Everyday I have at least one patient who tells me their back hurts when they get out of a chair. They usually come to me with a long history of MRI images showing arthritis in their facet joints, bulges, herniations and degenerative disc disease. So what causes back pain when getting out of a chair?
How bad the MRI looks does not predict the level of pain. This has been proven with HUGE studies.
So why do doctors rely so heavily on MRI results? Well, in order to get paid by your insurance company there has to be a diagnosis that can be justified. What’s better than a picture where you can simply point to a structure and say this is the problem.
I hear it everyday – someone comes in after getting meniscus surgery because their knee was locking up and they still have pain. Patients with locked knee usually notice their knee locks up when going from sitting to standing or for no reason at all. The theory goes that a piece of a torn meniscus gets in the way and doesn’t let your knee unlock. But here’s the thing, there isn’t much scientific evidence that this meniscus surgery is necessary. What if I told you there was a key muscle in the back of your knee that unlocks it and most doctors completely forget about it and just go straight to surgery.
The problem of hyper specialization in pain / orthopedics Our modern system of hyper-specialization is broken – got neck pain then you’re referred to a neck guy who only looks at your neck. Got big toe pain then you’re referred to the big toe guy who only looks at your big toe. You get my
It’s never just one thing that causes your pain, in the end it comes down to a combination of things – how you move, how you recover/heal, but most importantly how your nervous system is working. According to the International Association for the Study of Pain (IASP), pain is defined as “an unpleasant sensory and
Back pain is one of the most common problems I see in my Dry Needling clinic & Acupuncture Clinic in Tampa, FL. Here’s a quick patient win where for a 47 year old male who had a L5/s1 lumbar discectomy surgery. He was still dealing with pain and spasms 2 years later and taking muscle
In the end, movement is essential to live a life with less pain. But the problem is most people want to jump straight to movement therapy when their body isn’t ready for it. There’s a sequence that has to happen before you can move with good biomechanics. Stacking physical therapy on top of a painful
So this over the past couple of weeks I’ve been doing a lot of yardwork – we have this little creek that runs through our backyard and I’ve been cleaning out the bank to make it look nice. Well my back has gotten pretty sore from so much rotation when raking up and throwing leaves
Today’s going to be a short blog with just some practical advice. It’s best to take care of a small problem while it’s still small and before it blows up in an atomic explosion of pain and dysfunction. At my Electro-Acupuncture clinic in Tampa, FL I help all kinds of pain conditions. If you had
Is your back tightness because of a muscle? Back tightness and pain is so common that about 80% of us are going to deal with it at some point in our life. The downside is the way that most doctors understand and treat back tightness and pain is no different than it was 50 years