Risk Factors For Low-Back Pain

There are two categories of risk factors associated with back pain: extrinsic and intrinsic.

Extrinsic risks include

* Heavy physical labor
* Frequent bending and twisting
* Frequent lifting and forceful movements
* Repetitive work
* Vibration
* Sedentary office work
* Smoking.

Intrinsic risk factors for include

* Spinal abnormalities
* Genetic predisposition
* Weight and height

Occupational Risk Factors

Heavy physical labor often is associated with low back pain.

However, there is a positive relationship between sedentary occupation s and low-back pain.

There is a strong correlation between disc prolapse and long-distance driving. This increased risk of back disorders in driver has been attributed both to posture and vibration.

Nonoccupational Risk Factors

There is a positive association between low-back pain and participation in sports such as golf, gymnastics, rowing, and bowling.

Good muscle strength and good overall fitness is suggested for reducing the risk of low-back pain and disc herniation.

Studies have implicated smoking as a risk factor for back pain.

A magnetic resonance imaging (MRI) study of smoking and nonsmoking identical twins found that those who smoked had an increased frequency of disc degeneration throughout the entire lumbar spine.Body Habitus

Both increased height and increased body mass are associated with an increased risk of disc prolapse.

Genetic Predisposition

Certain congenital spinal abnormalities such as asymmetric facet orientation and a small vertebral canal hypothetically predispose certain individuals to symptomatic disc herniations.

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