Summary:
Since there are a plethora of medical conditions which can set off a back-ache, a physical examination and history-taking by an experienced clinician, is a must at signs of severe or persistent pain. Yoga has a valuable preventive role and helps in rehabilitation as well, when the nerves emanating from the spinal column, are root causes of positional discomfort.

Details or Sample:
The worst possible reason for sudden and unbearable pain in the back is an infection in the spinal fluid which bathes the central nervous system. Osteoporosis, decaying connective tissue, poor muscular tone, as well as hardened and clogged blood vessels, are other possible reasons. Back pain may also be due to inflammation of the lungs, a uterus, or other parts of the abdomen pressing on the dorsal side of the body. The spine has large numbers of paired nerves which run to lateral and lower extremities of the body. The density of nerve fibers in the lower back is so high that anatomists on first gazing at it named it as the horse’s mane of Cauda Equina. Nerves which originate in the spinal column, like long strands of hair on a head, tend to twist around each other, or may get pinched under the vertebrae.

Poor postures, sudden strains, lifting weights inappropriately, and excessive physical work, are some bad habits that make our backs vulnerable to pain. Many people believe that sitting is an act of relaxation, though it requires sustained contractions by some muscles in the back. This is one of the most abused and least appreciated parts of the human body!

Yoga will not help a back-ache: forward bending postures may actually worsen matters. A doctor can make a provisional diagnosis after examining and questioning a patient, and confirm suspicions through modern imaging techniques. It is not difficult to treat the pain symptomatically, though external or topical agents are generally safer than pills of any kind. Local injections can provide almost instant relief. So what does Yoga have to contribute for a strong and supple back?

3 simple routines will keep back pain due to pinched or twisted nerves away. They will also serve to relax the constantly tensed muscles of the lower back. The ancient seers of India seemed to have copied wild animals in designing exercises for the back! The cobra pose or Bhujang Asana, the half-locust pose or Ardha Shalabh Asana, and the cat pose or Marjari Asana, serve to keep the muscles of the back and the nerves which emerge from the spine in good order. You can also use these routines to prevent recurrence of back pain provided that your discomfort does not arise from weak bones, decayed cartilage, blood clots, swollen organs, or infected spinal fluid. We may not be inclined to see locusts or go close to snakes, but the average pet cat can be a great teacher of how to build a great back, by watching it closely when it gets up after a long rest, when it feels bored, or when it gets ready for a fight!

It is best to perform Yoga for the back just before lunch or at the end of a working day. Carry a mat and a track suit to work, to keep the creases of your work clothes and your dignity intact. It is fine to build on your popularity with colleagues by showing others how to perform Yoga, but an Asana in a casual atmosphere with plenty of sounds and movements around, does not seem to work very well for some unknown reason. Yoga for the back at work can also help you separate the stresses of a profession from the sanctity of a home and a family. The exercises should not be performed after a power breakfast or a business lunch: give your digestion a clear 4 hours to take care of a meal. It is in order to skip these exercises if you are obliged to drink alcohol during the day.

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Written by: Dr S Banerji
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