Low backache- Solution with Ayurveda Print
Written by Dr. Chander Shekhar Sharma   

Back pain accounts for 30-50% for rheumatic complaints encountered by general practitioners. Back pain is the second only to common cold as the most frequent reason for visiting a physician and is the most common chronic pain syndrome in industrial countries. The highest prevalence is in persons aged 45-65 years.

Vertebral column consists of 24 moveable vertebrae plus sacrum & coccyx. The bodies of the vertebrae are separated from each other by inter vertebral disc. Vertebral column protects the spinal cord. In the thoracic region the ribs articulate with the vertebrae forming joints which move during respiration. The Inter vertebral discs are thinnest in the cervical region and become progressively thicker towards the lumber region. They have a shock absorbing function and cartilaginous joints they form contribute to the flexibility of the vertebral column as a whole. The movements between the individual bones of the vertebral column are very limited. However the movements of the column as a whole are quite extensive and include forward bending (flexion), backward bending (extension), bending to the side (lateral flexion) and rotation.
Pain sensitive structures in the spine include vertebral body, periosteum, Dura, facet joints, annulus fibrosus of the inter-vertebral disc, epidural veins & posterior longitudinal ligament. Damage to these non-neural structures may cause pain. Pain sensation in conveyed by the sinovertebral nerves that arise from the spinal nerves at each spine segment. Disease of these diverse pain sensitive spine structures may explain many cases of back pain without nerve root compression. The lumbar and cervical spine possess the greatest potential for movement injury.
An understanding of the nature of the pain is described by the patient is the essential first step in evaluation of low back pain. Local pain is caused by stretching of pain sensitive structures that compress or irritate sensory nerve endings. The site of the pain is near the affected part. Pain referred to the back may arise from abdominal or pelvic viscera. Pain of spine origin may be located in the back or referred to the buttocks or legs. Disease affecting the lower lumbar spine tend to produce pain referred to buttocks, Posterior thigh or rarely the calves or feet. Disease affecting the upper lumbar spine tend to refer pain to the lumbar region, groin, or Anterior thighs. Radicular back pain is typically sharp and radiates from the spine to the leg within the territory of a nerve root. Coughing, sneezing or voluntary contraction of abdominal muscles (lifting heavy objects or straining at stool) may elicit the radiating pain. The back pain may be associated with muscle spasms. Back pain at rest or unassociated with specific postures should raise the index of suspicion for an underlying serious cause.
Knowledge of the circumstances associated with the onset of back pain is important when weighing possible serious underlying causes for the pain. Some patients involved in accidents or work-related injuries may exaggerate their pain for the purpose of compensation or for psychological reasons.
Herbal treatment has got vital role in the treatment of back pain which should be adopted under the guidance of expert physician. Some Panchkarma procedures like Abhyanga, Nadi Swedan, Patrapotli swedan, Kati basti, Griva basti, Avgahan etc. are helpful in getting relief of back pain along with proper life style management.
Herbal drugs like Shudh Kuchla, Ashwagandha, Guggulu, Eranda, Shilajit, Boswelia, Haldi etc. Various herbal and Herbomineral compounds are also described in Ayurvedic texts. Yoga Asanas can be performed but only under the Guidance of a qualified consultant.

Lecturer Deptt. of Kaya Chikitsa
Dayanand Ayurvedic College, Jalandhar

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DAV's Ayurveda for Holistic Health
ISSN 2348-6910 Volume - 1 , Issue: 28 , September 2015

Home arrow Feb 2009 arrow Low backache- Solution with Ayurveda

Editorial Board

Chief Patron
Shri Punam Suri
President, DAV College Managing Committee,
New Delhi.

Dr. Ramesh Arya
Vice President, DAV College Managing Committee,
New Delhi.

Chief Editor
Dr. Raj Kumar Sharma
Asst. Director, Dayanand Ayurvedic College,
Ph: +91-9814204443

Dr. Sanjeev Sood
Principal, Dayanand Ayurvedic College,
Ph. : +91-9814004142

Executive Editor
Dr. Anup K. Gakkhar

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