Lumbago is pain in the lower part of the back. It is by far the commonest ailment for which patients come to our treatment centre. It is very common after the age of 35. Women out number men probably because of their house hold work which involves off & on forward bending. Drivers, people who do a lot of journey by road, workers who have to lift heavy objects are also common sufferers. Common causes of lumbago are
- Lumbar spondylosis
- Prolapsed inter vertebral disc
- Spinal tumour
- Lumbar canal stenosis
- Sprain while lifting heavy objects.
- Spinal anaesthesia
- Renal diseases
- Rheumatoid arthritis
- Ankylosing spondylosis
- Malignant disease in the pelvis
- Tuberculosis of the vertebral bodies or of the sacro-illiac joint.
Changes in the intervertebral may appear as early as 20 year of age but herniation is often precipitated by trauma such as twisting the spine, lifting heavy weights while the spine is flexed or during childbirth. The neucleus pulposes may bulge or rupture the annulus fibroses giving rise to lumbago by pressure on nerve ending in the spinal ligaments and by producing changes in the joints of the vertebral arches and to sciatica by causing congestion or pressure on the nerve roots.