a complex structure made up of bones, muscles, nerves and joints, so pinpointing the exact cause of the pain can often be difficult.
However, most cases of back pain are not caused by serious damage or disease but by sprains, minor strains, minor injuries or a pinched or irritated nerve.
Back pain can be triggered by everyday activities at home and at work, or it can develop gradually over time as a result of sitting, standing or lifting badly.

Back pain causes include:

• Bending awkwardly
• Lifting, carrying, pushing or pulling incorrectly
• Slouching in chairs
• Standing or bending down for long periods
• Twisting
• Over-stretching
• Driving in a hunched position
• Driving for long periods without taking a break
• Overuse of the muscles, usually due to sport or repetitive movements (repetitive strain injury) 

Sometimes the pain develops suddenly for no apparent reason. Some people just wake up one morning with back pain and have no idea what has caused it.

Risk factors

Some risk factors increase the risk of developing back pain. These include:

• Being overweight – the extra weight puts pressure on the spine. Use the healthy weight BMI calculator to find out if you need to lose weight. 
• Smoking – this could be due to tissue damage in the back caused by smoking or the fact that smokers tend to have unhealthier lifestyles than non-smokers. Get help quitting. 
• Being pregnant – the excess weight of carrying a baby can place additional strain on the back.
• Long-term use of medication that is known to weaken bones, such as corticosteroids.
• Stress – it is thought that stress can cause tension in the muscles of the back, which can result in back pain.

Depression – back pain can make people feel depressed, which can sometimes result in weight gain leading to more severe pain and worsening depression.

Nick"As part of my back protection regime I always lift with slightly bent knees,if the object that I'm lifting is quite large I find that holding it close to my chest,almost hugging it, and leaning back slightly, also helps,I also find that if I have to stand relatively still for a long period,that bending my knees slightly also helps prevent any undue stiffness developing in my lower back."

Neck Pain Or A Stiff Neck

Usually, the pain or stiffness gets better after a few days 

While this site is mainly concerned with dealing with backache I thought it a good idea to include some info on Neck Pain,Shoulder Pain,what causes it,and how to treat it.





Neck pain or a stiff neck is a common complaint and generally nothing to worry about.
Usually, the pain or stiffness gets better after a few days and is not a sign of any neck problem or serious underlying condition.
Neck pain or a stiff neck can result from a sprain after bending your neck into an abnormal position (for example, by sleeping on too many pillows), from poor posture, or even from sitting in a draught for too long.
But often, there is no obvious cause and doctors will refer to it as 'non-specific'.

This Page Covers:

• Managing your neck pain or neck stiffness at home
• When to see your GP
• A twisted or locked neck
• Problems with the nerves or bones in your neck

Back pain, shoulder pain and whiplash (neck injury) are covered in separate topics.

Managing Neck Pain Or A Stiff Neck At Home

Whatever the cause of neck pain or a stiff neck, the advice is generally the same:

• Carry on with your normal lifestyle, 
• keep active and take painkillers to relieve the symptoms.

See More Specific Advice Below. 

• Take regular doses of paracetamol, ibuprofen or a combination of the two to control pain. Ibuprofen gel can be rubbed onto the neck as an alternative to tablets. Always follow the dosage instructions on the packet.
• Try holding a hot water bottle or heat pack to your neck to reduce any pain and muscle spasms.
• Sleep on a low, firm pillow at night. Avoid using two pillows as this may force your neck to bend unnaturally.
• Check your posture, as this can aggravate the pain and may have caused it in the first place – see How to sit correctly.
• Avoid wearing a neck collar – there is no evidence that this will help to heal your neck, and it is better to keep the neck mobile. If you must wear one to make your neck more comfortable, do not wear it for more than 48 hours.
• Avoid driving until the pain and stiffness have gone, as you will not be able to turn your head to view traffic.
• If your neck is stiff or twisted, try some simple exercises within your comfort zone – gently tense your neck muscles as you tilt your head down and up and from side to side, and as you carefully twist your neck from left to right. These exercises will help to strengthen your neck muscles and improve your range of movement.

When To See Your GP

See your GP if the pain or stiffness does not seem to be getting better after a few days and you are worried, or if you cannot control the pain with ordinary painkillers. Your GP will examine your neck and ask questions to rule out any serious underlying condition, and may prescribe you a stronger painkiller, such as codeine, to take along with your usual over-the-counter painkillers.

If the pain or stiffness has persisted for a few weeks, ask your GP to refer you to a physiotherapist. There is no agreed scientific evidence that chiropractic or acupuncture are effective treatments for neck pain or a stiff neck.

If your symptoms do not improve, you should ask your GP to consider referring you to a specialist or pain clinic for painkilling injections. For more information and advice on persistent pain, see:Ten Self Help Tips For Pain management

A Twisted Or Locked Neck

Some people suddenly wake up one morning to find their neck twisted to one side and stuck in that position. This is known as acute torticollis. Any attempts to move the neck will cause sharp pain.

Torticollis can occur after long exposure to a cold draught, or after your neck has been in an unusual position. See your GP for treatment, and to rule out any serious underlying cause. Acute torticollis can take up to a week to get better, but usually only lasts 24-48 hours. Manage your pain at home by following the advice above.

Nerve Or Bone Problems In The Neck

Sometimes, neck pain may be caused by the general ‘wear and tear’ that occurs on the joints and bones in your neck. This is called cervical spondylosis, and is a type of arthritis.

It is important to note that cervical spondylosis happens naturally as people get older, and it often causes no symptoms. But for an unfortunate few people, the bone changes can cause stiffness in the neck and can sometimes squash the nearby nerves, leading to pain that radiates from the arms, pins and needles and numbness in the hands and legs. 

Neck pain caused by a squashed nerve is known as cervical radiculopathy. It is not always the result of cervical spondylosis – it may sometimes occur after your neck has been held in an awkward position or twisted, if you have twisted or bent your body abnormally, or after your hand and arm has been vibrating (e.g. after using power tools).

Pain can be controlled by following the advice above, but if your pain has lasted for more than four weeks you may be referred for an MRI scan to investigate the problem with your neck. Talk to your GP about being referred for pain management (see When to see your GP, above).

Indicators in Back Pain

Back pain usually starts with signals or indicators. For instance, if your back hurt at one time and stopped, and later it started it again, you received your indicator at the start. In short, the first time your back started hurting is the sign. You want to pinpoint when the first pain started. Once you pinpoint the starting date, you will need to consider what inspired your back pain. For instance, did you fall? Were you in a motorized accident?

Once you find the trigger of your back pain, you want to consider the symptoms. Did you feel pain? Did you feel weak? Was your back stiff or numb?

Now you can use the indicators to discover where the pain started. Did the pain start at the lower back? Was the pain at the top area? Did the pain cause additional pain, such as around the neck? Was the pain intermittent? Did the pain consistently cause stress? Did the pain shoot to other areas of the body?

Did the pain get worse, when you walked, stood, sit, or lie down? Did the pain decrease, or did it increase?

When you first hurt your back did the pain stop, or did it frequently hurt? Did the pain cause long-term problems? Did the pain leave right away?

When you first injured your back, did the symptoms change gradually? Did the symptoms interrupt your daily duties? How did the symptoms change? How did the symptoms interrupt your daily duties?

Answering the questions can help you inform your doctor, as well as understand the cause of your condition. If you were in an accident and sought medical support when you first damaged your spine, you may want to consider what tests were used to spot your condition. What did you doctor find?

If you sought medical support and your doctor recommended treatment, what was that treatment? How did the treatment help your back condition? If the treatment helped your condition, can you try the remedies now?

Is your back pain caused from surgery, joint conditions, musculoskeletal disorders, or disease?

Does your job require mandatory lifting of heavy objects? Is your job emotional stressful? Do you stand long hours? Do you sit long hours?

How are your exercise habits? Do you workout often. Do you engage in stretch exercises? What is your stress level? Do you do something active to relieve stress?

Is there a hereditary back problem in your history?

Once you ask questions related to your back condition you might want to mark points that you can mention later to your doctor. Noting the problems can help you and your doctor find the cause. Often patients fail to do this, which is why many back pain problems go unnoticed.

If your back pain has recently started again after the initial indicator, you may use treatments at home to relieve the pain, unless it is demanding. Rest is a common treatment doctor prescribes to reduce back pain. I am a fan to chiropractor support, yet some people have issues with this notion, therefore if you feel a chiropractor can benefit you, seek support. Massage and physical therapy is also recommended to reduce back pain. In many areas, massage therapists are available, which charge reasonable fees. Check your areas to learn more about massage therapy. Common stretch exercises can reduce back pain, which has emerged from tension. If you overworked the muscles, you may want to rest and do a few exercises later.

Whatever you do, avoid ignoring the indicators. Once pain starts in the back, note the area and discuss the problem with your doctor.

Stem Cells:The Cure?

Chronic back pain could be cured by a revolutionary treatment which allows patients to "grow" a new spine.
Scientists have discovered how to regenerate the damaged discs in the back which cause agony to sufferers.

The condition, common among older people, occurs when the discs between the vertebrae wear away, leaving them to rub against each other.
Until now few treatments have been available other than surgery — which has a high failure rate — or a lifetime on painkillers.

Doctors feared it was impossible to repair the cartilage in the discs and have written off many patients as no-hope cases. 

But now researchers have found that stem cell therapy could help the discs to self-heal. Stem cells are the body's building blocks and possess a unique ability to repair damaged tissue and bone.

Scientists do not fully understand how they function and are busy exploring their potential as a cure for several conditions.

In the latest study at Gothenburg University in Sweden, researchers found there were areas on the edge of the discs which have similar properties to stem cells.
Their experiments on animals showed healing in the discs and they hope to repeat the results in human tests.

Chief researcher Helena Barreto-Henriksson said: "It is generally believed that cartilage has very little or no capacity to heal. "Our study found the transplanted stem cells survived and that there was a certain degree of healing in the disc." She added: "The advantage of such treatment over today's surgical approaches is that it would be a much simpler and less serious procedure for the patient."

Slipped Disc

1. Healthy Disc
2. Nerve
3. Slipped Disc
4. Damaged Disc
5. Spinal Cord

A slipped disc, also called a prolapsed or herniated disc, occurs when one of the discs of the spine is ruptured (splits) and the gel inside leaks out. This causes back pain and can also cause pain in other areas of the body.

The spine 

The spine is made up of 24 individual bones called vertebrae, which are stacked on top of each other. Discs are the protective, circular pads of cartilage (connective tissue) that lie in between the vertebrae. The discs are responsible for cushioning the vertebrae when jumping or running.

The spinal cord is a collection of nerve fibres that are attached to the brain and are protected by the spine. Nerve fibres from the spinal cord pass between the vertebrae as they take and receive messages to and from different parts of the body.

A slipped disc

The discs are made from a tough, fibrous case, which contains a softer, gel-like substance. A slipped disc occurs when the outer part of the disc ruptures (splits), allowing the gel inside to bulge and protrude outwards between the vertebrae.

The damaged disc can put pressure on the whole spinal cord or on a single nerve fibre. This means that a slipped disc can cause pain both in the area of the protruding disc and in any part of the body that is controlled by the nerve that the disc is pressing on.

How common is a slipped disc?

Slipped discs are most common in people between the ages of 30 and 50. The condition affects twice as many men as women.

A slipped disc occurs most frequently in the lower back, but any disc can rupture, including those in the upper back and neck. Around one-third of adults in the UK have lower back pain, and a slipped disc is responsible in less than 1 in 20 cases.

Outlook

It can take around four to six weeks to recover from a slipped disc. In most cases, treatment involves a combination of physical therapy, such as exercise and massage, and medication to relieve the pain.

In severe cases, or if the pain continues for longer than six weeks, surgery may be considered. A number of different procedures can release the compressed nerve and remove part of the disc. The success rate for surgery on the lumber (lower) spine is around 60-90%.

Dealing With Back Pain Out And About

When You're Shopping:

• Don't shop until you drop - take regular rests or make several short trips
• Don't overload your trolley and use a high 'tray' trolley rather than a large deep one
• Distribute your shopping evenly between both hands or hold a bag in front of you, or use a small backpack (not large or over-filled)
• Wear comfortable shoes

In The Car:

• Adjust your seat properly so your arms have a slight bent at the elbow when your hands are on the steering wheel
• Support your lower back with a small cushion or rolled up towel
• Take regular breaks on long journeys and get out of the car for a stroll and a stretch

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Dealing With Back Pain At Home

The best way to sit down is to do it without bending your back. Stand in front of the chair with one foot behind the other, almost under the chair. Bend your knees, and at the same time place your hands on the arms or seat of the chair. Lower yourself gently into the seat. A chair with arms makes this much easier.

The following can also help back health in the home:

• Make sure work surfaces are a comfortable height so you don't have to bend your back
• Use a ladder or stable chair when painting or cleaning - don't stretch too far
• Squat or kneel when cleaning the bath or reaching low shelves
• Use an upright vacuum cleaner and keep it close to your body
• Ensure easy access to each side of the bed so you don't have to stretch when making it, and kneel or squat to tuck in sheets and blankets.
• Take regular breaks from time-consuming tasks

If you have children, make sure you:

• Bend your knees to pick up a baby - don't twist
• Kneel down to talk to toddlers rather than picking them up
• Adjust the height of the cot so you don't need to bend, or choose one with drop sides
• When unloading a pram's shopping tray, always bend from the knees
• When getting into bed, sit on the edge, lower your body on to one elbow and shoulder and draw up your knees and then feet. Reverse the procedure to get out.

The wrong sleeping arrangements can put additional strain on your back. If you're experiencing back problems, you might want to try the following:

• Replace a sagging mattress
• Lie on your back with a pillow under your knees or on your side with a pillow between your bent knees
• Don't have too many pillows - they support your neck, not strain it
• When buying a bed, try any you are considering for as long as you can. Your bed should allow ease of movement but mould to the contours of your body. Don't assume a bed marked 'orthopaedic' is what you need - the word can sometimes be used as a marketing tool.

To test if a bed is giving you the correct level of support, lie on your back and slide your hand, palm down, between the small of your back and the mattress.

If you can:

• Work your hand through with some resistance, the bed support is probably about right
• Slide your hand easily through a large gap, the bed is probably too hard (or saggy)
• Hardly force your hand through at all, the bed is probably too soft

If you're in pain, the easiest way to turn in bed is to bend your knees, bringing your heels up towards your buttocks. Let your knees fall to one side and as the weight of your legs takes you over, bring through your hip and shoulder - don't twist.

Ortho Royale 4.6ft Double Mattress Orthopaedic Mattress

Life Style Adjustments

Four in five adults experience back pain at some point, but the back is so complex every person needs individual treatment options. Discover more about how your back works, what can go wrong and how you can prevent back problems.

Back Pain: Making Adjustments

Making small changes to your lifestyle can reduce your risk of back pain.

Back pain can be caused by many factors. Run through your daily routine and examine the amount of strain you place on your spine.Read our causes of back pain article HERE

Stress

Stress can also create muscle tension, causing a loss in flexibility that can lead to back pain. To reduce stress, try:

• Exercise
• Yoga
• Meditation
• Getting more sleep or listening to music.

If you smoke, stop. It puts you at increased risk for back problems since your blood has trouble delivering oxygen to working tissues, making your back weaker.

Making small changes to your lifestyle can reduce your risk of back pain.

When To See Your Doctor

Back pain: When To See Your Doctor

Many people with back pain never need to see their doctor. But you should feel able to call or visit your GP if you're worried about your back or feel unable to cope with the pain. As a general rule, people with back pain are advised to contact their doctor if the pain is no better after about a week.

You should certainly see your GP as soon as possible if you have any of these symptoms:

• Difficulty passing urine, or if you are passing blood
• Numbness around the back passage or genitals
• Numbness, pins and needles or weakness in the legs or arms
• Pain running down one or both legs
• Unsteadiness when standing

These are associated with uncommon conditions, but ones that need treatment immediately.

Back Pain & Nutrition

Degenerative discs are a significant cause of lower back pain

Back pain and disc health 'linked' to lack of nutrients

Heavy lifting, twisting and bending can do damage to the discs in the back by reducing the flow of nutrients to the disc cells, a study says.

Disturbing the balance of nutrients in the discs can then lead to the onset of degenerative disease.

Writing in PLoS Computational Biology, Spanish experts say a normal level of physical activity helps cell nutrition.

Lower back pain, which is linked to degenerative spinal discs, could be caused by this lack of nutrients.

Previous research has shown that 80% of the active population suffers from low back pain at some point in their lives.

But little was known about the chain of events which changes normal, healthy ageing discs into degenerative discs.

Using computer models of the human disc in their study, a team of scientists from Barcelona's Institute for Bioengineering looked at the nutritional and mechanical effects of stress on the discs of the lower back.

By using the models, the researchers were able to see what happened when they changed disc height, cell density and made degenerative changes to the disc.

It would not have been possible to carry out this quality of research in a living person.

'Collapsed Sponge'

The results showed that external loads on the disc influenced the solute concentration - the amount of glucose and lactate present in the disc.

The cells need glucose but do not want too much lactate, an acid which hinders the nutrition process and can kick-start the degenerative process.

Dr Jerome Noailly, study author and expert in the biomechanics and mechanobiology group at the Institute, said the study showed that nutrients could be the key factor.

"If we know that lack of nutrition is involved in accelerating the degenerative process and the properties of a degenerative disc hinder nutrition, then this will increase cell death and the disc tissue will start to degenerate more and more.

"In order to bring back the function of the degenerated disc, we must address the nutrition problem.

"This means restoring the water content of the disc and the volume of the disc. A degenerated disc is like a collapsed sponge which needs to be restored to its normal size."

The research team says the findings could open up new areas of research in the field of disc regenerative medicine.

Dr Brian Hammond, chair of the charity BackCare, said: "We are what we eat and the spine is no exception. A balanced diet, adequate fluid intake and regular exercise are essential for a healthy back and neck.

"There is little doubt that poor diet, being immobile for long periods and bad habits like smoking contribute to spinal degeneration and the high incidence of back and neck pain in the UK."

Types Of Back Pain

Neck Pain

Neck pain refers to any pain experienced in the area from the base of the skull to the shoulders and can spread to your upper back or arms.

This can include feelings of stiffness or tightness, as well as sharp pain and, in severe cases, can reduce the movement of the neck and head. Neck pain can also cause tension headaches.

Most muscles in the body will relax completely when they are not being used, but the muscles in the neck are permanently tensed in order to support the head. Although most common in people over 50, neck pain can develop at any age as the result of excess strain on the neck. This could include slouching, sleeping in an awkward position or working at a computer for long periods of time without a break.

Neck pain can also develop as the result of an accident. Perhaps the best known is whiplash; an injury sustained as a result of the head being thrown forward and back in a car accident.

Neck pain is rarely the result of a serious injury and will often lessen after a few days. If you are suffering from neck pain, try to keep moving and maintain your normal routine as best you can. Over-the-counter painkillers may also help.


Upper And Middle Back Pain

The upper and middle back refers to the section of vertebrae, known as the thoracic vertebrae, which runs from the base of the neck to the bottom of your ribcage. This type of back pain is less common than neck or lower back pain as the bones in this area are not required to move and flex as much.

Like many other types of back pain, upper and middle back pain can range from aching and stiffness to a sharp or burning sensation. Pain in this area is often the result of pinched nerves in the spine by the ribs.

One cause of back pain in this area is poor posture. Try to keep your back as straight as possible and balance your weight evenly on both feet. When sitting, keep your shoulders rolled back and be sure to adopt suitable positions when driving, sitting or using computers.

For more advice on ways you can protect your back, see the 'preventing back pain' section of this guide.

Lower Back Pain

This is the commonest type of back pain with around 8 out of 10 people affected at some time in their lives. The lower back is defined as the area between the bottom of the ribcage and the top of the legs. Symptoms range from tension and stiffness to pain and soreness.

Most people's back pain is described as non-specific, meaning it is caused by structures in the back as opposed to rare conditions such as cancer or a fracture.

The back is a delicate area of muscles, nerves, bones and joints and is continuously working hard to support the weight of the upper body. Lower back pain is often triggered by everyday activities such as bending awkwardly, lifting incorrectly, standing for long periods of time, slouching when sitting and driving for long periods without taking breaks.

The 'preventing back pain' section of this guide has advice on guarding against these common causes of back pain and includes tips on lifting correctly, sitting properly, using computers and avoiding back pain caused by driving.

Buttocks And Legs (Sciatica)

Sciatica is pain caused by irritation or compression of the sciatic nerve. The sciatic nerve is the longest nerve in your body and runs from the back of your pelvis, through your buttocks, and all the way down both legs, ending at your feet.

When something compresses or irritates the sciatic nerve, it can cause a pain that radiates out from your lower back and travels down your leg to your calf. This can be mild to very painful.

The most common cause of sciatica is a slipped disc. This occurs when one of the discs that sit between and cushion the vertebrae is ruptured. Most cases of sciatica will pass without the need for treatment. A combination of the self-help measures described in this guide such as over-the-counter painkillers, exercise and hot or cold packs can usually relieve the symptoms.

For persistent sciatica, you may be advised to try a structured exercise programme under the supervision of a physiotherapist. In rare cases, surgery may be needed to control the symptoms.

Urgent (Red Flag Symptoms)

Most cases of back pain will usually get better without medical help. However, there are a number of warning signs, known as 'red flags', which may indicate that your back pain is serious.

These red flag signs include:

·         A high temperature (fever) of 38C (100F) or above
·         Unexplained weight loss
·         Constant back pain that does not ease after lying down or resting
·         Pain that travels to your chest or that is high up in your back
·         Pain down your legs and below the knees
·         A recent trauma or injury to your back
·         Loss of bladder control
·         Inability to pass urine
·         Loss of bowel control
·         Numbness around your genitals, buttocks or back passage

If you have any of the signs or symptoms listed above, contact your GP immediately. If this is not possible, you can telephone NHS Direct on 0845 4647.

You should also seek medical advice if you are having back pain and:

·         You are under 20 or over 55 years old
·         You have taken steroids for a few months
·         You misuse drugs
·         You have or have had cancer
·         You have a weakened immune system as a result of chemotherapy treatment or a medical condition such as HIV or AIDS

Also contact your GP if your symptoms fail to improve within three days or you have persistent pain that lasts longer than six weeks.

Evidence For Acupuncture

Evidence For Its Effectiveness 

There is some scientific evidence that acupuncture is effective for a small number of health conditions. However, for the majority of conditions for which acupuncture is used, the scientific evidence is inconclusive or there has been no attempt to collect good-quality evidence. For a small number of conditions, there is evidence that acupuncture does not work.
More research is needed into the effectiveness of acupuncture on a wide range of conditions.
It is important to remember that when we use a treatment and feel better, this can be because of a phenomenon called the placebo effect and not because of the treatment itself.
When scientists gather evidence on the effectiveness of a treatment, they take the placebo effect into account. For more information, watch a video about the placebo effect.

Positive Evidence

• There is reasonably good evidence that acupuncture is an effective treatment for:
• Chronic back pain
• Dental pain
• Pain and discomfort during gastrointestinal endoscopy
• Headache
• Nausea and vomiting after an operation
• Pain and discomfort during oocyte retrieval (a procedure used during IVF)
• Osteoarthritis of the knee

Scientific trials conducted to investigate the effect of acupuncture on these conditions found that acupuncture had a beneficial effect.
However, because of disagreements over the way acupuncture trials should be carried out and over what their results mean, this evidence does not allow us to draw definite conclusions.
Some scientists believe that good evidence exists only for nausea and vomiting after an operation. Others think that there is currently not enough evidence to show that acupuncture works for any condition.
More research is needed to investigate whether acupuncture works for these conditions.

Negative Evidence

There is some evidence that acupuncture does not work for:

• Rheumatoid arthritis
• Stopping smoking
• Losing weight

This means that when scientific trials were conducted to see if acupuncture helped patients in these cases, they found that the treatment had no effect.
As with the positive evidence on acupuncture, this evidence does not allow us to draw definite conclusions. More research is needed into the effectiveness of acupuncture for these conditions.
Inconclusive or no evidence

For most conditions against which acupuncture is used, we do not have enough good-quality evidence on the effectiveness of acupuncture.
More research is needed before we can draw conclusions on whether acupuncture is effective for the following conditions:

• Addictions
• Asthma
• Chronic pain
• Depression
• Insomnia
• Neck pain
• Sciatica
• Shoulder pain
• Stroke
• Tinnitus

Acupuncture: Is It For You?

Acupuncture is a form of ancient Chinese medicine in which fine needles are inserted into the skin at certain points on the body.
It is a complementary or alternative medicine (CAM). This means that acupuncture is different in important ways from treatments that are part of conventional western medicine. Unlike conventional treatments, the use of acupuncture is not always based on scientific evidence.

Theory

Acupuncture is based on the belief that an energy, or 'life force', flows through the body in channels called meridians. This life force is known as Qi (pronounced 'chee'). Practitioners who adhere to traditional beliefs about acupuncture believe that when Qi cannot flow freely through the body, this can cause illness. They also believe that acupuncture can restore the flow of Qi, and so restore health.

Uses

Practitioners – called acupuncturists – use acupuncture to treat a wide range of health conditions. It is often used to treat pain conditions such as headache, lower back pain and dental pain, but is also commonly used against conditions ranging from infertility to anxiety and asthma. To learn more, see Common uses of acupuncture.
The availability of acupuncture on the NHS is limited. Most acupuncture patients pay for private treatment.

Does it work?

There is some evidence that acupuncture works for a small number of conditions, including migraine and post-operative nausea. However, there is little or no scientific evidence that acupuncture works for many of the conditions for which it is often used. More scientific research is needed to establish whether acupuncture is effective against these and other conditions.
There is no scientific evidence for the existence of Qi or meridians. Some scientists and acupuncturists believe that acupuncture may stimulate nerves and muscle tissue, and that this may be responsible for the beneficial effects that have been observed in some scientific trials. More research is needed before acupuncture’s method of action is fully understood.
For more information, see Evidence for acupuncture. If you choose to have acupuncture, make sure that your acupuncturist is fully qualified and practises the treatment under safe and hygienic conditions.
Currently, the National Institute for Health and Clinical Excellence (NICE) recommends acupuncture as a treatment option only for lower back pain.

Back Magic ?

The Bodi-Tek BackMagic

The BackMagic is specifically designed to relieve back pain due to tight muscles, the loss of lumber curve and poor spinal alignment. Targeting the lumbar region of the lower back the BackMagic is an easy to use solution for spinal tightness and tension.

We all spend way too much time sitting, which negatively alters our posture by flattening our lower back and neck curves.
This inevitably causes stiffness and tightness of the postural muscles that are attached to our spine.  The BackMagic is an effective and portable device that can easily help to alleviate this universal problem.

Use the BackMagic twice a day for only 5 minutes and your spine will become more flexible and your posture will totally transform. You will be able to stand taller and look and feel better in just 10 minutes a day. If in any doubt read the reviews which are everywhere for this simply but effective problem solver.

Health Tip:


If you have a recognised back or neck condition including any Spondylosis, Osteoporosis, Severe Arthritis, Spondylolisthesis, Spinal Lesions/Tumours, and Acute Fractures, consult your doctor before use.

Part of your daily routine


Before using the BackMagic read the user guide to maximise the benefits.

Perform a five-minute stretch per session in your desired position. Two sessions a day are recommended, although you may enjoy using the BackMagic even three times a day.  Pay special attention to your daily progress. Individual results may vary. Some users experience immediate relief and noticeable benefits, while others may take several weeks.

Start by using the BackMagic for 1 minute twice a day. Even with this minimum amount of use you should expect to feel the affects as your body adjusts. As your flexibility and posture improve you may want to advance to Level 2. Progression to Level 3 should only be considered if you are high flexible. i.e. you already do  yoga, pilates, gymnastics or athletics.

Handy Tip:


Relax! One of the keys to a good tension relieving stretch is relaxation. Take a deep breath, exhale gently, and let your body weight work together with gravity. You will achieve a greater stretch and arrive at a more relaxed state sooner.

How to use

The BackMagic was designed to make your life more enjoyable through better back health. Use the BackMagic to stretch muscles and relieve back pain due to tight muscles, excessive flexion, and poor spinal alignment. Incorporate it into your daily routine to achieve maximum results. The user guide goes into more detail on the various exercises and routines.

Nick "This has to be the single most useful item that I have bought in my quest for relieving my lower backache,everyone is different and not everyone's back will respond in the same positive way,all I can say is that it's worked form me.5 minutes in the morning before I leave for work and then 5 minutes in the evening before bed, with the Back Magic set at the lowest setting,with my arms by my sides,palms face down and with my knees up with the soles of my feet flat on the floor,when the 5 minutes is up, I found it easier to roll over onto my side and lay still for 30 seconds or so and then slowly sit up and then stand up,slowly."



Bodi-Tek Back Magic Available HERE