;

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

Spinal Fracture

Causal factors
for back pain
Spinal fracture

Herniated Disc

Herniated disc
TB spine
Mechanical low back pain - Diagnosis
of exclusion 75-80% of cases.

TB Spine

Trigger factors

Excessive load on normal back

Long / erratic hours

Poor workplace ergonomics

Stress: Physical, mental and

emotional

Travel

Trigger factors

(contd)

Normal load on weak or

unprepared back
Fatigue
Improper posture/ chronic
malpositioning
Lack of exercise, poor
physical conditioning
Weight control problems

Poor posture

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

strengthening

Aerobic conditioning

Double knee to
chest
stretch

Some exercises for the back

Pelvic tilt

Lower trunk
rotation stretch

Some exercises
for the back
Trunk Flexion
Stretch
Trunk flexion stretch

Prone lumbar extension

Alternate Prone Leg Extension

Alternate prone leg extension

Aerobic conditioning

Abdominal Strengthening
strengthening
Abdominal

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
compiled by
R. ASOKAN
D.P.S./C.O