Low_back_pain

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Lower back pain in computer professionals : 

Lower back pain in computer professionals Dr Hemant K. Kalyan MBBS, MS(Orth), DOrtho, FCPS, DSportsMed(Edin) Consultant in Orthopedic Surgery and Sports Medicine, Bangalore ;

Slide 2: 

Schematic cross-section of an inter-vertebral disc Herniated disc

Causal factors for back pain… : 

Causal factors for back pain… Spinal fracture Herniated disc TB spine Mechanical low back pain - Diagnosis of exclusion – 75-80% of cases. Spinal Fracture Herniated Disc TB Spine

Trigger factors : 

Trigger factors Excessive load on normal back Long / erratic hours Poor workplace ergonomics Stress: Physical, mental and emotional Travel

Trigger factors (contd)… : 

Normal load on weak or unprepared back Fatigue Improper posture/ chronic malpositioning Lack of exercise, poor physical conditioning Weight control problems Poor posture Trigger factors (contd)…

Three phases of management strategy… : 

Three phases of management strategy… Treatment of acute episodes. Amelioration of chronic condition. Prevention of exacerbation/ reinjury.

The case against protracted rest : 

The case against protracted rest Deconditioning: Loss of muscle strength and endurance Chance of micro traumatic injury Protracts recurrent episodes Maintains chronic disability Decreased flexibility Adversely modifies spinal biomechanics Physiology of disc hydration affected “Avoid pill popping”

Exercise - for which patients? : 

Exercise - for which patients? Central focus in 95% cases “YES” in mechanical causes “NO” in non-mechanical causes

Exercise types… : 

Exercise types… Back-specific exercises Peri-pelvic and LL flexibility and strengthening Aerobic conditioning Double knee to chest stretch

Pelvic tilt : 

Pelvic tilt Some exercises for the back… Lower trunk rotation stretch

Trunk Flexion Stretch : 

Trunk Flexion Stretch Trunk flexion stretch Prone lumbar extension Some exercises for the back…

Alternate Prone Leg Extension : 

Alternate Prone Leg Extension Alternate prone leg extension Aerobic conditioning

Abdominal Strengthening : 

Abdominal Strengthening Abdominal strengthening

Lower Limb Stretches : 

Lower Limb Stretches Lower limb stretches

Complementary therapy : 

Complementary therapy Back hygiene and back school Correction of biomechanical factors Posture Weight control

Slide 16: 

Weight training Yoga

Yoga : 

Yoga The right chair Counter height

Working Posture : 

Working Posture Posture at work The right posture…

Sitting Posture : 

Sitting Posture Sitting posture Forward bending

Pulling an Object : 

Pulling an Object Pulling an object

Thank you : 

Thank you

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