By Dr. Andrew Chiew, MBBS

Dr. Andrew Chiew will be presenting his FREE talk on “How To Treat Back Pain Without Medication Or Surgery” on Saturday 9th September 2017 at the Life Changing X Center from 2.30pm – 4.30pm.

To register for this FREE talk, simply click here.


Lower back pain is a very common problem, with about 80% of the population facing back pain at some point in their lives.

In about 23% of cases, it becomes a longstanding problem, while in 5%, it becomes disabling.

Lower back pain is also the second largest cause of work absence, after the common cold.

The following are the causes of back pain. Knowing what they are can help you to understand how to better manage your pain, or eliminate it altogether.

Common Cause No. 1: “Abuse”

The lower back is a complex structure comprising bones, ligaments, joints, fascia, discs and muscles. Pain can arise from any of these structures, and pinpointing the exact source can sometimes be difficult.

However, a common cause is abuse.

This means we are not using our back correctly.

85% of us are using the wrong posture when sitting, standing and walking.

Over time, the wrong posture adds pressure to our lower back which will eventually cause pain.

In addition, we also tend to overuse our back.

This is especially important to sportsmen or people who are overweight, as overusing our back will cause unnecessary pressure to its supporting structure.

Lifting heavy objects the wrong way is also a major cause of back pain – so ensure you protect yourself by doing this the right way.


Common Cause No. 2: Pinched Nerve



A pinched nerve, also known as “sciatica“, is usually caused by a herniated or slipped disc.

In severe cases, the nerve can be ‘severed’ and cut, and paralysis will invariably set in.

Therefore, any numbness or tingling sensation over the lower limbs becomes a warning sign for treating healthcare professionals.



Common Cause No. 3: To Withstand Pressure

In Degenerative Disc Disease, the intervertebral disc loses its water content, therefore reducing the capability to withstand pressure.

The disc then gives way and ‘slips’ off from its original position, hence the term ‘Slipped Disc’.

The commonest level of ‘Slipped Disc’ is the L4/L5 section of the vertebrae.

The disc will then ‘pinched’ on the adjacent nerves, causing pain, numbness and weakness in the patient.


Degenerative Disc Disease:

Common Cause No. 4: Weak Bones

In patients with osteoporosis, the body of the vertebral column is weakened, increasing the risk of compression fracture, especially when unnecessary pressure is being applied on the spine (due to its overuse or simply by being overweight).

Trauma like sports, motor vehicle accidents and industrial injury can lead to the vertebrae slipping against each other (Spondylolisthesis).


Some people are born with abnormal curvature of the spine, which causes unnecessary pressure, which will then cause  pain to set in. In severe cases, a corrective operation needs to be performed to prevent further damage.


Common Cause No. 5: Wear And Tear

Osteoarthritis of the vertebral column (spine) is part of aging, which happens very slowly.

It is mainly due to wear and tear, and this can cause pain and instability to the patient. Since this process happens in multiple parts of the spine, treatment becomes difficult.


Common Cause No. 6: Soft Tissues Injuries

Soft tissue back pain is caused by an injury or strain to muscles, tendons or ligaments in the lower or middle back.

Often the exact structure of injury may not be identified, despite extensive investigations done.

This condition most commonly occurs in the lumbar spine (lower back) because this section of the back is extremely flexible and supports the majority of the body’s weight.

This is especially true in cases of lifting heavy objects with the wrong posture, where the lower back acts as the ‘fulcrum’, resulting in unnecessary stress to the surrounding soft tissue.

Common Treatments

Now that the common causes of back pain are known – how do we usually deal with back pain nowadays?

The main treatments are painkillers, injections, physiotherapy and operations (in 2% of the cases).

Many patients are told to bear with the pain, which can be debilitating.

However, pain plays a very important role in our lives, as a body that doesn’t feel any pain is dangerous.

But too much of it causes stress not only in us, but to our loved ones.

Treatments involving drugs or surgery should not be your first recourse as they can lead to your dependence on pain medicine.

There is also no guarantee that going under the knife will resolve your problem. In fact, surgery may even make your problem worse in some cases.

So we need to look for alternatives, if any. And there are quite a few – which I’ll be revealing at my free talk.

Register For My FREE Talk Alternative Treatments For Back Pain Without Medication Or Surgery 

Discover alternative treatments that do not involve medication or surgery that may be able to help you alleviate your back pain and sometimes get rid of it altogether.

I’ll be holding a free talk on those alternatives, so that you can to try them out first.

If you’re keen to attend, please register for it below now:

FREE TALK: How To Treat Your Back Pain Without Medication Or Surgery

Date: Saturday 9th September 2017

Time: 2.30pm – 4.30pm

Venue: Life Changing X Center

Map: Click here.

To Register:

Simply send the SMS exactly as seen below right NOW to 014-6367 111 (this is an automated SMS system, please do NOT call in)

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