The invisible and inaccessible back
The back is that part of the body behind the chest or the posterior portion of the trunk region between the neck and the pelvis.In the dictionary the back as a noun is also defined as the part opposite to or behind that adapted for view or use and the part or area farthest from the front. As an adjective the term back is used to describe the part distant from a center of activity; remote. In technical terms, it may also be a synonym to the unseen or the less important part of a structure or an object.
All these meanings have their relevance when acne on back is to be considered.
The most important of these descriptive terms that concerns our subject are the unseen and the remote back.
As the back is the part opposite to that adapted for view or use, it is practically invisible and inaccessible.
When we recall the definition of a symptom i.e. the visual perception of a change in the perceived appearance of a normal structure; we immediately grasp the idea. The back is beyond the limits of the normal human visual field and therefore, any changes in its appearance as caused by disease are not recognizable. That also means, whenever an abnormality develops in the back, it is not detected and is not complained of as a symptom.
That particularly applies to changes in appearance of the skin surface of the back and to add most of the abnormalities resulting from acne i.e. comedones which are only visually detected. Accordingly acne on back projects into consciousness mainly, when pain and or itching is associated with the comedones.
The consequences of this simple fact are:
Late discovery of the lesions of acne on back (usually when severe or complicated) and therefore its treatment.
Inability of the sufferer to precisely recognize the progress of lesions or follow them up during the course of disease or its treatment.
This also applies to other lesions which are either neglected or misinterpreted as an acne lesion.
The remote back or the area farthest from the front is partially beyond the the range of movements of the upper limb and the reach of the fingers. Our hands are anatomically configured to perform visually monitored manipulations that are therefore in front of the body. Such a functional organization has its own significance. Failure to touch lesions of acne on back would hinder perception of changes in their density or their being raised above the skin surface as in nodules and cysts, again late discovery of abnormalities and complications.
The other disadvantage of the remote back is the difficulty or inability to apply topical medications specified for acne on back lesions. The sufferer is always in need for the help of a family member and that is a drawback in both treatment and compliance.
To mention, one good point for the inaccessible back is preventing the sufferer from picking or squeezing lesions of acne on back. That mechanical hindrance is a favorable factor in the course of disease as it diminishes the complications of such a bad habit practiced by most acne sufferers.