"The Biomechanics of Back Pain,
What We Know So Far."
This is going to be an account
of the mechanical and biological
origins of low back pain.
I'm Mike Adams.
I'm professor of biomechanics at
the University of Bristol in the UK.
My background is in
physics and in biology.
I'm not a clinician, and
I don't treat patients.
But I will, of course, be
dealing with clinical matters.
Well this is a running order of
the topics in this presentation.
First of all, I'll begin
with some functional anatomy.
I'll describe some
features of anatomy
I'll be wanting to
refer to later on.
Then I'll tackle the
most important question,
where does back pain come from?
I'll then go on to discuss spinal
injuries under three headings.
I'll consider where the forces
come from that act on the spine,
and then describe how
those forces can injure
different structures in the spine.
And then, under vulnerable tissues,
I'll try to explain why some people hurt
their backs, where other people
seem to get away with
loading them very severely
without any adverse consequences.
The next, topic spinal degeneration,
will be the biggest single topic.
And here I'll try to explain
how injury to specific tissues,
particularly cartilage, can
lead to degenerative changes,
and how these degenerative changes
can lead to chronic back pain.
The final topic,
I'll deal with very briefly.
And then I'll pull the talk
together in the final slide.