1. Back Pain Clarke & Company Benefits LLC Clarke & Company Benefits LLC Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

3. Back pain is the leading cause of disability in Americans under 45.

4. Back pain affects 80% of Americans at some time in their lives.

5. Adults reporting lower back pain were three times as likely to be in fair or poor health and more than four times as likely to experience serious psychological distressas people without low back pain.Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

6. Effects of Back Pain Health status measures for adults with/without recent low back pain, 2004 Limitation of activity caused by chronic conditions 18-44 years 45-64 years 65+ years More than 26 million Americans between the ages of 20 – 64 experience frequent back pain. Fair or poor health 18-44 years No low back pain in past 3 months 45-64 years Low back pain in past 3 months 65+ years Serious psychological distress 18-44 years 45-64 years 65+ years 60 100 80 40 20 0 Percent SOURCES: Centers for Disease Control and Prevention, National Center for Health Statistics, Health, United States, 2006, Figure 37. Data from the National Health Interview Survey. Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

8. Muscle ache or shooting

9. Limited range of motion

10. Inability to stand straight

11. Types:

12. Acute vs. Chronic

13. Lower back pain

14. With or without sciatica

15. Middle back pain

16. Upper back painClarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

18. Arthritis

19. Muscle strains

20. Sports injuries

21. Nerve problems

22. Muscular problems

23. Degenerative disc diseaseNormal muscle tissue Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

25. Male

26. Family history

27. Previous

28. Back injury

29. Surgery

30. Pregnancy

31. Congenital spine problems (Since birth)

32. Lack of exercise

33. Long periods of sitting/lifting

34. Long-term medicines that weaken bones

35. Poor posture

36. Overweight

37. Stress

38. Depression

39. SmokingClarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

40. Prevention, Treatment, & Pain Management Strengthening & Stretching Proper Lifting Acute & Chronic Treatments Questions to ask your doctor Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

42. Take breaks to walk.

43. Heat/Ice the injury to see what works best.

44. Take pain medicine if needed.

45. As soon as possible, resume normal activities.Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

47. Good posture.

48. Non-steroidal anti-inflammatory drugs.

49. Proper lifting techniques.

50. Manage stress.* Surgery is rarely needed for low back pain* Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

52. Aquatic therapy and exercise

53. Biofeedback

54. Spine manipulation

55. Physical therapy

56. Cognitive Behavioral Therapy (CBT)Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

57. Proper Lifting Lift close to your body. Feet shoulder width apart. Bend your knees and keep your back straight. Tighten your stomach muscles. Lift with your legs. Wear a belt or back support. Never bend or twist your back to pick something up. Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

59. Pilates

60. Swimming

61. Walking

62. Water Exercise

63. Weight-training

64. Stationary Elliptical or Bike*Stay hydrated, start slowly, and warm up!* **Check with your doctor to see what’s best for you!** Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

65. Exercises to Try! Lunge Hip Bridge Side Plank Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

66. Back Pain Exercise Tutorial *Click on Logo above for X-Plain Tutorial* Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

68. Spreads down legs.

69. Follows an injury.

70. Accompanies throbbing or fever.

71. Causes weakness, numbness, or tingling.

72. Causes bowel or bladder problems.

73. Accompanies unexplained weight loss.

74. Begins over age 50 or if you have a history of cancer, osteoporosis, steroid use, or drug or alcohol abuse. Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

75. Video (Click on video to start.) Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

77. What might be causing my back pain?

78. How can I manage my back pain?

79. Can I do anything to stretch or strengthen it?

80. Can I perform my normal daily activities?

81. What activities should I do / not do?

82. How should I exercise?

83. Is there any way to prevent further back injury?Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

85. http://www.johnshopkinshealthalerts.com/reports/back_pain_osteoporosis/1879-1.html

86. http://www.mayoclinic.com/health/back-pain/DS00171

87. http://www.nlm.nih.gov/medlineplus/tutorials/backexercises/htm/_no_50_no_0.htmClarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies

88. Informed@Home Thank you for your attendance, this Informed@Home presentation is presented by Clarke & Company Benefits as part of our LiveWell 24/7 wellness programs and brought to you through our employee WorkPerks program. Clarke & Company Benefits, LLC Clarke & Company Benefits, LLC. Beyond Benefits, Healthier Companies