Myths About Back Pain and the Panacea

As reported in medical journals up to 80 per centlikely to experience pain in the lower back than
of adults will experience back pain at some timeworkers who do not do this kind of work. It is
during their lives. Let us take a closer look at thealso true that the weight of the material is a risk
seven myths about back pain mentioned infactor for injury, as is how often the materials
various medical journals.are handled and the workers posture when doing
Myth 1: If you have slipped a disk (also known asthe work. And regardless of whether or not the
a herniated or ruptured disk), you must havework involves lifting, people are more likely to be
surgery. Surgeons agree about exactly whoinjured early in the morning, when their backs are
should have surgery.stiffer, than later in the workday. Up to 85 per
Truthcent of persons with bad back can not recall a
The causes of bad back can be complex andspecific incident that brought on their pain. While
difficult to diagnose. For more than 70 per cent ofheavy lifting or injuries are risk factors, they do
patients with chronic back pain, it is not possible tonot account for most episodes of pain.
make a specific diagnosis pinpointing the cause ofMyth 5: Back pain is usually disabling.
the pain. Surgery to relieve back pain should onlyTruth
be used as a last resort. Very specific testsMost people with back pain get better, regardless
should be done to confirm that a disk has beenof whether they receive treatment or the
damaged and that the pain is directly related totreatment method used. Most people who leave
this damage. Even if tests show a damaged disk,work return within six weeks, and only a small
recovery often occurs without surgery. Studiespercentage never return to their jobs. That is the
using magnetic resonance imaging (MRI) havegood news. The bad news? If you have
shown that the herniated part of the disk oftenexperienced back pain in the past, you are at
shrinks on its own over time The causes of backgreater risk of experiencing it again. Fortunately,
pain can be complex and difficult to diagnose.recurring episodes of pain usually go away on
Surgery to relieve back pain should only be usedtheir own, just like the original back attack did
as the last resort. Approximately 90 percent ofMyth 6: Everyone with back pain should have
patients with a herniated disk improve graduallyspinal X-rays.
over a period of six weeks.Truth
Myth 2: X-ray images, CT and MRI scans canRoutine X-rays of the spine are unnecessary and
always identify the cause of pain.often of little value. The spine abnormalities
Truthdetected with X-rays often have nothing to do
Abnormalities of the spine are as common inwith the symptoms experienced. Many people
people without back pain as they are in peoplehave abnormalities and are completely pain-free.
suffering from this pain. Getting a better qualityThe latest medical guidelines for evaluating back
image of a herniated disk, in the absence of apain recommend that the use of X-rays be limited
thorough physical examination, leaves you withto patients such as those who have suffered
only a better picture, not necessarily a bettermajor injuries in a fall or automobile accident.
diagnosis. Even the best imaging tests cannotMyth 7: Bed rest is the mainstay of therapy. If
identify muscle spasms or strained ligaments thatyou have experienced back pain in the past, you
might be the cause of pain. Many doctors onlyare at greater risk of experiencing it again.
recommend CT and MRI scans for those patientsRoutine X-rays of the spine are unnecessary and
already heading for surgery for other reasons.often of little value.
Myth 3: If your back hurts, you should take itTruth
easy until the pain goes away.For the longest time, patients with back pain were
Truthtold to lie down to get better. While many
Thinking of today is to continue the routinepatients experienced less pain while lying down, it
activities of daily living and work as normally aswas not always the case that they got better.
possible. Persons who remain active do betterStudies have shown that four days of bed rest
than those who try either bed rest or immediateturns out to be no more effective than two
exercise. Not all workers can immediately returndays, or even no bed rest at all. Imagine what it
to work. It is often helpful to have workers withfelt like to get up after one to two weeks of
back pain return to some form of light work untilstrict bed rest - the recommended practice not
they recover more fully. Even the best imagingthat long ago.
tests cannot identify muscle spasms or strainedHere is the Cure for Back ache and related
ligaments that might be the cause of pain.problems:
Persons who remain active do better than thoseRemoving the stiffness of all muscles from the
who try either bed rest or immediate exercise.ankle to the neck, which effect the spine, is the
Myth 4: Most back pain is caused by injuries orpanacea of bad back pain and related problems.
heavy lifting.But how? You and your chiropractors may have
Truthtried many exercises on you, but your pain may
It is true that workers whose jobs involve lifting,have little or no improvement.
lowering and carrying materials are much more