Backpain
10 laws for the well beeing back
Back pain can be seen as a part of our every days life since the evolution developed the idea of erect posture of man. We can easily bring up the thesis that nearly every human being experienced back pain once. Pain itself has the function to warn the body from potentially harmful objects so we can say that pain is a part of the protection mechanism of our body. In about 85% of cases pain has a harmless cause and the intensity decreases until it disappears completely after some time. A sufficient treatment can minimalize the time you have to suffer from this pain
. We can assume that a passive treatment prolong the period of time the patient suffers from pain, whilst it gets less as faster as the patient gets back into its normal life.
If you experience weight loss, paralysis, numbness or extreme sweating we have to take into account that you suffer from a specific back pain which needs further examinations.
Remember: Every chronic pain was an acute pain once which means that simple or milder symptoms need to be treated as well.
You do not have to!
The next sitting position is always the best and a wrong sitting position does not exist.
Salesmen say the pain was caused by too much standing,
IT- specialist say the pain was caused by too much sitting
and postman say it comes from too much walking.
Maybe we chould focus more on the way how we sit, walk or stand or how much we do it every day.
The evolution optimized the human body for long periods of small bearing or movements but not for long periods of straight sitting or high- performance sport. One of the most effective ways to prevent back pain in the office is to change the sitting position as often as possible, stand up and sit down again or to take a short walk.
Sometimes it can be more harmful to be afraid of the pain than to experience the pain. Humans who are always afraid of a wrong movement will definitely develop pain because the relaxing period between the movements are nearly as important as the alternating movements itself. If the muscles are tensed all the time without relaxing they will hurt after a certain period of time.
If certain movements cause pain than try to alter the movement until you find a movement pattern which suits you and brings the same outcome. This is also a way to train the brain and confront it with new input.
The intervertebral disks do not have their own blood supply which means that the get supplied with nutrients when you move. You can compare an intervertebral disk with a pin. If you swage the pin, twist it and bend it over the pin will break very fast. Same applies for the intervertebral disks which will get damaged if you lift a heavy case from your car with a rotary movement.
You are not at the pains mercy. You can easily contribute to the healing process. Very important is that to belief in the fact that you can you influence the process.
The physician needs to characterize the back pain and treat it. Studies have shown that passive treatments like a massage won’t help in most of the cases. Sometimes it is hard to find the context between the back pain and its causing agent but it is well known that a good social integration and friendships have a positive effect on the healing process.
In the every days life you can contribute to the healing process by insert small phases of rest. Just take a relaxing bath or a shower, take a short walk or go to a thermal bath
What is more important for the development of back pain? The physical or the psychosocial condition of the human?
Physicians all over the world go along with each other when they say that the social factors have the main impact on the development of chronical back pain. Very important is also the satisfaction factor at your workplace.
On an evolutionary point of view bulling or exclusion from the social group is as threatening as having a severe fracture. The main factor for the success of the human race is their social structure because you hunt together, you take care about each other and reproduce with each other. If you get excluded from this social structures you won’t be able to nourish yourself and to survive.
More factors which could have an impact on the chronification of back pain:
-Loneliness
-Conviction that you cannot do anything about the pain
-Conviction that the pain is the most negative thing which could have happened
How to prevent back pain:
-design alternative at the working place
-good work climate
-acknowledgment of you work
-enough phases of rest
-good organization of your working place
A good boss should know!
Many studies showed that movement helps against acute back pain.
If you try to spare yourself for a longer period of time this could prolong the time you have to suffer. Try to move as much as possible and if you feel insecure, feel free to ask us.
Most often it will be the best to test as many possible ways as possible. There are only a few movements which could be harmful. You can compare an intervertebral disk with a pin. If you swage the pin, twist it and bend it over the pin will break very fast. Same applies for the intervertebral disks which will get damaged if you lift a heavy case from your car with a rotary movement. This is maybe the only movement which could be really harmful.
Rely on the knowledge which is known about the human evolution. The human body is made for long lasting but small bearing. Even streets are a very new aspect of life and we cannot expect that our body has already adapted to this new conditions. Therefore try to perform your jogging on a dirt road instead of a bituminized ground.
Try to avoid sudden movements.
Even athletes can experience back pain although they have strong and distinct back muscles. The back muscles are only one of many factors which have an impact on the treatment of back pain. The main function of the muscles is not to carry our body weight but to perform movements. The body mass is carried by other structures like bones and ligaments. The muscles can be seen as the stabilizing agent which hold the bones and ligaments together.
Matratze
Solche Abbildungen werden der Tatsache nicht gerecht, dass wir un in jeder Nacht etwa 50 mal umlagern.
Matratzen
Ein weitere Mythos ist die Matratzenfrage. In unabhängigen Tests schneiden zumeist Kaltschaummatratzen im unteren Preissegment am Besten ab. Die Matratze sollte mittelhart bis hart sein. Kaltschaum reicht nahezu immer aus.
Heben von Spudelkasten
So nicht!
Due to the fact that the vertebral column and its disks can be seen as a mechanical element we can once more compare it to a pin.
Heavy loads should be lifted proximally otherwise there would be too much weight force acting on the frontal part of the intervertebral disks. If you try to twist the disk in addition the disk would not be able to withstand this forces which also applies for a pin.
Being lonely or isolation can hurt not only in psychological but also in physical way. As we explained before humans rely on the social community. Another positive aspect: Exercising together is fun. Even cocking, laghing or eating is much more fun if you do it together. That is why we are very delighted about rehabilitation.
Humans are social being no matter if we want to or not.
10 laws for the well beeing back
1. Back pain is as a part of our every days life
2. Do you really have to sit straight all the time?
3. Wrong movements do not exist.
4. It is all about you.
5. Bulling hurts!
6. Movement helps.
7. How shall i move?
8. The legend of the strong back
9. Correct lifting
10. Alone its not fun
.
.
Pain, pain, pain:
sometimes after a long time standing, walking, sitting. Or ongoing pain.
Every serious treatise on back pain begins with numbers about the horrendous effects on the economy: how many working days and money are lost through back pain.
Sometimes the suffering of the individual and the lost quality of life is forgotten.
Treating and treating back pain as the sole symptom does not do the job justice. In the pain center we know the typical causes and triggers. And even after decades of experience, we are not surprised if you have atypical symptoms and causes.
Schmerzlokalisationen
In the press it is occasionally to be read that in 85% of the cases the doctors also do not know where the back pain comes from.
Quote from the SPIEGEL 10/2011: "And what the patients do not suspect:
The number of 85% is the so-called nonspecific back pain, ie a pain for which no bad reasons can be found (inflammation, herniated disc, tumor ...).
Be certain: in most cases it is possible to find the cause of back pain and then to treat it. Even if the X-ray picture is inconspicuous.
spezifische Ursache für Rückenschmerzen
Schrotschußverletzung und Kokainpacks im Darm
Depending on the discipline you choose, certain favorite diagnoses are made:
- One leg is longer -> insoles
- Whirl has wedged -> Einreken
- Mattress is to blame
- sat too much, stood, lifted, walked ... -> Repent
- bad posture, wear -> expensive construction supplements
- too little sport -> fitness sects
X-rays: osteochondrosis, spondylarthrosis
- Kaffeesatzlesen from normal x-ray image
Why does the neck hurt when stressed?
The following explanation is a good example of the connection between body and soul. The modern pain medicine no longer strictly distinguishes between physical and mental. It is considered both.
Maybe you know the problem: in stressful moments the neck hurts. The vernacular has known the connection for centuries: "....... the fear is in my neck ....... the burden is too big ...... move his head ....."
Also in Greek mythology Atlas carries the burden of the world with the neck. That's why the 1st cervical vertebra is called "Atlas".
We respond reflexively to anxiety, threat and stress with a tension of the neck muscles. This is a protective reflex learned over millennia. In the Stone Age it was vital to protect our most vulnerable point when threatened by animals or enemies: the neck. In it, a wolf bites.
(That's why men beards and bears have excess skin on their necks.)
In the Stone Age such situations were temporary, after a few minutes the situation was resolved, however.
Today, the threat situations are more complex and much longer: existential anxiety, debt, bullying.
But our reaction to it is the same as it has proven in evolution: we pull our heads in and protect our throats.
If you consider that after 5 minutes of overhead work the arms ache it is clear that the hours of tension of the neck muscles inevitably have to make complaints. The striated muscles are not made for long, static tension.
In the pain center, causes are detailed and discussed. As you may expect, patients with an anxiety disorder experience above-average levels of neck tension. But that does not apply in reverse.
Warum schmerzt der Rücken?
Soul and pain
Chronic pain is like a catchy tune:
They hear a melody and they will not let go. Duly forgotten, they hear them again and she has already fixed properly. The more you focus on it, the louder it gets. (Do not try to think of a pink elephant now ..... and, did you make it?:]). You can put yourself in an MRI, have an EEG made and otherwise know what kind of examinations you can undergo. No one will find the earwig in your head ... but he is there, he is real, you hear him. He got stuck in the neural network of your brain.
The same is true of chronic pain. Triggered by an acute pain it comes to learning processes: the brain, including all intermediate stations, adjusts to the pain, which has a warning function at first, and raises the attention for it: something is wrong and the body could be damaged. The brain literally puts its "ear on the rails".
As far as these are processes that almost always expire. But already now it becomes clear that an acute pain should be treated to prevent these learning processes, also known as pain memory. For this to become a chronic pain it requires a psychosocial disposition. or a disorder in the pain-processing systems. The causes can be genetic, hormonal, psychological, social, neuropsychological or environmental.
When one considers the new insights of epigenetics, it becomes clear how 1-2 generations previously learned behave in the reading of the genetic code. In a 2014 study from Atlanta, researchers have shown how mice inherit anxiety over 2 generations (published in Nature and Spiegel). In my childhood, too, I have experienced dreams of war events that can be explained as the representative dreams of the warlord.