1. Back Pain
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2. Economic Cost of Back Pain

Chronic pain in the United States, including healthcare expenses, lost income, and lost productivity, annually costs about $100 billion.

3. Back pain is the leading cause of disability in Americans under 45. 4. Back pain affects 80% of Americans at some time in their lives. 5. Adults reporting lower back pain were three times as likely to be in fair or poor health and more thanfour times as likely to experience serious psychological distressas people without low back pain.Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies
6. Effects of Back Pain
Health status measures for adults with/without recent low back pain, 2004
Limitation of activity caused by chronic conditions
18-44 years
45-64 years
65+ years
More than 26 million Americans between the ages of 20 64 experience frequent back pain.
Fair or poor health
18-44 years
No low back pain in past 3 months
45-64 years
Low back pain in past 3 months
65+ years
Serious psychological distress
18-44 years
45-64 years
65+ years
60
100
80
40
20
0
Percent
SOURCES: Centers for Disease Control and Prevention, National Center for Health Statistics, Health, United States, 2006, Figure 37. Data from the National Health Interview Survey.
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7. Back Pain

Symptoms:

8. Muscle ache or shooting 9. Limited range of motion 10. Inability to stand straight 11. Types: 12. Acute vs. Chronic 13. Lower back pain 14. With or without sciatica 15. Middle back pain 16. Upper back painClarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies
17. Causes of Back Pain
Strained muscle tissue

Accidents

18. Arthritis 19. Muscle strains 20. Sports injuries 21. Nerve problems 22. Muscular problems 23. Degenerative disc diseaseNormal muscle tissue
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24. Risk Factors
Cannot Control
Can Control

Middle-age

25. Male 26. Family history 27. Previous 28. Back injury 29. Surgery 30. Pregnancy 31. Congenital spine problems (Since birth) 32. Lack of exercise 33. Long periods of sitting/lifting 34. Long-term medicines that weaken bones 35. Poor posture 36. Overweight 37. Stress 38. Depression 39. SmokingClarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies
40. Prevention, Treatment, &
Pain Management
Strengthening & Stretching
Proper Lifting
Acute & Chronic Treatments
Questions to ask your doctor
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41. Acute Injury Treatment

Rest comfortably.

42. Take breaks to walk. 43. Heat/Ice the injury to see what works best. 44. Take pain medicine if needed. 45. As soon as possible, resume normal activities.Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies
46. Chronic Back Pain Treatment

Back and abdominal exercises.

47. Good posture. 48. Non-steroidal anti-inflammatory drugs. 49. Proper lifting techniques. 50. Manage stress.* Surgery is rarely needed for low back pain*
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51. Other Therapies

Acupuncture

52. Aquatic therapy and exercise 53. Biofeedback 54. Spine manipulation 55. Physical therapy 56. Cognitive Behavioral Therapy (CBT)Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies
57. Proper Lifting
Lift close to your body.
Feet shoulder width apart.
Bend your knees and keep your back straight.
Tighten your stomach muscles.
Lift with your legs.
Wear a belt or back support.
Never bend or twist your back to pick something up.
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58. Strengthening Exercises

Yoga

59. Pilates 60. Swimming 61. Walking 62. Water Exercise 63. Weight-training 64. Stationary Elliptical or Bike*Stay hydrated, start slowly, and warm up!*
**Check with your doctor to see whats best for you!**
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65. Exercises to Try!
Lunge
Hip Bridge
Side Plank
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66. Back Pain Exercise Tutorial
*Click on Logo above for X-Plain Tutorial*
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67. Contact a doctor if your back pain

Is constant or intense.

68. Spreads down legs. 69. Follows an injury. 70. Accompanies throbbing or fever. 71. Causes weakness, numbness, or tingling. 72. Causes bowel or bladder problems. 73. Accompanies unexplained weight loss. 74. Begins over age 50 or if you have a history of cancer, osteoporosis, steroid use, or drug or alcohol abuse. Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies
75. Video
(Click on video to start.)
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76. Questions to Ask Your Doctor

Are my symptoms normal?

77. What might be causing my back pain? 78. How can I manage my back pain? 79. Can I do anything to stretch or strengthen it? 80. Can I perform my normal daily activities? 81. What activities should I do / not do? 82. How should I exercise? 83. Is there any way to prevent further back injury?Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies
84. Resources
http://www.nlm.nih.gov/medlineplus/backpain.html

http://www.webmd.com/back-pain/guide/back-pain-treatment-care

85. http://www.johnshopkinshealthalerts.com/reports/back_pain_osteoporosis/1879-1.html 86. http://www.mayoclinic.com/health/back-pain/DS00171 87. http://www.nlm.nih.gov/medlineplus/tutorials/backexercises/htm/_no_50_no_0.htmClarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies
88. Informed@Home
Thank you for your attendance, this Informed@Home presentation is presented by Clarke & Company Benefits as part of our LiveWell 24/7 wellness programs and brought to you through our employee WorkPerks program.
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