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To treat back pain, look to the brain not the spine

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Re: To treat back pain, look to the brain not the spine

#81
post #39

Earlier quoted context omitted.

If you're enthusiastic about milk and believe that strength is the way out of pain, I have the best recommendation for you: Starting Strength.

I'm enthusiastic about milk, but why is it so good for us?

If you read Starting Strength, you'd know. To summarize, it has everything baby calves need to grow strong, which is also similar to what humans need to grow strong. Lots of protein, along with some sugar and lots of vitamins and minerals.

Re: To treat back pain, look to the brain not the spine

#82
post #5

I've been living this horror for six years. If I could just magically stop using medicine and not being treated like a drug addict for merely taking prescribed medicine by all walks of society (from cops, to nurses, to neighbors), don't you think I'd have already fucking taken that choice? The majority of people don't want to be on pills. They want to get better. If I'm in too much pain to physically get out of bed,…

Hey man after 3 years I just finally beat back pain - it is possible. In my case it was physical therapy until i understood the routine to strengthen the core and stretching. I also changed how I work: no sitting, ever. Laying or standing. I lost weight (i am 6'1 got down to 165). I took stretching serious, you should be able to touch your toes. You need to drink milk. For depression find a position to work while you…

Slight caveat here: for those with sacroiliitis or SI joint issues, "sitting down is bad for you" is NOT necessarily the answer. In many cases standing is worse for you than sitting. Don't prescribe to generalities, of course, is the lesson.

Re: To treat back pain, look to the brain not the spine

#83
This is my story without advice or conclusions:

10 years of lower back pain. Average of 5 serious strikes a year would take me out for 3 or 4 days completely. A feeling of weakness or mild pain occurring regularly in between those. Nothing on MRI. Lots of different Physio etc at different times. Special chairs, special cushions, Difene (diclofenac) ... too much.

Late 2016 got sciatic pain for the first time. Took me out for 5 days. Got over it. Started Pilates. Early 2017 got hit with sciatic pain again - decided to just go through it. After 6 weeks I gave in and took some very heavy anti-inflammatories. Woke up with massive stomach pains and assumed I was reacting to the drugs. Went to the hospital and was diagnosed with Appendicitis. They took it out. Spent a couple of days taking lovely drugs. Got out. Back still rough but different somehow. Took a valium just once, slept 16 hours.

Have not had any back pain for 9 months. No drugs. No special exercise. No idea what happened. My back just feels different.

Re: To treat back pain, look to the brain not the spine

#84
post #5

I've been living this horror for six years. If I could just magically stop using medicine and not being treated like a drug addict for merely taking prescribed medicine by all walks of society (from cops, to nurses, to neighbors), don't you think I'd have already fucking taken that choice? The majority of people don't want to be on pills. They want to get better. If I'm in too much pain to physically get out of bed,…

> The majority of people don't want to be on pills.

Well I'm sure that even the addicts don't "want" to be on pills. The real question is how many people actually are unnecessarily addicted. Do you believe that most are not? If so how would you substantiate that? If you want I can start listing out anecdotal information that would support the opposite of what you are saying, but that would get us nowhere right?

Re: To treat back pain, look to the brain not the spine

#85

Earlier quoted context omitted.

Hey man after 3 years I just finally beat back pain - it is possible. In my case it was physical therapy until i understood the routine to strengthen the core and stretching. I also changed how I work: no sitting, ever. Laying or standing. I lost weight (i am 6'1 got down to 165). I took stretching serious, you should be able to touch your toes. You need to drink milk. For depression find a position to work while you…

How is nabumetone better than any other NSAID?

That's what I came here to say. It's a selective COX-2 inhibitor so maybe you could argue it's like celecoxib (which is prescribed for some types of pain, mainly acute). The point being that back pain and most chronic pain isn't really inflammatory, save neuropathic pain.

Re: To treat back pain, look to the brain not the spine

#86
I had severe back pain in the last two years of high school. I eventually figured out how to sleep differently and move differently to avoid triggering the pain. Standing for longer than 20 minutes usually made my back ache like crazy. I found some stretches and positions that got my back muscles out of spasm. Unfortunately I had already gotten other weird muscle compensations by that point that resulted in more problems.

I had a lot of other aches and pains (wrist, knees, hips, feet, etc.) by my mid-20s that were hitting me hard pretty much all day every day.

It took A LOT of learning, stretching, strengthening, massaging, etc. but I'm in my mid-30s now and can do more than I have ever been able to do before. I've made it a career helping people in chronic pain as a trainer with a different perspective.

A couple resources that may help someone in severe back pain: Back in Control by David Hanscom, MD. The author is a spine surgeon who, after years of performing spine surgeries and seeing the real effects and real research results, realized that surgery was NOT a good answer for back pain. This is an excellent read with some very practical advice.

Also an excellent read is this article that appeared in Vox recently: vox.com/science-and-health/2017/8/4/15929484/chronic-back-pain-treatment-mainstream-vs-alternative

I would also echo the sentiments of others here. It is VERY possible to beat back pain without surgery and pills, but the level of complexity varies from individual to individual. From the last 10 years of professional experience, I've seen some people solve back pain in two weeks, and I've seen some people take more than a year.

I have a client that I still train who had unremitting back pain for nearly 13 years. She had radiating leg pain and eventually had microdiscectomy that helped a little. Even after that and after more PT and all kinds of alternative medicine, she still had debilitating back pain daily.

For her, working on her hips has been the big key that now keeps her feeling really good. She's now able to go dance classes, do long road trips, sit on a plane for vacation, etc. The process was difficult and required patience, but together we figured out what helps her. Exercises that restore muscle balance is HUGE. And shockingly this is not an approach you'll see in medical or physical therapy textbooks.

For a little more perspective, Framework is another good book by an orthopedic surgeon who generally advises against surgery. He notes that the vast majority of doctors receive a maximum of 2 weeks of musculoskeletal education. Most receive far less. Doctors who know muscular anatomy in-depth are a very small minority. It's just not something covered in standard medical education.

However bad things may seem, DO NOT GIVE UP. Focus on taking control.

Re: To treat back pain, look to the brain not the spine

#87
post #75
post #6

Earlier quoted context omitted.

As a migraine sufferer I feel the same way. I tell people who don't take my pain seriously to watch me take a round of Botox for them. It's something like 8 syringes in my scalp. I absolutely would not go through that if a single migraine didn't inflict much more pain upon me. I'll never forget having a migraine come back on as I was leaving the ER one night. They had already dosed me up well. All the drugs did thoug…

I also suffer from migraines, although not nearly as severe as yours. I strongly recommend you look into kratom for pain management. I generally take a small dose of two grams alongside 200mg ibuprofen and a 10 hour headache will usually disappear within 30-60 minutes. I won't promise that you'll get the same results, but if you're desperate, kratom is relatively benign, cheap, and helps for all kinds of pain.

I would but I don't want to run afoul of any legal issues. Plus I'm on stuff that may interfere. My current regiment is working pretty well.

My latest abortive measure was to apply infrared heat to my trapezius muscle (all the way up to my forehead), tens to the base of the trapezius and back of my neck, and go into the "crocodile" yoga pose for an hour. (I used a very light pillow to make it more comfortable). It took doing all of that over the course of 60-90 minutes and the migraine subsided.

Re: To treat back pain, look to the brain not the spine

#88
post #79
post #34

Earlier quoted context omitted.

What do you so for core conditioning and strength? Also I'm looking for ways to put together a workstation in the horizontal position

One passive way to work the core, sit on a yoga ball instead of a chair. Just start slow, maybe 30-60 minutes at a time.

After a few weeks, if you don't address your postural issues, you'll discover that you can have terrible posture on a yoga ball just as easily.

Re: To treat back pain, look to the brain not the spine

#89
post #88
post #79

Earlier quoted context omitted.

One passive way to work the core, sit on a yoga ball instead of a chair. Just start slow, maybe 30-60 minutes at a time.

After a few weeks, if you don't address your postural issues, you'll discover that you can have terrible posture on a yoga ball just as easily.

Absolutely, but it's a great way to strengthen the core and work on posture. It's always going to take work of course.

Re: To treat back pain, look to the brain not the spine

#90
post #79
post #34

Earlier quoted context omitted.

What do you so for core conditioning and strength? Also I'm looking for ways to put together a workstation in the horizontal position

One passive way to work the core, sit on a yoga ball instead of a chair. Just start slow, maybe 30-60 minutes at a time.

This puts a lot of pressure on the lower back. Sitting down for long periods without any back support doesn't seem like a great idea to me.
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