The effect of forward flexion on the lumbar dics
Everyone should be aware that injuries can occur to the back from improperly done exercises. This is especially important to know if you are recovering from back pain or an injury, and are starting an exercise program.
The graph on opposite page depicts various positions and their impact on the spine and lumbar discs. Read Whole Article
Low back pain and pain radiating to the buttock is frequently caused by sacroiliac joint dysfunction, although it is often overlooked or not considered by many physicians. Failure to consider the sacroiliac joint pain as a cause of back pain or sciatica can lead to misdiagnosis, failed surgery, and frustration for both the patient and their family. Read Whole Article
At the time, that fall on your buttocks when you were roller skating as a teenager, the football injury where the guy landed on you while you were falling backwards into a sitting position, or the time your back snapped forward in an auto accident, all seemed to be relatively insignificant injuries. However, they were importantly detrimental physiological and anatomical events. Some may have hurt for so little time that you hardly remember them, yet they were nevertheless capable of setting you up for a “Coup-de-Gras” later in life which (sounding familiar to many) goes something like this:
As an ageing human [your nucleus pulposus has solidified into a discus-shaped lump of cartilage], you wake up from a sound sleep in a soft bed [your Lumbar disc has been in flexion for nearly the last 8 hours] to recall that you forgot to take out the trash, and today is pick-up day. Unbeknownst to you, your desiccated nucleus pulposus has migrated to the end of the radial tear tunnel (fissure) that was created by past trauma to the spine and, as you raise your upper body off the bed to get up [you induce weight-bearing flexion that exerts nearly 500 lbs of force], you feel a slight twinge that you discount as insignificant [the disc material has just poised itself against the capsule]. You hurriedly trundle outside in your pajamas as fast as you can so as not to be seen by your neighbors. You are caused to lean slightly forward because its the most comfortable position [the disc material is exerting the fulcrum effect], and it is difficult to stand erect without slow adjustment which you don’t have time for just now. Still half asleep with the majority of your muscles remaining relaxed from your slumber and, therefore, providing no protection, you bend over, lifting the can that turns out to be a little heavier than you expected. So, you jerk it up–WHAM! [The last fibrous band of the annulus fibrosus ruptures, allowing the central disc material to be squeezed towards the edges of the vertebral bodies, pushing before it the thin ligamentous capsule with all its delicate nerve endings, herniating into and prolapsing the disc.] The pain takes your breath away, so you lean forward on the trash. The pain increases so rapidly that you can’t bear the weight of your own body; and you find Read Whole Article
YOU ARE NOT ALONE
Excruciating back pain is so seemingly unique and awesome an experience that the suffering individual often assumes that they are the subject of a rare event or perhaps one of the few persons to ever sustain such a degree of agony. After all, if it were a common phenomenon, surely someone they know would have told them about it. The reality is that few people actually discuss it because, in so doing, it exposes a frailty or imperfection in themselves. The ego rarely allows this revealing a disclosure.
Surprisingly enough, recurrent back pain is the most common complaint among adults approaching their physicians. It is second only to the common cold as a reason for office visits to primary care physicians. Low back problems affect virtually everyone at some time during their life. Surveys indicate that in any given year, 50% of working-age adults have back pain symptoms, but only 15-20% seek medical care. In one recent study, 41% of enrollees in a group health plan reported having back pain within the last six months. By the age of 70, 85% of the population will have had an episode of back pain. At any given moment, 15% to 20% of the adult population have low back pain. Back pain is the leading cause of disability in persons younger than 45 years, and the third leading cause among those older than 45. A number of studies have indicated that 40% of all adults will experience sciatica (back pain with radiation down the leg) some time during their life. In the U.S., 13.7% of all persons have back pain lasting more than two weeks. Lastly, back problems are the second most common reason for non-surgical hospital admissions among adults under age 65.
If money spent on a problem gives some measure of its extent in our society, the staggering costs and lost productivity are sufficient to convince the back pain sufferer that they are, indeed, a part of something big. The annual costs of disability and treatment of back pain increased from $14 Billion in 1976 to $30 Billion in 1986. By 1989, just the medical costs of back pain alone generated $14 Billion per year in the United States. The latest and most recent quote for the yearly costs related to back pain comes from the authors of the Agency for Health Care Policy and Research’s publication. Read Whole Article
Severe Pain is usually present in a continuous fashion. Relief should not be given “as needed” or PRN. This asks the patient to endure pain until it reaches an intolerable level before analgesics are given.
Pain control is best achieved with a regular schedule by the clock. Rescue or Bolus doses of anagestics should be given in between the regular schedule as needed for continuous relief. Read Whole Article
The goals of pain relief and the types of treatment which you may receive are explained. This information will allow you to work with your doctors and nurses to get the best pain control.
In the past, the common belief was that servere after surgery pain was expected after surgery as part of the healing process. Read Whole Article
Most people are surprised to discover that chemotherapy does not always disrupt their lives. They may be able to maintain their daily routines of work, recreation and family life. Patients often work the day they receive chemotherapy treatments as well as the following day.
Others prefer to rest for a day or two at home after treatments to rebuild their energy. Read Whole Article
Chemotherapy drugs are designed specifically to damage cancer cells as they grow and divide and work best on the rapidly growing cells. Since some normal cells also multiply quickly, these drugs may damage them, as well.
The normal cells most commonly affected are the blood cells developing in bone marrow, cells lining the stomach and bowel and hair follicles. Read Whole Article
Your physician, a medical oncologist, will decide what chemotherapy treatment or drugs will be most effective for your individual needs. Although you may know someone with the same kind of cancer, it’s possible you will receive different drugs. During your first meeting with your doctor, you will want to spend some time discussing the details of your treatment plan.
Your physician may present you with different regimens that can be equally effective and ask you to participate in the decision-making process. Read Whole Article
You are about to begin a course of chemotherapy to treat your cancer. Even the sound of the word–which simply means drug therapy–may make you fearful. But the anticipation is often worse than the reality. Today there is much less cause to be anxious about chemotherapy treatments than there was even as recently as a few years ago.
Tremendous progress has been made. An array of new drugs now exist that successfully control and, in many cases, eliminate several side effects. In fact, most people feel able to continue to work and participate in other daily activities while they are being treated with anticancer drugs. Read Whole Article