Long periods of inactivity in bed are no longer recommended, as this treatment may actually slow recovery. Spinal manipulation for periods of up to one month has been found to be helpful in some patients who do not have signs of nerve irritation. Future injury is avoided by using back-protection techniques during activities and support devices as needed at home or work.
Fenety PA, Putnam C, Walker JM. In-chair movement: validity, reliability and implications for measuring sitting discomfort. Appl Ergon. 2000;31:383–393. doi: 10.1016/S0003-6870(00)00003-X. [PubMed] [Cross Ref]
Marvelously progressive, concise, and cogent guidelines for physicians on the treatment of low back pain. These guidelines almost entirely “get it right” in my opinion, and are completely consistent with recommendations I’ve been making for years on PainScience.com. They are particularly to be praised for strongly discouraging physicians from ordering imaging tests only “for patients with low back pain when severe or progressive neurologic deficits are present or when serious underlying conditions are suspected.”
Not all the words from Washington have been bellicose, of course. Sometimes the administration has managed to seem both threatening and conciliatory on the same day. Trump has warned Kim about the size of his nuclear button. Rex Tillerson, the U.S. secretary of state, has said the U.S. is ready for talks with no conditions. James Mattis, the U.S. defense secretary, has said all options are on the table, which presumably includes war as well as talking. Sometimes the administration has appeared to reverse itself within hours—as when Tillerson said last October that the United States has “three channels open to Pyongyang.” Not long after, Trump tweeted: “I told Rex Tillerson, our wonderful Secretary of State, that he is wasting his time trying to negotiate with Little Rocket Man. Save your energy Rex, we’ll do what has to be done!”
Cetyl myristoleate (CMO) – An oil found typically in fish and dairy butter, CMO acts as a joint lubricant and an anti-inflammatory. I use a topical preparation for myself to relieve ganglion cysts and alleviate mild annoying carpal tunnel syndrome that flares up when I type too much on non-ergonomic keyboards.
Infrared K-Laser therapy works by stimulating the cytochrome oxidase enzyme in your cells’ mitochondria. It enhances microcirculation and stimulates the red blood cell flow in the area being treated. K-Laser therapy helps reduce pain and inflammation and enhances tissue healing in hard and soft tissues, including your muscles, bones, and ligaments. It also returns venous and lymphatic function, as your tissues become oxygenated.
You may experience low back pain as tension, soreness or stiffness in your lower back area. This pain is often referred to as ‘non-specific’ back pain and usually improves on its own within a few days.
The ideal lumbar cushion for those who are always on the move, Vive’s inflatable support can be used in the car, at home or work, in airplanes, or at the stadium. It’s easy to inflate, and an integrated elastic strap ensures the cushion won’t slip out of place. Inflate or deflate as necessary to find your optimum firmness level. The cushion has a tear-resistant outer layer and includes a small travel bag for storing and transporting.
If you spend most of your time sitting, pay careful attention to consciously sucking in your belly and rotating your pelvis slightly up. At the same time, you should keep your head back, with your ears over your shoulders and your shoulder blades pinched. This posture will keep your spine in proper alignment. Do this every hour you’re sitting, holding the muscles tight for several minutes.
Even if you don’t like to polka, you’ll love the dots in The Pillow Collection Landon Dots Pillow – Brown. Made of 50% cotton and …50% polyester, this stunning square pillow features a plush 95/5 feather/down insert for the ultimate in softness. The… read more
The dust is settling on one of the most dramatic political shifts in Italy since the founding of the republic after the Second World War. In this case a populist wave split the country in two. The entire Italian south and Sicily went to the chameleonic Five-Star Movement, which became the first party in Italy, with 33 percent of the vote. Most of the North went to the League, formerly the Northern League, which campaigned on fears of out-of-control immigration and economic distress. That party is now the senior partner in a center-right bloc with Silvio Berlusconi’s Forza Italia party, which I wrote about here. (The results produced a hung parliament, with no party getting enough votes to form a government on its own, and it will take weeks if not months for a government to emerge.)
Kovacs, F. M., Abraira, V., Peña, A., Martín-Rodríguez, J. G., Sánchez-Vera, M., Ferrer, E., … Mufraggi, N. (2003, November 15). Effect of firmness of mattress on chronic non-specific low-back pain: Randomised, double-blind, controlled, multicentre trial [Abstract]. Lancet, 362(9396), 1599–1604. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/14630439
This myth of “mechanical” failure of the low back has many unfortunate consequences, such as unnecessary fusion surgeries — a common and routinely ineffective procedure — and low back pain that lasts for years instead of months or weeks. The seriousness of chronic low back pain is often emphasized in terms of the hair-raising economic costs of work absenteeism, but it may well be far worse than that — a recent Swedish study shows that it probably even shortens people lives.8 The stakes are high. “Tragedy” is not hyperbole.
January — Major new section: Well, new to the book anyway. It has been available as a free article for quite a while, and it will remain so indefinitely. Although this content is not exclusive to the book, it definitely does belong here. [Section: Don’t worry about lifting technique.]
Jump up ^ Carragee EJ, Alamin TF, Miller JL, Carragee JM (2005). Discographic, MRI and psychosocial determinants of low back pain disability and remission: a prospective study in subjects with benign persistent back pain. The Spine Journal. 5 (1): 24–35. doi:10.1016/j.spinee.2004.05.250. PMID 15653082.
Get sufficient high-quality, animal-based omega-3 fats. Omega-3 fats are precursors to mediators of inflammation called prostaglandins. One of the best sources of omega-3s is krill oil supplement. The omega-3 fats EPA and DHA contained in krill oil have been found in many animal and clinical studies to have anti-inflammatory properties. Unlike fish oil, krill oil does not pose any toxicity and rancidity to your body, which may only damage your health. It is also far lower on the food chain, making it far less likely to accumulate environmental chemicals and toxins.
The lumbar support pillows on our list all include memory foam, which allows the pillow to conform to the natural curvature of your back and continue to provide the support you need. You’ll find a range of lumbar support pillows to make the time spent in your office chair much more comfortable.
For more information on neurological disorders or research programs funded by the National Institute of Neurological Disorders and Stroke, contact the Institute’s Brain Resources and Information Network (BRAIN) at:
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This is my translation/interpretation for patients of the somewhat more detailed information for physicians published in “Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society”. BACK TO TEXT
Sometimes a pain may develop immediately after you lift something heavy, or after an awkward twisting movement. Sometimes it can develop for no apparent reason. Some people just wake up one day with low back pain.
The Tri-Tachment system allows you to adjust and secure the support in the exact position that’s right for you. This eliminates the need to constantly readjust the support every time you get in and out of the chair. Just clip the straps in place and it will stay put.
Back pain can significantly disrupt sleep. People should avoid sleeping in late to compensate for lost sleep overnight. Instead, they should try to maintain a regular schedule with consistent bedtime and wake times. Most adults need between 7 and 9 hours every day.
Shingles (herpes zoster) is an acute infection of the nerves that supply sensation to the skin, generally at one or several spinal levels and on one side of the body (right or left). Patients with shingles usually have had chickenpox earlier in life. The herpes virus that causes chickenpox is believed to exist in a dormant state within the spinal nerve roots long after the chickenpox resolves. In people with shingles, this virus reactivates to cause infection along the sensory nerve, leading to nerve pain and usually an outbreak of shingles (tiny blisters on the same side of the body and at the same nerve level). The back pain in patients with shingles of the lumbar area can precede the skin rash by days. Successive crops of tiny blisters can appear for several days and clear with crusty inflammation in one to two weeks. Patients occasionally are left with a more chronic nerve pain (postherpetic neuralgia). Treatment can involve symptomatic relief with lotions, such as calamine, or medications, such as acyclovir (Zovirax), for the infection and pregabalin (Lyrica) or lidocaine (Lidoderm) patches for the pain.
Battié MC, Videman T, Kaprio J, et al. The Twin Spine Study: contributions to a changing view of disc degeneration. Spine J. 2009;9(1):47–59. PubMed #19111259. “The once commonly held view that disc degeneration is primarily a result of aging and wear and tear from mechanical insults and injuries was not supported by this series of studies. Instead, disc degeneration appears to be determined in great part by genetic influences. Although environmental factors also play a role, it is not primarily through routine physical loading exposures (eg, heavy vs. light physical demands) as once suspected.” BACK TO TEXT
2010 — New section: Having debunked expensive spinal traction using expensive decompression machines, here are some ideas for cheaper and safer methods of tractioning. [Section: Traction: low back pain on the rack!]
Spines haven’t changed in the last century,20 and yet modern civilization suffers from a great plague of low back pain.2122 Yet the real causes of most back pain are obscured by medical mythology and misunderstanding.23 Before I discuss what does cause most low back pain, it’s important to talk about what does not cause it. In this section, I will challenge the mythology just a few paragraphs, supported by over thirty references to the best scientific information available — references you can check for yourself. This is quite different than most sources of patient-focused low back pain information, which tend to avoid discussing the evidence.
Sitting has been shown to have a higher low back compressive load than standing  and deviation from the neutral posture has been linked with increased static muscular effort [3,4]. While past efforts have been made at designing back rest/seat pan combinations that promote a neutral spine , lumbar support pillows often do not account for the pelvis and may push the body forward on the seat pan . While several investigators have studied the effect of various lumbar support pillows on asymptomatic individuals [15-17], the current study investigated the effect of a lumbar support pad that accounted for the posterior pelvic bulk on the posture and comfort of healthy individuals and patients with LBP.