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Back problems - seen doctor/physio, what can I do now?

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G
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PostPosted: 11:23 - 26 Sep 2006    Post subject: Back problems - seen doctor/physio, what can I do now? Reply with quote

Since about February this year I've had an ache in my lower back.
It comes and goes depending on how stupid I've been, but has meant I've had to limit the activities I do - especially off roading, powered and not.

I've had five sessions with a physio, who's left me some exercises to do, but says he can offer me no more himself (he game me electric shocks and poked pins in me Confused ).
I'm not too sure how much the exercises I've been given are helping - as my back does generally seem to get better with time when left alone, so I'm not sure if it's more than just this.

I've had an appointment with a doctor since and been told that I should carry on doing the exercises for at least a couple of months before seeing a back specialist.
He also suggested taking an anti-inflammatory like ibuprofen, but was rather vague with details.

I'm a bit iffy about leaving it for a couple of months, then finding I'm in no better situation.
I'm also a bit worried about leaving it for a couple of mines, to find it's sorted, then doing some off-roading and finding that the problems are still lingering and I've inflamed them again.
I do have some private health cover that may help towards the costs of a specialist, though would have to check details.
Any ideas?
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Icey
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PostPosted: 11:27 - 26 Sep 2006    Post subject: Reply with quote

Have you ever thought about Acupuncture?

It's supposed to work wonders so I've heard.

I know this place does it - and are all over the place.

https://www.drchina.co.uk/

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G
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PostPosted: 11:46 - 26 Sep 2006    Post subject: Reply with quote

The physio poking pins in me was a reference to acupuncture - didn't make a noticeable difference.
The electric shocks seemed to help a bit more, but not much.

Cheers anyway.
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craigie b
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PostPosted: 12:11 - 26 Sep 2006    Post subject: Reply with quote

I believe you asked the same question a month or so ago and got a massiv thread of answers Wink

To summarise what everyone said, go to either a chiropracter or osteopath because the physio is shite. Pain killers do not fix the problem only mask it.
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byke95
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PostPosted: 12:27 - 26 Sep 2006    Post subject: Reply with quote

I have intermittent lower back pain, I had physio a long time ago but that did nothing. Acupuncture has helped other muscle strains but not the lower back pain.

If you'd like to give 'exercise' a rest for a while consider some yoga classes; they really helped me.

Another option is a chiropractor, often seen as cowboys but now recommended by many doctors (including mine, but I haven't been due to costs)

As a side note have a look at your lifestyle; being office bound it terrible for the lower back. My back has never been as good as it was when I was traveling.
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Scouse
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PostPosted: 13:14 - 26 Sep 2006    Post subject: Reply with quote

Has nobody suggested an epidural type injection for it. A few people I know have had that for back pain and say it's never come back since. I think it was around £300 to have it done privately.
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DucatiEVO
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PostPosted: 13:37 - 26 Sep 2006    Post subject: Reply with quote

The Epidural is very dependant on the person, sometimes it can have zero effect.

Have you had your back MRI scanned G, this would tell you exactly what is wrong. Had mine done at Sidcup MRI center (found a burst disc), used health insurance cos it costs just under £700! Shocked

I stopped physio after 20 sessions as my condition was not improving, now just take the odd ibuprofen or paracetamol to try and control it, still cripples me on the odd day though.

Might check with a chiropractor though and see what they say.

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G
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PostPosted: 14:42 - 26 Sep 2006    Post subject: Reply with quote

craigie b wrote:
I believe you asked the same question a month or so ago and got a massiv thread of answers Wink

Would this be the thread I posted 6 months ago, which 3 people replied to? Wink

Ibuprofen was suggested for it's anti-inflmatory effects, rather than for it's pain klling aspects.

It's been suggested that part of the problem is the area is inflamed/sore, and thus it easily gets further agrevated by smaller things. Thus it would make sense to try and reduce it.


I haven't had an MRI scan - I don't think (hope) it's not that serious, but would be good to know for sure. May look into seeing what my stuff covers me for.


Can anyone simply explain the differences between a Chiropractor and Osteopath and which is likely to be best etc?
Have a had a quick look on wikipedia, but there's a lot of information to digest.


Cheers for the replies.
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craigie b
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PostPosted: 14:48 - 26 Sep 2006    Post subject: Reply with quote

Laughing oops, it was flip who posted, not you Rolling Eyes My Err!

Anyway this was an excellent thread which might help you out. I've wrote quite a bit cos my back is fucked and I just get on with it but I couldn;t be arsed writing it again!

https://bikechatforums.com/viewtopic.php?t=90572&highlight=chiropracter
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craigie b
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PostPosted: 14:49 - 26 Sep 2006    Post subject: Reply with quote

Quote:
TBH doctors are the last place I go with any muscle or joint related injury. I put my back out a couple of years ago after a full contact fight at the club I was training at and literally couldn't walk for a few days. The pain was so bad my ex had to phone the hospital for an ambulance (lol, and they said it was so common they couldn;t spare an ambulance so I had to crawl into a cab).

Anyhoo the doctor prescribed my some codeine and paracetomol and told me to keep mobile Rolling Eyes

After a few days it settled and I went to my GP. He prescribed iboprofen and offered me no advice at all.

I then went back and pleaded to see the physiotherapist. I got forwarded and she gave me a handfull of stretchs to do to strengthen my back muscles. I already did those stretches in my training. After adhearing to them for a few months, no real improvement.

Sooooo the moral of the story is doctors don't know jack about backs and all a doctor will do is prescribe pain killers to mask the problem.

I went to see a osteopath six months ago and they deal exclusively with soft muscle damage. Immediately he told me I'd knocked my pelvis out of line and as a result one leg was shorter than the other....the offsetting of the weifght was what was crippling my back. I had a few sessions with him and my back improved dramatically.

I then went to see an chiropracter who specialises in repositioning bones so they are in there correct alignment...fuck me, you've never felt relief from pain as when they click your back....its like a mad release of pressure Thumbs Up

anyhow my chiropracter reckons most people have a back definciency, its just that they ignore it. Even if you are fine he recommends a quick 'tune up'. IMO they are far more usefull than a doctor and a handful of painkillers and worth their fee, since £25 versus severe pain isn't an argument in my book Wink


Quote:
If the problem is muscular then you will find being idle and not moving causes the pain to be worse, since the damaged muscles have got cold, which is madness as it means your in less pain when your actually moving about.

A good way I have found to relieve my back pain is to get one of those slimming pad units, the ones that alledgedly zap your six pack into shape, and attach the pads to the affect area of your back. Bang it on and it not only acts as a good massaging device (and according to my osteopath it will help dislodge any scar tissue on the affected muscles), but it stops the muscles getting cold so it acts as an excellent means of pain relief. I've found on some days the little pack has made the difference between being imobile and walking! Thumbs Up


Quote:
Back stretches and situps will help strengthen the supporting back muscles which will help give you a stronger bath...try and make it routine when you get up in the morning as you would brushing your teeth. It'll pay dividends in the future Wink

I wouldn't worry about your age vd back problems. My back has been fucked since I was 25 and I train more vigoursly now than ever. You have to learn to live with it though and learn what triggers its and then avoid doing it Very Happy
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dodsi
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PostPosted: 14:49 - 26 Sep 2006    Post subject: Reply with quote

Have you considered amputuation?
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craigie b
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PostPosted: 14:55 - 26 Sep 2006    Post subject: Reply with quote

Quote:
Can anyone simply explain the differences between a Chiropractor and Osteopath and which is likely to be best etc?


An osteopath deals with soft tissue...i.e muscles. A damaged leg muscle can cause the rest of the body to compensate for the one damaged leg, which can place stress on your lower back for example. The oesteopath with manipulate muscles and stretch them and basically pull them back into their correct place.

A chiropracter deals with skeletal problems. Bones can and do beome misaligned with age, wear and tear etc. Bearing that in mind, a misaligned skeleton can place an increased load on various parts of the body (i.e. the back). This being the case the chiropracter can literally manipulate the bones to put them back into their original position. They cacn also relieve the feeling of pressure from joints and release trapped nerves.

Both are excellent IMO and they look to deal with the root of the issue rather than making it over with painkillers or strecthes which will only help you live with the injury.
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byke95
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PostPosted: 14:58 - 26 Sep 2006    Post subject: Reply with quote

I'm under the impression that the main difference is that you can trains as a chiropractor, but a osteopath is a Doctor (of medicine) who specialises in/also likes to 'crack yer bones'.

So essentially they'd be the same although I'd assume the latter would charge more privately.
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craigie b
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PostPosted: 15:06 - 26 Sep 2006    Post subject: Reply with quote

Laughing You have it completely the wrong way round. Neither are recognised by the NHS and neither are considered doctors of medicine. An osteopath should not be cracking bones either, thats what the chiropractor does Thumbs Up
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byke95
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PostPosted: 15:18 - 26 Sep 2006    Post subject: Reply with quote

craigie b wrote:
Laughing You have it completely the wrong way round...


Yay, BCF made me smarter! Cool

Cheers Thumbs Up
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syl
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PostPosted: 15:23 - 26 Sep 2006    Post subject: Reply with quote

craigie b wrote:
Neither are recognised by the NHS and neither are considered doctors of medicine. An osteopath should not be cracking bones either, thats what the chiropractor does Thumbs Up


Not in the UK, but in the USA there are two types of physicians: M.D.—Doctor of Medicine—and D.O.—Doctor of Osteopathic Medicine. While both M.D.s and D.O.s may use all accepted methods of treatment, including drugs and surgery, D.O.s place special emphasis on the body’s musculoskeletal system, preventive medicine, and holistic patient care. D.O.s are more likely than M.D.s to be primary care specialists although they can be found in all specialties. About half of D.O.s practice general or family medicine, general internal medicine, or general pediatrics.
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BigChris
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PostPosted: 18:33 - 26 Sep 2006    Post subject: Re: Back problems - seen doctor/physio, what can I do now? Reply with quote

G wrote:
Since about February this year I've had an ache in my lower back.
It comes and goes depending on how stupid I've been, but has meant I've had to limit the activities I do - especially off roading, powered and not.

I've had five sessions with a physio, who's left me some exercises to do, but says he can offer me no more himself (he game me electric shocks and poked pins in me Confused ).
I'm not too sure how much the exercises I've been given are helping - as my back does generally seem to get better with time when left alone, so I'm not sure if it's more than just this.

I've had an appointment with a doctor since and been told that I should carry on doing the exercises for at least a couple of months before seeing a back specialist.
He also suggested taking an anti-inflammatory like ibuprofen, but was rather vague with details.

I'm a bit iffy about leaving it for a couple of months, then finding I'm in no better situation.
I'm also a bit worried about leaving it for a couple of mines, to find it's sorted, then doing some off-roading and finding that the problems are still lingering and I've inflamed them again.
I do have some private health cover that may help towards the costs of a specialist, though would have to check details.
Any ideas?


Spoke to the missus (she's a physio) and heres the lowdown:

If yer aged between 25 -> dead you're likely to have backpain.
Unfortunately, back pain is a cunt to sort out, coz the pain doesnt necessarily have to relate to a problem in the back itself, but is manifested there due to the nerve routing through the spine.

Accupuncture generally doesnt work when done by physios. Why? They have about 2 hours of practice before being 'qualified'.

TENS machine (the electric shock treatment) does work well, but it doesnt fix the problem. It works on the principal of pain gates i.e. you bang your leg and you rub it and it eases the pain. Dont ask me how, but it does. Smile And sod you who say it dont! Wink

Finally, like you, I too have back pain, mainly from fracturing vertebrae when I was younger, and the best advice I can give you is keep moving, stay mobile, and stretch. The physios may have given you exercises to deal with things like core mobility etc, but what you need is a good ol' yoga session or similar. Yes you will look like a tit, so do it in style and wear spandex. Pay particular attention to stretching major nerve groups (i.e. ham string stretches).

Finally, she recommends that if nout else, you can always go back to your GP, ask for another physio referral, and dont get fobbed off. The waiting list can be up to 6 months, but if yours is like mine, the pain wont be going away in a hurry.

You may also find it worthwhile to do things like a DSE assessment, get your local pharmacist to hook you up with diclofenac (like ibuprofen but waaaay stronger - use with caution and ffs dont drive/ride/drink booze) for when the pain is at its peak.

Lastly, stomach exercises, like crunches etc have helped me in the past to relieve the pain in the back. Dunno why, but try it. It will be along the same lines as the exercises which have been given to you by your physio.

Very very lastly, try massage. Physios do some 'proper' massage, and can range between 1-5 levels. Level 5 is equivalent to cracking knuckles, and had it done once, wont do it again! Again it was a temporary fix, but lasted a few days.

Better than nout, and if you want more advice/info, just pm me Smile
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Kaben
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PostPosted: 18:48 - 26 Sep 2006    Post subject: Reply with quote

I highly reccomend a chiropractor.
I have suffered with lower back pains for most of my life since i fell out of a tree when young.

I started going to the chiropractor at about 19 and after a few months everything was right as rain and it hasnt come back.

I say a few months - 1 visit a week for 5 months. Basically they assess your nervous reaction to certian pressures (by getting you to resist movement in you arms and legs for example and then running a finger across pressure points. I kid you not a light brush in the right spot and your resistance just crumples)
and then they re align bones etc by pulling,lifting and "cracking". You have to keep going back because your muscles and skeleton have a memory so revert back over time, but if you keep it up it will fix the problem.

It cost about £20 a time, so it wasnt cheap, but i would reccomend my chiropractor to anyone.
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palmer
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PostPosted: 10:23 - 30 Sep 2006    Post subject: Reply with quote

Inject steroids into your back.
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Scouse
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PostPosted: 11:07 - 30 Sep 2006    Post subject: Reply with quote

Why not try getting traction? I had half an hour a day of traction for a month or so last year when my back was bad and nothing else worked. It did the trick for me. Thumbs Up

Have you tried a back support?
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Rob-B
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PostPosted: 11:40 - 30 Sep 2006    Post subject: Reply with quote

You could try and get a pescription to diazepam which is a stronger muscle relaxant than ibuprofen but it does make you drowsy. Take some and then do little exercises to strengthen your back.

Just recently I couldn’t move my head to the right because the muscles had tensed up and I was in immense pain. Got prescribed diazepam, took 3 before bed, woke up and my neck was a 100 times better. Now I just have to keep exercising it.

It might be different in your case but I hope it helps Thumbs Up
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Dragonfly
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PostPosted: 11:55 - 30 Sep 2006    Post subject: Reply with quote

Dont know if this will help but my dad has a very bad back and has tried everything. He has this belt with magnets in it and when i had a sore back i put it on for a while and it worked.

Magnetic Belt I:

This Belt provides support, improved circulation, pain relief and magnetic energy to your back and throughout your body. The Belt is packed full of thick, north pole magnets to penetrate into your back. May also be used over the hip. Velcro Closure.

it worked for me. hope it helps.
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palmer
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PostPosted: 11:56 - 30 Sep 2006    Post subject: Reply with quote

I seem to remember that in metal gear solid... was for shooting better when sniping i think? Laughing
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Dragonfly
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PostPosted: 12:08 - 30 Sep 2006    Post subject: Reply with quote

Actually you do develope a hard ass persona when you have it on, wrestler is one. :up:Gives you the "dont mess with me walk also" Wink
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mchaggis
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PostPosted: 13:14 - 30 Sep 2006    Post subject: Reply with quote

dragonfly wrote:
Magnetic Belt I:

This Belt provides support, improved circulation, pain relief and magnetic energy to your back and throughout your body. The Belt is packed full of thick, north pole magnets to penetrate into your back. May also be used over the hip. Velcro Closure.



I don't imagine you wrote that, but all the same, what the hell is a North Pole magnet? Have they invented some way of getting a North Pole without a South? Bollocks marketing drivel really.

If it works, the marketing drivel isn't important. Thumbs Up
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