What Can I Do To Prevent Low Back Pain?

What Can I Do To Prevent Low Back Pain?
One important concept in spine care is making the patient an active participant in their rehabilitation. It’s important to change our sedentary lifestyles so that we not only get well, but also do things that prevent problems from occurring in the first place. But first, it is important to understand how back injuries occur. When we bend and twist and pick up things, tremendous forces are placed on the disks and ligaments of the spine. It’s important for muscles to be coordinated and flexible so you have maximum strength to resist.

Hopefully you’ve begun an exercise program. One of the more neglected areas of daily spinal hygiene is stretching. By stretching the muscles that move the bones and joints, we make them more flexible. This can make you more resilient at resisting heavy or awkward loads.

The important thing is to do stretches correctly. In general, you want to be warm when you stretch. If you’re not too warm, then proceed slowly, gradually bringing more circulation to the area. After a long walk is a good time to stretch. You can also do stretches throughout the day, even in your office chair. Simple hand and shoulder stretches can be done at the computer, and can help to release tension in the shoulders and wrists.

It’s helpful to hold the stretch for at least 40 seconds so that the muscles have a chance to respond and elongate, and do not bounce, or move in a quick or rapid way.

If you have a back or other joint injury, it’s important that certain stretches are avoided, because they can further increase the stretch on ligaments. For example, you may not be able to touch your toes right now, but there are better ways to gain this flexibility than through toe-touching stretches. This is because bending forward can also aggravate a lower back condition. Instead you can bring the leg up to stretch the back of the thigh by placing the foot on a chair or table (acting as ballet bar). By keeping the low back in good upright posture, the back of the thigh is stretched while also lowering the stress on the spinal disks.

The Problem of a Low Back Problem

The Problem of a Low Back Problem
If you watch much television or have paid a visit recently to a family medical doctor for low back pain, the information you’re getting may be a flawed. For example, you’ve probably been told that back problems are not very serious and that the problem is quickly cured with simple treatments, such as going back to work or taking an aspirin. One commercial recently aired, shows a patient bent-over in a stuck position, who is apparently cured by taking two aspirin. These advertisements convey the message that back problems are trivial and that cures come in a bottle.

The reality is far different. Few studies show that taking pills does any good at all. More importantly, they tend to mask mechanical problems of the back that need mechanical types of treatments. Most back pains are problems of the spinal joints, either moving too little (fixation dysfunction), or too much (instability). These small problems grow bigger when you consider the spine is the lifeline of good posture. You really can’t do very much with a bad back. You may not be able to work, play, or even sit for longer than fifteen minutes. This can have far reaching consequences for everyday life and its enjoyment.

Treating these minor aches and pains as signals of something wrong that needs to be properly diagnosed and corrected is the best way to manage this type of injury. When these problems are ignored or improperly treated, it’s only a matter of time before the minor sprain turns into a disk protrusion, and eventual degeneration or arthritis. With arthritis there will be substantial limits on the function of the low back. With lack of function comes reduced quality of life.

I specialize in the mechanical treatment of these painful spinal conditions. My treatments involve spinal adjustments, which are designed to correct the misalignments of your low back vertebrae, and improve the range of motion of the individual spinal joints. When joints are functioning normally, the nervous system will be less irritated. Your back muscles will become more relaxed and less painful if the joint is not irritated through improper position or excessive motion.

A comprehensive examination is the only way to determine if chiropractic treatment will be right for your particular spinal problem. I can also provide advice on how to minimize recurrences and prevent future flare-ups. By addressing problems when they’re small, future disability may be avoided.

Low Back Pain: Getting Back Your Balance

Low Back Pain: Getting Back Your Balance
Our sense of balance comes from a few different areas of the body. The inner ear gives us input on the position of our head and whether we are moving. This is combined with input from the eyes, which gives similar information. Most people think this is where it ends, but the spine is also integral to maintaining proper balance.

Tiny nerve endings in the spinal column send information about position and movement up the spinal cord and into our brains where it is integrated with information from the ears and eyes. A person can become imbalanced through disease in any of these areas: eyes, ears, and spine. Inner ear infections, but also head and neck trauma, can dislodge tiny particles in the inner ear that give us balance feedback. The spine can also be primarily injured through traumas to ligaments and muscles. In addition to neck trauma, patients with low back trauma can also have their balance affected.

Patients with chronic low back pain tend to have more sway to their posture, which means there is less margin for error if one trips or misses a step. There is also reduced response time, which is needed for unexpected events. Part of the rehabilitation of chronic low back pain involves getting back the sense of balance if it has been affected.

You may find when your postural muscles are strengthened, back pain is reduced. Even more important than this, strengthened postural muscles can help prevent falls, which occur more frequently when your sense of balance is affected by disease.

Can you stand on one leg for five seconds or twenty? Have you fallen or had a few near misses in the past month? Have you broken a bone due to a fall?

We can diagnose why you may be suffering from balance problems and low back pain. A home exercise and balance program can be prescribed to make sure your spinal muscles and joints give proper input into the brain.  You’ll probably start by standing on one leg, if you can do that, and then progress slowly through more challenging postures, such as bending your knee, or moving one leg around. It’s important that a doctor evaluate you before commencing with balance treatments. You do not want to fall during your exercises.

Low Back Pain: Fix the Problem First and You Won't Need to Worry about the Pain

Low Back Pain: Fix the Problem First and You Won't Need to Worry about the Pain
It’s gotten a bit confusing how we sometimes look at our health. When pain strikes the low back we usually think we just got a new problem or injury. But why then was coughing, shaving, or doing the laundry, so different this time? These are things we do everyday. Rarely is a new episode of low back pain brought on by a well-defined injury or trauma. Trauma in most cases is usually quite trivial. We confuse pain as a signal for something that is physically changing each time.

So what is the problem? The problem is joint sprain or subluxation. This is a ligament problem and occurs with small micro traumas over many years, or sometimes with acute events such as car accidents or falls. Over time the ligaments stretch, causing the joints and vertebrae to displace, irritating the delicate nerve fibers. But over a few days or weeks, the pain that accompanies this injury gradually lessens, and in many cases goes away all on its own. But has the problem also gone away? Likely not, because when ligaments are traumatized, the repair mechanism involves scar tissue, which is less elastic than the original, and makes the joint vulnerable to re-injury and sometimes impairs the free and symmetrical motion of the spine. The doctor of chiropractic examines for this type of joint sprain using palpation for tenderness and edema, and x-rays to see the directions the vertebrae have moved towards. These specific analyses can tell us the vulnerable directions and how the vertebrae need to be repositioned to promote good alignment and good posture.

The adjustment is designed to reduce this misalignment, and induce more symmetric motion. When movements are asymmetrical in the spine, they can lead to premature degeneration of the spine and arthritis. This may be why a simple task such as lifting a laundry basket can flare up the back so easily. You may be lifting with good form and posture but with an asymmetrical spine, the loading is very off balance. Sometimes the disks are so damaged that a simple sneeze is enough to cause excruciating pain. So when these trivial events seem to trip you up, it means there is an underlying problem that is not getting corrected.

Low Back Problems and Their Cause

Low Back Problems and Their Cause
Low back pain, for many of us, is somewhat of a middle age problem. Lots of sufferers begin to seek chiropractic care in their 30’s and 40’s and wonder how it all happened. Perhaps it was a sneeze, a long drive, or gardening in the yard that set the pain off. But you were always able to do these things before without so much as a chirp from your low back. And now things are different.

So how come your back seems so weak, when it was so strong before? What changed? Not much in fact. The reality is that back problems begin during our youth. With advances in MRI technology we can study changes in the disks of the back to see when these injuries first occur. Spinal degeneration begins to occur at age 10, provided some trauma has occurred, such as from competitive sports or simply goofing off as a child. Rarely is significant pain involved and the child seems to shake off the injury with little future consequence. But having back pain is not the same as a having a back problem, such as a sprain of the disk. When the pain subsides, it does not always mean that symmetrical motion of the joint is restored and the vertebrae are now back in their normal position…but the pain may be much less.

Our bodies have a tremendous capacity to heal on their own without any type of doctor helping out. Mother Nature and innate intelligence is the best doctor, but sometimes recovery and return to full and optimum health is incomplete.

Over time the effects of gravity and daily stresses, cause the joint to become more injured until something as simple as making the bed causes excruciating pain. But was it really the bed making? Probably not because this is something you’ve done every day of your life. A thorough examination by a doctor of chiropractic prior to the onset of pain could have perhaps discovered one of these “silent” injuries. But most people wait until the pain happens before seeking help.

It’s important to be checked after a trauma, even in young children. Properly diagnosing the extent of injury is the first step to getting you the care you may need. The pain often goes away quickly and we often think the problem has also completely healed.

Getting regular check ups to make sure the motions of your spine are fluid and symmetrical is one potential way to avoid bigger problems down the road. Your doctor of chiropractic can also advise you on preventive strategies to minimize the risk of injury, such as proper lifting techniques.

Low Back Pain vs. A Low Back Problem: Is There A Difference?

Your “back pain” might be a misnomer. We often confuse pain for a problem. Doctors often don’t help matters by not doing thorough examinations, and just offering a prescription of pain pills or anti-inflammatory drugs when the patient comes in with a complaint of pain.

So what is the difference? The pain is part of the problem you are experiencing, but it is not the actual cause-the problem that is producing the pain. If you say you have back pain to a doctor, this should be the starting point for a complete examination to determine its cause. Is it a problem with the disk (a cartilage ligament that separates the vertebrae)? Is the problem more a muscle strain? Do the joints of the spine move in a free and symmetrical pattern?

Have you been examined this way? Was your spine moved around in different planes? Did the doctor poke and press on different tissues of the spine to see if there was swelling (inflammation) or tenderness? Were x-rays taken to see if there was normal alignment and good posture of your spine?

All of these tests help to determine the actual nature of the problem. It’s not enough to just call the pain the problem and leave it at that. Sadly, this happens to far too many patients who are left thinking that if they just take something to cover up the pain, it makes the problem go away.

Our clinic is different, we examine to find the cause of your pain, and then provide a treatment plan that can get you back to enjoying your activities with maximum function. If your pain is gone but you still cannot use your back like you used to, then you might want to consider an alternative approach.

Of course, taking pain pills for long periods of time can also lead to undesired side effects such as stomach bleeding. We are very conditioned in society to accept pills as the source of health and longevity. For many patients they are critical to regaining health, but too often they are used as a panacea, especially when it comes to back pain. You should ask questions about a doctor’s approach to getting you well, and whether this fits with your philosophy and preferences.

Low Back Pain and Work Injuries

About 1/3 of patients with low back pain will consult a doctor of chiropractic. People who injure their low back on the job also often consult a chiropractor. One study (J Occup Environ med 2007;49:1124;Wasiak R, Kim J, Pransky GS) looked at these on-the-job injuries and how chiropractic care was used. In this report from Massachusetts, about 89% of workers initiated chiropractic care within 30 days of the injury and about half (48%) were done with their care in the same time frame.

At work and during lifting the lower spine and disks are especially vulnerable to injury. Heavy loads or simply awkward or stooped positions can be risks and should be avoided. Of interest, more people tend to injure their back in the first two hours of a work shift. This may be because the disks swell up with water during sleep and are more pressurized first thing in the morning. Or perhaps we’re not as attentive to lifting with good form, first thing in the morning.

If you’ve suffered a back injury it’s important to get checked soon so that you have the best chance for getting back on the job quickly. Bed rest and staying inactive are usually not healthy options for treating the low back. Inactivity can make back sprains worse by causing the muscles to weaken. Walking keeps pressure off of the disks and keeps the muscles engaged. If walking aggravates your pain, then it has to be avoided in the short term. Of course lifting following a back injury has to be limited. It’s important to lift with your legs and to avoid twisting motions.

Chiropractic adjustments are designed to improve the mobility of the spinal joints, improve posture and decrease tension on the delicate ligaments and nerves. In many studies chiropractic care has exceeded the results seen with conventional medical treatments such as medications or surgery.

When a back injury occurs, commonly the vertebrae move out of their normal position from the stretch of the supporting ligaments. Simply leaving the ligaments in this stretched-out position may not be healthful in the long run. Since the ligaments are injured, the vertebral joints tend to move abnormally. This is called a mechanical back problem and is one of the most common diseases of the lumbar spine.