Structure of the Back
The human back is an
            amazing mechanical device.
               It is strong enough to
            support our entire body yet
            supple and flexible enough
              to allow us freedom of
                      movement.
       •     The spine is made up of 33 bones
             called vertebrae, 24 of which are
             moveable - providing flexibility to
             the spine.
       •     There are 3 natural curves in
             spine:
       1.    the cervical (neck)
       2.    the thoracic (middle back)
       3.    the lumbar (lower back).
What is Back Pain? 
         • 80% of the population suffers
            from back pain sometime in their
            lifetime.
         • Pain in the lower back can
            restrict your activity and reduce
            your work capacity.
         • Prolonged standing or sitting
            may cause back pain.
         • You may experience back pain
            when you bend or stretch your
            back.
         • Back pain symptoms include
            pain, tingling or numbness all
            the way down to your leg.
         • Back & leg pain can be caused
            by a spinal nerve being
            pinched by:
         1. A slipped disc.
         2. Changes in the spine vertebrae
            (osteoarthritis or spinal stenosis).
Causes of Back Pain
• Heavy lifting or incorrect lifting
  technique.
• Poor posture.
• Prolonged sitting in one
  position.
• Stress or anxiety.
• Lack of exercise.
• Overweight. Injury.
• Aging.
• Other factors can also cause
  back pain. Sometimes you may
  not even know how you hurt
  your back. 
  Keeping Back Pain
       at Bay
The best way to tackle back pain is to avoid it in
the first place. For most people, keeping up the
 right sort of exercise and avoiding the habits
    which are bad for your back are the key.
   Exercise
     Gentle exercise can build strong back and
     stomach muscles to support your spine and
     maintain flexibility. Walking or cycling are easy to
     incorporate into your daily lifestyle.
   Keeping trim
     Since excess weight can pull the spine out of
     alignment and cause a back injury, it's important to
     keep your weight down. Do some aerobic
     exercises such as cycling, walking or running
     to help you lose the excess pounds.
Tips to prevent Lower
      Back injury
Move around in office -
Moving is important to keeping the spine healthy and it
will also help to improve circulation and reduce muscle
fatigue.
Keep your back strong and supple –
Exercise to strengthen your back muscles, and do
activities, like Yoga, to maintain flexibility.
Take breaks and stretch During work -
Recent research has confirmed that frequent brief rest
breaks help to reduce fatigue and musculoskeletal
discomfort.
Gentle stretching during a break will help to ease
muscle tension and improve circulation.
            Watch your
             Posture
     The best long-term treatment is an active prevention
  program of maintaining your physical condition, observing
    proper lifting and postural activities to prevent further
                           injuries.
Standing  
- Keep your ears, shoulders and hips in one line.
- Do not slouch.
- Stand with head up and back straight. Do not bend
with legs straight.
   Watch your Posture
Bending
- Bend your legs and knees. Do not bend with your
waist.
  Watch your Posture
 Sitting
 - Support your back while sitting
 - Do not slump or sit too far away from your chair
Sleeping
- Sleep on bed with firm mattress
- When sleeping on your side, bend your knees. Place
a pillow between your knees
- Do not sleep on stomach
        If you get bad
         back pain...
•   STOP doing the things which
    make your back hurt
•   When the pain subside, move
    normally and exercise to
    strengthen the back muscles.
•   If required take pain killer to
    reduce the pain
•   if the pain continues for more
    than a few days, consider
    visiting a qualified back
    expert like a chartered
    physiotherapist, a registered
    osteopath, a chiropractor or
    a doctor, and
•   if your back gets no better
    after a week, go and see your
    doctor
  How to Manage Back
         Pain?
    Most back pain, whether acute or
chronic, can be treated without surgery.
 They can be prevented in the following
                  ways: 
• Some activity modifications.
• Medications.
• Physiotherapy.
• Back supports (corset).
• Ice and heat therapy.
• Weight loss if you are overweight.
• Keeping a routine - this will decrease
the chances of a recurrence of your
back pain.
        Exercise for a
        Stronger Back
Daily Exercise for the Back:                         
 Arch the back, at the same time, look down at the floor.                         
 Then lower the stomach    towards the floor, hollowing the                         
 back and at the same time
                             look up to the ceiling. (if you                         
 are pregnant you should   not do the second part of this                         
 exercise hollowing your  back, instead keep your back                         
 straight)                                        
 Repeat 10 times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
        Exercise for a
        Stronger Back
Daily Exercises for the Back                                                
 Sit back on your haunches.
                              Lower the body forward and                         
 down so that the nose  goes as close to the ground as                         
 comfortably possible. Move
                              forward, running your nose                         
 along the ground as far  as you can go before coming                         
 upright and repeating.                           
 Repeat 10 times.