Causes of Chronic Back Pain
Back pain is a common condition that affects most people at some point in their lives. Often, this discomfort is mild and resolves on its own.
A health care provider will examine you and ask questions to determine where the pain is located and how much it limits your movements. X-rays can show broken bones and arthritis, but may not indicate the cause of back pain.
1. Excessive Weight
Excess weight can put pressure on the joints of the spine (vertebra) and cause a person to develop back pain. The extra pressure can also lead to the cushiony disks between spinal bones to thin or bulge, which can then pinch nerves and cause pain.
The pain from these conditions may be more serious than a simple back strain or muscle injury and may include numbness, weakness or bowel and bladder problems. These are red flags that should prompt a doctor to take immediate action.
Chronic pain can be treated with medications and nonsurgical spine procedures such as spinal injections, steroid injections and nerve blocks. Talk to a spine specialist about these and other treatment options for your back pain. You can live life to its fullest again with the right care.
2. Poor Diet
Back pain is caused by stress or injury to the bones, muscles, tendons and discs of the spine. It may also be caused by herniated or degenerated disks, spinal arthritis and rheumatic diseases. The pain can originate from any site of the spine and can be felt as a sharp or dull ache, burning sensation or tingling feeling.
Poor diet can contribute to back pain by increasing levels of inflammation in the body. High intake of sugary and processed foods can also lead to obesity which can put strain on the back.
Eating a balanced diet of fresh fruit and vegetables, lean proteins and whole grains can help reduce back pain. Regular exercise is also important for strength training and managing body weight to take pressure off the spine. Low impact aerobic activities like walking, swimming and cycling are good choices to boost heart health without putting too much strain on the back.
3. Stress
When we’re stressed, our bodies release hormones like cortisol and adrenaline that cause muscles to tense. This, combined with being sedentary and not exercising often, can turn tension into back pain.
Stress also contributes to poor posture, which can lead to lower back strain and spasms. It can also reduce blood flow to the back muscles, which causes them to become inflamed.
It can be hard for some people to believe that physical pain can be caused by emotional factors, but it is a real thing. The history of psychosomatic illnesses dates all the way back to the 1820’s with one diagnosis popularized by John Sarno being “spinal irritation.” Doctors in that time would look for structural explanations of pain, implant fear into their patients, and recommend multiple physical treatments.
4. Genetics
A herniated lumbar disk occurs when the inner gel of one of the five discs that make up your spine slips past its outer rind, putting pressure on nerves and causing pain. This can be caused by sudden trauma or by the natural, gradual wear and tear of the spine as you age.
Back pain can be a constant dull ache, sharp or stabbing, or it may come and go, reaching a peak then quieting down for a minute or two. The type of pain usually correlates with the site of the problem — a spinal joint, muscle or ligament.
The heritability of chronic back pain is higher than that of acute back pain, and genetic variation associated with genes related to modulation of nociceptive processing, tissue degeneration and local or systemic inflammation has been reported.
5. Physical Activity
Back pain can affect any part of the spine, but 80% of back problems involve the lower back. It is characterized as chronic when it lasts for more than three months.
The most common cause of back pain is muscle strain or spinal ligament sprain. A fall or blow to the back can also hurt.
Regular exercise, such as yoga, decreases the risk of back pain. This type of therapy can help improve flexibility, increase energy and reduce stress.
Sometimes, pain in the lower back may be a sign of a serious problem, such as kidney stones, tubal pregnancy or pancreatitis. Symptoms of these conditions include pain that waxes and wanes over a short period, frequent peaks of intense pain, weight loss and trace amounts of blood in the urine.
How to Remove Chronic Back Pain
Chronic back pain can significantly impact your quality of life, but there are steps you can take to alleviate and manage it effectively.
Here’s a concise guide to help you address chronic back pain:
- Consult a Healthcare Professional: Begin by consulting a healthcare provider, preferably a specialist like an orthopedic doctor or a physical therapist. They can diagnose the underlying cause of your chronic back pain and recommend a tailored treatment plan.
- Physical Therapy: Physical therapy exercises and techniques can help strengthen your back muscles, improve posture, and alleviate pain. A skilled physical therapist can guide you through a personalized program.
- Medications: Over-the-counter or prescription medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, or pain relievers, may provide temporary relief. Always follow your healthcare provider’s advice when using medications.
- Lifestyle Modifications: Implement lifestyle changes like maintaining a healthy weight, practicing good posture, and avoiding activities that exacerbate your pain. Incorporate regular low-impact exercises like swimming or walking.
- Ergonomics: Ensure your workspace and home environment are ergonomically designed to reduce strain on your back. Use supportive chairs, proper mattress and pillows, and practice safe lifting techniques.
- Mind-Body Techniques: Mindfulness meditation, yoga, and deep breathing exercises can help manage chronic pain by reducing stress and promoting relaxation.
- Surgery: In severe cases, surgical intervention may be necessary to address structural issues. Discuss surgical options with your healthcare provider if conservative treatments fail.
- Alternative Therapies: Consider complementary therapies like acupuncture, chiropractic care, or massage therapy, which some individuals find beneficial.