Health Essentials
You have only one back, pamper it

Backpain is undoubtedly one of the commonest complaint
- Backpain is undoubtedly one of the commonest complaint
Whenever I get to attend to clients, backpain is undoubtedly one of the commonest complaints. Sometimes I wonder if it’s the norm or I simply attract people suffering from backpain.
Approximately 40 per cent of all people will complain of significant back pain some time in their life. About 95 per cent of these cases resolve spontaneously within six weeks. Most cases of back pain go away on their own after a few days but if yours lasts more than a week, see a doctor. Usually the pain will be due to muscle strain or ligamentous sprain which heals with time with or without treatment.
A small proportion of acute back pain may have significant, serious pathology as its underlying cause. Examples include fracture, neoplasm, infection or other conditions that adversely affect a nerve (e.g. a disc between vertebrae bulge or burst open and presses on a nerve such as the sciatic nerve).
Risk factors for back pain
• Obesity
• Occupation – sedentary workers and those who need to lift things or bend for hours
• Poor Posture- this includes how we sit at work and the awkward postures some of us adopt.
• Being out of shape – pot belly etc
• Smoking
• Genetics – vulnerable to scoliosis, spondylolisthesis etc
• Age – young athletes are prone to tiny fractures in the spine (spondylolysis). The aged are likely to have arthritis
• Psychosocial Issues – Depression, Anxiety, Stress
Diagnosing back pain
Some people complain of back pain after lifting heavy objects using an abnormal posture or sitting for long periods but several others may not remember any triggers.
Often the patient’s complaints and the doctor’s findings will clinch the diagnosis but your guess is as good as mine; the management/ treatment is usually the same.
Laboratory tests are often not helpful except for the few cases where infection or neoplasm is a concern.
X-rays are not indicated in most cases of back pain, especially within the first six (6) weeks. It may only become necessary when pain persists, or there is concern for fracture, neoplasm, infection or other serious condition. Other studies that may be helpful are, Bone Scan, CT Scan or MRI.
Managing back pain
The mainstay of management is:
• Bed rest for a short period of time usually not exceeding three days.
• Early mobilisation ensures quick recovery. Get moving, do not stay in bed indefinitely
• Lying on a firm surface is recommended but super hard mattresses may sometimes cause back pain
• Analgesics such as Brufen, Naproxen etc are useful but avoid if you have peptic ulcer or have bronchial asthma.
Other options for management include:
• Psychotherapy – many cases of back pain have been found to be linked to anxiety and depression
• Physiotherapy/Physical Therapy also has an important place
• Massage, Osteopathy and Chiropractic all play a role in relieving back pain
• Surgery may also be needed. Certain cases of back pain are surgical emergencies but for the majority, surgery may be a last resort. Though surgery may make the patient feel better quickly, the same can be achieved with physical therapy in the long term (Study in Journal of the American Medical Association) in most instances.
Need to see the doctor now – warning signs you can’t ignore
In general one may not need to see a doctor immediately with most brief episodes of back pain but if the following are associated with your pain then get to the hospital NOW!!!
• Extreme leg weakness
• Loss of bladder and/or bowel control
• Numbness or altered sensation in groin or rectal area
• Fever or sign of infection
• History of cancer
Living without back pain
• Stay fit – Exercise on most days of the week (www. healthclubsgh.com)
• Eat a balanced meal at the right times
• Maintain a healthy weight
• Cut out tobacco
• Take time off to relax
• Attitude – take charge of how you feel. Do not be too hard on yourself.
• Make sure you sit appropriately and take brief breaks after at most an hour and half of sitting.
Some exercises that may help to heal back pain
• Planks: Daily planks or at least doing this thrice a week may help protect your back. In the acute phase of backpain however most people are unable to do this.
• Wall slide: Slide up then down till your thighs form an angle of 90 degrees with the vertical wall. Repeat
• Pelvic tilt: Lie on your back with knees bent. Exhale and pull abdominal muscles in and up towards the ribs. You may also lift your buttocks of the surface and squeeze for a count of five and repeat.
• Bird Dog: Bend over on all fours, then raise opposite arm and leg parallel to the floor hold for a count of eight or ten then repeat. Change to the other arm and leg and repeat.
• Walking: This low cost exercise is a miracle worker. Lace your good boots and get walking.
Back pain is a major public health issue since it results in a substantial decrease in productivity and days lost from work.
Use the appropriate furniture at work and take occasional one-minute breaks to stand.
If you need to lift and bend, often make sure you learn the proper posture.
Do not wait for back pain to strike, start a healthy life style today!!!! Everyone has one back and one back ONLY. We need to take very good care of it. Simply pamper your back.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr Kojo Cobba Essel
Health Essentials Ltd (HE&W Group)
(dressel@healthessentialsgh. com)
*Dr Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling the Essentials of Health & Wealth.’
Thought for the week – 1. “The most efficient way to reach your realistic health goals, is to make small healthy choices daily.”
References:
1. WebMD
2. Mosby’s Ace the Boards
3. The Merck Manual
4. www.healthclubsgh.com
Health Essentials
The impact of air quality on health
Air quality plays a significant role in our overall health and well-being. The air we breathe can contain various pollutants, including particulate matter, ozone, nitrogen dioxide, and sulfur dioxide, which can have adverse effects on our health.
In this article, we will explore the impact of air quality on our health and discuss ways to protect ourselves.
The health effects of poor air quality
Poor air quality can have serious health consequences, including:
Respiratory problems: Air pollutants can irritate the lungs, exacerbate conditions like asthma, and increase the risk of respiratory infections.
Cardiovascular disease: Exposure to air pollution has been linked to an increased risk of cardiovascular disease, including heart attacks, strokes, and other cardiovascular conditions.
Neurological effects: Some air pollutants, such as particulate matter and ozone, have been linked to neurological effects, including cognitive impairment and neurodegenerative diseases.
Who is most affected?
Certain groups are more susceptible to the adverse effects of poor air quality, including:
Children: Children’s lungs are still developing, and they breathe more air per pound of body weight than adults, making them more vulnerable to air pollution.
Older adults: Older adults may be more susceptible to the adverse effects of air pollution due to age-related declines in lung function and other health conditions.
People with pre-existing health conditions: Individuals with pre-existing health conditions, such as asthma or cardiovascular disease, may be more susceptible to the adverse effects of air pollution.
Protecting yourself from poor air quality
There are several steps you can take to protect yourself from poor air quality, including:
Monitoring air quality: Check the air quality index in your area to plan your activities accordingly.
Reducing exposure: Avoid heavily trafficked areas, and limit your time outdoors when air quality is poor.
Using air purifiers: Consider using air purifiers in your home to reduce indoor air pollution.
Conclusion
Air quality plays a critical role in our overall health and well-being. By understanding the health effects of poor air quality of air, we can take steps to protect ourselves and reduce our exposure to pollutants.
By being aware of the air quality in our area and taking proactive measures, we can help to mitigate the adverse effects of air pollution and promote better health.
References
1. Environmental Protection Agency. (2022). Air Quality Index (AQI).
2. American Lung Association. (2022). State of the Air 2022.
3. World Health Organization. (2018). Air Pollution.
Health Essentials
Aging is magic

About half a decade ago, many of my friends hit that “magical age” and it’s extremely exciting. I have clients who have lived in excess of four scores and are still doing extremely well.
We are all aware of the risks that many people also face as they age; family, friends and neighbours may treat them badly and some are even branded as witches and wizards. How unfortunate!! A ripe old age should be celebrated daily.
For many of us years of cigarette smoking, excessive use of alcohol, too little exercise and too much food especially fats and sugars do physical damage that is often wrongly attributed to age.
I think we are always in a hurry to give age a bad name and hang it. There are many misconceptions about aging that tend to let many people “give up” as they celebrate several birthdays.
The arguments continue; humans can live for three-scores and ten as stated in the Bible, others say 120 years is the magic ceiling. Many people will resist spending a day on earth past their seventieth birthday till they are sixty-nine years old and realise that there is really no need to hurry.
With all apologies to Methuselah, Abraham and their age-mates but currently the longest well-documented life on record belongs to Jeanne Calment who died in France in August 1997 at the ripe age of 122 years (I stand to be corrected).
Are we all destined or programmed to live that long? I doubt that but we can do much more than we have been made to believe at ages even in excess of 70 years. I know many people will start challenging the 122 years I have put out but please hold your horses; my grand-aunt is alleged to have died after spending over 130 years on earth. Do I believe that? Well, that is another story.
1. “To be old is to be sick”
a. If you are like 99.9 per cent of us, you will have major issues with your health if you do not take the right steps to protect yourself but if you adopt the right lifestyle, you will rake in several years yet feel well.
b. You can age gracefully and remain independent for several years. Many elderly people especially women can easily perform activities of daily living and beyond with ease well past their 80th birthdays.
2. “You can’t teach an old dog new tricks”
a. You must have heard this several times over. It has forced footballers who could salvage the country’s ego to retire prematurely, politicians have bade goodbye at the peak of their career and many adults even in churches have taken a backseat all because of the erroneous impression that they will not be able to learn the new trends in their trade.
Surely, if you spend all day watching television and avoid even reading and basic walking then you are setting the stage for major deterioration otherwise you have all it takes to continue serving the world in various categories.
I am not encouraging elderly people to stay indefinitely in positions at the detriment of young minds, far from that; I believe we often allow people to fall into the shadows too soon.
b. The belief among the young and the old that the elderly can’t sharpen or broaden their minds creates a disturbing cycle of mental inactivity and decay. The less people are challenged the less they can perform. The limits of learning and especially the pace of learning are more restricted in the aged than in the youth but research shows that older people can and do learn new things and they learn them well.
3. “Your horse is out of the barn”
a. We need to dispel the false and discouraging claim that old age is too late for efforts to reduce risk and promote health. Many adults feel that what they have lost is gone forever, but that is not exactly true. It is better to start healthy habits early and sustain them for a lifetime but for those of us who have strayed there is good news; we happen to be in the majority and nature is remarkably forgiving.
b. All too often when I ask patients with lifestyle diseases to start exercising I hear “I am too old to exercise.” Few things can be further from the truth than that, no matter how late you start exercising or modifying your life, you will be better off. The important point to note is to start slowly and avoid competing with people much younger than yourself. Regular and appropriate exercise for your age, gender and level of fitness is the way to go.
4. “Your secret to successful aging is to choose your parents wisely”
a. Some countries would probably be empty if this were possible. How easy it would be for people to say “everyone in my family dies of a heart attack by age 30 so I will not bother to work hard. Fortunately for us life does not work that way.
b. The role of genetics in aging is important but it has been exaggerated. We should be able to distinguish familial habits and experiences from genes. So if all members of a family enjoy eating large loaves of bread, several balls of kenkey, greasy fast foods and spend long hours in couches watching television, it has to be habits we have picked up as a family and has nothing to do with our genes.
c. We know that diet, exercise and even medications may delay or completely eliminate the emergence of disease. Genes play a key role in promoting disease, but they are certainly less than half the story.
I believe I have made it crystal clear that you have more control over what you can do or not do as you age than you ever thought. Beyond the exercises, healthy eating and avoiding excesses, it is important that you ensure active mental stimulation (solving puzzles, reading), keeping up relationships with friends and relatives (relationships where there is mutual respect can be priceless) , putting your finances in order and do not downplay spirituality.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd/Mobissel/St. Andrews Clinic
(www.healthessentialsgh.com)
*Dr. Essel is a Medical Doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise.
Thought for the week – “Aging is not lost youth but a new stage of opportunity and strength.” –B Friedan
Reference:
1. “Successful Aging” by John W. Rowe, MD and Robert L. Kahn, Ph.D.
• Many people face risks as they age
• Talking to God has a way of calming nerves