
Not all back problems are created equal. One person may have been
working on a home improvement project and injured her back while
simultaneously bending and twisting. Another person may have developed
back pain as a result of a vehicular collision. Another person may be
experiencing back pain as a result of osteoporosis. Yet another person
may have a serious illness which causes back pain as a related problem.
Back pain is a problem common to many types of injuries and
illnesses. How can you tell the difference - in other words, how can you
tell when back pain requires you to take action, such as seeing your
chiropractor? A reasonable approach is to use a 48-hour guideline. Your
body usually has a powerful ability to heal itself. If your back pain
hasn't gone away on its own within 48 hours, then seeking professional
assistance is a very good plan.
However, some situations require immediate attention. For
example, if you've had an accident, seeing your chiropractor right away
is probably the right thing to do. In another scenario, if you begin to
experience severe pain without an obvious cause, then seeing your
chiropractor right away makes a great deal of sense. Like many things in
life, having physical pain requires us to use good judgment. The
48-hour rule-of-thumb applies to most situations, but if you've had an
accident or are having an unusual problem, see your chiropractor as soon
as possible, today if necessary.
When a person has back pain, it's very important to make sure
there are no related problems. Most of the time there aren't, but no one
wants to be the exception and it's always better to be safe than sorry.
Making your own diagnosis is never a good idea. "Oh, that's been
bothering me for months," some people will say. "It's just back pain."
Of course, such an approach to one's health violates the 48-hour rule.
If the problem really wasn't anything much, it would have gone away
within a few days. Something else is going on, and usually the longer a
physical problem is left untreated the more difficult it is to deal
with. The old expression, "an ounce of prevention is worth a pound of
cure" is as true today as it was 100 years ago.
Your chiropractor is an expert in back pain. They know that physical pain happens for a reason.1,2
Their job is to discover that reason, using the tools of history
taking, physical examination, biomechanical analysis, and special tests,
if necessary, such as x-rays and other imaging methods. Most of the
time, the underlying problem is mechanical in nature, involving the
spinal joints and associated soft tissues, including the ligaments,
muscles, and tendons. Such mechanical problems cause the vast majority
of cases of back pain, and are directly addressed by chiropractic care.3
In unusual circumstances, your chiropractor will refer you to another
specialist. The important approach in all situations is to seek
appropriate care. Your chiropractor's office is the right place to
start.
Most people now know the importance of exercise in daily life. The
benefits of exercise range from improved strength, balance, and agility
to deeper, more restful sleep, improved outlook on life, and heightened
levels of creativity. Of course, there's also an additional direct
benefit for persons with back pain.
Most cases of back pain are biomechanical in nature. In
these circumstances, spinal joints have lost some mobility and spinal
muscles have become tight. The long-term result is back pain, which may
be mild, moderate, or severe, depending on the extent of the
biomechanical dysfunction. Chiropractic care is the specific treatment
for problems involving the spinal joints and muscles. Exercise is an
important addition to chiropractic care. When you perform challenging
activities throughout a full range of motion, as you do when you
exercise, you're retraining the joints and muscles of your back. By
engaging in such activities on a regular basis, you're helping to
restore spinal strength and mobility, enhancing the benefits you're
receiving from chiropractic care.
Your chiropractor is an expert in rehabilitative exercise and will be glad to design an exercise program that will work for you.
1Bakker EW, et al: Spinal mechanical load as a risk
factor for low back pain: a systematic review of prospective cohort
studies. Spine 34(8):E281-E293, 2009
2Shambrook J, et al: Clinical presentation of low back
pain and association with risk factors according to findings on
magnetic resonance imaging. Pain 157(7):1659-1665, 2011
3Wilder DG, et al: Effect of spinal manipulation on
sensorimotor functions in back pain patients: study protocol for a
randomised controlled trial. Trials 12:161, 2011