Low Back Pain Case Study

1 INTRODUCTION
Chronic low back pain is the pain in the lower back area for longer than 3 months created by injury, disease or stress. It may include the pain in bone, nerve and muscle. The quality of pain may be aching, burning, stabbing, or tingling, sharp or dull and well defined or vague (Akuthota, Baker, & Danisa, 2009). It is a most common problem all over the world and the age group 40 to 80 years (D. G. Hoy et al., 2012). A lot of research showed that the major reason for chronic low back pain is sedentary stressful and modern hurry and worry lifestyle. It is a serious effect on the psycho-social and physiological honesty of the person (Gautschi et al., 2009). It is also defined as pain and discomfort which is situated below the costal

They are: (1) Clinicians should conduct a focused history and physical examination to help place patients with low back pain, nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis. (2) Clinicians should not routinely obtain imaging or others diagnostic tests in patients with nonspecific low back pain. (3) Clinicians should perform diagnostic imaging and test when sever or progressive neurologic deficits. (4) Clinicians should evaluate patients with persistent low back pain and sign and symptom of radiculopathy or spinal stenosis with magnetic resonance imaging (preferred). (5) Clinicians should provide patients with evidence based information on low back pain with regard to their expected course. (6) Clinicians should assess severity of baseline pain and functional deficits. (7) Clinicians should conceder the addition of nonpharmacologic therapy (Roger Chou et al.,

In this philosophy, there are five “Sheaths” to existence, of which the physical frame is only the first. The second is the vital body that is made up of präëä the life energy that flows through you in invisible channels knows as näòé. The third is the mind (your emotions and thoughts ), the fourth is the higher intellect (perfect thought and knowledge ), and the final sheath is the “abode of bliss” . The bliss sheath is though to consist of positives energy that is associated with the divine. It is form this sheath that the inner peace essentioal to true happiness emanates. The concept is the basis and ground for the yoga module. Disease is seen to arise through imbalance in any of the three lower sheaths of existence. In physical , präëä and mind sheaths , ego consciousness, which is centered around the self, predominates and therefore harmony in sheaths can be easily distrubed. So we need to understanad fourth and fifth sheaths to control over health and happiness physicaliy and mentally