Tag Archives: back ache

19Dec/11

Back Pain and the BackCare Charity

Back pain is an enormous problem that impacts upon individuals and society. Most people will experience back pain at some point in their lifetime and a proportion will suffer continuing and recurring problems. Those who do continue to experience pain require effective treatment and strategies so that the impact and the distress that it can cause are diminished. Our understanding of pain science has moved forward significantly, meaning that there are contemporary therapies that target changes that we know occur in the brain and other body systems. For example, the graded motor imagery programme and cognitive techniques that impact upon pain threshold and movement.

The early management of a back pain as with other acute pains, will often determine the outcome. Full understanding of what has happened, why it hurts, what is normal about the pain response, how to cope effectively and the use of appropriate medication are all important at this point–see your GP or consultant for advice on medication.

Treat the brain, treat the pain

In persisting or complex cases, the assessment and treatment must be based upon the biopsychosocial model, considering the pain mechanism, influencing factors, beliefs & expectations, prior experiences of pain, the social impact (e.g./ work, family, sports) and fears in relation to movement and activity to name but a few. Pain is an output from the brain 100% of the time in response to an actual or perceived threat. Pain is always a normal response to the information that the brain receives from the spinal cord. In chronic conditions however, the way in which the nervous system changes means that danger signals can continue to be sent to the brain even when there is no actual threat. The brain must still respond by protecting the body by making the area hurt. The brain becomes very good at this, the analogy often used being an orchestra that learns to play one tune only. The pain tune–see Painful Yarns. To change the experience of pain in these cases requires a contemporary approach that is both ‘bottom up’ and ‘top down’. Bottom up refers to therapy that targets tissue health and movement, and top down pertains to training the brain and beliefs that are limiting recovery–see here for more details.

The BackCare Charity

BackCare is a national charity that aims to reduce the impact of back pain on society by providing information, support, promoting good practice and funding research. BackCare acts as a hub between patients, (healthcare) professionals, employers, policy makers, researchers and all others with an interest in back pain.

BackCare supply a number of resources including information packs, articles and a newsletter. A list of practitioners is available so that you can find a local therapist.

The BackCare App – Listed in The Sunday Times App List

If you are a back pain sufferer or you have a professional interest, you can join BackCare here

21Apr/11

Aches & pains, stresses & strains

Treatment Programme for life’s ailments

Aches and pains are a normal part of life, reminding us that we are doing too much, too little or something potentially injurious. Classically, sitting at the desk for hours, using a computer mouse repeatedly, texting and emailing on phones with small keypads, going from being sedentary all day to exercising furiously in the morning, at night or at the weekend, all can lead to aches and pains. Much of the time we expect this to be the case such as after a good workout, when re-starting at the gym or following an unusual bout of DIY. We can explain it, the pain has a meaning and often a short lifespan.

Whether we experience pain or not is not as simple as ‘we do some physical activity and then the tissues hurt’, but rather it comes down to the brain’s analysis of whether there is a threat to our tissues or not. So, we can do all sorts of activities, but it will only hurt when there is a perception of danger. The brain receives signals from the body tissues and organs, maintaining an ‘online’ monitoring system via a huge network of nerves that send messages to the spinal cord. These messages are then passed upwards to the brain for scrutiny. If, and that’s a big if, there is a sense of danger based on this information and past experience, the brain will protect the affected area and make it hurt. If there is no perceived danger, it simply won’t be painful. Good examples of this are phantom limb pain that is a sense of pain in a limb that is no longer present and battlefield stories of severe trauma yet no pain. The long and the short of it is that pain is not an accurate indicator of tissue damage as borne out in huge amounts of research that has been done over the years. This knowledge has advanced our ability to understand pain and treat it in a better way (for further information see our page dedicated to pain).

The aches and pains that we feel are influenced by a number of proven factors. These include stress, emotional state, fatigue, hormones, the immune system, past experience, culture, our beliefs about pain, gender and expectations to name but a few. Understanding this is very important for successful management and treatment as these factors need to be identified and dealt with appropriately. This approach is called the biopsychosocial model of care and deemed to be the best way of looking at and treating pain. We consider the biological mechanisms, the psychology and social impact. For example, a violin player cuts his index finger: biology includes inflammation that hurts, healing and changes in blood flow; psychology that would be thought about how this will affect his/her ability to play, ‘it’s a disaster’, anxiety about the future, I believe this will heal quickly; and social impact considers the fact that he/she cannot play and therefore there is no income this wee. Clearly there is more to it but this brief overview helps conceptualise the model and that the components are inter-related.

So the aches and pains of life are there and common and can become persistent, annoying, frustrating and affect ones ability to enjoy life. Our tolerance for the challenges we face may diminish and activity levels can drop and the downward spiral can begin. It could be that it is an old injury that recurs periodically or improved but never really resolved. Whatever the scenario, if the aches and pains, stresses and strains of life are too loud and bothersome or just there in the background nagging away, we have a programme for you that provides integrated treatment, strategies to develop resilience, relaxation and education so that you can understand what is happening to increase awareness allowing for change. The course is based on the latest understanding of pain, stress and health to offer informative, active, fun and effective ways of enjoying your body and life.

The basic programme consists of an assessment to determine the nature of the problem(s) followed by six 30 minute sessions. During these sessions you will receive an explanation of the problem including the causes and influences, treatment (this can include soft tissue massage, joint mobilisation, acupuncture), an exercise programme to focus upon stretching, mobilising or strengthening particular body regions, mindfulness techniques and breathing exercises. The programme parts create a synergy that targets body, brain and mind for better physical and psychological health.

Having completed the programme you are welcome to add sessions for ‘top ups’ on a individual or a single session basis.

To book, call now 07518 445493

Please note that if further investigations or a referral to see a consultant are required, a letter will be provided and recommendation made so that this can be actioned rapidly. Subsequently the programme or specific treatment can be started.