No matter whether the cause is a pinched sciatic nerve, lumbago, a slipped disc or muscular tension, back pain can be truly incapacitating.
Back pain accounts for the highest number of days off sick and is the number one health complaint in the UK.
In most cases, overworked muscles and ligaments or an overloaded spine is the cause. The good news: back problems often disappear spontaneously within three months. But sometimes we can also help recovery along a little – with physiotherapy or supports, for example. They feel really good and help the back to recuperate. You are fit again more quickly and can resume your normal day-to-day activities.
The spinal column is one of the load-bearing elements in the human body. It is made up of 24 vertebrae, which are connected by intervertebral discs that permit them to move relative to one another. The sacrum and finally the coccyx form the end of the spine.
Pain can develop in any one or all three of the sections of the spine - the cervical (neck), the thoracic and the lumbar spine. Back pain is caused by diseases or injuries of the discs (for example, a prolapsed intervertebral disc) or joints between the vertebrae (for example, wear and tear, so-called "osteoarthritis of the facet joints") or by other conditions.
Back pain has advanced over the last years and decades to become the No. 1 widespread condition. Dr Holger Eggers, specialist for orthopaedics/accident surgery at the MedCenter in Bayreuth, talks about the subject of back pain and explains the need for medical treatment, if it persists.
While the dorsal spine is rarely affected, about one third of all cases of spinal pain affect the cervical spine. Around two thirds of the patients have symptoms in the lumbar spine – this is known as "low back pain" or often colloquially as lumbago.
This lower section of the spine is more exposed to heavy stresses than anywhere else, among other things due to the fact that we walk upright or lift heavy objects with our backs bent.
"Acute" back pain usually lasts for up to six weeks. If it continues beyond this period for up to 12 weeks it is called "subacute", while back pain that still persists after 12 weeks is called "chronic back pain".
Depending on whether unequivocal physical causes and findings are present or whether there are no clearly recognisable causes, we distinguish between
Dr Holger Eggers, specialist for orthopaedics/accident surgery at the MedCenter in Bayreuth, talks about specific, non-specific and chronic back pain.
Most cases can be allocated to the category of non-specific back pain. Here the exact cause of the pain cannot be diagnosed.
Dr Holger Eggers, specialist for orthopaedics/accident surgery at the MedCenter in Bayreuth, explains the effects of postural problems and too little physical exercise on the human back.
If the exact cause of the pain is known, we talk about specific back pain.
This is caused, for instance, by injuries, intervertebral disc disease, inflammation or wear and tear of the joints between the vertebrae (so-called "osteoarthritis of the facet joints").
Almost everybody has experienced a "jab" or slight pain in the back. "It's my back again" is a phrase we often hear and our backs put up with a lot of stress every day. Hours spent sitting in the office, slumped posture in front of the PC, heavy lifting and carrying or bending down doing the gardening: a little back pain is part and parcel of daily life.
If the symptoms last longer, they should be taken more seriously. Do certain movements hurt? Does the pain radiate into the arms or legs, do you have a feeling of numbness? For example, while a prolapsed disc can cause agonising pain that radiates into a leg, wear and tear of the joints between the vertebrae is felt more as a dull, deep-seated back pain. The exact quality and severity of pain varies from patient to patient and depends on whether he has an acute injury, a muscular condition or wear and tear of the spine. Depending on the clinical picture, breathing may also be painful, for example, when the thoracic spine is affected, while headache and dizziness can result from pain in the cervical spine.
If the symptoms persist or return, it is advisable to consult a doctor and describe to him the characteristics of the pain. He will advise you on what possible treatments are available for your back pain: these treatment options range from wearing a support or brace to taking medication or physiotherapy or even an operation. An essential element of treatment is regular exercise: this strengthens the muscles, stabilises the spinal column and prevents pain.
The spinal column is a complex system consisting of vertebral bodies, intervertebral discs, muscles and ligaments.* Pain arises when the interplay between these structures is disturbed. Common reasons are:
The discs are interposed between the vertebral bodies: they act as shock absorbers, can withstand great tension and compression loads and they prevent the vertebral bodies from rubbing against each other. If the discs' elasticity diminishes, the fibrous outer ring can tear. The gel-like nucleus then prolapses from the inside of the disc to cause a slipped disc.
If the prolapse presses on a nerve root, it can cause pain in the arm or leg with associated abnormal sensations such as pins and needles or numbness. A prolapse might even result in muscular paralysis.
Poor posture or heavy lifting can also displace intervertebral tissue. This results in faulty posture and functional disorders of the lumbar spine – also called "locking". This can also affect the joints between the vertebrae. One of the consequences of this is that the surrounding musculature goes into spasm and the patient adopts a guarding posture to ease the pain. In turn, this postural guarding puts more stress on other parts of the back and the pain can spread.
As we grow older, our spines are affected by changes due to wear and tear (so-called "degenerative changes"), such as osteoarthritis. Degenerative means that the consequences of the wear and tear are irreversible, although many respond well to treatment, for example, through the use of medical devices.
Wear and tear of the intervertebral discs causes the joint surfaces between the vertebrae to rub harder against each other. This overloading leads to joint degeneration, which is called osteoarthritis of the facet joints, if it affects the joints between the vertebral bodies (facet joints).
The lumbar spine is stabilised by muscles. The muscles over the front and sides of the abdomen also play an important role here. Stable torso musculature relieves stress on the intervertebral discs and the facet joints and safeguards the lumbar spine against overstrain. Back pain can develop if the muscles are weak or have developed asymmetrically. Individual muscles can be overloaded, grow hard or even shorten.
This is caused by poor posture, too little exercise, one-sided sports or even stress.
However, the cause of back pain may lie somewhere quite different, for example, in the feet. Our feet literally carry us through the day and bear our entire bodyweight, thus exposing them to tremendous stresses. Therefore, faulty foot architecture can also be a cause of back pain. Also leg length differences can lead to pelvic tilt and ultimately to back pain.
The good news:
Many back problems resolve on their own within a few weeks. Non-specific low back pain is helped mainly by mobilisation treatment and, after consulting a doctor, by taking medication. Exercises to strengthen the musculature may also be suitable, for example, medi's back exercises.
The latest statistics from the Health and Safety Executive showed that approximately 200,000 workers reported a work-related musculoskeletal disorder in 2016/2017. Due to this, the working days lost was 3.2 million days in total with an average of 16.5 days per case. But why is back pain the No. 1 widespread disease?
Mainly sedentary occupations and a lack of physical exercise in everyday life can give rise to muscular tension and back pain, even if the spine itself is healthy. Furthermore, psychological stress such as stress at work or in our private lives cause the body to become tense. As a result, our muscles harden and start to hurt. A vicious circle of stress, tension and pain.
Read the white paper to learn more about the causes of back pain and the impact of stress on the state of our backs. Because you can prevent back pain by adhering to a healthy balanced diet, taking more physical exercise and pursuing sports.
The white paper gives ten simple tips on which preventive measures are recommended and what helps against back pain. Simply download the white paper for these.
All of us can relieve the strain on our backs in everyday life and ward off pain.
Lower back pain is estimated to affect at least 60%-80% of the population at some time in their lives.
Here’s the good news: there are back strengthening exercises and tips that you can easily integrate into your daily life.
Our guide offers you many recommendations on how you can live your life in a more back-friendly way - by moving regularly and strengthening the back muscles. Even the simplest things can have a positive effect on your back.
Try them out - your back will love you for it!
Back pain can be treated by a variety of methods. The doctor treating you will decide whether conservative treatment (without an operation) is possible or whether surgery is needed in serious cases.
If the back hurts because of harmful physical stresses in day-to-day life or tension caused by sitting for long periods in the office, tried and tested household remedies such as buckwheat cushions or hot-water bottles will help. However, if the symptoms are permanent or keep reoccurring, another solution must be sought in the long run.
This white paper describes which medical devices are available for permanent symptoms, how they work and how they differ from one another.
During physiotherapy, special back exercises are carried out under supervision. These can mobilise the spine, relieve tension and strengthen the torso musculature.Massages, ultrasound therapy or electrotherapy can promote healing and relieve pain.
The doctor decides which exercises are most appropriate for the patient. medi's physiotherapy exercises are very suitable for many patients. For example, they help strengthen the spine and ease pain.
Medication that relieves pain and inhibits inflammation or ointments can help relieve pain in the short term. This prevents uncomfortable postural guarding.
Dr Holger Eggers, specialist for orthopaedics/accident surgery at the MedCenter in Bayreuth, talks about diagnostic investigations, prevention, treatment and medical devices for back pain.
Supports and braces are medical devices that have been developed especially for treating muscle, tendon, joint and back pain. They mould themselves perfectly to the body's contours and can relieve pain and increase mobility. Various medical devices are used depending on the nature of the condition.
Supports for the lower back can stabilise the back and relieve strain on the lumbar spine. Firmer supports, so-called braces, can straighten and stabilise the spine and provide more intensive support and relief from strain. These medical devices can compensate for physical restrictions to allow increased activity and improve the quality of life.
Strong muscles around the spinal column protect it against wear and tear, muscular tension and pain. Back pain can be countered by regular physical exercise at a back school, with special exercises for the spine and gentle sports such as swimming or power walking.
The exercise programme has been conceived so that a complete set of exercises to strengthen and stretch your back can be completed in about 20 minutes. It would be ideal if you could go through this programme two or three times a week.
Important: please ask your doctor whether any of the exercises are unsuitable for you.
Head nodding: Exercise to strengthen the neck muscles
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Shoulder pulls: Exercise to strengthen the upper back and posterior shoulder muscles
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Hip pulls: Exercise to strengthen the back muscles / the large back muscle
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Trunk bends: Exercise to strengthen the lower back muscles
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Leg raises: Exercise to strengthen the buttock muscles
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Side pulls: Exercise to strengthen the lateral trunk muscles
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Sit-ups: Exercise to strengthen the upper abdominal muscle
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Leg lifts: Exercise to strengthen the lower abdominal muscles and the hip flexors
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Head presses: Exercise to stretch the neck muscles
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Head pulls: Exercise to stretch the lateral neck muscles
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Shoulder pulls: Exercise to stretch the upper back and shoulder muscles
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Trunk pulls: Exercise to stretch the lateral trunk muscles
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Forward bending: Exercise to stretch the lower back muscles
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Lower body twisting: Exercise to stretch the lower and lateral back and buttock muscles
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Leg pulls: Exercise to stretch the buttock muscles
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Hip tilt: Exercise to stretch the groin region and the hip flexors
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Discover the soothing effect of the specific massaging of local body regions and muscle groups. One of the aims of the myofascial release** method is to stimulate tissue circulation and thus increase tissue tone. The German Society for Osteopathic Medicine (DGOM e.V.) defines this as: all muscles are enveloped by the so-called fasciae. The fasciae themselves are connected with each other all over the body. The fasciae are stimulated by gentle pressure and tension. This improves the circulation and triggers reactions to normalise tissue tone.
You can do the exercises for myofascial release with little effort and very effectively with the BLACKROLL® MINI.
Discover the soothing effect of a specific massaging of smaller body regions and muscle groups: this relieves muscular tension and can actively support the healing process after injuries. The massage roll is so small and handy that can fit in every holdall.
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Back pain often starts at work. Sitting for hours on end or a faulty posture can strain muscles and joints and cause pain. This is especially true of jobs that require frequent bending, lifting or carrying heavy loads.
Click here to discover helpful tips and tricks from medi for a strong back in everyday working life.
medi's range of supports and braces offer the right medical device for many different conditions. The products convince patients because they are comfortable to wear, are made of skin-friendly and breathable materials and are available in a wide range of sizes – so everybody can find exactly the support or brace they need. Thanks to clever details such as practical hand loops or particularly soft borders, all medi’s medical devices are easy to handle and do not cut into the skin, even when worn for long periods.
Tense, sprained or strained – the lower back is particularly often affected by pain and injuries. This is where medi's supports and braces come into their own: they can stabilise the back, relieve muscular tension and ease pain on movement. The medical devices achieve these positive effects with their multidimensional mode of action. They stabilise the lumbar spine, relieve pain and enhance mobility. This can prevent further loss of muscle mass, so-called "muscle atrophy".
Back ache often has many different causes: most people (approx. 85% of all cases) have so-called non-specific lower back pain, in which several different causes lead to back pain. These can be overstrain, contracture or dysfunction of ligaments, muscles, facet joints and intervertebral discs.
Here's how to get your back fit again: There are many simple exercises for keeping the back fit or even strengthening it. This guide describes these clearly and with many pictures. You can keep all the parts of your back fit and healthy with eight strengthening and eight stretching exercises. The guide is rounded off with a chapter on the causes of back pain and a chapter on helpful supports and braces from medi.
Do you regularly wear a back orthosis but do not want to forsake your style?
You don’t have to.
Our style guide shows you how you can combine your orthosis with a wide variety of trends and looks. We will also show you practical tips on how you can conceal any problem areas and show off your figure - even wearing a back orthosis! Let us inspire you!
* Klein, Dr Christoph (2014): Orthopaedics for patients. Understanding medicine. Remagen: Published Michels-Klein, p. 277.
** The word "myofascial" stems from "myo" for muscles and "fascial" for fasciae. Doctors define fasciae as connective tissue structures that surround our muscles and organs.