Archive for the ‘Herniated Disc’ Category

Dehydration and Back Pain

Saturday, March 6th, 2010

Dehydration and Back PainUpwards of 70% of your body is composed of good old H2O. Some claim as little as a 2% drop in fluids can leave you itchy, groggy, constipated, and feeling generally rotten all around.

It certainly makes sense to stay hydrated. Drinking enough water helps ensure our bladder and kidneys flush toxins out of our bodies. It helps our bodies digest food. And it can even prevent headaches, joint aches and muscle pain.

So what does this have to do with your spine? Quite a bit it turns out. Not only is over 70% of your body made up of water, but a similar ratio exists in the discs that cushion the vertebrae in your spine. It turns out dehydration is a little talked about but significant factor contributing herniated and bulging discs.

A decrease in disc water content is associated with spinal disc degeneration. As the discs break down, cracks form in the fibrous outer ring of the disc leading to fluid loss. The inner core becomes weaker as it shrinks and comes under more stress until conditions become ripe for the disc to bulge or herniated.

Exactly how much water is enough can be a matter of significant debate. The most commonly given “rule” is to drink at least eight 8-ounce glasses of water a day. It’s really more of a “rule of thumb” though as the amount your body really needs largely depends on your gender (males tend to require more water), weight (larger mass requires more water), activity level, and environment among other factors.

Allow me to make drinking water simple for you. If you’re thirsty, drink a glass of water. Seriously. If you’re not thirsty but are experiencing some of the symptoms of mild dehydration, try drinking a glass of water anyways. Normally if you’re drinking enough water your urine will be clear or pale yellow. Be aware that it’ll typically be darker first thing in the morning, after a meal, or when taking water soluble vitamins like riboflavin.

When your body is properly hydrated, your spinal discs are able to reabsorb fluids at night while you sleep. Many individuals with back pain have gotten fast relief by using inversion therapy tables which release pressure on the discs through gentle gravity-based traction. This allows fluid to soak back into the spongy interior of the disc so that it can heal and properly support your vertebrae.

So yes, water is the stuff of life. And the stuff that’ll help your spine stay healthy too.

Related references:
H2O: Hydration; Marketing Health Promotion, Wellness, and Risk Information for Spinal Cord Injury Survivors in the Community. Craig Hospital. Englewood, CO.

Wognum S, Huyghe JM, Baaijens FP. Influence of osmotic pressure changes on the opening of existing cracks in 2 intervertebral disc models. Spine. 2006;31:1783–8.

Zhao F, et al. Discogenic origins of spinal instability. Spine. 2005 Dec 1;30(23):2621-30.

Nosse, L.: Inverted Spinal Traction. Arch Phys Med Rehabil 59: 367-370, Aug 78.


Back Pain Sidelines Soldiers

Sunday, January 31st, 2010

Combat Soldiers and Back InjuriesBack pain is the leading cause of disability in the world. Other muscle and joint pain complaints, such as arthritis, are nearly as prevalent. A new study published earlier this month in The Lancet indicates soldiers in modern combat remain at high risk for these types of injuries.

In the study, researchers from the Johns Hopkins School of Medicine reviewed medical evacuations from Iraq and Afghanistan over the four year period of 2004 — 2007. They found nearly a third of all medical evacuations were for muscle, joint, and back pain unrelated to combat or other wounds. That’s more than double the evacuation rate for combat injuries which resulted in only 14% of evacuations over the same period.

Soldiers regularly carry heavy physical loads in combat situations which can contribute to the debilitating muscle, joint, and back pain found in the study. What makes the problem especially burdensome to the military is even after evacuation, many of the evacuated still weren’t able to find pain relief. Only about 13% of those evacuated for musculoskeletal, connective tissue, or spinal pain issues were well enough to return to duty 2 weeks after evacuation.

Besides the low healing rate of muscle, joint and back pain overall, another fact was called out by the researchers. Soldiers diagnosed with post-traumatic stress disorder (PTSD) are nearly twice as likely to experience all kinds musculoskeletal complaints including back and neck pain. Once evacuated for back pain, those having a concurrent psychiatric diagnosis like PTSD also had a decreased likelihood of returning to duty by as much as 38%. This further validates other researchers’ discoveries that stress has a lot to do with back pain and recovery.

NOTE: The Healthy Back Institute is going to donate 1000 copies of it’s Lose the Back Pain program to men and women of the military suffering from various types of back, neck and sciatic pain.


How to Fix a Herniated Disc

Tuesday, January 12th, 2010

Fixing Herniated DiscsFixing a bulging or herniated disc means different things to different people. Usually it either means a) help me stop my back pain, or b) help me fix the herniated disc. The end result may be the same but the perspective is critical.

If you simply want to mask the back pain you could take one of the many non-steroidal anti-inflammatory drugs, get repeated cortisone shots, or beg your doctor for another pharmaceutical drug alternative. While you might reach the perceived goal of ending back pain, you of course have not addressed the real problem.

On the other hand, if you choose to fix a herniated disc by actually treating the underlying cause as well as the symptoms you’ll have a greater likelihood of both ending the pain and preventing its recurrence. That’s where this article will focus.

First, understand that outside of cases of trauma a herniated disc does not occur overnight. It may seem like you “threw your back out” all at once, yet it was a process of weakening over time that allowed your disc to suddenly become noticeably problematic. What you may find surprising is many have a herniated disc without pain. It’s when the disc or inner material from a herniated disc press against a nerve that pain results.

What causes a herniated disc ?

Simply put, herniated discs are primarily caused by uneven pressure. Think of driving a car that’s out of alignment. The tires wear unevenly due to more pressure being present on one edge. Keep driving without fixing the problem and sooner or later you’ll experience a blowout on the worn side.

The effect on spinal discs is similar. Uneven pressure caused by muscle imbalances cause the less-pressured side of the disc to bulge or rupture, squirting the jellylike interior through the fibrous disc membrane into the spinal column. Picture stomping one end of a jelly donut – the jelly would be pushed out the other side.

There are of course other contributing factors like hydration, nutritional imbalances and excess stress and negative beliefs to name a few.

How to fix a herniated disc

Clearly the first step to fixing a herniated disc is to remove this uneven pressure. One highly effective method of removing spinal pressure you can do right at home is called spinal decompression.

By using an exercise ball or other device, negative pressure is used to pull the vertebrae towards the head instead of towards the feet. One of the most effective tools for achieving this effect is with an inversion table, which uses gravity to gently relieve disc pressure. This negative pressure has been known to allow a herniated disc to return to its normal position by itself.

Once you have relieved the initial pressure you will still need to address the underlying root cause of compression: muscle imbalances. Using a muscle balance therapy self assessment or consulting with a provider versed in this course of treatment you will identify specific muscle imbalances leading to uneven spinal pressure. Then you will use exercises targeted to strengthen weak muscles and stretches for overused and tight muscles to reverse these imbalances.

By relieving the pressure on the herniated disc and correcting the underlying muscle imbalances you will have either fixed the herniated disc or gone a long way towards improving the condition.

And don’t forget, you can’t ignore the other causes mentioned earlier. In order to get true lasting relief you have to find the combination of treatments that address all of your underlying causes.


Back Pain Treatment Machine

Saturday, January 2nd, 2010

Back Pain RobotAs we move into the second decade of the 21st century, technology continues to move forward at blinding speed. Yet even I was surprised (actually, I laughed out loud) the first time I heard about a robot designed to treat back pain. But I soon found out this was no joke.

It works so well that athletes from every major sports league swear by it. In fact, several teams have purchased their own robots for use right in the locker room to keep their players in top form. Yet therapy sessions with the robot are affordable for almost anyone and are even covered by some insurance plans.

How the Therbo Robotic Arm works

Now before you get the wrong idea, this isn’t some self-controlled machine running on artificial intelligence. Rather it’s a highly specialized tool called a Therbo Robotic Arm guided by a human physical therapist.

Part of why this robotic therapy, sometimes called Meilus Robotic Therapy after the robot’s inventor Al Meilus, is so effective is because it follows the same principles as Muscle Balance Therapy. Al’s background as a GE automation engineer prior to entering the field of physical therapy helped him recognize that muscle imbalances are the root cause of a significant percentage of back pain, sciatica and other pain complaints.

By using the robot to apply highly specific and consistent pressure, the Therbo causes overly tight muscles to relax and actually lengthen on the spot. By relieving pressure from the taut muscle many patients report immediate relief from back pain, sciatica, migraines, shoulder pain, and many other types of pain. It has proven to be a very effective complementary pain treatment for many types of pain.


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.