My Lower Back Hurts When I Stand For Too Long – Low back pain or lumbago (the medical term for low back pain) is one of the most common health problems worldwide. It affects 80% of adults at some point in their lives, making it a common reason for people to see a doctor.
According to the Global Burden of Disease study published in the Lancet Medical Journal, back pain is a leading cause of disability. Back pain is classified as acute, subacute or chronic. Acute episodes of low back pain last from a few days to four weeks, while subacute episodes last from four to twelve weeks. About 20 percent of people with severe back pain develop chronic back pain, which is defined as pain lasting 12 weeks or longer. The good news is that most of the time back pain improves or resolves with proper care and treatment.
My Lower Back Hurts When I Stand For Too Long
Your spine is a complex structure that performs many functions. Constant demands are placed on your spine. Your spine supports the weight of your head, shoulders and upper body. It helps you stand up straight, bend and twist. Understanding how your spine works can help you understand the cause of back pain. Your lower back is called the vertebral column.
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Your spine is made up of 33 bones called vertebrae. There are five vertebrae in the lumbar spine. These bones form the spinal canal and protect the inside of your spinal cord. Spinal nerves are like electrical cables that carry messages through the spinal canal to the muscles. These nerves exit the spinal canal through the vertebral openings. Between each vertebrae, there are small joints called facet joints that help move your spine. Between the vertebral bodies are the intervertebral discs.
The disc acts as a shock absorber and prevents the vertebrae from hitting each other when you walk or run. The discs and facet joints work in harmony to help your spine move, twist, and turn. These discs are flat, round and half an inch thick. They consist of 2 parts. The annulus fibrosis is the thick, flexible outer ring of the disc, and the nucleus pulposus is the soft, jelly-like core that enables the disc to absorb shock. In most cases, back pain is the result of an aging disc.
In children and young adults, the discs have a higher water content. As we age, the discs begin to shrink and shrink, losing the ability to vibrate the vertebrae, causing pain. Muscles and ligaments provide support and stability to your spine. Strong ligaments connect the vertebrae and help maintain the spinal column. Problems with any of the upper areas of your spine can cause back pain.
Strains and Sprains: Any injury to the muscles and ligaments that support your spine can cause back pain. Injuries can be caused by improper lifting of heavy weights, poor posture, or overloading.
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Herniated disc: The protective outer covering of the intervertebral disc can rupture over time. The internal floppy disk drive can pass through the outer layer. A disc that slips or moves out of place, called a herniated disc, bulging disc, or slipped disc, can press on nerve roots, resulting in pain, tingling, numbness, or weakness. Such symptoms occur in the part supplied by the nerve roots. Sciatica is a type of pain caused by a pinched or irritated sciatic nerve. This nerve runs through your hips, buttocks, each leg, and your lower back. Although your doctor may use the term lumbar radiculopathy, the layman refers to pain that travels from the lower back down the leg to sciatica.
Disc degeneration: Although this word sounds scary, it means that your disc has deteriorated and is causing you pain. As we age, the disc begins to deteriorate and dry out. In some cases, they completely disappear and the pair of faces pull against each other. Pain and stiffness result. This wear and tear on the face joints is called osteoarthritis. Pain worsens with movement. When a disc degenerates and osteoarthritis develops, your body can respond by growing new bone in your facet joints to support the vertebrae. This extra bone, known as a spur, can cause narrowing of the spinal canal (spinal stenosis). Osteoarthritis can cause the ligaments that connect the vertebrae to tighten, narrowing the spinal canal. Spinal stenosis can occur in the upper (cervical) spine and lumbar spine, but lumbar spinal stenosis is more common.
Spondylolisthesis: This is a condition where your vertebrae can slide forward on top of each other. If it happens too often, the bones begin to put pressure on the spinal nerves, causing muscle weakness and bowel and bladder disturbances.
Osteoporosis: Osteoporosis can cause back pain and is a condition that makes your bones thin and fragile. A compression fracture occurs when too much stress is placed on the weakened vertebrae. Thin bones can also break with everyday activities. In severe osteoporosis, the vertebral bone is completely broken. Multiple fractures lead to a very rounded back.
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Spinal diseases: Spinal diseases like TB and non-TB diseases can cause back pain. Disc (discitis) and bone (osteomyelitis) infections can cause severe pain and require immediate medical attention.
Abnormal spine shape: Certain conditions can cause your spine to be abnormally shaped, such as kyphosis (curving the spine too far forward), scoliosis (lateral curvature of the spine), and excessive lordosis.
Back Pain Vomiting: These are usually associated with multiple joint pains and morning stiffness. Ankylosing spondylitis is a rare arthritic condition that causes pain and stiffness.
Sacroiliac joint pain: Your spine is connected to the pelvis on both sides through the sacroiliac joints. Inflammation and infection of the sacroiliac joints can cause back pain.
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Other conditions that cause back pain: Spinal cancer, bladder infection, kidney stones, kidney disease, pelvic inflammatory disease, sleep disorders
Posture-related: Certain daily activities and poor posture can cause back pain. Abnormal bending movements involving the spine, bending forward and lifting weights, prolonged standing or sitting, incorrect sleeping positions, and incorrect standing positions when you drive or use a computer.
Sedentary people, poor physical activity, obesity, smoking and alcohol consumption, pregnant women. Women are more at risk than men due to hormonal factors.
Although most episodes of back pain will subside on their own, there are times when you should seek emergency medical attention, and these conditions include:
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Cauda equina syndrome: This occurs as a result of compression of a bundle of nerves below the spine. Patients may experience incontinence or urinary retention and numbness around the genitals and anus. This is a serious illness that requires immediate medical attention and emergency surgery.
Most back pain will go away on its own. You can start with home care methods such as rest, ice, and heat packs, but in some cases, medical treatment or surgery is necessary. Treatment is specific.
Medications: Depending on the severity, your doctor may prescribe pain relievers, muscle relaxants, basic pain relievers, and antidepressants for chronic pain. These medicines should be taken under the supervision of your doctor. Otherwise, they can get serious negative results.
Physiotherapy: This includes passive and active treatments, increasing core muscle strength, improving spinal flexibility, and improving range of motion and proper posture. Various physical therapy methods are used, such as massage, exercise, transcutaneous electrical nerve stimulation (TENS) therapy, and ultrasound.
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Surgery: Back pain rarely requires surgery. Your doctor will recommend surgery if the patient suffers from disc problems, spinal instability, muscle weakness, nerve compression that impairs bowel and bladder control.
You can’t stop aging, but you can adopt lifestyle changes to help manage and avoid back pain.
Improve your fitness: Physical fitness can improve the strength of the core muscles that support your spine. Regular exercise such as walking, swimming, and yoga are great ways to prevent back pain
Stay active: People who lead a sedentary lifestyle may be more prone to injury when exercising. It is better to do a little physical activity most days of the week than to sit all week and do a lot of exercise on the weekends.
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Maintain a healthy weight: Good dietary habits – Eat foods rich in calcium, vitamin D and vitamin K as they are important in building strong bones. Milk, green leafy vegetables, broccoli etc.
Make your workplace as ergonomic as possible. If you are sitting at a desk, make sure your chair has enough low support and your hips are at right angles to the floor. Correct posture is good for a healthy spine and back.
Take control of your mental health. People who suffer from anxiety and depression or are under a lot of stress are more likely to experience back pain over time. Prioritizing your mental health can help reduce your risk of back pain.
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