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Ten things you need to know about your back

Aug 14, 2018
The Chartered Society of Physiotherapy tells you ten things you need to know about your back.

Ten things you need to know about your backBack pain can be a major problem, not only at work but in almost everything we do. For people in removals industry it can often mean days off work and even loss of earnings.  There are many myths and ‘old wives tales’ about back pain.  Here is what the experts say.   

1. Your back is stronger than you may think. Most people will experience back pain during their lifetime, it can be disabling and worrying, but it is very common and rarely dangerous. The spine is a strong, stable structure and not easily damaged, so in most instances it is a simple sprain or strain. In these cases – 98 per cent, according to research – people recover reasonably quickly, and many do so without treatment. Some people experience repeat episodes, which can be distressing, but again these are rarely dangerous.

2. You rarely need a scan and it can actually do more harm than good. This is because seeing perfectly normal changes to their spine can cause people to avoid the activities they should be doing to get better, such as exercise and movement in general. In very rare cases, there may be something more serious or underlying that requires medical advice. A scan may help with your diagnosis however, these account for just two per cent of cases so if your physio or GP does not send you for one, you should take it as a good sign that there is nothing serious going on.

3. Avoid bedrest, stay in work and gradually resume normal activities. Scientific studies now indicate prolonged rest and avoidance of activity for people with low back pain actually leads to higher levels of pain, greater disability, poorer recovery and longer absence from work. In the first few days of a new episode of low back pain, avoiding aggravating activities may help to relieve pain. However, staying as active as possible and returning to all usual activities gradually is actually important in aiding recovery – this includes staying in work where possible. While it is normal to move differently and more slowly in the first few days of having back pain, this altered movement can be unhealthy if continued in the long-term.

4. You should not fear bending or lifting. Bending and lifting are often portrayed as causes of back pain and while an injury can occur if something is picked up in an awkward or unaccustomed way, it’s most likely to just be a sprain or strain. The important thing is to practice and get your body used to carrying different loads and weights in a way you find comfortable and efficient. We all run differently, and it’s perfectly normal for us to find our own technique for lifting too.

5. Exercise and activity reduce and prevent back pain.  Exercise is shown to be very helpful for tackling back pain and is also the most effective strategy in preventing future episodes. Start slowly and build up both the amount and intensity of what you do and don’t worry if it’s sore to begin with – you won’t be damaging your back. No one type of exercise is proven to be more effective than others so just pick an exercise you enjoy, that you can afford to maintain in the long-term, and fits in with your daily schedule.

6. Painkillers will not speed up your recovery. There is no strong evidence on the benefits of painkillers. They should only be used in conjunction with other measures, such as exercise, and even then, just as a short-term option as they can bring side effects. Exercise, which is safer and cheaper, is considered the preferred option.

7. Surgery is rarely needed. There are some uncommon back conditions where there is pressure on the nerves that supply the legs and the patient gets leg symptoms, such as pain, pins and needles or numbness. For these conditions, surgery can help the leg symptoms, but it is important to understand that it is not always required. You also need to know that on average, the results for back surgery are no better in the medium and long term than non-surgical interventions, such as exercise. So, a non-surgical option, which includes exercise and activity, should always come first.

8. Get good quality sleep. The importance of sleep in tackling back pain has become increasingly clear in recent years. This is because it reduces stress and improves your overall feeling of wellbeing, making you less susceptible to the triggers of pain in the first instance and helping you to cope when it does occur. Aim for 7.5 – 8 hours a night and try to aim for a regular routine, as far as possible. It is also very important to know that there is no best position or type of mattress – whatever feels most comfortable for you is best.

9. You can have back pain without having any damage or injury. Many factors can cause back pain and often a combination of these are involved. 

• Physical factors such as ‘protecting’ the back and avoiding movements 

• Psychological factors including a fear of damage or not getting better, feeling down or being stressed

• General health and lifestyle factors like being tired and rundown, not getting enough good quality sleep, being overweight or not getting enough physical activity

• Social triggers such as difficult relationships at work or home, low job satisfaction or stressful life events, like a family death or illness. Crucially, it’s important to know that all pain is 100 per cent real and never ‘all in your head’, even when factors like stress or mood are involved.  Each of the factors can turn up the volume of your pain and gaining a greater understanding of when that can happen puts you in a stronger position to recognise them and learn how to turn down the dial again.

10. If it doesn’t clear up, seek help, but don’t worry. If your back pain does not clear up after 6 – 8 weeks, make an appointment to see your GP or physiotherapist. Physiotherapists provide expert advice, guidance and treatment for back pain.  This will help reduce your chances of future episodes, while improving your overall health and wellbeing.

The Chartered Society of Physiotherapy is the professional, educational and trade union body for the United Kingdom’s 56,000 chartered physiotherapists, physiotherapy students and support workers.

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