Low Back Pain Got You Down?

CHRISTIAN CRISTIANO

WELLNESS--Chronic pain affects 100 million Americans each year which is more than diabetes, cancer, and heart disease combined. Very often that pain is low back pain. 

What a lot of people don’t realize is that weakness and tightness go hand in hand. Common sense would have us think that along with weakness comes loose flexible muscles, but the opposite is true. The muscles get weak from lack of movement and exercise leading to tight muscles that end up pulling the vertebrae’s out of alignment and causing low back pain. There are other reasons the low back can be painful, and imaging is the best way to know what is causing the pain. There are three steps one can take in order to help alleviate and potentially heal low back pain. 

Step one:

Assess how serious the problem is and see a doctor and get some imaging done. In some cases a simple x-ray may be enough, but know that soft tissue problems don’t show up with x-ray alone. An MRI may be needed. I am a big fan of imaging because no matter how good health care providers may be, no one can see inside the body without the proper diagnostic tools. 

If you see a surgeon for your testing he/she want to perform surgery on your back. While part of staying healthy requires combining western and eastern medicine, look at surgery as a last ditch attempt to get better after all other options have been exhausted. If the doctor wants to do surgery on you it is in your best interest to get a second and maybe even a third opinion before proceeding. 

In addition to more opinions, it would also behoove you to do your research into other people that have had the same surgery performed and read about actual cases and actual outcomes. Be your own primary care provider by researching exhaustively before agreeing to go under the knife. 

Step two:

Assemble your team. For chronic pain you may need more than one healer to help you. Acupuncture and chiropractic are excellent adjuncts to your western medical visits. Many peoples insurance now covers both, but if not, there are student clinics for acupuncture schools that will help to bring the cost of treatment down. If you’re not sure about your coverage call the number on the back of your insurance card to see what kind of coverage you may have. 

Regarding movement it’s important to learn how and what to do to specifically strengthen and add flexibility to the right areas of the body to support the low back while taking the pressure off. If cost for trainers or physical therapists is a limiting factor, finding a good group fitness class or yoga class and talk to an experienced teacher before you start class to get specific guidance on exercises or yoga poses specifically targeted to help alleviate your back pain. I’m not a fan of group classes for people actively in pain unless they talk to the teacher first to let them know your situation. It is possible to make yourself worse with improper movement.  

Step three:

Take action. Many of you have heard that sitting is the new smoking and while I’m not sure sitting is quite that dangerous, there is not doubt that stagnation and lack of movement contribute to low back pain and all other types of pain. Once you know the proper exercises that you need to do and which movements help you, it’s time to start to exercise. Finding a work out buddy that you can walk with or do your exercises with can be helpful for those of you that are less physically inclined. Movement and exercise is a crucial element to any pain reducing regimen and finding that balance of just enough movement without exacerbating the problem can be key. 

Low back pain cuts deep into ones quality of life. With the right plan and the right team in place, there is no reason that low back pain or any other pain needs to dominate your life. Start taking steps today to alleviate your pain so you can get back to life!

 

(Christian Cristiano is an acupuncturist in LA, TV host of Wellness for Realists and writes on wellness regularly for CityWatch. Christian can be reached at 323.935.3420. twitter: @CristianoWFR)

-cw