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• Back pain is the most common problem in our lives.

• It will Affects many of us at some point. But most of cases of back pain is not a serious problem.

• It might just be caused by a simple Problems like mild strain or stress to a muscles and ligaments.

• In the normal pain you can staying active or exercising regularly will help you to get better and over come to the pain.

• It can result from injuries, activity or any medical conditions.

• When people get older stage, the back pain getting increase due to previous injuries, degenerative changes in the body or previous medical conditions.

Back Pain is mostly divided by Two Types:-

1.Upper and Middle Back Pain

2.Lower Back Pain

Upper and Middle Back Pain:-

• Upper and Middle Back Pain can occur anywhere from the base of your neck to bottom of your rib cage.

• Your thoracic spine work with the ribs to keep the back stable and helps to protect vital organs.

• Upper and Middle Back Pain is not a common as low back pain or neck pain. Because the bones in this area of the back.

• If a nerve in your rib cage area is pinched, irritated or injured, you may also feel pain in other places where the nerve travels, such as your arms, chest and belly.

Upper and Middle Back Pain mostly one of the following two reasons:-

1. Muscular Irritation

2. Joint Dysfunction

Causes of Upper and Middle Back Pain:-

• Disorder of the aorta

• Tumor in the chest

• Spine information

• Overuse, Strain or Injury to the muscles, ligaments and spine discs.

• Poor Posture

• Pressure on the Spinal Nerve

• Vertebrea Fracture

• Myofascial pain

• Osteoarthritis

• Improper lifestyle techniques


• Muscles tightness or stiffness

• Weakness in arms and legs

• Numbness and tingling in your upper body

• Mild or sharp pain

• General discomfort

• Radiating Pain


Patient History:-

• When symptoms started

• Current symptoms feel

• History of Injury

• Lifestyle and Habits

• Family History

Physical Exam:-

• Observation

• Palpation

• Clinical Test

Imaging Test:-

• X- Ray

• M.R.I

• Bone Mineral Density Exam



• Manual Manipulation

• Exercise

• Acupuncture

• Heat or Ice pack

• Electrotherapy

• Mindfull Meditation

Prescription pain medication.


In cases pain to be treated with surgery.

Self Care:-

• Rest

• Use a Heating pad or Ice pack

• Exercise

• Practice good posture

• Reduce stress.

Lower Back Pain

• Lower Back Pain is a common and painful condition which is affecting the lower portion of the spine.

• It is starting below the rib cage is called the lumbar region.

• Most of times lower back pain often gets better on its own.

• In the case of sever or long term back pain there are some effective Treatments.

• Lower Back Pain can result from an acute Injury or aa well as chronic conditions.

Causes of Lower Back Pain:-

• Muscles or Ligament Strain

• Arthritis

• Disk injuries

• Osteoporosis

• Sciatica

• Kidney Infection

• Cancer of the Spinal Cord

• Infections of the spine

• Spine stenosis

• Abnormal spine curvature

• Fibromyalgia

• Spondylitis

• Sacroiliac joint Dysfunction

• Trauma

• Autoimmune Diseases

• Poor posture

• Incorrect lifting techniques


• Limited mobility

• Radiating pain ( pain that travels to the buttocks, leg and feet. )

• Pain that is worse after prolonged sitting or after waking up

• You may have numbness or weakness in the part of the leg that receives it’s nerve supply from compressed nerve

• is worse after

Prolonged sitting

After waking up




Long standing

Long walking

Diagnosing Low Back Pain:-

Patient History:-

• Activity Level

• Sleep Habits

• Posture

• Previous Injuries

Physical Exam:-

• Palpation

• Neurological Exam

• Range of Motion

• Reflex

• Leg Raise Test

Diagnosing Imaging Test:-

• X-ray

• C.T Scan

• M R I



• Manual Manipulation

• Acupuncture

• Massage Therapy

• Mediation

• Heat and Ice Therapy

• Electro Therapy

• Stretching and Strengthening Exercise

• Low Impact Aerobics

Muscles Relaxants

Back Braces


Self Care

• Rest

• Use Heat or Ice Pack

• Exercise

• Try to practice good posture.

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