womenscure in all means

Are you a victim of low back ache ?

Low back ache mainly effects women more than men

Why women are more prone ? facts :

1) Female muscular and ligamentary supports are not strong

2) stresses of pregnancy causes changes in muscles and ligaments

3) Poor posture associated with many occupations favoured by women

  •  Usually backache refers to pain at lumbosacral level
  • Before menses, dates from pregnancy, delivery ,after delivery ( peurperium)  –  pain associated with,during  these periods usually reffers to gyneic problem
WHAT ARE THE GYNEIC PROBLEMS WHICH CAUSES LOW BACKACHE ?
  1.  Mass per vagina (  prolapse uterus ) or retroversion of uterus : Dragging of utero sacral ligaments and cardinal ligaments causes low back pain , this type of pain relieved by lyingdown
  2. Long standing cervical problems : Chronic cervix inflammation causing gross scarring and chronic cellulitis in the adjacent ligaments causes backache.Simple cervical erosion never causes backache
  3. Tumours : Cancer of uterus , cervix ,ovaries,sacrococcygeal teratoma ,large  abdominal tumour impacted in pelvis causes back ache
  4. Endometriosis of utero sacral ligaments
  5. Pelvic congestion seen premenstrually ( premenstrual syndrome),pelvic varicocele gives backache
  6.  Abortions, expulsion of polypoid growth ,pus and blood from uterine cavity causes low back ache -it’s a feature of spasmodic dysmenorrhea. ( Expulsive uterine contractions or cervical resistance to products ,blood or pus -causes pain over sacral area )
  7. Prolonged lying on a flat table with relaxed muscles ,Lithotomy position,after surgery lying on a sagging bed results in backache -it’s purely muscular or ligamentous origin
PREGNANCY AND LOW BACKACHE
  • During pregnancy the mobility of pelvic girdle exposes the muscles and ligaments to unusual strains and later weeks they also have to maintain the physiological lordosis
  • Some days after delivery joints become stable .Streched joints ,ligaments and muscles involute
  • Injury to coccyx,in second stage of delivery results in coccydynia
Women exposed to additional physical work ,including:
  • Prolonged bending over sink
  • Lifting the baby
  • Struggling with a pram or stroller
  • Considerable nervous and emotional stresses of motherhood
  • Inadequate sleep and rest – All these are risk factors for backache
  • An anxiety state exaggerate symptoms of physical disability
  • Pelvic lesions are rare and unimportant direct cause of low back ache in women accounting 0.2 % of such complaints
  • Gyneic related backache usually of diffuse type without tenderness ,midline or bilateral in distribution ,usually restricted to sacral area or lumbo sacral area (<L4)
BACKACHE & EXTRA GENITAL CAUSES :
Muscles and ligamentary lesions :
  • Myositis ,Fibrositis,Lumbago ( disc prolapse) , Chronic strain of attachments of muscles and ligaments ,Rhumatic conditions ,Sacroiliac strain results in low back ache
  • This type of pain is localised ,accompanied by tenderness
  • It experiences sometimes to the upper back also
  • pain varies with the exercise,rest,position and movement of trunk
  • Sacroiliac strain and fibrositis are worse on bed .Lying flat on the back and rotatory movement of the trunk causes more pain in sacroiliac strain
BACKACHE -RISK FACTORS :
  • Obesity
  • Bending
  • Lifting
  • Poor posture
  • Pendulous abdomen
  • Flat feet
  • High heels
  • Badly designed shoes
  • Long hours at the wheel of a car
  • Long hours sitting in an office chair -all these increases the risk of back pain
  • Muscle spasm are responsible for pain in these conditions
Bone and joint problems causes back pain :
  • Arthritis conditions of spine,Disc lesions, Tuberculosis of bones and joints ,Ankylosing spondylitis, Bone injuries ,Scoliosis,Kyphosis ,Degenerative changes with aging all are causatives  of backache
  • Women with these lesions experiences more pain after immediate rest period .Pain is localised and with tenderness
Kidney and Ureter problems also causes backache :
  • Associated symptoms like burning micturition ,colicky pain  and peculiar radiation ( loin to groin ) characteristic
In Rectal Cancer :
  • Individual will experience backache
Psychological factors :
  • Without obvious reasons or demonstrable cause few people experiences backache .Mostly related to anxiety neurosis and psychological disturbances
HOW TO GET RID OF BACKACHE ?

Your health care provider after taking proper history and examination (pelvic and per vaginal examination in gyneic related problems ) asks   for few tests like X-ray /& MRI of concerned .Identification and treatment of cause relieves the problem

  • Other relieving measures are:
  • Correction of posture
  • Avoiding excessive bending
  • Avoid lifting heavy weights
  • Well fitting corset
  • Abdominal and spinal exercises to strengthen the muscles
  • Weight reduction
  • Use appropriate , well fitting shoes
  • Taking periods of rest to avoid prolonged sitting
  • Using good quality mattress for sleep
  • Avoid working in an unusual postures

In serious conditions injection of local anesthetic at pain site  by doctor ,relieves the symptoms. Analgesics ( muscle relaxant tablets ) and external applications of analgesic gels makes the individuals comfortable.Calcium supplements strengthens the bone .




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