Back Pain, what are the symptoms of this disease?

Center : Nakornthon Absolute Spine Care

Article by : Dr. Sittipong Suttiudom

Back Pain, what are the symptoms of this disease?

It is the most common pain in everyday life after neck pain. Which is common in working age and the elderly. In most cases, 80-90% of patients recover on their own in 4-8 weeks, so the correct treatment may reduce back pain.


  1. Impaired posture or posture, such as sitting and working in a bent back or bent down for long periods, lifting heavy objects from the floor without bending your knees, etc.
  2. Bone and muscle diseases which is the most common cause, such as a herniated discs, Degenerative spine, Spinal tumor or diseases in the group of connective tissues that are caused after inflammation until the patient has a stiff back, etc.
  3. Mental conditions, such as stress, can cause the back muscles to contract all the time and cause pain
  4. Other causes include diseases of the internal organs that can cause back pain such as nephrotic syndrome, ovarian and uterine disease. Abdominal aneurysm disease or cancer that has metastasized to the spine, etc.


Pain in the lower back or there may be pain in the hips or legs. Pain may come and go, or persistent pain is associated with pathways, such as increased pain when standing, walking, and in some cases, numbness, leg weakness, or unusual stool and urination problems.


This is because the most common causes of back pain are diseases of the spine and muscles. Therefore, the important prevention and treatment of back pain are:

  1. Resting, in patients with severe back pain, for example pain from a herniated disc in the acute phase. Should lie down on a mattress that is tight and less collapsed. Made of pressed cotton or made with coconut fiber
  2. Correct Positioning, such as sitting, standing, or lifting heavy objects.
  3. Controlling or losing weight for people who are overweight, this is because back pain hurts much more than people with proper weight.
  4. Drug treatment Pain relievers such as paracetamol or aspirin may be taken every 4-6 hours, if taking the medication for 5-7 days but the symptoms does not improve, consult a doctor.
  5. Physical therapy for patients with extreme pain or chronic pain. Using physical therapy equipment reduces the pain
  6. Orthotics, such as back support Should be advised by a doctor or physical therapist. Not necessarily all cases
  7. Muscle loosening with a needle or anesthesia
  8. Surgery

Preventing back pain

Observe your own gestures and perform them correctly. To prevent stress on the back muscles and bones

1. Sleeping position

ท่านอนตะแคง The lying position is the best. It is recommended to lie on the lower leg straight out. Upper legs bent at hips and knees. Put a bolster between the legs.
ท่านอนหงาย The supine position is a position that may cause the back to bend. Correct this by using a pillow under the knee, so that there is a flexion of the hip and knee joints, this can reduce the deflection of the back
ท่านอนคว่ำ The inverted position is the position that causes the spine to bend most. Avoid sleeping in this position.

2. Sitting position

ท่านั่งเก้าอี้ Chair sitting posture the soles of the feet are placed flat on the background, leaning against the back, hips and thighs in place. On all seats the backrest should not be over 100 degrees and should have armrests to support both arms.
ท่านั่งในรถยนต์ Car seat- Slide the seat towards the steering wheel. Until your knee is higher than your hip when the brake or gas pedal is pressed or at least to be at the same level When the handle is on the steering wheel Keep your elbows bent for approximately 30 degrees.

3. Getting up from a chair

การลุกจากเก้าอี้ To move yourself out, take the edge of the seat Using his hands to stand up, use the strength of your arms and legs to stand up. With your back straight throughout the movement

4. Standing posture

ท่ายืน Put your feet on one leg to stand longer. And to switch legs to rest

5. Bending / lifting objects from the floor

การก้มตัว, การยกของจากพื้น Use the method to lower your knees, lift things close to your body, and lift up. Then get up with the strength of the legs, try to keep things close to your body during lifting.

Exercising the muscles in the back to build flexibility

การยืดกล้ามเนื้อต้นขาด้านหลัง Stretching the back-thigh muscles, lie in a supine position, put one knee above the other. Pull your knees in towards your chest, count 1-10, rest.
การยืดกล้ามเนื้อต้นขาด้านหลัง Stretching the posterior thigh muscles, Put your hand under the knee, Pull in until you feel tight, count 1-10 and rest * in case of a degenerative neck problem The head should not be raised.

Stretching the hips

การยืดกล้ามเนื้อด้านสะโพก Lie on your back, bend your knees, cross your right leg to the left until your right foot touches the ground. Then use the left hand to pull the right leg until the torso and right hip feel tight, count 1-10, switch left-right. Try to keep your upper torso as stable as possible.

Stretching the calf muscles

การยืดกล้ามเนื้อน่อง Stand and lean your hands against the wall. Put one foot behind, knees should be straight and the soles of the feet must stay on the ground. Lower the front of the knee until the leg is stretched, count 1-10, rest. Caution in patients with osteoarthritis. Be careful to bend your knees no more than 90 degrees.

Exercising your back muscles to build strength

การบริหารกล้ามเนื้อหลังเพื่อสร้างความแข็งแรง Abdominal muscle type 1 Lie on your back with 2 knees bent, hands crossed, head and shoulder blades up slightly off the floor. Feel that the abdominal muscles are tense counting 1-5 and rest.
การบริหารกล้ามเนื้อหลังเพื่อสร้างความแข็งแรง Abdominal muscle type 2, lie on your back, 2 knees bent, one leg slightly extended. While contracting the abdominal muscles, count 1-10 and rest
การบริหารกล้ามเนื้อหลังเพื่อสร้างความแข็งแรง Hip muscles lie supine, knees contracted, abdominal muscles. Along with contracting the prolapse muscles By making a bow to the bottom to float off the floor, count 1-10 and rest


The exercises above This is an exercise to prevent back pain. If you are unsure or have back pain, Please consult your doctor and / or physical therapist. For proper and correct exercise.

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