By Dr. John A. Papa, DC, FCCPOR(C)
80% of all
Canadians will suffer from at least one significant episode of back pain in
their lives. Below are some of the
common myths surrounding back pain and what modern science has to say about
them.
Myth 1: If you’ve injured a disc (i.e., herniation, rupture), you must have
surgery.
Truth: Surgery to relieve back pain
should only be used as a last resort.
Even if specific testing reveals a damaged disc, recovery often results
without surgery. An injured disc in the
back may become inflamed and put pressure on nerves and surrounding pain
sensitive structures. Non-surgical
treatment aims at minimizing pain and discomfort from joint irritation and
muscle spasm, and prescribing specific exercises to help with recovery.
Myth 2: Most back pain is caused by injuries or heavy lifting.
Truth: Injuries caused
by heavy lifting do not account for all back pain. In up to 85% of cases,
individuals can’t
recall a specific incident that brought on their back pain. Back pain can result from a single exposure
to a bending or twisting incident, or it can be caused by small cumulative
loads placed on the spine over time. Scientific
research also links the following risk factors to back pain: smoking, being
overweight, poor posture, poor physical fitness, and stressful life events.
Myth 3: X-ray images, CT and MRI scans can always identify
the cause of pain.
Truth: Even the best
imaging tests cannot identify a muscle spasm or ligament sprain that may be the
cause of pain. Imaging is usually
reserved for special cases such as those suffering trauma in a fall or
accident, surgical candidates, unresolved cases of severe chronic back pain,
and suspicion of underlying tumor, infection or other serious disease.
Myth 4: If your back hurts, you should take it easy until the pain goes
away. Bed rest is the mainstay of
therapy.
Truth: Clinical data indicates that
individuals who remain active do better than those who try bed rest. Remaining active means continuing with daily
activities as tolerated and easing back into a regular routine. Activities may have to be modified while
recovery occurs, but movement is important for recovery provided it does not
put the individual at risk for further injury.
Myth 5: Diagnosing back pain is simple and straightforward.
Truth: The causes of
back pain can be complex and difficult to diagnose. There are many biological tissues that can
generate pain in the back. These may
include muscles, ligaments, bones, nerves, and joints. Quite often it is a combination of several or
all of these structures that can manifest into back pain, and potentially
radiating pain into the buttock or leg regions.
Sometimes stress and depression can also contribute to back pain. A licensed health practitioner who deals with
back pain is best trained to diagnose the source(s) of your problem and
prescribe appropriate therapy when required.
For more information, visit www.nhwc.ca.
This article is a basic summary for educational
purposes only. It is not intended, and
should not be considered, as a replacement for consultation, diagnosis or
treatment by a duly licensed health practitioner.