(Last Updated On: November 19, 2018)

The most significant questions about back pain:

  • What are the causes of backaches?
  • How does chronic backaches develop from acute backaches?
  • Which diagnostics is necessary?
  • What can one do about the acute backaches and back pain prevention?


Back pain is one of one the common reasons why people consult the doctor or absent in the workplace, and it is a foremost cause of disability worldwide. We all experiencing backaches at least once a year.

Fortunately, you can take procedures to avoid or alleviate most backaches occurrence. If prevention fails, natural home medication and appropriate body mechanics often will heal your back within a few weeks and keep it serviceable. Surgery is rarely required for backaches treatment.


Fortunately, there are very few severe illnesses behind backaches. Cancer and rheumatic diseases are the cause of pain in less than one percent of those affected, only four to seven percent are responsible for herniated discs or narrowing of the spinal canal.

In contrast, the majority, about nine out of ten patients, are so-called “functional” or “non-specific” back pain: this means that the complaints cannot be traced back to clear causal disease processes. They are not the result of changes in the spine, but disorders in the complex system of muscles, joints, and ligaments of the back. Some muscles are over strained, others are under-challenged, they harden and shorten; this is often due to lack of exercise, poor posture, too little relaxation or stress in the family and at work. Many people are unaware of these relationships: the development of chronic backaches has a lot to do with everyday life, more so than with the spine itself.

How does chronic back pain develop from acute back pain?

There is not just one cause of chronic backaches. Physical over- or under-demand, as well as bad posture and stress in the workplace, play a role in the chronic of pain. In general, long-term pain is the body’s response to a multiple disrupted interaction of acute pain, manipulative behavior, and problems in work and family life.

In acute pain, many people tend to avoid physical and social activities. Fearing they worsen the pain, they stop exercising and can not go out. However, the opposite is the case: Lack of exercise weakens and changes muscles, joints, and ligaments, disease, tension, exercise weight, Improper lifting, psychological condition, and smoking. With the retreat from social life joy of life is lost, which in turn favors anxiety and depression; this closes a vicious cycle of fear and pain.

That is why the three most important recommendations in acute pain are:
  1. Gentle treatment is only necessary for a short time.
  2. Important is adequate pain therapy.
  3. It is the prerequisite for a speedy return to regular daily activity.

However, that does not mean ignoring physical warning signs altogether, because not only anxiety and depression are risk factors for chronic pain. People who do not listen to the warning signals of their body and regularly overload are also risk. Acute and, above all, recurring backaches can point to mental stress in work or private life. This can be monotonous, boring work or too little self-determined work, overburdened job, time pressure, bullying, stress in work or family, or fear of failure or unemployment.

Which diagnostics is necessary?

In most people, changes in the spine occur during life. However, scientific studies have shown that these often cause no problems whatsoever. Pain specialists agree that in chronic back problems so-called psycho-social factors, ie family, work and lifestyle, are more important than biological changes in many cases.

Acute and “sub-acute” refers to backache that does not last longer than twelve weeks. When acute back pain occurs, a physical examination is sufficient. When collecting medical history (medical history), the doctor pays attention to warning signs and can thus rule out threatening illnesses as a rule quickly. If the physician can not find alarms that require further diagnosis, no X-ray is required during the first four to six weeks.

What can one do about it?

Sick leave does not lead very far with backaches. In acute pain without warning signs usually two days of protection are sufficient – and a good pain treatment. The goal should be to get back into active everyday life as quickly as possible. Pain therapists have long ceased to rely on rest and protection, but on the fastest possible mobilization. The A and O in the acute phase is the medical pain relief, because this is the prerequisite for physical activity.

If the back pain persists for several weeks, it has to be tackled with a variety of strategies. As a standard, the so-called “multi modal pain therapy” has prevailed in the treatment of chronic backaches. These include measures from exercise, behavioral and psychotherapy. The aim of the treatment is the restoration of disturbed physical, mental and social functions (see chapter 6.)



You can prevent back pain or prevent recurrence by improving your body condition and learning and practicing the right body mechanics.

To make your back healthy and active:

  • Exercise:

Regular aerobic activity with low impact that does not the tone or shakes back can increase strength and stamina of the back and improve muscle performance. Walking and swimming are excellent opportunities. Talk to your doctor about the activities you can make an effort.

  • Build muscle strength and flexibility: 

exercises on the abdominal and back muscles that strengthen the core help these muscles work together like a natural corset for the back. The flexibility of the hips and upper legs aligns the bones of the pelvis to improve the feeling of the back. Your doctor or physiotherapist can tell you which exercises are right for you.

  • Sitting for Too Long:

Inappropriate sitting can also overstretch the spinal tendons and strain the structures surrounding your spine. Sitting for an extended period can deteriorate your back muscles, and they can become less flexible. It can also lessen the amount of blood that is circulating and the oxygen heading to the muscle cell.

  • Improper Lifting

the Improper lifting of heavy objects increases the stress placed on the back and can easily cause muscle tears, tissue damage or in more severe cases, minute fractures. To prevent this, use your bum muscles more when lifting heavy objects; if possible, ask someone to assist you.

When it comes to lifting weights, it can help strengthen your back only if done correctly and with appropriate training and assistance.

  • Poor Posture

Poor posture is one of the significant reasons for lower backaches but is also one of the most under-looked. Bad postural habits alter the bio-mechanics of your whole body.

The increasing pressure on your lower back due to altered bio-mechanics can cause discomfort in your back. Practicing and maintaining correct posture is essential to avoid serious health problems.

  • Staying Overweight:

Generally, people who are overweight are at a much greater risk of back pain. The weight contributes to the risk of injury to the spine and back and puts additional pressure on the spine. Since there is excess weight in the core, the pelvis is pulled forward, straining the lower back and creating a lot of pain and medical issues.


Smoking can affect the part of the brain that processes sensory stimuli and the central perception of pain particularly; cigarettes affect the way the brain sends its pain signals. By Smoking our tissues of the lower back can also get damaged and to a different place in the body by slowing down circulation and reducing the flow of nutrients to joints and muscles.



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