Does your back pain go wrong?

Albert Giménez

4 November, 2002

Of the visits that are made to the medical consultations, approximately 1 of each 6 obeys to a problem related to the back pain. In most cases, the pain appears because incorrect postures are adopted in the most daily tasks

Some studies claim that about 80% of the population will suffer at least one episode of back pain at some point in their lives.

Other works that portray the current situation confirm that between 30 and 50% of adults have problems related to the spine.

But the most worrying thing is that these disorders appear, more and more frequently, at an early age; It is already very common for children of childbearing age to have hyperlordosis (curvature of the spine) or other disorders in the posture. And the authors point out the origin of the problems "Abrupt changes of overload and abuse, emotional tension or excessive stress (examinations, family pressure, etc.), as they may cause muscle disturbances, that is, future back problems."

For this reason, if our child repeatedly complains about the pain or discomfort in the back, the first thing we must do is consult with a specialist doctor who can determine the possible cause and can guide us with regard to the treatment. We have to know that some discomforts that appear in childhood and adolescence can not only be controlled but also correct, which will in some cases prevent alterations in the medium or long-term column. If we do not act in these children who suffer from back pain often, 50% of them will continue to suffer from discomfort in adulthood.

Why is your back pain hurt?

In most cases, back pain is due to muscle imbalances produced by growth itself, secondary overloads, inadequate or poorly qualified sports training or the adoption of incorrect positions in the performance of ordinary tasks.

In contrast, the causes derived from traumatisms and / or spinal malformations do not occur so frequently and, even in the ailments framed in the abnormal incurvations of the column, we can distinguish between postural and those caused by a structural deformity .

The first, postural, are usually produced by factors external to the column, such as a dismétrica, which originates if the legs do not measure the same, with a difference that exceeds the centimeter and a half (below that difference the body has the ability to compensate). In some cases where the length of the lower extremities is different and higher than this centimeter and a half, the problem is moved to the pelvis, which is oblique, which affects the spine, which at the same time is curved by compensate for the trunk and keep the head centered with the pelvis.

But the evolution of these postural type incurables usually disappears or is limited, in the case of the youngest, when growth stops, or when it is about discretion, because the cause disappears.

Other factors that can cause back problems include muscle insufficiency, reluctance to posture, increased mammary glands in girls that enter into puberty or the abuse of sitting (over-TV , computer, inadequate school furniture, excess weight in the wallets or backpacks, etc.). All can cause a bad position, in which the shoulders are projected forward, an increase in physiological thoracic kymosis and, sometimes, an increase in lumbar lordosis as compensation.

The most important thing is to know that all these disorders can be corrected easily if we modify the position and try to strengthen the muscles, so that the adoption of a correct posture is encouraged.

Learn to take care of the column

Not all sports centers offer activities aimed at correcting the bad postures and acquiring good habits that favor the spine. But in the facilities managed by the Claror Foundation these activities have been prioritized, and work closely linked to the Health Area, which guides, advises and tracks each student.

Thus, in the Claror, Sagrada Família and Maritim sports centers, children's and adult therapeutic swimming are done and a back school for adults.

And, for this season, Deportivo Claror also proposes a new activity, the Early Childhood School, designed for boys and girls over eight years of age who suffer from back pain.

The activity aims to educate posturalmente in a fun way, by means of games, in a mixture between the sport initiation and the gymnastics.

In order to differentiate the problems caused by bad positions of those that may have a structural origin, it is necessary that the interested parties adhere to the Area of ​​Health of Sport Claror, that will guide the users in each case.

Postural hygiene measures

1. We must avoid being in the same position or doing the same activity for a long time.

2. If necessary, you need to modify the furniture in our surroundings: sofas, chairs or very soft beds are harmful. You also have to take care of the lighting and the height of the objects.

If we are rights ...

3. If we do not walk, it is better to put a foot more advanced than the other and to change position.

4. You must wear comfortable shoes and a low heel (between 2 and 5 cm).

5. We have to collect the objects of earth flexing the knees and keeping the back straight.

If we are sitting ...

6. We have to keep the back straight and resting on the chair.

7. Feet (heels and toes) must be flat on the floor (if it is not touched, you must put on a chair) and the knees should form a straight angle with the hips.

8. The chair should be close to the table to avoid leaning forward.

If we are stretched ...

9. One of the recommended positions is the fetal, that is, the corner with the legs flexed and aligning the neck and head with the column.

10. It can also be facing up, flexing the legs and putting a pillow under the knees.

11. It is not recommendable to sleep upside down, as it changesm the lumbar curvature and we force to turn the head to breathe.

12. The mattress and the mattress must be firm and straight, neither very soft nor too rigid.

13. The pillow should not be too high, so as not to bend your neck too much.

the author

Albert Giménez

Sports physician and osteopath of the Claror Sardenya

Degree in Medicine (UAB). Osteopath

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