The causes of low back pain are many.
Finding the actual cause is very important. Typically, people do things that simply “numb” the problem. Numbing the problem however, with various medications only allows the problem to continue, ultimately causing more pain, disability and degeneration. A thorough history and examination with the appropriate diagnostic workup is necessary to find the actual cause of low back pain.
Below are several causes of low back pain:
• Poor Posture – Causes an improper loading of the spine. Improper spinal loading, forces weight to be placed on structures that were not designed to carry weight. This type of compensation ultimately causes pain. In the majority of cases, poor posture is a symptom of years of inadequate exercise and improper sitting postures both at home and at work. Watch your posture. Watch your children’s posture. I tell patients all the time that proper posture in children is critical. I have a saying I use all the time… As the twig is bent the tree shall grow.
• Disc problems – See Disc Problems
• Facet Syndrome – See Facet Syndrome
• Lumbar Subluxations – Misalignments or subluxations are the true enemy of the disc and spinal joints. When your spine becomes subluxated the disc’s normal pumping motion is reduced or in severe cases, completely eliminated due to loss of motion. This pumping motion is needed to pull in nutrients and eliminate waste in both the joints and the discs.
• Osteoarthritis – If the subluxation is not corrected, degenerative processes begin leading to osteoarthritis. This is a degeneration of both the disc and the spinal joints at that same level. Once this happens, the areas above and below the affected area have to compensate for the osteoarthritic area. Over time these areas will begin to become problematic also.
• Pelvic Problems – The pelvis is actually made up of three separate bones. Two side bones or iliums and a center bone called the sacrum. These bones come together and form joints. There are actually three joints in the pelvis. There is a single joint in the front of the pelvis and two in the rear. These joints allow motion to occur when we move and walk. On occasion these joints become misaligned or subluxated. When this happens the lower back can respond by tightening muscles, shifting vertebrae which in turn can cause a stretching of spinal joints. All produce pain.
Eight out of ten people in the Cincinnati area will experience back pain during their lifetime. There are really only two choices of treatment when it comes to back pain. 1) If you choose to treat the symptom you are allowing the problem to get worse. Remember… Eliminating the pain with drugs does not eliminate the problem. 2) If you choose to treat the cause you will be working on eliminating the problem for good. A large percentage of my practice is made up of people that have had low back pain.
Why take a vacation?
Taking time away from the stresses of life will give you a well deserved break. By doing so, you will return to your life feeling refreshed and better equipped to handle whatever comes your way. Sadly, many people have forgotten what it is like to have a few uncluttered days to relax and regroup. Below are some reasons why regular vacations are a good idea.
- Vacations Stave Off Burnout: Workers who take regular time to relax are less likely to experience burnout, making them more creative and productive than their overworked, under-rested counterparts.
- Vacations Can Keep Us Healthy: Taking regular time off to ‘recharge your batteries’, thereby keeping stress levels lower, can keep your immune system functioning at a higher level.
- Vacations Can Strengthen Bonds: Spending time enjoying life with loved ones can keep relationships strong, helping you enjoy the good times more and helping you through the stress of the hard times. In fact, a study by the Arizona Department of Health and Human Services found that women who took vacations were more satisfied with their marriages.
- Vacations Can Help With Your Job Performance: As the authors of the above study suggest, the psychological benefits that come with more frequent vacations lead to increased quality of life, and that can lead to increased quality of work on the job.
Those of you that have forgotten the joys of being on a vacation.
Please click on the below video and enjoy!
I hope you have enjoyed this post.
Bon Voyage!
Dr. Gould
One of the wonderful things about living in the Cincinnati area, are all the available bike trails. Two of my favorites, the Loveland Bike Trail and the Lunken Bike Trail. Cycling is an ideal exercise because it’s easy on the knees and lower back. Of course, I’m excluding mountain biking in this conversation.
Cycling allows you to use the large muscles in your legs which create a significant demand on the heart and lungs. Over time, if you understand proper training techniques, you can greatly expand your aerobic capacity, plus it is a wonderful way of Burning Fat!
Simply put, your body has two fuel choices, sugars and fats.
I’d like to teach you the secret of burning fat. To burn fat you have to get your heart rate into a range that is specific for YOU! Ones size does not fit all. Everybody is different!
So how do you figure this out? There are several ways, this I have found to be the easiest. 220 – (your age) X 70%= Your Target Heart Rate. Let’s say you are 30 years old. Here is how the calculation would go 220 – 30 X 70%= 133. So if you were 30 years old, your target rate would be 133 beats per minute. This is basically 70% of your maximum heart rate for your age. When your heart is beating in this zone your body’s chooses fat as a fuel. When your heart rate exceeds this your body chooses sugar as a fuel. We do not want this!
Ideally, you would slowly bring (over a period of 5 to 10 minutes) your heart rate up to your target rate. Once you achieve your target rate, the longer you stay there the better. Start out slow maybe 12 minutes. Over time work up to 15 minutes. Soon you will be doing 45 minutes to an hour.
I always advise my Wellness Clients to buy a Heart Rate Monitor. In my opinion Polar Heart Monitors are the best. The heart monitor becomes an invaluable tool. I call it my coach. It will let you know when you are above or below your target rate. It also helps you to create a target zone. Bottom line, it makes doing this EASY!
If you are looking to burn fat I’ve just given you the recipe. If you have questions or would like more information please leave a comment below or e-mail me.
Helping you to be all that you can be!
Dr. Gould
It all started with lower back pain
I thought the pain would go away. Then over time, the pain started radiating down into my buttock and lower leg. Does this describe your problem? If so, know that you are not alone. This is one of the most common complaints I hear from patients while taking their history.
So why does this happen?
There are a variety things that can cause this. However, in each case, it is due to nerves being irritated or compressed. In the majority of instances this type of a problem begins as a mechanical problem. What do I mean by a mechanical problem? Simply put, our spine and pelvis are made up of many parts. Parts that not only fit together in a very specific way but also allow movement. Each part is connected to the other by ligaments. The ligaments not only hold everything together but allow a certain amount of motion. On occasion, due to trauma, repetitive activities or simply weakness due to a poor fitness level the parts of our spine and pelvis can shift outside of their normal position. When this happens, the ligaments become inflamed and due to their proximity to neurological structure put pressure on these structures. Where this happens will determine a patients pain pattern. In the leg, pain can occur on the front, side or back. It can occur in the upper leg, lower leg and foot. In fact, the term sciatica is often used for pain that radiates into the leg. Sciatica is actually graded due to severity. Pain into the buttock is called primary sciatica. Pain that continues through buttock into the thigh area, is called secondary sciatica. Pain that continues through the buttock and thigh area and into the lower leg and foot is called tertiary sciatica. As a general rule, the further down the pain goes in the leg the more serious the case.
Is this problem correctable?
In the majority of instances the answer yes! The first thing we need to do is to find out exactly where in your spine the problem is originating from. Once we find the problem area, we work on correcting the faulty position and mechanics. As you begin to heal, you will notice the pain will begin to retrace. I tell my patients it’s like playing the movie backwards. The last pain you had to show up will be the first thing to go away. Example: A person starts out with lower back pain that eventually goes into their buttock and then down the back of their leg to just above the knee. Once I begin treating them the pain will move up until it is no longer in the leg. Then it will move out of the buttock and only in the lower back. Finally, the lower back pain will be gone.
If you are suffering with lower back and leg pain and live in the Cincinnati area give me a call. Life is too short to be encumbered by pain.
I hope this post was helpful.
Yours in health,
Dr. Gould
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