Back pain

The most common causes of back pain are considered to be mechanical damage and degenerative changes in the locomotive region. Overloading of the spine, muscles, ligaments and other parts of the spinal region lead to mechanical disorders resulting in pain and reflex changes. The pain is localised in a particular spinal sector whereas the primary functional disorder can be located elsewhere. While examining back pain, it is important to also assess the functioning of the whole spine and surrounding structures.

Patient: Good morning.

Physiotherapist: Good morning, Ms Ashcroft.

Patient: I would like to talk to you regarding my back pain. I work on a computer eight hours a day and I have unbearable neck pain and lower back pain (backache).  I know it's caused by working on a computer, but could you advise some exercise or aids to help me get rid of the pain? I need the job and unfortunately I can't avoid sitting at the computer.

Physiotherapist: First, we need to find out what the real cause of your problem is. Generally speaking, the most common causes of back pain are poor posture, poor condition of the muscle group in the back, the so-called erector spinae, sedentary job, repetitive strain, too little or too much physical activity, getting cold, stress, obesity, degenerative changes in the spine and injuries, hard work – lifting heavy loads, or secondary causes, such as internal organ diseases, or poor state of the feet – fallen arches (flat feet). 

Patient: And is it possible to prevent it?

Physiotherapist: The best prevention consists mainly in practising good posture and keeping fit.

Patient: What exercise should I do, then?

Physiotherapist: The exercise should be appropriate to strengthen the muscles surrounding the spine to form a strong supportive structure. As for physical activity, it is good to do exercise focused on the performance and stretching of the muscles. Such exercise includes ball exercises, swimming, leisure cycling or walking.

Patient: And what about a chair?

Physiotherapist: Naturally. A good chair and working desk are also very important, as well as a good bed and pillow. Now, let's have a closer look at your back problem. Only after I’ve examined you can I tell you what the next steps should be.

damage	poškození
to overload	přetěžovat, přetížit
whereas	přičemž, zatímco,
elsewhere	jinde; jinam
to assess	zhodnotit, ohodnotit, posoudit; odhadnout, ocenit
surrounding	okolní, sousední, obklopující; kolem
regarding	ohledně, kvůli, týkající se čeho
unbearable	nesnesitelný
aid	pomůcka; pomoc
to get rid of	zbavit se čeho
to avoid	vyhnout se čemu
poor	špatný; nedostatečný; ubohý; chudý
sedentary	sedavý
strain	zátěž, zatížení; napětí; tlak
to get cold	prochladnout, nachladit se
injury	úraz, zranění
to lift	zvednout, zvedat
load	břemeno, náklad; náplň, nálož; zatížení
flat	plochý
ball exercise	cvičení na míči
leisure	rekreační; volnočasový
desk	pracovní stůl; deska; lavice; přepážka
pillow	polštář

Lekce angličtiny pro časopis Florence připravuje překladatelská agentura ACP TRADUCTERA (www.traductera.com).

 

Ilustrační foto – zdroj: centralchiro.ca

 

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