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."

Back Pain: Posture Checklist

Good Posture Is Good For You

A good posture can greatly improve and prevent back problems.










Follow these simple rules.


How to stand

• Don't round your back - imagine you are being lifted by a string fixed to the top of your head
• Avoid hunching your shoulders and tensing your neck when stressed
• Wear comfortable, low-heeled shoes - high heels put pressure on the lower back

How to sit

• Use an upright chair that supports your lower back
• Support the small of your back with a small cushion or rolled up towel
• Stand up and stretch every 20 to 30 minutes

How to lift

• Always look at alternatives to lifting - can you push or pull?
• Lift only what you can handle and get help if you need it
• Bend your knees and keep your back straight and your feet apart when lifting
• Avoid lifting and twisting at the same time
• Always lift and carry close to your body
• Bend your knees rather than your back when putting a load down

Back Care At Work

Back Pain

About 9.3 million working days were lost due to work-related back pain and other musculoskeletal disorders in 2008/9. The main causes of it are poor posture or an awkward twisting movement (bending or reaching), or a combination of the two.
In most cases, the best treatment is to stay active and, if necessary, use over-the-counter painkillers. You may feel like going to bed, but this won’t help and could make things worse. The longer you stay immobile, the weaker your back muscles will become and the more they'll hurt in the long term. For tips on keeping a healthy back,  read more HERE



Sitting

If you spend a lot of your time at work sitting at a desk, make sure you're sitting in the right position in relation to your computer. If you're unsure about correct posture, ask your line manager for a workplace assessment.
If you work on a computer a lot, it's important to take regular breaks. That means for every hour at your keyboard you should rest for at least 5 to 10 minutes.


Lifting

One of the biggest causes of back injury, especially at work, is lifting or handling objects incorrectly. Learning and following the correct method for lifting and handling objects can help prevent back pain.

Here are some key points to lift safely:

• Think before you lift.
• Start in a good position.
• Keep the load close to your waist.
• Avoid twisting your back or leaning sideways.
• Keep your head up.
• Know your limits.
• Push, don't pull.
• Distribute the weight evenly.

For more information on correct lifting techniques and safe manual handling, read our guide to lifting safely.HERE

Stay Mobile & Keep Working

If you have long-term pain, it's important to keep active. If your body stiffens up it can make the pain worse, so resting is not always the best way to deal with pain.

Things You Can Do

Painkillers:
If painkillers help you, take regular pain relief. Use paracetamol as it's safer than anti-inflammatory drugs such as ibuprofen, unless you have a clear injury that occurred in the past few days. Pharmacists can advise you on pain relief and what to do if you're having side effects.

Pain Gone:The Drug Free Pain Relief Pen

Exercise:
Try to do gentle stretches, movements and warm-up exercises throughout the day. Take care not to overdo it. Ask your GP about Exercise on prescription schemes. Your GP can refer you to a fitness instructor at a local leisure centre who will design a fitness programme that is adapted for you.

Pace Your Activity:
Do something active every day instead of only on the good days when you're not in so much pain. This may reduce the number of bad days you have and help you feel more in control.

Osteopaths And Chiropractors Specialists:
May be able to help with short-term pain relief, but it's not recommended that you use these treatments in the long term. It’s important to be able to manage the condition yourself.

See A Physiotherapist:
Physiotherapists use a wide variety of treatments for pain. They also help with posture. For instance, if you have a painful condition, you may lean away from the site of the pain (for example, using a stick or crutch). The longer you lean away, the more difficult it is to get upright again. This can put pressure on the other side of your body and cause problems there. It’s important to use your muscles rather than relying on collars, braces, corsets, tubigrips and wrist splints.
You need a referral from your GP to see a physiotherapist. Physiotherapists are often based in hospitals, but some are available in GP surgeries.


Occupational Therapy Occupational Therapists (OTs):
These are specialists who work with people with long-term pain and give expert advice on how to carry out day-to-day activities in spite of pain. They can assess your home to identify whether devices such as stair rails could help you lead an independent life. They can also advise you on how to get back to work gradually. They can produce a 'graded return-to-work' plan for you and liaise with employers.

Work

It's important to try to stay in work. Research shows that people become less active and more depressed when they don't work. This, in turn, leads people to take even more time off. If your employer is not sympathetic you may need a letter from your GP explaining your condition.
If you've been off work, you could go back to work gradually. This is called a 'graded return'. You may start with one day a week and gradually increase the time you spend at work.
When you do go back to work, take care not to overdo it. Change your position at regular intervals and take proper breaks.

Go On A Course

The Expert Patients Programme is a six-week course for people with chronic or long-term health conditions. You'll work with health trainers who themselves have long-term health conditions. They will help you relax, develop new life goals and work on ways of building up your stamina. Together with the tutors you will develop a plan to help you live with your pain.

Back Pain At Work

Back pain is the second most common cause of long-term sickness in the UK after stress.
About 9.3 million working days were lost due to work-related back pain and other musculoskeletal disorders in 2008/09.
The most common causes of back pain are strained muscles or ligaments, wear and tear, bad posture and stress.
Most of us will have back pain at some point in our lives. Although painful, back pain isn't serious in most cases. The pain generally lasts from a few days to a few weeks. It usually clears up after about six weeks.

Treating back pain

In general, the best treatment is to stay active and, if necessary, use over-the-counter painkillers. You may feel like going to bed, but this won’t help and could make it worse.
The longer you're immobile, the weaker your back muscles will become, and the more they will hurt in the long term.
The best ways to deal with pain and help your back to recover are to maintain your mobility, based on your usual activities, and return to work as soon as possible.
Any exercise that strengthens your legs, back and stomach will help to keep your back healthy. Read exercises for back pain for more information.

At your desk

Sitting badly in front of a computer for hours on end is storing up trouble. The body can tolerate being in one position for only a short period of time before you feel the need to adjust.
Workstation factors that can affect your back include:

• seating posture
• computer screen position
• chair height
• keyboard position
• mouse position
• desk equipment layout

If you work in an office and use a computer, you can avoid injury by sitting in the right position and arranging your desk correctly. Get tips on how to sit correctly.
If you're not sure about your seating position and workstation, ask your manager to arrange a workplace assessment for you.
Good posture when sitting at a desk can help prevent repetitive strain injury (RSI), which is a cause of back pain. Sit up straight and make sure that your lower back is supported.

Adjusting your chair

By law, workstation chairs must be stable. The standard office chair has five legs in a star shape.
The seat height must be adjustable, and the back rest must be adjustable in height and tilt. Ideally, the back rest should move independently of the seat to allow for a more comfortable position.
When you’re sitting, your thighs should be at right-angles to your body or sloping slightly down.
If your chair is properly adjusted, your feet should be firmly on the floor, but if it’s more comfortable, use a footrest. The basic rule is to plant your feet on the floor and support your back.


Take regular breaks

Don’t sit in the same position for long periods. Make sure you change your posture as often as is practicable.
Frequent short breaks are better for your back than fewer long ones. It gives the muscles a chance to relax while others take the strain. This can prevent you from becoming stiff and tense.
Most jobs provide opportunities to take a break from the screen, e.g. getting a drink, going for some fresh air, filing or photocopying.

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