According to the American Chiropractic Association, right now more than 31 million North Americans are experiencing lower back pain. And that’s to say nothing of the upper back and neck!
Still not convinced that back pain is more than a trifle? Consider these facts:
When you look at these facts, three things become obvious:
For many people, back pain is a serious, painful, and chronic condition severely affecting their ability to engage in normal activities.
What is Back Pain?
On the surface, that might seem a simple answer: back pain is when your back hurts! But there’s far more to back pain than pain itself. More to the point, there are dozens of associated problems that come hand‐in‐hand with a sore back. To complicate the matter, back pain doesn’t necessarily indicate any kind of serious condition. On the other hand, serious conditions often have back pain as a symptom! Confused yet? Your back is a complicated piece of engineering.
How Your Back Works
Your back is a series of stacked bones (vertebrae) that compose your spine. These bones do for your spinal cord what your skull does for your brain: they protect the extremely important and delicate nerves within. Small sections of your spinal cord squeeze through spaces in the vertebrae, allowing them to carry information to the rest of your body.
Muscles and tendons bind those vertebrae together. Your spine also has built‐in “shock absorbers” called discs. These rest between your vertebrae and prevent strain and damage when you engage in high‐impact physical activity (things like running, dancing, or jumping).
Even though you have a single spine running through your back, you can think of the muscles and tendons as divided into two categories: lower and upper.
Lower Back Pain
Your lower back is anything from around your midsection down to your hips. Lower back pain is the most common complaint doctors hear about. It can manifest as a sharp sensation in the small of your back or a more general ache, and it has many causes.
Because your spine is such a central part of your body, your lower back muscles extend into your legs and abdomen. For that reason, low back pain can also result in shooting pain in your legs or bouts of nausea. Unfortunately, a 2005 study by Toronto Western Hospital Research found that less than a third of lower back pain cases get better over the course of a year. That means that if you’re experiencing back pain, it’s hard to get rid of.
Upper Back Pain
Upper back pain is less common than lower back pain, but it can be even more problematic. When we talk about your upper back, we’re including your shoulders and neck. As computer usage increases, neck pain and shoulder pain increase too.
As with your lower back, your upper back muscles extend into other parts of your body. Side effects of upper back pain include severe headaches, pain in your arms, and lower back tension.
Types of Back Pain
The first thing most doctors will ask you if you seek treatment for back pain is where the pain is located. The next thing they’ll want to discuss is whether the pain is chronic or acute.
Acute pain refers to a specific injury. If you’re in a car accident and get whiplash, that’s acute. Chronic pain is pain that doesn’t go away. If you’ve experienced pain in the same location more or less steadily for 3 ‐ 6 months, you’re dealing with a chronic condition. And when we’re talking back pain, acute injuries have a way of becoming chronic in a hurry.
The Results of Chronic Back Pain
If only back pain limited itself to the back! Unfortunately, it has a tendency to spread. Back pain affects you physically, psychologically, and emotionally in ways you never would have imagined.
Just a few of the side effects of chronic back pain include:
Unfortunately, many of these problems create a vicious cycle. For example, back pain reduces your desire and ability to engage in physical activity. Physical activity, though, is key to maintaining a healthy spine. As you can see, as your symptoms worsen, your quality of life can decrease significantly.
What Causes Back Pain?
There are many causes of back pain, some common, others less so. If you had an initiating event (like an injury or accident), you’ll probably pinpoint the cause easily. For many people, though, back pain is a constant in their lives, and they have no idea why! Hopefully, this list will help you understand the mechanics of back pain.
Preventing Back Pain
Maybe you’re one of the lucky 20% who will never have back problems. But it’s more than likely that, if you haven’t had problems yet, you will at some point in the future. As we’ve seen, back pain can be extremely debilitating, so your best bet is prevention! There are many things you can do to limit your chances of injuring your back.
Treating Back Pain
If you already suffer from chronic back pain, you know how difficult it can be. Unfortunately, in many cases there is no “cure” for back pain. You can, however, treat your pain. You might not get rid of it completely, but you can reduce it to a manageable extent. In fact, many people with chronic back pain are amazed at what a difference a few lifestyle changes can make!
When to See a Doctor
Many people try to manage pain of all kinds on their own. To a certain extent, that’s a good thing: you don’t have to run to the hospital for a bruised shin! But there are times when you do need medical attention, and back pain can indicate one of those times.
See a doctor immediately if:
These symptoms can indicate anything from a kidney infection to a fractured spine. In all probability, there’s nothing seriously wrong. However, if any of the above apply to you, it’s better to be safe than sorry! Make a doctor’s appointment as soon as possible.
Helping Yourself
If you want to try addressing the back pain yourself, there are certain steps you can take before seeing a doctor.