 Good Morning, I am Dr Jaskaran Singh of Manipal Hospital Pateala. I am Neera Surjan working at Manipal Hospital . On 16th October on Occasion of World Spine Day we have come here to educate you regarding some of the common Spinal Problems जो बाख ते रेटेड, लो बाख पेण, नेख पेण या जिनो पाखमली सवाएकल कै दिन या, उना दे रीजन्स वास ते वोर्ट श्पाइन देई दाते 16 अक्टोपर वाड़े दिन तो दिसामने कुछ गला लेके हाजर हो या, जो के कोमन लोका नों कापी हैल्प करनी या, इन दीलिंग भी वेरी स्पाइन प्रोब्लम्स, सब तो पहला तो वोर्ट स्पाइन देई जो के 16 तो अक्टोपर नों मना आया जान्दा, इस दा इस या, तो त्हीम है के एवरी स्पाइन काउन्च्ट, दाते इस के हर बन देईदा जो बाखता है, उलता नों इस जास को एजुकेट यो रेगाडिं तेखीं केर अप यो बाख, तो तो आप यो प्रवेंट ते लोएड बाख रेटे प्रोब्लम्स, आजकल काउना हो गी आने। ता रीटे आप वर्क खल्च्ट जो के अपना कोमनली सित्टिएं और डेस जोबस ने, अपने लाएटी प्रोप्शनल जोबस को विए लगे विछ अनलेन तीचिं ख़र नों, the norm so teaching and sitting on the chair for long hours is something which has resulted in increase in the back problems. So back problems that is most common of which is back pain. So mostly her bande ne kade na kade life de which experience kita honda. Iti which main reasons ne jai apam back pain as a whole de kye. the most common problems are koi posture related injury koi sut lag jana trauma koi accident ho jana there is fall ya to si simply koi heavy weight chuck linne without securing your back in a wrong posture sitting in a wrong posture, sleeping in a rock posture, sleeping with very high pillows so that your neck is flexed. to odek kar ke bhi back pain ho sak diya. So these commonly the most common reason for back pain is posture related problems. Besides that other reasons which can lead to back pain can be infections jizde vich jo ke India de which TB kaafi zada common hai. Third thing can be degenerative or age related problems. So that is another common thing degenerative or age related changes jizde vich osteoporosis jo ke bones da weak hona which is commonly seen in ladies after 50 years of age is also another common problem. Then last but not the least kuch patients jizde vich persistent low back pain da cause cancers vi ho sak dinne. So mainly if 4 categories ne jizde vich ke injury infections degenerative an karsinoma an dinne which can lead to back pain. So every back pain is not something which you should be worried about back pain commonly the most common reason for back pain. Back pain commonly can be corrected with correction of posture and adopting proper posture while sitting doing proper exercises for strengthening the back muscles. In the now almost I'd say 60-70% of the back pain can be managed and handled but there are some red flags there are some problematic things. Jizde vich kuch patients jo saabdan hona chahi da ke back pain jizde vah se doktor nuzroo dikhana chahi da. So jizde vich jo sab to pella hai pain which is not responding to normal painkillers. Painkillers khan de baav jood paink persist ka rahi hai paink thik nahi ho rahi hai and it is becoming worse. So that is the first red flag. Jizde vich matlab hai hai ki tosi painkillers khan de baav jood toha decondition thik nahi hai paink relief nahi ho rahi and it is persisting. You must visit your doctors. Jizde evi matlab hai ki painkillers khan de na paink thik ho ghi you have taken the painkillers for 5-6 days. Painkillers should never be taken for a longer period of time because all painkillers can lead to kidney problems. So long term painkillers yaan dardhi angolia khana gurde di problem ho sakdi hai. Kade bhi painkillers without prescription of a doctor tosi lambe timely nahi khana. Jib back pain hai tosi over the counter koi painkillers lair yon koi chemist to painkillers letti hai bhi na doctoran dikhaya. So you have to have 4-5 days to eat. Jee ho din na painkillers nahi thik ho rahi hai then you must go and visit your doctor. Second red flag is ka toda pain jo hai wo vada jaa rahi hai toda dihaalat kharab ho rahi hai din per tin. Thik hai ode which we you should visit your doctor. Third important thing is jino apa kainne ki sensory or motor symptoms Sensory symptoms a matlab ki hai tode koi sensation loss ho gaya to nu feel nahi ho rahi hai. Suppose karo je paranda veg sensation khatam ho gaya to nu hot lagana te paranda pata nahi lag rahe hai kat pata chal rahe hai. Urinda yaan latreen da pata nahi lag rahe hai. Control khatam ho chukya hai. Ya arms yaan legs de veg weakness aari hai. Weakness matlab jino apa kaumani kya din parallelize ho gaya hai, parallelize ho gaya, ya weakness aari hai. Patient pella turdefya gaya hun bedredin ho gaya nahi hun chal nahi paare hath de grip weak ho gaya hai. Motor jada function hai, muscles weak ho rahe hai. So e jini hai cheez aane na Sensory and motor symptoms. They are an important red flag. Jail low back pain din aalya Low back or any kind of back pain Savaikal yaa dorsal yaa Lumber region di back pain din aal if you are having motor or sensory symptoms. That is ke toh da hath paar sun ho rahe hai yaan hath paar de veg kamzori aari hai. So to see zaroor doktor note dikhana chahi da because he koi underlying problem ho sakti hai. Now ek common question hai ki mostly patients do x-ray of the spine and on de veg kaafi loki comment kar deni ke saad di disk choti ho gaya hai. Yaan disk saad de nikal gaya hai. Pehle gaal tha x-ray de veg kade bhi apa no disk clearly nahi dik di is an investigation je dhe je tohan koi fracture dikh jaega koi bone dislocate hui dikh jaegi So x-ray and CT scan should be done ja do should be done ja do koi injury di indication hove kisi patient koi sut lagi hai koi chot lagi hai koi accident huya hai je dhe je to see fracture yaan koi bone de deformity consider kar de ho us de veg CT scan and x-rays are helpful but je koi to see nerve compression dikhana hai to see koi infections hoi de ho to see koi disk tha soch rahe ho disk prolapse hai CT and x-ray are not the right investigation MRI is the investigation of choice for that so u de which MRI should be done not an x-ray or CT scan so MRI kar ake us de baad de which je koi operative intervention planned hai then you will need a CT scan or an x-ray now investigations karan to baad jado MRI ho jaan da hai to the management of spine problems which is sort of back pain commonly divided into two parts one is medical management and other one is surgical e cheez depend kar de MRI de which problem ki ae hai whether it is a disk whether it is a simple muscle sprain you know muscle spasm kaede de ne yaan koi infection hai which can be TB yaan koi cancer hai dike so u de which problem ki ae us do the depend karega but mostly jada back pain kalla low back pain hai yaan neck which back pain hai you know commonly cervical kaede de ne u de which mostly medical management works well and patient should take medicines and do exercises and physiotherapy these things help a lot because long term de which see medications nahi leh sak de baad long term baas de exercises and physiotherapy muscle strengthening exercises they are a better option for long term relief of pain now if there is some serious problem yada MRI de which koi significant prolapse disk hai yaan koi infection hai yaan cancer hai ta u de baas de treatment on depending on the stage of the disease huega disk baas de surgeries can be done if it is not responding to medical management term disk leh surgery jo hai which can be done microscopically, endoscopically minimally invasive all forms of surgeries are available and generally disk related pathologies will be a very good result on surgery or on operation and those are very safe surgeries these days now after seeing all the problems and all these things there are some important take home messages which I want the patients to understand patients nu ik du cheesana pata hona chahida jada ke back pain de which manage karan chahana better help karega first and foremost is posture correction toh nu back apne kadevi bend kar kya stoop kar kini bethna chahida pitno mehse siddhi rakho and try to have a proper back posture bend kar kya constantly apne laptop de mobile te karm kar de niche ni dekhna long term de li so you have to sit straight second thing is exercises jidech ke back strengthening exercise aand yaan ne oz roor karne yaan chahidi yaan ne so some common ones are doing planks yaan to see lower back de li strengthening exercise kar diyo so yoga is also good then always avoid taking long term painkillers without doctor's prescription lambe timely apne aap painkillers nahi khaane because ehi toa de guru de kharab kar sak de ne long term intake of painkillers can lead to kidney problems so this should not be done now hamesha any persistent pain painkillers persist kar rhi yaan is not responding to medicines yaan toa anu weakness ho rhi yaan tha or numbness ho rhi yaan sensory loss ho rhi yaan tha then you should always consult a doctor and one very important thing is without having a proper doctor's consultation kadhe bhi koi traction ya manipulation that is jo aapa commonly punjabi de kyaide kiche lawana because a simple example kye there is a bone koi bone de bhi ch probleme sab post kar rhi yaan toa de satt lagi si koi bone hilly hui yaan yaan ode fracture yaan jinu kya si spine de bhi ch list this is kaede ne yaan toa so yoga de traction lago aonga kiche lago aonga o bone dislocate ho sak de hi yaan opposite direction ja sak de hi jidin aal ke toa the nerve compression wad sak da hain and heart pair poore weak ho sak de ne so kadhe bhi jo spine de traction kiche pa maana yaanu kisi taran manipulate kar na kade bhi ni karna chahi da so you should consult a proper doctor get an MRI done and then proceed with handling the back pain so I think this thing helps people and hopefully it should help people with dealing with their back pain and their problems thank you