Sports Chiropractor, Strength & Conditioning Specialist, & USA Certified Triathlon Coach, Dr. Jeff Banas.
Greenfield Medical Plaza
4540 E. Baseline Rd Suite 106
Mesa, AZ 85206
Effective treatments for back pain. Serving Mesa, Chandler, Gilbert, and Tempe Arizona.
Information on back pain.
Back Pain Facts & Statistics from ACA
Although chiropractors care for more than just back pain, many patients visit chiropractors looking for relief from this pervasive condition.In fact, 31 million Americans experience low-back pain at any given time.1
A few interesting facts about back pain:
One-half of all working Americans admit to having back pain symptoms each year.2
Back pain is one of the most common reasons for missed work.In fact, back pain is the second most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory infections.
Most cases of back pain are mechanical or non-organic—meaning they are not caused by serious conditions, such as inflammatory arthritis, infection, fracture or cancer.
Americans spend at least $50 billion each year on back pain—and that’s just for the more easily identified costs.3
Experts estimate that as many as 80% of the population will experience a back problem at some time in our lives.4
What Causes Back Pain?
The back is a complicated structure of bones, joints, ligaments and muscles. You can sprain ligaments, strain muscles, rupture disks, and irritate joints, all of which can lead to back pain. While sports injuries or accidents can cause back pain, sometimes the simplest of movements—for example, picking up a pencil from the floor— can have painful results. In addition, arthritis, poor posture, obesity, and psychological stress can cause or complicate back pain. Back pain can also directly result from disease of the internal organs, such as kidney stones, kidney infections, blood clots, or bone loss.
Manipulation as a Treatment for Back Problems
Used primarily by Doctors of Chiropractic (DCs) for the last century, manipulation has been largely ignored by most others in the health care community until recently. Now, with today's growing emphasis on treatment and cost effectiveness, manipulation is receiving more widespread attention.
Chiropractic spinal manipulation is a safe and effective spine pain treatment. It reduces pain, decreases medication, rapidly advances physical therapy, and requires very few passive forms of treatment, such as bed rest.5
In fact, after an extensive study of all currently available care for low back problems, the Agency for Health Care Policy and Research—a federal government research organization—recommended that low back pain sufferers choose the most conservative care first. And it recommended spinal manipulation as the only safe and effective, drugless form of initial professional treatment for acute low back problems in adults.6
The American Chiropractic Association (ACA) urges you to make an informed choice about your back care. To learn more about how chiropractic manipulation may help you, contact a Doctor of Chiropractic in your area.Search our online database of ACA members to find a doctor of chiropractic near you.
Tips to Prevent Back Pain
Maintain a healthy diet and weight.
Remain active—under the supervision of your doctor of chiropractic.
Avoid prolonged inactivity or bed rest.
Warm up or stretch before exercising or other physical activities, such as gardening.
1. Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331: 69-116.
2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.
3. This total represents only the more readily identifiable costs for medical care, workers compensation payments and time lost from work. It does not include costs associated with lost personal income due to acquired physical limitation resulting from a back problem and lost employer productivity due to employee medical absence. In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville, MD, Summer 1994.
4. In Vallfors B, previously cited.
5. Time to recognize value of chiropractic care? Science and patient satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today 2003 Feb; 23(2):14-15.
6. Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults. Clinical Practice Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services, December, 1994.
Effectiveness of acupuncture for back pain increases with time
by NaturalNews, citizen journalist
(NaturalNews) Patients with lower back pain seem to respond well to acupuncture, especially as time progresses, according to a study by researchers at the University of York, England.
The report -- published in the British Medical Journal -- studied 241 back pain sufferers over the course of two years. The patients were divided into two groups, both of which underwent traditional treatments for lower back pain such as medication, physical therapy and exercise. One group also received 10 acupuncture sessions -- the ancient Chinese art that involves placing fine needles at specific meridians of the body -- over a three-month period.
The researchers surveyed the patients for satisfaction and pain levels, and after three months there was almost no difference between the two groups. By the 12-month follow-up, the acupuncture group showed a minor improvement over the traditionally treated group, and by the 24-month mark, the difference between the two groups was greater.
"That's a remarkable finding, in that normally you would expect the benefit of the treatment to wear off," researcher Hugh Macpherson said. "This is the first study to show this growing gap up to the two-year point. It is quite unique in that sense."
The researchers also performed a separate cost-analysis study in which they discovered the average price of treating the traditional group was $647, while adding the acupuncture regimen only increased the treatment costs to $863, leading them to conclude the treatments are cost-effective.
Experts say lower back pain is not only one of the most common medical complaints, but is also a leading cause of workers calling in sick.
Jesse Connone, of The Healthy Back Institute, Shares Why Back Pain Occurs
(NaturalNews) This interview is an excerpt from Kevin Gianni's Fountain of Youth Summit, which can be found at (http://fountainofyouthworldsummit.com/) . In this excerpt, Jesse Connone discusses the biggest mistake people with back pain make.
The Fountain of Youth World Summit with Jesse Connone, personal trainer and co-founder of the Healthy Back Institute.
Kevin: Let's start with, you know, how you started the healthy back pain institute? Let’s talk about what you had to go through and why you are here today?
Jesse: Sure. I have spent 7 or 8 years working as a personal trainer as you know, working with clients one on one. Over the years I had noticed there is this reoccurring theme. So many of the people that I work with had injuries that we had to work around and the most common one was back pain, various forms of back and neck pain. And so you know in the 7 or 8 years that I did personal training I got very experienced working with people with these types of conditions like back pain and almost all of the time my clients got better relief from my fitness training than they did their treatments with their doctor.
Kevin: O.k.
Jesse: And so like I said I got really good at helping people identify the root cause of what was going on, you know, why was their body giving them trouble? Why was their pain happening? And so on. Finally it just kind of clicked and like "oh this is it, this is what I really enjoy doing the most". This is what I am the best at and so I, along with a friend, created again what is called The Healthy Back Institute and you can find us online at (www.losethebackpain.com) and as you mentioned our number one focus and mission is to help people with various forms of back pain. And so we have everything from highly active discussion forums on our website where people can communicate, ask questions. We have all kinds of people from all over the world helping each other; sharing their experiences and so on. We have articles, books, videos, audios. We even just recently started offering a one on one treatment package.
Kevin: Oh, Very cool!
Jesse: Yes, so basically the focus is to help people with back pain because so many people that have back pain, sciatica, neck pain so on, the treatment that they are getting usually doesn't work or if they do work it’s usually temporary. And we can talk about why that is in a moment but the fact is most people who have back pain have it for years and years and years. And actually I can share with you an interesting statistic.
Kevin: Sure
Jesse: We did this survey recently of our customers and that’s over 40,000 customers and in the survey we found that 65% of the people who responded to the survey had had back pain for more than a year.
Kevin: Wow
Jesse: And when you break it down we had under a year, for one to two years, 2 to 4 years, 4 to 6, 6 to 10. There was actually over 25% of these people who had back pain over 10 years. So it’s a massive problem. And for most people it’s a reoccurring problem. It’s not something that you get once and it goes away forever. It typically comes back and we will talk about why it comes back later on in this call but it just goes to show you and as any person with back pain will probably agree the treatments that are available typically just don’t work, like I said they don’t deliver lasting relief. They may deliver the temporary relief, the pain may go away for a couple of weeks or a couple of months even but it's going to come back and usually it comes back worse than it did before.
Kevin: Right! What are some of the mistakes that people make with back pain? What are some of the things that they assume is going to happen? Why don’t we get into... I know you have the list of mistakes that you have identified as things that happened to the general population who are in pain. What are some of those?
Jesse: Sure There are 7 key mistakes that we have identified again in working with 40,000 people. One of the things that really has helped us is we don't just sell products to help
people. We actually work with people personally so if you buy a product from us you may do the program on your own but you actually talk to us on the phone personally.
Kevin: Oh wow that’s great. You have an intimate knowledge of what they have been doing.
Jesse: Right yeah, very much though. I see all kinds of people. I get their pictures of them standing in their underwear. So we can analyze their posture. And their muscle balances.
Kevin: Sure!
Jesse: And so we call this basically personal support and we work really closely with all these people. One of the things that I found was a set of 7 key mistakes that people make. We are not going to make a call through all of them in detail but I will go through some of the bigger ones that I think present a larger problem for people. And the first one is not dealing with the problem the first time, like I mentioned a few moments ago.
Most people who have back pain have it for a longer period of time. And it comes and goes. And one of the reasons that is the case is because what happens is, you know somebody wakes up one morning and boom their back is soar. Or they are outside shoveling snow. And all of sudden they say, "my back went out. I threw my back out". Or "I picked up a box..." whatever the case may be, all of sudden they have this case of back pain. Typically what most people do is they rest a little bit. They might take up over-the-counter pain killers like Tylenol, Advil things like that whatever. If it is bad enough, they will go their doctors. They’ll get a prescription strength drug usually within a couple of days or at most a couple of weeks. Most initial cases of back pain will go away.
You can do minor things to kind of adjust the symptoms like take rest and take medications. The problem is that there was something that caused your back pain flair up to happen. And unless you take the time right then and there to figure out what that is, what's going on with your body, "Why did this happen to me?", unless you take the time to do that, which 99% of people don't (again they let the pain go away on its own), then it is going to come back later. And again like I said earlier, it’s almost certain it will come back again worse than the first case. Most people say it usually takes two to four months for the pain to come back. So that mistake is usually, again, not dealing with it the first time. Through the first incident what I mean by it is specifically finding out the exact cause of pain. And not just the cause as in offense of the condition -- somebody might have back pain and go to a doctor and get diagnosed with a herniated disc. And so they think the cause of the pain is the herniated disc.
Kevin: O.k.
Jesse: That’s the condition. But you have to go deeper than that, you have to go and say, "and this herniated disk is causing the pain. Why do I have the herniated disk?" It doesn't happen for no reason. You know there is a reason and there is a cause there. And unlike most people are led to believe. Primarily by misinformation put up by doctors or just lack of information put up by doctors. You know the herniated disc, this just doesn’t happen just out of the blue. Like most people are again led to believe. It’s something that is building up over the time. It’s just like you don't have a blow out or tire on your car driving down the highway, it’s a relatively new tire or it’s in good condition. This doesn't happen. You know when you wear down the tire, you are driving down the tire with not enough thread. Your tires were worn down unevenly because your steering is out of alignment and then you have a blowout. But just because the incident happens that day, It doesn't mean that it hasn't been building up for a long time.
Kevin: That's a fantastic analogy.
Jesse: So again going back to the main point here is the first mistake is not dealing with this the first time it happens.
Kevin: I see pictures that my chiropractor has shown me about stage one, stage two, stage
three; maybe you can explain what happens when pain actually occurs.
Jesse: Sure! There is couple of reasons you can feel pain. As far as back pain in sciatica goes. One is muscular pain so you can damage muscle tissue, you know you can strain some muscles. You can have sore and achy muscles. For instance, a lot of people type and that leads to soar back muscles and that is because their body is out of whack. Their body is out of balance and their body is kind of thrown off. And these certain muscles, in this case certain muscles of the lower back which run up and down the spine, these muscles are constantly being overworked. So instead of getting out to work and relaxing like other muscles, these muscles have constant tension on them because the body is pulling them constantly where if the spine and pelvis were almost in the neutral position. You know there wouldn't be a constant tension. So there is this muscular aspect of back pain. Then there is nerve related pain where a disc could be putting pressure on the nerve. A bone or one of the vertebrae could be putting pressure on nerves. A narrowing of the spinal canal could be putting pressure on the nerve.
Kevin: Right!
Jesse: So you always have to keep that in mind, the number one thing to focus on is getting to the bottom of it and finding out what the root cause is. And so these physical dysfunctions, again your body being pulled out of whack and forced to function a certain way, it is caused by the balances in muscles. Primarily there are several other minor things that contribute as well. But the number one factor is muscle balance. And basically what that means is if you have two opposing muscle groups, let’s say the front of your thighs and back of your thighs (Corte subs and Hamstrings), these are two opposing muscle groups; if those muscle groups are not “Balanced” (that doesn’t mean balanced in strength, like if you could do 50 pounds on the leg extension and 30 pounds on the leg curl, that doesn’t mean you are out of balance) but out of balance is the same point as in how much they are pulling on the joint of those muscles.
To read the rest of this transcript as well as access more information by health experts on abundance, optimum health, and longevity just like Jesse Connone, please visit (http://fountainofyouthworldsummit.com) .
Ruptured disk surgery as effective as doing nothing, study finds
by Jessica Fraser, citizen journalist
(NaturalNews) Patients suffering from ruptured disks in their lower backs tend to recover regardless of whether or not they opt to undergo back surgery, according to a new study appearing in today's issue of the Journal of the American Medical Association (JAMA).
The study -- led by Dr. James Weinstein, a professor of orthopedic surgery at Dartmouth -- spanned two years and included nearly 2,000 patients, most of whom were randomly assigned either back surgery to repair their ruptured disks or non-surgical treatment that included physical therapy, counseling and anti-inflammatory drugs to help treat associated pain.
Sciatica (ruptured disk) tends to run in families, and occurs when gel-like material inside a spinal disk protrudes through the outside of the disk lining, forming a bubble that compresses and inflames the root of the sciatic nerve.
Patients with sciatica generally experience intense, searing pain in the buttocks or leg, which can prevent them from walking or even sitting. Spine operations to relieve pressure in the disk and return the nerve to its normal position generally relieve pain quickly, but can be expensive and can require long waiting periods.
Roughly 300,000 Americans have sciatica surgery every year, and many believe that if they delay surgery, they risk permanent nerve damage or loss of bowel or bladder control. However, Weinstein's study found that patients who opted out of the surgery experienced the same benefits as those who chose to go under the knife.
Though patients in the study who chose surgery reported immediate pain relief, within three to six months both the waiting group and the surgery group reported marked improvements. After two years, roughly 70 percent of patients in the two groups reported major improvements, and no one in either group reported negative results.
Though the study wasn't able to determine which option is better for patients, research is under way to determine which option makes better financial sense. Also, the results could not be considered conclusive because about 40 percent of patients in the trial did not stick with their assigned treatment. Many who initially were assigned surgery ended up waiting, while some in the waiting group chose surgery to help with intense pain.
However, many surgeons believe the study will have a major impact on the way sciatica is treated, since the study determined waiting does not harm patients.
Treating the Symptoms and Fixing the Problem of Back Pain
(NaturalNews) This interview is an excerpt from Kevin Gianni's Fountain of Youth Summit, which can be found at (http://fountainofyouthworldsummit.com/) . In this excerpt, Jesse Connone shares on treating the symptoms of back pain versus fixing the problem.
The Fountain of Youth World Summit with Jesse Connone co-founder of the Healthy Back Institute.
Jesse: Again the first mistake was not dealing with it at the very beginning. The second mistake kind of ties into my last point which is not addressing the underlying cause.
Kevin: Right!
Jesse: And that probably is the biggest one. And most people don’t know enough about their body and how their body works which is unfortunate. And this is something that I am always working on to try to educate people and also try to change the system. You should learn about your body, especially as a child, and not that basic stuff they teach in health classes now, I think you should know a lot about your body and how it works. And to me it’s far more important than learning trigonometry.
Kevin: [laughes]
Jesse: You know it's something that I am not going to use. But I am going to use my body everyday. I am going to have problems as I live my life, I should know how my body works.
Kevin: Yeah!
Jesse: And so that’s one kind of problem, is people don’t know enough about their body. And so when they go in, they go in with back pain, they go see a doctor or they go and work with a chiropractor or physical therapist. They don’t know enough about it. And so they assume that the doctor or chiropractor or therapist is the expert. They listen to just what they have to say which makes sense. But the problem is most chiropractors, doctors or therapists don’t talk about this. They don’t talk about muscle balances, which is what we call the hidden cause because nobody talks about it. And anybody listening to this, if you have back pain, I challenge you to go to your doctor and ask them about muscle imbalances. Just even ask them what muscle imbalances are. A lot of them can’t even answer the question. So that’s enough of the problem, their main focus is treating the symptoms.
Kevin: Right!
Jesse: You know, and when you treat the symptoms, yes, you may get relief. But you didn’t fix the problem. So it's going to come back, it’s just a matter of time, so that’s mistake number two which is not addressing the underlying cause and just treating the symptoms.
Kevin: How many times have you heard, "I had a back surgery and now I need another one?"
Jesse: I can give you dozens if not hundreds of actual case studies of customers and clients of ours who have multiple back surgeries! And actually I can share with you a really close personal
story of an actual friend of my wife’s. She was a career firefighter, injured on a job in a fire. She hurt her back, went in for a surgery because they told her she absolutely has to have surgery. Of course, you listen to the experts because they "know better than you do" so they actually had her get surgery and she came out feeling slightly better but within several days she had a pain in a new place. The pain has subsided a little bit where she had it before but now it had moved, it's new pain, in another spot, so after a couple of months she did therapy and of course it's no surprise that the therapy they did didn’t work because their therapy is all about treating the symptoms.
Kevin: Right!
Jesse: So long story short, she goes through a series of five surgeries over the course of like eight years. Eight or ten years was the time frame but five surgeries and this last one, she came out and she couldn’t feel her leg. And now it’s going on two years later and she still can’t feel her leg.
Kevin: Her entire leg?
Jesse: I think she has minor feelings up in the high area of her gluts and thigh. But pretty much from the thigh down she can’t feel it. And she drags it and she has to use a walking stick basically like a cane.
Kevin: Wow!
Jesse: She is in her forties, I think she is a mom of three. I believe she had three children and yeah, she can’t feel her leg. And she still has back pain and so there are tons of stories and I can literally bring up dozens if not hundreds of stories like that from all over the world, people who had surgeries. And actually more and more research is being done in this field about back surgeries and they are not really funny. But it’s funny in the sense that you know how the traditional medical community always comes up with some fancy name and so... because back surgery has failed so much, they now have a term for it called failed back surgery syndrome.
Kevin: No kidding.
Jesse: Oh yeah! And actually a couple of studies that I have looked at recently have shown that 60% of the back surgeries fail on an average. 60 percent!
Kevin: Criteria for failure is surgery again or...?
Jesse: Oh yeah! The criteria is that they still have pain afterwards. So 60% of people who go in for back pain come out with the same pain or new pain. And the number is worse on repeat surgeries. I don’t know, I don’t have information from anybody but I know it’s even worse.
Kevin: Wow!
Jesse: For people who had multiple surgeries, actually we just talked about it.
Kevin: What are some of the symptom treatments that are around that don’t serve people as well and some of the other things?
Jesse: O.k. Yeah! Why don’t we talk a little about some of the common treatments.
Kevin: Great!
Jesse: Why I think they don’t work or why they think they can prove it to work. And some of the things that work a little bit better.
Kevin: Right!
Jesse: Let’s go in order of the way things happen typically for someone who has back pain. Again I shovel snow, I sneeze, I cough or whatever. I hurt my back, I go to a doctor. Almost always the doctor is going to write a prescription first thing. Again, sometimes they are going to refer you and typically they are going to ask you to rest, which research has proven is the worst thing you can do.
Kevin: O.k.
Jesse: You don’t want the rest because when you rest you allow your body to stiffen up even more, the blood flow decreases and your body has a harder time healing and the muscles get weaker. As you were aware of so they tell you to rest which you don’t want to. They give you a drug which is certainly not going to get rid of the problem. Your back pain is a physical problem. It’s not in your head and it’s just the pain you feel. It’s a physical problem. And so while your head, your thoughts, your feelings, and your emotions all affect your pain, they alone are not going to fix the problem. Neither is a drug.
Kevin: Right!
Jesse: So you got to deal with the physical aspect of the problem as well. And actually I will say definitely later. That’s what happens, you go and you get a prescription, you're told to rest. Maybe they will send you over to physical therapy, maybe they will do x-rays and MRI’s but say that they do an x-ray and MRI, it's like if you have a bulging disc. "Let’s send you to physical therapy. It’s not that bad. It’s not that bad, let’s send you to physical therapy and see and get rid of the pain that way further rather than have surgery right away". And so you go and you do your six weeks of physical therapy until your insurance runs out. The therapy will include hot packs.
Kevin: Yes.
Jesse: Ice maybe.
Kevin: Yeah!
Jesse: Electrical simulations.
Kevin: Been there. [Laughes]
Jesse: Ultrasound, maybe if you are going to an orthopedic surgeon, since there is no other name for them. Orthopedic surgeons for treating you they give you a Cortizone injection. And again more drugs, you know, anti-inflammatory drugs. Maybe your physical therapist will also do some stretches with you, they will also do some exercise. They will have you do some basic exercises, a sheet of exercises. I think maybe you and I talked about this in the past. Most people will leave from their doctor’s office, their therapist's office or maybe their chiropractor’s office with the same sheet of exercises.
Kevin: Yep!
Jesse: You know they got the angry cat stretch, which is the 'beneath the chest' stretch, they got sideline your knees thing, your side stretch. Everybody gets the same five, six, seven, eight stretches or exercises on a sheet of paper regardless of their situation. That alone right there should tell you something is wrong.
Kevin: Right!
Jesse: Because everybody's situation is different. How can these exercises and stretches be right for you, me and everybody else who has back pain?
Kevin: Sure.
Jesse: And so that’s another part of the problem. But really the biggest part of the problem is when you go to that doctor and instead of writing you a prescription, instead of telling you to go home and rest; instead maybe if you are going back multiple times now, maybe because you had a recurring bout of pain, they start to think that you are making it up. And you know that’s very common -- much more common than I would ever have imagined.
Kevin: Really?
Jesse: Yeah! Yeah we have probably thousands of people that we work with who had pain and recurring types of pain. They are told by these healthcare professionals maybe it’s all in their head.
Kevin: Really!
Jesse: I mean, it’s very disturbing and of course the person with the pain who has been living this way for years, is very upset. And then they feel really hopeless. At this point the people who are suppose to really help them out aren’t helping them and now they are actually turning them around and making them feel like they made it up.
Kevin: Right!
Jesse: And that’s one of the reasons depression is so common in people with back pain and is one of the reasons we spend so much time working with people not just on the physical but on the mental and emotional aspects as well.
Kevin: I think that I really like that approach that Back pain is somewhat emotional as well. I mean can you explain that a little bit.
Jesse: Yeah, actually we have a concept that we call complete healing formula and basically what that is really is a long detailed thing but the quick summary is again back pain is a physical problem. So you got to address the physical. What’s going on structurally in your body? Muscle bone, ligaments, joints -- what’s happening there. You know that’s causing pain. You also have the mental and emotional impact. You know your thoughts, feelings, and emotions affect how you feel physically and how your body can heal.
Kevin: Sure!
Jesse: So lots of studies have shown now people who are negative thinkers and always stressed out let a tiny little thing get to them. They have a much harder time healing and recovering from injury and illness. And not just with back pain, this is with all diseases and illnesses -- cancer strokes, heart attacks, everything.
To read the rest of this transcript as well as access more information by health experts on abundance, optimum health, and longevity just like Jesse Connone, please visit (http://fountainofyouthworldsummit.com/) .
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