Low Back Pain

The spine shown here with spinal cord.
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Low back pain does not discriminate. It affects everyone, at any age, for a variety of reasons. Low back pain affects people’s work, daily routine, and recreation. Americans spend about $50 billion or more each year on low back pain. It is the most common reason for job related disability and is the leading contributor for missed work. Low back pain is also the second most common neurological illness in the United States, with headache being the most common. Thankfully, the majority of occurrences of low back pain disappear within a few days. Others lead to more serious conditions or even take much longer to clear up.

Short-term or acute low back pain lasts from a few days to a few weeks. Acute low back pain is automatic in nature, which is a result from any disorder like arthritis, or from trauma to the lower back. Trauma pain can be caused by sports injury, work in the garden or around the house, or sudden jolts from car accidents or other incidents, or other stress on the spinal tissues and bones. Symptoms of low back pain can range from muscle ache to stabbing or shooting pain, limited range of motion and flexibility, and even the inability to stand up straight. Sometimes, the pain felt in one part of the body can be from a disorder or injury elsewhere in the body. Acute pain syndromes can become much more serious if it goes untreated.

Bone strength and muscle elasticity and tone tend to decrease as people age. The discs in the back begin to lose flexibility and fluid, and that decreases the ability to cushion the vertebrae.

Low back pain can occur when someone overstretches or lifts something that is too heavy, causing strain, sprain, or spasm in one of the muscles or ligaments in the lower back. If the spine becomes overly strained or compressed, the disc that is affected can rupture or bulge outward. This rupture may put pressure on one of more than fifty nerves that are rooted to the spinal cord that control body movements and send signals from the body to the brain. When these nerve roots are compressed or irritated in any way, back pain, including low back pain, can occur.

Low back pain can reflect muscle or nerve irritation or bone lesions. While often times, low back pain follows injury or trauma to the back, it can also be caused by viral infections, irritation to joints and discs, degenerative conditions such as disc disease or arthritis, osteoporosis or other bone diseases, or congenital abnormalities of the spine. Smoking, obesity, weight gain during pregnancy, poor physical condition, stress, bad posture for the activity being performed, and even poor sleeping positions can contribute to low back pain. In addition, scar tissue from a previously injured back does not have the flexibility or strength of normal, healthy tissue. Build up of this scar tissue from previous injuries will weaken the back and lead to more serious injury.

Sometimes low back pain may mean a more serious medical problem. Pain that is accompanied by fever or loss of bladder or bowel control, pain when coughing, and weakness in the legs may indicate a pinched nerve or other serious problem. Diabetics can have severe low back pain or leg pains related to neuropathy. Those with these symptoms should contact their doctor to help prevent more permanent damage.

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Exercise For Your Back Pain Now

Back pain can keep you from doing the things you love as well as the things that you need to do. There are some exercises that you need to learn about to prevent back pain.

For the first two days after an acute injury your doctor may want you to have bed rest. Just after an injury, your may be having muscle spasms. This is your body telling you that you have an injury and that you should not move. During these two days, lying on a hard bed may relieve the spasms.

Once you have reached two days, it is time to get back out of bed and start moving. If you stay in bed too long, the muscles become weak and healing takes longer.

Getting back to a normal schedule makes recovery quicker for most people. Normal activities are better that remaining in bed or beginning a new exercise program for quick healing.

Once you have recovered completely from your injury, stay away from those activities that may be considered as high impact. In a few days you may want to increase your walking or start swimming. These activities that are considered low impact help to strengthen the back muscles. Stretching may also be used as it increased circulation, a key to healing. Warm showers are also useful in keeping muscles loose.

At some time between two and eight weeks, the back pain should be gone and you will be able to do more strenuous exercises. The doctor or therapist will help you to develop an exercise program to strengthen muscles without causing further injury.

Exercises need to target core muscles. Muscles in the buttocks, abdomen and back all support the spine. If these muscles are strengthened, then the back becomes stronger. This can take stress off the joints of the back and is an essential step to prevent recurring lower back pain.

Strengthen core muscles in order to prevent or reduce back pain. In fact, many people find that these steps will actually eliminate back pain altogether.

When muscles are not stretched regularly they shorten in length. Shortened muscles will cause misalignment of your spine which can cause pain and make you more likely to injure your back. Stretching exercises may help as the shortened muscles are lengthened. It is not just muscles in the back that may cause trouble, but also the buttocks, hamstrings and the quadriceps that may give you alignment problems. Stretching those muscles can give mobility to your spine.

If you do have a back injury, the doctor may give you a prescription for pain medication. Regular strengthening of core muscles will help to to prevent further injuries and pain.

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Deal With Sciatica The Easy Way

Sciatica is a medical condition whereby you feel pain in the lower areas of the back right down to the lower limbs. The pain is restricted to numbness; tingling sensations and a weakened back and limbs. For those of us who haven’t experienced sciatica you can be rest-assured that there is nothing to worry about, it is a fairly subtle and treatable pain.

The word sciatica stems from the sciatic nerve which is by far the longest nerve in the human body. And as nerves are the strands of flesh that transmit impulses of pain and pleasure it is understandable that sciatic nerve pain has certain distinct features. When someone experiences sciatic pain they experience numbness in the lower back to lower limbs; a weakening of the limbs and a tingling sensation in the same areas.

A lot of causes have been cited as the sources of pain but only a few of those are actually real causes. When sciatic pain is triggered what would have happened is that pressure would have been applied against the sciatic nerve causing to swell. So when the nerve is swollen it is only natural that sensations will become distorted resulting in the numbness and tingly feeling. This is the case when you sit for a long time in an uncomfortable position.

On top of this the bone structures in the spinal column can be a direct cause of sciatica. When vertebrae in the column slip over each other when you fall awkwardly they exert pressure against the sciatic nerve. And again the impulses of sensation will become distorted and numbness can ensue.

Sciatic pain is a very normal form of pain, it’s the name that makes it seem like it is a complicated condition. Owing to this the treatments are very much simple. One remedy is the ice pack. Fill a plastic with ice and tie it close. After this take the ice-pack and rub it gently over the places you feel the most pain. Do this three times a day and you’ll be feeling a lot better by the morning of the next day.

If extreme cold against your spine is unbearable there is an option you can pursue. You can try out the heat-pack and get the same positive results. Take the usual bed warmer tube and fill it up with hot water. And just like the ice-pack rub it around the areas where you feel the most pain. Pain relief will follow a few hours afterwards depending on your condition.

Another form of treatment is massage therapy. With massage therapy the irregularities in the lower back causing swelling will be greatly readjusted. The good thing about a massage is that it triggers the release of ‘feel good’ hormones as well as relaxing muscles in the lower back. In addition to this you could also try acupuncture.

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Saving the Planet

Did you ever think your health and well-being are really important factors in the health and well-being of the planet? It’s true. The choices each of us makes each and every day are important for our family’s welfare as well as the welfare of our neighborhood, our community, our city, our country, and our global society.

We do not often consider that a healthy personal lifestyle – relating to fitness and nutrition – has an impact on the environment and the global biosphere. But our personal choices and actions do matter. Our life-affirming choices to get fit, be fit, and eat right affect everyone and everything around us. How you get to work is a perfect example.

Of course, most of us drive to work, as it is a lifetime habit, and we don’t even think about it. But, driving always produces greenhouse gas (GHG) emissions – every gallon of gas burned pumps 17 pounds of carbon dioxide into the atmosphere.

Biking to work and walking to work are fitness-promoting activities that have a double benefit.1,2 You are exercising on your workdays and you’re actively helping to reduce GHG emissions and stabilize the Earth’s climate.

If it’s too far to walk or bike to your place of employment, arrange to car pool with co-workers and walk or bike to their house on the days when you’re not the designated driver. Planting a garden or participating in the activities of a community garden is a health-promoting action step that has a triple benefit.

First, you’re producing or helping to produce foods that are grown locally. Foods consumed in the United States travel an average of 1500 miles to reach your local supermarket. Foods grown locally eliminate almost all of the fossil fuel resources required to transport non-local items.

Second, you are adding really fresh vegetables to your family’s diet, providing vitamins, minerals, and phytochemicals required for abundant good health.

Third, gardening is exercise – the kind of exercise people used to get when they did not sit in chairs at desks all day long.

The benefits of health-promoting activities keep on coming.3 For the most part, healthy people don’t wind up in the local hospital emergency room. Resources saved include fossil fuels burned by high-speed ambulances, fossil fuels burned to produce electricity used to power life-saving medical devices, and energy utilized to produce the vast amounts of medical supplies consumed in an emergency procedure, including syringes, IV set-ups, and towels, wipes, and disinfectants.

To be a healthy individual as a member of a healthy family has a huge multiplying effect. Your chiropractor knows that all body systems are deeply interconnected and must work together to produce good health. So too are the many different living systems that make up Planet Earth. Your chiropractor can provide you with detailed information about good nutrition and good exercise that can help make a real difference in your health and the health of your community.

1Villegas R, et al: The cumulative effect of core lifestyle behaviours on the prevalence of hypertension and dyslipidemia. BMC Public Health 13(8):210, 2008 2Christie BR, et al: Exercising our brains: how physical activity impacts synaptic plasticity in the dentate gyrus. Neuromolecular Med 10(2):47-58, 2008 3Booher MA, Smith BW: Physiological effects of exercise on the cardiopulmonary system. Clin Sports Med 22(1):1-21, 2003

For additional information on health and nutrition please contactDr. Jason Fowlerwww.lakestlouisdc.com

How Your Weight Loss Can Stay Lost

America’s weight problems are now so well-known they’re even fair game for jokes at the Oscars. “Americans really know how to fill up a seat,” jibes Ellen DeGeneres, host of the 2007 Academy Awards.

The statistics are alarming. Sixty-five percent of Americans –0 million in 2001 – are overweight. Fifteen percent of American children are overweight (up from four percent only 20 years ago). Health care costs related to overweight Americans has ballooned to $117 billion (that’s billion) in 2003. And the numbers keep going up. The scales do not lie.

And yet, diet and weight-loss books fill our nation’s bookstores. Low-carb diets. High-protein diets. The cabbage soup diet. The grapefruit diet. The raw foods diet. Most people we know have tried one or more of these. The new diet works for a while, then we can’t take the deprivation any longer and break the diet. Then, horrifyingly, all the weight we lost comes right back, and we’re right back where we started. Or possibly even a few pounds heavier. The very good news is that a real, long-lasting solution exists. The basics of this healthy approach to long-term weight loss have been known for decades. This solution is not a diet. It doesn’t have a catchy name. There are, though, a few “magic” secrets to this food plan that works.

“Secret” Number 1 – eat six small meals throughout each day, separated by 2.5 to 3 hours “Secret” Number 2 – combine protein and carbohydrates in each meal “Secret” Number 3 – drink plenty of water (eight to ten glasses) throughout the day “Secret” Number 4 – eat two portions of vegetables each day “Secret” Number 5 – take one day off each week (a “free” day) and eat whatever you want, whenever you want Why combine protein and carbohydrate at each meal? This critical combination feeds our muscles by providing the amino acids (from protein) necessary to build and maintain muscle tissue, and the carbohydrate needed to shuttle the amino acids into the cells. If the carbs are not there the protein doesn’t get used. There’s also a human performance benefit – eating balanced meals enables better cognitive/mental function. So we’re not only getting healthier on this food plan, we’re getting smarter!1

Why eat six times a day? Studies have shown this approach results in a faster metabolic rate, a lower percentage of body fat, and reduced “bad” cholesterol levels, all while maintaining lean muscle mass.2,3 Each meal contains approximately 300 calories (proteins and carbohydrates in each meal are in “portion” sizes). That’s it! This sensible, easy approach to food allows you to eat everything – there are no restrictions. And, on your free day you can indulge, or not, letting your natural instincts guide you.

1Fischer K, et al: “Carbohydrate to protein ratio in food and cognitive performance in the morning.” Physiol Behav 75(3):411-423, 2002 2Jenkins JD, et al: “Nibbling vs. gorging: metabolic advantages of increased meal frequency.” NEJM 321(14):929-934,’89 3Verboeket WP, et al: “Influence of feeding frequency on nutrient utilization in man: consequences for energy metabolism.” Eur J Clin Nutr 43(3):161-169,’91

For additional information on health please contact Dr. Jason Fowler Dr. Jason Fowler