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Low back pain (LBP) is a non-specific condition of acute or chronic pain in or near the lumbosacral spines that can be caused by inflammatory, neoplastic, traumatic, or other disorders. Long standing can be caused discomfort for the worker’s body. A survey conducted by the Center for Disease Control and Prevention (CDC) in 2011, low back pain is found in the top 10 diseases in Indonesia. As for jobs that required on standing for long duration and correlation by increased risk for low back pain, one of which is in a cake company called Rotte Bakery in Pekanbaru. The production process at Rotte Bakery required a lot of human roles, especially in terms of physical aspects, allowing staffs to long standing while working which can cause ergonomic problems such as low back pain. The research conducted by observational analytic method, with a cross sectional study design. The sampling technique used accidental sampling which was statistically tested using the chi-square test. The research purposes to determine the correlation of the long standing with low back pain event on Rotte Bakery Pekanbaru city staffs 2020. The result showed that there was a relationship (p-value = 0,000) and a significant correlation (p-value < 0.05) long standing with lower back pain event on Rotte Bakery Pekanbaru city staffs. Rotte Bakery staffs advised to pay attention to standing time while working, adhere to the rules for using a complete PPE, and the company can provide education at the beginning before starting work.

Low back pain (LBP) in Indonesia is a musculoskeletal complaint in the lumbar segment of the spine. One of the factors that influence complaints of low back pain (LBP) is work factors such as work position, work period, workplace design and body posture as well as body movement factors. Repetitive work, inefficient use of energy, long hours of work, unergonomic work positions and heavy workloads cause the incidence of LBP to increase. Therefore, it is necessary to increase insight into LBP as a promotive and preventive effort in reducing LBP symptoms. The methods used are counseling and leaflets as output results. There is a difference in understanding from the community and fishermen that after participating in this outreach activity, those who previously did not understand LBP disorders now understand more about what it is, the signs and symptoms, causes, intervention and prevention of LBP.

Fishermen are a term for those whose daily work is to catch fish or other biota that live on the seabed or surface waters. The problem that often occurs in musculoskeletal complaints that are often experienced by fishermen is low back pain, this happens because the conditions that fishermen have are not always specific, resulting in pain and soreness in the lower back. Aiming to determine the relationship of Length of Working Time and Working Period with Musculoskeletal Complaints in Fishermen in Rahai Hamlet, Waesala District, West Seram Regency. This study uses quantitative research using a cross sectional design. The sample in the study was 90 people. Data analysis using the Chi-Squere test. The results showed that the p value (0.500) and p value (0.643). This shows that Ha is rejected. It can be concluded that there is no significant relationship between Length of Working Time and Working Period with Musculoskeletal Complaints in Fishermen in Rahai Hamlet, Wesala District, West Seram Regency.

Low back pain (NPB) Ischialgia is the pinching of the ischiadic nerve in the lower back region which causes the buttocks, thighs, lower legs and even feet to tingle, pain, sometimes causing weakness. Nerve mobilization is a manipulation technique by moving and stretching the nerve tissue to improve axonal transport so as to improve nerve conduction. Nerve mobilization can reduce the pressure in the nerve so that there is an increase in blood flow to the nerve, which can have a regenerating and healing effect on the injured nerve (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment in musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Lower Limb Tension Test (LLTT) is performed on the branching of the lumbosacral plexus such as the ishiadicus nerve, peroneal nerve, and tibial nerve. But here the author only discusses LLTT on the ishiadicus nerve, namely LLTT 1 which is associated with low back pain. The purpose of knowing the effect of manual nerve mobilization on pain reduction in Ischialgia patients after IR and TENS therapy at RSD KRMT Wongsonegoro Semarang. Method two group pre test and post test. The place of this research is in the physiotherapy clinic of KRMT Wongsonegoro Hospital. Using Visual Analouge Scale (VAS) measuring instrument. The results were treated using the mann-Whtney test. With confidence interval (CI) (95%) The results revealed that there was a significant difference in pain between group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups on pain improvement (p = 0.152), so there was no better treatment between the two groups. It is concluded that ULTT is useful in the treatment of LBP patients to reduce pain in two groups. The targeted output is publication in Sinta indexed national journals and IPR. The TKT target of the implementation of gamelan accompaniment gymnastics is at level 2.

Lower back or waist pain is a disorder in musculoskeletal position due to incorrect ergonomics, characterized by pain in the muscle area between the costal border and the inferior gluteal fold. Risk factors that can influence the incidence of lower back pain are age, gender, body mass index, smoking habits, lack of exercise, years of work, work position, and heavy workload. This community service is a forum to improve and provide education to the elderly about prevention and how to deal with lower back pain using a home program. This service activity was carried out using the counseling method with approximately 20 respondents participating. After being given a presentation of material regarding low back pain and a demonstration regarding recommended home exercises/home programs, most respondents understood and were able to explain the definition, risk factors, symptoms and prevention of low back pain.

Herniated nucleus pulposus (HNP) is the leading cause of back pain in old age, occurring as a result of tearing of the fibrous annulus and the nucleus pulposus exiting through the tear. To optimize pathology, fat suppression techniques are needed to suppress fat and fluid. Fat Suppression techniques include Dixon and SPAIR. The use of Dixon is relatively longer but can produce four images at once, while SPIR has the advantage of being more resistant to inhomogeneous magnetic fields. The purpose of this study was to determine the difference between T2WI SPIR and T2WI diagnostic image information Dixon Sagital Cut Lumbar MRI with Hernia Nucleus Pulposus (HNP) cases as well as find out which one is better between the two techniques. The type of research used is quantitative research with an experimental approach that uses prospective data aimed at determining the difference in diagnostic image information T2WI SPIR and T2WI Dixon MRI examination of Sagital Cuts. The study population is patients who perform Lumbar MRI examinations with HNP cases at the Radiology Installation of NTB Provincial Hospital for the period May-July 2023. This study applied total sampling, using a research sample of 17 patients. The results showed a difference in image information between the T2WI SPIR and T2WI Dixon sequences on Lumbar MRI examination of Sagital Cut with a p-velue value smaller than α (<0.05), namely in the anatomy of the Spinal Cord with a p-value (0.021), and the anatomy of the Corpus Vertebraewith value p-value (0.001). The T2 Spir sequence is more optimal in showing anatomical information on the Sagittal Cut lumbar MRI examination compared to the T2 Dixon sequence.  due to the more homogeneous emphasis of fat on the anatomy of the Spinal Cord and Corpus Vertebrae

The third trimester of pregnancy is the gestational age from 29 weeks to about 40 weeks and ends with the baby being born. Pregnant women entering the third trimester of pregnancy will experience lower back pain due to enlarged uterus and changes in the center of gravity causing discomfort in daily activities. One of the treatments to help reduce low back pain in third trimester pregnant women is progressive muscle relaxation. This type of research is quantitative research using quasy experimental with a one groups pre test-post test design approach and sampling using purposive sampling technique. The research location at the Kagok Health Center with 19 respondents. The instrument used to assess dysmenorrhea pain is the Numeric Rating Scale (NRS). The research data were analyzed using a statistical test, namely the Wilcoxon test. The results of this study indicate that there is an effect of giving progressive muscle relaxation measures to the level of dysmenorrhea pain with a p value of 0.00 (<0.05).

Pregnancy is a period when pregnant women experience physiological and psychological changes. Physical changes that occur during pregnancy can cause complaints or discomfort during pregnancy, which include physical discomfort during pregnancy including back pain, low back pain, difficulty sleeping at night/insomnia, and leg cramps. Meanwhile, psychological discomfort that can occur in pregnant women is anxiety and fear of facing the birth process. Anxiety is one of the psychological changes in the third trimester because it is getting closer to the birth process. Resulting in excessive anxiety during pregnancy can trigger abortion, premature birth, low birth weight, fetal defects, fetal growth retardation, and postpartum depression. Three out of five third trimester pregnant women who were encountered experienced anxiety approaching labor, namely sleep disturbances. Practicing yoga during pregnancy is a useful solution as a self-help medium that will reduce discomfort during pregnancy and help with the birthing process. When pregnancy enters the third trimester, the mother will experience increasingly serious and intense anxiety in dealing with the birth process.

A 63 year old male patient came to the emergency room with complaints of weakness since 5 days of SMRS. Complaints are accompanied by nausea, vomiting, pain throughout the stomach, and liquid bowel movements. The patient also complained of low back pain that spread to both legs and made it difficult to walk. The patient also feels that he is urinating a little and seems to be stuck. Two weeks ago the patient had a fever accompanied by a cough. On physical examination, BP 90/60 mmHg, HR 111 x/minute, RR 20 x/minute, BMI 20.3 kg/m2, suprapubic area tenderness, right CVA tapping pain. Investigations Hb 11.73 g/dl, urea: 73 mg/dl, creatinine: 3.45 mg/dl, tubex: negative, dengue Ig M: negative, dengue Ig G: positive. Abdominal ultrasound examination revealed multiple nephrolithiasis dextra. On chest X-ray examination, there was an increased bronchovascular pattern, an air bronchogram (+) with an impression of bronchitis. The finding of multiple nephrolithiasis dextra indicates that the patient's kidney failure is chronic in nature, however, DHF that is not treated properly causes worsening of kidney function, giving rise to the condition of ACKD.

Pregnancy is a physiological process that occurs due to the process of growth and development of a fetus. During the development of pregnancy there will be physical and mental changes. One of the physical changes that occur during pregnancy is pregnant women experience complaints of back pain, especially in III trimester. Efforts to reduce back pain in third trimester pregnant women are using prenatal yoga. This case study purpose to determine the effect of applying prenatal yoga on back pain in III trimester pregnant women. The method in this study is a case study on clients of III trimester pregnant women. Patients were measured with OPQRSUV and used NRS instrument to determine pain scale before and after prenatal yoga intervention. The intervention was carried out for 3 days with 15-30 minutes every session. The results of this case study showed that prenatal yoga intervention in pregnant women can reduce the level of back pain from scale 4 to scale 2 within 3 days intervention. The implication of this case study is prenatal yoga which consists of 6 effective movements to help reduce the scale of pain in III trimester pregnant women because it can relax the body of pregnant women.

Pregnancy is a period in which a woman carries an embryo or fetus in her body. The period of pregnancy starts from conception to the birth of the fetus. During pregnancy, the mother will experience physical and psychological changes. The physical changes that occur sometimes even cause discomfort for the mother, one of which is back pain. This study aims to determine the effect of Pregnancy Exercise on Reducing Back Pain in Pregnant Women at Elisabeth Midwife Independent Practice, Mandailing Natal District in 2022. This type of research is a quasi-experimental study with a research approach with a prepost test design with one group test. Population is all pregnant women in the Elisabeth Midwife Independent Practice, Mandailing Natal District in 2022, totaling 28 pregnant women. The number of samples used was 28 people obtained by using total sampling technique. The data analysis technique uses the Paired-Samples T Test. The results obtained in this study were from 28 respondents, there was an effect of pregnancy exercise on reducing back pain in pregnant women with a value of p = 0.000. Conclusion: there is an effect of pregnancy exercise on reducing back pain in pregnant women. It is recommended for health workers to improve counseling related to reducing back pain in pregnant women with pregnancy exercise.