• 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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Patients

Monthly Field Day with Patients & Staff: Building Trust, Engagement, and Wellbeing

Healthcare is built on relationships. While diagnosis, treatment and technology are critical, the human connection between patients and healthcare staff remains central to healing and recovery. A Monthly Field Day with Patients & Staff is a thoughtful initiative designed to strengthen these relationships by creating opportunities for interaction outside routine clinical environments.

In today’s healthcare systems, patient engagement and staff wellbeing are recognised as essential components of quality care. Monthly field days provide a structured yet informal platform to support both.

 

What Is a Monthly Field Day with Patients & Staff?

A Monthly Field Day is a planned engagement event where patients and healthcare staff come together to participate in non-clinical activities. These events focus on:

  • interaction
     

  • wellbeing
     

  • communication
     

  • community-building
     

They are not medical appointments but shared experiences that promote trust and understanding.

 

Why Field Days Matter in Healthcare

Healthcare Is Emotionally Demanding

Patients often experience anxiety, fear and uncertainty. Staff face long hours, emotional stress and high responsibility. Field days offer a space for:

  • relaxed interaction
     

  • emotional connection
     

  • mutual understanding
     

This humanises care delivery.

 

Strengthening Patient–Staff Trust

Trust grows through:

  • open communication
     

  • shared experiences
     

  • consistent engagement
     

Field days reduce perceived barriers between patients and healthcare teams.

 

Benefits for Patients

Improved Comfort and Confidence

Patients feel more at ease when they know the people involved in their care beyond clinical roles.

 

Better Engagement in Care

Engaged patients are more likely to:

  • ask questions
     

  • follow care plans
     

  • attend follow-ups
     

This leads to improved health outcomes.

 

Emotional and Social Wellbeing

Social interaction, light activity and positive experiences support mental and emotional health, especially for patients with chronic conditions.

 

Benefits for Healthcare Staff

Reduced Burnout

Regular non-clinical engagement helps:

  • reduce emotional fatigue
     

  • restore motivation
     

  • improve job satisfaction
     

 

Stronger Team Relationships

Shared activities strengthen teamwork and communication among staff members.

 

Renewed Sense of Purpose

Seeing patients outside stressful clinical settings reinforces the meaningful impact of healthcare work.

 

Organisational Benefits

Enhanced Patient-Centered Culture

Field days reinforce values of empathy, accessibility and respect.

 

Improved Patient Satisfaction

Trust and familiarity contribute to better patient experiences and feedback.

 

Better Communication and Feedback

Informal settings encourage honest dialogue, helping organisations understand patient needs and expectations.

 

Activities Commonly Included in Field Days

Wellness Activities

  • gentle exercises
     

  • stretching or yoga
     

  • breathing sessions
     

 

Educational Interactions

  • health awareness talks
     

  • preventive care discussions
     

  • lifestyle guidance
     

 

Recreational and Social Activities

  • group games
     

  • creative sessions
     

  • interactive challenges
     

These activities promote joy, connection and inclusion.

 

Inclusivity and Accessibility

Effective field days are:

  • inclusive of different age groups
     

  • adaptable for physical limitations
     

  • culturally sensitive
     

  • welcoming and non-competitive
     

Inclusivity ensures meaningful participation for all.

 

Why Monthly Frequency Works Best

Monthly scheduling:

  • maintains continuity
     

  • builds long-term trust
     

  • prevents disengagement
     

  • supports gradual relationship building
     

Consistency transforms engagement into culture.

 

Evidence Supporting Engagement Initiatives

Research shows that:

  • patient engagement improves health outcomes
     

  • staff wellbeing reduces errors and burnout
     

  • relationship-based care enhances satisfaction
     

Global health frameworks emphasise people-centred care models.

 

Measuring the Impact of Field Days

Impact can be evaluated through:

  • patient feedback
     

  • staff engagement surveys
     

  • participation rates
     

  • qualitative testimonials
     

Regular assessment helps refine the program.

 

Implementing a Successful Monthly Field Day

Key elements include:

  • leadership support
     

  • clear objectives
     

  • simple, inclusive activities
     

  • consistent scheduling
     

  • feedback-driven improvement
     

Success depends on commitment rather than scale.

 

Long-Term Impact on Healthcare Culture

Over time, Monthly Field Days contribute to:

  • stronger trust
     

  • improved communication
     

  • better morale
     

  • enhanced care experience
     

They reinforce the idea that healthcare is a partnership between people.

 

Conclusion

A Monthly Field Day with Patients & Staff is more than an engagement activity—it is a meaningful investment in trust, wellbeing and human connection. By creating shared experiences beyond clinical settings, healthcare organisations strengthen relationships that directly influence care quality and satisfaction. In an environment often driven by efficiency and outcomes, monthly field days remind us that compassion, communication and community remain at the heart of effective healthcare.

 

References

  • World Health Organization (WHO) – People-Centred Care and Patient Engagement

  • Indian Council of Medical Research (ICMR) – Patient Experience and Care Quality Studie

  •  Lancet – Patient–Provider Relationships and Health Outcomes

  • National Health Systems Resource Centre – Community Engagement in Healthcare

  • Indian Journal of Healthcare Management – Staff Wellbeing and Patient Satisfaction

  • Statista – Healthcare Engagement and Experience Trends

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