FROM OUR EXPERTS
Back pain happens. Even though the pain is constant, sometimes life just has to move on. Because life is an Olympic event , staying fit is the best way to stay healthy. But how does one safely exercise with a pain in the back? Some may say that such a feat is impossible without causing further injury or worsening pain. Others have found that by following some simple rules, exercising despite chronic low back pain is possible.
Here are ten rules for developing a workout with back pain.
1) All the movement should come from the hips not the back. When exercising on a treadmill, stationary bike or other equipment that uses the legs, one should be mindful to keep the back still while the hip joints do the work. If the lumbar spine gets too involved in the movement of the legs, this is called lumbar compensatory movement because the low back is trying to compensate for the inadequate action in the lower legs. Learning to separate the movement of the lower extremities from...
Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain .
In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low back pain, including recommendations on surgery and other invasive therapies.
Unfortunately, there is not a significant body of good evidence to justify unquestioningly embracing these new recommendations. It is difficult to find well-done clinical studies which support the use of a number of the more invasive treatments used for chronic low back pain.
The initial set of guidelines for the management of chronic low back pain were published in "Annals of Internal Medicine" last October. However, these recommendations dealt more with the initial evaluation of a low back pain patient, and included thoughts on what type of x-rays to order in addition to more conservative treatments such as massage/manipulation and exerci...
If I had an episode of lower back pain, am I always going to be more likely to have lower back pain in the future?
It is true that once you have an episode of lower back pain or shooting leg pain, you are probably more likely to have it in the future - if you do nothing. But you are not going to "do nothing."
I see a lot of patients with lower back pain and shooting leg pain. Once we work together to resolve the pain, a very common question and concern that is raised is whether the pain is likely to return. A typical example is the following: Mr. X comes in with lower back pain that shoots into the right leg all the way to the foot. MRI reveals a herniated disc at L5-S1 level. After an injection, the pain is 90% better. Next, Mr. X starts physical therapy. Six we...
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