lower back pain

by Alicia
(Mass)

Hello doctor,
I am a 26 year old female in relatively good health. For much of my life I was significantly over weight but for at least 4 years I have been in a more normal weight range. Still overweight but not shockingly so. I run, jump, hike, swim, etc with no issues.

About two weeks ago I was at work and noticed that my back hurt a bit while I was sitting down. By that evening the pain was significant and has remained at the same level for about two weeks. I can not recall any type of injury taking place and any other time I have had back pain there was always a specific event I could trace it to.

The most comfortable position for me is standing. I have still been able to go for walks and even practice jump shots. Its terribly painful to sit down, bend forward, sneeze, laugh, or switch positions while sleeping.

And by terribly painful I mean it literally takes my breath away.

I have been using a heating pad with no effect at all, except that maybe it distracts me. I have tried maloxican (could be spelling that incorrectly but I had some left over from a previous, separate injury)as well as OTC pain relievers and noninflammatory with literally ZERO effect.

I am at a loss. Any time I have visited the doctor for back pain in the past they always just give me ibuprofen and tell me to take it easy, so I do not want to waste a visit to the office if I do not have to. But it has been well over a week and is getting slightly more painful as time progresses instead of slightly better.
Any input would be so very appreciated.

Regards,
Alicia

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Aug 03, 2014
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Lifestyle has left its mark
by: Dr B

Hello Alicia,
I wrote a long reply, but it seems to have been lost in the ether. Apologies.

Well done on losing all that weight; it's a big achievement, not just for your back but for your whole health. Strictly limiting carbohydrate, particularly those with a high glycemic index is the easiest way now to keep it off. Read up on the meaning of GI and religiously avoid high glycemic index carbs.

What's also great is that you've become much more active. Obesity unfortunately often goes with the couch potato lifestyle, a double wammy, but it's fantastic that you've made a break of it. Congratulations, and keep it up. Think about the swimming pool too.

You must stop for a bit now, though. You've clearly injured a disc in your back and if you persist with running and jumping you are going to get pain down the leg. Look rather for the next month to our lower back exercises at Chiropractic Help.

Your previous lifestyle unfortunately has left its mark on your back and you are going to have to be careful now. Find a chiropractor who will work with you, and with whom you feel comfortable.

Good luck,

Dr B

Aug 03, 2014
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Acute low back pain
by: Barrie

Hello Alicia,
I wrote a long reply, but it seems to have been lost in the ether. Apologies.

Well done on losing all that weight; it's a big achievement, not just for your back but for your whole health. Strictly limiting carbohydrate, particularly those with a high glycemic index is the easiest way now to keep it off. Read up on the meaning of GI and religiously avoid high glycemic index carbs.

What's also great is that you've become much more active. Obesity unfortunately often goes with the couch potato lifestyle, a double wammy, but it's fantastic that you've made a break of it. Congratulations, and keep it up. Think about the swimming pool too.

You must stop for a bit now, though. You've clearly injured a disc in your back and if you persist with running and jumping you are going to get pain down the leg. Look rather for the next month to our lower back exercises at Chiropractic Help.

Your previous lifestyle unfortunately has left its mark on your back and you are going to have to be careful now. Find a chiropractor who will work with you, and with whom you feel comfortable.

Good luck,

Dr B

Jul 29, 2014
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Update
by: Alicia

Update, I ended up in awful pain over the weekend and the mister insisted that I go to the hospital. After reviewing some xrays they determined I have non-specific degenerative conditions to the spine and a narrowing between L4 and L5. I am only 26 years old. What does this mean? What can I do to limit this problem?

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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