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First Aid

Back Pain

In this section you will find some information on how to practice first aid to relieve the pain of certain pathologies. These indications do not replace a professional treatment that only the doctor is able to perform.

All patients with painful spine disorders must realize that good posture plays a key role in the health of their back, helping to prevent a worsening of the situation and avoid painful relapses. Due to the enormous complexity of the anatomy and physiology of the spinal column, the maintenance of a physical condition as healthy as possible both in the body and in the mind and spirit prevents the onset of chronic low back pain which can become a disease of very difficult resolution .

It is therefore essential that everyone take charge of their symptoms and fight it with the help of experts but also with their will to heal.

Mistakes to avoid:

Sitting for too long periods increases the load on the intervertebral discs: better to interrupt work, driving, shows that force more than 2 hours of spoiled position and take a short walk trying to extend (bend backwards) the back.

There are "ergonomic" chairs that oblige you to maintain a correct position with lumbar support; rollers are on sale to be placed on the chairs or car seats that help maintain a correct position.

The reinforcement of the abdominal muscles supports the back and helps prevent damage from overloading, but for biomechanical reasons it has been seen that the reinforcement of the anterior muscles of the abdomen (the rectus abdominals that are well highlighted in body builders) can be detrimental ; it is much better to strengthen the oblique muscles and the transversus abdominis trying to gradually reach the position seen in the photo for one minute on both the right and left sides.

Low back pain is the medical term for what is popularly called "back pain" and means exactly the same thing.

This symptom is extremely frequent and widespread in almost all age groups. It can occur after more or less intense efforts, but it can also arise without evident triggering causes. Both low back pain and low back pain in a large majority of cases are due to compression of the nerve structures inside the vertebral column by the intervertebral discs (the intervertebral discs are shock absorbers interposed between one vertebra and the other, their function is to allow movement between the vertebrae and absorb shocks).

The traditional approach to this problem is to advise the patient to rest in bed and to take analgesic drugs (usually the so-called NSAIDs, short for Non-Narcotic Analgesic Drugs, such as nimesulide salicylates or similar) and muscle relaxants. This approach, even if it has its own logic, is considered less and less adequate to the modern needs in which we want to put patients in a position to resume their activity as quickly as possible. It is now scientifically accepted that vertebral manipulation in acute low back pain can be quickly resolving; traditional massage and physical therapies (eg TENS, English abbreviation for Transcutaneous Electrical Nerve Stimulation), can in turn be indicated but must be administered when the patient is in a painful phase; they are of no use if used for preventive purposes. Postural correction and gymnastics that tend to retract disc protrusion (Mc Kenzie type) are very effective.

The operation of removal of the herniated disc can be indicated when there are evident nerve lesions in progress, but there is a tendency to achieve it less and less if the disorder consists solely of pain. Peridural infiltration with anesthetic and cortisone can be quickly resolving in hyperacute symptoms.

If left untreated, sciatica is generally cured in 12-18 months.

All patients with painful spine disorders must realize that good posture plays a key role in the health of their back, helping to prevent a worsening of the situation and avoid painful relapses. Due to the enormous complexity of the anatomy and physiology of the spinal column, the maintenance of a physical condition as healthy as possible both in the body and in the mind and spirit prevents the onset of chronic low back pain which can become a disease of very difficult resolution .

It is therefore essential that everyone take charge of their symptoms and fight it with the help of experts but also with their will to heal.

EXERCISE FOR THE PREVENTION OF LUMBALGIA OR BACK PAIN

Patients with a history of disabling low back pain have an asymmetry in the resistance of the lateral bridge and a decrease in strength of the oblique muscles which are postural muscles for which they must be trained with exercises in which the position is maintained for a long time and not with repeated contractions.

You have to be rigid and firm on one side and support yourself on one elbow and ankles, and remain still in this position for one minute on the right side and for one minute on the left side. At the beginning, due to the strength deficit of the oblique muscles, the exercise can be performed for shorter times: 15 "or 30" to progressively reach the minute. If there are difficulties in maintaining the position of the figure on the ankles, it is possible to start maintaining the balance position on the knees.

This exercise should be practiced every day for 2 minutes.

Via Casette 2, S. Maria di Negrar (VR) -

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Dr. Giuseppe Ridulfo

Comun. Order of the Physicians of VR

Prot. 1729 of 07.10.2002

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