Back Pain – 10 key points

Courtesy Irish Independent

Back pain is unique to each person. While it may be a structural issue, stress, mood or poor sleep may all be at the root of the problem. Becoming aware of the various different factors provides a better understanding of the pain and how to address most appropriately.  All of these factors form part of the 121 Yoga process and the appropriate application of Yoga for the individual and their particular needs.

Key related extracts from an article published in the Irish Independent:

Back Pain is common
While back pain can be very painful and worrying, it is very common and rarely dangerous. A total of 84pc of people worldwide will experience back pain during their lifetime. It is equally common across all age groups; from young to old and doesn’t get worse with age. Therefore, it should not be seen as a result of ageing or “wear and tear”. Mostly people recover reasonably quickly, and many recover without the need for treatment. Some people experience repeated episodes of back pain which can be distressing, but again these are rarely dangerous.

Scans for back pain are rarely needed and can be harmful
Most people believe that a scan (for example an X-ray, MRI) will identify the cause of their back pain. However, the scientific research shows that scans are only needed when a serious condition is suspected (cancer, fracture/broken bone, infection). Luckily, these serious conditions are rare and account for approximately 1pc of all back pain worldwide.

The back is NOT that vulnerable to damage
Most people think the spine is something that needs to be protected. This is incorrect and has led to the provision of information and treatments that promote fear, protective guarding, avoidance and disability. Common examples include: “Your joint/pelvis/disc is slipped/out of place.”
People often move differently when in pain, giving the impression that something has gone out of place. However, scientific research has clearly shown that these structures do not go ‘out of place’ or ‘slip’.

The back is designed for bending and lifting
Like other body parts (for example the knee), the back is designed to move and adapt to many activities. It is important to be conditioned to lift; and shown how to lift heavy things correctly and safely. The back is designed to move and adapt to many activities. In the same way that a person can get a sore knee after doing an unaccustomed activity, people can get back pain when they lift something awkwardly or something that they aren’t used to.

You can have back pain without back damage or injury
The traditional view is that pain is a sign of injury or damage. While some back pain may be related to a sudden, repeated or heavy-loading event, we now know that the volume switch for back pain can be turned up by many other factors also. These include physical (minding/guarding the back, avoiding movements), psychological (fear of damage/pain or not getting better, low mood/depression, stress), health (being tired and run down, low energy), lifestyle (sleep problems, low levels of physical activity, being overweight), and social (poor relationships at work or home, work satisfaction, stressful life events like a death or illness) factors.

This means that you may feel more pain when you move or try to do something, even though you are not damaging your back. Ever have a headache when you are stressed, sad, tired or run down? Back pain is no different. For many people, back pain can occur from just a minor mechanical trigger, like picking something up from the ground or rolling over. In this situation it is due to the spinal structures being sensitised due to other factors such as sleeping position or stress.

Don’t take back pain lying down and don’t rush for surgery
Since people often think they have done damage when they get back pain, it is common for people to go to bed and rest until all pain is gone. However, there is very strong evidence that keeping active and returning to all usual activities gradually, including work and hobbies, is important in aiding recovery. While you may feel relief from rest initially, prolonged rest is unhelpful, and is associated with higher levels of pain, greater disability, and longer absence from work.
Surgery is rarely an option for back pain. There are some uncommon back conditions where there is pressure on the nerves that supply the leg and the patient gets leg symptoms such as pain, pins and needles or numbness. For these conditions surgery can help the leg symptoms but it is important to understand that surgery is not always required.

Exercise is good for back pain but people are often afraid
Contrary to popular belief, exercise is helpful for back pain….
It is emerging that the amount of exercise you do is more important than the type of exercise. More than 30 minutes per day has the greatest health benefits but any amount you can manage will result in benefit. The benefits of exercise even include reducing the risk of developing back pain.

Strong meds do not have strong benefits for back pain
Many people think strong pain needs a strong painkiller. This is not true. If you have a new episode of back pain, you should start with a simple over-the-counter painkiller and not rush for prescription medications. Scientific research has shown that strong painkillers such as those containing an opioid do not provide greater pain relief over simpler options, and actually have greater potential for harm.

Buyer beware: internet, fads, fashions and bandwagons
Be wary of commercial sites that are selling a product. We hear daily claims about miracle cures and best treatments for back pain in the media and on the internet.

Back pain can be cured
The thinking around the spine is distorted and infused with panic. Of course you can injure the back – but be confident that it will get better. It is common for people to be told that they cannot change their pain and they have to live with it. The evidence doesn’t bear this out. The back can also recover.

Think of it like an ankle sprain. It is incredibly painful at the start but it gets better with graduated activation. Avoiding movement would not help an ankle sprain, and the same goes for a back injury or back pain. The pain experience is unique to you and can involve an interplay of many different factors. It therefore makes sense that all of these factors must be considered in addressing your back pain. This could explain why many different treatments for pain fail in the long term as they only look at one piece of the puzzle.

Link to full article published in the Irish Independent.

The mind is part of a team…..

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” The mind is part of a team,
along with the body, the breath and the senses.
Everything that we do is a product of that team,
but the mind is generally the boss……..
We know that the state of the mind affects the breath and,
luckily for us, the opposite is also true”
What are we Seeking – TKV Desikachar

…..it is the purpose of Yoga to unify their movement

TKV_Hindu_Oct_2000

“While it is theoretically possible for the body, the breath, and the mind to work independently, it is the purpose of Yoga to unify their movement. In our very first practice classes, we will experience this unification. What appears as Yoga to an outsider is mainly the physical aspects of our practice. They will not be aware of how we breathe, how we feel the breath, and how we coordinate breathing with physical movement.”

TKV Desikachar – Religiousness in Yoga, ch2, p13

Duḥkha is a disturbance of the mind…..

Mind

“Duḥkha is a disturbance of the mind. While sometimes the words sorrow, misery, and disease are used to define duḥkha, it is best identified as a feeling of restriction.
Somehow something deeply disturbs us and we feel restricted.
This restriction is duḥkha…….
We all aim to remove duḥkha……..
That is what Yoga is trying to do.”

TKV Desikachar, Religiousness in Yoga

Yoga for You


Yoga Journey

Yoga, practiced regularly, offers tools for
– maintaining stability
– supporting development
– coping with change.
Yoga is a practice that you can learn ‘for you’,
a practice that can be personalised for where you are now
and adapted for creatively meeting what is to come.

Health Benefits of Yoga

asana
Image: Paul Harvey’s Yogastudies.org

Most common questions on Yoga relate to the health benefits associated with practicing Yoga, together with questions around how Yoga practice differs from conventional exercise.

Answers to these questions have been researched and are presented in a detailed article published on the IAYT (International Association of Yoga Therapists) website, providing interesting reading.

In terms of the health benefits the information is grouped under physiological benefits, psychological benefits, and biochemical effects. It is based on the regular practice of traditional āsana (yoga postures), prānāyāma (breath), and dhyāna (meditation).

Yoga Compared to Conventional Exercise

Yoga

Exercise

Parasympathetic nervous system dominates
Subcortical regions of brain dominate
Slow dynamic and static movements
Normalization of muscle tone
Low risk of injuring muscles and ligaments
Low caloric consumption
Effort is minimized, relaxed
Energizing (breathing is natural or controlled)
Balanced activity of opposing muscle groups
Noncompetitive, process-oriented
Awareness is internal
(focus is on breath and the inifinite)
Limitless possibilities for growth in self-awareness
Sympathetic nervous system dominates
Cortical regions of brain dominate
Rapid forceful movements
Increased muscle tension
Higher risk of injury
Moderate to high caloric consumption
Effort is maximized
Fatiguing (breathing is taxed)
Imbalanced activity of opposing groups
Competitive, goal-oriented
Awareness is external
(focus is on reaching the toes, reaching the finish line, etc.)
Boredom factor