Jump to content
MiuraMan

A Good Read on Lower Back Pain

8 posts / 3535 viewsLast Reply

Recommended Posts

23 hours ago, MiuraMan said:
backpain_lead.jpg

A review of 80-plus studies upends the conventional wisdom.

 

A good article. One thing i think is necessary to understand albeit unfortunate is the often negative connotation towards we physicians in this matter among others.

I’m a family medicine physician. The demand over the last 20 years for ‘customer satisfaction’ is overwhelming. People want immediate results and if not achieved they give us a bad rating and our jobs become in jeopardy.

So often proper treatment requires active participation from patients. I will not call them customers. Compliance to proper treatment is often very difficult to achieve. Look at weight loss. Diet and exercise? No. I want a pill that will melt away the fat. I want a procedure to make me thin. 
 

All too often our efforts are met with dissatisfaction due to the requirements of the treatment by the patient. I struggle to get patients to go to PT for what I know isn’t a surgical case. ‘ Isn’t there a good pain medicine for this? I don’t have time for PT.’ 
 

The article presents good therapy. But it’s easy for those who don’t practice medicine to assume we doctors are just writing scripts and sending them away or just referring them out. They don’t know that when we mention ‘yoga’ or ‘exercise/stretching’ the patients roll their eyes at us and leave unsatisfied.

Im all for least invasive therapy at all times. Just wanted to mention that patients often have a responsibility in their healing and it’s not always a matter of provider failure.

Share this post


Link to post
Share on other sites
Awards, Achievements, and Accolades

Excellent point "Vinsk".

What you describe has been my personal experience. At age 67 I took my son out to Bandon Dunes early Sept. Out there you have to walk all courses. After coming home I started to have pain in my left hip; I always walked at home so I was surprised at this; I could no longer walk without pain, could not sit at my desk for longer than 15 minutes; riding a cart was OK; but I had subconsciously modified my swing to avoid posting too hard on my lead leg. Even before that I had bouts of back pain where I would suffer a spasm from not bending at the hips properly or twisting around to pick up an object, while under load. These bouts would always subside after a couple of days, but were miserable at the time. Back to the hip, First trip was to PCP; he took an X-Ray nothing showed up on that so he recommended a visit to orthopedic Dr.. Earlier in my life I had seen an orthopedic Dr. about my left shoulder. In my early 20's I suffered a severe dislocation - going to bed in the barracks late one night in the dark and flopped down on the bed, only the bed wasn't there and I extended my left arm to break the fall. After that my left shoulder would dislocate easily - making a left arm only golf swing; it would dislocate at the top of my finish. So I moved on with life; whenever it dislocated I would pull it back in place. In my 40's I was surfing; walking back in carrying the board under my left arm, when a rouge wave caught me by surprise and ripped that board from my grasp. Now a simple dislocation became a major big deal - couldn't play golf etc. At this point in my life I had Medical insurance so I went to Orthopedic Dr.. After reviewing my X-Ray he described the injury to me and said yes he could operate to try and fix the issue or I could try a series of exercises targeting the rotator cuff to strengthen it and help stabilize the joint. That worked, after a while I do not have an issue with that shoulder!! Back to my hip - after the PCP I decided to try a physiatrist (sp?); he did an ultrasound on the hip to see if there was a labral tear or some other cause, then ordered an MRI. So a 67 year old with hip pain guess what the diagnosis is from the MRI - mild arthritis. He offered pain meds(declined) and said if the pain gets too much go see an Orthopedic Dr.; they can replace your hip. I know a number of golfers who have had hip replacement surgery and it was successful - but not for me. I signed up with a golf specific trainer and started working with him; I worked with him once a week for two years. I learned a lot about how muscular imbalances and repetitive movements can cause issues., and what to do to counteract the adverse 

Now I am pain free in the hip; much stronger in the core; no back spasms; no sciatica; no knee pain. Play golf 5 days a week and hit a lot of golf balls in my garage setup. Have played 54 hole tournaments; swinging just as well on the 54th hole as the first hole.

Recently I had started having soreness in my trail shoulder after playing golf - after some research on the internet I have addressed that issue and my shoulder mobility and strength are vastly improved.

Hope I did not bore you with the long story; but I tell that story in the hopes it will help other individuals. I play with a lot of older golfers and see these issues all the time - sore backs, painful hips, shoulders and knees. I always suggest they first check with medical professionals to ensure there is not a serious medical issue that needs to be addressed; then tell them my story and suggest they get with a golf specific trainer. Despite that I know two golfers who had hip-replacements; another with shoulder surgery; another talking about knee surgery. The list goes on.

If you are still practicing medicine, then god speed and stay safe during this pandemic. 

Share this post


Link to post
Share on other sites

24 minutes ago, MiuraMan said:

Excellent point "Vinsk".

What you describe has been my personal experience. At age 67 I took my son out to Bandon Dunes early Sept. Out there you have to walk all courses. After coming home I started to have pain in my left hip; I always walked at home so I was surprised at this; I could no longer walk without pain, could not sit at my desk for longer than 15 minutes; riding a cart was OK; but I had subconsciously modified my swing to avoid posting too hard on my lead leg. Even before that I had bouts of back pain where I would suffer a spasm from not bending at the hips properly or twisting around to pick up an object, while under load. These bouts would always subside after a couple of days, but were miserable at the time. Back to the hip, First trip was to PCP; he took an X-Ray nothing showed up on that so he recommended a visit to orthopedic Dr.. Earlier in my life I had seen an orthopedic Dr. about my left shoulder. In my early 20's I suffered a severe dislocation - going to bed in the barracks late one night in the dark and flopped down on the bed, only the bed wasn't there and I extended my left arm to break the fall. After that my left shoulder would dislocate easily - making a left arm only golf swing; it would dislocate at the top of my finish. So I moved on with life; whenever it dislocated I would pull it back in place. In my 40's I was surfing; walking back in carrying the board under my left arm, when a rouge wave caught me by surprise and ripped that board from my grasp. Now a simple dislocation became a major big deal - couldn't play golf etc. At this point in my life I had Medical insurance so I went to Orthopedic Dr.. After reviewing my X-Ray he described the injury to me and said yes he could operate to try and fix the issue or I could try a series of exercises targeting the rotator cuff to strengthen it and help stabilize the joint. That worked, after a while I do not have an issue with that shoulder!! Back to my hip - after the PCP I decided to try a physiatrist (sp?); he did an ultrasound on the hip to see if there was a labral tear or some other cause, then ordered an MRI. So a 67 year old with hip pain guess what the diagnosis is from the MRI - mild arthritis. He offered pain meds(declined) and said if the pain gets too much go see an Orthopedic Dr.; they can replace your hip. I know a number of golfers who have had hip replacement surgery and it was successful - but not for me. I signed up with a golf specific trainer and started working with him; I worked with him once a week for two years. I learned a lot about how muscular imbalances and repetitive movements can cause issues., and what to do to counteract the adverse 

Now I am pain free in the hip; much stronger in the core; no back spasms; no sciatica; no knee pain. Play golf 5 days a week and hit a lot of golf balls in my garage setup. Have played 54 hole tournaments; swinging just as well on the 54th hole as the first hole.

Recently I had started having soreness in my trail shoulder after playing golf - after some research on the internet I have addressed that issue and my shoulder mobility and strength are vastly improved.

Hope I did not bore you with the long story; but I tell that story in the hopes it will help other individuals. I play with a lot of older golfers and see these issues all the time - sore backs, painful hips, shoulders and knees. I always suggest they first check with medical professionals to ensure there is not a serious medical issue that needs to be addressed; then tell them my story and suggest they get with a golf specific trainer. Despite that I know two golfers who had hip-replacements; another with shoulder surgery; another talking about knee surgery. The list goes on.

If you are still practicing medicine, then god speed and stay safe during this pandemic. 

That'll be $350 for the office visit unless you have Medicare...

Way to go with the physical therapy.  Two torn tendons in my elbow and the PT was the only thing that helped it.  Tried virtually everything else out there, except acupuncture, and nothing worked.  Spent more money this last year on my elbow than I do in the same amount of time on golf.

Edited by Double Mocha Man

Share this post


Link to post
Share on other sites

58 minutes ago, MiuraMan said:

If you are still practicing medicine, then god speed and stay safe during this pandemic

I am and thank you. Very glad to read your story. Great job on your behalf and keep it up! 

Share this post


Link to post
Share on other sites
Awards, Achievements, and Accolades

Mobility is a big thing.

I try to get out of my work chair every few hours at a minimum and use my standing desk for a few hours of the day. I go for walks daily. I stretch every night before bed. I find that my lower back mobility is the best its every been. If my back does flare up, its usually not too long and I don't need much in the way of drugs. 

Share this post


Link to post
Share on other sites
Awards, Achievements, and Accolades

9 hours ago, saevel25 said:

Mobility is a big thing.

I try to get out of my work chair every few hours at a minimum and use my standing desk for a few hours of the day. I go for walks daily. I stretch every night before bed. I find that my lower back mobility is the best its every been. If my back does flare up, its usually not too long and I don't need much in the way of drugs. 

I used to have SI joint issues all the time. Mobility and stretching really helped as did core strength. Since I retired in April, I don’t sit that much anymore and my SI doesn’t flare up as much. Sitting really can cause issues.

Share this post


Link to post
Share on other sites
Awards, Achievements, and Accolades

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.




  • Want to join this community?

    We'd love to have you!

    Sign Up
  • TST Affiliates

    SuperSpeed
    TourStriker PlaneMate
    Golfer's Journal
    FlightScope Mevo
    Use the code "iacas" for 10% off Mevo
  • Posts

    • MEH. I haven't watched TGC other than golf coverage for decades.
    • I know enough to be dangerously wrong, but also wise enough to know when great advice is given, such as @iacas has given above.  When I am in my practice zone, which is my backyard, I am focusing on one area of my swing - is it impact, is it backswing, is the downswing - what do I want to accomplish/see today.  Great thing is some days I see the mountains move, other days I can't hit my way clear out of a very wet paper sack, but I press  on. Often when doing work at the desk, I am turning my body - working through the torso motions.  My stretches in the say are to replicate what happens in a swing.  Flipping my wrists - I can show you video from about 2 yrs ago and some more recent.  I have gotten better at ball striking, not flipping wrists, but using the the KISS principle - Keep It Simple Son. One part at a time - Erik gave a great reference many moons ago when he spoke of how a classically trained violinist learns a piece (you can insert any instrument here).  At first is seems like disconnected, dissonant notes, yet as they accomplish a piece, they move forward little by little. Then at the end of the day, when it is time to play the notes are fluid and flawless.  This process is about learning it note by note - the YouTube guru's all have a fast cure - the only good one is hard work on A SINGULAR KEY POINT till it is automatic.  Muscle memory is a fantastic thing - it makes things automatic.  Please pardon the ramblings of an old man who had a good day on the course!
    • Golf: $600-900 depending on what courses we decide to play.   Stay is free, no cost for any of the nights at the lake house.   Everything else is kind of unknown at this time.  Am I missing anything? I'd provide a good portion of the food and drinks for the meals at the lake, but we may want to go out a couple nights for dinner, and I am no cook. We do have a grill and a full Kitchen at the Lake that we could use.   Btw, I'd recommend anyone who would be flying in to go through Minneapolis. It's only about 2 hours to the lake vs 3 from Milwaukee.    
    • Day 70 spent an hour on the range chipping/putting and getting some video of my full swing. I’ll get it up either tonight or tomorrow. 
    • Played a nearby muni course today.  Last time there - holes 15-17 were underwater (drainage issues) so we were not able to do a full round.  Today the course was back to normal and funny thing, fairways were dry and the ball loved to roll out!  The fronts of the greens were mush, plug the ball sticky.  Made for approach shots at the front of the green tricky because too steep a landing and you were rolling no where.  For a guy who just starting to consistently shoot in the 90's it made attacking the greens more challenging.  Keep thinking about how in LSW, to aim for the big area of the green and not hunt flags.  To be honest, I had a blast with the 50* wedge as I was putting the ball exactly where I saw it landing.  Overall - cannot complain shot a 96 (48/48), gold tees (translates to around 6100yds).  Only one triple, NO SNOW MEN!, but way too many doubles to overcome.  All in all drives were some of my best ever, with them either being on fairway or just off enough the S20 saw them as in the rough.  That's okay.  Not a bad day putting, still had some 3 putts but it was me not the putter or the greens which were reasonably fast.  Would love to play this one again soon, its just over an hour away so not too bad a drive.  Thinking about taking the missus there as she is saying she is ready to go play a round.   
  • TST Blog Entries

  • Today's Birthdays

    1. Aldo Aitken
      Aldo Aitken
      (30 years old)
    2. Also Aitken
      Also Aitken
      (30 years old)
    3. CJK
      CJK
      (62 years old)
    4. Coffin-dodger
      Coffin-dodger
      (70 years old)
    5. Greg55
      Greg55
      (65 years old)

×
×
  • Create New...

Important Information

Welcome to TST! Signing up is free, and you'll see fewer ads and can talk with fellow golf enthusiasts! By using TST, you agree to our Terms of Use, our Privacy Policy, and our Guidelines.

The popup will be closed in 10 seconds...