Chronic Back Pain

I had been to three different physicians. The car accident in 1990 had left me with terrible back pain. The only option offered to me was prescription medication. For three years I lived with chronic pain - 24 hours a day, 7 days a week.

The prescription drugs helped relieve some of the discomfort, but I had to stop taking them when I began getting sick to my stomach - which was often worse than the pain itself. Time and again I thought, "This can't be the only choice. There must be another alternative."

It wasn't until 3 years later that I heard about magnetic therapy from a friend, and decided to try it. With nothing to lose, I used a magnetic pad on my back during the day and slept on a magnetic mattress pad every night. Much to my surprise, after two weeks my back felt much better. After a few months, the pain was completely gone!

My wife, who had a back problem caused by herniated disks, woke up every morning with pain and stiffness. Not long after sleeping on the magnetic pad, the stiffness began to subside, and she was soon waking up pain-free as well.

Although skeptical at first, I was amazed at the effectiveness of magnetic therapy, and began to intensely investigate the field of biomagnetics. Since my initial experience, I have had the pleasure of helping many people achieve similar results, enhancing the quality of life of those suffering from chronic conditions and injuries.

Now I'd like to take the opportunity to help those of you who may be suffering from chronic back pain, and to tell you how to better prevent it.

Back pain is the number one form of pain experienced by people in the U.S. It accounts for 20% of all injuries and illnesses in the workplace, and is responsible for as much as $50 billion in diagnosis and treatment each year [1]. The National Institutes of Health estimate that 4 out of 5 Americans will experience back pain at some point in their lives. Not a pretty picture from any standpoint.

The majority of back pain occurs in the lumbar region of the spine [2]. Here, most of your body's weight is placed on the lowest 5 of the 24 vertebrae (bones) that make up the spine. Considering all the other muscles, tendons, ligaments, joints, disks, and major nerves that are also a part of or connected to the spine, it's no surprise that there are so many ways to injure your back as you twist and bend them [3].

Pain is considered chronic if it's recurring, lasts more than three months, and can seemingly be stimulated by any small movement (for whatever reason) [4]. In the 21st century, we're finally realizing that drugs and surgery are not always the answer for treating chronic pain or other musculoskeletal conditions & injuries.

The future lies in an integrative approach to promoting the body's own healing ability by using noninvasive, safer treatments. Acupuncture, massage therapy, chiropractic and osteopathic care, and certain physical therapy exercises are just a few options to help with back pain.

Following an individualistic approach to treatment is key. A particular therapy that may work for one person may not work as well for another. Often it's necessary to try a combination of treatment methods to begin feeling significant improvements.

For true recovery of back injuries and disease, pain and inflammation need to be reduced, proper function and strength restored, and further injury prevented [4]. With this in mind, let's discuss how magnetic therapy can help.

One of the primary benefits of magnetic therapy is the reduction of inflammation. Localized inflammation following an injury is a natural protective reaction. It creates an imbalance in sodium and potassium ion (charged particle) concentrations at a cellular level. As a result, fluid accumulates in the cells, causing the injured tissue to become inflamed. (Think of it as retaining water after eating salty food.)

If there's no intervention, the body will eventually heal itself and the inflammation will subside. However, this process can be very slow and painful. Because of this, treatments that can safely speed the overall process are needed, particularly in the case of chronic conditions like arthritis.

Applying a bio-north magnetic field safely rebalances electrochemical ion concentrations. Excess fluids and toxins are flushed from the cells and removed through the lymphatic system. As a result, healing time is often reduced by as much as 50%.

Since major nerve bundles run through the spine, it's obvious why back pain is so common. Pain is caused by an electrochemical signal sent to the brain. The normal electric potential of a neuron (nerve cell) is around 70mV when in a resting state. When injured, a neuron's charge becomes positive due to a shift in chemical ion balances. This triggers a pain signal to be sent to the brain.

Applying a bio-north (negative polarity) magnetic field lowers a neuron's electric potential, bringing it closer to its normal, negative state. As a result, the pain signal diminishes faster, and in most cases, will eventually stop.

Another important goal when recovering from back injuries is restoring mobility. Magnetic therapy helps relax muscle tissue, thereby increasing flexibility and reducing the incidence of muscle spasms.

About four years ago, researchers in Italy tested the effects of a magnetic seating system on several volunteers. Each person participated by either driving or remaining seated at a computer workstation for prolonged periods, both with and without the magnetic system.

"The results showed a decreased myoelectric (neuron) activity both at shoulder and lumbar level by using the magnet based sitting system for prolonged seated work tasks...The system appears to be an effective tool in preventing muscle contractures secondary to prolonged, constrained positions" [5].

Because it can be so difficult and painful to move, many people feel they need to rest for a few days after injuring their back. But did you know that bed rest should really be minimized or avoided? According to David Lehrman, M.D. (chief of orthopedic surgery at St. Francis Hospital and founder of the Lehrman Back Center in Miami, FL), "for every week of bed rest, it takes two weeks to rehabilitate" [3].

A 1995 study in Helsinki, Finland found that out of 186 subjects, those who went about their daily activities as tolerated had greater flexibility and less pain than those who underwent backmobilizing exercises. The *slowest* recovery was seen in subjects that were prescribed two days of bed rest [6].

While an interesting fact, it's one that some of us may grumble about. Bear in mind we still have to sleep and give our bodies a chance to heal and recuperate. As I found out years ago, sleeping on the proper magnetic mattress pad will help speed the healing process and can significantly reduce chronic pain over time.

Back in 1990, a 12month clinical test on the effects of magnetic mattress pads was conducted in Tokyo, Japan. The study, led by Dr. Kazuo Shimodaira, involved 431 subjects. 375 of them received full-sized magnetic pads and the remaining subjects received sham mattress pads for control. (Each magnetic pad contained 124 permanent ferrite magnets with field strengths of 750950 Gauss.)

Here are the results of the yearlong test:

On average, 53.3% of the subjects realized the effect of the magnetic mattress pad within 3 days, and over 70% within 5 days. What's more is that thorough testing for side effects was conducted and none were found [7].

(Note: The magnetic mattress pads used in this study did not produce very strong magnetic fields. As stronger magnetic fields are more effective, a higher energy pad would improve results even further.)

Supporting these findings, a 1997 Johns Hopkins pain center treatment study compared magnetic therapy for chronic pain with a placebo therapy. It concluded that people using the magnetic therapy showed a dramatic improvement, whereas the placebo group improved only minimally. Again, there were no side effects detected [8].

Since the vast majority of adults are not in "ideal" physical condition, the risk of back injury for them is greatly increased.

If you're out of shape and are planning an activity that requires lifting, bending or twisting, it's a good idea to take steps that can help prevent injury in the first place. Magnetic therapy is an excellent way of accomplishing this.

There are three primary actions that take place when using magnetic therapy for prevention. The first two are its ability to increase circulation and to relax muscles. The effects are similar to warming up and stretching before a strenuous workout. It's really the third action that sets magnetic therapy apart from anything else though. Magnetic therapy can effectively control energy flow along the body's acupuncture meridians (energy channels).

Placing a magnetic pad or support over an area channels the body's energy directly to that location. Increased energy availability, combined with improved circulation, significantly extends the amount of time that one can exert themselves before muscle fatigue sets in. In turn, this reduces the likelihood of muscle strain.

The combination of improving blood flow, relieving muscle tension, and reducing pain makes magnetic therapy ideal for treating back conditions and preventing further injury. While effective on its own, magnetic therapy is also an excellent adjunct to other treatments. Whether chiropractic, acupuncture, therapeutic massage, or another method, it can help improve and prolong a treatment's positive results.

The next time you're out and about, make use of a high-energy magnetic support or back pad. It's a simple and effective way to continue through the day with less pain and a greater range of motion. Trust me. Your back will thank you!

SOURCES:

1 Centers for Disease Control - National Institute for Occupational Safety and Health, June 19, 1999.

2 Pain Central: What Causes Back Pain?

3 Pain Foundation: Back Pain

4 National Institute of Neurological Disorders and Stroke: Low Back Pain Fact Sheet

5 PubMed: Efficacy of a chair with magnets in the prevention of musculoskeletal disorders caused by prolonged sitting.

6 PubMed: The treatment of acute low back pain - bed rest, exercises, or ordinary activity?

7 Summary of a 12month double-blind, clinical test of magnetic mattress pads. Kazuo Shimodaira, M.D. Tokyo Communications and Kouseikai Suzuki Hospitals, Tokyo, Japan. 1990.

8 "Use of magnetic therapy for chronic pain" by Joseph Kandel, M.D. and David B. Sudderth, M.D. The Arthritis Solution.

TIPS & GUIDELINES FOR A HEALTHIER BACK

The National Institutes of Health provides guidelines for maintaining a healthier back. Following these and a few other tips will greatly increase your chances of preventing further injury while strengthening your back muscles.

When Standing:

o Keep your weight balanced on your feet. Your back supports weight most easily when curvature is reduced.

o Don't slouch when standing or sitting. (Keep your hands lightly clasped behind your lower back. This improves posture for your neck, shoulders and upper back, and reduces muscle tension.)

o Wear comfortable, low-heeled shoes.

When sitting:

o Make sure your work surface is at a comfortable height for you.

o Sit in a chair with good lumbar support and proper position/height for the task. (Use a pillow, rolled towel, or lumbar cushion if needed.)

o Switch sitting positions often and periodically take a short walk or light stretch to relieve tension and restore blood circulation.

o If you must sit for a long period of time, rest your feet on a low stool or a stack of books.

When lifting:

o Don't try to lift objects too heavy for you!

o Pull in your stomach muscles, keep your head down and in line with your straight back, and lift with your legs.

o Keep the object close to your body.

o Do not twist when lifting.

o Do not carry an object in one hand if it causes you to lean to one side. (Use both hands, or carry an additional item to balance the load.)

Exercise:

o Always warm-up and stretch before exercise or other strenuous activity.

o Following a prolonged period of inactivity, begin a program of regular lowimpact exercises. (Ask a physician or orthopedist for recommended exercises appropriate for your age and requirements.)

o Speed walking, swimming, or stationary bike riding for 30 minutes a day can increase muscle strength and flexibility.

o Yoga or Tai Chi can help stretch and strengthen muscles, and improve posture.

Everyday habits:

o Maintain proper nutrition and diet to reduce and prevent excessive weight (especially around the waist area).

o If you smoke, quit. Smoking reduces blood flow to the lower spine and causes spinal disks to degenerate.

Therion Research

Your source for magnetic therapy news, research, and natural pain relief

Bruce Spiegler is a registered magnetic therapist and holistic health practitioner. He can be reached at TherionResearch.com - A provider of safe, natural magnetic therapy solutions for chronic pain management, sport?s injuries, sleep disorders, and natural healing.

What Is Causing My Back Pain ?

Lower back pain is one of the leading reasons people in the United States visit their doctors. It will inhibit the lives of millions of Americans this year. In fact, an average four out of five adults will experience low back pain at some point in their lives. So the question, "What is causing my lower back pain?" is not uncommon.

Lower back pain can be excruciating. It can be caused by a large variety of injuries or conditions, such as:

* lower back muscles may be strained

* discs between the vertebrae may be injured

* large nerve roots extending to arms and legs may be irritated

* smaller nerves that supply the lower back spine may be irritated

* joints, ligaments, or even bones may be injured

When lower back pain occurs with other symptoms such as fever and chills, a serious medical condition may be present. You should see a doctor immediately.

Three categories of lower back pain

Your lower back pain will fall into one of three categories, which your doctor bases on your description of the pain.

1. Axial lower back pain - mechanical or simple back pain

2. Radicular lower back pain - sciatica

3. Lower back pain with referred pain

1. Axial Lower Back Pain

Axial lower back pain is the most common of the three. It is felt only in the lower back area with no pain radiating to other parts of the body. It is sometimes called mechanical back pain or simple back pain.

* Description: Axial lower back pain can vary greatly. It may be sharp or dull, constant or intermittent. On a scale of 1 to 10, you may rate its intensity #1 or a full #10. It may increase with certain activity - when playing tennis, for example. It may worsen in certain positions - such as sitting at a desk. It may or may not be relieved by rest.

* Diagnosis: Axial lower back pain might be diagnosed by you rather than your physician. You know it started when you were helping a friend move a heavy couch. On the other hand, it may be your doctor who determines that you have strained or otherwise damaged back muscles, have a degenerated disc, etc.

* Treatment: The cause of your axial lower back pain does not matter when it comes to treatment. You will want to rest for a day or two. Follow this by gentle back pain exercises and stretching. If you have more pain after exercise, use a heating pad on low or medium setting. Take an appropriate over-the-counter pain medication. Follow your doctor's advice.

* Prognosis: Symptoms of axial lower back pain disappear with time, and about 90% of patients recover within four to six weeks. If you do not feel better within six to eight weeks, additional testing and/or injections may be needed to diagnose and treat the source of the pain.

* Caution: If your pain is chronic, or so severe that it awakens you during the night, see your doctor.

2. Radicular Lower Back Pain

Radicular lower back pain is commonly referred to as sciatica. It is felt in the lower back area, thighs, and legs.

* Description: Radicular lower back pain often begins in the lower back, and then follows a specific nerve path into the thighs and legs. Your leg pain may be much worse than your back pain. It is often deep and steady. It may readily be reproduced with certain activities and positions, such as sitting or walking.

* Diagnosis: Radicular lower back pain is caused by compression of the lower spinal nerve. The most common cause is a herniated disc with compression of the nerve. Other causes might be diabetes or injury to the nerve root. If you had previous back surgery, scar tissue may be affecting the nerve root. Elderly adults may have a narrowing of the hole through which the spinal nerve exits.

* Treatment: Conservative treatment is the best place to begin. Rest for a few days in a bed or chair. Follow this by gradual introduction of gentle exercises specifically for back pain relief. Follow your exercise with additional rest, applying a heating pad on low to medium setting. Soak daily in Epsom salts baths. Take an appropriate over-the-counter pain medication. Your doctor may want to use selective spinal injections.

* Prognosis: Symptoms of radicular low back pain may decrease with the conservative treatment outlined above. Give your back and legs six to eight weeks to improve. If surgery is needed after that, it typically provides relief of the leg pain for 85% to 90% of patients. The back pain itself is more difficult to relieve.

* Caution: If an MRI or CT-myelogram does not definitely confirm nerve compression, back surgery is unlikely to be successful.

3. Lower Back Pain with Referred Pain

Lower back pain with referred pain is not as common as axial or radicular back pain. This pain, which does not radiate down the thighs and legs, may be caused by the same conditions that cause axial lower back pain.

* Description: You will usually feel referred pain in the low back area, radiating into your groin, buttocks, and upper thigh. The pain may move around, but it will rarely go below your knee. It often is an achy, dull pain. It tends to come and go. Sometimes it is very sharp, but other times it is only a dull sensation. It can be caused by the identical injury or problem that causes simple axial back pain. Often, it is no more serious.

* Diagnosis: It is very important to have a physician determine whether your pain is lower back pain with referred pain or radicular lower back pain, since the treatment varies considerably.

* Treatment: Once you know for sure that yours is lower back pain with referred pain, you can follow the treatment for axial lower back pain.

* Prognosis: Symptoms of lower back pain with referred pain disappear with time, usually within four to six weeks. If you do not feel better within six to eight weeks, ask your physician if additional testing and/or injections are needed.

* Caution: If your lower back pain is chronic, or so severe it awakens you during the night, you should see your doctor.

You will want to visit http://www.backpainreliefblog.com for more detailed information about lower back pain. Packed with articles about many kinds of back pain, Back Pain Relief Blog offers practical, down-to-earth advice on how to care for your back. Find back pain exercises to avoid back pain and to heal your aching back. Learn what natural remedies are available for back pain relief.

2007? Anna Hart. Read Anna's other articles about the causes of back pain at http://www.backpainreliefblog.com for more answers to your questions about lower back pain and its causes.

Back Pain: Its Types and Treatments

Are you fed up with taking all the treatments for your back pain which you feel do not work? Are you a constant patient of physical therapists, chiropractors? Is your back pain causing you distress and trouble because you can not do the activities you wish you could do? Have you been advised surgery to correct your back's structural abnormalities?

Back pain may be classified into two types: acute or short term, and chronic. It the low back pain is short-term, it is most probably due to lower back trauma. Certain disorders such as arthritis may also cause acute back pain. Trauma such as sports injury, vehicular injury, and injuries incurred around the house may also result to back pain.

Back pain may range from simple muscle ache to stabbing pain which results to limit in a person's flexibility and range of motion. The person suffering from back pain may also be unable to stand straight. If the back pain persists for over three months, the back pain is classified as chronic. It is usually progressive and the cause is normally difficult to pinpoint.

Surgery is not usually the mode of treatment for back pain. Over-the-counter pain relievers helps in the reduction of discomfort along with the intake of anti-inflammatory medications which helps reduce inflammation. Restoration of function is the main goal of treatment as well as restoration of the strength to the patient's back. The treatment also aims to stop recurrence of the back pain.

Back pain may be caused by various low back injuries. These injuries include muscle strain, muscle spasm, ligament sprain, problems with joint or slipped disk, and using your back muscles in doing new activities such as lifting heavy furniture or working on your garden. Slipped disk is caused by the nerves bulging or pressing between the bones, which usually occurs when lifting. Back pain is fairly common when caused by such activities.

Some people opt for the application of cold and hot compresses to relieve patients of back injury. These compresses are done because they may help reduce inflammation and relieve the patient of pain. Mobility is also significantly increased by certain exercises, and strengthen the muscles of the back and abdomen. These exercises can be found online, or may be recommended by your doctors and chiropractors. In extreme cases, surgery is recommended to help stop back pain and prevent serious muscle injuries. But surgery is done usually as a last resort, and if the cause of the back pain is anatomical. Some physicians say that back pain can also be merely psychological with some patients. It means that the patient perceives the back pain only when there is no structural abnormality present in the patient's body.

Individuals suffering from back pain should seek the help of a physician to evaluate the back pain if the pain persists for ore than 72 hours. The physician will also prescribe the appropriate medications to relieve the patient of the symptom, or may also advise the patient to undergo surgical procedures if need be. He may also recommend exercises that would be less straining to the back, and will help maintain proper posture while lifting objects. Heavy lifting, repetitive motion and improper posture may also cause back pain. A person's work might also predispose an individual to developing back pain. Furniture and tools that are designed to provide protection to the body against injury and help maintain a healthy back are available for use at home or at work.

It would be necessary to consult the help of a qualified physician promptly when you feel the pain extends to your leg on your knee area. Numbness of the leg, groin, rectal area, and foot is also a cause of concern and should be told to a doctor as well as development of nausea, vomiting, fever, and stomach pain. Loss of bladder/bowel control occurring with back pain is also warning problem that necessitates expert evaluation. Back pain that occurs right after injury or trauma should also be evaluated through physical examination as well as imaging and other diagnostic procedures, more so when the patient suffers from such intense pain that movement is severely hampered.

There are other risks as you sit in front of that computer but it would be to much to write about in this article, so if you would like to learn more about other risks such as:

Eye strain

RSI (Repetitive Stress Syndrome)

Carpal Tunnel Syndrome

Constant Head Aches

Dizziness

Breathing Problems

Difficulty Concentrating

You can learn all about this in the book: "The Painless PC"

Hege Crowton is establishing herself as an expert copywriter. She is known for doing in-depth research before writing her articles. Many of her articles are posted on http://www.ezinecrow.com and she also does a lot of writing for http://www.CrowSites.com

Copyright 2005 HealthCrow.com

Causes of Lower Back Pain - For People Who Want to Learn More, But Don't Know Where to Start

CAUSES OF BACK PAIN

Considering the fact that the majority or between 70 and 90 percent of the population will experience some sort of back pain at one time or another, knowledge about back pain relief is certainly welcome, appreciated and a popular topic. One of the best ways to begin learning about back pain relief is by understanding the basics of back pain: what causes it, how it's diagnosed, what treatments are available, how to manage the pain, etc.

Most references to back pain focus on lower back pain in the lumbar spinal region. However, back pain causes in no particular order are:

A. Accidents or injuries leaving muscle pain

B. Osteoarthritis with deteriorating cartilage

C. Osteoporosis with bone loss / fracture

D. Fibromyalgia

E. Major conditions like cancer

Muscle, ligament and tendon problems are generally at the root of the pain problems along with some weakness in the lower back. Other body parts in the region can also be associated like bones and small joints.

When no specific cause is apparent, the term NSLBP (nonspecific low back pain) is used. Any number of reasons for this pain can include degenerative disk disease, psychological issues, systemic disease, facet syndrome (similar to pinched nerves symptoms), herniated disk, spondylolisthesis or the forward displacement of one of the lower lumbar vertebrae over the vertebra below it or on the sacrum. Other factors could be spinal stenosis or constriction or spondyloarthropathy (disease affecting spinal joints).

Let's take a look at each of these and what pain relief solutions are available.

DEGENERATIVE DISK DISEASE - The degeneration of vertebral disks is a natural part of the aging process. What often happens though, is that when the narrowing of the disk space combines with the nociceptors, sensory receptors that respond to pain, in the outer annulus (in the disk space outside the nucleus) or dorsal root ganglion (spinal nerves) that become heightened, the result can be pain, although not always. Sometimes pain can be felt by some people, and other times not. For example a minor accident like missing a step and landing a little harder than usual on your feet might cause back pain. And certain activities can aggravate degenerative disks, like yard work or house cleaning movements. But overall, pain associated with degenerative disk disease generally heals within a few days at most. Preventative measures like strengthening muscle groups to lessen future traumas are usually recommended along with an analgesic or medication that helps relieve pain. Only in some cases are epidurals or injections, blocks or surgery needed.

PSYCHOLOGICAL ISSUES - If acute back pain turns into chronic stages, factors of depression, fear and anxiety could increase discomfort and pain. And the longer the chronic pain persists, the more these factors tend to play a role, an increased role over time. So treatment strategies may need to include learning coping skills and alternative lifestyle enhancements to deal with the psychological factors present.

SYSTEMIC DISEASE - This disease is the cause for up to 10% of back pain and largely among the elderly. Causes could be cancer-related or related to reduced bone mass or simply the aging process. Increasing or decreasing activities as well as switching positions all may have no affect on pain relief. Alternative therapies may be in need.

FACET SYNDROME - Similar to pinched nerves symptoms, this is believed to be associated with pain in the back's side joints and the main cause of up to 20 percent of back pain cases, with buttocks and upper leg pain increasing with long-term standing, and when switching sitting / standing / lying positions. An injection of local anesthetic into the facet joint helps determine the diagnosis. However, since the anesthetic relieves the pain at the same time and is used as a short-term solution, an x-ray doesn't help with imaging the pain results. Recommended treatment includes rigorous lumbar activities and body mechanics exercises to learn proper or more beneficial posture and movement techniques.

HERNIATED DISK - Also known as a ruptured or protruding disk, a herniated disk extends beyond its own area into a surrounding region. Compression of the nerve root can cause pain. And pressure on the fibers in surrounding ligaments can cause pain. Although an accident involving lifting could be the cause of a herniated disk, it's not necessarily so. For many, the cause is unknown; pain can occur suddenly or gradually over time. Relief for the pain can come from walking instead of sitting or standing, and surgery is rarely required right away, if at all in the event relief from pain happens within a limited amount of time. During this time (up to several weeks) any of the following might be effective to use, depending upon your healthcare provider: medication, physical therapy or non-frequently, steroid spinal injections.

SPONDYLOLISTHESIS or the forward displacement or slippage of one of the lower lumbar vertebrae (generally the fourth or fifth) over the vertebra below it or on the sacrum. This state of health is diagnosed by x-ray. Pain is believed to occur where the displacement is, at or below the displacement, or from spinal stenosis, discussed next. Depending upon the patient, strengthening exercises or a back support may be all that's required. In others, surgery may be an option.

SPINAL STENOSIS - is the constriction or narrowing of the vertebral canal. Mainly due to aging, as the gradual lessening of disk space and changes in ligaments advance upon the nerve roots below the lumbar vertebra or L2, pain can result. It's often accompanied by numbness in the legs and is not aided any by walking. Different vertebra and varied physical activities can affect the pain's location, intensity, recurring and duration. To help diagnose this condition, healthcare providers can use myelography, or an x-ray of the spinal cord after injection of air or a radiopaque substance into the subarachnoid space, with a post-CAT scan. And depending upon the patient, treatments can vary and be minor with medication if the pain gradually disappears, to epidural corticosteroid injections in the epidural, to blocks or surgery.

SPONDYLOARTHROPATHY - This term refers to a variety of diseases affecting spinal joints; arthritis variations- psoriatic arthritis and ankylosing spondylitis, the more common of the two and in males more often than women; and sacroiliitis, accompanies inflammatory bowels. Diagnosis consists of a physical exam, history and testing including x-rays, CAT or MRI, as the disease progresses slowly long-term fusing sacroiliac joints together and joints between vertebrae together. To relieve pain, there is treatment with exercises and physical therapy to promote better enhanced posture and mobility and some arthritic medications.

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Chronic Back Pain Limitations

Thousands and thousands of people annually seek medical care for back pain. For some, the pain is gone within 6 weeks. For others, it becomes chronic back pain.

Chronic back pain affects individuals in various ways. Most make repeated visits to physicians, seeking relief. They want to know what causes their chronic back pain. They want new tests. They want to try whatever treatment may be available.

Chronic back pain sufferers may report difficulty in performing normal daily activities. They may believe the pain is increasing. They may simply want someone to sympathize, and agree that it is not "all in your head" at all.

Although back pain is the main reason people visit orthopedic surgeons and neurosurgeons, and the second main reason they visit primary care physicians, an estimated 5 to 10 percent of those visitors will receive no cure. They will go from low back pain to chronic back pain.

Patients are frustrated because physicians do not cure back pain. Physicians are frustrated because they cannot cure low back pain. Many think they can do little to prevent occasional severe back pain from becoming chronic back pain.

If nothing is done, however, chronic back pain limitations can seriously impinge on daily activity.

Possible Limitations

A look at possible chronic back pain limitations reveals a long list. There are limitations placed by a physician, but there are many more limitations that patients place on themselves. They may include physical limitations, emotional limitations, or mental limitations. Of the many chronic back pain limitations we can discuss only 7 here.

1. Depression: One of the most common limitations of chronic back pain, depression affects everyone involved in the daily life of the sufferer. The type of depression experienced by sufferers of chronic back pain is not simply a matter of feeling sad or "down at the heels" for a day or so. "Major depression" and "clinical depression" are the terms used for this kind of depression.

When chronic back pain limitations include a major depression, the person feels emotionally miserable everyday for at least two weeks. He or she also may have unexplained crying spells; major appetite changes; fatigue, sleep problems; agitation; and thoughts of death or suicide. There may be little interest in activities that were normally enjoyable.

2. Social Activity: A second of the chronic back pain limitations reported is that of social activity. People suffering chronic back pain become reluctant to attend parties and other social functions. They may curtail recreational activities or outings with the family.

3. Work Time: Those who suffer chronic back pain are also more likely to take off more work time. Statistics show that back pain causes the loss of more than 83 million days of work time each year due to back pain.

4. Job Loss: Since it often means lost work time, another of chronic back pain limitations is job loss. Too many lost days, or poor performance due to chronic back pain, can result in replacement.

5. Work Ability: Chronic back pain is a leading cause of work limitations. Back pain limits workers' ability to lift, carry, and perform other duties that are required. It places restrictions on workers, and narrows the job field for many people.

6. Low Pay: Chronic back pain limitations include financial limits for some. Those who are limited in work by chronic back pain earn, on average, only two-thirds the amount of those without back pain.

7. Housework: One of the largest limitations of chronic back pain appears to hit normal activities associated with housework, gardening, and lawn work. Patients with back pain that lasted more than 60 days often report they are no longer able to do any gardening, lawn work, or normal cleaning activities such as vacuuming, mopping floors, etc.

Clinically Proven Limitations

For the patient, it is difficult to believe that chronic back pain limitations are often unnecessary. They continue to believe that the pain has a cause that can be readily diagnosed, despite their physician's repeated assurances to the contrary. They believe the physician can find a medical sure for their back pain if pressed often enough and hard enough. As for treatment, patients often believe that until the cure is found, the best treatment is bed rest and limited activity.

The result of such beliefs is that back pain that could initially be resolved with exercise becomes chronic back pain. Chronic back pain that might still be resolved if the patient were to exercise regularly gradually develops and produces chronic back pain limitations.

TIP: Back pain is very, very common in our society. Rather than let it lead to complications and limitations, you may want to ask your physician for gentle exercises that may resolve your back pain before it becomes chronic.

?2007, Anna Hart. Anna herself is a back pain sufferer, and can sympathize with your problem. She invites you to read more of her articles about back pain at http://www.backpainreliefblog.com Anna has posted additional information on that site about chronic back pain, and articles that describe back pain exercises you can do at home. Pay Anna a visit now.

Do You Have Lower Back Pain?

The back pain is on the rise due the lifestyles we are living in. The back pain affects about 90% of Americans in their life at some point. But that is a matter of time as the pain resolves on its own after a few days to weeks. There are other back pains that do not resolve but becomes lifelong pains. The former is called acute back pain while the latter one is chronic back pain. The pain can be of the upper or the lower region of the back.

SYMPTOMS OF LOWER BACK PAIN

The warning signs that indicate the presence of back pain and there severity depends on the type of conditions that causes it, but essentially the symptoms are similar. Persistent back pain that more often has been present for than a few days. Back pain that wakes the person at night is indicative of the disorder. The pain makes the control of the bowel or bladder difficult in many instances. Presence of a fever, chills, sweats, or other signs of infection or any other unusual symptoms also warns of a back strain or disorder. The lower limbs are also affected by the lower back pain as the pain sensations radiate in many cases down the leg. Pain may worsen while bending the back.

CAUSES

There are many causes of the back pains we often experience. The short term or acute back pain is usually caused by arthritis or injured lower back structures. The pain of chronic nature is usually caused by the inflamed joints, muscles or ligaments of the back region. More often the pain is due the person's lifestyle. Poor posture, obesity, lifting anything the wrong way, sitting or standing in the same posture for a long time can also be the causes. Other factors include physical and mental stress on the person.

Many diseases can also cause severe back pain. Herniated disc, sciatic nerve compression or spinal stenosis may also be the cause of severe backaches as the symptoms of these disorders are generally associated with back pain.

TREATMENT APPROACHES

The treatment of these pains is usually available as over-the-counter (OTC) medications. In many cases the physicians prescribe the drugs for specific conditions as well. The basic function is to relieve pain and reduction of the severity of inflammation. The medications that are used for the treatment of back pains are available as Pain relievers, Muscle relaxants and steroidal medications. In some cases it also requires Physical therapy or even Surgery in severe conditions.

There are many pain killers or pain relievers that are used for back aches. The most common OTC pain killers available are aspirin and acetaminophen (Tylenol) from the NSAIDs. The most popular of these is aspirin as it can reduce both the inflammation and relieves the associated pain. It is easily available under a variety of brand names. It should however be checked for safety in cases of allergy, stomach ulcers or when used in children due to risks of aspirin use in such cases. Acetaminophen is a safe drug in this aspect. However it is associated with risks for patients suffering from liver disorders where it can harm the liver as well as the kidneys.

Other important nonsteroidal anti-inflammatory drugs (NSAIDs) that relieve pain as well as inflammation, which are more commonly used include; Diclofenac (Cataflam, Voltaren), Flurbiprofen (Ansaid), Ibuprofen (Advil, Motrin), Indomethacin (Indocin), Ketoprofen (Actron), Naproxen (Aleve, Anaprox, Naprelan, Naprosyn), Piroxicam (Feldene), The less common NSAIDs for this purpose include Diflunisal (Dolobid), Etodolac (Lodine), Meclofenamate (Meclomen), Nabumetone (Relafen), Orudis, Oruvail, Oxaprozin (Daypro), Phenylbutazone, Salsalate (Disalcid), Sulindac (Clinoril) and Tolmetin (Tolectin).

Muscle relaxants

These are centrally acting drugs that are usually prescribed for back ache relief when the muscle spasm is contributing to the pain.

These are available as prescription only medicines in the USA but some are available in Canada without a prescription. Most are available in tablet forms and are prescribed usually along with rest, exercise, physical therapy, or other treatments. Only methocarbamol (Robaxin) is available in both tablet and injectable forms. It is important to note that these muscle relaxing drugs should never be considered as a substitute for the other more important forms of treatment. Carisoprodol (Soma), Chlorzoxazone (Parafon Forte DSC), Cyclobenzaprine (Flexeril), Methocarbamol (Robaxin)

Steroids

In some severe cases the steroids are given as epidural injections to ease the pain. These cases include Herniated disc, sciatic nerve compression or spinal stenosis which involve the nerve compressions where steroids are effective. The effects are temporary but are beneficial to patients of acute episodes of back or leg pain. This also helps in the rehabilitation of the patient by relieving pain.

Physical therapy

Physical therapy may be prescribed by your doctor, which is very effective in healing the pain. This therapy includes;For 20 minutes, 3 or 4 times a day during the first few days of a muscle sprain or spasm the effected person should use ice packs on his back. A hot bath or heating pad can help reduce pain and stiffness of the back muscles as well. Maintain good posture to keep your body's weight aligned and reduce stress on the back muscles thus causing pain relief. For the prevention of future problems weight loss is important. Avoid lifting heavy objects and repeated bending and twisting. Change positions often during the day and use a chair with good lower back support. It should also be noted that if the back pain is not relieved in 3 days by any of the treatments it is better to consult the health care provider.

Surgery

Fewer than 1 in 100 people ever require surgery for back pain.

Generally it is considered after months of an ineffective treatment by the physician but rarely used for this purpose. Surgery is an option in the case of a proven herniated disc that is causing the pain. Treating a herniated disc involves decompressing the nerve in the back that is causing the pain. If herniated disc is causing the pain surgery is an option in that case only which involves decompressing the nerve in the back. Tr aumatic conditions such as fractures of the spine, dislocations, painful spondylolisthesis where one vertebra slips forward on the one beneath it, neurological deficits caused by nerve compression or instability are the rare cases that requires surgery

PREVENTIVE MEASURES

Some tips to maintain a healthy back and avoid causes of low back pain are given below:

Lift an object only by bending your knees and squatting to pick up the object. Always keeping the back straight and holding the object close to the body. By avoiding twists on the body while lifting anything the pain can be prevented. Rather than pulling when moving heavy objects it is always better to push them to avoid any strain on the back muscles.

By stopping or taking intervals while driving a car or truck for long hours. By sitting at a desk the pain is avoided by sitting on a chair that has a good support for the spine. By wearing flat shoes or shoes with low heels (1 inch or lower) to provide a straight stature to the body. An inactive lifestyle contributes to low back pain thus exercising regularly is important. Maintenance of weight is also very important, by putting down the weight the stress on the lower back is reduced.

When the back hurts, the best position for relief is to lie on the back on the floor with pillows under knees, with hips and knees bent and feet on a chair or just with hips and knees bent. This takes the pressure and weight off the back muscles and vertebrae. Resting for 1 to 2 days on the bed can relieve the back pain. Muscles may weaken if rest is more than that and recovery is slowed down so for avoiding this a few minutes walk is recommended.

Creative work and thinking is not bound to be within nine-to-five job, so my motivation of curiosity compel to start online blogs to share my ideas and experience with others. I am pharmacist by profession (doctor of pharmacy). Drugs have become increasingly complex and people are being prescribed often. Through online pharmacy has changed our lives today now it is very easy to get medicine via pharmacy online. Now you can buy quality medicine through pharmacy online

Does My Neck Pain Have Anything to Do With My Back Pain? If So, How?

I you happen to suffer with neck and back pain, you are going to love this article.

Questions you may ask yourself (if this is you) are:

"If I have neck pain, does that automatically mean I will have back pain too? Or if I already do have back and neck pain, are the two even related"? If you don't ask yourself those questions, then those are two excellent questions any back pain sufferer, neck pain sufferer or both, should ask.

I think that they are excellent questions to ask because if they are related, and you happen to suffer with neck and back pain, then the answers may help you solve your own pain, and better yet, help you learn the reasons why you seem unable to lose your neck pain once and for all.

One of the best reference books relating to the anatomy and functioning of the spine ever published is aptly named:

THE SPINE

Edited by two highly renowned doctors, Richard Rothman MD, PhD and Frederick Simeone MD, both were past Professors at Pennsylvania Medical School, Rothman for Orthopedic surgery, and Simeone for Neurosurgery.

In this reference book called "The Spine", the second chapter is called "Applied Anatomy of the Spine".

In that chapter, the author basically related how the "23 or 24 individual motor segments", affect the entire spine. These 23 motor segments being referred to are better known as the bones of the spine and everything else that makes them complete, in terms of joint mechanics and electrical "wiring" (if you will).

The chapter explains how that no:

"Disorder of a single major component of a unit can exist without affecting: a) the function of the other components of the same unit, and b) the functions of the other levels of the spine.

That complex yet simple statement could very well hold a secret as to how neck and back pain are related, and more importantly what we can do about it.

In that quote above, the author is trying to get across two points. Firstly, when a problem develops in one area of the spine, then the spine will have a problem in the same area, but with the other components of the spine.

Seems like common sense actually.

By saying "components of the spine" the author is referring to having a problem with all the aspects of the structure and function of the spine. The bones, the nerves, the joints, the discs, the ligaments, the tendons, the cartilage, and anything else that helps make up the components in that area.

But the second more interesting point of that quote is the fact that when a problem develops with a major component of one unit" in the spine, then a problem will develop with the functioning of "another levels of the spine"

Very interesting finding, indeed.

The main take away idea of that entire quote is the fact that a problem in one component of the spine will affect the other components or "functions" of the same area, and the functions of "other" areas.

So picture this, if you have functional problems in your lower back (one component), like not being able to bend as far as you use to do, not being as flexible, having pain with sitting, pain with standing, changing positions, and pain with walking, then the problem can very likely be coming from the neck.

Other functional problems that can develop as a result of problems of the neck are the even more familiar activities of daily living, things like washing the dishes, cleaning up around the house, vacuuming, being on the computer, trying to get comfortable while watching television and trying to sleep comfortably.

If you have pain with doing any of these activities, you may be surprised to learn that you problem may very well start from your neck!

As well, similar problems and pains that you have in your neck, not being able to turn very far, pain into the upper shoulders, even weakness into the neck, arms and shoulders all may be as a result of the components of the lower back.

This idea that the entire spine can act like a singularly related "functioning entity" sounds kind of spooky I realize. Probably even harder to believe, but I assure you that this idea is supported by a vast array of literature, doctors, and references as you shall soon see.

For example, another reference text is entitled "Disorders of the Cervical Spine"

In regards to this references book, the authors tend to be a bit more specific. In this book, Dr. Bland a Professor of Medicine at the University of Vermont College of Medicine, states that "we tend to divide the examination of the spine into the regions: cervical, thoracic, and lumbar spine...this is a mistake"

Dr. Bland goes on to explain why this is a mistake, by stating the cervical spine may "be symptomatic because of a thoracic or lumbar spine abnormality, and vice versa!"

Over the decades, numerous other publications point to the fact that the cervical spine and its problems can influence movements, perception of pain and the neurology of the lower back.

If you actually just stop to think about it though, the neck and back affecting one another should make complete sense.

The signals that go up and down the spine into the lower back must ultimately pass through the neck to get to the brain. As well, all the information travelling down from the brain to the back, must travel through the neck on its way down to arms, trunk, lower back, and legs in order to make them move (and what not).

Mechanical problems of the neck unfortunately can really "mess" with both the signals originating in the spine going to the brain (called afferents) and the signals originating or being relayed from the brain to the spine ( called motor function).

Something I find equally interesting about this phenomenon is the fact that it is not new.

In 1942 the only neurosurgeon in the Hawaiian Islands during Pearl Harbor was Dr. Ralph Cloward.

Operating endlessly and saving countless lives, Dr. Cloward pioneered numerous diagnostic and spinal surgical techniques.

He published an article entitled "Cervical Diskography" and notes that spinal cord compression by a midline cervical disc protrusion can cause "pain extending down to the feet".

Several years later, and as early as 1946, Some of the best clinical observations as it relates to the spine comes from Herman Kabat, MD, PhD, published in a book entitled "Low Back and Leg Pain From Herniated Cervical Disc"

Dr Kabat explains that herniated discs in the neck is usually as a result of trauma, but he goes on to say that the compression of the cervical spinal cord by herniated discs in the neck is "the most common cause of low back and leg pain"

The other interesting finding in this presentation of lower back and leg pain as a result of neck herniations is the fact that these symptoms are

"indistinguishable from the characteristics symptoms of a herniated lumbar disc"

IF you have ever suffered with lower back pain, and have not been able to find any relief, or very little relief, all of the above findings should be a complete paradigm shift.

A paradigm shift because, while you have been focusing on back exercises, epidurals in the back, physical therapy and chiropractic in the back, and even surgery in the back, they may have been all for not, because the real problem, the real source of your pain, is in the neck.

Dr. Kabat confirms this fact when he suggests that "conservative treatment exclusively of the herniated cervical disc in a large series of cases has routinely produced complete and lasting relief of pain in the low back and leg"

Sometimes too, with herniated discs in the neck, pain in the low back and leg is the only complaint, without experiencing any pain in the neck or arm. When this is the case, it is easy to see how we can miss the true cause of the pain.

So what happens when we miss the true cause of lower back pain, especially if the true cause is coming from the herniated disc material in the neck?

Well for one, doctors often recommend lumbar spine surgery. I know that if that were me, and doctors recommended that I have back surgery to relive my back pain, and the real cause of my back pain was coming from my neck, I certainly would want to know that.

Wouldn't you?

Well Dr. Kabat found that patients that did not get any relief from back surgery were found to have a herniated cervical disc which was "exclusively responsible for the low back and leg pain"

I know that that statement above in the very least raises several concerns that must be addressed.

Number one, you must be thinking how the two, the neck and lower back, anatomically, actually relate to each other? Better yet, how in fact can a herniated disc in the neck, result in function problems, pain, and problems in the back? Explain it to me.

Number two, if the neck and the compression that occurs there can cause low back pain and leg pain, why have I never heard about it until now? Why is it not included and considered in the management of people like me, people that suffer with lower back pain?

In part two of this series "How does my neck pain relate to my back pain", I will be discussing the above concerns, and hopefully shed some light on why you keep suffering with lower back and neck pain.

In the last installment, I will give you a simple do at home exercise and stretching program that you can do own your home, to help relieve the compression in your neck, and ultimately live a pain free life.

Till next time, watching your back and neck.

Dr Joel Rosen, D.C. BPE, BA (Psych), is a Doctor of Chiroprrtic as well as a lifestyle & conditioning coach in Boca Raton, author of Lose the Neck Pain System, a contributing author to a number of article directories and magazines

Dr. Joel's neck pain elimination system websites feature his best-selling Lose the Neck Pain System for neck pain, upper back pain, headache pain, carpal tunnel syndrome, and even lower back pain and his membership site offers access to all of Dr Joel's Lose the Neck Pain System and video clips for men and women and discussion forums.

Dr. Joel Rosen also has an advanced education background, completing a Master's of Science Degree in Exercise Physiology from McMaster University in Hamilton, Ontario, Canada and completing a Psychology from York University in Toronto, Ontario, Canada.

Dr. Joel Rosen combines both disciplines as well as his doctorate in chiropractic to give his patients the cutting edge rehab strategies and techniques for obtaining optimal health and ending years of pain and suffering. Dr. Joel continues to study the latest training, supplementation, and nutrition research that will help improve client's health and wellness as well as their physical and mental performance.

Check out his website at http://doctorjoelrosen.com/