Bio-Mechanics and Back Pain Relief.

When our body is in the standing position it is in a state of unsteady equilibrium because the base is small and the centre of gravity is a long way above it. That is why it has to be balanced by keeping the centre of gravity over the base, otherwise the body would fall over.Equilibrium: The steadiness of the body depends on the size of its base and the distance of the centre of gravity from that base. An object having a large base and a low centre of gravity is not easily upset.The first thing necessary in order to accomplish good posture is to straighten the neck, keep the chin down and back.

The second important thing is correct deep breathing. The line of gravity in the fundamental standing position falls in front of the ears, and in front of the cervical and dorsal vertebrae, through the lumbar vertebrae, through the hip joint, and slightly in front of the ankle joint. But this probably varies in individuals according to their build and height."Biomechanics is that branch of science concerned with the understanding of the interrelationships of structure and function of living beings with respect to the kinematics and kinetics of motion"Poor Posture associated by the following:

Genetic disorders, Familial association, Irregular/no exercise, Bad habits when sitting or standing, Carrying excess loads, (School/shopping) Underweight/Overweight (Inadequate diet)Mental Attitude towards oneself.

Biomechanics is our way of describing how each bit of your body moves in relation to another bit.
Our bodies are fantastic at compensating when things are not quite perfect but unfortunately when we run out of compensations we usually end up with pain and stiffness.

Let’s have a look at some of the more common biomechanical problems:

Problem 1.
It’s the fashion not to tie trainers and shoes up but this prevents the shoe from supporting the inside of the foot and allows the foot to roll or ‘pronate’ too much in standing and walking.
This means the knee and the hip rolls inwards too much which makes the inside calf and inside thigh muscle shorter. The iliotibial band can then rub against the outside knee giving pain.
Further up, the bottom muscles become too long and stop working as they should do which puts added stress on the pelvis and low back joints. Before you know it you have back pain, knee pain and ankle pain! And all because of fashion!

Problem 2.
Whether you drive 5 miles or 500 miles a day your car seat is really important. In many cars the base of the seat slopes backwards. In fact some of the more expensive cars are the worst because they want you to feel ‘snug’ and safe in the seat. However, this position forces your pelvis to sit too far backwards.

Once this happens your low back and upper back flex forward too much but then your neck muscles have to work really hard to stop your head from flexing too much and allow you to see where you are going. This position then forces your shoulder blades to stretch too far forwards and a large stress is placed on both the front and the back of the shoulder.
The result is neck pain and /or upper or low back pain. This position can exacerbate sciatica as it is a big stretch for the nerves.

The solution is to raise the back of the seat so it becomes more horizontal. Some cars allow you to alter this angle but if yours does not then sit on a small cushion or buy a special wedge shape cushion that fits into the seat.

Terry O’Brien
Back Trouble UK.

Arthritis

Spinal arthritis is a very painful condition, worse than other forms of arthritis due to the high amount of nerves present in and around the spinal structures, especially those concerning the facet joints and intervertebral discs.
Spinal osteoarthritis, otherwise known as spondylosis, can affect any region of the spine and is caused by the degenerative process.

More common in the over 55s and with women more than men, spinal arthritis can be triggered by an accident, injury or from a weakened immune system.
People who have a family history of spinal arthritis are more likely to develop the condition themselves.

Symptoms
Apart from suffering with high levels of pain, there is the likelihood of having an increased stiffness, especially in the spine, particularly after long periods of rest. Pain can be intermittent and worse on movement.
As part of the human body’s natural response to arthritis, an excess of bony growth may occur, resulting in ‘spurs’ being formed। They can cause additional pain and can restrict movement further. Some sufferers report a crunching sound, like bone on bone, possibly due to the growth of the spurs.

Spinal arthritis occurring in the lower back can affect the lower extremities with additional pain in the legs and buttocks. Cervical spine arthritis can cause pain to radiate to the shoulders and arms.
There is no known cure for arthritis but there are a number of treatments available for the relief of symptoms.

Treatment
The treating GP may refer you to an x-ray department in order to confirm diagnosis by a series of images। These pictures will also show any inflammation and if there is any deterioration in the cartilage.

Along with this a blood sample can be gained and sent for analysis to determine the type of arthritis. Medications include anti-inflammatory drugs, pain relief, arthritic drugs or steroids.
Spinal spondylosis can cause the intervertebral discs to degenerate which increases the risk of them herniating, a condition that would require further treatment.

Facet joints of the spine can be affected by the deterioration of cartilage or the formation of bony overgrowths and can limit movement significantly. Surgery may be an option to remove the bony growths.
Treatments that can be performed by the patient, without input from a medical professional include giving-up smoking; this will increase the levels of oxygen to the affected area and prevent further deterioration of the discs. Maintaining a healthy weight for your frame will prevent putting excessive pressure and strain on the ligaments and joints of the spine. Applying regular heat or ice therapy, whichever is preferred, will help with pain relief and reduce inflammation. Exercise is a good way of help alleviate symptoms, as arthritis can affect mobility, it may be best to seek advice from a physiotherapist who will work with you and devise an appropriate and manageable programme of exercise.

Spinal arthritis is a painful and restrictive condition. Though there is no cure, it may be prevented or onset delayed by eating a healthy diet, rich in nutrients and calcium (to keep bones strong and healthy), and by ensuring flexibility, strength and suppleness by keeping to a regular exercise regime.

Back Exercises

Many times individuals experience back pain because their body is not strong enough to support their bodies. The result of a weak body is often back pain. However, back pain exercises are a great way to strengthen the entire body and provide support for your back. When your back has support because your body is strong due to back pain exercises then you will not experience back pain like you did before. So, if you suffer from back pain consider back pain exercises to increase your back strength and decrease your pain.

Back Pain Exercises

Back pain exercises might sound as if they are exercises that only focus on the back; however this is not the case. In fact, back pain exercises are made up of exercises that strengthen the back, stomach, neck, hips and thighs. The reason back pain exercises focus on all of these muscles is because all of these muscles work together to provide support for your back. When all of these muscles are strong due to back pain exercises they will provide a sound support system for your spine and your back pain days will be over.

Back pain exercises should include cardiovascular exercises like biking, running, or swimming followed up by wall sits, lounges, leg raises, sit ups, and other similar back pain exercises. When these back pain exercises are performed on a regular basis the individual will gradually strengthen their body providing more support to their back and body. As the body becomes stronger and better supported back pain will subside.

The Alexander Technique

The Alexander Technique is used to help to teach people about how efficiently and effortlessly they can use their bodies in everyday life. Often, we develop bad posture and habits without being aware of this, and expend too much energy or muscle force to achieve a task. Alexander Technique teachers help to adjust the client's posture to recognise the difference between current habits and what it feels like to use muscles with minimum effort and in a relaxed, fluid way.

Posture:

The Technique teaches how to become more aware of your own posture, balance and movement in everyday life. The lessons usually last for between 30 and 45 minutes and are normally on a one-to-one basis. The teacher uses his/her hands to gently correct any muscular imbalances and encourages the body to a better alignment. This is a direct body experience, so the client becomes familiar with the sensation of correct alignment in his or her own body. This can feel strange initially, as the body is not used to using it's muscles in this way, and the new methods of movement need to be practised with constant awareness as to how we choose to use our bodies in everyday tasks. It is a process of re-educating the body by learning how to stand and move correctly. This leads to health benefits as often-poor spinal posture will lead to other symptoms like poor breathing due to restriction in the throat and diaphragm areas. Breathing and how we breathe is an important aspect of the Alexander Technique.

Successful remedy:

An Australian actor, Frederick Matthias Alexander (1869-1955), developed the Alexander Technique. He suffered from respiratory problems as a child, which later affected his voice and career in the theatre. He tried many remedies without success and eventually began a process of self-observation to try to find a way of curing himself. He realised that the voice problem was a result of muscular tension in his whole body and that his thought patterns also had a great part in contributing to the tension that had become an ingrained habit. Alexander studied his posture with the aid of mirrors to see how this was affected when he recited and as a result could see that his body alignment was incorrect. He gradually taught himself to correct his posture and found that he had cured his voice problem. He went on to pass the technique to others and eventually opened a clinic to help people to learn about their own use of posture.

Back Pain Treatment without Drugs!

C’mon there is a standard "cure" for most causes of back and neck pain?

Fact: Compared to other medical conditions, there are relatively few standardised approaches to diagnosis and treatment of back problems. Spine specialists from various areas of expertise (such as physical medicine and rehabilitation, chiropractic, osteopathic medicine, physical therapy and surgery) will often disagree on the diagnosis and most appropriate treatment plan for back pain and back problems, and specialists within a discipline will also frequently have different opinions.

A few diagnoses for back pain as a result of back a back problem are relatively straightforward (such as a spinal tumour, infection, or fracture) and there is generally more consensus for diagnosis and treatment of these back problems.

Myth:
Rest is the key to recovery from back pain and back problems
Fact: The two main reasons bed rest may be recommended for back pain are to reduce pressure on the discs in the spine and to stop the mechanical stresses that are irritating pain receptors. A short period of bed rest may help reduce acute back pain. However, in most instances, more than 1 or 2 days of rest can be detrimental to recovery from back pain, potentially leading to increased pain and other adverse results, such as:

muscle atrophy (1% to 1.5% per day)

cardiopulmonary reconditioning (15% loss in 10 days)

bone mineral loss

risk of blood clots

loss of wages

creating an "illness" mindset

Myth:

Heat and massage feel good so they must be helping back pain and back problems?

Fact: These therapies can reduce acute back pain in the short-term, but do not provide a long-term solution to back problems. They are used to manage pain during recovery, allowing patients to complete a rehabilitation program and participate in daily activities.

Myth:

Long-term pain indicates I need back surgery for my back problems?

Fact: If back pain has reached the chronic stage, spine surgery actually has a reduced likelihood of being successful. Typically, symptoms that suggest back surgery might be helpful occur early in the course of pain and are relatively apparent.

Let us Help?

Are you a candidate for treatment?

Our associated clinics treat both acute and chronic back conditions.

If your symptoms have appeared recently we can use the best manual physical

therapy techniques to facilitate the healing process and restore normal function as soon as possible.

If your symptoms are long-standing (more than 6 weeks) or recurrent you are likely to have developed weakness and instability in your spine and you may be a candidate for our specialised programme of intensive strengthening of the lumbar spine.

We are able to treat anyone between the ages of 18 to 80.
Treatment is as suitable for those with sedentary lives as it is for athletes - we have patients at both ends of the scale.

This list shows some of the the conditions that can be treated successfully using Natural Physical Therapy.

Lumbar strain

Herniated (prolapsed) disc

Sciatica

Degenerative disc (or joint) disease

Stenosis

Spondylolisthesis

Osteoporosis

Osteoarthritis

Hypermobility/instability

Scheuermann's disease

Many treatment methods help only with symptomatic relief but do not address the underlying cause of pain and therefore result in only a temporary solution.

That is why so many people with back pain find themselves in the "Pain Maze" confused over which therapy to undergo, or whether drugs, injections, manipulation or surgical procedures will indeed bring an end to the pain.

That’s why Back Trouble UK was formed, so that Back Pain sufferers could be both more informed and to be able to make a more informed choice of available therapies.

Craniosacral Therapy Whats it Mean?

Let me introduce Craniosacral Therapy, it is a non-invasive form of treatment that has its roots in the earliest days of Osteopathy, but has since grown and developed in its own right to become a powerful, yet subtle form of treatment.

At the beginning of the twentieth century, Dr. William Garner Sutherland, the founder of Cranial work, discovered that the different fluids and tissues (e.g. bones, muscles, organs etc.) of the body express a natural rhythmic motion that can be perceived through a light "listening" touch and can give the practitioner a wealth of information about the functioning of the body. This natural motion is considered to be a direct expression of the state of health of the individual.

Craniosacral therapy works through the practitioner helping to directly influence this most fundamental expression of health within the client. As such, it can be of great benefit to help relieve many physical, psychological and emotional conditions. Unlike other therapies, Craniosacral therapists do not try to directly resolve any symptomatic issues that might be present. Rather, they try to increase the level of available health within the affected area, and the body as a whole by re-establishing natural motion to the problem area. Due to the different experiences of our lives, these natural rhythmic motions may become restricted, or otherwise disturbed.

The more intense the experience (e.g. accidents, i llnesses, surgery, stress, trauma etc.), the greater the effect upon our body. This may lead to the development of various symptoms including reduced blood flow, increased levels of stress, lowered immunity, increased body tension as well as increased pain and dysfunction. It has been found that the most effective way to influence these natural motions, and to help restore the body to its optimum health, is through a light, non-invasive touch, without the use of massage, manipulation or other such techniques.

Where areas of restriction are found, the therapist will subtly encourage or enable the body's own potent healing forces to re-establish themselves in those places, leading to an overall return of healthy movement and function.

First Aid for Back Pain!

Apply Heat and Ice:

Apply an ice pack to the affected area. If you haven't got an ice pack, use a bag of frozen vegetables instead. Don't put the ice directly on your skin, as it might cause a cold burn. Put a wet cloth between the ice and your skin.

If ice doesn't work, try applying gentle warmth with a hot water bottle. Don't apply the hot water bottle directly to the skin - cover it so it isn't too hot. A hot bath or shower might also help.

Some people find alternating heat and cold produces most relief. Try to get professional advice on applying heat and ice if you can.

Medication:

Take painkillers following the instructions on the packet - never take more than the recommended dose. Many people find that paracetamol or ibuprofen helps - your pharmacist can advise you.

Painkillers shouldn't be used as a long-term solution. If you find you still need them after a week or so, consult your doctor.

Relaxation:

Muscle tension is bad for back pain, so try to relax as much as possible. Take a long bath or listen to soothing music. Use a relaxation tape if you have one.

A gentle massage from a partner or friend may help, but make sure they don't do anything that causes pain.

Bed rest versus exercise:

Doctors used to recommend long periods of rest for people with backache, but research has shown this is actually bad for backs. Even crawling around on your hands and knees is better than no movement at all.

Some kinds of exercise, such as walking, don't put too much stress on your back. It's a good idea to make a start on them even if your back is a bit sore, just to get your joints moving and your heart and lungs working.

Getting back to normal:

In most cases, the back recovers naturally if allowed to do so and the pain should settle in a couple of days. Once this has happened, continue getting back to normal activities and try not to stay in one position or do any one activity for more than 30 minutes.


Avoid lifting, bending or twisting until the pain has gone for a few days. Refrain from returning to the activity that caused the pain for a week or so, even if you feel better, and gradually build up your exercise and activities day by day.

Don't just listen to your friends and relatives - ask an expert.

Talk to a properly qualified therapist!.

No Quck Fix!

Back pain is a common condition which often settles spontaneously, thus justifying a conservative approach to management by both practitioner and patient.

Patients benefit from a confident and knowledgeable practitioner who can dispel doubts and myths, provide appropriate back education and reassurance, outline a logical management plan and refer to other therapists if necessary.

The great variety of treatments available indicates the lack of a `quick fix' cure.

All treatments have some, albeit limited, benefit. The most beneficial treatments are rest for 2-3 days, exercises and appropriate physical therapy.

Key words: Limited rest, education, exercises, physical therapy.

Sex

Back pain can be an intruder into your sex life and even ruin your relationship, if you are not careful. This article presents six things you can do to keep the love in your life when you suffer from back pain. The tips and insights here are provided by Terry O'Brien. Back Trouble (UK)

1. Try to Talk to Your Doctor About Your Sexual Functioning - or Turn Elsewhere
Patients tend to be uncomfortable about discussing sex and sexual positions with their doctors. According to Terry , a big part of the responsibility for the lack of communication between doctor and patient lies with the medical professionals. "Health care providers should be actively seeking the subject," he says. Sex is on par with returning to work and daily activities in diagnosing and treating back pain.

If your health care provider will not address your questions about sex, Terry suggests researching the information on the internet.

2. Address Your Attitude

Address your attitude about your condition and the effect it will have on your relationship. Terry says that quite often relationships break up when one partner experiences back pain. This is because, he says, reaction to pain is a learned behavior. "As you decide to be, that's how you are." Often people in pain will exaggerate it by avoiding sex. "This is what ruins the relationship," he says.

3. Accept that you may not be able to be as vigorous as you were prior to the onset of your pain. You can turn to your creativity and sense of discovery to help you adapt your sex life to the level your back can handle.

4. Know your condition and which positions bring on symptoms, as well as which alleviate them. Back injuries and conditions can be categorized by what kinds of movements make symptoms worse, and this information can be used to guide the selection of sexual positions.

5. With your partner, plan out which positions to try. Often you can modify your favorite positions with just a pillow or towel. Other times, you need to communicate and work it out with your partner. Talk about it up front, then expect, at times, that you will need to modify the plan. Planning your positions is a valuable strategy, Terry says, because relationships which accommodate back pain with a "we can adapt" attitude fare better than those in which the problem belongs only to the partner with the pain.

6. Get your pelvic floor muscles in shape. Strong flexible pelvic floor muscles can greatly enhance sexual function. The good news is that they can also do wonders for your back. The reason for this is that they are a part of the core support system that balances out muscle usage and stabilizes body posture. Terry says that along with their role in sex, the pelvic floor muscles are as important as the abdominals and low back muscles in back health.

Symptomatic Treatment

Symptomatic Back Pain Treatment:

Symptomatic back pain treatment is commonplace in medicine today.

Medical science has not been very effective in curing many common back pain conditions. Most of the accepted treatments for back pain only provide relief from the symptoms, rather than attempt to correct the actual cause of the condition. Symptomatic treatments are fine if the condition is incurable, but if used for curable back pain, they are examples of bad medicine and poor science.

Not all care providers continue symptomatic treatment past its usefulness or instead of a true cure.

A good health care provider will always prefer to cure the condition, and will work tirelessly to assist the patient in their recovery.

Back Trouble UK practitioners strive to treat the cause, not just the symptoms of the Back Pain Condition, with excellent results.

Possibly Dangerous Remedies!

Back pain occurs in many forms. It may be only an uncomfortable twinge in the lower back or so severe that it is disabling. The pain may persist for a week, or for months or years. Back pain is extremely common, and there are numerous methods and commercial products available to treat it.

One common misconception is that back pain is caused by activity and relieved by rest. Unless otherwise advised by a physician, however, you should not treat back pain with extended bed rest. The patient with low back pain should rest for no more than two days and may try nonprescription products. It is better to resume normal activities (even though there may be some pain) than to rest too long and get out of shape, which may increase the risk of future episodes of pain. In one-third of all cases, back pain will heal in a week or so.

Preventing Back Pain:

To prevent future episodes of back pain, ask your physician to refer you to a physical therapist who can teach you exercises to strengthen the muscles of the back. Sitting for extended periods is a primary factor in back pain. Regular exercise can allow the back to better support weight while sitting. If your job involves a great deal of sitting (such as working at a word processor), walking during break periods and after work is a good idea.

Using Non-prescription Analgesics:

A number of safe and effective non-prescription products are available, but they should not be used longer than 10 days. The products should not be used when pregnant or nursing a baby, and they should not be combined with prescription pain relievers unless you ask a physician or pharmacist. Also, you should not combine non-prescription products with each other (for example, ibuprofen plus naproxen) unless advised to do so by a physician or pharmacist. If you drink three or more alcoholic beverages daily, do not use any non-prescription pain reliever without asking your physician.

Choosing a Pain Reliever:

Acetaminophen (Tylenol) is a good first choice because it does not cause stomach problems and is safe with most prescription medications. Other products that may be effective include aspirin, ibuprofen, naproxen and ketoprofen. It is important to note, however, that these medications may irritate the stomach unless taken with food or milk. Aspirin may cause interactions with prescription medication, such as warfarin, other medications for thinning the blood, or medications for gout, arthritis, or diabetes.

Heat and Cold: Your doctor or physical therapist can tell you how to use heat or cold treatments and other products.

Be cautious about internet information:

Patients searching the Internet for information on back pain may be led to devices purported to relieve back pain, including Back Bars (delivering pressure point massage), portable pillows, seating systems, back supports, and driver’s cushions. One device allows the user to hang suspended from the ceiling, supported by an air-filled cushion worn around the waist.

An A-frame metallic device allows one to hang upside-down holding on to its bars.
Another company claims to have the solution for back pain (as well as stress, insomnia, migraine, and arthritis) with automatic Chinese ear acupuncture devices that do not use needles.

One company touts the benefits of proanthenols, which they claim are grape seed and pine bark extracts, for back pain. Since patients often purchase these products in lieu of a physician visit or safe and effective back treatment.

We would like to warn patients to avoid unproven and possibly dangerous remedies.

See Your GP

See your GP:

As a general rule, people with back pain are advised to contact their doctor if the pain is no better after about a 2-3 days.

You should certainly see your GP as soon as possible if you have any of these symptoms:

Difficulty passing urine
Numbness around the back passage or genitals
Numbness, pins and needles or weakness in the legs
Pain running down one or both legs
Unsteadiness when standing
These are associated with uncommon conditions, but ones that need treatment immediately.

What doctors can Do:

There's no quick fix for most back pain and your doctor is unlikely to be able to 'cure' you. However, they will be able to:
Check you don't have a serious condition
Prescribe another type of painkiller
Refer you to other health practitioners who can help
Your doctor will probably give you a physical examination and ask you about your back pain.
Here are some probable questions your GP will ask. Think them through to make the most of your medical examination:

When did your back pain start?
What were you doing when it started?
Have you had any back problems in the past?
Where is your pain?
What sort of pain is it - dull, piercing or shooting?
Does it stay in the same place?
What makes the pain better, or worse?
Do you have any other symptoms, in your back or elsewhere?
What does your back pain stop you doing?
What have you been doing which might have contributed to giving yourself a bad back?
What can you do in the future to try and keep your back healthy in the long term?

If you're not happy with your doctor's diagnosis or if your symptoms keep coming back, go back to your GP or ask another health expert for their opinion.

Other people who can help?

If your back problem doesn't clear up quickly, your family doctor may refer you to another health practitioner. This is most likely to be a Physical Therapist and may involve a visit to the hospital for examinations, tests and treatment.

Even if your doctor doesn't refer you to anyone else, you can visit another health practitioner privately. Some people go straight to an osteopath or chiropractor as soon as back pain starts.

Private sessions can cost as little as £35, and the practitioner quite rightly may recommend a course of treatment over several weeks.

If you do decide to see a practitioner privately, personal recommendation is a good starting point.

But remember your back problem is unique - just because a specialist helped a friend it doesn't mean they'll be able to do the same for you.