Archive | Back Pain Specialist

How Can I Cure My Sciatica?

Understanding the body fully is required to cure yourself of any disorder, including sciatica pain. Your body is built on two core principles of science, the first being chemical: you are constructed of chemical compounds and operated by chemical interactions. The second is electrical. You are an electrical being. Your brain is pulsing with electrical signals, and the cells in your heart beat in synchronization due to an electrical current produced by cells called pacemaker cells. But there is a third, unscientific part of you, and that is your spirit – your essence, your soul, if you will.

In your essence you are pure and perfect. But dealing with being human, including the pain, suffering, and guilt which permeates our lives, the lives of our loved ones, and the lives of countless people that we hear about can be such a burden to our soul. Negative emotions can run rampant over our desired happiness, and life situations can become overwhelmingly hard to handle. So hard, in fact, that we may accidentally harm ourselves by repressing socially unacceptable emotions, such as rage, resentment, and guilt, and turning them into physical pain instead.

The emotional component of pain is so misunderstood that an entire medical industry, Pain Management, is having a heyday prescribing drugs, surgery, and physical therapy simply because of our inability to cope with the stressors of life. The best way to truly become healthy and pain free is to know how your emotions, especially those that you may have repressed, may be causing your pain.

Your body has an incredible ability to heal from injury. Even horrendous injuries can heal without lingering pain. Our nerves are there as early warning devices to warn us of possible harm, but they are not meant to keep screaming long after the injury is healed. Consider a sprained ankle. It really hurts, maybe for a few days, or if the sprain is really terrible, a couple weeks. But remember when you sprained your ankle years ago; it doesn’t still hurt, does it? Or your skinned knee when you were 5. How about that? Does it still hurt? No, it would make no sense for it to still hurt. You have healed. Sciatica pain is like this. There is no reason for your sciatic nerve to keep screaming ‚ “The sky is falling! The sky is falling!” And it doesn’t matter if your doctor finds a problem with your low back, such as a herniated disc. Doctors are very excellent at finding small things on x-rays and blaming your pain on them. It would be vital for you to know several research studies of the x-rays of people’s backs have shown that herniated discs are not indicative of pain. They x-rayed people with and without back pain and found just as many instances of herniated discs on pain free people as they did those who reported pain.

It is vital to know that the discs in our neck and low back start to get compressed early in life simply due to gravity. Compressed discs are not in themselves a cause pain. They have just become a convenient scapegoat for the pain. Your pain, if it has become chronic, is more likely caused by repressed emotions of rage or resentment. Dr. John E. Sarno, a back pain specialist, found that nearly 90% of his patients were able to cure themselves of their chronic back pain, including sciatica, by simply understanding that their unconscious was causing the pain, not their bodies. In many cases their pain was gone overnight. Dr. Sarno believes that our unconscious mind, which also operates our bodies on autopilot (reckon breathing, blinking, and your heart-rate) takes the emotional pain and makes a physically painful condition by contracting blood vessels, which reduces blood flow to the area, to which our nerves react by shouting out a warning of pain. What this pain is really saying is, “Hey, we need a small more blood flow down here. We need more oxygen.” But all you feel is pain.

Humans are complicated creatures, but we make our lives much more hard by blaming our pain and suffering on everything beside ourselves. I cured myself of 16 years of chronic neck pain once I understood the concepts of mindbody healing and applied them to my own pain. I sometimes have pain in my neck, and when I do, I check my unconscious. What am I stressed about? What is making me mad? I have learned to “let go” and this has done wonders for my pain management. I don’t take pharmaceutical medication for pain, nor do I treat it as if it is a physical problem by getting massage or sitting in hot tubs. I know that if pain comes, it is emotional and I deal with it. Try it yourself, and see how it works for you.

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Lower Back Pain Relief At Home – Stretching, Strengthening, Ice and Heat

Typically, the three most effective treatments for at home lower back pain include exercises, stretches and modalities. When properly implemented, a system of all three components can significantly decrease lower back pain as well as increase overall flexibility and strength.  In this article, we are going to introduce you to all three treatments.

First, we want to introduce modalities. Modalities include any method of therapeutic treatment.  Items considered modalities include applying heat and cold, over the counter medication, massage devices, and others.  They are therapeutic devices that help with the immediate relief of your lower back pain and potentially increase the healing process.

Two of the simplest and most common forms of modalities available at home are heat and cold.  A combination of both heat and cold should be used to gain the most effective relief from lower back pain symptoms.  Appropriately applying heat and cold to the area(s) in question will significantly decrease the pain and increase flexibility as well as the healing process.

When properly applied, heat will improve blood flow to the lower back pain area in question.  By increasing the blood flow, heat allows the affected muscle(s) to relax and become more flexible, in turn decreasing the tightness in the area in question.  Cold on the other hand will constrict or tighten the muscle(s) reducing the blood flow to that area.  By periodically removing the cold, new blood circulates to the muscle(s) in question making a better environment for that area of trauma to heal.  In addition, cold will help reduce swelling as well as reduce the pain in the affected area(s).

The following are two simple methods for at home lower back pain relief with regards to heat and cold application.

1. For Heat – Place uncooked rice in a sock and place it in the microwave for 10-15 seconds or until the desired heat is bought.
2. For cold, try using a bag of frozen peas or make a homemade ice pack by placing ice in a plastic bag.

These two simple at home modality applications will certainly help with reducing your pain, increasing flexibility and as well as assisting the healing process.

On a side note, please use caution when entertaining various other modalities such as laser treatments, electric shock and other modalities.  They can be detrimental to both your health as well as to your pocket.  Keep in mind that to relieve lower back pain symptoms, you really don’t have to spend money.  You have everything you need at home.

The second effective treatment for at home lower back pain relief is strengthening exercise.  Strengthening exercise is vital to lower back pain recovery.  It is very vital to know exactly what strengthening exercises to do as there are specific exercises for specific lower back pain symptoms.  Our goal is to coach you along the way so you have the appropriate mechanics to stop the lower back pain at its core.

For example, as an analogy, anyone can throw a baseball, but if you don’t have someone there to coach you, to have the right mechanics to know what step to foot forward with, to where to place your arm, to how to throw the ball, you really won’t be that accurate with throwing a baseball.

The same thing holds right for recovering from lower back pain. If you don’t know what strengthening exercise to do and what muscle groups to target, you may never relieve the lower back pain because you will just aimlessly doing a bunch of exercises.  In addition, performing the incorrect strengthening exercises can really exacerbate the symptoms of your lower back pain causing you additional undue stress and pain.

It is vital for you to know that alleviating lower back pain is much more than just doing exercises, putting on ice, and getting back to life.  It is essential that you become aware of the appropriate muscle group(s) that causes your lower back pain and how you can use the appropriate strengthening exercises to regain your health.

Last but not least we want to introduce our final treatment of this article – stretching. You may have heard that certain stretches work best for relieving lower back pain.  While many of the demonstrated stretches can be effective in stopping lower back pain, many times your back pain will not subside because you don’t know exactly what muscle group is the cause of your pain.  That’s why it is crucially vital for you to first know what muscle group(s) are contributing to your back pain and what specific stretches you can do to alleviate your lower back pain.

Rather than giving you arbitrary strengthening exercises and stretches, we have made quick and detailed questionnaire that was designed as a 1-on-1 consultation with our back pain specialists to diagnose the underlying causes of your back pain.  It takes out the guesswork from lower back pain relief and only takes our average client 5 minutes to complete.  In addition, once you complete the questionnaire, you will receive a Free Personalized Back Pain Relief Guide that provides you with the essential information to finally feel relief from your lower back pain.

You can access the questionnaire and receive your Free Personalized Back Pain Relief Guide at http://www.stopsbackpainnow.com

Or for additional information regarding lower back pain relief please visit our blog at http://www.stopsbackpainnow.com/blog or our video page at http://www.youtube.com/stopsbackpainnow

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Tramadol?safe and Effective

In the wake of growing concerns over the fatal effects of some pain relievers in the market, pain specialists continue developed recommendations for alternatives – as effective yet not as perilous.

News on the rising deaths of patients using COX-2 inhibitors and traditional NSAIDS (Nonsteroidal Antiinflammatory Drugs) has prompted medical experts to recommend the ban or withdrawal of drugs with these ingredients from the market.

After discussing the safety data for both NSAIDs and the COX-2 inhibitors, the group endorsed an expanded role for weak opioids, which are more effective in moderate-to-severe pain than NSAIDs. At the same time these possess other significant advantages included titratability, reversibility and lack of prostaglandin-associated side effects.

The role of combinations of weak opioids and other analgesic agents – in particular, tramadol plus paracetamol – merits particular attention.

A group of international pain specialists considered that tramadol and tramadol combinations offered a useful advantage in that they were ‘NSAID-sparing’. The drug could be used in combination with lower-than-usual doses of NSAIDs. Use of tramadol is recommended by medical societies.

The panel also recommended the proper utilization of weak opioids. Side-effects, they stressed, are a common reason given for non-compliance.

The panel agreed that a policy of ‘go low, go slow’ – starting with a low dose and increasing it gradually – should be used to achieve excellent analgesia without intolerable side-effects.

After thorough deliberations, the group concluded that it is very vital to communicate clear guidance to physicians on appropriate prescribing of analgesics in this new climate of uncertainty regarding the continuing use of COX-2 inhibitors.

Way back in 2004, there was a go for the global withdrawal of rofecoxib (Vioxx), which and concerns regarding use of other COX-2 inhibitors. Rofecoxib is used to relieve pain, tenderness and stiffness caused by arthritis. It is in a class of COX-2 exhibitors.

This then raised concerns for the need of prompt and clear guidance to physicians regarding prescription of drugs with these compositions.

NSAIDS and Cox-2

There really are two Cox enzymes, Cox 1 and Cox-2. Both enzymes produce prostaglandins that promote inflammation, pain, and fever. But, only Cox-1 produces prostaglandins that support platelets and protect the stomach.

NSAIDs block the Cox enzymes and reduce prostaglandins throughout the body. As a consequence, ongoing inflammation, pain, and fever are reduced.

Since the prostaglandins that protect the stomach and support the platelets and blood clotting also are reduced, NSAIDs can cause ulcers in the stomach and promote bleeding.

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Decreased Lower Back Pain With Gentle Movements

Simple movements are a fantastic therapeutic approach to lower back pain relief. By movements, we are referring to non-stationary actions such as walking, gentle stretches, gentle twisting, etc. If your lower back pain is due to muscular issues, movement typically helps you feel better. While on the other hand, if your pain is due to a structural issues such as a herniated disc, spinal stenosis or nerve entrapment, you may need advanced recommendations from a back health specialist to ensure that you are provided the right ones.

An example, movement can help when you lower back pain is coming from weakness in the gluts. Rotational activities or movements seem to help alleviate the pain and tightness temporarily and provide pain relief. The reason your lower back feels better is because the gluts will slightly stretch. Your gluts are one of the key essential muscles responsible for rotation. When you activate your gluts through movement it causes them to shorten and become more active and engaged causing the opposite tight muscle group to lengthen and decrease the stress on your spine.

Movement helps improve the blood flow throughout the body and especially to the area of discomfort or pain. Improved blood flow is a key feature in healing because it starts to bring healthy blood and nutrients to the area of pain and irritation. It makes a natural flushing of the tissues to start and promote the healing process. Movement also helps with the releasing of endorphins, your body’s own natural pain killers.

Right movements can be extremely beneficial in healing process. Choosing the right movement, the duration of time while performing the movement and how many times a week to perform the movement is extremely vital. The longer you stay inactive, in bed or confined to a chair for hours, the slower your recovery tends to be. The body is designed to go and if you can choose the proper movements, you can help yourself heal quicker.

You can get a free “Personalized-For-You” Back Pain Relief Guide complete with pain stopping information at http://www.StopsBackPainNow.com

Martin Schneckenberger is the head Physical Therapist and Back Pain Specialist for the Spinal Wellness Research Center. The goal of the Spinal Wellness Research Center is to permanently relieve clients’ back pain through a series of education and application. We strive to help others learn the root rather than the cause of their problem so pain can be addressed and relieved at its core.

You can find out more information on upper, lower and middle back pain relief, as well as other helpful information at our blog at http://www.stopsbackpainnow.com/blog

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Temporomandibular Joint Syndrome TMJ

Temporomandibular joint (TMJ) syndrome or TMJ joint disorders are medical problems related to the jaw joint. The TMJ connects the lower jaw to the skull under your ear. Certain facial muscles control chewing. Problems in this area can cause head and neck pain, a jaw that is locked in position or hard to open, problems biting, and popping sounds when you bite. The TMJ is comprised of muscles, blood supplies, nerves, and bones. You have two TMJs, one on each side of your jaw.


Muscles involved in chewing (mastication) also open and close the mouth. The jawbone itself, controlled by the TMJ, has two movements: rotation or hinge action, which is opening and closing of the mouth, and gliding action, a movement that allows the mouth to open wider. The coordination of this action also allows you to talk, chew, and yawn.


TMJ can be caused by trauma, disease, wear due to aging, or habits. TRAUMA such as a punch to the jaw or an impact in an accident can break the jawbone or hurt the disc.


TEETH GRINDING as a habit can result in muscle spasms and inflammatory reactions, thus causing the initial pain. Generally, someone who has a habit of grinding his or her teeth will do so mostly during sleep. In some cases, the grinding may be so loud that it disturbs others.


CLENCHING: Someone who clenches continually bites on things while awake. This might be chewing gum, a pen or pencil, or fingernails. The constant pounding on the joint causes the pain. STRESS: is often blamed for tension in the jaw, leading to a clenched jaw.


OSTEOARTHRITIS: Like other joints in the body, the jaw joint is prone to have arthritic changes. These changes are sometimes caused by a breakdown of the joint or normal aging.


RHEUMATOID ARTHRITIS: causes inflammation. As it progresses, the disease can cause destruction of cartilage and erode bone, deforming joints.


TMJ Symptoms


1. Pain in the facial muscles and jaw joints may radiate to the neck or shoulders. Joints may be overstretched. You may experience muscle spasms form TMJ. You may feel pain every time you talk, chew, or yawn. Pain usually appears in the joint itself, in front of the ear, but it may go elsewhere in the skull, face, or jaw.


2. TMJ may cause ear pain, ringing in the ears, and hearing loss. Sometimes people mistake TMJ pain for an ear problem, such as an ear infection, when the ear is not the problem at all.


3. When the joints go, you may hear sounds, such as clicking, grating, and/or popping. Others may also be able to hear the sounds. Clicking and popping are common. This means the disc may be in an abnormal position. Sometimes no treatment is needed if the sounds give you no pain.


4. Your face and mouth may swell on the affected side.


5. The jaw may lock wide open (then it is dislocated), or it may not open fully at all. Also, upon opening, the lower jaw, may deviate to one side. You may find yourself favoring one painful side or the other by opening your jaw awkwardly. These changes could be sudden. Your teeth may not fit properly together, and your bite may feel odd.


6. You may have distress swallowing because of the muscle spasms.


7. Headaches and dizziness may be caused by TMJ. You may feel nauseous or vomit.


Occasional pain in the jaw joint or chewing muscles is common and may not be a cause for concern. See a doctor if your pain does not go away. Treatment for TMJ should start when it is in early stages. The doctor can clarify the functioning of the joints and how to avoid any action or habit(eg. chewing gum) that might aggravate the joint or facial pain.


EXAMS AND TESTS: A medical history will be done to help the doctor diagnose your jaw problem. The doctor will question questions about your habits, such as grinding or clenching teeth, chewing gum often, frequent nail biting or chewing on objects such as pens or pencils. He will question what kind of pain you are having and if the pain is there all the time or just comes and goes.


Physical examination: During the physical examination, the doctor will examine your head, neck, face, and temporomandibular joints, noting any of the following.


1. Tenderness (pain) and it’s location.


2. Sounds, such as clicking, popping, or grating.


3. The mandible (lower jaw) range of motion and whether it is simple to open and close and can go from side to side and forward-backward without any pain.


4. Your assessment of pain on a scale from 0 (no pain) to 10.


5. Wear on buccal cusps of the mandibular teeth, especially the canine.


6. The rigidity and or tenderness of the chewing muscles.


7. How your teeth fit together: normal, open, cross bite, overbite, dental restorations, or skeletal deformity.


Imaging; X-rays may be taken of the mouth and jaw. CT or MRI may also be used. The MRI was designed for soft tissue and, therefore will show the location of the TMJ disc in relationship to the jaw and skull bones. That will give the doctor a better thought as to the proper treatment approach.


Most cases of TMJ are temporary thus treatment is usually conservative. You may also be instructed to follow up with a specialist such as an oral and maxillofacial surgeon, a general dentist or a pain specialist physician. Dentists are often the first to diagnose TMJ and are familiar with the conservative treatments.

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