Lumber flat back is major problem with lower back pain those who are prolong sitting position work and because of that they have a lower back pain. So is there any treatment to treat that or even evidence for that.
Thanks, you can read my conference paper in spine conference in London and Rome, about ''Low back pain is a disease:......''
regards
Abbas Alnaji
Dear Hemal
You have brought up several contentious issues. Firstly there is little evidence that prolonged sitting produces flat back. Secondly we are almost certain that positional flat back is rarely a cause of back pain. Clearly sedentary workers tend to have more back pain (not structural spinal diseases) than their physically active counterparts. This has little to do with their chairs, tables, computer screes etc. Ergonomics a is an interesting science but with limited evidence in many areas.
Spine shape has enormous variation and it largely depends on pelvic shape. The common parameter that defines pelvic shape is pelvic incidence. For any given individual, pelvic incidence predicts the expected lumbar lordosis required to achieve spinal balance.
In surgical terms, "flat back" refers to a loss of the lumbar lordosis and it is typically a fixed deformity and not just positional. There is abundant evidence that sagittal plane deformity (i.e. loss of lordosis) leads to very significant pain and disability especially once compensatory mechanisms are exhausted and spinal balance cannot be achieved.
Surgery to correct "flat back" is becoming more common as our understanding of this condition improves. See publications from the International Spine Study Group over the last few years. Also see the work of Pierre Rousoully, a pioneer in this area.
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