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Neck/Back Pain

Most of the people suffers from back pain.90 % of American suffering from back pain.it is second most disease after common cold. Back pain is not disease, it is symptom may occur from different process.

  • CAUSES FOR BACK PAIN :
  • 1 common cause for back pain is injury to the muscles ,bones nerves of the spine
  • 2 degeneration of the vertebral bones , discs known as lumbar spondylosis.spondylosis occurs due to loosing moisture in central portion of the disc known as nucleus pulposum.
  • 3 disc herniation:nerve root syndromes are those that produce nerve compression due to herniation /bulging of the disc developed due to degeneration,or over strain or due to injury.disc prolapsed pushes against the nerve root .
  • 4 infections of the spine ex osteomylitis,tb spine
  • 5 cauda equine syndrome:it is a medical emergency where the spinal cord is directly compressed.this causes possible loss of sensation , paralysis ,bladder disfunction
  • 6 congenital anomalies ex scoliosis,defect in spine curvature,spina bifida
  • 7 ANKYLOSING SPONDYLITIS.
  • 8 tumours of the spine
  • HAIR LOSS CLASSIFIED AS
  • 1 LOCALISED/PATCHY HAIR LOSS/SMALL AREA;again this is classified as
  • A:ALOPECIA AREATA:small size patch on scalp usually grow in months.coin sized.usually regrow in 6to 12 wks.sometimes alopecia can affect
  • hair on any other parts of the body such as beard,moustaches
  • B:TRACTION ALOPECIA:hair loss is due to repetitive persistant pulling force on hair roots
  • C:TINEA CAPITIS:hair loss is due to tinea infection.affects school going children
  • D:TRICHITILLOMANIA:habit of some one voluntarily pulling at their own hairs,twisting them.
  • OTHER CAUSES WHICH REFERS BACK PAIN
  • A pregnancy
  • B kidney stones
  • C endometriosis
  • D pelvic inflammatory diseases
  • RISK FACTORS FOR BACK PAIN
  • 1 age above 50 yrs ,as age advances degeneration of discs will be there, causes back pain
  • 2 people who do not exercise
  • 3 over strain like lifting wts,bending , sitting for long hours
  • 4 smoking
  • 5 over weight or obesity
  • 6 people who do not maintain proper posture in their daily activities
  • 7 people who do not take proper diet like low calcium low vitamin d,
  • 8 women after child birth/ pregnancy
  • 9 menopause
  • SYMPTOMS AND SIGNS OF BACK PAIN
  • 1 pain in lower portion of the spine
  • 2 pain may radiate down the front back of the leg due herniated disc . this condition called as sciatica pain.this condition called as radiculopathy
  • 3 numbness in leg
  • 4 in severe compression of spinal cord /spinal canal stenosis neurological symptoms seen this condition called as myelopathy
  • 5 myelopathy we see paralysis of the limb,bladder dysfunction leads to incontinence of urine and stool
  • 6 difficulty in walking
  • MANAGEMENT IN CHRONIC BACK PAIN
  • 1 avoid overstrain like lifting weights, bending forward
  • 2 maintaning good posture during daily activities
  • 3 avoid travelling for long distances
  • 4 wearing lumbo sacral belt which gives support to the back
  • 5 applying hot cool pads over the pain area
  • 6 taking proper diet rich in vitamin sd, calcium ,vitamin b12 , omega 3 fatty acids
  • HOMEOPATHIC MEDICINES FOR BACK PAIN
  • 1 RHUSTOX : violent pain in back as if broken, pains cold damp weather , bed in, pains are relieved by movement ,pressure hot applications
  • 2 RUTA : pain in nape , back , loins.back ache is better by pressure lying on back.acts upon periosteum,cartlages.
  • 3 HYPERICUM:usefull in compressed injuries punctured wounds.pain in spine due to concussion,injury to coccyx.jerking twitching of muscle. Usefull in radiculopathy,myelopathy.spinal canal stenosis,disc compression
  • 4 CALC FLOUR :pain in lower part of the back,fullness burning pain. Pains due to early degeneration , caries necrosis of the discs.pains after operations.tendency to form adhesions, tumours in spine. INDICATED IN SPINAL TUMOURS,LUMBAR SPONDYLOSIS,ANKYLOSING SPONDYLITIS.
  • 5 NUX VOMICA:burning pain in back 3 to 4 am
  • 6 Cervico brachial neuralgia,touch Must sit up in order to turn in bed.
  • 7 KALI CARB :sharp stitching pains.back feels stiff , weak, burning pain sweat over back.pain from hip to knee. Pains cool climate.SUITED TO BACK PAIN IN PREGNANCY
  • 8 GUIACUM :chief action on fibrous tissue, adopted to rheumatism, gout Stiffness in back , lower limbs.stiffnewss in neck sore shoulder .left sided sciatica.pains motion , cool climate,touch
  • 9 GAULTHERIA :suited to sciatica , neuralgic pains.neuralgia associated with gastralgia.
  • 10 GNAPHALIUM:sciatica associated with numbness.rt sided sciatica. Back pain >resting on back
  • 11 CAUSTICUM:stiffness between shoulders , dull pain in neck, lt sciatica with numbness.contraction of tendons.unsteady walking
  • 12 SEPIA :weakness in small of back restless in all limbs,back pain before menses Back pain associated with pelvic inflamtory diseases