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I can't seem to get over a bad back. I've never had back problems before. This is my first experience. The doc says it's mechanical and I should go out and do what I can. But everytime I feel good, I seem to overdo it and then I'm back where I started from. How do I get out of this cycle?
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Back pain from a mechanical source usually indicates a musculoskeletal problem (as opposed to a tumor, fracture or infection causing the pain). That doesn't mean there aren't reasons for your back pain.
Sometimes people aren't aware of repetitive movements or poor posture that can be contributing to the problem. The wrong kind of pillow or an old, unsupportive mattress, a cramped desk space, or long hours driving in an unsupported position are all examples of factors that must be changed in order to stop the cycle of back pain - partial recovery - recurring back pain.
Usually in a self-care kind of program, patients are given a few tools to use when getting back into the swing of things. There are stretching and strengthening exercises that can help. Pacing of activities is important. It's easy to do too much when you are feeling better -- especially if you feel you have gotten behind on the days when you couldn't complete your daily tasks.
Relaxation techniques, cognitive behavioral therapy, and use of some limited medications can be helpful. Cognitive behavioral therapy helps people work through the pain without making the situation worse. Combining relaxation training with positive atttitudes about pain help patients prevent lapses such as you are experiencing.
You may need some outside help during this transition phase from injury to recovery. A physical therapist can give you the guidance you need. The therapist will help you identify reasonable goals and ways to regain full function. Much of what you need to do can be done at home. The therapist will gear your program toward your daily activity and work demands.
Studies show that this kind of approach makes it possible for patients to avoid becoming a chronic pain patient. Full return-to-function is very possible with this method of guided, progressive self-care.
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*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. |
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