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 C hance 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