Low Back Pain
Low back ache is a challenging clinical condition which necessitates exploring the appropriate underlying cause and the treatment has to be planned accordingly. The main aspect of the treatment is the internal medication paralleled by the therapies judiciously applied at the appropriate clinical condition. Here of course the nature of the therapies whether intensive or mild absolutely relies on the specific case presented. The ache caused by strain, degeneration, improper posture, and those generated by improper food habit shall significantly improve from the treatment. In most of the condition the cure is also assured.
Low back ache is the most common clinical presentation found in general practice. It is developed due to a variety of causes, involving a range of tissues - from superficial soft tissues (like fascia, muscles, tendons and ligaments) to deeper structures. The most common cause of back pain is muscle and ligament strain caused from improper or heavy lifting, or due to sudden awkward movement. The other cause of back pain is a structural problem, such as:
- Bulging or ruptured disks: Disks act as cushions between the vertebrae in spine. The soft material inside a disk may bulge out of place or rupture and press on a nerve. This results in back ache. If the nerve gets compressed by this bulge it can cause sharp shooting pain along the buttock and back of the leg. This is termed Sciatica.
- Arthritis: The lower back is one of the sites most commonly affected by Osteoarthritis.
- Skeletal irregularities: If the curve of the spine is abnormal, it may result in back pain.
- Osteoporosis: If the spine becomes porous and brittle it may cause pain and may also advance towards compression fractures.
Low back ache is termed as kaṭigraha (kaṭi refers to the lower back area and graha refers to stiffness due to pain). The cause of low back ache is assigned mainly to intraneous and extraneous factors. An intraneous cause is where lower back ache is generated mainly by the effect of the improper food habits. An extraneous cause can be a range of factors, like strains, degeneration, improper posture etc. From a treatment perspective, the condition is divided into two aspects: pure limitation of the movement associated with pain and limitation of movement with associated complaints like swelling, etc.
Areas where the relief is not assured but still significant relief can be expected:
These include congenital causes (like Spondylolysthesis), inflammatory causes (like Ankylosing Spondylitis) and Rheumatology disorders. Those with back ache caused by canal stenosis can also find some relief with treatment.
Back ache due to visceral, infective (like TB etc.), neoplastic and endocrinal causes may require emergency medical care.
Treatment specific information
The treatment for low back ache is wide-ranging: from simple internal medications to intense therapies. The treatment program most appropriate for you will be selected based on the depth of the disease. Among other things, this may include Upanaha (medicinal poultice), pouring of fermented medicated liquid (dhānyāmla), Vasti (medicinal enema) and pouring of medicated oil (dhārā) over the affected part.