5 Reasons Causing Your Back Pain- Physiotherapy Kuala Lumpur

Low back pain (LBP), defined as pain occurring in the region between the lower rib margin and upper thighs, is most commonly encountered in its non-specific form, where no identifiable pathology is present. This pain can be categorised into three types based on duration. Acute low back pain lasts less than six weeks and typically results from injury or strain, often resolving with rest, physical therapy, and over-the-counter pain relief. Sub-acute low back pain persists between six and twelve weeks, necessitating more intensive treatments such as targeted exercise and potentially prescription medications. Chronic low back pain, lasting twelve weeks or longer, can significantly impact quality of life and demands a comprehensive, multidisciplinary treatment approach, including physiotherapy, pain management, psychological support, and sometimes surgical interventions. Chronic LBP is particularly burdensome, accounting for over 80% of healthcare costs related to back pain, with about one-third of patients experiencing persistent moderate pain a year after an acute episode. Physiotherapy is often the first line of treatment for low back pain, regardless of its duration or underlying cause. As a non-invasive approach, physiotherapy aims to alleviate pain, improve function, and prevent future episodes. It typically involves a combination of exercises to strengthen the back muscles, improve flexibility, and enhance overall physical fitness.

Improper posture and body mechanics

For those experiencing low back pain and seeking treatment, physiotherapy is often recommended as the first line of defense. To find a physiotherapist in your area, such as in Kuala Lumpur, you can perform a quick online search using terms like “physiotherapy Kuala Lumpur.” This will help you locate clinics and professionals who specialise in treating low back pain

Improper posture 

Incorrect posture can lead to stress in various parts of the body, including muscle tissue, spinal joints (lumbar facets), and discs. If not corrected, this stress can accumulate, gradually weakening these structures. For instance, prolonged hunching while standing or sitting strains the back, core, and abdominal muscles, leading to pain, reduced blood supply, and eventual stiffness and weakness in the trunk and lower back. An unsupported sitting position causes a slight forward bend in the spine, which over time can load the lower spinal discs and potentially lead to herniation. Additionally, working or reading while lying on your belly can cause excessive backward bending of the lower back and hips, disrupting the natural curve of the spine. Correcting posture in daily activities are crucial to preventing these issues and maintaining spinal health.

Proper posture

• Walking 

When walking, maintaining proper posture is crucial for spinal health and overall comfort. It’s essential to look straight ahead and keep the head balanced above the spine, avoiding tilting or excessive bending. Keep the spine straight and shoulders relaxed to minimise tension in the neck and upper back. When stepping, aim to land on the heel first and then gently roll forward to push off from the front of the foot, promoting a smooth and efficient stride. Additionally, incorporating a gentle spinal rotation with each step by reaching the opposite arm forward helps to engage the core muscles and promote balanced movement.

• Sitting 

When sitting and working for extended periods, it’s essential to maintain proper posture to support spinal health and prevent discomfort. Sit with your back firmly against the chair, ensuring your head stays aligned over your spine, and your shoulders are relaxed and rolled back. Keep your arms bent at a 75 to 90-degree angle at the elbows to reduce strain on the shoulders and neck. Position your legs hip-distance apart with both feet flat on the floor; if your feet don’t reach, use a footrest for support. To maintain the natural curve of the lower back, place a small pillow or rolled-up towel behind your lower back for lumbar support. Additionally, aim to stand up and walk a short distance every hour to relieve pressure on the spinal discs and promote circulation. These adjustments can help alleviate strain and discomfort during prolonged periods of sitting.

Improper body mechanics during lifting 

 Improper lifting techniques can also cause lumbar disc herniation, resulting in lower back pain that radiates into the legs through nearby spinal nerves. This is because improper lifting techniques can significantly place excessive strain on the spine and surrounding muscles. When lifting with a rounded back or by bending at the waist instead of the knees, the load on the lumbar spine increases, which can compress intervertebral discs and stress the spinal joints. This can lead to disc herniation, where the discs bulge or rupture and press on nearby spinal nerves, causing sharp pain, numbness, or tingling that can radiate from the lower back down to the legs. Additionally, improper lifting can overstretch or tear lower back muscles and ligaments, resulting in inflammation, pain, and muscle spasms that limit mobility. It also places uneven stress on the spinal joints, leading to misalignment and increased wear and tear over time, causing pain and stiffness. Furthermore, incorrect techniques often fail to engage the core muscles adequately, reducing spinal stability and increasing the risk of injury. 

Proper lifting technique 

When lifting a heavy object from the floor, it’s crucial to maintain proper form to protect your back. Start by squatting down in front of the object while keeping your back straight and bending your knees. As you grasp the object, hold it close to your chest to minimise strain on your back. Then, straighten your knees to stand up slowly, using the strength of your legs to lift the object rather than relying solely on your back muscles.

For lighter objects, a technique known as the golfer’s lift can be beneficial, especially for repetitive lifting tasks. Begin by taking support from a nearby table or counter with one hand. Keeping your back straight, bend down at your hip and raise one leg backward for counterbalance. Use your free hand to lift the object from the ground. This technique helps distribute the load more evenly and reduces the strain on your lower back, making it a safer option for lifting lighter items.

Traumatic event 

There are various ways in which one can injure their back, ranging from minor strains that heal relatively quickly to more severe injuries resulting in chronic pain. Activities like a strenuous day at work, sudden movements, or accidents can often lead to strains or sprains of the muscles and ligaments in the back. Most stress associated with actions like bending, twisting, or lifting heavy objects is concentrated at the lower part of the spine, making this area particularly vulnerable to injury, especially in individuals with weak muscles due to a sedentary lifestyle. A back strain typically occurs when the muscles surrounding the spine are stretched too far, and/or are moved in a way that causes tiny tears in the tissue. This can result in microscopic bleeding into the muscle, leading to swelling and painful muscle spasms. The injured muscles are often tender to  touch, and pain and spasms serve as signals that the muscle needs protection and rest to heal. During the acute phase of pain, it’s essential to avoid using the injured muscles and aid in their recovery through rest, applying hot and/or cold packs, and possibly gentle massages to ease spasms.

The specific damage resulting from a strained back can vary widely. It may involve injury to the muscles that support and move the spinal column, partial tearing of ligaments connecting the vertebral bodies or forming capsules around facet joints, or even a mild case of a slipped intervertebral disc contributing to the pain. Understanding the nature of the injury is crucial for determining the appropriate treatment and rehabilitation to promote healing and prevent further damage.

Aging 

Disc degeneration is a natural part of aging, where the jelly-like discs between the vertebrae lose their cushioning ability, leading to bones rubbing against each other and causing back pain. Another age-related issue is spinal narrowing, known as spinal stenosis, where the shrinking spinal column compresses the nerves passing through, resulting in pain. Osteoarthritis, which is common in older adults, results from the gradual wear and tear of cartilage over time, leading to joint stiffness and pain. Additionally, weakened muscles and bones are prevalent in older individuals, contributing to decreased support and stability for the spine, further exacerbating back issues.

Muscle deconditioning 

Muscle atrophy, the loss of muscle mass and strength, can be a significant contributor to back pain. Muscles play a crucial role in supporting the spine and maintaining proper posture. When muscles weaken due to atrophy, they become less effective in providing support to the spine, leading to increased stress on the spinal structures, including the discs and joints. This heightened stress can result in discomfort and pain in the back. Additionally, weakened muscles contribute to reduced stability of the spine during movement and activities, making it more vulnerable to injury or strain. Compensatory movements by other muscles to maintain balance can lead to imbalances and uneven distribution of forces, potentially causing further strain and pain. Moreover, muscle atrophy can limit flexibility and range of motion in the back, resulting in stiffness and difficulty performing daily activities, which may exacerbate discomfort and pain.