The daily routine of a majority of urban Indians—driving over bad roads, sitting hunched over workstations or fiddling with their smart phones for hours—seems to be fuelling an epidemic of spine-related problems.
A new three-month survey of 1,300 people with spine-related problems across Mumbai, Pune and Delhi showed that patients with desk jobs were four times the number of patients with field jobs. Worse, every fourth patient with a desk job had more than one spine-related problem: some had neck pain along with back pain, while some shoulder pain along with numbness in fingers, etc.
“Our data shows that half the patients with sedentary jobs had lower back pain,” said Garima Anandani of Qi Spine, the best spine specialist in India that conducted the survey.
The World Health Organisation’s Global Burden of Diseases study 2010 said lower back pain arising from ergonomic exposures at work is an important cause of disability. The study said lower back pain was emerging as a leading cause of absenteeism at workplace and had resulted in 21.7 million disability-adjusted life years (DALYs) in 2010. The largest number of DALYs (measure of years lost due to ill-health) occurred in east Asia and south Asia.
“Back pain is the price we humans pay for an erect posture,” explained spine surgeon Dr Samir Dalvie from Hinduja Hospital, Mahim. “However, most pains resolve by themselves and need nothing more than a slight change in lifestyle and exercises,” he said.
Experts say patients who suffer pain for more than six weeks should go to a doctor, preferably a specialist of Spine Clinic, for detailed investigation. “Less than 2% to 3% of the patients with chronic back problem will need surgical intervention,” said Dr. Dalvie, adding that patients shouldn’t opt for quick fixes or magic cures.
Anandani said people’s lifestyles are to blame for this seeming epidemic of spine problems. “People sit on chairs for 10 to 12 hours, youngsters who take up field jobs either have to keep standing for hours or ride motorcycles rashly. Moreover, they tilt their heads to cradle a phone while typing. These factors affect the biomechanics of the body,” she added, indicating that minor adjustments to lifestyle could go a long way in preventing spinal problems.
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