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Low Back Pain Confusion?

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Low Back Pain Confusion?

August 14, 2010 Woolf by John Woolf PT Edit

If I had a dime for every person who is confused about back pain, I would join the other billionaires who have recently agreed to donate 1/2 of their money to world charities! 

Truth is, back pain can be a very confusing topic, yet it is one of the most prevalent afflictions in modern society.  It has been reported that nearly every person experiences at least one episode of back pain during their life.  And, we know that it is one of the most common reasons for a visit to the doctor. Our health care system spends millions of dollars testing for and treating low back pain.

So what is so confusing?  What is the problem? 

 

 I think it comes down to a couple of issues that I share with every patient.  But one important issues is a general lack of understanding about how the spine works.  First thing that we teach people at ProActive is that the spine is made up of a bunch of joints.  They are fairly complex and unfortunately, you can't see them (without imaging), but imagine a bunch of ankle joints stacked upon one another. Its often difficult to understand something that you cannot see so we spend a lot of time teaching patients with models and pictures.  This valuable time to teach and answer questions often puts the whole thing in a new perspective. 

When you can see "what" hurts, its then helpful to know what exactly causes the pain, and why it hurts.  Remember pain is a chemical process! (How do we treat pain in this country?)  It is often precipitated or perpetuated by a mechanical problem.  If you have back pain, something is chemically activated and the keys to success are getting that chemistry flushed out of there and successfully managing the mechanical perpetrators.  That is what every successful treatment is accomplishing.

Sharing this story with countless patients has helped "re frame" this confusing injury into something that is very managable without surgery.

If you have already heard this story from me or one of my colleagues, please log in to let us know your experience!
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A New Challenge - The Risk-Reward

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A New Challenge - The Risk-Reward

July 12, 2010 Woolf by John Woolf PT Edit

Yesterday, I completed my first Triathlon in 20 years!  I have been riding and racing bicycles since my last triathlon, but running and swimming have not been part of my exercise routine.  Interestingly, I have had knee pain that flairs up when I run, so I have been dissuaded from running; which is unfortunate, because it is such an efficient form of exercise.  You’d think that I would 'do' something about it.  Well, like many health care providers, I am usually the last to listen to my own advice.  And swimming....I swim like a rock.

Like many people, I am motivated to DO something different when I have a goal.  When I signed up for the race, I knew that I was going to need to get some treatment for my knee, start a progressive jog-run program and do some swimming.  When I sent it my registration money, I was on a clearly motivated path of creating and completing a plan of swimming, biking and running that would help me succeed (or not fail!).  Before the registration deadline, I remember hesitating, knowing that if I did not send it in, I was off the hook.  To my surprise, my wife gave me the 'poke' to send it in.  I was back on the hook.  A little encouragement from family or friends can make a big difference in trying something new!

The Carlsbad Triathlon is a "sprint distance race" (pretty short):  1K open ocean swim, 12K bike, and 5 K run.  My group hit the water at 8:10 in the morning and the water was 62 deg (quite different than the temp in my small pool).  It took every bit of energy to stay calm, not panic and keep my arms moving.  I finished the swim last in my group, but then climbed on my bike and 'smoked it'.  Started running after the short bike ride and my enthusiastic run gradually settled into a determined shuffle.  Luckily, all along the way, there was someone next to me sharing the experience and offering a word of encouragement.  Sharing the experience always eases the suffering.  I finished the race in 1:38:19.  Not bad!  More importantly was the sense of accomplishment I still enjoy and the recognition that I "stepped out" into doing something new and different for me.

Getting motivated to be healthier can start with picking an event in the future and creating a plan to get there.  Many great things happened when I chose to sign up for this event. Fortunately, there are many events for you to choose from.  Picking something that is right for you and making a plan may require some consultation with a professional like a physical therapist or a coach.  We are happy to help guide you!

Try it!  Pick an event like El Tour de Tucson in November, or a walking- running event.  Find a friend or relative who is willing to join you.  Get a plan to complete it.  Then, enjoy the journey and the experience of completing the event.

More on motivation strategies to come…

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Are You Getting Answers to Your Questions?

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Are You Getting Answers to Your Questions?

June 20, 2010 Woolf by John Woolf PT Edit

Do you ever get the impression that your health care provider is not listening to you?  Truth is, many patients feel like their health care provider is "out of touch" with what they really need.  Our current "ill care system" is often so busy, that providers often don't have the time available to answer questions in a meaningful way and pay their bills.  It’s truly a difficult dilemma for the provider and the patient.  In our experience as physical therapists, what patients often want is someone to take the time to explain what is going on and then provide some very useful solutions to the problem, solutions that go beyond just a chemical treatment (pills) and include the entire person in a healing process.

Great health care requires a relationship with a professional who understands the problem and takes the time to ensure the patient understand the problem and all the available solutions.  The professional "guides" the patient through the fear of not knowing with useful information and provides useful tools that create a healing response.

How do you get this kind of care?  Shop for it!  I always remind patients that “you are the customer”.  If you are not getting what you need, then find someone who will provide it for you.

Stay tuned to my blog for the 5 questions that you can ask to determine if your provider is right for you…

Be ProActive!

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Beyond Physical Therapy

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Beyond Physical Therapy

May 14, 2010 Woolf by John Woolf PT Edit

What if you had a licensed health care provider who helped you design a program to "be healthier"?

It is interesting that many of the patients we see at ProActive know that they could be healthier.  And, we help them realize that this painful episode can be a great opportunity to get healthier.  This is why we tell patients that we don't just treat painful backs, shoulders and knees, we treat people.  A good physical therapis is a committed professional who works with you to get a plan that helps to ease your pain, but also works with you to develop a plan for getting healthier.  The PT should guide you through the painful event so that you can understand it and find long term solutions, not just quick fixes.

We also believe that this is what good health care should be...providing patients useful resources to help them move better!  Surprisingly, not everyone is thinking this way.  We want to change healthcare for the better...more ProActive.

 

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Health Care and Health Insurance

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Health Care and Health Insurance

February 08, 2009 Woolf by John Woolf PT Edit

Health insurance can save you money; health care can save your life.

What is the difference between health insurance and health care? There is a big difference between the two and it will become more obvious over the next few years as insurance premiums, co-pays, and deductibles continue to rise.

Health insurance makes it possible for people to "insure" their health by providing a means to

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