Life style
Back pain- a lifestyle disease
Back pain is common and is prevalent even among young children in this pandemic situation triggered by prolonged sitting before screens. While most cases of back pain episodes improve with self-care and lifestyle modifications, in certain rare cases they could signal a serious medical problem. In an interview with the Sunday Island, Consultant Rheumatologist and Specialist in Sports Medicine from Nawaloka Hospital, Dr. Harindu Wijesinghe throws light on multiple causes of back pain and management strategies.
BY RANDIMA ATTYGALLE
The human back is made of a complex structure of bones, muscles, ligaments, tendons and disks which work together to support the body and enable us to move around. Problems with any of these components can lead to back pain. Although back pain could be felt anywhere along the spine- from the neck down to the hips, pain in the lower back or lumbago is the commonest.
“The reason why the pain is common in this region is because all the load in the spine when we sit, bend, do exercises etc. is felt on the lower back and this region is most prone to be damaged,” explains Dr. Wijesinghe.
Commonest cause of back pain is what is known as ‘non-specific’ back pain which occurs when the muscles and ligaments which surround the spine are overstretched. Next comes back pain caused by the disc bulging or herniation in the spine. In between the bones of the spine (vertebrae) is the intervertebral disc. The gel-like substance inside the disk can sometimes come out of the disk and press on the nerves in the spine which causes back pain and a pain down the leg called ‘sciatica’.
Fractures in people with osteoporosis could also lead to back pain says the Rheumatologist. “Although osteoporosis per se doesn’t cause back pain, a fracture could trigger a back pain.”
Certain types of arthritis (where the immune system starts attacking the spine) could damage the spine. ‘Ankylosing spondylitis’ is such a condition. This condition, Dr. Wijesinghe explains, causes back pain which is worst upon waking up in the morning and mainly occurs in young people below the age of 40 years. “Very often this condition is missed and unless treated on time, one could end up with a fixed immobile spine and a stooped posture due to the calcium formation around the spine,” he warns.
Infections of the spine such as tuberculosis and cancers in the spine too can cause back pain, although they are not common.

Risk factors
*Ageing –
wear and tear of cartilage and weakness of muscles is common in old age
*Being overweight
*Weak core muscles
“If your muscles in the stomach are weak, you are more prone to wear and tear of the disk. Exercises which are done while keeping the spine in the neutral position are encouraged.”
*Wrong posture
Sitting or standing in a wrong posture for prolonged hours is one of the most significant risk factors for back pain. “Sometime ago there was an issue with heavy school bags children carried. Today in this pandemic situation even in young children back pain is very common as they tend to spend a considerable time before screens. A lot of children and adults also tend to work in beds and sofas which is a bad habit,” remarks Dr. Wijesinghe.

Neutral Spine position or correct spine posture
Neutral spine is the position in which your back and neck are placed under the least amount of stress and strain. In this position, the natural curves of the spine are maintained. “Try to maintain this position while sitting, standing, lifting or doing exercise. There are many methods to find the exact neutral position. However the easiest way is to maintain your ears, shoulders and hips in one line.”
When sitting for prolonged hours, make sure:
*
You sit in a proper ergonomically designed chair- preferably an office chair
*
When using laptops, that the top of the screen is at eye level.
*
Your ears, shoulders and hips are in one line
*
Your feet touch the ground and your knee and hip are in 90
degrees
*
You take a break every 15 -20 minutes. Standup for a few minutes or walk a short distance. Use an alarm or a computer programme which reminds you to take breaks.
Lifting objects
Avoid lifting heavy objects. You should always be assisted by someone and also use proper lifting techniques (such as bending the knees while lifting heavy objects) or using machinery meant for lifting such objects.
*Smoking
*Regular use of high heels
“These could be worn once in a way but not recommended for daily wear as they could alter the posture. Shoes with a good ‘arch support’ are recommended and whenever you need a raised shoe to wear on a regular basis, a platform shoe is recommended so the angle between the heel and the ball of the foot is reduced and your posture is not changed that much,” explains the physician.

When to see a doctor
*
When back pain is not settled in a few weeks
*
When the pain is severe and doesn’t improve with rest
*
When there is a feelings of numbness tingling going into legs
You need to see your doctor urgently when there is
*
Back pain with fever or weight loss.
*
Causes new bowel or bladder problems
*
weakness of legs
How to treat back pain
Although back pain is common, the good news is that more than 90% of them can be managed with certain short-term drugs, injections and local applications for pain relief. This is followed by posture correction, weight reduction, core strengthening exercise and low impact cardiovascular exercise to prevent recurrence.
Back pain is a lifestyle disease which can be managed with a healthy routine, observes Dr. Wijesinghe. “There are no quick fixes here. It is important that one religiously and diligently does core strengthening exercises which helps in strengthening the muscles in the back, stomach and buttocks. Combine these with low impact cardiovascular exercises such as walking, cycling, swimming and elliptical training. We don’t encourage too much of bending, twisting and jumping when a person is over 40 or in someone with back pain because such vigorous movements could cause damage to the spine.”

Maintaining a healthy weight could also ease the load on the spine for which dietary discipline is required, he says. “Exercise alone can’t help one maintain body weight, one need to be conscious of the diet as well.”
Other lifestyle changes such as using proper chairs, a firm mattress and a soft pillow which enable the spine to be kept in the neutral position are also recommended by the physician. “We encourage people to sleep looking up so that the spine is kept straight and if at all they sleep to a side, it is important not to curl up.”
Myths to be busted
Since back pain is so common there are so many products in the market claiming to cure back pain and consumers should be cautious of these, warns Dr.
Wijesinghe. “Many believe that local applications, medicine and certain milk powders and formulas can bring your cartilage back to normal. It is like asking a person to reverse his age which cannot be done,” he remarks.
A lot of women think that the epidural given in pregnancy causes back pain. “This too is false. The reason for back pain after delivery or later is usually due to weak muscles, weight gain and poor posture.”
Life style
The power of being heard, with psychologist Anita Sharma
Anita Sharma is a psychologist, who approaches the human mind with equal measures of empathy and insight. Known for her calm presence and thoughtful perspectives, she works closely with individuals navigating anxiety, relationship, trauma and the quiet emotional struggles that often go unseen. With experience working with individuals, couples and families, she has built a reputation for helping people navigate emotional challenges with clarity. Compassion and confidence. Anita Sharma stands as a reassuring voice bridging science, sensitivity and cultural understanding.
What inspired you to pursue a career in psychology?
I was inspired to pursue a career in psychology because I have always been curious about how people think and behave, especially when observing the world around us today. With so much happening in society, I often found myself wondering why people responded differently to similar situations and what influenced their choices, emotions, and behaviours. Psychology allows me to explore these questions on a deeper level and understand how factors like the environment, experiences, and social pressures shape a person’s behaviour. This interest motivated me to want to better understand others and eventually use that knowledge to make a positive impact.
How has your journey been as a psychologist? Have you faced unique challenges?
My journey as a woman in this field has required a lot of resilience and self-belief. In a world that is not always kind, there have been moments where certain spaces felt intimidating, but I chose to turn those experiences into strength rather than allow it to limit me. Instead of shrinking myself, I learned to speak up and trust my inner voice. These challenges have shaped my confidence, sharpened my perspective, and reinforced my commitment to the field.
What areas of psychology Do you specialise in and why did you choose them?
I specialize in counselling, focusing on people experiencing depression and anxiety, as well as adolescents, couples, and individuals recovering from surgery. I chose this area because I’m passionate about helping people go through life’s challenges. Supporting adolescents allows me to guide young people through critical stages of growth, counselling couples strengthens relationships, and working with individual’s post-surgery helps them cope emotionally and adjust to major life changes. Overall, this field lets me make a meaningful impact on people’s mental and emotional well-being.
How Do you approach therapy or counselling with clients facing anxiety or depression or trauma?
When working with clients facing anxiety, depression, or trauma, I approach therapy with empathy and patience. I start by creating a safe, non-judgmental space where clients feel heard and understood. I focus on understanding their experiences, thoughts, and feelings, and together we identify coping strategies and goals that are realistic and meaningful for them.
In your opinion, what are the most promising mental health challenges facing women and men?
In my opinion, some of the most pressing mental health challenges today revolve around stress, anxiety, depression, and the pressures of balancing personal and professional life. For women in particular, societal expectations, gender bias, and body image pressures can take a significant toll. Women are often expected to excel at work, manage family responsibilities, maintain social roles, and meet certain standards of weight and beauty appearances. Society frequently makes remarks or judgments about women’s bodies and looks, which lowers their self-esteem. Men also face challenges, like societal pressure to suppress emotions, which can lead to untreated stress or depression. Addressing these challenges requires awareness, supportive environments, and access to mental health resources
What role do you think society can play in reducing stigma around therapy and counselling?
Society plays a crucial role in reducing the stigma around therapy and counselling. By openly talking about mental health, sharing personal experiences, and normalizing seeking support, we can challenge the idea that needing help is a sign of weakness. Media, workplaces, schools, and communities all have a part to play in creating safe, supportive environments where people feel comfortable accessing mental health care. Education and awareness campaigns can also help people understand that therapy isn’t just for crises
Psychology can be emotionally demanding. How do you maintain your own mental health and balance work like pressures?
Psychology can definitely be emotionally demanding and it’s not a field that is suited for everyone. Maintaining my own mental health is a priority. I make a deliberate effort to detach from work at the end of the day, which allows me to process my own emotions and recharge. I also practice regular self-care, such as meditation, listening to music, and spending time with my family. Seeking supervision and peer support helps me gain perspective on challenging cases, ensuring I don’t carry that emotional weight alone
Would you say has been your most rewarding experience as a Psychologist?
Looking back, the most rewarding part of my work in psychology is hearing a client say, ‘I feel so much better after speaking to you.’ In those moments, I’m reminded that simply being present, listening without judgment, and offering support can truly make a difference in someone’s life. Knowing that I’ve helped someone feel lighter, more understood, or more hopeful is incredibly fulfilling and just reinforces why I chose this profession.
Where privacy and social perceptions matter greatly. How do you help individuals feel safe and comfortable seeking psychological support?
In a close-knit society where privacy and social perceptions are deeply valued, some women face pressures from traditional family expectations, including arranged marriages and strict cultural norms. To help them feel safe seeking psychological support, I focus on creating a space built on trust and understanding. For many, it’s the first time they can truly voice their thoughts and emotions, and helping them express themselves is incredibly empowering. By being sensitive to their cultural and societal context, I guide them towards confidence, emotional relief, and the belief that their feelings matter.
Ultimately, I hope this helps people understand the importance of mental wellbeing and seeking support when needed. I believe that at some stage, everyone can benefit from counselling. It’s not just for when you face a problem, seeking support can help you understand yourself better, manage challenges, and grow stronger. Life is always changing and nothing stays the same forever. By taking steps to care for our minds, we can move forward with clarity, courage, and a sense of inner balance, trusting that even difficult moments will pass.
By Zanita Careem ✍️
Life style
New era of wellness
Tranquil and tropical with a rugged beauty and temperate climate, Sri Lanka’s south coast is blessed with a naturally restorative environment. On a rocky outcrop overlooking a secluded cove of golden sand, Anantara Peace Haven Tangalle Resort harnesses the nurturing qualities of its shoreline home to create a sophisticated oasis of soothing and renewal.
Entering its second decade, the resort has announced a fresh expansion of its Anantara Spa menu, enriching an already extensive range of traditional and modern therapies. Anantara Peace Haven Tangalle Resort now hosts the region’s only spa overseen by three resident Ayurveda doctors. Led by Head Ayurvedic DoctorBhagya Wellapilli, these qualified medical officers work alongside accomplished practitioners in immaculate facilities, ensuring authentic and effective experiences, delivered by the safest hands.
In addition to enhancing its wellness team, the resort has also launched the pioneering Ayurvedic beauty sanctuary, Ayu Lavanaya. Named from the Sanskrit words Ayu (life) and Lavanaya (grace), the sanctuary is a modern reimagination of a quintessential Ayurvedic parlour. It aligns physical care with deeper wellbeing through timeless rituals and ancient wisdom. Offered in a new space within the lush, floral environs of Anantara Spa, each meditative treatment at Ayu Lavanaya is formulated for immediate results and long-lasting benefits.
Signature therapies complement a full menu of Ayurvedic manicures, pedicures and eye rituals. The brightening and firming Kumkumadi Royal Facial uses the esteemed Kumkumadi oil to leave skin supple and luminous. The Kesha Revive Hair Ritual pairs a lime and onion extract head massage with warm triphala therapy to relieve tension, fortify roots and boost scalp health. The 120-minute Prana Radiance Ritual detoxifies the senses and rejuvenates vital energies through carefully crafted steps that promote release, balance and renewal. Also available are Abhyanga massages, Pizhichil Kerala-style oil baths, Sweda thermal infusions and more.
Beyond Ayurveda, the award-winning Anantara Spa has also introduced four specially curated aromatic massages, showcasing the sensory potency of the island’s indigenous ingredients. Melt away stress and tension with a Four Hand Massage in which two skilled therapists work in perfect synchronicity to induce profound relaxation. Invoking the natural healing of the ocean, a unique Seashell Massage releases muscles and improves circulation by moving polished shells in graceful, flowing strokes across the body.
Age is no barrier to bliss at Anantara Spa with tailored 30-minute Kids’ Massages for ages four to 12. Using light pressure and natural coconut oils, these gentle treatments support healthy care for growing bodies. For mums-to-be, a 60-minute Pregnancy Massage eases the back, neck, and shoulders, reducing swelling and assisting sleep to boost comfort for mother and baby throughout their shared journey.
Yoga sessions by the sea, a state-of-the-art fitness centre, and nutrient-rich menus augment all therapies and treatments, maximising every benefit and laying the foundation for long-term vitality. For more intensive healing, five-day programmes focus on inner harmony, deep sleep, natural weight management, or holistic detox and rebuilding.
“Since our doors opened, we have been honoured to continue and grow Sri Lanka’s long-lasting tradition of Ayurvedic practices and natural wellness,” said Erik Billgren, General Manager at Anantara Peace Haven Tangalle Resort. “By expanding our spa menu and opening the exciting Ayu Lavanaya sanctuary, we are proud to set a new benchmark in holistic healing for every treasured guest.”
“As a fully-trained Ayurvedic Doctor, I understand the importance of fostering a calm and welcoming environment in which guests can feel completely comfortable,” added Ms Wellapilli, Head Doctor at Anantara Peace Haven Tangalle Resort. “By offering this alongside an extensive menu of expertly delivered rituals, we are excited to redefine the possibilities for soothing stays on Sri Lanka’s beautiful south coast – now, and for many years to come.”
Life style
ITC Ratnadipa awarded prestigious 5-Star classification by Sri Lanka Tourism Development Authority
ITC Ratnadipa has been awarded the coveted 5-Star Classification Certificate by the Sri Lanka Tourism Development Authority (SLTDA), reaffirming its commitment to delivering world-class hospitality and sustainable luxury.
The certificate was formally presented by Mr. Buddhika Hewawasam, Chairman of SLTDA & SLTPB, and accepted by Mr. Keenan McKenzie, Area Manager – Sri Lanka and General Manager of ITC Ratnadipa.
The ceremony was attended by several distinguished officials and industry leaders, including, Board Member, SLTDA; Mrs. Malkanthi Rajapaksha, Director – Standards & Quality Assurance, SLTDA; and Mr. Trevine Gomas, Chairman, Hotels’ Classification Committee. Their presence underscored the significance of this milestone for Sri Lanka’s hospitality sector.
ITC Ratnadipa, a Luxury Collection Hotel, opened its doors in Colombo, Sri Lanka, on April 25, 2024, introducing a new benchmark in responsible luxury and sustainability-driven hospitality. Since its inception, the hotel has been committed to offering exceptional experiences that blend opulence with environmental stewardship.
Addressing the gathering, Mr. Keenan McKenzie stated:
“We are grateful to the Sri Lanka Tourism Development Authority and the Hotels’ Classification Committee for their guidance and trust, and to our partners and stakeholders for their continued support. This milestone strengthens our resolve to elevate Sri Lanka’s hospitality landscape while delivering responsible luxury rooted in sustainability.”
This recognition underscores ITC Ratnadipa’s dedication to excellence, sustainability, and its vision to redefine luxury hospitality in Sri Lanka.
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