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.

Anna Hart
http://www.articlesbase.com/medicine-articles/chronic-back-pain-limitations-125257.html

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At some time in your life you will probably experience lower back pain. It is classified in the medical community as either acute (i.e. temporary flare-ups) or chronic (i.e. long lasting). Under any circumstances, it can be quite disabling, and is a condition that accounts for more sick leave than anything else.

Acute lower back pain is usually brought about by some kind of trauma such as heavy lifting, a fall or car accident. The cause is usually no mystery. The damage occurs and symptoms are felt in muscle tissue, ligaments or tendons. Occasionally, of course, there may be a vertebrae fracture.

The causes of chronic lower back pain are less obvious. Onset occurs over a long period of time. Frequently the underlying cause is osteoarthritis, rheumatoid arthritis, disc degeneration or disc herniation. Diagnosis of these conditions is often quite complex.

Treatment of lower back pain is most often dictated by the underlying cause. Fortunately, almost all back pain sufferers can be treated non-surgically.

Opinions regarding the best treatments vary widely. The most obvious are pain medications, NSAIDs such as Ibuprofen, muscle relaxants and analgesics such as aspirin or acetaminophen. Beyond that, however, there are some very concrete steps that can be taken that are effective beyond any doubt for most people.

Exercise: For both acute and chronic lower back pain there is no more beneficial course of treatment than staying active and exercising. And, there is probably no better exercise for back pain than back stretching, an excellent method of achieving natural pain relief.

Back stretching exercise can help relieve lower back pain, often without medication. However, there are a few things you have to consider before you do any back stretching exercises in order to make sure that you don’t cause more harm in the process. This is where it is important for you to know the cause of your back pain since, if the injury is anything other than soft tissue injury, muscles, etc., stretching might actually do more harm. Beyond that, before undertaking any back stretching exercise it is crucial that you know how to do the exercises.

One of the best ways to learn how to do back stretching exercises is to purchase DVDs that demonstrate and guide you step by step through each of the routines. It is also very important to keep in mind your present state of health, body weight and ability to perform such exercises in order to ensure that you receive benefit and prevent inflicting any harm in the process.

If you back muscles are prone to strains and sprains, you should make simple back stretching exercises part of your daily routine. Stretching your back muscles as soon as you wake up will prepare your back and the entire body for the day ahead, and you are much less likely to suffer any sprains or strains throughout the day. Also, if you take a few minutes and stretch your back muscles at night before you go to bed, you will again have relaxed your back muscles from the day’s stresses and tensions.

Again, while there are a whole host of opinions about controlling lower back pain, simple, regular back stretching exercise offers the best long term pain relief.

Robert G. Knechtel
http://www.articlesbase.com/health-articles/pain-relief-from-lower-back-pain-requires-some-discipline-110841.html

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All back pain sufferers learn over time the methods that work best to help with pain and healing. At one time we all thought that bed rest and some anti-inflammatory medication like ibuprofen were our only choices, but over time we’ve learned there are a great number of choices when treating the discomfort of back pain.

Heat versus Cold. Some people swear by the use of ice packs and cold massage. These packs can be store bought or you can use a package of corn or peas from your freezer. Wrap the cold pack in a cloth and then gently massage the painful area for five to seven minutes. Once the area begins to feel numb that is the time to stop. Others prefer heat. A hot water bottle or heating pad applied to the lower back for fifteen to twenty minutes can chase away the back pain in a matter of days.

There are exercise options. The best choices come down to Tai Chi or yoga. Viniyoga is an excellent gentler approach to yoga that is for back pain sufferers. It builds core strength and stability while allowing the spine to stretch. This helps take pressure off the vertebrate and can be very useful for those suffering from back injuries. The stretching aspect of yoga lessens the tension on the muscles, increases blood flow and promotes healing. Tai Chi is similar in that it too promotes healing and prevention of back pain by the use of gentle movement and non-impact exercises. It teaches you how to improve your posture and balance. Tai Chi also helps to build muscle strength and balance.

Perhaps the best answer is a combination of one of the above exercises programs and nutritional supplements. Supplements are used to rebuild bone and cartilage, reduce pain and inflammation, as well as relax muscles. They are divided into two groups. The first ones build strength and the second relieves pain. When deciding to use nutritional supplements it is best to first discuss it with your doctor. Make certain that your back problem is not caused by something more serious that requires medical intervention. Your doctor can help you determine the correct dosages of the supplements.

Some useful strength builders are Glucosamine sulfate, calcium, magnesium and vitamins C and D. All of these will help to build bone and cartilage. Niacinamide, a form of vitamin B, assists with the healing of cartilage. White willow bark, boswellia, bromelain and turmeric are also anti-inflammatories. Devils claw diminishes muscle pain, is an anti-inflammatory and will enhance the affects of regular pain medications. S-Adenosylmethionine strengthens the muscles.

Another useful method of back pain relief is water therapy. This allows someone with a back injury or severe back pain to exercise in a way that makes the physical effort much less. Although you will do very similar exercises to what you’d do out of the water, the buoyancy supports your weight, making it easier to do the workout. As well, warm water therapies are a good method of reducing pain and relaxing the muscles.

With so many options open to the average person when dealing with back pain choosing the right one can be somewhat daunting. An exercise program is definitely recommended and a gentle program offers benefits without being too demanding. Stay away from aerobics or isometrics as they are both too high impact for back pain relief and can do more harm than good. Cold or heat therapies are also a matter of personal preference. Nutritional supplements can be very beneficial as they strengthen and rebuild those damaged areas. They lessen pain and inflammation while improving the pain in your aching back.

Using a combination of all of these is likely the best answer. But maybe a little preventative medicine wouldn’t hurt either. Work on good posture. Hold yourself straight; keep your shoulders back and your head up. Don’t lead too sedentary a lifestyle or you’ll regret it. If sitting at your desk all day, make sure that after twenty minutes of sitting you take twenty seconds to flex those muscles. This will help prevent muscle pain. Walk. A good preventative program may make these other choices unnecessary.

Pete Wyatt
http://www.articlesbase.com/non-fiction-articles/be-your-own-pain-manager-a-selfguide-to-back-pain-relief-52105.html

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Back pain affects millions of people each and every year. For many, they’re lives are never the same.

Unfortunately, many people suffer for weeks, months and even years unnecessarily and one of the reasons is a lack of good information.

Much of the information that is given to people regarding back pain is out-dated, inaccurate and often dangerous!

So the purpose of this article is to educate you about many of the treatments that are available for back pain.

But before we get started, it’s important you know that very rarely is one treatment the answer. Back pain is often times a complex problem and it often requires treatments that address multiple areas simultaneously.

Also, my experience working with tens of thousands of back pain sufferers has shown that, the people who get lasting relief are the ones who are constantly researching and experimenting with as many treatments as possible.

Ok, let’s review some of the many treatments that are available for back pain and sciatica:

Orthopedic Care

One of the first places many people go when they experience back pain is the orthopedic specialist (surgeon) and a visit usually last 5-10 minutes. They will typically look at the problem/symptomatic area and often fail to look at the body as a whole.

If you’ve been to an orthopedic specialist for your back pain, did they do a full body physical evaluation (takes 30 mins. or more)??? Not likely.

Here are some of the common treatments used / prescribed by orthopedic specialists:

Cortisone Shots

Cortisone is a catabolic steroid which is intended to reduce inflammation by killing off the tissue in the inflamed area… now let me ask you, does that make any sense to you at all?

Not only are these injections quite painful, but they rarely result in any pain relief and if they do it is short lived, usually 1-2 weeks if at all. Plus, it does NOTHING to identify or address the cause of the pain… it is only intended to treat the symptom. It’s for those reasons that we do not recommend them.

Anti-inflammatory Medications

Just the name should scare you away… just like cortisone shots, anti-inflammatory medications do not identify or address the cause of your pain and for many people, they deliver little pain relief. These medications also deliver serious side effects! The main reason they are prescribed is money… and if you don’t believe me, do the research and you’ll see for yourself. The drug industry is huge and unfortunately, they have a huge influence on the whole medical community, including the doctors.

I challenge you to find a drug that will fix your back problem… you’ll be looking forever because there is no way a medication can fix a physical problem so avoid medications at all costs!

Back Surgery

Surgery for back pain is very common and more often than not, the individual still has pain afterwards (or it returns within weeks) and sometimes even new problems! Very rarely is a surgery the answer…

For example, many people have surgery for herniated discs. The logic behind the surgery is if you remove the piece/portion of the disc that is putting pressure on the nerve the problem is solved.

Unfortunately, the same forces that forced that disc to protrude or bulge will likely force more of the disc out, or another disc out.

Surgery should always be the last resort… and even then I’d question it!

Physical Therapy

Physical Therapy is traditionally the next step after seeing an Orthopedic Doctor. That is if surgery is not recommended. So what should you expect?

The process will start with an evaluation and here may be the start of the problem… here is why…. the doctor has to write a prescription with a diagnosis on it.

You give the prescription to the PT and he or she will perform an evaluation… chances are the PT will simply confirm the diagnosis from the doctor, however the hope should be that they take the extra step to look for the root cause of your pain. They may but chances are they have several other clients in the office at the same time and simply do not have the time.

So without a comprehensive evaluation to identify the root cause of you pain they will simply treat your symptoms. We have just identified the second problem.

The health care industry is required to show improvement with each and every session so the push is to reduce your symptoms to show progress in order for them to get paid. The long and short of it is that yes your pain can be reduced but the root cause rarely gets addressed, meaning that the pain and your suffering will return again and again.

So what should you do? When selecting a Physical Therapy office you may want to ask how many patients the office sees in a day and how many PTs they have on staff… then ask how many patients can a PT work with in an hour. Do not be surprised to hear that a PT can see up to three patients in an hour. Do you think you will get the attention and proper treatments you need? I doubt it.

There is a little joke in Physical Therapy when treating patients and it has to do with what course of modalities you will get. The joke is called Shake and Bake and it refers to the fact that everyone gets the same treatment protocol… that way it can be timed so that your PT can see other people simultaneously.

What goes into a shake and bake treatment? It may start with a spin on a stationary bike or a trot a treadmill than you will get a 3 to 5 minute Ultrasound over the effected area followed by Electrical Stimulation to the area with a little Ice strapped to your body and to finish off your session you will get a hand out with exercises you should do at home. Certainly not a recipe for success!

Chiropractic Care

One of the most common treatments for back pain is Chiropractic Care. The approach consists of physical manipulations of bones and joints in an attempt to line things back up and it’s recommended typically 2-3 times per week.

The problem with this approach is that the same forces (muscles, tendons, and ligaments) will likely pull the bones and joints right back out of place again. Also, most (not all) chiropractors will spend 15 minutes with you if your lucky.

Ask people who see a chiropractor how long they’ve been going… I hear of people who have been going for 10-15 years and still don’t have a healthy back. Look, the fact is chiropractic care is lacking…

Unless the chiropractor combines the two approaches, it doesn’t make sense…

The ONLY way chiropractic care makes sense is if you are addressing the muscle imbalances that are pulling the bones and joints out of place to begin with and that requires strengthening and stretching exercises that are chosen specifically to correct your muscle imbalances.

Alternative Treatments for Treating Back Pain

Massage Therapy

Massage therapy, if done correctly can work wonders for people with back pain. This is not to say that it is the best choice and that it will work for everyone… however, most people will get great results from it if the massage therapist has a good understanding of muscle imbalances and how to work on them.

NOTE: Not all massage therapists are the same! Just like any profession, there are varying degrees of training and qualifications. When selecting a massage therapist please check to see if they are licensed and insured in the state where you will be seeing them.

You should also ask the massage therapist if they have training in one of the following areas: Orthopedic massage, Medical massage, St. Johns technique and/or has a comprehensive knowledge of muscle imbalances relating to back pain.

With that said the benefits are as follows. The root cause will be identified, your discomfort will be addressed and you root cause will be corrected all in an attempt to make you pain free and give you the tools you need to keep you that way. What to expect when you see a massage therapist.

All massage sessions are one on one allowing you the opportunity to converse with the therapist as well as get the attention you need to get results. You can ask questions about how you compare to other people.

Feel free to ask the therapist what approach they will be taking so that you know what to expect. The massage therapist has many different techniques they can use when to dealing with you back pain and some are better than others.

On the down side sometimes a therapist can get distracted with other problem areas, it is in your best interest to keep them focused on you back and associated problem areas. Like anything else you may need to try several different therapists before finding the one that works best for you and with you.

Post-rehabilitation Fitness Training

Another overlooked form of treatment that is very effective is post-rehabilitation fitness training. This includes targeted strength and flexibility work to correct / improve the individuals muscle imbalances. This is specialized knowledge that very few fitness trainers possess and there are certification programs designed specifically for this.

There are of course, limitations as to what they can do for you. For example, they can not diagnose a condition, prescribe any medications take x-rays, etc… however, if they are well trained they can pinpoint your muscle imbalances quickly and get you started on a fitness program that will restore balance to your body and likely eliminate your back pain.

Often times this can be combined with massage therapy and/or manual physical therapy for a total solution. If you decide to go this route, which I recommend you do, be sure to thoroughly check out the fitness trainer and ask to see their certification, insurance, references, etc.

Manual Physical (muscle) Therapy

Manual Physical Therapy is NOT the same as regular physical therapy… there are some major differences. Here are just a few:

• Manual therapy consists of hands on muscle work primarily whereas traditional physical therapy consists of heat, ice, ultrasound, electrical stimulation, etc

• Manual therapist will typically perform a much more thorough physical evaluation

• Manual therapists will usually be able to spend more time with each patient

• Manual therapy is more holistic in it’s approach and focuses the body as a whole unit… something lacking from nearly all traditional treatments for back pain.

So before you say, “I’ve already tried physical therapy”… did you try manual physical therapy? They are two very different treatment approaches and I highly recommend you consider manual physical therapy.

Conclusion

As you can see traditional treatments are the main stay of modern medicine… not necessarily for the patients benefit, but it’s just how the system works.

The system will not change until the system is confronted with a very powerful competitive force. That force may well be complementary or alternative care from the likes of Personal Trainers, Acupuncturists, Massage Therapists, Manual Physical Therapists, and the like.

So that’s what we’ve tried to do… force change. The traditional treatments that people have been receiving for decades just don’t work, and we have found a combination approach that not only works the best, but it’s safe, natural, and inexpensive.

Check out our “Lose the Back Pain” system now… it will show you how to identify the cause of your back pain and then show you the exact combination of steps to take to eliminate it.

If you have tried other treatments with little or no relief, you owe it to yourself to try this approach… so take charge of your health and get started now working towards not only a pain free back, but a healthy and balanced body! Only you can fix your back… all you need is the right approach!

Steve Hefferon
http://www.articlesbase.com/alternative-medicine-articles/back-pain-treatments-reviewed-94285.html

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Lower back pain is an all-too-common condition that many of us will experience at some point in our lives. Although many of us may be able to control this pain through over-the-counter painkillers or perhaps some light physical therapy and bed rest, there are going to be some of us that have back pain to the extent where we need to seek medical attention.

A common type of back pain or pinched nerve pain is a result of a slipped or herniated disc. These discs are gel filled material that exist between the vertebrae of our spine and allow the vertebrae to move independently of each other and also protect it from damage. Should these happen to crack or slip out of place, the pain that we experience can be extremely severe. back pain sufferers have many choices of treatment. Options include physical therapy, bed rest, traction, spinal decompression, painkillers, surgery and natural forms of treatment.

There may be times, however, whenever an epidural steroid injection is prescribed. What exactly is an epidural steroid injection, how is it administered and what can it do for you?

An epidural generally refers to an injection which goes into the epidural space in the spinal column. The epidural space is in the outermost part of the spinal canal and it lies outside of the dura matter which encases the spinal column. The injected steroids mimic cortisone and hydrocortisone which can reduce the inflammation that surround the affected nerves. This can give almost immediate relief to the pain that is experienced in this area and can help to keep the inflammation down for a considerable amount of time in order to allow for more effective pain management.

Unfortunately, relief from epidural steroid injections is usually temporary. Also, the steroids that are injected can have side effects which may include weakened muscles, a decrease in bone density, and possible lowering of the steroids that your body produces naturally.

Be sure to discuss with your personal physician the pros and cons of epidural steroid injections for providing back pain and pinched nerve pain relief.

Dan Raymond
http://www.articlesbase.com/diseases-and-conditions-articles/can-epidural-steroid-injections-help-my-lower-back-pain-611854.html

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