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Back pain is ranked second to headaches as the most frequent location of pain. Four out of five adults will experience at least one bout of back pain at some time in their lives. The most common site for pain is the lower back because it bears the most weight and stress from the body.


A number of factors contribute to lower back pain, including poor muscle tone, excess weight - especially around the middle - and improper or heavy lifting. Poor posture and sitting or standing in one position for a long time puts extra stress on your back.

[A]- Muscle strains:
Strained muscles, tendons or ligaments or inflamed joints may cause pain along your spine.

This degenerative joint condition affects nearly everyone past the age of 60 or overloading, injury and aging can slowly deteriorate cartilage, the protective tissue that covers the surface of the joints of your vertebrae.

One in three women older than 50 is affected by painful vertebral compression fractures due to osteoporosis, a condition that causes a gradual weakening of bones.


Pain that interferes with sleep. Weakness or numbness in one or both legs or groin area- can mean nerve compression by the back. Problems with bladder or bowel control can also occur due to compression. Typically there is a continuous ache in the back that is not relieved by change of position, it is worse in the morning. The individual is unable to perform normal daily chores or housework. Bending to pick up something from the floor can be a painful task.


Following test should be preformed to diagnose back pain:

>Physical examination:
Your doctor examines your back to determine where the pain is, what degree of movement you have without pain and whether you have muscle spasms.
>Bone scan:["CT SCAN,MRI"]


>Medically Prescribed drugs such as nonsteroidal anti-inflammatory drugs (NSAID) and muscle relaxants may relieve mild-to-moderate back pain.

>Physical therapy

>Electrical Stimulation.(TENS)



Exercise. Regular aerobic activities that don't strain or jolt your back can increase strength and endurance in the muscles of lower back, allowing your muscles to function better. These aerobic exercises may include walking, swimming or biking. When standing, maintain a neutral pelvic position.


-Mefenamic acid


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