;

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
Schematic cross-section of an
inter-vertebral disc

Herniated disc
Causal factors Spinal Fracture
for back pain…

 Spinal fracture Herniated Disc

 Herniated disc
 TB spine TB Spine

 Mechanical low back pain - Diagnosis

of exclusion – 75-80% of cases.
Trigger factors

Excessive load on normal back

Long / erratic hours
Poor workplace ergonomics
Stress: Physical, mental and
emotional
Travel
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
Three phases of
management strategy…

Treatment of acute episodes.

Amelioration of chronic condition.
Prevention of exacerbation/ reinjury.
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”

Exercise - for which patients?
Central focus in 95% cases

“YES” in mechanical causes

“NO” in non-mechanical causes
Exercise types…
Back-specific exercises
Peri-pelvic and LL flexibility and Double knee to
strengthening chest
stretch
Aerobic conditioning
Some exercises for the back…
Pelvic tilt

Lower trunk
rotation stretch
 Trunkfor
Some exercises Flexion Stretch
the back…

Trunk flexion stretch

Prone lumbar extension

 Alternate Prone Leg
Extension
Alternate prone leg extension

Aerobic conditioning
Abdominal Strengthening
Abdominal strengthening
Lower Limb Stretches
Lower limb stretches
 Complementary therapy

Back hygiene and back school

Correction of biomechanical factors
Posture
Weight control
Weight training

Yoga
The right chair
Yoga
Counter height
The right posture…
Working Posture
Posture at work
 Sitting posture
Sitting Posture

Forward bending
Pulling an Object
Pulling an object
Thank you