Back Pain

If you suffer from back pain, you are not alone. Back pain, particularly lower back pain, is one of the most common forms of pain1, with most Australians likely to experience it at some point in their lives. It can feel like an ache, tension or stiffness in the back that is usually caused by the way bones, discs, tendons, muscles, nerves and ligaments interact1. Back pain can affect the neck (cervical spine), upper back (thoracic spine) and lower back (lumbar spine) as well as the sacrum and tailbone (coccyx)2. There is a number of reasons you may experience back pain, but it is most commonly brought on by a sudden movement, fall, injury or medical condition.

For many people, back pain may improve or disappear within three to six weeks (sometimes referred to as acute back pain) if treated effectively, while others may develop more persistent back pain lasting for over three months (chronic pain). Back pain is not just painful to deal with, but extremely disruptive to daily routine, so it is important to understand how to manage it effectively.

Back problems may include2:

  • Pain in the lower, middle and upper back caused by a range of injuries and conditions
  • Pain including tingling, numbness and weakness in the legs that starts from the lower back
  • Deterioration of the spine caused by wear and tear on the joints
  • Pressure on the nerves attached to the spinal cord, which may cause pain
  • Neck pain or stiffness caused by disc deterioration

Back Pain Causes

Several factors that can contribute to back pain include:

  • Poor work practices
  • Incorrect lifting techniques
  • Changes to work environment, such as working from home (during COVID-19) and not having the same ergonomically supportive equipment
  • Poor posture
  • Being overweight
  • Lack of exercise
  • Pregnancy

Types of Back Pain

Most short-term (or acute) back pain usually lasts anywhere between a few days to a few weeks. For those suffering from short term back pain, trying the below treatment measures for the first 2 to 3 days may assist with pain relief.

  • Apply ice packs to the area of back affected for 20 minute periods, every 1-2 hours. Make sure the ice is wrapped in a cover, and not applied directly to the skin
  • Avoid ‘HARM”: Heat, Alcohol, Re-injury and Massage for the first few days, as this is likely to increase inflammation and swelling
  • Avoid unnecessary, strenuous activities
  • When resting, lie in a comfortable position, supported by pillows if necessary
  • Keep moving, as movement aids the healing process. Walk as much as you feel comfortable doing, gradually increasing the distance covered. Initially, this may not be far and may require the use of crutches or a walking frame
  • Take appropriate pain relief medications. We encourage you to speak to your local TerryWhite Chemmart pharmacist about what pain medication may be right for you.
  • Speak to your Physiotherapist about recommended exercises to suit your condition which may assist returning mobility and core strength, thereby reducing some of the pain experienced

If your back pain symptoms persist, visit your GP, pharmacist or health care professional for advice on how to better manage the pain.

Chronic back pain refers to daily pain persisting for longer than three months and is a leading cause of disability in Australia and worldwide. Chronic pain is reported as Australia’s third most expensive health problem3, with figures estimating 1 in 5 Australians will suffer chronic pain throughout their lives3. Crucial to effective chronic pain management is early detection and diagnosis.

Chronic back pain symptoms can include:

  • Pain
  • Spasms
  • Stiffness in the back
  • Pain, tingling and/or numbness in the legs or feet

Treatment for Back Pain

The most effective way to manage persistent back pain is through multidisciplinary pain management (medicated and non-medicated options) combined with self-management. Medicines prescribed to reduce pain intensity are the most common form of treatment for chronic back pain in the short term. It may also be beneficial to consider acupuncture, weight loss, massage and physiotherapy, as these can all play a role in helping to manage your pain.

It is important to be actively involved in managing your back pain. This means, rather than only medication or placing a heat pack on the pain area, you should take an active approach incorporating the following tips:

  • Stay active with daily exercise, as prescribed by your health care professional
  • Certain stretches may assist, depending on the condition. See our list below

Cognitive behavioural therapy, biofeedback and mindfulness-based approaches.

Muscle relaxation, meditation, laughter, mindfulness-based approaches, hypnosis, guided imagery, yoga, pilates, acceptance and commitment therapy (ACT) and cognitive behavioural therapy (CBT) may assist.

Below are a few recommended stretches to practice for self-management of back pain

Stretches to relieve back pain

Cat Stretch

Knee to Chest

Half Cobra

Chair Stretch

Child’s Pose

Tips for improving your posture when working from home

Like most Australians affected by the Coronavirus epidemic, many of us have adjusted to changed work and lifestyle conditions, including working from home (WFH). While this may sound like a simple transition, working long hours without regular office equipment such as standing desks, ergonomic chairs, and large monitors may be impacting our overall posture, and adding pressure or strain to our back. Practicing better posture habits and making a few slight modifications to a work from home set-up can make all the difference.

Maintain a gentle sway in your back, bend elbows at 90 degrees, knees should be bent at 90 degrees with feet flat on floor. Position chin parallel to ground, draw chin back and tuck slightly and open your shoulders.

Consider purchasing an external mouse and keyboard. If working on a laptop, it’s difficult to maintain correct posture without these additions to aid in mobility.

For chairs that don’t have lower back support, it’s crucial to support your lumbar spine with cushioning. Ask your physiotherapist or pharmacist about positioning and use of a lumbar roll.

Position your screen at eye level, using a laptop stand, or something to prop it up.

Use a posture app. There’s a number of apps you can download that provide tips to help maintain good posture.

Stand up every hour. Doing this regularly pulls you out of a static position and gets your muscles and joints moving.

Take regular breaks to stretch using our exercises mentioned above.

At Terrywhite Chemmart, our pharmacists are trained in managing all types of back pain and are here to offer holistic help and support to aid you in managing it. Contact your local Terrywhite Chemmart pharmacist or GP to find out the pain solution that may be right for you.

General advice only – this information should not replace the information provided to you by your health care professional. If symptoms are severe or persist, please speak to your health care professional. Information current as of date of publishing.

Always check with your pharmacist or medical professional before starting any new medications or supplements, particularly if you have any pre-existing medical conditions, are taking any medications currently, are pregnant or breastfeeding, or researching therapies suitable for infants or children.

Reference:
1 https://www.painaustralia.org.au/about-pain/forms-of-pain/back-pain
2 https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/back-problems/contents/what-are-back-problems
3 https://painspecialistsaustralia.com.au/blog/2016/7/24/the-burden-of-chronic-pain-its-biggest-five-causes-and-treatments

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