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Who of us has not had back or neck pain? Not many, I suspect.
Pain is usually not the "disease," but rather just a
symptom of an underlying problem. The problem may have been present
for months or years. Often the body, over time, finds it can no
longer adapt or mold itself to fix a structural malfunction. It
then lets us know, through pain, that some attention and self-care
strategies must be employed. Your body is inviting you to take
care of it. A trauma injury is, of course, an immediate malfunction
and many of the same strategies will need to be applied.
Most chronic or recurrent back or neck pain has underlying contributing
factors that are easily addressed. These include: poor posture
positions, poor body mechanics, loss or lack of flexibility, decline
in physical fitness, and high stress levels.
Your back and neck perform a huge job for you and deserve a little
understanding and compassion. The spine has 24 vertebral segments
stacked on top of another to provide support and movement for
our trunk and neck. Notably these segments create the bony "tube"
that houses our spinal cord. The spine protects the spinal cord
and provides space at each vertebral segment for the nerve roots
to exit and enter.
Ligamentous and connective tissue structures help to keep the
bones "taped" together, connecting bone to bone. The
discs between each spinal segment (vertebra) provide cushion like
shock absorbers. Bone never sits on bone, there is always a cushion
in-between.
At each end of a muscle is a tendon attachment to a bone. Thereby
creating a lever system with which to move the skeleton, ultimately
moving the body: walking, reaching, bending and/or rotation.
Good posture, or "neutral" position for the spine is
very important because it keeps all of these structures in the
positions of least stress and most strength. Every segment and
structure is in the right position to perform its job and evenly
distribute the stresses and workloads of everyday living; like
a team when every member performs her job well. When the body
is sitting, standing, playing, working, or resting for long periods
of time in poor postures some of the team members are working
overtime and some aren't doing their job at all. Pain will most
likely be the eventual outcome.
A decline or loss of flexibility and physical strength (fitness)
will likewise have an impact on the body's ability to prevent
back or neck pain. If a body lacks the mobility or strength to
move correctly, the cumulative effect of poor movement patterns
or weakness will result in structural overload and eventual pain.
Stress is a topic unto itself, however it deserves attention regarding
back and neck discomfort or pain. Stress or high anxiety can also
be cumulative. It creates physiological mechanisms that will amplify
and exaggerate pain levels. Self care and minimizing stress are
keys to empowering oneself to be mindful of factors contributing
to your back pain.
Back basics requires some self-observation, tuning into your
body, slowing down a little, and paying attention. At Healing
Bridge Physical Therapy we teach self care strategies and self-reliance
to manage and prevent back and neck pain. Together with your physical
therapy treatments you will be taught simple straight forward
interventions. We also offer our Back and Neck Basics class. Patients
participate in this one time only, it is offered once a month
for all of our back, neck and spine patients.
One thing is certain. You have the power to minimize or prevent
some of your back and neck pain. You have the power to cultivate
your healthiest self. Let's get started with it today!
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A Quick and Simple De-stressor
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Sit with good postural support (a small pillow behind
your low back will help)
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Feet on the ground, give your weight to the chair and
to the floor.
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Now take a deep slow breath, fill up your belly,
then your chest.
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Exhale slowly. If it helps think of square breathing,
inhale a slow count of 4, hold for count of four, exhale
a slow count of 4.
Do this 4 times. 4 X 4 breathing!
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