Please join me there!

Warmest Regards,

Dr. Barry L. Marks, DC

Take a walk.

Walking is great exercise for the lower back. Each step uses the lower back, butt and abdominal muscles to keep them fit.

How to walk more:

• Park further from the store when shopping
• Park further from the office at work
• Take a walking lunch
• Get the family out for an evening walk after dinner
• Go to a mall on a rainy day
• Take your poodle out for a stroll
• Go to the zoo
• Or an amusement park

When NOT to walk

• When you have sciatica
• When you can’t comfortably stand straight
• When walking causes more than minor discomfort for your back
• When it’s too hot
• When you have back spasms

By adding extra walking minutes each day, you are conditioning your core muscles that support your back. This will lead to increased strength and endurance which has been shown to reduce back pain.

How to Use Heat
Heat is used to increase circulation to allow the body to heal itself. Blood flow brings nutrients to injured tissues so that they may be repaired and rebuilt. Heat can also significantly reduce chronic pain.

How to Use Ice
Ice is best used in the acute stage of pain or injury (the first 48-72 hours). Ice reduces swelling and inflammation. It is also good at controlling acute pain.

How to Alternate Heat & Ice
Okay, now that you have heat and ice down pat, let’s move on to Therapy 2.0.

Use heat for old pains that flare-up, pain that is more than 3 days old and for osteoarthritis.

Moist heat (moist heating pad, shower, Jacuzzi, bath, hot wet towels) are best and penetrate the deepest.

When using heat do not exceed 30 minutes duration and be sure to allow the area to cool down for at least 1 hour before re-applying heat.

Never go to bed with a heating pad! If it does not shut down you will end up burnt. Even if you do not burn, excessive heat makes the area even more inflamed resulting in more stiffness and pain.

When applying ice remember to use caution. Whether you’re using ice bags or chemical ice packs, place a sheet of paper towel between the ice and your body. Also limit ice to 12 minutes with at least 1 hour between applications.

Ice Massage: An old football trainer’s trick is to fill small Dixie cups half way up with water and freeze. Then crinkle up the top brim of the cup to use as a handle and tear off the bottom of the cup to expose the ice. Rub the exposed ice over the affected body part for 10-12 minutes.  Because the ice is melting and you are moving it around, you can get by with direct contact with ice without risking frost bite.

After the initial 24-48 hours following an injury, try this advanced technique.

Start with moist Heat for 12-15 minutes
 
Gently stretch the affected area for a few moments
 
Apply Ice for 12 minutes
 
Wait 1 hour before repeating procedure, if necessary. Always start with heat and always end with ice.

That’s all just fine, but listen to this…

Skinny people have back pain too!

No, I’m not advocating we all gain weight. No, I’m not refuting that back pain can be aggravated by excess weight.

What I am saying is this…

Not everyone who has back pain and then loses weight will have less back pain. It’s really quite simple. If you have a large belly that sticks out over your pants, guess what? If you lose belly fat, your back will be less stressed and your back pain may decrease.

If on the other hand, you do not have a protruding belly, but say, saddle bags from the hips down to the thighs like the typical female fat pattern, losing weight will have no bearing on your back. Your weight is not stressing your back. Lose weight because you want to for aesthetic reasons, but don’t think it’s going to cure your lower back pain. It won’t.

30 lbs over and you have a belly

Okay, so let’s say you are 30 lbs over weight and have a belly. And let’s suppose you have lower back pain and would like to help it. What do you do?

First off, you are not going to try to lose 30 lbs. Forget about the weight entirely. Instead focus on this: your waist size and how your pants or skirts fit. And here’s your goal: 1 pants size smaller. That’s all. Just drop 1 pant size, which is equivalent to about 10 lbs (but remember we don’t want to count pounds!). Taking 1 pant size off your belly will significantly reduce back strain.

After that goal is reached then worry about the rest of the weight if you’d like.

4 Steps to Lose Belly Fat (About 1 Pant Size in 2 weeks)

1. Drink more water (until your urine is clear)
2. Eliminate white foods (white bread, white crackers, white rice, white tortillas, etc.)
3. Eat lots of fresh fruits and vegetables (oranges, pink grapefruit, dark greens)
4. Exercise 20 min. daily (you don’t need a gym or equipment if you do this…)

So there you have it. Drop one pant size and you should notice some back pain relief.

Your body functions much like a liquid electrical system. Minerals, which are basically very small particles of metal, help conduct electrical impulses from your brain to the muscles via nerves.

Muscles stay in a state of relative relaxation until Calcium is removed from receptors, which then makes the muscle contract. Therefore, if your intake of minerals is low, your muscles will have a tendency to be tighter. And if your electrolytes dip too low, your muscles will go into spasm.

How do we lose minerals?

• Inadequate nutrition
• Hot weather
• Muscular exertion; sports, work, etc
• Medications that cause you to lose potassium or other minerals

How do you get enough electrolytes?

• Diet with variety of foods
• Nutritional supplementation with basic multivitamin and mineral
• Electrolyte drink, powder or pill during times of sports, work, hot weather, etc.

Signs of low electrolytes
Small muscle twitching in eye lid and toes
Foot and leg cramps, usually at night
Back or neck spasm
Fatigue
If severe, irregular heart beats, lethargy and mental confusion

So if you want to do your part in treating your lower back pain, drink plenty of water and make sure you’re getting enough minerals into your body.

Most people realize that inadequate hydration can cause illness like bladder and kidney trouble, headaches, fatigue, etc. But you may be surprised to learn that a significant number of people suffer from aches and pains, like back pain due to lack of water.

Without proper hydration, our body cannot perform complex biochemical processes that are required for normal health. Waste products are not flushed out adequately, which leads to build up of toxic chemicals. Muscles, lacking proper hydration tend to tighten up exerting pressure on the spine.

So if you have back pain, do your doctor or therapist a favor and help them help you. Drink more water.

But how much is enough?
Without going into complex calculations factoring body weight, age and activity level, try this test. I call it the T.T. or “Toilet Test.”

Toilet Test for proper hydration

When you urinate, simply observe the color:

• Very pale yellow to clear: Good hydration
• Medium yellow: Pretty good, drink a cup or two more each day
• Dark yellow: Getting dehydrated, drink several more cups
• Dark almost brown: You are dehydrated, drinks lots more water

Also note the odor:

• Well hydration results in very low urine odor because it is diluted.
• A strong odor indicates dehydration and concentrated waste products in the urine.

Are you thirsty?
If you feel thirsty, chances are you are already on the verge of dehydration! Being well hydrated throughout the day prevents thirst. Thirst is a signal tat we are seriously low on water. Don’t wait to be thirsty before drinking.

Drink coffee, tea, soda or alcohol?
These beverages are diuretics; they make you urinate more. So if you drink these, you need to replace the lost water by drinking additional water.

Try drinking enough water to keep your urine clear and low odor and your mouth is moist. If you do, you will probably find that your back hurts less.

For many, chiropractic care, physical therapy and/or acupuncture are quite effective at relieving back pain. But not all back pain responds to these common back pain remedies.
For a certain percentage of the population, a cure for lower back pain remains elusive. For these sufferers of chronic low back pain, here are a couple of tips that may help you get over the hurdle.

Home remedies for lower back pain

• Drink more water
• Add more minerals (Calcium, magnesium, potassium, etc.) to your diet
• Lose 1 belt size
• Walk more
• Alternate heat and ice
• Add Omega-3 fatty acids to your diet
• Do 100 sit-ups/crunches a day
• Perform knee to chest stretches
• Bounce on a therapy ball
• Sit in a rocking chair for 1 hour a day (JFK did!)
• Get orthotics
• Try a different bed

If you are suffering from lower back pain that just won’t go away, try the items on this list. Go crazy and do them all within a day or two, or slowly plod along. The point is, do something.

This article however, explains a particular situation “When NOT to See Your Chiropractor.”

Cauda Equina Syndrome
There is a fairly rare, but very serious condition known as “Cauda Equina Syndrome.” Thankfully, very few readers will have direct experience with this condition. But it is nonetheless important to discuss because if you ever develop these symptoms or know someone who does, you’ll know the quick action to take to avoid serious complications.

Horse Anatomy
The last several nerve roots come off of the spinal cord as strands resembling a horse’s tail, thus the Latin term “Cauda Equina” (Horse’s Tail). Cauda Equina Syndrome refers to pressure of these nerve rootlets that branch off of the terminal end of the spinal cord.

Symptoms of Cauda Equina Syndrome
These are the tell-tale signs you have Cauda Equina Syndrome. You can have one or all.

• Weakness of legs
• Atrophy (loss of muscles girth) of legs
• Numbness, pain or tingling into legs or feet
• Numbness and or anesthesia (total loss of sensation) around the anus
• Loss of bowel or bladder control

Cause of Cauda Equina Syndrome

There are several conditions that can cause Cauda Equina Syndrome:

• Large disc herniation in lumbar spine
• Spinal Stenosis
• Spondylolisthesis Grade III or greater
• Fracture/Dislocation of lumbar vertebrae
• Tumor

Complications

If not treated properly and in time, permanent irreversible paralysis could occur. Therefore, going to your chiropractor or general medical physician when you have these symptoms only further delays proper care.

What to Do if You Have These Symptoms
You should immediately report to an emergency room for an examination and MRI and/or CT scan. Once the cause of the syndrome is found, proper treatment may commence.

Stenosis means a restriction or blockage of a hole or opening. When doctors refer to “spinal stenosis” they are most often talking about stenosis or blockage of the central spinal canal. The central, canal is the large opening in the spinal bones that provides a bony “tube” that houses and protects the spinal cord.

The Cause of Spinal Stenosis
The central canal may become reduced in size due to:

• Disc bulge or herniation
• Bone spur of vertebral body
• Bone spur from facet arthritis

Symptoms of Spinal Stenosis
No matter what the cause, the symptoms of central spinal stenosis are the same. The textbook example is back and/or leg pain that is aggravated by walking and is relieved by short periods of sitting, after which time the person can walk for a period of time before the pain increases again. Sufferers of spinal stenosis must take frequent breaks on a walk.

As the condition worsens the amount of time the patient is able to walk gets shorter and shorter. Eventually spinal stenosis sufferers stop going for walks, shopping, etc.

Diagnosing Spinal Stenosis
The history of pain while walking relieved by rest is a big clue. A physical exam is necessary to determine the extent of neurologic function.

Two things must be documented and monitored for treatment:

1. How long the patient can walk before he or she must sit
2. How far down the pain travels; buttocks, back of thighs, calves, etc

An MRI is the most conclusive test to accurately diagnose stenosis and to determine the severity and cause, i.e. bone spur versus disc herniation.

Spinal Stenosis Treatment depends on:

• The cause; disc vs. bone spur
• The severity

For more information on spinal stenosis and a possible treatment go to: http://www.spinediscrehab.com/drx9000.htm

The spine has 2 sets of joints: A large joint between the large weight bearing part of the spine which is held in place by the disc and a smaller pair of joints in the back of the spine that guide movement.

It’s the latter joints that this article will address.

The smaller paired joints in the spine are called “facet” (fuh-set) joints. These joints are designed to help guide movement within the spine.

Cause of Facet Syndrome
Facet syndrome is a cause of chronic back pain that results from prolonged stress on the facet joints. It is a form of osteoarthritis of a specific joint. Work injuries, accidents, subluxation, prolonged poor posture and disc disease all contribute to facet joint malfunction. Continued malfunction over time results in the breakdown of the cartilaginous facet joint linings. In time, the bones react by forming spurs in an attempt to fuse the joint shut.

Symptoms of Facet Syndrome
The hallmark of facet syndrome is a deep aching pain that is aggravated by sitting and leaning backwards or twisting at the waist. The pain is usually located within an inch or two of the midline of the spine. It may occur just on one side or it can be on both. Facet syndrome does not ordinarily cause radiating pain (sciatica).

Diagnosing Facet Syndrome
A thorough physical examination of the spine must be done. A simple maneuver where the patient’s back is extended over the doctor’s hand as a fulcrum (Kemp’s test) will usually cause reproduction of the pain. Oblique (angled) plain film x-rays will show characteristic signs of facet joint narrowing, irregularity and often spurs. A loss of disc height is often found at the same level. Advanced imaging like an MRI is not usually required.

For more detailed information and a video tutorial on facet syndrome follow this link.