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Lower back pain in computer professionals

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Consultant in Orthopedic Surgery and Sports Medicine, ... Limb Stretches Lower limb stretches Complementary therapy Back hygiene and back school Correction ... – PowerPoint PPT presentation

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Title: Lower back pain in computer professionals


1
Lower back pain in computer professionals
  • Dr Hemant K. Kalyan
  • MBBS, MS(Orth), DOrtho, FCPS, DSportsMed(Edin)
  • Consultant in Orthopedic Surgery and Sports
    Medicine, Bangalore

2
Schematic cross-section of an
inter-vertebral disc
Herniated disc
3
Causal factors for back pain
Spinal Fracture
  • Spinal fracture
  • Herniated disc
  • TB spine
  • Mechanical low back pain - Diagnosis of
    exclusion 75-80 of cases.

Herniated Disc
TB Spine
4
Trigger factors
  • Excessive load on normal back
  • Long / erratic hours
  • Poor workplace ergonomics
  • Stress Physical, mental and emotional
  • Travel

5
Trigger factors (contd)
Poor posture
  • Normal load on weak or unprepared back
  • Fatigue
  • Improper posture/ chronic malpositioning
  • Lack of exercise, poor physical conditioning
  • Weight control problems

6
Three phases of management strategy
  • Treatment of acute episodes.
  • Amelioration of chronic condition.
  • Prevention of exacerbation/ re-injury.

7
The case against protracted rest
  • Deconditioning Loss of muscle strength and
    endurance
  • Chance of micro traumatic injury
  • Protracts recurrent episodes
  • Maintains chronic disability
  • Decreased flexibility
  • Adversely modifies spinal biomechanics
  • Physiology of disc hydration affected

Avoid pill popping
8
Exercise - for which patients?
  • Central focus in 95 cases
  • YES in mechanical causes
  • NO in non-mechanical causes

9
Exercise types
  • Back-specific exercises
  • Peri-pelvic and LL flexibility and
    strengthening
  • Aerobic conditioning

Double knee to chest stretch
10
Pelvic tilt
Some exercises for the back
Lower trunk rotation stretch
11
Trunk Flexion Stretch
Some exercises for the back
Trunk flexion stretch
Prone lumbar extension
12
Alternate Prone Leg Extension
Alternate prone leg extension
Aerobic conditioning
13
Abdominal Strengthening
Abdominal strengthening
14
Lower Limb Stretches
Lower limb stretches
15
Complementary therapy
  • Back hygiene and back school
  • Correction of biomechanical factors
  • Posture
  • Weight control

16
Weight training
Yoga
17
Yoga
The right chair
Counter height
18
Working Posture
The right posture
Posture at work
19
Sitting Posture
Sitting posture
Forward bending
20
Pulling an Object
Pulling an object
21
Thank you
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