What should office workers do about chronic back pain and discomfort?
Hello Dr.
Kang: My husband is a working professional in his late twenties.
He has a regular schedule but no exercise habits.
For the past two to three years, he has been experiencing persistent lower back pain.
Although the symptoms are not severe, he often needs to use pain relief patches like Salonpas to feel more comfortable.
Should he see a doctor? If so, which specialty should he consult? Thank you for your time and assistance!
Stacey, 20~29 year old female. Ask Date: 2000/09/19
Dr. Kang Yaowen reply Rehabilitation
1.
Young individuals often experience lower back pain due to muscular pain, which is a common cause.
However, if accompanied by radicular symptoms (such as pain radiating to the back of the thigh or calf), one should consider the possibility of a herniated disc.
Typically, a physician can differentiate this through clinical examination.
Other less common causes, such as ankylosing spondylitis, should also be considered.
2.
For the aforementioned symptoms, one can seek treatment from a rehabilitation specialist.
3.
If a physician diagnoses the condition as muscular pain, in addition to physical therapy and medication, appropriate and regular exercise, including strengthening exercises for the abdominal and back muscles, can help prevent recurrence.
Reply Date: 2000/09/19
More Info
Chronic back pain is a common issue among young office workers, particularly those who spend long hours sitting at desks without proper ergonomic support or physical activity. Your husband's situation, where he experiences persistent discomfort despite having a regular sleep schedule, suggests that he may be dealing with musculoskeletal strain or poor posture, which is prevalent in sedentary lifestyles.
Understanding Chronic Back Pain
Chronic back pain can stem from various factors, including muscle strain, ligament sprains, herniated discs, or degenerative disc disease. In office workers, the most common causes are often related to poor ergonomics, such as inadequate seating, improper desk height, and lack of movement throughout the day. Over time, these factors can lead to muscle imbalances, stiffness, and pain.
Recommendations for Management
1. Ergonomic Assessment: It’s crucial to evaluate your husband’s workspace. An ergonomic chair that supports the lower back, a desk at the correct height, and a computer monitor positioned at eye level can significantly reduce strain. Encourage him to sit with his back against the chair and feet flat on the floor.
2. Regular Movement: Encourage him to take short breaks every 30 minutes to stand, stretch, or walk around. Simple stretches can help alleviate tension in the back muscles. For example, standing and reaching for the ceiling or gently twisting the torso can promote flexibility and reduce stiffness.
3. Exercise: While he may not have a regular exercise routine, incorporating low-impact activities such as walking, swimming, or yoga can strengthen the core muscles that support the spine. Strengthening these muscles can help prevent future episodes of pain.
4. Heat and Cold Therapy: Applying heat pads can help relax tense muscles, while cold packs can reduce inflammation if there’s any swelling. Alternating between the two can provide relief.
5. Pain Relief Options: Over-the-counter medications like NSAIDs (e.g., ibuprofen) can help manage pain and inflammation. However, it’s essential to use these medications as directed and not rely on them long-term without consulting a healthcare provider.
When to See a Doctor
If your husband’s back pain persists despite these self-care measures, it would be advisable for him to consult a healthcare professional. Given the nature of his symptoms, he should consider seeing a physiatrist (a specialist in physical medicine and rehabilitation) or an orthopedic doctor who specializes in musculoskeletal issues. They can perform a thorough evaluation, which may include physical examinations and imaging studies (like X-rays or MRIs) if necessary, to rule out any serious underlying conditions.
Conclusion
Chronic back pain in young office workers is often manageable with lifestyle modifications and ergonomic adjustments. However, if symptoms persist or worsen, seeking medical advice is crucial to ensure appropriate treatment and prevent further complications. Encourage your husband to take proactive steps towards improving his workspace and incorporating movement into his daily routine, as these changes can significantly enhance his quality of life and overall well-being.
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