Women the world over are more prone to back trouble than men, the medicine men tell Sheila Kumar

FIRST the good news: There is no back pain (provided it is not disease-related) that does not get better. The bad news: The ratio of back pain sufferers among men and women is about 30:70. Dr V Ram Iyer, a Bangalore-based orthopaedic surgeon, says it has to do with inflammation around the areas of the uterus, the ovaries and other organs of reproduction that lead to back pain in women in their teens, in their childbearing years and in the post-menopausal period.

Dr Iyer also condemns faddish diets that lead to deficiencies of protein, carbs and calcium. He cannot lay enough emphasis on good nutrition and an active lifestyle, as well as weight kept under control. "And no bending or slouching," warns Dr Iyer on a parting note.

An orthopedic surgeon at Manipal Hospital, Bangalore, who chooses to remain anonymous, says: "I have never had to treat a rural woman for back trouble. Her bone mass is much better than her urban sister's. The reason is simple: Her lifestyle just does not permit her to laze about or fall into sedentary habits. Which leads me to emphasise that proper exercise is top priority for keeping back problems at bay."

Back trouble falls into two categories: That related to disease, infection, trauma, and that with no discernable cause. Doctors suggest you ensure your back is in good nick to support your structure; excessive weight is a burden.

A diet rich in proteins, an activity-packed lifestyle, proper posture, total avoidance of smoking or excessive drinking; and taking calcium supplements (if you have been diagnosed as suffering from low bone density) will prevent most back troubles.