Lower backpain in women is quite common. In fact, any kind of back pain in both genders is quite common. Studies have shown that close to eighty percent of all people will experience back pain at least one time in their lives. There are a number of causes that could contribute to back-pain in women.

Some of the causes of pain in women are muscle, nerve and ligament stress in the lower back, a sudden injury like a fall or something caused by an automobile accident, arthritis, any job that requires repetitive movement or sitting in chairs that do not promote good posture or standing for long periods of time. There are also some distinctly female causes for low back pain in women like fibroid tumours, menstrual cramps, pregnancy and endometriosis.

You should always see a doctor when you experience any lower back pain’s. Even though most of the time it is caused by routine wear and tear on the muscles, sometimes back pain’s in women (and men) is a sign of something more serious. A doctor can look you over and make sure that you are okay. You should always go to the emergency room if your lower backpain comes on suddenly or if it is accompanied by any sort of numbness in your extremities, flu like symptoms or if you experience a loss of control over your bowels. Those conditions when paired with lower back pain are a good reason to rush you to the nearest hospital’s emergency room.

There are a great number of treatments for back- pain in women. Treatments can include rest, ice, heat, an over the counter medicine like Advil or Naproxen and regular exercise. There are specialists in lower back pain who advocate acupuncture, seeing a chiropractor on a regular basis and taking up muscle and strength building activities like Yoga and Tai-chi.

There are also plenty of ways to prevent back pain in women. Women should get regular exercise, even before the pain starts. Regular exercise will keep her muscles strong and help fend off any stress or strain on the muscles in the back. She should always practice proper posture. Her office chair should be ergonomically correct and she should always walk and sit with a tall, straight back. She should do her best to maintain a healthy body weight (this can be worked out with her doctor) and should not smoke. Smoking can lead to other health hazards that will increase the risk of her contracting lower-backpain. Above all else, she should always remember to lift with her knees, not with her back.

Back pain in women is quite common. As previously stated, eighty percent of the world’s adult population will experience lower back pain at least once. As it turns out, our parents and teachers were right after all. Standing up straight, lifting with our knees and getting regular exercise really will be important in our adult lives.

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The American College of Physicians recently released its guidelines for diagnosing and treating lower back pain. These guidelines are the result of a long and intensive review of research on lower back pain. I have translated them from “doctorese” for you benefit.

1. Treating professionals should take a good history and do a thorough physical exam. The purpose of that exam is to identify which of three categories of back pain you have. The three groups are back pain with no specific cause, back pain with radiculopathy or spinal stenosis, or back pain with some other specific cause.

2. If you are in the first (non-specific) group, your doctor should not order routine imaging tests like x- rays or MRI’s.

3. If your back pain is accompanied by worsening neurological deficits or evidence of some serious underlying medical condition, then the doctor should order diagnostic and imaging tests.

4. If you have lower back pain and radiculopathy, then MRI’s or CT scans should be ordered only if you are a candidate for and epidural injection or surgery.

5. Your doctor should give you evidence-based information on low back pain. This information should include the expected course of their pain, advice to remain active, and a review of possible self-care alternatives.

6. Your doctor should consider medications that have been shown to be effective, and should use them along with self-care options. Medication should be accompanied by an assessment of your pain levels, and you should be advised of all the pros and cons of the medications. Recommended started medications for most people are an NSAID or acetaminophen.

7. If improvement is not seen with this program, your doctor should consider recommending other pain management alternatives. For chronic back pain, this include relaxation, acupuncture, yoga, massage therapy, exercise, and spinal manipulation.

It’s to your advantage to be an informed patient and know these guidelines. They tell you what information your doctor should be getting from you, and what issues should be addressed directly with you as you and your doctor develop your treatment plan.

These guidelines are a summary of those approved by the American Pain Society. They were released in October 2007, and have been published a number of places, including the Annals of Internal Medicine. Consider printing a copy of this article and keeping it for reference, and to discuss with your doctor if you have any questions.

Barry Hughes, Ph.D. is a psychologist and publisher of Chronic Pain Alternatives, which provides “Resources and Information for People with Chronic Pain.” He has built this site using Site Build It!, the easiest way to translate your passion onto the Web.
 

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