Causes of Upper Back Pain and How to Overcome It

Back pain or back pain is a common complaint and usually improves over time. However, there are some conditions that need to be treated by a doctor. Recognize the symptoms first so that the treatment can be tailored to the type of back pain you are experiencing.

Back pain (back pain) can be caused by several things, such as injury, poor posture, spondylolisthesis, or ankylosing spondylitis.

Causes of Upper Back Pain and How to Overcome It

Most low back pain can improve within 1 month with self-care at home. However, there is also low back pain that lasts up to> 3 months, such as inflammatory low back pain in ankylosing spondylitis (US) and nonradiographic axial spondyloarthritis .

Inflammatory Waist Pain

Inflammatory back pain is pain associated with spinal arthritis or spondyloarthritis. This condition is generally chronic and can last for more than 3 months. Inflammatory low back pain also usually occurs at the age of under 40 years.

Until now, the exact cause of spondyloarthritis is unknown. However, it is suspected that this condition is influenced by genetic factors.

There are several types of spondyloarthritis that can cause low back pain and one of them is axial spondyloarthritis.

Axial Spondyloarthritis

Axial spondyloarthritis (axial SpA) is a type of inflammation of the spinal joints that affects the joints and the tissue that connects bones to ligaments or tendons.

Axial spondyloarthritis is divided into two types, namely non-radiographic axial spondyloarthritis and ankylosing spondylitis. These two conditions are generally almost similar and the symptoms are not much different.

One thing that distinguishes it is ankylosing spondyloarthritis can be detected on X-ray examination, while non-radiographic axial spondyloarthritis can only be seen with an MRI examination .

Axial spondyloarthritis can be characterized by several symptoms, including:

  • Age < 45 years
  • Back pain lasts more than 3 months
  • Does not improve with rest and improves with activity
  • Back pain occurs at night
  • Stiffness in the morning lasting more than 30 minutes
  • Exhausted
  • Heel pain

If left untreated, axial spondyloarthritis can cause the spine to coalesce and form a rigid structure, so that the patient can lose flexibility.

Therapies Axial Spondyloarthritis

If you experience symptoms of low back pain as mentioned above, it could be a symptom of axial spondyloarthritis. Check your condition with a rheumatologist so that you can get the right treatment immediately.

Several therapies to treat axial spondyloarthritis include:

Drugs

Some types of drugs used by rheumatology specialists according to your condition are:

  • Non-steroidal anti-inflammatory drugs, such as ibuprofen, naproxen, ibuprofen, ketorolac or diclofenac, to relieve pain, inflammation, and stiffness in the waist.
  • Disease Modifying Anti Rheumatic Drugs (DMARDS) can be given conventionally if there are signs for joints other than the spine.
  • Biological agents, namely therapy given by injection, either under the skin (subcutaneously) or through an IV (intravenous). In addition, biologic agents are only given when other treatments are not effective in treating the condition axial spondyloarthritis. In addition, in several studies, therapy with biologic agents can reduce the progression of spinal structural damage.

Various Movements Axial Spondyloarthritis Patients Can Perform

In addition to following the treatment recommendations given by the doctor, you also need to do sports (movements) that can train your waist or back to support the recovery process. However, make sure you do it after consulting and according to the doctor's instructions.

Here are some moves you can do:

Spine stretch

  • Lie on your stomach on the mat and straighten your legs.
  • Support your body with your palms up to your elbows so your chest doesn't touch the ground.
  • Hold for 10–20 seconds and repeat 3–5 times.

Squat against the wall

  • Stand with your back to the wall.
  • Stretch your legs so they are at shoulder level and step forward until your back slides down.
  • Try to position yourself as if you were sitting in a chair.
  • hold for 5-10 seconds, repeat 3-5 times.

Plank

  • Kneel down and put your arms on the mat.
  • Push your feet back and balance your toes.
  • Tighten your abs and buttocks to keep your body in a straight line.
  • Keep the neck in line with the spine.
  • Hold for 5 seconds, repeat 3-5 times.

Stand with one leg up

  • Grab the back of the chair.
  • Raise one leg to the side slowly, then lower it.
  • Then lift your legs back to form a 45-degree angle.
  • Repeat 10-15 times on each leg.

Bend chin to neck

  • Lie on your back and bend your chin towards your chest or neck.
  • Hold for 5-10 seconds, repeat 3-5 times.

Turn your shoulders

  • Stand or sit up straight.
  • Move your shoulders in a circular motion 5–10 times.

Waist stretch

  • Kneel with one foot and the other foot on the ground.
  • Make sure your feet are at a 90 degree angle.
  • Push your hips forward slowly, holding for 20–30 seconds.
  • Repeat on the other leg.

Push-ups walls

  • Stand up straight against the corner of the wall.
  • Extend your arms out to the sides until your palms touch the wall.
  • Put your chest forward, hold for 20–30 seconds.

Walking

  • Start walking 5–10 minutes a day, then increase to 30 minutes or more.

Inhale

  • Take a deep breath and then exhale slowly.
  • Repeat 3-4 times a day.

If you experience low back pain continuously for 3 months or more, immediately consult a specialist in internal medicine consultant rheumatology to get the right diagnosis and treatment according to your condition.

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