BACKGROUND: THE PROBLEM OF KNOWLEDGE
One of the difficulties about curing back pain is that diagnosis is problematic: a great number of possible causes may manifest themselves as back pain. There is also the problem of why pain persists with no structural causes. There is a tendency to attribute most back pain to the minority of causes that are understood. This is compounded by the fact that most backaches get better spontaneously and therefore most cures ‘work’ so most experts can point to their successes as proof of the truth of their theories.
Improvements in the prevention and treatment of back trouble can only come after an increase in knowledge. We all know that machines must be oiled, maintained and used sensibly, to keep them working as long as possible. Yet replacements can be obtained for worn-out machine parts – but our bones have to last us as long as 80 years or more, and most of them are irreplaceable. As a first step to finding out how not to misuse them, it is worth getting to know how the back is constructed, and some of the ways in which it can be damaged.
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