• 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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Health

20% Health Time | A Smarter Way to Build Workplace Wellbeing

Modern workplaces are increasingly recognising that employee health is not separate from performance—it is foundational to it. Long work hours, constant digital connectivity and rising stress levels have led to burnout, lifestyle diseases and declining engagement across industries. In this context, the concept of 20% Health Time has emerged as a forward-thinking approach to workplace wellness.

20% Health Time allows employees to dedicate a portion of their paid working hours specifically to activities that support physical, mental and preventive health. Rather than treating wellness as an after-hours responsibility, this model integrates health directly into the work culture.

 

What Is 20% Health Time?

20% Health Time is a structured workplace initiative where employees are encouraged or allowed to spend approximately one-fifth of their working time on health-related activities.

These activities may include:

  • physical exercise or movement breaks
     

  • mental wellness practices
     

  • health education sessions
     

  • preventive health screenings
     

  • stress management and recovery
     

The core idea is simple: healthier employees perform better and sustain productivity longer.

 

Why Traditional Wellness Programs Fall Short

Many organisations offer wellness benefits such as gym memberships or annual checkups. While valuable, these programs often fail because:

  • employees lack time to use them
     

  • wellness is seen as optional
     

  • participation remains low
     

  • benefits are disconnected from daily work
     

20% Health Time addresses these gaps by embedding wellness into regular work hours.

 

Why Health Time Matters in Today’s Workplace

Rising Lifestyle Disease Burden

Public health data shows increasing rates of:

  • diabetes
     

  • hypertension
     

  • obesity
     

  • mental health disorders
     

These conditions affect working-age adults and directly impact productivity and healthcare costs.

 

Burnout and Mental Fatigue

Constant pressure and lack of recovery time lead to:

  • chronic stress
     

  • disengagement
     

  • absenteeism
     

  • high attrition
     

Health Time creates space for recovery and resilience.

 

Sedentary Work Culture

Desk-bound work contributes to:

  • musculoskeletal problems
     

  • cardiovascular risk
     

  • low energy levels
     

Dedicated health time encourages movement and prevention.

 

How 20% Health Time Benefits Employees

Improved Physical Health

Regular movement and preventive care reduce long-term health risks.

 

Better Mental Wellbeing

Time for mindfulness, rest and stress management improves emotional balance.

 

Higher Energy and Focus

Healthy routines improve concentration and reduce fatigue.

 

Empowerment and Autonomy

Employees feel trusted to manage their wellbeing, increasing engagement.

 

How Employers Benefit from 20% Health Time

Increased Productivity

Healthy employees work more efficiently and make fewer errors.

Reduced Absenteeism

Preventive care lowers sick days and health-related disruptions.

 

Lower Healthcare Costs

Early detection and healthier habits reduce long-term medical expenses.

 

Stronger Employer Brand

Wellbeing-focused policies attract and retain top talent.

 

Sustainable Performance

Health Time supports long-term performance rather than short-term output.

 

Activities That Fit into 20% Health Time

Organisations can tailor activities based on workforce needs:

  • guided fitness or yoga sessions
     

  • walking or movement breaks
     

  • mental health workshops
     

  • preventive health checkups
     

  • nutrition education
     

  • stress and sleep management programs
     

Flexibility ensures inclusivity across roles and work models.

 

Evidence Supporting Health Time Initiatives

Workplace health research consistently shows that:

  • preventive health improves productivity
     

  • employee wellbeing programs reduce burnout
     

  • time invested in health yields measurable returns
     

According to WHO and workplace wellness studies, integrated health initiatives deliver better outcomes than standalone benefits.

 

Addressing Common Concerns

“Will this reduce working hours?”

No. Health Time improves efficiency, offsetting time spent through better performance.

 

“Is it suitable for high-pressure roles?”

Yes. High-stress roles benefit the most from structured recovery time.

 

“How do we measure impact?”

Metrics may include:

  • reduced absenteeism
     

  • improved engagement scores
     

  • lower healthcare claims
     

  • better retention
     

 

Implementing 20% Health Time Effectively

Successful implementation requires:

  • leadership support
     

  • clear guidelines
     

  • flexible scheduling
     

  • inclusive activity options
     

  • regular feedback
     

Health Time works best when seen as a cultural shift, not a perk.

 

Long-Term Impact on Organisational Health

Over time, organisations adopting Health Time observe:

  • healthier workforce
     

  • improved morale
     

  • reduced burnout
     

  • stronger team cohesion
     

  • sustainable growth
     

These benefits compound year after year.

 

Conclusion

20% Health Time represents a progressive shift in how organisations view employee wellbeing. By dedicating work time to health, companies acknowledge that productivity and wellbeing are deeply connected. Rather than reacting to burnout and illness, Health Time promotes prevention, balance and resilience. In a future where talent, performance and sustainability matter more than ever, integrating health into the workday is not a luxury—it is a strategic necessity.

 

References

  • World Health Organization (WHO) – Workplace Health Promotion Guidelines

  • Indian Council of Medical Research (ICMR) – Lifestyle Disease and Work Health Reports

  • NITI Aayog – Preventive Healthcare and Workforce Wellbeing Strateg

  •  Lancet – Workplace Wellness and Productivity Studies

  • Harvard Business Review – Employee Wellbeing and Performance Research

  • Statista – Corporate Wellness Trends and ROI Data

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