Back Pain / Slipped Disc / Herniated Disc

Back pain is prevalent among white-collar workers. Prolonged sitting with poor posture will cause your pelvic area to misalign as it tightens and strains your back muscles and that put lots of undue stress on the spinal discs. Back pain can also be triggered by carrying heavy things while having weak and tight muscles, accidents, obesity, pregnancy or sports injuries.

For pregnant women, prolonged poor posture and habits will cause them more back pain. Back pain for pregnant women often gets worse towards the end of the day or if they have been standing for a long period of time. This is due to the muscles becoming tired easily and their ligaments stretching slightly from the combined weight of the mother and foetus.

According to Back Society Singapore, 1 in 5 Singaporean adults suffer from neck and back pain.

The Spine

The spine is made up of bones, also known as the vertebrae. Each vertebra has cartilage discs between them. The spine is connected to the ribs at the chest and is divided into three parts:

  1. Neck (cervical vertebrae)
  2. Chest (thoracic vertebrae)
  3. The lower back (lumbar vertebrae)

The spinal discs consist of a circle of connective tissues with a central gel-like core. This makes the spine flexible and also acts as a shock absorber. At the centre of this column of vertebrae and discs is the spinal canal, which contains the spinal cord and a bundle of nerve fibres stretching down towards the sacrum. The sacrum is a large irregular triangular-shaped bone made up of the five fused vertebrae below the lumbar region and is known as the lower spine. The sacrum is inserted like a wedge between the two pelvic bones and is held together by the two sacroiliac joints.

Many back pain sufferers usually feel the pain where the lumbar and sacral region of the spine connect because this region is subjected to a large amount of stress due to bad postural habits or strenuous activities.

Scoliosis

Scoliosis is an abnormal curvature of the spine to the side which causes compression to one side of the body. This in turn brings about an uneven height to the shoulders, waist and hip which results in severe back, shoulder and neck pain if left untreated. When the curvature gets worse, the spine will be rotated and twisted and will eventually cause the ribs to stick out to one side and creates a hump on your back. In severe cases, the curve may restrict the amount of space available for the internal lungs, especially the heart and lungs to work, leading to poor circulation, breathing problems and chronic pains.



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