Running and back pain 2011

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  • You need to be healthy to do your job, without a healthy body you can’t do what you enjoy and need to do to make a living, support your family and have fun………
  • http://www.aapsm.org/running.html New literature suggests that forefoot running reduces total force through the foot etc…
  • Running and back pain 2011

    1. 1. A Presentation on Back Pain and Running 2011 Stephan Esser MD www.esserhealth.com
    2. 2. Running Series Back Pain Stephan Esser USPTA, MD
    3. 3. Learning Points• Get to know your body – Basic Anatomy – What can go wrong• Know what yo u can do – Prevent problems – Basic Treatment• When to see a doctor
    4. 4. Why it Matters?
    5. 5. Ever had back pain?
    6. 6. Back Pain Stats• > 80 % of Americans in a lifetime• ≈ 30 % at any given time• 2nd leading reason to see a doctor• Spending in 2005 = $85.9 billion• Among Athletes highest rates: – Football, gymnastics, wrestling etc.
    7. 7. 80% 10%
    8. 8. Kinetic Chain:– Inter-Connections of the Body Heel to Scalp– Forces are transmitted through the tissues– Technique, accessories, muscle balance, body habitus etc. can alter these forces
    9. 9. Running• Foot Strike: – Force is delivered through the foot – Force is 3-6 x’s body weight• 10-mile run ≈15,000 strikes
    10. 10. Preventing Back Pain• Maintain healthy Posture – Awareness • “Ergonomics” – Core Strength – Flexibility & Balance – Ideal Body Weight• Muscle Balance – Weight training – Cross-Training
    11. 11. Ergonomics
    12. 12. Core Strength• Defined – Abdominals: Rectus, Obliques – Back Musculature: Extensors• Function – Provide spinal/pelvic stability – Improve spinal circulation – Look Good – Improve Efficiency
    13. 13. Flexibility• Maintain – Hamstrings – Quadriceps – Lower Back – Upper Back and Shoulders – Abs
    14. 14. Preventing Back Pain• Cross-Training: – Challenge “Tissue” in different ways – Develops complementary muscles – Engages the nervous system • Normalization/desensitization• Maintain Muscle Balance
    15. 15. Preventing Back Pain
    16. 16. Back Pain• You can handle it: – Mid-Low Back pain that improves with rest, ice NSAID’s and core work – Pain with a clear cause: eg: recent increase in activity now with some mild LBP• Self Treating – 1-5 days of ’d activity: Soft-Brace, Ice, NSAID’s, maintain light activity (stationary bike etc.) – 1-3 weeks of intensive core strengthening, stretching
    17. 17. More Stats.• Back Pain Free – 50% of people in 1 week – 75 % of people in 1 month – 95% of people in 3 months Regardless of Treatment or no Treatment
    18. 18. Back Pain• See your Doc’: – Extreme Pain – Pain that fails to improve with “conservative” management in 3-7 days – Pain with associated symptoms: • weight loss, fevers, chills, skin rash, night sweats – Pain with numbness, tingling or weakness down the legs – Change in bowel or bladder habits – Numbness in the groin area
    19. 19. Back Pain Wrap-Up• Back Arthritis and degeneration is a normal part of aging, but how we experience it varies• 90% of back pain is “safe pain”• You CAN do a lot to reduce the intensity, frequency and duration of back pain• You CAN manage most back pain on your own• There are times when you NEED to be evaluated by a Doc
    20. 20. Demonstration
    21. 21. ?
    22. 22. Thank you!
    23. 23. "The miracle isnt that I finished. Themiracle is that I had the courage to start." John Bingham J
    24. 24. Enjoy more powerpoints and educational resources at www.esserhealth.com

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