Understanding Spine-Related Problems: An Overview by Dr. Ritesh Bhalla

Introduction

In a recent discussion, Dr. Ritesh Bhalla, Neurosurgeon at Lokmanya Hospital, shed light on common spine-related problems. From neck and back pain to numbness in limbs, spine issues can manifest in several ways.

Common Symptoms of Spine Problems

Spine-related problems can lead to a wide range of symptoms, including:

• Neck pain
• Back pain
• Lower back pain
• Pain radiating to arms or legs
• Difficulty in bending
• Trouble climbing stairs
• Numbness or tingling in hands and feet

Common Causes of Spine Problems

According to Dr. Bhalla, many spine issues in today’s corporate world stem from muscle-related conditions, often termed mechanical back pain. These cases may not require advanced imaging. However, in some patients, MRI scans may reveal:

• Disc problems
• Joint instability
• Pressure on spinal nerves

Mechanical Back Pain in the Corporate Lifestyle

Around 90% of individuals, especially in corporate settings, suffer from mechanical back pain. This type of pain typically arises due to:

• Muscle strain
• Nutritional deficiencies
• Prolonged poor posture
• Workplace stress

Only about 10% of patients have structural abnormalities like herniated discs or nerve compression causing limb pain.

Age-Related Changes in the Spine

As age progresses, spinal elasticity reduces. This can lead to:

• Increased spinal cord compression
• Joint instability
• Vertebrae slipping over one another

These changes contribute to worsening spine conditions in older adults.

What Can Be Done to Prevent or Manage Spine Pain?

Improve Posture and Movement

• Avoid sitting in one position for long hours.
• Take breaks every two hours and walk around.

Ensure Adequate Sunlight Exposure

• Vitamin D deficiency from lack of sunlight is common and impacts spine health.

Incorporate Regular Exercise

• Stay physically active to reduce sedentary lifestyle risks.

Avoid Heavy Lifting

• Do not lift heavy items by bending directly from the waist.
• Use proper technique: bend knees slightly and maintain back support.

Manage Lower Back and Neck Pain

• Most posture-related pains can be managed with small adjustments.
• When getting up from bed, roll to the side, place feet down, and rise with support.
• Avoid squatting or using Indian toilets temporarily.

Rest and Recovery

• Rest for 3–5 days if there is acute lower back or neck pain.
• Avoid prolonged rest as it may worsen symptoms.

Physiotherapy Timing

• Do not begin physiotherapy during acute pain.
• Start physiotherapy only after the pain reduces for better results.

When to Consult a Neurosurgeon

If the pain persists beyond 3–5 days despite rest and precautions, consulting a neurosurgeon is advisable.

FAQs

1. What are common symptoms of spine-related problems?
Neck pain, back pain, radiating pain in arms or legs, and numbness in limbs.
2. Are all back pains caused by structural issues?
No, about 90% are due to mechanical or muscle-related reasons.
3. When should an MRI be considered for spine issues?
If there are signs of nerve compression or persistent pain despite rest.
4. Is physiotherapy safe during acute pain?
No, it should be avoided in the first 3–5 days of acute pain.
5. How can working professionals prevent spine problems?
By maintaining posture, taking regular breaks, and avoiding long hours in one position.
6. Can vitamin D deficiency cause back pain?
Yes, lack of sunlight exposure leading to vitamin D deficiency can contribute to back pain.
7. When should a neurosurgeon be consulted?
If pain doesn’t improve after 3–5 days of rest or worsens over time.