1. CHANDRACHANDRA Low Back Pain This Presentation is the Property of Chandra Shekhar Upadhyaya For any Public Demonstration or use of Matter requires written consent of author. 2007-08 © Chandra S Upadhyaya

2. CHANDRACHANDRA Low Back Pain Purpose : To Create Awareness Among People in Long Hour Sitting Jobs About Problems Causes Prevention Available Helps

3. CHANDRACHANDRA Back Pain Pain any where from neck to tailbone. Sufferer 10% of the Population 80% people in the sitting jobs. Disaster Number One Cause of Disability Under the Age of 45. Cure No Permanent Cure Available. One has to “Learn to Live with Pain”. Next Victim May be You. Current stage of Problem: May be unknown. Low Back Pain The Problem

4. Low Back Pain The Problem Chronic Back Pain Does not Develop Over Night Result of Years of Abuse of Back with Poor Postures Begins with occasional spasms generally overlooked and often passed as a muscular stretch. Becomes persistent. Intensity increases. Slip Disc / Disc Rupture, temporary disability. Disc Prolapsed, Bed Ridden. Extreme Severity – Permanent Disability CHANDRACHANDRA

5. Low Back Pain CAUSE Medical Books Details 14-15 Causes of Low Back Pain. Our Preview : Major Cause among people in Long Hour Sitting Jobs The Job Itself Poor Postures Little or No Physical Exercises Overweight Pregnancy CHANDRACHANDRA

6. Low Back Pain Sitting in one position for extended periods of time stiffens the back muscles putting stress on Spine. Poor posture puts even more stress on Spine. Long Hour Sitting Jobs affects 1. Eyes 2. Neck 3. Shoulders 4. Upper Back 5. Wrists 6. Fingers 7. Lower Back / Rest of Body CAUSE CHANDRACHANDRA

7. Low Back Pain CAUSE Much deserved “De-Stressing” of Spine and Supporting Muscles does not happen due to lack of or No Physical Activities. Increasing Weight further multiplies build-up stresses on Spine. During Pregnancy Increase in Weight and Hormonal and Structural Changes causes Stress on Spine. Misalignment in the Spinal Column as a result of above forces Disc / Discs out putting pressure on Spinal Cord or Spinal Nerves causing pain (Pinching of Nerves. Let’s see how it happens. CHANDRACHANDRA

8. Low Back Pain CHANDRACHANDRA Know Your Body Back Includes 1.Bones of Spine (Vertebrae) 2. Joints that guide the direction of the movement of the spine 3. Discs that separate the vertebrae & absorb shock as a person moves 4.Spinal Cord, consisting of hundreds of Nerves carrying messages to all body organs from Central Nervous System (CNS) or Brain, passing through Vertebrae 5.Muscles, Ligaments, Tendons & Tissues that hold them all together

9. Low Back Pain CHANDRACHANDRA Spinal Cord, Vertebrae & Discs Know Your Body

10. Low Back Pain CHANDRACHANDRA Spinal Column gets support from Several Layers of Muscles to remain Erect Know Your Body

11. Low Back Pain CHANDRACHANDRA Know Your Body When We Feel Pain ? All the Layers of Muscles get stressed out over years of abuse due to Poor Posture and Muscles become Stiff (and contracted) and Weak This keeps on increasing the misalignment of the spinal column putting pressure on the disc to slip / bulge out and force itself on the nearby nerves, pinching them causing pain. Let’s see Why & How it happens?

12. Low Back Pain CHANDRACHANDRA Know Your Body a b c We have different Body Dimensions a, b & c But we have Standard Chairs, Seats, Sofa Seats etc. If ‘b’ of a person is lesser than depth of Chair, his Lower Back gets Curved Out causing Spinal Column misalignment.

13. Low Back Pain Know Your Body MRI : Disc Herniation / Prolapse CHANDRACHANDRA

14. Know Your Body Low Back Pain Effects of Nerve Pinching Intense pain in the Back Connected Organ may stop functioning. Pressure on Sciatic Nerve : Restricts Limb Movement May land a person in bed for couple of weeks, or months depending upon the severity. Patient suffers from anxiety, low moral, depression, insecurity if severity is more Surgery is Always Very Critical due to involvement of Nerves and does not guarantee any success. CHANDRACHANDRA

15. Low Back Pain Know Your Body Prevention is the Best Cure. See Power Point Show and follow : Set-up your Work-Station. Do & Don’t Exercises If you ever get a Back Pain lasting more than a Week, take it seriously and Consult your Doctor / Physiotherapist without delay. Start Exercises suggested by them immediately to not to let your condition deteriorate further. CHANDRACHANDRA