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Back support belts in conjunction with safety education programs,

Eases aches & pains.

This three in one padded back support brace is fitted with extra robust removable foam inserts and is designed to provide maximum support and cover, irrespective of individual lower back shape, one of our most multi functional supports.

High quality lower back support brace that is extremely comfortable to wear over long periods.

Can also be used to help provide extra protection to soft tissue injuries.

Back support belts in conjunction with safety education programs,

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The causes of thoracic back pain are multifactorial and often obscure. The symptoms in many cases arise from an overuse, an overstretching and/or usually mild ruptures of the soft tissues. There are, however, also many specific disorders that can lead to back pain, such as severe scoliosis (hunchback) or kyphosis of different aetiology, Morbus Sheuermann (osteochondritis of the thoracic spine, sometimes painful in adolescents but seldom in adults), and other deformities which may follow trauma or some neurologic and muscular diseases. Infection in the spine (spondylitis) is often localized to the thoracic region. Many kinds of microbes may cause spondylitis, such as tuberculosis. Thoracic back pain may occur in rheumatic diseases, especially in ankylosing spondylitis and in severe osteoporosis. Many other intraspinal, intrathoracal and intra-abdominal diseases, such as tumours, may also result in back symptoms. Generally, it is common that the pain may be felt in the thoracic spine (referred pain). Skeletal metastases of cancer from other sites are frequently localized to the thoracic spine; this is especially true of metastatic breast, kidney, lung and thyroid cancers. It is extremely rare for a thoracic disc to rupture, the incidence being 0.25 to 0.5% of all intervertebral disc ruptures.

The most common symptoms and signs that occur in the upper region of the back and spine are pain, tenderness, weakness, stiffness and/or deformity in the back. Pain is much more frequent in the lower (lumbar) back and in the neck than in the upper trunk (thoracic back). Besides local symptoms, the thoracic disorders may cause pain that radiates to the lumbar region and the lower limbs, to the neck and shoulders, to the rib cage and to the abdomen.

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Examination: At examination many intra- and extraspinal disorders causing symptoms in the thoracic back should always be kept in mind. The older the patient, the more frequent the back symptoms arising from primary tumours or metastases. A comprehensive interview and a careful examination are therefore very important. The purpose of the examination is to clarify the aetio-logy of the disease. The clinical examination should include ordinary procedures, such as inspection, palpation, testing of the muscle strength, the joint mobility, the neurological state and so on. In cases with prolonged and severe symptoms and signs, and when a specific disease is suspected by plain x ray, other radiography tests, such as MRI, CT, isotope imaging and ENMG can contribute to clarifying the aetiological diagnosis and to localizing the disorder process. Nowadays, MRI is usually the radiological method of choice in thoracic back pain.

Weak back and especially core and abdomen muscles will be unable to support the back sufficiently leading to pain and tiredness.

Figure 6.14 gives one-year prevalence figures for a representative sample of the Icelandic population who answered a postal enquiry, the so-called "Nordic" questionnaire on musculoskeletal disorders (Kuorinka et al. 1987). Neck trouble (pain, ache or discomfort) was the third most common (38% average for the whole sample), after shoulder (43%), and low-back (56%) problems. Neck trouble among women was more common than among men, and there was an increase in prevalence up to age 25 to 30, when the rates stabilized; they again went down somewhat at age 50 to 55. In a representative sample of 200 men and women from Stockholm, aged 16 to 65 years, the 12-month prevalence was about 30% among the men and 60% among women. The experience of recent pain in the neck with a duration of at least one month, was found among 22% of a population sample in Gothenburg, Sweden-again rated third most common after shoulder and low-back pain.

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Back Braces for Spondylolisthesis.

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The exact origin of low-back pain often cannot be determined, which is reflected as difficulties in the classification of low-back disorders. To a great extent the classification relies on symptom characteristics supported by clinical examination or by imaging results. Basically, in clinical physical examination patients with sciatica caused by compression and/or inflammation of a spinal nerve root can be diagnosed. As to many other clinical entities, such as facet syndrome, fibrositis, muscular spasms, lumbar compartment syndrome or sacro-iliac syndrome, clinical verification has proven unreliable.

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In general, pre-employment selection of workers is not considered an appropriate measure for prevention of work-related low-back pain. History of previous back trouble, radiographs of the lumbar spine, general strength and fitness testing-none of these has shown good enough sensitivity and specificity in identifying persons with an increased risk for future low-back trouble. The use of these measures in pre-employment screening can lead to undue discrimination against certain groups of workers. There are, however, some special occupational groups (e.g., fire-fighters and police officers) in which pre-employment screening can be considered appropriate.

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Physical fitness: Study results on an association between physical fitness and low-back pain are inconsistent. Low-back pain is more common in people who have less strength than their job requires. In some studies poor aerobic capacity has not been found to predict future low-back pain or injury claims. The least fit people may have an increased overall risk for back injuries, but the most fit people may have the most expensive injuries. In one study, good back muscle endurance prevented first-time occurrence of low-back pain.

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Height and overweight: Evidence for a relationship of low-back pain with body stature and overweight is contradictory. Evidence is, however, quite convincing for a relationship between sciatica or herniated disc and tallness. Tall people may have a nutritional disadvantage due to a greater disc volume, and they may also have ergonomic problems at the worksite.

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Low-back pain is associated with various psychosocial factors at work, such as monotonous work and working under time pressure, and poor social support from co-workers and superiors. The psychosocial factors affect reporting and recovery from low-back pain, but there is controversy about their aetiological role.

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Low-back pain is also associated with frequent or prolonged twisting, bending or other non-neutral trunk postures. Motion is necessary for the nutrition of the intervertebral disc and static postures may impair the nutrition. In other soft tissues, fatigue can develop. Also prolonged sitting in one position (for instance, machine seamstresses or motor vehicle drivers) increases the risk of low-back pain.

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