At first learning about the human body can be confusing at best, for the human body is a complex thing to attempt to understand.
In 2007 prominent physiotherapists published a paper on regional interdependence. This is a type of pain that occurs at a distant site to the root cause of pain (nociceptive). E.G that the thoracic spine can be the cause of neck pain, and a not so obvious one that the foot can stop head rotation short. Essentially almost any part of the body can affect any other part as we are well interconnected (hopefully!). The body in fact is bidirectional within itself (Tech bit: in a lower motor neurone way). The knee could cause the painful low back experience of an individual but does not give any pain at the knee. Regional Interdependent pain is different to referred pain as referred pain had been mapped and is known. In a case of interdependent pain the body worker assessing you would have to understand the link in order to help you with your problem. If the site of pain is treated then the problem can be made worse in the case of interdependent pain. Body workers such as chiropractors have ways of identifying areas to treat that are not pain based. Which is why some people have regular care; gaining benefit without the pain involved in a flare up.
Chiropractors are educated intellectually and trained in manual procedures differently to specialist manual physiotherapists, hence why in the case of a person with regional interdependent pain, we find that tacitly the concept is already part of chiropractic care plans to help musculoskeletal pain experiences. In other words: My pain does not always signify the body part that requires treatment. There will be an order of care in your chiropractic care plan that involves you finishing the course of treatment. Chiropractic is more than a quick click.
The spine has about 24 vertebrae with most having three joints. One joint is a disc and the other two are joints just like your finger joints that are synovial type but called facet joints. When we imbricate our facet joints of the spine as suggested by Horrigan in a condition called facet Arthrosis, pain can be generated just the same as when one stubs their finger or a toe. We all know that stubbing produces more than one type of pain because we have probably experienced it. The spine has 6 different pain mediators. Pain killers affect 2 or sometimes 3 different types of pain mediator. Meaning that pain killers have no effect on some back pain.
Imagine stubbing your finger against a wall over and over 24/7 for about two weeks. This behaviour would cause you to have a reasonably sore finger. You can stop stubbing your finger; probably because someone can point it out to you and unlike the spine you do not have to use it to move around. You have to use your spine when you move. Thus you will have a certain amount of stubbing that continues with regard to the spinal joints.
The spinal joints are surrounded by other tissues that can be pain sensitive and also be part of mixed up motor sensory signals within your nervous system. essentially a healthy joint is moving well in it’s full range of motion with synovial fluid providing nutrients in and waste product removal. A healthy joint is only part of the movement that you perform when you move. Having joint manipulation may be only part of a strategy to get you well, once again.
If you do nothing (called natural history) back pain will likely resolve in about 6 weeks. Pain killers can help to take the edge off of your symptoms during that time and you can get through it without body manipulation. Unfortunately the route of natural history can mean that your nervous system adapts to a new normal (learns to have back pain). This new normal is like updating your operating system on your computer; it is changed from the original. Once installed a new normal could return back pain as back pain is now part of your normal when you get up in the morning (load up your operating system).
Getting bodywork for a back episode helps prevent the accumulation of injuries that can occur when left to natural history. A psychological impact of (natural history) having pain in the body for over three weeks means that you become more sensitive to pain in the same area in the future. Over time you can accumulate many odd patterns of movement in a lifetime that lead you to abnormally load your tissues and send to the brain conflicting sensory motor signals. Conflicting sensory motor signals (subluxation, dysafferentation) can be the problem behind surprising bouts of back pain. The type of episodes that are really severe for a day or two and then symptomatically resolve like there was never a symptom. These conflicting messages are an indication that your sensory system could do with some help. A bodyworker provides sensory information to your brain about your body through the medium of touch (amongst other interventions). Once the right touch ‘language’ is used then your conflicting sensory motor signals conflict no more.
We know the hypothalamus (a part of the human brain) is highly plastic (changeable), in fact some say the most plastic part of the brain. The hypothalamus stimulates or inhibits hormones. Hormones secreted by the hypothalamus are able to alter the job of certain cells. Thus a chain of possible change within any and every human is present. When we stimulate the hypothalamus to produce particular hormones we learn automatically a default to produce them. One could say we get more used to being us.
We are actually rewarded in the brain with opiates when our regular ‘molecules of emotion’ are released. When we try another way (state of mind) we do not get a reward, why effort is required to change, why a feeling of being wrong comes with any change we try. Those that are guided by that inner feeling are shied away from change because it doesn’t ‘feel right’. Those who are in their head have a flurry of mixed thoughts, tangential ideas and not knowing for sure that their current action is the ‘correct one’. Those that are guided by how their body is; tend to get a difference in their body such as they do not feel good in their body, they are sluggish or they have transitory pains that aren’t usually there, for example.
For me the way the media reports upon ‘mind over matter’ can lead one falsely down a path of whenever I need I can control anything that comes. Like being a superhero. In the real world we cannot control everything. Monks who live on mountain tops in isolation for 30 years do not get to reach enlightenment. Really any mind over matter situation needs to be delineated from ‘pushing through it’ and to have a time frame added. For most people they do not have a spare 30 years to try it out to see for themselves!
Essentially we are human beings with many different ways to be (states of mind). We will find it easier to be different or to change whilst our nervous system is still growing (spinal columns complete in 4th decade of life). After this time the amount of effort required for change becomes increased as more energy is required to make a change e.g. rewire our brain. With every change thus comes the wobbly part big or small, short or long.
The icing on the cake of difficulty with change after 40 is the future psychology of human beings. Doing things in the future is easier than actually doing them. The future psychology of taking out credit is a great example of how we consider it less of a risk because I can pay it (do it) later. Whilst we need time to be human beings with meditation we also need time to be human doings with exercise. Both exercise and meditation have been shown to have an epi-genetic effect toward health. Next time you are considering making a change do not underestimate the amount of effort required, time required and energy required whilst also not forgetting to include the amount of euphoria and reward you will receive when you ‘make it there’.
For example a study was able to demonstrate that actual physical muscle growth was achieved over a 6 week period of imagining a gym programme; yes our minds can affect physical body tissues and no it is not an easy thing to add to your already busy life. Hence why no man is an island and we need help from others e.g. a chiropractor to help my body move better helping my body tissues last longer as a complimentary lifestyle choice to regular exercise and a healthy diet. Sometimes however issues of trust and of giving over control can get in the way of you getting off your own inner island and making a powerful healthful connection with another human being (in my opinion).