Coping with Back Pain
Back pain can be very debilitating. You may be one of the fortunate patients and discover that building muscle strength can relieve some of your discomfort.
I understand that there are situations for which people can’t do much about their back pain. Whether it’s genetic or because of a trauma such as an auto accident, strengthening muscles will only help to a degree if you deal with spinal stenosis, degenerative disks, or osteoporosis.
Even so, the abdominal and lower back muscles support the spine. The problem is those muscles become weak as we age. The good news is that strengthening those core muscle groups in the abdominal area and lower back has positive effects. The goal is to get those core muscles – the transversus abdominus and multifidi working to stabilize and support the spine which promotes movement and reduces pain.
Working with a physical therapist so that you exercise correctly, and swimming in a heated pool with weights will help. Exercise combined with better body mechanics can lessen the strain. Also avoid spending long periods of time sitting in slumped positions. Think about that when you’re watching TV, playing cards, or working on your computer.
The problem with treating back pain, especially lower back pain, is that there is no secret, no ultimate pill, and no specific exercise that can relieve your back pain let alone eliminate the pain. This is an important concept to keep in mind for anyone suffering from back pain. Many people recover by avoiding strain to their spine for a period of time. Some find relief from ice, heat or medications. Others have a routine series of simple exercises to carry out to relieve their pain. Still others do absolutely nothing different in their daily routine and over time the pain goes away.
Depending upon the symptoms, the length of the problem you have, whether or not it is a recurring problem and you have seen a doctor about it more than once, when the simple treatments you can do by yourself no longer work, it’s probably time to have your physician to evaluate your condition.
A few symptoms that require immediate medical attention regarding your back discomfort are:
· Your back pain persists beyond a few days;
· Your back pain wakes you up at night;
· You have difficulty controlling your bladder and bowels;
· You have a fever, chills or sweats and other signs of infection or
very unusually symptoms.
The importance of all this is that before you begin any back pain treatment program, be sure you know your diagnosis and discuss any treatment plan with your doctor. It is important that you deal with your back because daily back pain is clearly associated with decreased quality of life and even depression. It is difficult to be happy when you’re in constant pain. My concern is that as we get older we are more prone to back pain because of a lifetime of improper body mechanics such as maintaining good posture while we work on the computer!
Rest is usually the first treatment, especially in low back pain, so that you rest the spine. Because most cases of back pain are due to muscle strain, it’s important to avoid further irritation to the spine and muscles that surround the spinal column. I’m not talking about a lot of bed rest – one or two days tops. Then start moving slowly and once acute pain eases avoid lifting and twisting and any real physical exertion.
My advice is to always take the least invasive, the most conservative approach first when it comes to treating your back problems. For example modifying the way you use your body and strengthening the muscles that support your back are a key ingredient.
This exercise is easier for me. Get on your hands and knees with your hands about shoulder width apart and knees about hip wide. Keep your back straight and level and your neck in line with your back. Draw your abdominal muscles in towards your spin without arching your back. Hold for the count of 10 while breathing normally. Repeat 5 times.
These should help but also talk to your doctor if your back pain becomes worse and isn’t relieved by changing position or resting. It doesn’t happen very often but back pain may be caused by an infection or disease such as cancer. It’s worth the time to cross that off your list.
Let me know if you’ve been even somewhat successful managing your back pain.
Ruthan
Ruthan Brodsky
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