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Back Pain

  1. 1. BACK PAIN Dr. Michael Vanella
  2. 2. BACK PAIN <ul><li>Walking upright on two feet has advantages, but it also puts intense pressure on the spine, as well as on other muscles and bones. </li></ul>
  3. 3. BACK PAIN <ul><li>The perfect recipe for back pain is: </li></ul><ul><li>Improper sitting </li></ul><ul><li>Improper lifting </li></ul><ul><li>Improper reaching </li></ul><ul><li>Normal wear and tear of work and play </li></ul>
  5. 5. BACK PAIN FACTS <ul><li>2 nd most common reason for visits to the doctor (#1 is upper respiratory infections) </li></ul><ul><li>Leading cause of disability between the ages of 19-45 </li></ul><ul><li>Low back pain is the #1 leading impairment in occupational injuries </li></ul>
  6. 6. BACK PAIN FACTS <ul><li>Experts say that 80% of us will </li></ul><ul><li>experience a back problem at some time in our lives. </li></ul>
  7. 7. BACK PAIN FACTS <ul><li>It is estimated that over 80 billion dollars is spent because of back pain each year, and the cost is growing. </li></ul><ul><li>There is no quick fix or total cure for most back problems. </li></ul><ul><li>How your back pain affects you on a daily basis is very much up to you! </li></ul>
  8. 8. BACK PAIN FACTS <ul><li>Back injuries are a part of everyday life. </li></ul><ul><li>It can be a sharp pain or a dull ache </li></ul><ul><li>Tingling, numbness, or burning sensation can accompany it </li></ul>
  9. 9. BACK PAIN FACTS <ul><li>You may also feel weakness, pain, </li></ul><ul><li>or tingling in your pelvis or upper leg </li></ul><ul><li>– a condition known as sciatica </li></ul>
  10. 10. BACK PAIN FACTS <ul><li>The spine is good in dealing with back injuries. </li></ul><ul><li>Minor injuries heal within a day or 2 </li></ul><ul><li>If it last longer you need to see a doctor </li></ul>
  12. 12. #1O AUTO MECHANICS <ul><li>They work in </li></ul><ul><li>physically awkward </li></ul><ul><li>positions all day </li></ul><ul><li>long – bending over </li></ul><ul><li>cars, sliding under </li></ul><ul><li>cars, etc. </li></ul>
  13. 13. #9 NURSING HOME WORKERS <ul><li>Have to lift elderly people into and </li></ul><ul><li>out of bed. The workers’ bodies can become twisted and off center. </li></ul>
  14. 14. #8 DELIVERY DRIVERS <ul><li>Are always running, often carrying heavy awkward packages. Packages shipped via UPS, FedEx, etc. have increased in weight over the years. The job also involves a lot of driving. </li></ul>
  15. 15. #7 FIREFIGHTERS and EMTs <ul><li>Deal with fire, water </li></ul><ul><li>pressure from hoses </li></ul><ul><li>and have to chop </li></ul><ul><li>obstacles with an axe. </li></ul><ul><li>They often carry people </li></ul><ul><li>to safety, which </li></ul><ul><li>is particularly difficult if </li></ul><ul><li>the victim is obese </li></ul><ul><li>or incapacitated. </li></ul>
  16. 16. #6 ROOFERS <ul><li>Are always </li></ul><ul><li>twisting their </li></ul><ul><li>bodies. </li></ul>
  17. 17. #5 FARMERS <ul><li>Lift heavy equipment </li></ul><ul><li>and bags of feed </li></ul><ul><li>and grain. When </li></ul><ul><li>doing fieldwork, they </li></ul><ul><li>constantly have to turn </li></ul><ul><li>backward to watch </li></ul><ul><li>equipment that is pulled </li></ul><ul><li>behind a tractor. </li></ul>
  18. 18. #4 POLICE OFFICIERS <ul><li>Sit in their cars for long periods of time, which is rough on the low back. </li></ul><ul><li>When called into action, they have to make sudden movements and often face resistance from those they are arresting. </li></ul><ul><li>Police officers also wear belts that can weigh up to 40 pounds, which can cause chronic back pain. </li></ul>
  19. 19. #3 LANDSCAPERS <ul><li>Lift heavier objects </li></ul><ul><li>than any other </li></ul><ul><li>profession. </li></ul><ul><li>Wheelbarrows can </li></ul><ul><li>twist and turn, </li></ul><ul><li>wrenching the </li></ul><ul><li>worker’s back. </li></ul>
  20. 20. #2 CONSTRUCTION WORKERS <ul><li>Their jobs can involve </li></ul><ul><li>hammering, lifting, </li></ul><ul><li>steelwork, or ironwork – </li></ul><ul><li>all in very awkward </li></ul><ul><li>positions. Moving steel </li></ul><ul><li>beams can wreak </li></ul><ul><li>havoc on the entire </li></ul><ul><li>body. </li></ul>
  21. 21. #1 HEAVY TRUCK & TRACTOR TRAILER DRIVERS <ul><li>Endure constant </li></ul><ul><li>compression and </li></ul><ul><li>vibration for trucks. </li></ul><ul><li>This can damage the </li></ul><ul><li>back. Prolonged sitting </li></ul><ul><li>puts pressure on the </li></ul><ul><li>spine, which can result </li></ul><ul><li>in disc degeneration. </li></ul>
  22. 22. #1 HEAVY TRUCK & TRACTOR TRAILER DRIVERS <ul><li>Liquid carrying trucks are </li></ul><ul><li>particularly bad. When this type of </li></ul><ul><li>truck comes to a sudden stop, the </li></ul><ul><li>fluid in the truck slams back and </li></ul><ul><li>forth, and the driver feels the impact. </li></ul>
  23. 23. #1 HEAVY TRUCK & TRACTOR TRAILER DRIVERS <ul><li>Also, because </li></ul><ul><li>professional truck </li></ul><ul><li>drivers are always on </li></ul><ul><li>the road, their diets are </li></ul><ul><li>seldom what they </li></ul><ul><li>should be, which can </li></ul><ul><li>contribute to back </li></ul><ul><li>problems. </li></ul>
  25. 25. TIPS <ul><li>Maintain a healthy diet & weight </li></ul><ul><li>Remain active – under the supervision of a chiropractor </li></ul><ul><li>Avoid prolonged inactivity or bed rest </li></ul>
  26. 26. TIPS <ul><li>Warm up or stretch before exercising or other physical activities, such as gardening </li></ul><ul><li>Maintain proper posture </li></ul><ul><li>Wear comfortable, low heeled shoes </li></ul>
  27. 27. TIPS <ul><li>Sleep in a mattress of medium </li></ul><ul><li>firmness to minimize any curve in </li></ul><ul><li>your spine </li></ul>
  28. 28. TIPS <ul><li>Quit smoking. Smoking impairs </li></ul><ul><li>blood flow, resulting </li></ul><ul><li>in oxygen and </li></ul><ul><li>nutrient deprivation to spinal tissues. </li></ul>
  29. 29. TIPS <ul><li>Work with your </li></ul><ul><li>doctor of </li></ul><ul><li>chiropractic to </li></ul><ul><li>ensure your </li></ul><ul><li>workstation is </li></ul><ul><li>ergonomically </li></ul><ul><li>correct. </li></ul>
  30. 30. LIFTING
  31. 31. LIFTING 100 lbs. 10 lbs. LEVER EFFECT -- can magnify weight by factor of up to 10 40 lbs. 200 lbs.
  32. 32. PLAN THE LIFT <ul><li>How heavy the object is? </li></ul><ul><li>How far it has to be moved? </li></ul><ul><li>Where it is going to end up? </li></ul><ul><li>Is it cumbersome? </li></ul><ul><li>Is it a two person job? </li></ul><ul><li>Is there anything that needs to be moved prior to lifting? </li></ul>
  33. 33. CORRECT POSITIONING <ul><li>Stand directly in front of </li></ul><ul><li>the load, with feet about </li></ul><ul><li>shoulder width apart. </li></ul><ul><li>One foot should be in </li></ul><ul><li>front of the other one </li></ul><ul><li>for good balance. </li></ul>
  34. 34. CORRECT LIFTING TECHNIQUE <ul><li>Bend your knees and </li></ul><ul><li>tighten your stomach </li></ul><ul><li>muscles. Using both </li></ul><ul><li>hands grasp the object </li></ul><ul><li>and pull it as close as </li></ul><ul><li>possible to your body. </li></ul>
  35. 35. CORRECT TECHNIQUE <ul><li>It is very important to </li></ul><ul><li>LIFT WITH YOUR </li></ul><ul><li>LEGS NOT THE LOW </li></ul><ul><li>BACK. The main </li></ul><ul><li>reason for this is that </li></ul><ul><li>leg muscles are much </li></ul><ul><li>stronger than low back </li></ul><ul><li>muscles. </li></ul>
  36. 36. CORRECT VERSUS INCORRECT Correct Technique Incorrect Technique
  37. 37. LAST BUT NOT LEAST <ul><li>Avoid twisting AND bending of the lower back at the same time! This is one the most damaging movements to the spine. </li></ul><ul><li>To avoid twisting, pivot the feet to complete the lift. </li></ul><ul><li>Get help if necessary! If the load is too bulky or heavy, don't hesitate to get help or use a hand truck! </li></ul><ul><li>Don't be too tough or too busy to get help. </li></ul><ul><li>A strong will does not take the place of a reasonably safe lift. </li></ul>
  39. 39. CHIROPRACTIC <ul><li>If you experience back pain, consult your doctor of chiropractic </li></ul><ul><li>More than 30 million Americans sought chiropractic care last year alone. </li></ul>
  40. 40. CHIROPRACTIC <ul><li>With a thorough knowledge of the </li></ul><ul><li>structure and functioning of the human body, doctors of chiropractic make diagnosis and take steps to correct problems using spinal adjustments, </li></ul><ul><li>dietary and lifestyle advice, and other natural tools. </li></ul>
  41. 41. SPINAL ADJUSTMENTS <ul><li>Primary form of treatment by doctors of chiropractic </li></ul><ul><li>Recommend option for back pain treatment by state and workers’ compensation guidelines </li></ul>
  42. 42. RECENT MEDICAL STUDIES SAY … <ul><li>Chiropractic not only safe and effective, but can cut costs and get workers back on the job faster than other treatments. </li></ul><ul><li>Adjustments offer better short term relief of chronic back pain than medications. </li></ul>
  43. 43. THANK YOU