FROM OUR EXPERTS
Sometimes back pain is not strictly related to spinal structures. Sometimes back pain comes from other places, specifically internal organs. In a process called referred pain , internal organs can send pain signals to other parts of the body. For example, when someone is experiencing a heart attack, the left arm may ache. Nothing is wrong with the arm, but this limb hurts because the heart is referring pain to it. The neck, mid-back and low back are also potential targets for referred pain. Here are two examples when "back pain" has nothing to do with spinal problems.
Gallbladder : The gallbladder is a small organ tucked up near the liver that helps with digestion. Within this internal organ problems can arise like a blockage from a stone, an infection, or just an inflamed gallbladder attack. Sometimes the symptoms clearly point to a problem with the gallbladder. These classic symptoms include right upper quadrant abdominal pain just underneath the right chest wall, nausea, gas, ...
Memorial Day weekend marks the start of summer and the beginning of road trip season. Despite the rising gas prices, millions of fun-seekers will hit the pavement with luggage in the trunk and the navigation system set for some distant destination. As the miles add up, so too will the pain from sitting long hours in the car. At mile marker 100, the low back may start seizing-up. At mile marker 180, cramps might be felt in the legs and shoulders. And during the final mile, the whole body might feel as if the last semi-truck you passed actually ran over you. If that sounds familiar, take a moment to read about some survival tips that can help you avoid the pains of summer road trips.
Adjust the Seat : Seat adjustment is critical for avoiding pain on the road. The first thing to do when you buttocks hit the car seat is to adjust the seat to fit you. Starting from the top, the headrest should be centered squarely on the center of your head. Properly adjusted headrests do prevent whi...
Last week , I proposed that we conceptualize bipolar as a “cycling” illness where we transition through overlapping “phases” rather than as an “episodic” illness where we ping-pong back and forth between discrete symptomatic “states.”
In essence, we treat the cycle rather than the episode and its symptoms.
This is hardly a new idea, but it has yet to catch on in practice. In a comment, Tabby noted that her first doctor told her, “we have to treat the cycle, not the symptoms,” then he proceeded to load her up on meds.
It’s not my place here to second-guess how doctors treat their patients, but I am entitled to call out individuals on their egregious failure in logic. Tabby’s doctor, of course, only gave lip-service to the cycle. Then he proceeded to pharmaceutically carpet-bomb the two “poles” in bipolar at once.
This is the conventional wisdom that I have h...
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