Avoid stoop, Always sit with straight back.
Q. 1 : How much calcium do I need?
Here are the current recommendations for daily calcium intake from food and supplements combined. Most people, especially women and children, don’t get enough calcium.
Life Stage Recommended Daily Intake
  • Birth to 6 months 200 mg
  • Infants 12 months 260 mg
  • Children 3 years 700 mg
  • Children 8 years 1,000 mg
  • Children 13 years 1,300 mg
  • Teens 18 years 1,300 mg
  • Adults 50 years 1,000 mg
  • Adult men 70 years 1,000 mg
  • Adult women 70 years 1,200 mg
  • Adults 71 years and older 1,200 mg
  • Pregnant and breastfeeding teens 1,300 mg
  • Pregnant and breastfeeding adults 1,000 mg

Q. 2: Does it matter when I take calcium supplements?
Yes, they should be taken with food (except calcium citrate, which is taken on an empty stomach), and not more than 500-600 mg at a time. You should also avoid taking calcium supplements with certain other medications including antibiotics and blood pressure medication (see below).
There are so many kinds of calcium supplements-does it matter which one I take?
Calcium supplements vary in dosage, chemical composition (calcium-carbonate, citrate, gluconate), form (powder, chewable or non-chewable pill, candy, liquid), and source (oyster shell, etc.)--not to mention cost. Here’s a nice summary, including a "cheat sheet." If you find a certain product hard to swallow, constipating, too expensive, or unappealing for some other reason--switch.

Q. 3: Does Pranayama and yoga help during back pain ?
  • Yoga eases lower back pain, by stretching and strengthening the muscles of the lower back. It increases blood circulation, which brings healing nutrients to the injured tissues. Yoga also helps maintain a natural curvature of the spine that is crucial in avoiding lower back pain.
  • Thus, Yoga is an excellent therapy for healing injured and sore back muscles, speeding time to recover from an injury and preventing re injury. It also reduces the risk of disability due to back pain. In short, Yoga increases awareness of the body and keeps the body healthy and supple.
  • But one should also incase if the pain continues one should seek medical advice and acute back pain or disorder can not be cured by Yoga .

Q 4: Is there any role for walking stick in a patient suffering from backache, and painful knee joints? In which patient it works and in which patient it does not work.
Use of walking stick depends on exact reason of Back Problem.
For following Back and Neck problem, walking stick is helpful.
  • If there is Cervical Myelopathy and related instability
  • If there is Lumbar Listhesis and patient not able to walk straight then, walking stick is useful
  • Ideally walking stick should be in opposite hand as that of Back and Hip pain
For example, if there is a pain on left side of Sacro-illiac Joint then walking stick in right hand is advisable.
For Knee problem - Stick should be in Ipsilateral hand. That means for left Knee problem,
stick should be in left hand only. Following are the conditions when stick can be used for Knee problem-
  • Early Osteoarthritis
  • Operated Knee Arthroscopy and TKR
  • Knee Osteoarthritis with Instabilities

Q.5 : Is Osteoporosis / Brittle bone disease common in women only ?
  • Osteoporosis is not only a women’s disease-men also lose bone density as they age.
  • But because many physicians don’t realize how common osteoporosis can be in men, they don’t always look for it when a male patient has suffered a fracture. The fracture gets treated but the underlying disease does not, so the patient continues to be at risk.
  • Osteoporosis is often considered a woman’s disease because it is linked to a loss of estrogen that occurs during aging. Because women have higher levels of estrogen, most of the research on osteoporosis has been focused on them. However, men also undergo a loss of estrogen and other hormones that affect bone density, albeit more gradually than women.

Q. 6: Does wearing high heal increase back pain?
  • Wearing heals causes entire pressure of body fall on the lower back. This pressure falling on the lower back can cause back pain.
  • High heel shoes are created with fashion in mind and not comfort. There is usually a lot less support in heels than in running shoes or even sandals. The constant pressure on the balls of your feet causes weight distribution to be less even and lower back pain is often the result. Nerves can also become stressed in the lower back because of the odd posture held when wearing high heels.

Q.7 : Does spine surgery cause paralyses
With any surgery, there is a risk of complications, such as blood clots and infection. Paralysis-one of the most feared complications of spine surgery-is also one of the least likely to occur, since most common spine surgeries do not involve the spinal cord. Today’s sophisticated surgical instruments, imaging devices and monitoring equipment provide surgeons with unprecedented access and views into the spine, making spine surgery safer than ever.

Q.8 : Physiotherapy / exercises - adjuvants or alternative to surgery
  • Pain is often caused by parts of the body not working together. This may include a pinched nerve, a slipped or bulging disc, muscle strain, or joint problems. Physical therapists know how your spine and joints work together. physical therapy services can offer you pain relief which is temporary while helping to restore your mobility.
  • Physiotherapy works best post surgery to help you recover faster

Q.9 : Is back pain hereditary?
Back pain is a complex medical condition which is partially influenced by genetics. However, there are many other risk factors for developing back pain, and these other risk factors are, in most cases, probably more important than genetics. These risk factors include things like being over weight, smoking, physical strenuous work, and a sedentary life style. Therefore, although the fact that back problems run in your family might put you at slightly higher risk for back problems later in life, in reality these other risk factors are what one should focus on.

Q 10. Are grey hair people more prone to back pain ?
Many patients worry that if they are in a lot of pain when they are in their thirties or forties, they will become much worse and may be in a wheelchair by the time they’re in their sixties. However, back pain is actually more common in younger people (e.g. 30 to 50 year olds). This is especially true for discogenic pain (such as a herniated disc or degenerative disc disease). Therefore, if patients can find a way to manage their pain and maintain their ability to function, the back pain will often subside over time.