My latest post on the Martha Stewart Whole Living Daily blog.
I am working on some posts from Montego Bay Jamaica- look for them to start tomorrow.
Thanks for visiting!
-Andy

My latest post on the Martha Stewart Whole Living Daily blog.
I am working on some posts from Montego Bay Jamaica- look for them to start tomorrow.
Thanks for visiting!
-Andy

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
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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.
Thanks for visiting,
-Andy
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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.
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


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!
(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
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.
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
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
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
