The best things to do for a bad back pain episode has challenged people and medical doctors for generations. In the 1980’s bed rest and even a hospital stay was the best option in the USA. In England traction was thought to be the answer to a tight contracted back, that was to gradually stretch it out. Some people had two weeks of traction as the best medical care. Today in England the main medical approach is to provide anti inflammatories and mild over the counter pain killers, with a physiotherapy referral (within a few months). The physiotherapy approach to back pain is to provide reassurance at first. Typically an episode is bad for 3-5 days and can be felt to some degree for 4-6 weeks. People’s episodes are normally over by the time a hands on approach from the NHS is provided. The way the first back pain episode is cared for can have a knock on effect to future pain episodes. If you don’t get fixed at first it just keeps on coming back until you either get fixed or get used to having back pain episodes. 1-3% of back pains will have a sinister aspect eg a red flag such as a collapse fracture
It has been known for 15 years that anti inflammatories are enzyme inhibitors that alter the natural balance between cyclooxygenase (COX) and lipooxygenase (LOX) enzymes. Altering any natural balance creates a drive to re-balance leading to more COX enzyme increasing inflammation after 2 hours. Yes there is a decrease in inflammation in the first 30-60 minutes, then a rebound increase in inflammation begins to develop surpassing previous inflammation levels at about 2 hours after taking the NSAID (Ibuprofen). The marketing of anti inflammatories is highly suggestive having a strong impact on a lot of people.
Recommendations are now recognising that for acute low back pain the best approach is to rest for the first day, then allow yourself to move around as normally as possible, light duties and slow. Consider Chiropractic Care to help (not only this episode but also future episodes – having chiropractic care for your first episode can actually prevent the next episode form occurring).
According to advise from Harvard University medical Doctors, Chiropractic Care is a very good idea. See for yourself at http://www.health.harvard.edu/blog/heres-something-completely-different-for-low-back-pain-2017070611962
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).