• Published on: Aug 06, 2021
  • 3 minute read
  • By: Orthopedic Surgeon

Causes Of Chronic Lower Back Pain

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Causes of Chronic Lower Back Pain

The causes of lower back pain are incredibly varied. Disc problems, spinal curvature issues, and muscle strain can all cause a person to experience discomfort in their lower spine region. However, sometimes the problem is not where it seems as some injuries that occur elsewhere on your body will still manifest themselves through symptoms such as numbness or tingling down one side of the leg which could be related to an injury experienced at work while bending over or lifting something heavy with an improper technique for example. Sometimes you may even have absolutely no idea what caused your condition but if left untreated it might lead to chronic conditions like arthritis so check yourself often!

Facet joints are small bones that surround the spinal discs. There's one on each side of your spine, and they're responsible for keeping you upright while supporting a lot of weight! Sometimes these little guys can get jammed up with arthritis or inflammation in their ligaments around the joint, which means it'll start hurting to stand upright for long periods of a time.

Sacroiliac joints are a strong and low-motion joint that connects the sacrum at the bottom of your spine to each side of your pelvis. The function is primarily absorption due to its shock-absorbing nature, but it can also become painful if there's too much or not enough motion in this area depending on what causes inflammation (sacroilitis)

When the sacroiliac joint is inflamed, it can become painful. Sacral dysfunction usually occurs when there's too much or too little motion of this strong and low-motion joint that connects our spine to each side of our pelvis. The sacrum absorbs shock and tension between the upper body and lower body while also providing stability for walking upright on two feet - without a sense os balance provided by an active SIJ (sacroiliac joints).

The ills that cause inflammation in your SIJ might be due to overuse, injury or other trauma; lack proper alignment during pregnancy; hormonal fluctuation from menstruation cycles associated with Hormone Replacement Therapy treatments such as birth control pills

Spinal stenosis is when the spinal canal has narrowed, and this causes pain. Pain can be caused by central narrowing of the spine or forminal narrowing in any area of your lower back- as well as at different levels on either side where it occurs multiple times.

Spondylolisthesis is a condition that occurs when one vertebra slips over the adjacent one. It can be caused by a defect or fracture of the pars (between facet joints) or mechanical instability of these facets (degenerative). The pain may come from back and leg pains due to either compression on nerves in your legs, which would cause you to feel discomfort while sitting still for long periods at time as well as spasms during walking, numbness between your buttocks cheeks; paresthesia-tingling sensation where there should not be any feeling such weakness behind knee knees because it's nerve impingement; tight hamstrings restricting movement in lower extremities causing buttock pain.

Spinal osteoarthritis is a condition that results from the wear and tear of your discs which can cause inflammation, instability, and stenosis. The pain associated with this disease may be high or low intensity at any given time. As you age spinal osteoarthritis will slowly progress until it takes over every facet joint in your spine resulting in more intense symptoms like stiffness, numbness, weakness on one side of the body due to nerve compression as well as chronic backache.

Rheumatoid arthritis is one of the most common inflammatory joint diseases and can affect people at any age. It's an autoimmune disease, which means that it causes your body to attack itself instead of a virus or bacteria like other infections do. Symptoms for rheumatoid arthritis include redness in joints, swelling around them, pain when you move certain parts of your body, stiffness in some places where muscles are contracted too tightly against each other (called fixed points), fatigue from low activity levels due to increased discomfort while moving about after long periods without movement - these symptoms come on more gradually than they would with osteoarthritis and typically last longer as well since there isn't much inflammation-relieving rest involved during treatment.

The deformity is something that we all live with in some capacity. Depending on the severity, it could be a blessing or an inconvenience to our everyday life. Lower back pain can result when someone's spine curves out of shape and causes pressure between vertebrae and other structures such as discs, facet joints, sacroiliac joints or stenosis which impairs mobility.

The deformity may seem like a curse but for those living with scoliosis or kyphosis there are ways to manage their deformities without interfering too much into daily affairs; one example would be using braces while sleeping at night so they don't have any more issues during waking hours because often times stiffness will persist after 8-10 hours.

It is not uncommon for people to struggle with painful curvature of the spine. Scoliosis and kyphosis are just two examples that can be associated with back pain, but there may also exist other types of deformity in your spine which you're unaware of until they become symptomatic. In any case, a consultation from an orthopedic surgeon would provide insight into what treatment plan will work best for you!

Curvatures in one's spinal column can lead down various paths- some more serious than others like scoliosis or kyphosis- all depending on how severe it becomes as time progresses. The deformities themselves could potentially cause lower back pain if enough pressure builds up over years where discs break down along facet joints.

Trauma is generally a very serious injury, which can cause extreme pain and other physical complications. The first step to treatment for trauma injuries should always be seeking medical help as soon as possible if you are suffering from back or neck problems that developed after an accident of some kind.

Due to weak bones, compression fractures are common in older people and can sometimes happen suddenly with intense pain.

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Anemia Diet Plan: What to Eat to Improve Hemoglobin Levels Naturally

Anemia is one of the most widespread nutritional disorders in India, affecting people across age groups. According to NFHS-5 and ICMR data, more than half of Indian women and a significant proportion of men suffer from anemia. While supplements are sometimes required, a structured anemia diet plan plays a central role in preventing and managing the condition.

Anemia occurs when the body lacks sufficient healthy red blood cells or hemoglobin to carry oxygen efficiently. Nutrition is the foundation of hemoglobin production, making dietary correction essential.

 

Understanding the Nutritional Causes of Anemia

Anemia commonly results from deficiencies of:

  • iron

  • vitamin B12

  • folate

Each nutrient plays a specific role in red blood cell formation.

 

Iron: The Core Nutrient in Anemia

Iron is a key component of hemoglobin.

Iron deficiency leads to:

  • fatigue

  • weakness

  • pale skin

  • shortness of breath

ICMR identifies iron deficiency as the leading cause of anemia in India.

 

Types of Dietary Iron

Heme Iron

Found in animal foods and absorbed efficiently.

Sources include:

  • eggs

  • fish

  • chicken

  • liver

 

Non-Heme Iron

Found in plant-based foods and absorbed less efficiently.

Sources include:

  • spinach

  • lentils

  • chickpeas

  • jaggery

  • dates

Vitamin C improves non-heme iron absorption.

 

Role of Vitamin B12 in Anemia

Vitamin B12 is essential for red blood cell maturation.

Deficiency causes:

  • megaloblastic anemia

  • nerve symptoms

  • memory issues

Vegetarians are at higher risk due to limited dietary sources.

 

Role of Folate

Folate supports:

  • DNA synthesis

  • red blood cell formation

Low folate intake worsens anemia, especially during pregnancy.

 

Foods to Include in an Anemia Diet Plan

Iron-Rich Foods

  • green leafy vegetables (spinach, amaranth)

  • legumes and pulses

  • dates, raisins and figs

  • jaggery

  • red meat and eggs

 

Vitamin C-Rich Foods

  • citrus fruits

  • guava

  • tomatoes

  • bell peppers

These enhance iron absorption.

 

Vitamin B12 Sources

  • milk and dairy products

  • eggs

  • fish

  • fortified cereals

 

Folate-Rich Foods

  • green leafy vegetables

  • beans and peas

  • peanuts

  • whole grains

 

Sample Daily Anemia Diet Plan

Breakfast

  • vegetable omelette or sprouted moong

  • citrus fruit or guava

 

Mid-Morning

  • soaked raisins or dates

  • lemon water

 

Lunch

  • brown rice or roti

  • dal or chickpeas

  • green leafy vegetable sabzi

  • salad with lemon dressing

 

Evening Snack

  • roasted peanuts or chana

  • fruit rich in vitamin C

 

Dinner

  • vegetable curry with paneer or fish

  • whole wheat roti

  • lightly cooked greens

 

Bedtime

  • warm milk if tolerated

 

Foods That Reduce Iron Absorption

Certain foods interfere with iron absorption:

  • tea and coffee

  • excess calcium

  • highly processed foods

These should be avoided close to iron-rich meals.

 

Special Considerations for Women

Women require more iron due to:

  • menstruation

  • pregnancy

  • lactation

NFHS-5 highlights anemia as a major women’s health concern in India.

 

Anemia in Men and Older Adults

In men and elderly individuals, anemia may signal:

  • nutritional deficiency

  • chronic disease

  • gastrointestinal issues

Dietary correction should be combined with medical evaluation.

 

When Diet Alone Is Not Enough

Diet may not be sufficient if:

  • anemia is severe

  • absorption is impaired

  • chronic illness is present

In such cases, supplements or treatment of underlying causes is required.

 

Importance of Regular Blood Tests

Monitoring hemoglobin helps:

  • assess improvement

  • guide dietary adjustments

  • prevent recurrence

Preventive checkups are essential for high-risk groups.

 

Lifestyle Factors That Support Recovery

Along with diet:

  • adequate sleep

  • stress management

  • regular physical activity

support blood health and recovery.

 

Preventing Anemia Long-Term

Long-term prevention includes:

  • balanced meals

  • iron-rich cooking methods

  • avoiding excessive junk food

  • periodic screening

WHO and NITI Aayog emphasize nutrition education as a preventive strategy.

 

Conclusion

A well-structured anemia diet plan is the cornerstone of improving hemoglobin levels and restoring energy. By including iron-rich foods, supporting nutrients like vitamin B12 and folate, and improving absorption through smart food combinations, anemia can be effectively managed and prevented. Early dietary intervention, supported by regular health monitoring, helps avoid long-term complications and improves overall quality of life.

 

References

  • Indian Council of Medical Research (ICMR) – Anemia and Micronutrient Deficiency Reports

  • National Family Health Survey (NFHS-5) – Anemia Prevalence Data

  • World Health Organization (WHO) – Nutrition and Anemia Guidelines

  • Lancet – Micronutrient Deficiency and Public Health Research

  • NITI Aayog – Poshan Abhiyaan and Nutrition Policy Reports

  • Statista – Nutrition and Health Trends in India

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