opinions on lower back pain

Kimenem

Cathlete
I have NO idea if or how I injured my back because all I can remember is that it just started hurting one day about a week ago. I've had similar stiffness/achiness before but not for this long. It seemed to start out on the left side but has now moved to the middle/right side. In the AM, I have to walk a little hunched over....though partially from stiffness and my wonderful 6 month old mattress than now has holes in it. Anyway, last week, the back issue affected my workout as I felt it when I tried to do step. I did it, but modified by not doing any jumps. During strngth training, I had to use lighter weight for squats and couldn't go as deep. (I know....I shouldn't have been doing them at all). Many years ago, I did discover I had a bulging disc in that area (I think) but I'm trying to decide if it's muscular or disc related. Tonight while standing (cooking) I felt the pain in the opposite leg a few times. I've been adding Cathe's Stretch Max every night and/or a beginner's Yoga workout and always feel better afterward. Also, if I use the stability ball or even sit in a chair and just lean forward and let my hands lay on the floor, it feels really good. Any thoughts. I'm thinking of going to see a chiropractor but don't like the idea of him "popping" or "cracking" things. I had a massge yesterday but it didn't help, though it wasn't a deep tissue massage. The idea of not working out for awhile and getting soft makes me ill.

THANKS!

Kim
 
You need to see your doctor. It sounds alot like a sciatic nerve problem if the pain correlates with your leg. It could also be coupled with other related problems, such as bulging discs. You probably should have an X-ray to begin with.

I had back problems and didn't realize the damage I was doing each time I did the wrong exercises for me. What sent me over the edge so to speak was those &#@& rocket lifts. If you have lower back problems or just a weak back those will definately put you down for awhile. Please see your doctor.


Carrie

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I figured I'd have to get x-rays if I went to the dr. I hate spending the time to do all that. I wonder if I should still start there first or go to the chiropractor.
 
Hi,

From someone who is recovering for disc problems, DO NOT mess with that kind of back pain. I had symptoms just like you and pushed it and I'm now in week 7 of a long recovery that has been very painful and difficult. Do not do anything that hurts, put down the weights for awhile, and stop doing impact.

The chiropractor may do x rays to see if anything is structurally wrong. The doctor will probably do x rays and maybe send you for an MRI to assess the status of the discs. I wrote this in another post, but sciatic problems can look just like problems with the discs. Don't push yourself to the point of having to have surgery.

In the mean time, try to stay zipped through the core. I can send the link if you haven't heard of the technique. It helps to support the spine and has really helped my recovery.

Tracy
 
Hi, your post sounds exactly like I have been feeling minus the leg pain. I just went to the chiropracter and had an xray done. I've got some degenerated disks in my lower back. I've been getting adjustments for the past few weeks and am feeling loads better. I'm trying to keep the workouts fairly low impact and avoiding putting any weight on my back (squats, lunges, etc.) I'm doing deadlifts with lighter weight and holding dumbbells at my sides for leg exercises.
 
I guess I'll check with the doctor. I hate not being able to work out full strength. What have you guys been doing? If you can't do squats or lunges, what about floor work for the legs? Or maybe just lighter weight?
 
Well, you will hate it even more if you can't workout at all for several weeks!

I've been doing yoga daily and have just started back with light weights for squats and lunges. No deadlifts for me, they really irritate my back. Yoga has really saved me.

It sounds like you are still in the "oh this can't be that bad stage," like I was. I hope yours doesn't get any worse. My advice still is to take a break until you are pain free and see a doctor.

Tracy
 
I know you all are probably right and I am in denial. I will call tomorrow to get an appointment, though the pain has been less today. Still, I don't want to aggravated an already possible disc injury. Thanks for all the advice.
 
Since I have three chipped discs in my lower back, I am familar with lower back pain. In fact, I blew out my lower back last Tuesday while simply standing up. I have to take special care of my lower back because of my situation, and have been seeing a chiropractor for close to 15 years. He adjusted me three times last week after my lower back kicked out, and I credit those adjustments with getting me back on my feet and almost back to normal. I am still stiff and sore, but can actually walk upright without any pain. Going from sitting to standing is still a little tender, but it's getting SOOOO much better.

With that said, I wouldn't let a regular/medical doctor go near my back if I were you. They are not trained as a chiropractor is in the care of the spinal column. Medical doctors think in terms of medicine and surgery, neither of which you need. You need your spine aligned so that your muscles will quit spasming, disabling you from walking upright, as you said.

This brings me to my next point. You said you weren't sure whether your problem was muscular or skeletal. It is likely BOTH. When a vertebrae pops out of alignment (which can happen very easily under the right circumstances), the muscles will spasm. They are attached to the bone, and just the slightest movement on the bone's part will pull the muscles, causing them to spasm. This is usually the source of the pain because the spasms can be quite violent. The ones I had last week literally knocked me over! I'd drop straight to the floor. It also sounds like you have a pinched nerve, being that you said you can feel it down your leg. This is bad. If a nerve is pinched for a prolonged time, the nerve endings for that pinched nerve will eventually die, which will lead to your muscles not responding to signals from the brain. I know a guy whose nerve endings to his feet died due to a pinched nerve in his spinal column. He has to lift his leg really high and then flop his foot down when he walks because he can't move his foot. Moreover, when a vertebrae misaligns, the rest of the spinal column (and thus, the rest of the bones in your body) will attempt to adjust and compensate for the misalignment. This usually leads to a curvature of the spine (most people have slight curvatures in their spine - I have one - as a result of the spine naturally re-adjusting), and other skeletal problems (loss of normal curves in the spine, hips rotating front to back, one leg being longer than the other and causing knee pain in the shorter leg, one shoulder appearing "higher" than the other, your head tending to fall to one side, etc.).

If you had disc problems in your lower back before, I would highly encourage you to see a chiropractor REGULARLY! I go to mine at least once a month. I remember being in so much pain before I started seeing a "bone doctor". I couldn't even climb a flight of stairs without excruciating leg pain. Now, I can run up and down stairs, lift weights, walk long distances, have reduced headaches, and feel so much better. Yes, I occasionally get the lower-back blowout (as I had last week), but the recovery is so much easier and faster with chiropractic.

Oh, and I wouldn't recommend exercising until you get this taken care of. You'll only worsen it. Ask your chiropractor to give you a series of good stretches and strength exercises to strengthen your lower back once you're better. I have to modify many of Cathe's core exercises because they aren't always the best for people with lower back problems. If your chiropractor can't give you these exercises, find a different chiropractor (not all chiro's are alike - I went through a few before I found the one I have now, and he's a back-healing SUPERSTAR)!
 
I didn't really consider having a pinched nerve. If that is also happening, would the pain in the leg be constant? Would it go all the way down? It goes more into the buttock area than the leg. I am actually going to call a chiropractor tomorrow that people around here swear by. Hopefully that will help. Discussing the problems you've had, can you do lower body work such as squats, deadlifts, lunges?

One more thing that I just rememebred, sometimes when standing, if I lean forward a little, I feel a small pop in the painful area. That can't be good can it. A few times in the past, I've "hurt my back," once by turning in a chair to get a book off a shelf??????????? The other time I was doing squats and felt something pull. Both times, I was totally recovered within a couple of days. When the nuerologist told me several years ago that I had a bulging disc, she gave me some back exercises........needless to say I thought they were boring and a waste of time. Not thinking that so much now. I've never had another dr tell me I had "disc" problems and am assuming that the earlier "problems" were muscular. This pain, however, has lasted too long to be muscular I would think.
 
Sounds like you have already received lots of good advice but I wanted to chime in on my situation in case it helps in some way!

I have a chipped disc in my lower back and have since I was 14, now 30. I was doing backflips on a gym floor @ a basketball game and when I landed the 3rd one I felt a sharp pain go from my toes to my head, I can't even explain the pain, I couldn't even lift my leg to get my sweats on under my skirt, my mom had to do it for me. I spent the next month having tests done, for a week or two when I'd sneeze or cough that pain was back. My disc is still chipped & always will be unless I get surgery. I have found that the most important thing for me to keep it from hurting is keeping my abs VERY strong, that helps more than anything else. Also, I try to avoid sitting in one position too long b/c that always causes it to hurt, but more like a hot/burning feeling in the low back.

I wasn't raised to "believe" in chiropracters so that wasn't an option then. About 2-3 years ago I started having back/neck pain & wouldn't go away & finally broke down to go to the doctor, his wife is a chiropracter & he gave me options, seeing her or another chiropracter was one of them. I ended up going to her & found out that my neck was out of alignment, she said she sees it in women a lot b/c our necks are skinner & have more trouble supporting the head. I went 3times/week for about 2-3 months and had her adjust me. It helped more than I could've imagined! The great thing too is that it "fixed" me & I haven't had to go back in & it's been over a year. So, I do believe in chiropracters now!!

I by no means have any education on this so this is just what I've learned through my issues, it could be so many different things. I would probably start out with your doctor & go from there, as someone mentioned above I wouldn't let a regular doc adjust me but they shouldn't even be offering that I don't think!

Hope you are able to find out what it is & get better, as I know all too well just how horrible back & neck pain can be. Good luck & keep us posted!
 
keep your posture good as it makes all the differnce in the world with your back sqeeze your shoulder blades toghter throught the day and remeber to stand and sit straight look at your posture in the mirror with your shirt off and see how slopped your shoulders are you will be surpised how many people think their posture is good and it seems good when you look at them but in reality it could use improvement posture and back problems go hand and hand:)
 
"With that said, I wouldn't let a regular/medical doctor go near my back if I were you. They are not trained as a chiropractor is in the care of the spinal column. Medical doctors think in terms of medicine and surgery, neither of which you need. You need your spine aligned so that your muscles will quit spasming, disabling you from walking upright, as you said".


Where did you get this information? There ARE doctors (physicians and physical therapists) out there that specialize in spinal problems! My father is a spinal patient at Walter Reed who has been under the care of spinal doctors and physical therapists for years (he has an ongoing problem that requires special care and constant attention). He did need surgery and it probably saved his life (not that you need surgery, but if you did...). What if you did need surgery? Do you think the chiro can do it or even prescribe medication? NOPE! If I were you, I'd go see a doctor first! Almost EVERY chiro will tell you that your back is not 'aligned properly' (whatever that means!) so I wouldn't take much stock in that assessment. My husband treats spinal patients EVERYDAY and has wonderful success with them - non-surgically AND with no medication. Some involve manipulation (like what chiros ALWAYS do), and some involve other techniques (there is not a one size fits all approach to back problems). If you are having radiating pain to your legs, I would not take that lightly. Go and see a doctor or physical therapist immediately.

Carolyn
 
Obviously your choice of treatment is your own, but everything that I read suggests that you see a doctor first to rule out anything that is really bad. Depending on where in your spine you are having the disc problems, depends on what body parts will be affected. You do not want to risk paralysis or loss of leg function and that can happen if disc material is continually pressing on the spine.

You can go to a doctor, get xrays and probably an MRI to assess the health of the discs and then research and work on a treatment that best suits your needs. Not every doctor will want to rush you into survery and it is always your choice, but you should be a smart conusmer about your health. In my condition, I would have been much more leary about spinal manipulation.

I don't think that they can see disc material without an MRI.

Tracy
 

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