Back Pain Treatment: Modern Solutions for Posture Disorders and Mechanical Pain
Back pain is pain felt in the “thoracic spine” region, which is located behind our rib cage, between the neck and the lumbar region. In today's living conditions, it is a common complaint due to posture disorders, especially in individuals who work long hours at a desk. Back pain treatment, It requires a holistic approach that focuses on correcting the underlying mechanical disorder by correctly identifying the source of this pain.
What are the Main Causes of Back Pain?
Bel ve boyun ağrılarının aksine, sırt bölgesindeki ağrıların çok büyük bir kısmı (%95’ten fazlası) “mekanik” kaynaklıdır. Sırt omurgasının yapısı, bel veya boyun fıtığına kıyasla back hernia (thoracic disc herniation) makes it much rarer.
The most common causes of back pain are:
- Postural Disorders (Posture Disorder): It is the most common cause. Working at a desk with the head forward and shoulders slumped for long periods of time disrupts the natural curvature of the dorsal spine, leading to a "hunchback" (kyphosis) position. This puts abnormal stress on the spine and muscles.
- Myofascial Pain Syndrome (Earache): They are painful knots (trigger points) that develop due to overstretching of the muscles, especially between the two shoulder blades. These "shooting pains" cause a stabbing and widespread feeling of discomfort.
- Muscle Weakness If the muscles in the back and core are not strong enough, the spine cannot bear the load.
- Traumas Sudden strains or falls can also cause damage to the back muscles and joints.
Holistic Approach to Back Pain Treatment
An effective treatment should aim to correct the postural and muscular imbalance that is causing the pain, rather than focusing only on the painful area. In our clinic, we use a combination of scientific and evidence-based modern physical therapy methods in the treatment of back pain:
Manual Therapy Joint mobility is restored with mobilization and manipulation techniques applied to the back vertebrae and facet joints that are locked and have reduced mobility due to posture disorder.
Dry Needling (IMS): It is especially effective for stubborn “kulunç” pain (trigger points) between the shoulder blades. It instantly dissolves muscle spasm, increases blood circulation in the area and relieves pain.
Therapeutic Exercise: It is the key element that ensures that the treatment is permanent. Specially planned posture exercises and back muscle strengthening programs support the spine and prevent recurrence of pain.
Frequently Asked Questions
The main branch to consult for back pain Physical Therapy and Rehabilitation (FTR) is a specialist physician. The PTR physician diagnoses the source of the pain (mechanical, posture disorder, hernia, muscle spasm, etc.). If necessary, he/she will refer you to Orthopedics and Traumatology or Neurosurgery (Neurosurgery) may refer you to other departments such as neurology. If the pain is accompanied by neural symptoms (numbness in the arms, loss of strength), the Neurology department may also be involved in the evaluation.
Yes, this is an important distinction. Although most back pain is of "mechanical" origin (muscle, bone, joint), sometimes problems in the internal organs can be reflected as pain in the back:
Heart: In particular, a pressing pain that starts in the center of the chest and radiates to the back, left arm or jaw may indicate a heart attack (especially if it increases with exertion).
Lung Lung infections (pneumonia) or fluid in the lining of the lungs (pleurisy) can cause a stabbing pain in the back when breathing.
Stomach and Gallbladder: Stomach ulcers or gallstones can cause pain between the shoulder blades or below the right shoulder, especially after meals.
Kidneys Kidney stones or infections can cause severe, cramping pain in the lower back (flanks).
"Kulunç" is a colloquial term for stabbing, strained pain, usually felt in the area between the two shoulder blades. Medically, this condition, "myofascial pain syndrome" called "trigger points". "Trigger points" (painful knots) in the muscle fibers cause this pain.
Yes, dry needling treatment this is one of the most effective methods of treating pain in the back of the neck. By targeting these trigger points, dry needling instantly resolves muscle spasm, increases blood circulation in the area and quickly relieves pain.
No, back herniated disc (thoracic disc herniation) very rare seen in the thoracic spine. The back of the spine (thoracic spine) is much more stable and immobile because it is supported by the rib cage. Therefore, disc wear and herniation are much less common in this area than in the more mobile neck and lumbar regions. The majority of back pain is caused by posture disorders and muscle spasms.
The following symptoms ("Red Flags") may indicate a serious problem that requires immediate medical attention:
Onset of pain after trauma (fall, accident).
Pain accompanied by fever, night sweats or unexplained weight loss.
Severe pain that does not go away with rest, especially at night.
Numbness, tingling or sudden loss of strength in the legs or arms.
Incontinence or inability to pass urine or feces.
Pain radiating to the chest and causing shortness of breath.
If these symptoms are present, you should contact a health care provider immediately.
Yes, it is the most common cause of back pain. A "hunched" (kyphotic) posture, in which the head is always tilted forward (Tekst Neck Syndrome) and the shoulders are low, especially at a desk, puts excessive strain on the back muscles and causes pain. Basis of treatment therapeutic exercise. After the locked joints are unlocked with manual therapy, posture is corrected and recurrence of pain is prevented with posture exercises and back strengthening programs.