Ayurvedic and herbal products belong to the Alternative methods of treating any disease.

Can ayurvedic or herbal treatments Cure Back pain?
Because Ayurveda believes that Human Body positively respond to the natural healing which includes natural remedies. It might take some long time(with compare to Allopathic methods) to achieve full cure from Back pain with help of Herbal medicines, but when you are fully cured then it would last throughout your life. Herbal medicines dosn't make you dependent and the best part is that There is almost NO side effect in most of the herbal products.

What Is Back pain?

Back pain is pain felt in the back that may originate from the muscles, nerves, bones, joints or other structures in the spine.

The pain may have a sudden onset or it can be a chronic pain, it can be felt constantly or intermittently, stay in one place or refer or radiate to other areas. It may be a dull ache, or a sharp or piercing or burning sensation. The pain may be felt in the neck (and might radiate into the arm and hand), in the upper back, or in the low back, (and might radiate into the leg or foot), and may include symptoms other than pain, such as weakness, numbness or tingling.

The spine is a complex interconnecting network of nerves, joints, muscles, tendons and ligaments, and all are capable of producing pain. Large nerves that originate in the spine and go to the legs and arms can make pain radiate to the extremities.

Back pain can be a sign of a serious medical problem, although this is not most frequently the underlying cause:

Typical warning signs of a potentially life-threatening problem are bowel and/or bladder incontinence or progressive weakness in the legs.

Severe back pain (such as pain that is bad enough to interrupt sleep) that occurs with other signs of severe illness (e.g. fever, unexplained weight loss) may also indicate a serious underlying medical condition.

Back pain that occurs after a trauma, such as a car accident or fall may indicate a bone fracture or other injury.

Back pain in individuals with medical conditions that put them at high risk for a spinal fracture, such as osteoporosis or multiple myeloma, also warrants prompt medical attention.

In general, however, back pain does not usually require immediate medical intervention. The vast majority of episodes of back pain are self-limiting and non-progressive. Most back pain syndromes are due to inflammation, especially in the acute phase, which typically lasts for two weeks to three months.

A few observational studies suggest that two conditions to which back pain is often attributed, lumbar disc herniation and degenerative disc disease may not be more prevalent among those in pain than among the general population and that the mechanisms by which these conditions might cause pain are not known. Other studies suggest that for as many as 85% of cases, no physiological cause can be shown.

A few studies suggest that psychosocial factors such as on-the-job stress and dysfunctional family relationships may correlate more closely with back pain than structural abnormalities revealed in x-rays and other medical imaging scans.

Underlying causes

Transient back pain is likely one of the first symptoms of influenza.

Muscle strains (pulled muscles) are commonly identified as the cause of back pain, as are muscle imbalances. Pain from such an injury often remains as long as the muscle imbalances persist. The muscle imbalances cause a mechanical problem with the skeleton, building up pressure at points along the spine, which causes the pain.

Another cause of acute low back pain is a Meniscoid Occlusion. The more mobile regions of the spine, such as the facet joints, have invaginations of their synovial membranes that act as a cushion to help the bones move over each other smoothly. The synovial membrane is well supplied with blood and nerves. When these become pinched or trapped sudden severe pain may result. The pinching causes the membrane to become inflamed, causing greater pressure and ongoing pain. Symptoms include severe low back pain that may be accompanied by muscle spasm, pain with walking, concentration of pain to one side, but no radiculopathy (radiating pain down buttock and leg). Relief should be felt with flexion (bending forward),and exacerbated with extension (bending backward).

When back pain lasts more than three months, or if there is more radicular pain (sciatica) than back pain, a more specific diagnosis can usually be made. There are several common causes of back pain: for adults under age 50, these include spinal disc herniation and degenerative disc disease or isthmic spondylolisthesis; in adults over age 50, common causes also include osteoarthritis (degenerative joint disease) and spinal stenosis,trauma, cancer, infection, fractures, and inflammatory disease. Non-anatomical factors can also contribute to or cause back pain, such as stress, repressed anger, or depression. Even if there is an anatomical cause for the pain, if depression is present it should also be treated concurrently.

New attention has been focused on non-discogenic back pain, where patients have normal or near-normal MRI and CT scans. One of the newer investigations looks into the role of the dorsal ramus in patient's pain that have normal radiographic evidence. See Posterior Rami Syndrome.

Treatments of Backpain

The management goals when treating back pain are to achieve maximal reduction in pain intensity as rapidly as possible; to restore the individual's ability to function in everyday activities; to help the patient cope with residual pain; to assess for side-effects of therapy; and to facilitate the patient's passage through the legal and socioeconomic impediments to recovery. For many, the goal is to keep the pain to a manageable level to progress with rehabilitation, which then can lead to long term pain relief. Also, for some people the goal is to use non-surgical therapies to manage the pain and avoid major surgery, while for others surgery may be the quickest way to feel better.

Not all treatments work for all conditions or for all individuals with the same condition, and many find that they need to try several treatment options to determine what works best for them. The present stage of the condition (acute or chronic) is also a determining factor in the choice of treatment. Only a minority of back pain patients (most estimates are 1% - 10%) require surgery.

Conservative treatment

Heat therapy is useful for back spasms or other conditions. A meta-analysis of studies by the Cochrane Collaboration concluded that heat therapy can reduce symptoms of acute and sub-acute low-back pain. Some patients find that moist heat works best (e.g. a hot bath or whirlpool) or continuous low-level heat (e.g. a heat wrap that stays warm for 4 to 6 hours). Cold compression therapy (e.g. ice or cold pack application) may be effective at relieving back pain in some cases.

Use of medications, such as muscle relaxants, narcotics, non-steroidal anti-inflammatory drugs (NSAIDs/NSAIAs) or paracetamol (acetaminophen). A meta-analysis of randomized controlled trials by the Cochrane Collaboration found that injection therapy, usually with corticosteroids, does not appear to help regardless of whether the injection is facet joint, epidural or a local injection. Accordingly, a study of intramuscular corticosteroids found no benefit.

Exercises can be an effective approach, particularly when done under supervision of a professional such as a physical therapist. Generally, some form of consistent stretching and exercise is believed to be an essential component of most back treatment programs. However, one study found that exercise is also effective for chronic back pain, but not for acute pain. Another study found that back-mobilizing exercises in acute settings are less effective than continuation of ordinary activities as tolerated.

Physical therapy and exercise, including stretching and strengthening (with specific focus on the muscles which support the spine), often learned with the help of a health professional, such as a physical therapist. Physical therapy may be especially effective when part of a 'work hardening' program, or 'back school'.

Massage therapy, especially from an experienced therapist, may help. Acupressure or pressure point massage may be more beneficial than classic (Swedish) massage.

Body Awareness Therapy such as the Feldenkrais Method has been studied in relation to Fibromyalgia and chronic pain and studies have indicated positive effects.. Organized exercise programs using these therapies have been developed.

Manipulation, as provided by an appropriately trained and qualified chiropractor, osteopath, physical therapist, or a physiatrist. Studies of the effect of manipulation suggest that this approach has a benefit similar to other therapies and superior to placebo.

Acupuncture has a small benefit for chronic back pain. The Cochrane Collaboration concluded that "for chronic low-back pain, acupuncture is more effective for pain relief and functional improvement than no treatment or sham treatment immediately after treatment and in the short-term only. Acupuncture is not more effective than other conventional and alternative treatments.". More recently, a randomized controlled trial found a small benefit after 1 to 2 years.

Education, and attitude adjustment to focus on psychological or emotional causes - respondent-cognitive therapy and progressive relaxation therapy can reduce chronic pain.

Most people will benefit from assessing any ergonomic or postural factors that may contribute to their back pain, such as improper lifting technique, poor posture, or poor support from their mattress or office chair, etc. Although this recommendation has not been tested, this intervention is a part of many 'back schools' which do help.

Surgery

Surgery may sometimes be appropriate for patients with:

Lumbar disc herniation or degenerative disc disease

Spinal stenosis from lumbar disc herniation, degenerative joint disease, or spondylolisthesis

Scoliosis

Compression fracture

Emerging Treatments

Vertebroplasty involves the percutaneous injection of surgical cement into vertebral bodies that have collapsed due to compression fractures. This new procedure is far less invasive than surgery, but may be complicated by the entry of cement into Batson's plexus with subsequent spread to the lungs or into the spinal canal. Ideally this procedure can result in rapid pain relief.

The use of specific biologic inhibitors of the inflammatory cytokine tumor necrosis factor-alpha may result in rapid relief of disc-related back pain.

Treatments with uncertain or doubtful benefit

Injections, such as epidural steroid injections and facet joint injections, may be effective when the cause of the pain is accurately localized to particular sites. The benefit of prolotherapy has not been well-documented.

Cold compression therapy is advocated for a strained back or chronic back pain and is postulated to reduce pain and inflammation, especially after strenuous exercise such as golf, gardening, or lifting. However, a meta-analysis of randomized controlled trials by the Cochrane Collaboration concluded "The evidence for the application of cold treatment to low-back pain is even more limited, with only three poor quality studies located. No conclusions can be drawn about the use of cold for low-back pain".

Bed rest is rarely recommended as it can exacerbate symptoms, and when necessary is usually limited to one or two days. Prolonged bed rest or inactivity is actually counterproductive, as the resulting stiffness leads to more pain.

Electrotherapy, such as a Transcutaneous Electrical Nerve Stimulator (TENS) has been proposed. Two randomized controlled trials found conflicting results. This has led the Cochrane Collaboration to conclude that there is inconsistent evidence to support use of TENS. In addition, spinal cord stimulation, where an electrical device is used to interrupt the pain signals being sent to the brain and has been studied for various underlying causes of back pain.

Inversion therapy is useful for temporary back relief due to the traction method or spreading of the back vertebres through (in this case) gravity. The patient hangs in an upside down position for a period of time from ankles or knees until this separation occurs. The effect can be achieved without a complete vertical hang ( 90 degree) and noticeable benefits can be observed at angles as low as 10 to 45 degrees.

Backache is a rather common condition and often seems to be the only disturbing symptom in people otherwise in reasonably good health. It is a common symptom of many diseases, as well.

By the term backpain usually is meant a lumber pain, beginning in the region of the first lumber vertebra and extending downward along the “small of the back”. The pain may be in the center of the back, along the spine, or on either one or both sides of the spine; and it may affect any region of the back.

There are a great many causes of backpain, but the largest number result from strain, fatigue and lack of balance. Strain may result from unnatural posture while sitting, standing and walking, or trom a one-sided occupation. Those who carry weight on one side, such as postmen, or children with their school books usually over one shoulder, may have considerable backpain--and may develop definite spinal curvature. Other causes of strain are a poor muscular balance or abnormal abdominal conditions, such as enlarged or prolapsed organs, obesity, etc. Fatigue often results from a constant attitude in such occupations as require stooping, bending or lifting heavy objects. In many cases abnormal muscular balance results from fallen or broken arches of the feet or from the use of poorly fitting shoes. In these cases the pain usually extends upwards from the lower extremities to the back.

High heels are very prolific causes of backpain. The natural foot is constructed to walk best in a horizontal position, with the heel no higher than the sole of the foot. The muscles are designed to support the body best in this position. When heels of two or more inches in height are worn it is necessary for the muscles of the back to be unnaturally tensed in order to support the trunk in the erect position; also the pelvic bones must tip in an unnatural position, placing stress upon certain muscles and ligaments, and pains or aches will result in some degree.

Backache sometimes becomes so constant or frequent that a patient, with unstable nervous system or neurotic in natural will develop a condition of the mind that allows mental concentration on the back with the resultant pain, in the back continuing, although it may originate from some other source. Such a spine is know as “hysterical spine.” Treatment in such cases must be general and directed toward relieving and curing the neurotic tendencies, and the nervous system must be restored to normal balance. However, local treatments will be of value and should include heat by a means, massage, vibration, probably specific spine manipulation etc.

A more or less similar condition results from physical shock without a definite injury to the spine or with a slight injury that should be quickly corrected. The backpain lingers and the patient becomes neurotic. This condition is called “ rail-road spine”. It requires the same type of treatment, as does the hysterical spine.

Backaches not infrequently result from nerve inflammation or neuritis either of a simple type or as a part of a multiple neuritis resulting from alcoholism, lead-poisoning or diabetes. The alcohol or lead must be removed from the system and the diabetes must be properly treated to correct these backpains.

There are many backpains resulting from a focus of infection elsewhere. Such infections may be acute or chronic tonsillitis, apical (tooth-root) abscesses, gonorrhea, pneumonia or influenza. The last two are acute conditions and the pain usually is in the early stages. In these disorders there usually are other symptoms pointing to the causative condition. The backpain will subside when the infection disappears by proper treatment. It may be necessary to resort to a rigid course of diet, baths, manipulations, water treatments and so on. Infected tooth abscesses must receive the proper dental attention; the backpain may or may not need special treatment, but usually this will be necessary also.

Other infections causing backpain are tuberculosis and typhoid fever. A deformity frequently results in the case of tuberculosis. This condition requires quiet, rest on a fairly rigid bed and a nourishing diet of natural foods, avoidance of constipation, proper care of the skin by sun, air, friction, and cool sponge baths, plenty of fresh air and sleep. Typhoid fever may produce a rigid tender spine with considerable aching. This usually disappears upon the clearing up of the typhoid fever, but local back treatment may help it to disappear more quickly.

Many backpains are due to relaxation of the joints of the lower spine and hipbones or to a natural rigidity of the ligaments in these regions. There may be a genuine arthritic development in these joints, due to rheumatic or other infections.

Long illness and surgical operations requiring prolonged lying in bed may cause relaxation of the joints of the lower spine and hips. Sleeping on a bed with very relaxed springs, on which one assumes such a posture as in a hammock, may produce similar conditions. Using harder bedsprings, taking cool baths and exercises will clear up many of these cases. Strapping may be necessary for a time when the relaxation is extreme. Specific manipulative treatments, osteopathy especially, will be very beneficial in most of these cases.

Backaches often result from prosthetic disease in men and from diseases and displacements peculiar to women. The ache in these cases is in the lumbar or sacral region or between the shoulders or in all of these regions. These conditions must be overcome by appropriate treatment to reduce inflammations, congestions, enlargements or malpositions, as the case may be.

Sudden twists and turns may result in backpain, especially when the muscles and ligaments supporting the backbone are abnormally relaxed. Hot and cold applications, hot and cold sitz-baths, more or less rest for a time, and sometimes strapping, will take care of these cases.

Kidney disease, pendulous abdomen, and prolepses of the stomach or other abdominal organs frequently result in backpain. Special treatment for the causative condition will be necessary. Diet will prove very important, as well as proper posture, and any other general measures seemingly indicated, together with considerable local treatment. Kidney disorders may require a very strict dietetic and general treatment (see Kidney Disease).

Constipation is a very frequent cause of backpain, and this form readily responds to treatment that will correct the constipation. Included in this treatment should be proper diet and exercise, but local treatment to the back may be given to hasten the cure of the constipation as well as to overcome the backpain.

Other causes of backpain are spinal curvature, often-mild degrees of curvature that are not suspected; hysteria and neurasthenia: ulcer of the stomach, liver congestion, gall-stones, hemorrhoids, cystitis or inflation of the bladder, and lumbago. All of these will require direct and specific treatment for the underlying cause.

From the above it will be seen that the causes of backpain are many and common and, while local measures will be of value in all case, the underlying condition should be discovered if possible, and this condition should receive proper treatment.

Lumbago often is a term applied to fit any type of ache or pain occurring in the lumbar region. True lumbago is not a particularly common condition. It is a severe paroxysmal form of muscular rheumatism involving the muscles of the loins and their tendon attachments. With this condition one may be unable to twist or turn the back or to rise to an erect position after stooping. Even the jar of walking or riding in a motorcar may cause pain. In the treatment of this condition hot-water applications and especially the hot sitz-bath followed by proper applied by an electric pad in order to maintain uniform heat for a considerable length of time. Hot-water bottles may be used satisfactorily in many cases. Usually there should be a proper eliminative diet. Constipation should be corrected; and as a rule manipulation and vibratory treatment should be applied, beginning very gently and increasing with successive treatments as the pain subsides.

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