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Acute back pain may begin suddenly and usually lasts around 3 months. Chronic back pain sometimes lasts throughout life.

The most common back pain is low back pain (LBP). It is is often described as sudden, sharp, persistent, or dull pain felt below the waist. LBP is very common and affects the majority of people at some point during their life. Up to 70%–85% of all people have back pain at some time in their lives. LBP is the most common cause of a limitation of activity in people younger than 45 years of age. It is the second most frequent reason for visits to a physician, and the third most common indication for surgery. It is the fifth-ranking cause of hospital admissions and is one of the leading causes of disability.

Low back pain is most commonly caused by muscle strain associated with heavy physical work, lifting or forceful movement, bending or twisting, awkward positions, or standing in one position too long. Any of these movements can exacerbate a prior or existing back disorder. Other conditions that can cause low back pain include spinal stenosis, arthritis (osteoarthritis), spinal infection (osteomyelitis), spinal tumors (benign and malignant), spondylolisthesis, and vertebral fractures (e.g. burst fracture).

Low back pain is either acute or chronic. Acute LBP may begin suddenly with intense pain usually lasting fewer than three months. Chronic pain is persistent long-term pain, sometimes lasting throughout life. Even chronic pain may present episodes of acute pain. Other symptoms include localized pain in a specific area of the low back, general aching, and/or pain that radiates into the low back, general aching, and/or pain that radiates into the low back, buttocks and leg(s). Sometimes pain is accompanied by neurological symptoms such as numbness, tingling, or weakness. Neurological symptoms requiring immediate medical attention include bowel or bladder dysfunction, groin or leg weakness or numbness, severe symptoms that do not subside after a few days, or pain prohibiting everyday activities.

Pain felt in the low back is not always indicative of a spinal problem. A thorough physical and neurological assessment may reveal the cause of the low back pain. The physical examination begins with the patient’s current condition and medical history. Examination of a patient with low back pain involves examining the patient’s range of spinal motion while standing straight, bending forward, and to the side. Asymmetry, posture, and leg length is noted. Methodical palpation of the spine can reveal muscle spasm, possible bony displacement, and tender points. Abdominal palpation is performed to determine if the cause of low back pain is possibly organ related (e.g. pancreas). The neurological assessment evaluates weakness, absence of reflexes, tingling, burning, pain, diminished function, and other signs that may indicate nerve involvement.

If infection, malignancy, fracture, or other risk factors are suspected, routine lab tests may be ordered. These tests may include complete blood count (CBC), erythrocyte sedimentation (ESR), and urinalysis. In some cases electrodiagnostic studies such as electromyography (EMG) or nerve condition velocity (NCV) are performed to confirm a diagnosis or localize the site of nerve injury. Plain radiographs (x-rays), CT Scan, and/or MRI studies are performed when fracture or neurological dysfunction is suspected. A MRI represents the gold standard in imaging today. A MRI renders high-resolution images of spinal tissues such as the spinal cord and intervertebral discs. X-rays are still the imaging methods of choice to study the bony elements in the low back. The results of the physical and neurological examinations combines with test results are carefully evaluated to confirm a diagnosis.

Most patients with low back pain are treated without surgery. A conventional treatment plan may include bed rest for a day or two combines with medication to reduce inflammation and pain. Medications recommended by the physician are based on the patient’s medical condition, age, other drugs the patient currently takes, and safety. The first choice for pain relief is often nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs should be taken with food to prevent stomach upset and stomach bleeding. Muscle relaxants may provide relief from muscle spasm but are actually benign sedatives, which often cause drowsiness. Narcotic pain relievers are prescribed for use during the acute phase and often for chronic pain management in appropriate patients.

Other modalities to treat low back pain might include physical therapy (PT), transcutaneous electrical nerve stimulator (TENS) trial, ultrasound therapy, acupuncture and massage therapy. A managed PT program can help build muscle strength and flexibility, improve mobility, coordination, stability and balance, and promote relaxation. Patients who participate in a structured physical therapy program often progress to wellness more rapidly than those who do not. This includes low back maintenance through a home exercise program developed for the patient by the physical therapist.

Although the number of spinal surgeries done every year is on the rise, it is rarely required to treat low back pain. Surgery may be considered if the patient is experiencing bowel or bladder dysfunction, increased nerve impairment, progressive weakness, incapacitating pain, or spinal instability. The surgical procedure depends on the diagnosis or the cause of low back pain. To prevent low back pain, first and foremost, follow the treatment plan outlined by the physician. To enhance recovery from an episode of low back pain, or to help prevent future exacerbation, try to maintain good posture, be consistent in a home exercise program, and eat sensibly to maintain proper body weight.

About Walton Rehabilitation Health System:

Walton Rehabilitation Health Systems (WRHS) is a leading not-for-profit comprehensive, multi-specialty, dedicated provider of physical medicine and rehabilitation. Our mission is to be an advocate for wellness by providing a continuum of services to treat the whole person. WRHS, whose reputation extends throughout the south, is a trusted partner with just the right expertise and treatments to help people with disabling injuries and illnesses return to work and to a fulfilling life. By pursuing its mission, WRHS has grown to include Walton Pain and Headache Centers, Walton Community Services, Walton Options for Independent Living, Walton Foundation for Independence, and Walton Technologies. We are located at: 1355 Independence Drive, Augusta, GA 30901-1037. For more information visit www.wrh.org or call 866-4-WALTON.



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Would you have back pain if every part of your body were perfect? The answer has to be… No, it’s pretty safe to say you wouldn’t have any pain if your body were perfectly aligned, perfectly balanced and in a perfect state of being.

But here’s the thing—you don’t have to be perfect to be pain-free. In fact, you can have serious conditions like Spinal Stenosis and even a Herniated disc and still have no pain—regardless of the type of job you have or how you think the condition developed or even the unique situation that you find yourself in today.

Don’t believe it? The prestigious New England Journal of Medicine just reported it.

They published a study in which researchers performed an MRI on 98 people who had no back pain. And the researchers found that nearly two thirds of them had some kind of abnormal disk condition.

The researchers conclude:

“Many people without back pain have disk bulges or protrusions… Given the high prevalence of these findings and of back pain, the discovery by MRI of bulges or protrusions in people with low back pain may frequently be coincidental.”

That’s right. They called having a bulging or protruded disc and having back pain a coincidence. Proof positive that you can have a condition and not have pain. Indeed, there are millions of people with existing back problems right now who do not even know that they have the condition and surly don’t have any pain at all.

How do you become one of those people?

Living with the condition and living pain free.

Let me say something that may be uncomfortable for you to hear. There is a good chance your condition will never go away. That may sound scary, but it is possible. Herniated disks don’t typically un-bulge themselves and then heal them self to the way they were when you were 15. Spinal Stenosis doesn’t come and go.

And yet, you can still live without pain. In fact, you probably already have.

If you have gone just one minute of one day since your last flare-up without pain, you’ve proved you can have your condition without pain.

How can this be? If the condition didn’t go away, what changes? It all has to do with the alignment of your body, the position of your pelvis, the curvature of your spine and the stability of your body as a whole as you go through your day.

Now, there are a couple of ways to try to relieve that irritation permanently. Sure, you could have surgery. That’s one option to treat your pain. But most surgeries fail within 3 to 5 years. Why? Because they don’t address the reason why the condition became symptomatic in the first place. In other words they don’t fix what’s really causing your condition to develop–they just remove the irritant that is causing the pain.

So what does? I understand you think you’ve tried everything—chiropractors, physical therapy, cortisone shots, acupuncture, massage, anti-Inflammatories and probably 20 others. But ask yourself one question. Answer it truthfully.

Has anyone ever looked at your body as a whole and told you specifically what your postural dysfunctions are and what specifically is causing your body to look like it does?

Furthermore has anyone spelled out for you why your pelvis is the way it is? Did they tell you specifically which muscles are tight, which muscles are weak and then give you a very specific and very targeted corrective program to achieve postural balance and stability, which is the single more important thing you can do to alleviate your pain and gain control of your life?

Stability is Everything when looking for pain relief

The only way to stop the irritation is to bring your body back to a more neutral, more balanced and more stable state. When you do that, everything works better—your back, your hips, your shoulders, your SI joint, everything. Once your body is balanced and stable you can do all the things you love to do and do them with the confidence that you are safe, strong and protected against further injury.

As the NEJM proved, you don’t have to be perfect to eliminate pain. You just need to work toward creating a more balanced and neutral state for your body. When you work toward pelvic stability, you help your spine maintain a neutral position. Then you can use your body as it was intended to be used.

That’s how you can have the condition and not have pain. You most likely won’t need surgery. You won’t wake up every morning stiff. You can return to your life and do all you want to do.

Why is Muscle Balance Therapy so different?

First, you should understand that there is no single set of exercises that can specifically help a Herniated disk or Spinal Stenosis or any condition for that matter. So I urge you not to search the Internet for back pain exercises and just do any old stretch or exercise without knowing the underlying reason you are doing it for.

You must also understand that the Corrective Exercise Program you will get form Muscle Balance Therapy is not based on your diagnosis but rather on corroborating evidence from both physical and visual assessments that are used to ensure you are doing the correct and safest program possible for you and your current condition.

Muscle Balance Therapy is based on the biomechanical principle—the more balanced and stable your body is the better your body will work and the less pain you will be in. So before we start we must first know which muscles are out of balance, meaning we need to know specifically which muscles are tight and which are weak. Once we know those, then we can create a very specific and targeted stretch and exercise program to restore balance. And again that only comes from doing the specific assessments…

Let me just review this point one more time, there is no such thing as a single exercise for and medical diagnosed form of back pain like a herniated disc or Spinal Stenosis. So when you ask me will, I just had and MRI and was just diagnosed with 4 Herniated Discs, Degenerative Disc Disease all levels, Spinal Stenosis and oh I was born with Scoliosis and 17 years ago I was in a major auto accident, will your system work for me the answer is will always be yes…

In fact, I tell everyone it great to know your specific diagnosis but now forget about it, you can not change the facts and you can not change the past. Rather, focus your energy on the things you know you can change and as you restore balance you will restore function.

That brings us to the third unique aspect of Muscle Balances Therapy and that is that we have to perform what we call the Unbalanced Workout. This means that you will not benefit from just blindly strengthening or stretching all your core muscles. That is not the way to do it.

The reason is that you could be stretching or strengthening muscle groups that do not need to be stretched or strengthened and you can make your condition worse. Here is the secret: The difference between having pain and not having pain is in millimeters of movement and the more specific the physical approach the faster and safer the results will be.

The fourth difference is not in our exercises, because there are no new exercises in the world. Rather, it’s the confidence you get knowing that the exercises that you are doing are working the muscles in the best way possible for you and your situation.

The Secret

Everyone understands that one approach can not be the answer to every possible circumstance, and we know that, so here is the secret, as you work with Muscle Balance Therapy and address root cause issues like physical balance and postural stability, please understand that we encourage you to seek out those same modalities that failed you before, they all have value in the process of healing but not until you address the important stuff first.

You know the list of things that you have tried; I contend that this time Massage, Inversion, Supplements, Trigger Point Therapy, Heating Pads to name a few will all work to speed your healing and help you achieve optimal health for the rest of your life.

Is Muscle Balance Therapy perfect? It’s close. Does everyone get 100% pain relief? Most do.

I can say with all honesty that there is 100% chance you will improve from your current state. We have a list of 50 ways that your body and life will benefit and 100% pain relief is by all measures a bonus. So it boils down to this: Would you be happy with 80%, 60%, even 50% reduction in pain yet able to do all the things you love to do? Would that improve your quality of life?

I have dedicated the last 15 years of my life and endured both personal and professional sacrifice to create a safe, systematic approach to addressing all forms of back pain that can be used by young and old alike. And I have never been closer then I am right now with the concept of Muscle Balance Therapy to be able to say that you have just learned one of the best lessons anyone with back pain can hear.

I’m not promising miracles, but I do promise a complete and thorough as well as safe approach to managing, treating and even eliminating your pain.

I have seen amazing results again and again for those people that put in the effort and believe in them self knowing that they are doing the right thing.

Let me leave you with this last thought and one that I believe holds the most power. The human body is intrinsically designed to heal its self, we as individuals just need to give our bodies what is needed and remove what is not needed, Muscle Balance Therapy puts that power to heal yourself back in your control.

If I could barrow a line from my good friend Bob Proctor, the cure to ignorance is knowledge and the answer to fear, worry and doubt is study, understanding and faith. Faith builds enthusiasm and enthusiasm accelerates healing. How good it that!

So if you don’t believe me that you can have your condition and not have pain let me teach you what is possible. If you worry and are filled with doubt I urge you to study what is already available to you and the more you know the better off you will become.

That is true for all things and will be true till the end of time.

Source

1. Jensen, M.C., et. al. Magnetic Resonance Imaging of the Lumbar Spine in People without Back Pain. N Engl J Med 1994; 331:69-73

2. Bob Proctor, The Winners Image, ©1995 -2008



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