Spine / Backbone

Spine / Backbone


Spine / Back Pain

Your spine is a column of more than 30 bones (vertebrae) held together by muscles, tendons and ligaments and cushioned by shock-absorbing disks. A problem in any part of your spine can cause back pain. Surgery is rarely needed for back pain and is generally considered only as a last resort.


If any of the following signs or symptoms accompanies a back pain your should see your doctor:

  • Weight loss
  • Fever
  • Inflammation (swelling) on the back
  • Persistent back pain - lying down or resting does not help
  • Pain down the legs
  • Pain reaches below the knees
  • A recent injury, blow or trauma to your back
  • Urinary incontinence

Risk Factors

  • A mentally stressful job
  • Pregnancy
  • A sedentary lifestyle
  • Age - older adults are more susceptible than young adults or children
  • Anxiety
  • Obesity/overweight
  • Excessive computer usage
  • Strenuous physical work


  • Exercise regularly
  • Core-strengthening exercises 
  • Flexibility
  • Avoid Smoking
  • Decrease Body Weight
  • Bad Postures
  • Do not lift and twist at the same time
  • Moving things 
  • Flat Shoes / Driving 

You Require a Check-Up, if:

  • Any pain in the back / neck in children or the elderly


  • Loss of sensation and numbness in limbs


  • Weakness in the limbs


  • Loss of bowel / bladder functions


  • In co-ordination while using hands or while walking


  • Pain going down the arms or legs


  • Hunch Back / Bent and Deformed Back


  • Long standing back or neck pain


  • Stiffness of lower back or neck


  • Sudden back / neck pain without apparent trauma


  • In children pigmented patch / dimple over the back



If “Yes” to any of the above, consult your trusted Spine Surgeon


When to See a Doctor?

Most back pain gets better within a few weeks without treatment. If you are very uncomfortable, you can rest in bed for a day or two, but longer than that does more harm than good.

  • Is constant or intense, especially at night or when you lie down
  • Spreads down one or both legs, especially if the pain extends below your knee
  • Causes weakness, numbness or tingling in one or both legs
  • Occurs with unintended weight loss
  • Occurs with swelling or redness on your back




MBBS, D.Ortho, MCh (Ortho), Fellow Spine Surgery (UK & USA),
Consultant Spine Surgeon


MBBS, M.S. Ortho, Fellow Spine Surgery (Singapore)
Consultant Spine Surgeon


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