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Low Back Syndrome
A Simple Solution to a Chronic Problem
By Dr. Tim Maggs
Statistics claim
that eighty percent of all Americans will, at some point in their life, suffer with low
back pain. For the twenty percent who have never experienced the likes of this, dont
get too comfortable. With man evolving from a four-legged creature at one time in our
distant past to a two-legged, 21st century, cosmopolitan athlete, no one can
assume that the finger of bad luck wont point at them, especially when we add the
sport of running to our activity list.
Low Back Syndrome
Low back syndrome
encompasses many different conditions, but the one common thread between all of them is
pain, stiffness, soreness, or radiation somewhere between the mid-back and the butt. All
of these symptoms suggest strongly that something is wrong. Through experience, Ive
learned that most runners apply the American Dream approach to resolving the
problem; they hope the symptoms are gone by morning. Others, however, apply the Helpful
Neighbor approach; its probably just (I love the word just)
an acute spondo-hypo-lumbago-whatever, just like I had, and my doctor, whos the
absolute best in the whole world, said to apply heat, relax and it will probably go away
on its own. No need to worry. Needless to say, and trust me on this one,
neither of these two approaches offer much hope for the future of a runner. And if any
other uninformed recommendations are made by the well-intentioned but clinically inept,
please walk away. Please dont debate, question, or discuss. Just smile, thank them,
and walk away.
Low Back Protocol
When suffering with
any type of low back condition, the first step is to identify the cause of the symptoms.
Everyones back is similar to their fingerprints, i.e., very unique. And if you never
identify the unique aspects of your back and spine, you will never develop the appropriate
treatment and therapy needed to correct and improve your condition. For example, any
symptoms can be a result of congenital problems (abnormalities in the back that youre
born with), pathological problems (some disease process thats going on), some
structural imbalance (the most likely cause), or some repetitive motion condition
which causes muscles to contract and spasm, causing discomfort and pain. But, you can be
sure that your back pain is due to something. And, the specific cause requires a
specific treatment, especially if wellness and long term correction is your objective.
Most importantly, forget the specialist who recommends only medication to
alleviate the symptoms. This will never solve your long term problems.
Of all the tests
which can be done to determine the specifics of a low back condition, I rely primarily on
the x-ray to provide the critical information. Obviously, a thorough history as well as a
good physical exam will assist any practitioner in developing a working diagnosis. But,
without standing x-rays of the low back, any specialist is shooting in the
dark if they make an attempt to identify the problem.
Solutions
The very first
objective any practitioner should have is to rule out pathologies, or disease, as a
causative agent of low back pain. I remember several years ago I had a middle-aged patient
with vague low back pain. I went through the standard protocol, and after x-raying him, we
learned he was suffering with an abdominal aortic aneurysm. Its the first and last
time I saw an abdominal aortic aneurysm as the cause of low back pain, but due to the fact
I did the correct testing, we were able to find out that he didnt belong in my
office. He was in surgery within two days and the surgeon told him if hed gone
another two days without knowing this problem, hed probably be dead. Thats how
important it is to know whether you are dealing with a pathology or a structural problem.
And if your doctor doesnt want to take x-rays of your low back and you have low back
pain and havent had them in the past few years, consider a doctor who will take
them.
In most cases,
however, the cause of the pain is structural in nature. With typical structural
imbalances, some area of the body is always vulnerable to an increased level of stress.
With the stresses of normal life coupled with the demands of running, its not
unlikely that most runners could have low back problems at some time. How to deal with
them now becomes very important.
Once a thorough
history, exam, and standing x-rays have been done, its important to have a doctor
who can interpret the results and communicate them to you. Even though this sounds like a
simple task, my experience is that it is few and far between who can do it all. Cherish
the doctor who will make you feel confident in what he or she has found and help to manage
you through both the acute and chronic phase.
Finally, a good
chiropractor, osteopath who prescribes manipulation, or good massage therapist is usually
required to determine all of the above and correct it. For any runners who cant find
the person who will guide them through, feel free to contact me and Ill help you get
the best help possible. The key is, never ever give up.
Dr. Maggs can be
reached at (800) 987-7845 or by visiting his web site http://www.RunningDr.com.
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