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February 25th, 2009 No comments
Antonio LeMaire asked:

The term “arthritis” refers generally to an inflammation of the joints and is typically associated with stiffness and joint pain. The different forms of arthritis vary in terms of cause, severity and potential pain relief treatments.

Management of arthritis pain depends not only upon the specific condition, but also upon your age, lifestyle, and unique response to different treatment methods.

Osteoarthritis and Rheumatoid Arthritis

The two most common forms of arthritis are osteoarthritis and rheumatoid arthritis. Together these conditions affect approximately 40 million people in the United States alone.

* Osteoarthritis is a degenerative condition involving deterioration of the cartilage in the joints, resulting in joint pain or stiffness.

* Rheumatoid arthritis is an inflammatory disease affecting the lining of the joints. While osteoarthritis is far more common, rheumatoid arthritis is often a much more severe form of the disease.

Before assessing your arthritis pain relief options, it is important to consult with a physician to determine whether you have arthritis, and if so, which type since treatment options differ.

Common Causes of Arthritis Pain

The joint pain associated with arthritis may be caused by a variety of factors. Most commonly, arthritis pain originates from:

* Inflammation of the tendons, ligaments or lining of the joints. This inflammation may be accompanied by swelling or redness, which results in joint pain.

* Joint tissue damage, which may be related to an injury or excess pressure on the joints.

* Fatigue, which is sometimes a result of arthritis and can make the joint pain seem more intense and the condition more difficult to cope with.

Arthritis Pain Treatment Options

There are a variety of ways to treat arthritis pain and other joint pain. It’s essential to be aware that people respond differently to different treatments. An individual’s response to pain and pain relief treatments is affected by the particular disease or condition he/she suffers from, the severity of the pain, and a range of psychological and emotional factors.

Short Term Pain Relief

One of the most important considerations when evaluating arthritis pain relief treatment options is to be clear about whether you are focusing on short or long term pain relief.

For short term relief from arthritis pain, many people use hot or cold therapy, depending on the type of pain and the specific condition. Cold therapy in the form of an ice pack can sometimes provide pain relief by reducing swelling, but may not be a good option for patients with poor circulation. Heat therapy, either moist or dry, acts as a muscle relaxant, and can also provide short term pain relief.

Certain drugs can also give quick, short term relief from the joint pain associated with arthritis. Depending on the amount of inflammation, doctors will often recommend a pain relief medication such as acetaminophen or a non-steroidal anti-inflammatory drug (NSAID) like aspirin or ibuprofen.

Another non-drug alternative that provides some patients with short term relief from arthritis pain is TENS, or transcutaneous electrical nerve stimulation. A TENS unit delivers electrical pulses to nerves in the affected area. The pulses block pain messages that the nerves would normally deliver to the brain, thereby bringing pain relief to the patient.

TENS therapy may also raise the level of endorphins produced by the brain. Endorphins are substances that are produced naturally in the body and contribute to feelings of well-being and pain relief.

Long Term Pain Relief

Because both rheumatoid arthritis and osteoarthritis are chronic conditions, sufferers often need to look for long term options to deal with their joint pain.

Drugs such as NSAIDs provide some level of pain relief. In the case of rheumatoid arthritis, disease-modifying antirheumatic drugs (DMARDs) target the immune system and are helpful for some patients. Corticosteroids are hormones that are sometimes prescribed for treatment of the joint pain and inflammation that typically accompany arthritis.

For many people with arthritis pain, exercise and physical therapy can help reduce stiffness and joint pain. Depending on the severity of the condition, walking, swimming, and a variety of strengthening and/or aerobic activities may be helpful, not only in pain relief but also from the standpoint of improving patients’ self-confidence and psychological and emotional well-being.

Overweight people suffering from arthritis pain are frequently advised to lose weight, since additional weight places an added burden on the joints.

In a small minority of cases, medication and lifestyle changes do not provide the desired pain relief and doctors may recommend surgery. Surgical procedures can remove tissue within the joint, or else realign or replace the joint.

BENEDICT

February 21st, 2009 No comments
Lesley Lyon asked:

One of the very common medical problems is low back pain. Lower back pain is pain felt and travels in the ribs particularly in the back or in the upper part of legs. This pain starts suddenly and could be the follow up of strain or an injury. Sometimes the pain may not have anatomical cause. Sit up or turn over posture may be difficult and the worse could be bending or sitting. Even a sneeze or a cough can be painful.

Back pain normally gets resolved within weeks but the pain undergone by the patients is unbearable. Conservational treatments are normally taken for lower back pain since it is temporary and slowly resolve with time.

For a speedy recovery, proper treatment has to be started only after knowing the exact cause for its occurrence. The main reason for lower back pain can be Lumbar muscle strain and ruptured disc or herniated disc. Disc damage in the inter vertebral column leads to Discogenic lower back pain and this could be diagnosed using discogram. But this in no way relates to herniated disc where the back gets pressed to the nerve. Aging population come across Spinal stenosis as the spinal canal is thinned. This may happen due to arthritis or any other specific conditions. Any joint ache is termed arthritis and particularly on the spine creates lower back pain.

Spinal stenosis causes back pain in the aging population. As we age, the spinal canal can become constricted, due in part to arthritis and other conditions. If the spinal canal becomes too tight, back pain can be the result. Spondylolisthesis occurs due to the instability of adjacent vertebras which start to slip. This results in unstable spine and ends in lower back pain. Osteoporosis Leads to many orthopedic complications and is mostly referred as the compression fractures of vertebral column. This weakens the bones and hence the possibilities of getting fractures are more .If back pain continues for 6 weeks or less it’s referred as acute. If this continues for less than 12 weeks it is described as sub-acute. It’s termed as chronic if it persists for more than 3 months.

Diagnosis is helped by blood tests and scan but not to a greater extent and X rays are not advised due to high radiation. Muscle strain heals quickly as the blood supply is good and carries the needed nutrients with proteins for healing. Bed rest is advised for severe pain but not for two days or more. Hot or cold application eases the pain to a certain extent. People who are active with good physique can avoid low backache, as there will be regular stretch of muscles. The supporting muscles of the spine are extensors, which include back and gluteal muscles, Flexors, which comprise abdominal and iliopsoas muscles and the last one is the side muscles also called as rotators. It’s also referred as Obliques .Not all these muscles are used in day-to-day life and they get weakened with age.

Lower backache exercise program should combine stretching and strengthening exercises with aerobics. Common symptoms of lower back pain for people less than 60 year old will be pain in legs or numbness and pain during movement and sitting. Older people will have symptoms like increase of back pain during the morning g and evening periods with stiffness in the back and. pain is also felt downwards in the legs. Psychological reasons play main role on pain levels and so person’s attitude and situation plays an active role.

Neurological symptoms like weakening, feeling of numbness or tingling sometimes accompany pain. Immediate attention is needed if there is a dysfunction in bladder or in the bowel and weakness or numbness in the groin.

Precautions like avoidance of stress and maintaining proper weight with regular exercise help in eliminating the problems of lower back pain.

ANTHONY

February 18th, 2009 No comments
Muna wa Wanjiru asked:

Low Back Pain can very very painful. In fact, your life can be painful with the irritating low back pain. You will rush to doctor to find out the solution. But you must be aware that this problem has solution which will improve the situation in long term. There is no magical medication for the lower back pain.

You will get option of treatments with the expert’s advice but the more help can be done yourself. The treatment includes the heat and ice application, anti inflammatory drugs, exercises to strengthen the muscles around spine and lower back.

Apart from the conservative treatments there are other methods like muscles relaxants, massage therapy, physical therapy, acupuncture, and chiropractic and pain killers.

Low back pain is often accompanied with hip pain. This situation is more difficult because daily movement is also impossible.

Sometimes Low back pain is result of kidney infection. Actually the pain is from kidney but it is always misunderstood as back pain. Doctors can perform some tests to find out the exact cause of low back pain. If it is due to the kidney infection it will go down as soon as infection is healed.

Low back pain in pregnancy is common. Due to increasing body weight there is strain on spine. The hormonal changes make the muscles flexible for baby’s out. This causes pressure on spine that results in back pain.

Aging causes the low back pain with hip pain. Since this problem has no successful solution, it is very painful to perform routine activities with growing age. The diseases like arthritis and Osteoporosis also cause low back pain.

Low back pain can be treated in many ways. Doctors must need to decide the cause of low back pain. In different situations treatment will be different. For low back pain in pregnancy the simple exercises are recommended while low back pain with kidney infection are sorted out once the infection is reduced or kidney stone is passed.

Low back pain with hip pain is treated in different way. It makes the pain bearable for the patient though there is no ultimate solution.

Whatever the treatment is given to the patient, he needs to face the pain for sometime as it will not be reduced immediately. Simple exercises instead of lying down in a bed will help more. Some of the simple exercises are Pelvic tilt, Knees to chest, cat stretch, camel stretch, hamstring stretch.

Some sports like swimming, walking, are also good for making the muscles strong enough. If obesity is the reason for low back pain then the weight loss is the solution. Then weight loss over long term period is profitable in such cases.

Pain can be classified from 1 to 10 scales. Normally 1 scale pain is not noticed. When people go to doctors they usually face the pain with 7, 8 or 9 scale. Such pain is with swelling in particular part. The treatment recommended depends upon the intensity and scale of pain.

However, when you are recovered from the low back pain, always continue the exercise routine to avoid the recurrence of the same problem in future.

JOHNATHON

February 10th, 2009 No comments
Stephen Lau asked:

Copyright (c) 2008 Stephen Lau

Pain is not localized because it is the outcome of a series of reactions in the body and the mind. Pain is felt and experienced only when the injured area sends signals through your nervous system to your brain, which receives and interprets these signals.

Pain is always connected with inflammation. When the injured area becomes inflamed, the inflammatory response intensifies, and so does your perception of pain.

What should you do when dealing with pain? Most people’s first reaction in dealing with pain is to stop the pain with a painkiller – it is understandable. However, this may not be the best option for dealing with pain, because it only temporarily relieves the pain but does not prevent the pain from happening again.

If you have chest pain, which may portend an imminent heart attack; your priority is to avoid the heart attack rather than the pain itself. In fact, sometimes pain may be a positive sign of warning of the imminence of a disease. Therefore, in dealing with pain, it is important to prevent a health crisis rather than just suppressing the pain.

Take another example: if you are prone to migraine attacks, your priority in life is to prevent a migraine episode from happening, rather than dealing with the pain that results from the crisis. Migraines are not caused by trauma, but by chemicals in your body that control pain and inflammation. Accordingly, to deal with migraines is to anticipate and control the inflammation, rather than the resultant migraine pain. Like the common cold, once it has started, taking vitamin C or a cold tablet will not stop the cold – you just have to let it run its course. Any cold medication may only further weaken your immunity down the road, just as a painkiller may make your body more toxic, and thus more susceptible to pain in future.

Therefore, dealing with pain is not to influence your perception of pain, but to stop the damage from causing the pain in the first place.

Using diet is the most effective way in dealing with pain (see my previous article), not only by preventing the occurrence of pain but also by combating the pain itself. For example, hot chili peppers contain a chemical called capsaicin, which is effective in blocking your nerves from transmitting pain messages to your brain. Capsaicin is one of the most important active ingredients in ointments used for arthritis, shingles, and post-mastectomy pain.

Apart form diet, exercise also helps you boost your pain resistance. Your body makes natural painkillers – enkephalins and endorphins. Exercise may activate these chemicals in your body. This is best explained by pain tolerance in competitive athletes. In vigorous competitive sports, the body releases endorphins to block out pain perception. The kind of exercise that stimulates endorphin release is aerobic – bicycling, running, and walking – exercise that pumps your heart and works out your lungs, as opposed to weight lifting that targets only your muscles.

Acupuncture is another way to deal with pain.

For thousands of years, acupuncture has been used by the Chinese to decrease pain by increasing the release of endorphins. Many acu-points are located near nerves. When stimulated, these nerves cause a dull ache or feeling of fullness in the muscle. The stimulated muscle then sends a message to the central nervous system (the brain and spinal cord), causing the release of endorphins. The theory is based on the belief that there is “qi” (vital life energy) coursing through your body, and that diseases are caused by lack of balance between the positive and negative energies in an individual. Acupuncture not only generates its analgesic effects through sensory stimulation, but also removes the problem that causes the pain.

DINORAH

February 3rd, 2009 No comments
Michael Douglas asked:

Doctors differ in how they deal with pain. Older ones – of the family doctor variety who have a lot of experience in treating a variety of non-life-threatening injuries and illnesses – often dismiss pain with a hearty, “You’ll feel better soon.” Younger specialists, who have to fight much harder to earn their livelihoods and are also more materialistic, are much more solicitous of their patients’ comfort and prescribe painkillers as easily as they would offer a child sweets.

But on the whole doctors tend to under-treat pain. There is a feeling that pain is just a fact of life. It accompanies all illnesses and it has to be borne. There is also the fear – both among doctors and among patients – that if painkillers are taken too often, they could become a habit.

But, as doctors are realising, pain can take a heavy toll on a patient’s health and spirits. Compared to this, the risk of becoming addicted to painkillers is small. OTC (or over the counters) drugs are medicines that can be bought without a prescription and can relieve pain quite miraculously if they are used before the pain becomes really bad. And if one medicine does not work, a stronger one can be tried.

But does this mean that OTC medicines can be popped as nonchalantly as we pop chocolates into our mouths? Many people think that they can, but they are wrong. In fact, there are many misconceptions about pain. Here are the myths and the true facts about them.

Misconception 1. If pain goes away with OTC medication, it cannot be anything serious.

This is not true. Your response to OTC medicines has nothing to do with the seriousness of your medical problem. A sprained ankle is definitely not life-threatening, but the pain can be excruciating and may not respond to OTC medicine at all. On the other hand, serious illnesses like cancer or strokes may cause so little pain (at times) that OTC medicines work fine for patients.

So when do you take pain seriously? A rule of thumb is that minor ailments, even if the pain is agonising at first, normally heal or get much better in a week. They also don’t come on very suddenly. You should see a doctor if the condition does not improve, if the attacks of pain are sudden and strong and if OTC medicines do not work at all.

Misconception 2. Women deal with pain better than men do.

Actually, research has proved that neither sex is better in dealing with pain per se. There are different kinds of pain and men and women deal with them differently. Women are able to deal better with chronic pain than men are, but men can deal better with sudden, acute pain – like when you hit your thumb with a hammer or touch something very hot.

Women, however, recover from pain quicker than men do. So in the case of, say a tooth extraction, women suffer more initially, but are less bothered by the lingering discomfort over the next few days.

Research on people suffering from osteoarthritis has given a reason for this ability of women to deal with chronic pain. They cope because they complain to friends, seek support, pray and ask their doctors for help. So they get emotional support and this helps them. Men, on the other hand, try to grin and bear it, to keep up their macho image and, as a result, they do not cope as well.

Misconception 3. Breast cancer does not cause pain.

It is true that breast cancer doesn’t cause pain in the initial stages, but this does not mean that if something is causing you pain in your breast, it cannot be breast cancer. Certain uncommon types of breast cancer can cause pain – for example, cancer that affects the skin and lymph glands in the breast.

But generally, tenderness in the breast is nothing to worry about. This can be caused by the peaking of the hormone progesterone just before one’s periods and also by hormones that older women take after menopause.

Harmless cysts, too heavy a workout and even a bra that doesn’t fit properly can cause pain in the breasts and this is nothing to worry about. But one should visit the doctor if one notices a lump in the breast, if there is a change in the appearance of a breast or nipple, if there is a swelling, redness, a persistent nagging pain in either breast or if one experiences unusual sensations in a breast, whether painful or not.

Misconception 4. Everyone responds to pain in the same way.

Not only do men and women respond to pain in different ways, but different individuals have different thresholds of pain. Some bear the pain of a broken arm without a murmur while others weep and moan over a small bruise. Again the same individual may react differently to pain when she is upset, is under stress, is with a friend, is calm and when she knows that she has to cope by herself. Hormone levels can affect response to pain too. Women are generally more sensitive to pain just before their periods.

Misconception 5. One should always take medicine for a headache.

No, one should not take medicine for a headache because, though the pill makes you feel better immediately, headache medicine actually makes the brain more susceptible to pain and so popping pills can, in the longer time period, cause “rebound” headaches.

So analgesics should be reserved for really bad headaches and for times when you have to function at your best. At other times, a short nap in a quiet, preferably dark, room is a good way to get rid of a headache. So is meditation or the application of a cold pack to the area in front of the ear on the side one has the headache.

Misconception 6. A pain that is strong in the morning and then decreases as the day progresses can be ignored.

This often happens with joint pains. Muscles, joints and tendons tend to be stiff in the mornings and hence cause pain. But, as the day progresses and you move around, these loosen up and the pain subsides. Such pains can be ignored when you know that they are caused by minor injuries which will get cured.

But if the pain is not caused by an injury, it is not going to get cured by itself and something has to be done about it. If this kind of pain (which is worse in the morning and gets better as the day advances) persists, becomes worse and becomes chronic, it could be something like osteoarthritis and you should see your doctor.

Misconception 7. No pain, no gain.

This is what all trainers and fitness experts say when they start you off on a new exercise regimen or fitness programme. Yes, sore and painful muscles are a part of all these programmes when you start, but if your workout leaves you in real pain even after a while, it could mean that you are overdoing it, that you are developing an overuse injury or that you are exercising incorrectly.

So you should ease into a new exercise regimen slowly and work different muscle groups on alternate days. Jog and cycle one day and swim the next. Of course, walking is the best. It rarely results in injury and it can be done every day.

Misconception 8. OTC pain relievers are safe and can be taken in any quantity.

Most people feel that the medicines a doctor prescribes are strong and that one has to be careful about using them. They also feel that OTC medicines that one can get without prescriptions are safe and that one can take any amount of them. But this is not true. Overuse of OTC medicines can increase the risk of ulcers and gastrointestinal bleeding or damage to the liver. So watch out as you blithely pop those analgesics and cold medications.

Misconception 9. Doctors prescribe anti-depressants when they should be giving you pain relievers.

This is the complaint when a patient who is ill and is suffering from pain is given antidepressants. But it is just not true that the doctor is messing up. Constant pain causes people to be depressed and this worsens the physical symptoms of their illness. Depression can also t
rigger certain types of pain. Antidepressants on the other hand, help by increasing levels of chemicals that control our moods and the way we perceive pain. So they are good for the treatment of pain.

Misconception 10. All pain can be banished for good by a good doctor.

Unfortunately, this is not so. There are some chronic pains – like backache – that just cannot be cured. But people can learn to manage these pains so that they can function better. Today, doctors are less afraid that patients will become addicted to painkillers and so prescribe them for even chronic pains – to be taken when the pain gets worse, when the patient is under stress or when he or she has to function particularly well.

Today, many doctors operate on the principle that people have the right to be free of pain. They weigh the dangers of becoming addicted to painkillers against the relief that they bring and then take a decision.

Even young patients are given painkillers when the doctor knows that recovery is going to be quick enough for addiction not to be a risk. And at, say, the terminal stage of cancer, they decide to let the patient leave the world free of pain, even if “addicted”.

Doctors also prescribe relaxation exercises and suggest behaviour modification that will help avoid pain. For example, people suffering from back problems should learn not to make sudden movements, to always carry a small pillow for the small of the back when they know they have to sit for a long time and to learn to pick up weights without straining the back.

Physiotherapy can also strengthen the surrounding muscles and having a pain-reliever while this takes place does no harm.

Pain management also includes biofeedback. Many doctors allow post-surgery patients to use a pump that allows them to decide when they need intravenous narcotic painkillers. And doctors have discovered that this way, patients take small and more frequent doses that reduce the total amount of medication they take to be comfortable.

Pain may be a part of life, but we need not suffer from it too much.

DARON

February 2nd, 2009 No comments
Kevin Gianni asked:

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 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: Lets 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 and been working as a personal trainer, 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 you know the root cause of what was going on you know why was their body giving them trouble? Why was their pain? 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 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 you know highly active discussion forum on our website where people can communicate, ask questions. We have all kinds of people from all over the world helping each other; you know 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 you know the focus is to help people you know with back pain because so many people that have back pain, sciatica, neck pain so on, the treatment that they or the treatments that they are getting usually don’t work or if they do work it’s usually temporary. And we can talk about you know 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 you know 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 like a massive problem. And for most people it’s a reoccurring problem. It’s not something that you get it once and it goes away forever. It typically comes back and we will talk about why it comes back to 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 its 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 you know again in working with 40,000 people one of the things that really has helped us is we just don’t sell products you know 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 basically personal support and so 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 longer period of time. And it comes and goes. And one of the reason that is the case because what happens is, you know somebody wakes up one morning and boom their back soar. Or they are outside shelving 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 maybe, 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 Tylenol, Advil things like that whatever. If it is bad enough, they will go their doctors. They’ll get a prescription strength drug and usually within a couple of days or at most couple of weeks. Most initial cases of back pain will go away.

If you do this minor things to kind of adjust the symptoms like take rest and take medications. The problem is something that caused their back pain flair up to happen. And unless you take the time right then and there to figure out why, what’s going on with your body. Why did this happen to me. Unless you take the time to do that then which 99% of people don’t again they let the pain go away on its own, it going to come back later. And again like I said earlier again it’s almost over it will come back again worst than the first case. Most people like usually two to four months for the pain comes back. So that mistake is usually again, not dealing with it you know the first case. Through the first incident and again like dealing with it 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 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 hernia disk is causing the pain. Why do I have the hernia or 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 let 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 let to believe. It’s something that is building up over the time. It’s just that 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. You know your tires were worn down under unevenly because your steering is out of alignment and then you have a blowout. But just that the incidents happen that day. It doesn’t mean that it’s really building up for a long time.< br/>
Kevin: What’s a fantastic analogy.

Jesse: So again going again back to the main point here is first mistake is not dealing with this the first time it happens. Kevin : I see pictures that my chiropractors has shown me about stage one, stage two, stage three maybe you can explain that 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. Friends and a lot of people type and soar back muscles and that is because there body is out of whack. There body is out of balance and their body is kind of thrown their body off. And these certain muscles, you know in this case certain muscles of the lower back. They run up and down the spine. These muscles are constantly being overworked. So instead of being out to work and relax like other muscles, these muscles like have constant tension on them because their 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 than in mind the number one to focus on to is getting to the bottom of it and finding out what is that root cause. And so these physical dysfunctions, you know again you body being pulled out of whack and force to function this way. It is caused by the balances in muscles. Primarily they are several other minor things that contribute to. But the number one factor is muscle balances. And basically what that means is, if you have two opposing muscle groups. Let’s say your front of your thighs and back of your thighs. Corte subs and Hamstrings, There are two opposing muscle groups; if those muscle groups are not “Balance” that doesn’t mean balance in strengths. Like if you could do 50 pounds on leg extension and 30 pounds on the leg curl. That doesn’t mean you are out of balance. But out of balance of same point of how much they are pulling on the joint of those muscles affect.

MASON