Posts Tagged ‘pain’

Viewer Question, Updates on iPad App & New Book

Tuesday, January 18th, 2011

Viewer Question Regarding Anti-inflammatory Medications…

“My doctor recently prescribed an anti-inflammatory for a sprained back. It does seem to take some of the edge off, but I feel like I am just putting a band-aid on the pain, without really helping things to heal. Shouldn’t I be doing physical therapy or something to help get myself out of pain?”
-Jason

Jason, thanks so much for your great question.

It can often feel like pain medications are just, as you put it, a band-aid, but anti-inflammatories are an interesting sub group of pain medications. You see, while drugs like Motrin do reduce pain, they may actually help you to heal faster as well. Sprains and strains of muscles and other tissues result in inflammation which occurs in the form of swelling or edema. What this swelling can do is inhibit blood flow to the areas which are healing, and actually prolong the length of time it may take for you to feel better. While sometimes additional treatment like physical therapy may be helpful, it is important to note that every injury is different- and this may not be right for you. Additionally, some injuries require time to become less acute before implementing more physically intensive approaches. If you have questions or concerns, you should really speak to your physician, and tell them what you are thinking- they should be willing to discuss your treatment options, and the thoughts behind their treatment decisions.

I hope this helps.

Updates…

I have been working furiously to finish up the Back Together iPad application, and it is getting much closer to being finished. The other programmer, Jessie, and I have been going to great lengths to make this a truly great program. Check back here for more updates.

Next week, I will be headed to Miami to do the final shooting for my next book, ‘Back Pain: The One Thing.’ I am really proud of how this is all turning out, and I know you will really love the book.

As everyone embarks upon living up to their new years resolutions, you might have noticed that I haven’t posted a Fitness Challenge update in some time- check back later in the week for the latest news. In the mean time, why not let me know how you are doing with your own fitness goals.

Thanks for stopping by,

Andy

OK- Let’s see how geeky my viewers really are. What’s wrong with this picture?

Tune into Martha, Sirius 112 tomorrow at 10 am.

Monday, October 25th, 2010

Be sure to tune into Sirius 112 tomorrow at 10 am when I will be a guest on Whole Living hosted by Terri Trespecio. If you have not checked ou her show yet, you should definitely give the show a listen. Terri is a great host, and she always has great topics and guests (like me!)

I hope you will tune in, and call with your questions and comments as we discuss ways to make your life more spine friendly.

Thanks for stopping by,

Andy

Fall in Philadelphia

Finding the anatomic bombs in your life- my newest Post on Martha Stewart’s Whole Living Daily Blog

Wednesday, October 20th, 2010

My past several posts on the Whole Living Daily blog have been about ways to make your life more back-friendly. By identifying and eliminating the ‘anatomic bombs’- those lifestyle things which are likely to cause problems, you can significantly decrease your discomfort. Here is the wrap up for those posts, a list of some of the most common ones.

Enjoy!

-Andy

From the Series of 'Doors' by artist, Steve Tobin.

Guest Post: My wife, Donna on living with someone in pain.

Monday, October 18th, 2010

I didn’t really talk about it here, as it was really just too damn painful to talk about at the time, but last week, I finished dealing with a 2 week long stint of kidney stones. This was not the first time I’ve had them, but hopefully will be the last. For those of you who don’t know, kidney stones are about the most painful thing people can feel, and they are truly awful. Donna wanted to share a few insights about her experiences dealing with me while in pain:

Gripping the chair with two blanched knuckles, my husband stops, mid-sentence, to wince in pain.  It’s been nearly a week, and the kidney stones have not let up.  He’s still seeing patients, manages to return phone calls, keep up on his blog, and even stand-up and give a toast at his best friend’s wedding.  Others could be clueless about the stones; the medical student marvels at Andy’s ability to hold it together while in the patient room, for example.

But for all these little heroics, the pain starts to fray him, and all of us, around the edges.  Dealing with the kidney pain leaves him little energy for anything else and cuts his patience short.    Forget the chores and although he wants to find affirmative ways to live in his body, the experience challenges our intimacy.  Who could blame him, really?

Thankfully, the kidney stone passes after a week, but we discover that it’s left a cousin behind.  By the end of the second week, the second stone passes.  Within a day, I start to get back in touch with what an amazing, funny husband I have.  “Andy’s back!” I post on Face Book.  How wonderful.

Luckily, our ordeal was short-lived.  It left me feeling a heightened sympathy not only for those in the Back Together world who live with pain, but for their beleaguered partners and children.  I was too caught up in the experience to think of too many helpful tips this time around.  But I did notice myself involved in a strategies that helped a bit.  First, marveling at my husband’s heroics helped somewhat, (but I also allowed myself a cynical moment or two: “Great, he can keep it together for his patients, but what about the kids?”).  Second, although I remained empathetic, I tried my hardest to not personalize his pain.   Finally, I sought out the sympathetic ear of friends.  This was easy, because everyone knows how trulyawful kidney stones are.  As well, when I complained, I didn’t do it too loudly or too often, so I don’t think that people felt like I sounded like a broken record.

During this little ordeal, I don’t think that I evolved great insights about living with a partner who is in pain.  I simply renewed my sympathies.  I wonder what others out there do or need and I invite those of you whose partners live in pain to share their thought and strategies.

In appreciation,

Donna


Viewer Question re: Inversion Therapy

Wednesday, October 13th, 2010

viewerq

Thanks so much for your question Penny!

Inversion therapy is one of those modalities that becomes more popular from time to time, and for some people it definitely provides some relief.

For those of you who are unfamiliar with inversion, it is basically a procedure where the recipient lays on a table which tilts into an upside down position, causing gravity to provide essentially the same benefits as traction would in a physical therapy office. Take a look at the photo below.

For the right patient, it can provide some relief by stretching the muscles, and enlarging the space in between vertebrae- allowing more room for nerves which may otherwise be being compressed.

For the wrong patient, it can be problematic. First of all, patients with any blood pressure issues, family history of stroke, or other brain issues should avoid inversion therapy altogether, as the increased pressure can increase the likelihood of stroke or even death. People with damaged discs can actually worsen their condition with inversion therapy. Even if you have no known issues such as these, absolutely consult your own physician before trying this or any other new modality.

Again, thank you for your question. Please feel free to submit your questions regarding back and neck pain here to the backwords blog- text or video are welcome.

Best,

Andy

B.T.T.o.D: Regular eye exams can help your back & neck!?!?

Wednesday, October 6th, 2010

I had several visits with a patient who had neck pain which she related to computer use. If you’ve checked out my recent posts on Martha Stewart’s Whole Living Daily, you’ve seen my suggestions on making your home and workspace more back friendly. This patient had taken all of my suggestions, and modified her desk space- altering the height and position of her monitor and keyboard, optimized her chair, etc… and she still had neck pain.

I did not identify any significant mechanical problems with her neck- so I sat her down in front of my computer and had her browse the internet for a few minutes (checking out some of her favorite posts here on BackWords!) Almost immediately, I was able to see what the problem was- she was squinting at the screen, and craning her neck forward to see it better. I quickly asked her when her last eye exam was, and she told me ‘more than 4 years ago.’

She had an eye exam, got her prescription changed, and her neck pain went away.

Get regular eye exams!

-Andy


The One Thing: Adam Vitolo from the Iyengar Institute

Tuesday, October 5th, 2010

adamvitollo

Today, Adam Vitolo from the Iyengar Institute presents his One Thing- on posture.

I spend several hours every week discussing posture with my patients, who are quick to blame pretty much everything else for their back pain. I love it when something as simple as some attention to posture can relieve an individual of their back & neck pain.

Thanks for stopping by,

Andy

Creating your pain-free home: Part 3- your closet.

Monday, September 27th, 2010

I’ve been doing a series of posts on the Martha Stewart Whole Living Daily blog about ways to make your home more ‘back friendly.’ Sometimes by simply rearranging a few things you can go a long way from preventing your home from causing or exacerbating back pain. The first two posts were on addressing the ergonomics of your kitchen and desk. This week’s post deals with your closet.

Do you have any thoughts or experiences with ‘anatomic bombs’ in your home? Please share them here.

Thanks for stopping by,

Andy

Fibromyalgia Part 4: Some thoughts on exercise.

Monday, August 30th, 2010

One of the most complicated aspects of managing the symptoms of fibromyalgia is integrating exercise into your daily routine. On the one hand, cardiovascular exercise has multiple health benefits which are largely understood, and regular movement has been shown to help reduce the symptoms of fibromyalgia. On the other hand, if you try to exercise and overdo it even a little, you find that your FMS symptoms are way worse than they were before.

Here are some suggestions for integrating exercise into your life without exacerbating your FMS symptoms:

-If you have not been exercising, start off slowly. A short walk. A light jog or swim. Resist the temptation to go full out.

-If you use weights, be sure to go lighter weights with a moderate amount of reps. The conventional wisdom is that higher weights and low reps build muscle, and high reps with lower weights for tone. FMS presents a special set of issues, so go with lighter weights and fewer reps- but more sets spread throughout the day (This is easy if you have a few lighter dumbells in your home.)

-As always, hydration is key. Water before, during, and after your exercise will help to keep the myofascial layers (where the trigger points associated with fibromyalgia live) good and lubricated.

-For FMS, I love water based exercise. It reduces stress and impact, and is generally more gentle than land based exercise. Water walking, water aerobics, a light swim- these are all great choices.

-Take a few minutes, several times a day to gently stretch your large muscle groups. Non-ballistic (NO BOUNCING) stretches will help decrease the sensitivity of trigger points, and keep you more comfortable.

What are your experiences with FMS and exercise? What has helped? What has made things worse? Please share your thoughts here on the blog.

Thanks for visiting- see you soon.

-Andy

The Royal Albert Hall, Kensington.

Live From Fire Island: Fibromyalgia Part 3

Monday, August 23rd, 2010

fibro3fireisland

The next part in my short series on fibromyalgia syndrome. This one focuses on some common misconceptions about fibromyalgia, and then discusses one of the first things you can do to help get your symptoms under control.

Thanks for all of your kind comments and suggestions. I look forward to seeing you soon.

Be well!

-Andy