Patient, usually a tired housewife who has been gaining weight and whose spine is assuming faulty postures, experience dull nagging pain in the lumbo-sacral region which aggravates after sitting on a chair in a flexed position or while stretching the back with knees straight, especially after lifting a heavy weight. The condition is LOW BACK PAIN or LUMBAGO.
One should differentiate this condition from more frequently presented condition which sets in with sudden crippling pain, often spreading into one or both sciatic nerves, called intervertebral disc lesion, osteoarthritis of the lumbar spine and ankylosing spondylitis.
It’s important to recognize the basic signs that could suggest lumbago.
- Pain that’s located in the lumbar area of the spine is the primary symptom. Typically, this pain includes lower back stiffness, muscle tension and achiness. In the worst cases, mobility can be compromised.
- The pain is localized, meaning that it’s confined to a small area.
- Restricted movement of the spine can be a symptom, such as when you try to bend over or lean backwards.
- Another indication of lumbago can be pain felt in the lower portion of the back that can spread out into the buttock, the groin or to the back of the thigh.
- If the pain includes numbness in the buttocks, back or leg, along with a tingling feeling that radiates down the leg to the foot, it is known as sciatica. This occurs when the sciatic nerve is irritated.
- Swelling or inflammation of the back or leg can be a warning sign.
- Lower back pain when you sneeze or cough can also suggest lumbago.
Causes of Lumbago
Sometimes, the cause of lumbago is hard to pinpoint, even after comprehensive medical tests have been done. Lumbago can be caused from several factors, but the main reason is the overuse of the lower back and the sudden lifting of a heavy load.
Lumbago can be the result of excessive bending or other repetitive motions involving the lower back. Osteoarthritis and spinal arthritis (spondylosis) can be factors.
Other causes may include a slipped or herniated disc, osteoporosis, spinal stenosis or compression of the spinal nerves, scoliosis and malignant or benign spinal tumors.
in fact, it will be worth while to refer to repertory for these conditions since there are so many modifying symptoms that to be considered. However, the most common remedies that are indicated are discussed below.
Rhus toxicodendron, according to Hahnemann, is the most efficacious and specific remedy for frequently fatal effects of over lifting. Inordinate exertions of muscles and contusions. There is stiffness of the neck with painful tension when moving. Pain and stiffness in the small of the back, better motion or lying on something hard, worse when sitting. Backache is constrictive, better on hard pressure or bending backwards. Rhus toxicodendron affects fibrous tissue markedly, along with joints, tendons and sheaths producing pain and stiffness. Cold, damp season aggravates the sympyoms.
Tellurium metallicum has restlessness and pains all over the body and a very sensitive back. The patient is afraid, cannot bear to be touched on sensitive areas. Weak feeling in the back, pressing aches in the scapula, numbness in the nape and occiput. The pain in the neck spreads to the shoulder and between the scapula. Lumbar pain spreads to the right thigh and is ameliorated by walking.
Sepia officinalis is for weakness in the small of the back when walking, usually associated with uterine complaints. Collar feels tight, coldness between the shoulders. Back pain is better by belching and by pressing the back against something hard. Stiffness of limbs, worse after sleep weakness of joints, especially the knees.
Cimicifuga racemosa has pain across the pelvis from hip to hip. Menses are accompanied with severe backache; more the flow, more the pain. Suits rheumatic people, especially women who are plump, delicate, sensitive, nervous and chilly, who complain of an aching pain in the back and neck, here and there. Pain in the lumbar and sacral region, radiating down the thighs and through the hips. Crick in the back. Rheumatism affects belly of muscles, particularly large muscles. Choreic movements accompany rheumatism; rheumatic symptoms alternate with mental symptoms. Muscular soreness and numbness of limbs.
Ruta graveolens is a great remedy for backache from injury or strain. Vertebrae slip out of place easily. Bruised pain in small of back, better pressure and lying on back, worse in the morning before rising. Twisting, wrenching injury of spine . torn or over stretched ligaments of the back.
Aesculus hippocastanum has characteristic backache that incapacitates the patient and makes him useless for any work. Backache of sacrum and hips, worse walking or stooping . pains are so severe that it makes it almost impossible to walk. Sacro-iliac joint feels weak.