Posts Tagged ‘back’

Viewer Question: How much rest should I give my back?

Monday, May 24th, 2010

Here is a viewer question I received over the weekend:

“I woke up a few days ago, and when I got out of bed, I felt something ‘pop’ in my lower back. As soon as I stepped onto the floor, I knew I was in trouble. I had excruciating pain just over my left hip, radiating into the middle of my back.

I saw my GP that evening, and he prescribed something called a Medrol pack, and told me to take it easy for a few days. The medicine has definitely taken the edge off, but it really hasn’t gone away. It feels a little better after I walk around for a while, but I am afraid of overdoing it. How long should I rest it?”

-Stephen

First Stephen- I am sorry you are in so much discomfort, and second, thank you for your question.

That your physician gave you a Medrol Dose Pack suggests to me that you are in a considerable amount of pain. The Dose Pack is a tapering dose of steroids which helps to rapidly reduce inflammation. Now, I haven’t examined you myself, but judging by your description, your pain may be coming from your lumbar spine or your sacroiliac joint. The fact that you feel relief after taking a short walk supports this.

Assuming you have no other issues going on, you should feel slow improvement over the next several days.

As for how long you rest it, that largely varies from person to person. General rule holds true here- if you rest, you rust. Sure you need to give it a couple of days to calm it down, but after that initial acute phase, it is almost always in your best interest to slowly increase your activity levels as tolerated. Reintroduce your daily activities and exercises in a slow, progressive manner, and back off the ones that cause you pain. Your body needs to move, and remaining too sedentary will only cause you to stiffen up, and lose muscle tone. If you continue to feel discomfort ALWAYS follow up with your physician. Remember, your doctor isn’t going to come to you, so even if they’ve seen you- get re-evauated if your pain persists.

I hope this helps Stephen, and again, thank you for your excellent question!

Best,

Andy

Why do you still have back pain?

Monday, April 5th, 2010

Today, I answer one of the most frequently asked questions in my practice: After all of the treatments, adjustments, therapy- why am I still in pain?

Some helpful tips follow the video. Enjoy!

WhyIstillhavepain

Here are some things to pay attention to in your spine lifestyle. Addressing these few things may go a long way towards helping you to find relief. Take a look at these:

1) Make sure your workspace is as ergonomically optimized as possible. Good chair, good organization of work related materials, etc…

2) Get regular sleep. Optimize your sleep environment- supportive mattress, dark room, quiet. Don’t consume caffeine within several hours of your bedtime.

3) Get regular exercise, and exercise properly- maintaining an optimal body composition will help take the strain off of your back. Good form will ensure that you are working the correct muscle groups, and prevent you from harming yourself further.

4) Minimize the weight of the items you carry with your. Dump out the contents of your purse or briefcase and get rid of everything you don’t really need.

5) Make sure your car is as spine friendly as possible; Adjust seating and controls for easy, unstrained reach. Add a lumbar support (a rolled up t-shirt will do.) Set your mirrors so you aren’t cocking your head one way or another.

6) Consume plenty of water daily. This helps to eliminate cellular waste from your system, and allows you to heal and function more efficiently. Take a few minutes, several times a day to do some relaxing, restorative deep breathing exercises.

7) And as always, use a headset while you are on the phone- Cradling your phone between your ear & shoulder is one sure way to wreck your neck!

A good place to start is to pay attention to those areas where you spend the most time. Invite your partner to pay attention as well- sometimes an objective second party set of eyes will notice things you will not.

Be well!

-Andy

Victoria & Albert Museum, Kensington, London

Victoria & Albert Museum, Kensington, London

Genetic Link to Pain Tolerance- Why does your back hurt more than theirs??

Monday, March 22nd, 2010

If you have been dealing with back pain, have you ever spoken with someone who has a similar condition? If you have met with people with similar spinal issues, you may have noticed that many people experience pain in different ways, and that different folks have different pain tolerances.

An article in the Proceedings of the National Academy of Sciences describes a gene which has been identified as SCN9A which plays a role in how you tolerate pain. Researchers found this gene was ‘underrepresented’ in patients suffering from rare conditions where patients don’t sense pain, and that it was over active in patients who had hypersensitivity to pain.

Now this news is probably not real comfort to you if you are hurting at this very moment. But clearly, there need to be other factors which can influence how you experience pain, otherwise you wouldn’t have ‘good days’ and ‘bad days.’

Here are just a few thoughts on getting more ‘better days.’…

-If you stick around this blog long enough, you will know what a big role I feel psychology has in how you feel. More and more studies cite the importance of the mind-body connection. Knowing this, take a few minutes out of each day to improve your psychology- this can come from meditation, a hobby, reading- doesn’t matter what- JUST DO IT!

-Regular exercise will keep your body ‘lubricated’ and as close to peak as possible. Take a few moments out of your day to work on your fitness.

-Maximize the quality of your sleep. Good sleep gives your body a chance to recharge and recuperate- both physically and mentally.

-Give yourself time for good social interactions- both with your partner/spouse and with friends. These interactions help solidify your feelings of worth and participation in community- key positive emotions.

These are just a sampling of the things you can do. Check back here often for more tips, and if you have specific questions or comments about your personal situation send ‘em in- as always, your contributions are what keep this place interesting!

Be well!

-Andy

My father & I with the late, great Oscar Peterson- the greatest jazz pianist ever.

My father & I with the late, great Oscar Peterson- the greatest jazz pianist ever.

Fitness Challenge update, viewer letters….

Friday, March 12th, 2010

Fitness Challenge Update:

It looks like there are quite a few of us who are living up to our New Years resolutions!

When I was on my trip last week, I didn’t follow my diet as well as I could have, but there was tons & tons of additional walking involved, and the net effect was that I lost another 2 pounds- this brings my total loss to 9 pounds since starting. Not bad!!!

Now, this week I have all kinds of stress, my timing is all messed up, and I am jetlagged- so I am pretty sure my exercise will be a little off this week. Need to find some way to either compensate with added activity near the end of the week, or limiting my calories this week. I think I will go with plan A.

I have been getting regular updates from folks, and you should all be proud!!! Those of you watching from the sidelines who have a few pounds to shed- it’s not too late to join us.

Viewer Letters:

Last week I got a bunch of letters from folks. A couple of them caught my eye:

“Andy- My husband and I have been working on our weight together since you started your challenge. We’ve both been losing weight, and feeling the difference. It makes such a difference to be doing it along with you and your other readers- that we aren’t doing it alone…Sandra”

Sandra- thanks for the letter. You touched upon exactly the reason I embarked upon this quest in public in the first place- it is always easier when you aren’t going it alone. That is also the reason I have been pushing my partner-based approach to back and neck pain: having someone there to motivate you can make such a difference.

“We got your book as part of an engagement present, and we’ve been using it for about 3 months. All I can say is THANK YOU! This is the first book I have read which makes me feel like I am in control of my body. Mark and I do the techniques together a few times a week, and we really feel the results. The (psychological strategies) really help too. We just ordered your DVD program…Jen”

I am so glad to be able to help you both. I wasn’t clear from your letter if it is you, Mark, or both of you feeling pain- but I hope you continue to get the benefits. You will LOVE the DVD program.

Thanks for visiting,

-Andy

A Baptism at the Holy site at Yardenite, on the Jordan River.

A Baptism at the Holy site at Yardenite, on the Jordan River.

Viewer responses to yesterdays’ B.T.T.O.D…Why we are all here.

Tuesday, January 12th, 2010

A quick note about the sleep tip from yesterday….

So last night I was deluged with emails (ok- I got eight about the sleep tip from yesterday, and then four more about the study linking smoking to back pain.)

I know that in the early 21st century, there are lots of people who simply are not getting sufficient sleep, and I also know that there are myriad reasons why folks aren’t getting enough sleep. I also know that there are plenty of folks who smoke, and that most of them have all kinds of reasons  (excuses) why they still smoke. When I make a suggestion like the one about sleep, or I cite a study about something- I AM NOT BEING ACCUSATORY!

When I set up my website & blog, I set out to provide the best information on back pain that I can in an effort to improve the quality of life of people who have back pain. When I find an article which I think provides useful, helpful knowledge- I’m going to pass it along. One of the emails I got was from someone who I know personally, who was convinced that I posted the smoking article in order to make a dig at them. I received an email from a mother of 2 who related the following;

“I have 2 small children and work full time. I leave the house at 7AM to get my children to child care and I usually don’t get home until after 7PM, when I prepare dinner for my husband, clean the house, pay bills, or do whatever else I need to do which can’t get done during the day. I have back pain pretty much every day. I’ve been told to get regular exercise, lose weight (all) of the things doctors are supposed to be telling me to do in an effort to lose weight. Now you are telling me I need to get sleep? I feel lost. You seem to have all the answers- what should I do?”

Anyone who knows me, knows that I take pretty much everything personally- so you can imagine how I must have felt when I read this. But, anyone who knows me ALSO knows that I never tell anyone that I have all the answers.

If I post something that is counter to your experience, beliefs, or capabilities- please do not take it as a personal affront. I really want to see this site develop as a forum, as a dialogue  -between us, in an effort to better understand the nature of back and neck pain, and then learn productive ways to get relief, and keep it from coming back.

To the woman I quote above- I don’t have all of the answers. What I hope is that you will stick around here long enough to find some of the gems posted here by me and some of my colleagues- and that they will help you to find relief. Not everything I post here will apply to everybody- but some of it will eventually apply to you.

Hope to hear from you soon!

-Andy

Pelican in Haulover Park.

Pelican in Haulover Park.

Coming January 1st, 2010: Daily back pain tips via Twitter.

Tuesday, December 22nd, 2009

As you may already know, I believe that most back pain is the result of lots of cumulative effects of lots of factors; your exercise regimen, your home & workplace ergonomics, drive times, etc…As such, beginning January 1st, I will be posting a daily back pain tip Monday-Friday, and these will be re-distributed each day via Twitter- offering a series of positive cumulative effects to help you avoid or relieve back pain. I know you will find something helpful!

If you have a tip which you would like to share, please send it along- I will give you full writing credit and thanks for your contribution,  add it to the series, and allow YOU to help others to find relief. I cannot wait to hear your ideas.

All my best,

Andy.

Next stop: Miami.

Next stop: Miami.