Archive for the ‘Back Surgery’ Category

Back Pain Treatment Options

Saturday, January 2nd, 2010

Back Pain Treatment OptionsIt doesn’t take a rocket scientist to figure out pain is a signal that something is wrong with the body. Whether your back suddenly “goes out” and drops you to the floor in pain, or you simply struggle through general aches and muscle weakness day after day, sooner or later it’ll drive you to seek a solution.

Let’s take a moment and emphasize one word: solution. Here’s where so many back pain treatments fail. While you may have heard how a treatment helped a friend overcome a similar bout of back pain, or read about a promising treatment online, or even received a healthcare provider’s recommendation, what matters is whether or not the treatment works for you.

For example, a friend recommends her chiropractor to you. Chiropractors can often help individuals overcome back pain by correcting spinal misalignments. Removing these misalignments, called subluxations, help eliminate nerve interference allowing your body’s natural healing ability to help you recover from back pain as well as other health issues. Pain relief often results. But what if you continue to go to treatment after treatment with only temporary relief? That’s not a solution, it’s a temporary fix.

One favored back pain treatment modality offered by conventional medicine is the cortisone shot. These steroid injections help control inflammation over the short term which can offer pain relief temporarily – after the initial pain of the shot itself at least. But again, if you’re continuing to return for treatment after treatment with no long term improvement, it’s time to find something else that works.

Again, here’s the bottom line. It doesn’t matter so much who recommends a treatment or even what kind of treatment it is. What matters is whether the treatment works for you. So set yourself three goals when seeking back pain relief:

1.Find out what caused your back pain in the first place. Remember symptoms aren’t always in the same place as the problem. You must treat the underlying cause for permanent relief.

2.Seek a back pain treatment modality, which provides a steady progression of improvement. It may not bring complete pain relief overnight, but it should at least bring incremental sustained improvement in your symptoms. Also, almost always a combination of treatments will be required in order to get lasting relief as there are always multiple underlying causes. For example, we all have muscle imbalances and they pull our bodies out of alignment. To address the imbalances you’d want to perform Muscle Balance Therapy, yet this treatment approach won’t directly address other major causes of pain like trigger points, spinal compression and torsion, nutritional imbalances and excess stress.

3.  Drop failing courses of treatment — provided you were actually following the recommended course of treatment in the first place. No sense wasting your time and money, not to mention suffering continued pain, with modalities that aren’t helping you. Rule of thumb: if you have not experienced improvement after three months consider changing your treatment plan. But also know that if a treatment didn’t work for you before, that does not mean that it won’t work for you in the future. As mentioned above, you may have been using a treatment that didn’t seem to be working yet it really was, but you were unable to tell because the pain was still present due to other causes.


Back Surgery for a Herniated Disc?

Tuesday, December 29th, 2009

Herniated Disc and Back SurgeryWhen faced with crippling back pain, many say they are willing to do virtually anything to get rid of it. They want the pain gone – right now.

A typical scenario leading to back surgery starts with over-the-counter pain medicines like ibuprofen. Then a call to the family doctor. Followed by a referral to a specialist and a diagnosis.

Various treatments such as prescription anti-inflammatories, cortisone shots, and physical therapy are tried. After several weeks or months of continued pain, back surgery is presented as an option.

Finally… a doctor who understands that urgent pain deserves drastic measures the patient thinks. Measures the patient believes will finally end the pain once and for all. With at least a reasonable chance of success.

Sorry to disappoint, but happy endings from back surgery are less common than most realize. In fact, the long term success rate is so abysmal it’s the only type of surgery with its own medical establishment term for failure: Failed Back Surgery Syndrome. Even when back surgery provides pain relief, the pain often comes back later if the underlying cause is not addressed.

While there are some cases where back surgery may help, it truly should be considered a last resort option. Sadly one of the most successful options to consider first is also one of the least understood in the traditional medical community: muscle balance therapy. The reason muscle balance therapy succeeds where other options fail is because it gets right to the source of the issue.

Let’s work backward so you can see my point. First of all, recognize that pain isn’t the problem. It’s merely the symptom of a problem, often one which has been present for a very long time but finally became serious enough to become noticeable.

That problem causing the pain is where you will typically get a conventional diagnosis, such as a pinched nerve from a herniated disc. What this diagnosis almost never tells you, outside of clear cut cases of trauma, is what caused it. Bending over a picking up a fairly light object shouldn’t throw your back out, but it happens every day. Yet it wasn’t the one act that caused the problem. It’s the culmination of months or years of stress and that one incident was the proverbial straw that broke the camel’s back.

But where did it come from? The answer is postural dysfunctions. When bones remain in an abnormal position, uneven and excess stress is placed on the joints like spinal vertebrae. Over time, this uneven and excessive compression and torsion causes discs to bulge or herniate.

But that’s still not the root of the problem for most back pain sufferers. As one customer of the Healthy Back Institute said some time ago, “Bones only go where our muscles put them.” How true. Ultimately, it’s muscle imbalances that play the largest role in postural dysfunctions, and ultimately, most cases of back pain.

How do muscles put your bones in the wrong position? Put simply from a muscle imbalance where one muscle which gets used frequently becomes stronger than an opposing muscle which is underused and gets stretched out of shape.

That’s where exercise for back pain comes in. While many doctors are more than happy to give you a sheet of back stretching exercises, they aren’t specifically targeted to the imbalances present in their patient. In fact, they give the exact same set of exercises to every patient! That’s where muscle balance therapy is different.

Reversing muscle imbalances requires first identifying what specific postural dysfunction is present. Then using that information, one can work on strengthening the weakened muscle and stretching the taut overworked muscle. Muscle balance therapy helps you recognize postural dysfunctions and provides the appropriate strengthening and stretching exercises for that specific issue.

So why don’t more people know about muscle balance therapy? Two reasons. First, most people, including doctors, just aren’t aware of it. Second, stretching and strengthening exercises take some work. Results won’t always happen overnight. But it’s worth the effort before committing to something as drastic as back surgery to end back pain.


Treat Your Back Pain Without Surgery – Book Review

Sunday, December 20th, 2009

Book Review: Treat Your Back Pain Without Surgery by Stephen Hochschuler

If you’ve read this book, please post your comments.


Tim Wakefield’s Back Surgery

Sunday, October 25th, 2009

Tim Wakefield Back SurgeryBoston Red Sox pitcher Tim Wakefield underwent back surgery at Massachusetts General Hospital this week to repair a herniated disc and remove a loose fragment. Many are encouraged to hear early word the back surgery was deemed successful with 4-6 weeks of rehab to begin immediately.

Starting with lower back pain, the pitcher developed weakness in his left leg which led to a season ending limp. All the classic complaints of sciatica, characterized by pain running down the back of the leg, weakness in one or both legs, and even lower back pain.

Interestingly, Tim’s progression from pain and weakness to cortisone shots to back surgery follows a pattern familiar to many back pain sufferers. The good news for those with lower back pain or sciatica — even those with a diagnosed herniated disc — is back surgery is rarely necessary to eliminate back pain. In fact, it should be considered a last resort.

Beating sciatica pain and weakness starts with understanding that sciatica is actually a symptom of a different condition. The four most common conditions leading to sciatica are:

Piriformis syndrome — the most common cause of sciatic pain, where the piriformis muscle places pressure on the sciatic nerve

Herniated disc — a bulging or herniated disc may irritate the sciatic nerve

Spinal stenosis — a narrowing of the spinal canal itself pinches the sciatic nerve

Isthmic spondylolisthesis — a slipped vertebrae may irritate the sciatic nerve during movement as it rubs abnormally against the adjacent vertebrae

Outside of cases of trauma, sciatica almost never develops overnight. While the pain may appear suddenly, the underlying condition usually takes months or years to develop.

Fortunately, most cases of back pain and sciatica pain can be relieved through targeted stretching and strengthening exercises. This non-invasive approach is almost always preferable to back surgery and cortisone shots which don’t treat the actual cause of the condition. Particularly since back surgery is the only category of surgery with a clinical name for failure: failed back surgery!


A Rare Case of Upper Back Surgery

Friday, October 2nd, 2009

Upper Back PainUpper back surgery made the news earlier this year when U.S. Senator Blanche Lincoln underwent a procedure to remove part of a herniated disc which was pinching a nerve in her back. What is particularly interesting about this surgery, beside the fact it was on a sitting U.S. Senator, is how uncommon the need for upper back surgery actually is.

Surgery for back pain is only performed in about 5% of all cases. And only 1% of all disc herniations occur in the thoracic, or upper back, due to its stability. This is good news for those with upper back pain: odds are high upper back surgery won’t be in your future.

While upper back surgery is still rare, upper back pain itself is becoming more common. Accidents, sports injuries, and other trauma can cause muscle sprains and worse. But an increasingly common cause of upper back pain is related to postural and strength issues, particularly for those who spend much of the day working on computers.

There are a number of natural health avenues one may consider for when dealing with upper back pain issues, including:

Muscle Balance Therapy uses targeted exercise and stretching to strengthen deconditioned muscles and stretch overly tight ones to relieve muscle pain and pressure on the spine.

Massage Therapy by a trained massage therapist can provide relief from upper back and increase joint mobility.

Trigger Point Therapy is used to relieve myofascial pain from irritated muscles, particularly common in the broad upper back and shoulder muscles.

The Alexander Technique, taught in private or group sessions, provides instruction on how to change movement habits to remove muscle restrictions and create more ease of movement. The Alexander Technique is particularly helpful for postural issues such as forward head posture and hunched shoulders.

Remember, except in cases of severe trauma your upper back pain did not happen overnight. It can take time to overcome the underlying causes of pain. But actively working towards better health naturally is almost always a better approach than what should be your last resort: upper back surgery.