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Dear Back Pain blogger,
Thanks for your question.
You bring up an interesting question related
to exercise. Often patients come to see us here at
Caring Medical having
tried many sessions of
physical therapy, physiotherapy,
chiropractic,
and other such modalities. Why? They still have pain.
The reason for
this is that the reason for the pain is not, contrary to popular belief,
muscle weakness. The muscles actually are typically overworked because they
are trying to compensate for the underlying
weak ligaments and tendons.
Muscles are made to aid in movement. They are not meant to be support
structures. This is the function of the ligaments and tendons - to hold
the bones and joints together. When muscles have to try to do the job of
the ligaments and tendons, the end result if typically muscle spasm and
tightness.
That being said, everyone can benefit from physical exercise, strength
training, and movement. So we are certainly not saying that these things
are not important for the recovering athlete or person with pain. What
we are saying is that the patient must first treat the underlying cause
of the problem - which in our experience, is typically ligament and
tendon weakness.
Dr. Hauser, being an avid athlete himself, along with a
Physical Medicine and Rehabilitation Specialist, is very qualified to
prescribe an injury-appropriate exercise plan for our patients
recovering during the post-Prolotherapy phase. In fact, we find that the
recovery is faster if they work at strengthening their bodies and
improving injury-prone areas so that they do not re-injure them.
In the case of patients with back/SI injuries, we find that the patients
must be very careful when exercising. We tell our patients to avoid
activities that involve bending and twisting, as well as to stop
self-manipulating, if that is something they do. We also caution against
too much stretching, as this can often re-injure an area. We prescribe a
series of back strengthening exercises per the patient's level of injury
and tolerance. We also often encourage our patients to work on CORE
strength, as often this is a weak area in patients with
back pain.
Swimming is a great exercise for nearly every injury, in that it is easy
on the joints. We also encourage our
back pain patients to achieve a
normal body weight by following the proper
diet (we use
Hauser
Diet Typing to determine this), especially if they struggle with the "beer
belly" syndrome, which aggravates the back pain issue as well. Finally
we encourage our patients to watch their posture, especially if they sit
at a
computer a lot during their work days.
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Ross Hauser, M.D.
Caring
Medical and Rehabilitation Services
Dr.
Hauser received his M.D. from the University of Illinois, Chicago; completed his
residency at Loyola-Hines VA-Marianjoy Hospitals in Physical Medicine and
Rehabilitation; and received his Bachelor of Science degree from the University
of Illinois, Urbana-Champaign.
Dr. Hauser is one of the leading
experts in the treatment of chronic pain and sports injuries with
Prolotherapy.
He, along with his wife Marion, have written seven books on the
topic of Prolotherapy, a comprehensive book on the natural medicine
approach to cancer, as well as a myriad of articles and newsletters
for the general public. Read more about
Ross Hauser MD
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