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Low Back Pain and what You Need to Know: Chiropractic


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Back Pain can be Difficult to Bare. Low Back Pain can become Severe when untreated. You May need Chiropractic Care, The Right Chiropractor can make a difference

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Low Back Pain and what You Need to Know: Chiropractic

  1. 1. ==== ====A Must See Video Before Finding a Chiropractor! ====Have you got low back pain? Its common. Dont fear. Dont be afraid. You can gain mastery ofyour low back.The advice youll get from doctors, therapists, or chiropractors can be confusing or evenmisleading. Theyre not deliberately trying to mislead you. They might just be thinking about backpain from a limited perspective.Before you make a commitment to a treatment program, begin by understanding some of the keyfacts about your pain and the low back. Theres always a lot you can do for yourself to gain controlover your situation. Even if you need the extra help of a chiropractor, physical therapist, or medicaldoctor, your treatment will be that much more effective if youre also doing all you can to helpyourself.I spend a lot of time explaining low back reality to my patients. You can get a head start. Here arethe some of the key ideas I wish all my patients understood:1. Pain is an experience that takes place in the brain, not in the muscles, joints, or discs. Thisdoesnt mean that pain is "all in your head". Pain has a tangible basis in the signals that arecoming in from your body. Change the signals, and the experience of pain will change. Or changethe way the brain processes the signals, and the experience of pain will also change.2. The brain creates an interpretation of pain based on all the input coming from the body - all themuscles, joints, ligaments, organs, etc. What that means is that only rarely is there a single site inthe body you can point to and say "Aha! Theres the cause of the pain."3. Doctors often identify the intervertebral disc as the source of low back pain. This violatesprinciple #2 in the paragraph above. But its not entirely crazy, either. Discs are subject to a lot ofstress, and theyre rich with nerve endings - nerve endings that can send pain signals into thebrain.4. Nearly everyone over 30 - those with low back pain and those without - has some wear and tearof the intervertebral discs. And if you have an MRI, youll see it. The radiologist might call itdegenerated, herniated, or bulging, or use some other term.5. Since nearly everyone has some disc damage, the appearance of your discs on an MRI doesntcorrelate exactly with the amount of pain youre in. Its a very tricky diagnostic situation. You canhave really bad discs but little pain, or only slightly damaged discs and a lot of pain. You can alsohave pain on the opposite side of your disc bugle, or at a spinal level above or below your worstdisc. The MRI shows the architecture of the disc - it isnt really diagnostic.
  2. 2. 6. That means that most people are wasting their time having an MRI.7. Theres a lot of scientific research about the use of spinal adjustments (also known as spinalmanipulation) for low back pain. In many of the research studies, it turns out that adjustments arehelpful, though in other studies, adjustments dont show much benefit. Its a very tricky area toresearch since there are so many variables - the types of low back pain patients being studied; thetype of adjustments given, as well as their frequency and the overall duration of treatment; if othertreatment is also provided; etc., etc., etc.8. Theres almost no evidence that adjustments (manipulation) causes harm in patients with lowback problems.9. Surgery for low back pain, on the other hand, has been less rigorously studied thanadjustments. And like the study of adjustments, this type of research is extremely tricky to do, andshows a variety of results.10. Heres some bad news: back pain can become a long-term, recurring problem. Thats notalways the case - many people have an episode or two of back pain, find a method to get relief,and then stay clear of pain for the long haul. But, too commonly, once you start having a low backproblem, it can linger or return at a later point.11. Heres why low back pain can become a long-term problem: When you have an attack of backpain, some damage is done to the structures of the low back. Even though the pain cantemporarily go away, those structures havent truly been healed. Then your back doesnt quiteregain its previous ability to support your body weight day-in, day-out. Its all too easy for the painto come back.12. Thats why most experts agree that the exercise you do to take care of your own back isextremely important.13. Unfortunately, even though theres wide agreement that exercise is important, theres very littleagreement about the "what, when, how, and how much" of an exercise program for low back pain.14. Sit-ups, curl-ups, or crunches can actually do more harm than good. These frequently-prescribed abdominal exercises are suggested because strong abdominal muscles support thelow back. But when you do these exercises, most often youre exercising the wrong groups ofabdominal muscles anyway. Plus, you can be putting extra pressure on the discs and other lowback structures.15. Theres a safer, faster way to develop core support instead: the plank pose. Youre stretchedout long on the floor, with your weight resting on your elbows and your toes. Use your abdominalsto keep your whole trunk in a straight line from feet to your head. (You may have to find a pictureof this on the internet.) Its harder than it seems. Hold for 15 seconds. Repeat it once a day. When15 seconds becomes easy, increase to 30 seconds per day.16. Dont perform "pelvis tucking" exercises. Some examples of these exercises are: standingagainst a wall and flattening your back against the wall; or lying on your back and pressing the
  3. 3. small of your back to the floor. Like sit-ups, curl-ups, or crunches, these exercises continue to becommonly prescribed for the health of the low back. Theyre more likely to backfire. They put morepressure on your discs. And when you flatten your back, your spine cant efficiently absorb verticalforces (like gravity.)17. A lumbosacral support belt can sometimes be helpful. This gadget cinches you in around thewaist and takes the pressure off your low back. Try it - sometimes putting a support belt onrelieves pain. For other people, it doesnt alleviate pain, but it protects the back and prevents itfrom getting worse.18. A support belt can also be useful when performing challenging activities like lifting, bending, orriding in a car.19. Another type of mechanical stress on the low back occurs when you shift your weight side-to-side. This happens with each step when you walk. Or if youre standing around and let your weightsag over to one side.20. Thats why strengthening your control of side-to-side weight-shift is an important part ofprotecting your low back.21. A good exercise to strengthen control of side-to-side weight shift:a. Hold on to the back of a chair or a doorknob for balance.b. Stand on your left leg and lift your right foot to the front, slightly off the floor.c. While continuing to stand on your left leg, move the right foot slowly out to the side, then aroundto the back.d. Reverse the action of the right foot, slowly moving it to the side and back to the front, and thenlower it next to your left foot and stand on both feet evenly.e. While youre moving your right foot, pull in your stomach muscles and balance evenly over theleft standing side, preventing your pelvis from sagging sideward or shifting to the front or rear.f. Repeat the exercise on the opposite side.Now that youve read this, take some time to pay attention to the pain that youre experiencing. Alot of the pain solutions youre looking for can be found just by paying attention to your own bodyand your own experience.As you apply the knowledge contained int his article, youve already taken a huge first step towardmastering your low back pain,Best wishes!ÂP.S. Ive never examined you or treated you, so I have no clue about the specifics of yourcondition. Dont be an idiot and blindly follow the advice in this article (or anything else you read onthe internet) without consulting a qualified physician as appropriate.Copyright 2010, Ronald Lavine, D.C.
  4. 4. Ronald Lavine, D.C. offers a free guide: Top Five Exercises for Your Low Back, available at YourBody of Knowledge.He has thirty years experience providing hands-on, natural therapy to alleviate pain and restorehealth.Article Source: ====A Must See Video Before Finding a Chiropractor! ====