Oh, the fun of travel…

July 29th, 2010

Ok, so Donna & I are headed to a wedding this weekend. Our first flight out of Philadelphia was cancelled, so we were put on a different flight. 20 minutes after getting on the plane, they took us off the plane due to mechanical problems. In theory, we should still make our connecting flight. My back is hurting just from the stress.

Thank you to everyone for your great posts and comments this week. It’s been a lot of fun hearing from all of you.

Assuming all goes well, I should be joining you live from Montego Bay tomorrow.

Be Well!!!

-Andy

Physical Therapist, Meghan Tierney shares her ONE THING for back pain…

July 27th, 2010

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In my ‘One Thing’ series, experts in back pain from various fields share their one best piece of advice for preventing or eliminating back and neck pain. Today, physical therapist Meghan B. Tierney, PT, MPT, OCS shares her one thing. Meghan is the founder and proprietor of  One Physical Therapy and Wellness in Bryn Mawr PA.

Back Together DVD program now available from Amazon. Click here to order!

Thanks for visiting,

-Andy

A procedure for sciatica, follow up on yoga post…

July 26th, 2010

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Beth Rifkin was kind enough to submit a response to the yoga post last week. I am amazed by the variety of thoughts and opinions about yoga and how it can effect a variety of health conditions.

The other portion of the video is a response to a question from Trisha in Arkansas about a procedure called radio frequency ablation, or RFA. RFA can be used to treat several painful conditions- but it is not for everyone. Typically, it seems to be most useful for radicular conditions (radiating pain along the length of a nerve)- although many of the physicians doing it will tell you it is useful beyond that relatively small group of pain sufferers. In any case, it seems to be a far less invasive alternative to all out back surgery. I will be posting an interview with a physician who does dozens of these procedures each week in the not too distant future.

Thanks for stopping by!

-Andy

View of the Roman Encampment from the top of Mt. Masada, Negev Desert, Israel.

Responses to the Yoga Post…

July 23rd, 2010

Thanks so much for your responses to the yoga post from Friday. A text version of the post appeared on the Martha Stewart Whole Living Daily blog this morning.

While the response to the post was largely positive, there were some folks who missed the point of the post:

“I have been doing yoga for 7 years, and it has really helped me get rid of my back pain. I don’t know why physicians feel the need to bash yoga just because it doesn’t involve pills. It doesn’t cause back pain- at least for me, yoga fixes it!”

-Sherri P, London UK

Sherry, I am so glad you were able to find relief. If you read the article, you will see that I am not bashing yoga at all. I know that for many people it has increased their flexibility and decreased their pain. The post was intended to (and does) provide some useful tips, particularly for newcomers, on how to prevent becoming injured during yoga.

“My back hurts when I don’t keep up with my yoga practice, plus I feel sluggish. One or two classes gets me back in shape!”

Cynthia M, Philadelphia PA

It sounds like you have found something that really keeps you out of back trouble. Thanks for your response.

“My girlfriend suggested I try hot yoga for my low back pain, and honestly, it just made everything worse. It seems to work so well for other people. Why not me?”

Sue, New York, NY

Sue- without knowing your specific diagnosis, it is hard to say why yoga did not give you the relief others have found. It simply underscores that there is no simple fix that will work for everyone. I hope you can find something that works.

Best- and have a fantastic weekend,

Andy

Yoga & Back Pain- Thoughts on keeping yourself injury free…

July 17th, 2010


A few times each week, I post a brief tip or suggestion about avoiding or relieving back pain on my Facebook fan page. These posts are usually independent of anything I post here on the blog, and are just meant to provide folks with bite-size tips, and are rarely controversial. Last week I posted the suggestion that one never bend and twist at the same time (meaning, that if you need to pick something up off the floor, or reach down for some other reason, turn your body to face what you are grasping rather than twisting to one side or another while bending.) Well, this resulted in a whole bunch of mail and posts- particularly about how this suggestion would effect folks’ participation in yoga. Yoga does involve some bending and twisting- and in theory should ultimately help one to avoid back and neck pain rather than cause it. Here is a video post offering a few quick suggestions on ways to avoid back and neck injury while doing yoga. The tips are reposted in text version at the bottom of the post if you want to forward them to any of your friends or fellow yoga participants. I would enjoy hearing your thoughts and experiences regarding regarding back pain and yoga- whether it provided you relief or made you feel worse.

Enjoy!

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(In the first take of this video, the woman behind me was waving into the camera. I asked her to please stop- but by golly she made sure her arm was featured in the video anyway. Congratulations lady- you now have a famous arm!)

Here are your tips to avoid yoga related back and neck injuries:

-As always, hydrate before, during, and after yoga. Even slight dehydration will increase the likelihood of straining or even tearing a muscle, and the enhanced fatigue that comes with dehydration will increase your chances of using poor body mechanics.

-Before a class, take a brisk 10-15 minute walk. This will warm up your muscle groups and prepare them for the challenge ahead. This helps even when getting read for a ‘hot yoga’ class.

-If you are new to yoga, work up to doing multiple classes per week. Your enthusiasm may push you to try and do 5 classes per week, but slow down. An NFL team I worked with brought in a well known yoga instructor to help with flexibility, and I cannot tell you how many low back sprains, neck strains, and groin pulls I wound up treating as a result of pushing too much, too fast.

-Listen to your body. If a new posture is painful- back off that posture. If you feel your discomfort is simply due to it being ‘new’, build up to it slowly. If pain continues, be sure you are approaching the posture with correct body mechanics (your instructor should be able to guide you.) If the pain persists, it may signal that something is wrong- see your doctor.

Thanks for stopping by!

-Andy

My Newest Martha Stewart Whole Living Daily Post: Separate Your Pain from Your Self…

July 15th, 2010

Some musings on something I share with my patients nearly every day: Don’t let pain become part of who you are. Remember- the pain does not control you. YOU control the pain…Enjoy!

Martha Stewart Whole Living Daily

Bronze 'Roots' by Steve Tobin, installation in Pocono Mountains, PA.

Guest Author, Competitive Skater Jen Kimbrough on the Benefits of Stretching

July 13th, 2010

Regular readers know I am big on stretching. The benefits of regularly taking each of your joints and muscles through their respective ranges of motion are well understood, and yet most people don’t even take the few minutes a day to stretch their large muscle groups, let alone all of them. Jen Kimbrough is both a talented skater and an up and coming author (I will post a link to her book as soon as it becomes available.) Today, she shares her experiences with how regular stretching made her more comfortable and competitive. You don’t have to be a competitive athlete to reap the benefits of stretching- just set aside a few minutes each day do it. In just a few weeks you will notice improved mobility, less soreness, and an overall improvement in your sense of well being. For those of you unsure what stretches to do, I have asked stretching expert Jorden Gold of the Stretch Zone to put together his top 5 stretches for day to day activities. Look for that post Monday.

Jen Kimbrough performing part of her regular stretching routine.

“It is said that figure skating requires the elegance of a royal court, the grace of a ballerina, the speed of a sprinter, the balance of a tightrope walker, the agility of a high diver, the endurance of a marathon runner, the coordination of a juggler, strength of a high jumper, the rhythm of a dancer, and the performance of a mime.” –Unknown

I began figure skating as a hyperactive nine year old; I would throw myself around and hope for the best. It did not matter if I fell; I just got right back up without any consequences. However, after two years of skating, this was not proving to be the best method. I had not stretched a day in my life and I found myself with an aching back, knees, and ankles. I was jumping higher, attempting more difficult jumps, and therefore falling harder. I was also required to do progressively more difficult spin and spiral positions. I found myself waking up every morning feeling stiff. My ankles, knees, and back would crack as I walked around.  I finally realized that stretching was essential to both my success as a figure skater and my well-being.

I began with simple stretches and I realized for the first time how tight, and inflexible I was. I started stretching for just ten minutes before I skated each day and within a few days, I felt a drastic improvement. My back no longer hurt when I would fall in an awkward position. My spirals were improving and I knew that if I continued I would be able to attempt those spins that always seemed so daunting. With the motivation of earning more points in competition, I also began to stretch after skating. It definitely helped that I was only eleven years old, but in a relatively short period of time my flexibility drastically improved. In particular, I found that back-bends helped me the most to gain flexibility in my back. I would walk my hands down the wall and my back quickly became more and more flexible. This helped my layback spin and even the worst falls were no longer an issue.

I now find myself seven years later, after hundreds of falls from double and triple jumps, and I feel good. I have much stronger jumps, much more flexibility, and I am a much better skater. I stretch for just ten to fifteen minutes everyday before I skate and I am ready for anything. I can pull my leg over my head into a Beilman position with ease and I earn high levels in competitions. Stretching is essential for everyone whether a recreational walker or a marathon runner. Stretching increases your range of motion so if you trip or end up in an awkward position there will be no consequences. It is sometimes hard to find the time to incorporate stretching into your daily routine, but the benefits are worth making the effort.

Thanks for your submission Jen, and thank you readers for stopping by.

Be well!

-Andy

Most Recent Martha Stewart Whole Living Post, iPad Sneak Peak, Fitness Challenge Update….

July 12th, 2010

Martha Stewart Whole Living Post….

Here is a link to my most recent post to Whole Living Daily- please check it out. This is an abridged version of the post I did on helping to avoid medical insurance claims nightmares. I had such a nice response to the original post, and the information was so important, I thought it was useful to repost a version of it.

iPad sneak peak…

I continue to work feverishly to get the Back Together iPad application out the door. In my effort to provide you as much of the Back Together experience as possible, the program has expanded in ways I had not even considered when I started to develop it. Here are two screen shots from the program just to give you a small taste of what’s coming:

Needless to say, I am getting really excited about this!

Fitness Challenge update…

A few weeks ago, I promised you a fitness challenge update- and I totally lunched on it. Sorry for the delay! SInce beginning, I have lost a total of 19 pounds. Unfortunately, I have been plateaued for a few weeks, which has been pretty frustrating. MORE frustrating is the fact that I made the decision to integrate bike riding into my regular fitness routine (appropriate as I will now be contributing to the Lance Armstrong Livestrong website.) The frustrating part is that I made this decision just as Philadelphia was entering into nearly a week of 100 degree weather. I was a regular mountain biker up until my residency, and it took just a few rides to remind me of just how much I love riding. I will keep you updated on how this changes things. In the mean time, please continue to send me your updates.

All my best, and thanks for stopping by!

-Andy

Welcome to all of the new visitors!

July 10th, 2010

Thank you so much for visiting my blog and website. I hope that Back Together, and the BackWords blog will provide you with many simple, safe, and effective tools to help you rid your lives of back and neck pain. Each week, I will try to bring you tips and ideas- as well as posts from guest authors from many different fields such as physical therapy and personal training.

I love getting questions and comments from viewers like you, as this helps me to direct the blog in ways that will be the most useful. If you have or have had back or neck pain, share your experiences with me. What worked for you? What didn’t? Are you considering some sort of treatment or alternative approach to your pain? Share it here with me, and with other readers who may benefit from your experience, or offer you thoughts on their own experiences.

There are many ways for you to access the information here on Back Together:

-Visit my main website, www.backtogether.org- here you will find videos of TV appearances, links to articles about Back Together from various publications, and links to places to purchase Back Together books & DVD programs.

-Please become a fan on Facebook. On the Back Together fan page, you will find links to articles posted here on BackWords, as well as my posts on Martha Stewart’s Whole Living Daily and Lance Armstrong’s Livestrong blogs. Also, you will get additional tips and announcements.

-If you are on a device which does not support Flash, you can go directly to the BackTogetherTV page on YouTube to watch the most recent video blog posts, as well as archives of previous posts.

-Lastly, get your Back Together Tip ‘o the Day (B.T.T.o.D.) via twitter by following BackTips.

Thank you so much or visiting, and for your questions and comments. It is your contributions which help to make the site interesting.

Be Well!

-Andy

Guest author: Donna Kirschner on Being Fully Present…

July 8th, 2010

As Donna and I both actively pursue our fitness goals, Donna has considered many interesting approaches to our relationships with our bodies, our fitness routine, and our food. Donna’s approach has spilled into other aspects of our lives. Please enjoy her post (and the second book review in 3 days!)

Lately, I’ve been on a journey to be fully present, particularly when Iʼm eating. This means savoring my food, really tasting it, and funny as it may seem, sitting down to eat. As a busy mother, or perhaps thatʼs just the excuse, I found myself ingesting way too many calories while standing up. Thereʼs likely a myth at work there that suggests that the calories somehow donʼt count if youʼre not actually sitting down while you eat. Or that eating isnʼt important enough and needs to be rushed. But the problem with that approach is that itʼs rarely satisfying. So I was lucky enough this past weekend to come across Geneen Rothʼs well-titled book, When You Eat At the Refrigerator, Pull Up a Chair: 50 Ways to Feel Thin, Gorgeous, and Happy (When you Feel Anything But). Roth explores the relationship between food and emotion in a way that offers self- compassion. Her work really speaks to me. So lately Iʼm trying to really taste my food. To feel it in my mouth and savor it. Iʼm finding that Iʼm eating more slowly, enjoying myself and, for the first time in my life, feeling really full regardless of how much food is left on the plate.

This experience of savoring my food also has positive consequences for savoring the present and being in the proverbial “moment.” How many of us move through much of our lives distracted by other moments, either dwelling in the past, worried about the future, or distracted technologies that take us out of our here and now? So, in the interest of urging you to be kind to yourself, Iʼm going to echo Geneen Rothʼs wish for her readers: I urge you to take five minutes each day to be fully present and grounded. Take some deep breaths to draw you into your body and into this moment. Notice sensory things, like the feel of the ground beneath your feet or the chair beneath your bum. If youʼre outside, notice the sun on your skin. If youʼre drinking something, feel it in your mouth and as it moves down your throat. If youʼre washing your hands, feel the soap on your skin; if youʼre having a conversation with someone, do what you can to be with them as fully as possible. If youʼre living with pain, notice the pain and the parts that feel good. If youʼre with someone you care about, just savor their presence. If youʼre alone, enjoy the gift of being with yourself.

Please be kind to yourself and be here, in this moment with all your presence and all your heart.

-Donna H. Kirschner, PhD.

Thank you to Donna for your post, and thank you for visiting. Be well!

-Andy

Philadelphia Eagles Training Camp will be creeping up on us soon….