“Today is a bad day for backs.”

“Just so you know, today is a bad day for backs.”

That was the text that one of our reception team sent to me last Friday morning.  Three new patients had called in that morning, a much higher number than most Fridays through the Summer months, and all three had a primary complaint of back pain.

BSAS LogoThat part is not atypical; back pain is far and above the most common condition that I treat in my practice, despite us being a full-body, sports-based clinic.  The stats don’t lie, and in fact, up to 85% of working people can expect to experience lower back pain in their lifetime.  Couple that with the word “spine” in our clinic name, and it makes sense that a lot of low back pain walks into our office.

And guess what?  We are really good at treating low back pain.  Really good.  We can make a big difference in a short period of time, and while I don’t have a randomized controlled trial on my patient’s improvement levels to present to you, I can say that our success rate is very high.  We are good at what we do, and a large part of what we do is treat low back pain.

I will go a step further and tell you that what patients do outside of my office (things like following rehabilitation exercises and modifying activities appropriately) are far more important than what they do inside my office, on my treatment table.  The hands-on, manual therapy part is a small piece of the puzzle in a lower back complaint.  My most effective roles become those of educator (why does my back hurt?), ergonomist (what positions should I modify/avoid?), and personal trainer (what movements should I do to feel better?).  My ultimate goal with a lower back pain patient is to avoid a reoccurrent episode down the road; the cycle of lower back pain is all too common.  Again, education, ergonomics, and personal training come into play.

The point?  Lower back pain is very common, NOT normal, and very treatable.  spine-vector-563412

Happy Tuesday all.


Sit, Stand, Bend, Lift, or Twist

I’ve come across a concerning trend in my practice lately…. that is, patients assuming that all low-back pain is the same, and therefore all low-back pain solutions are the same.

Low back pain (LBP) is most definitely the number one condition that walks into my office, even though we offer a full-body approach; from necks to toes and everything in between.  But here’s my concern: please don’t assume that your low back pain is the same as your friend’s low back pain.  Just as you wouldn’t take a friend’s prescribed medication, be wary of taking a friend’s prescribed rehabilitation exercises.  I hear this all the time:  “My friend told me to do ____ for their back pain.”  “I saw this stretch on Google.”  “My sister had back pain and she still did 100 sit-ups a day.”

Please, no.  (And also, please, please, please, NO sit-ups.  Ever.  We can talk about this later.  Email me.)

Don’t assume that your back pain is the “same” as your friend’s/neighbour’s/Uncle’s/dog’s.  There are many causes of low back pain, and it’s my job to figure out what is causing yours specifically, and give you the appropriate rehab to support that.  In certain cases, forward fold stretches can be helpful.  In certain cases, they can be harmful.  The same can be said for extension exercises, and mobility drills, and activity limitations.  Each has their time and their place, and one size does not fit all.

Low back pain is a widespread condition; in fact, up to 85% of working Canadians can expect to experience LBP in their lifetime.  And if we all work together, from practitioners to researchers to personal trainers to patients, I think we can dramatically lower that statistic.

There is one hard and fast rule that everyone can safely adhere to: a neutral spine is always the most preferred, protective posture for your spine.  Keep that in mind the next time you sit, stand, bend, lift, or twist.

lying

Happy Tuesday.