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Lower Back Pain

 Poster: A snowHead
Poster: A snowHead
My back was already sore before i went skiing at New Year but when i fell the 50th time whilst trying to learn to snowboard I hurt it very bad. Funny thing is it just aches all the time, whereas I am more used to the Spasm/ cant move at all sort of back pain. When that happens I visit the chiro who reduces it to general ache level and then it goes after a couple of weeks. This time it is not in spasm but it does not seem to be receding. I'm beginning to wonder if my season is a write off! does anyone have any ideas - should it be G.P., Physio, chyropracter, osteopath, voodoo doll!?
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
I would go to a physio
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
DaveMcSki, I know a physio, who is double-qualified as an osteopath and specialises in sport-related problems.* I'd say that was more or less ideal, but unfortunately she practises in Bedford and London, which ain't too helpful for you. If you like, I could PM her details to you - she might, through professional networks, know of someone nearer to you whom she could recommend. Dunno, might be worth a phonecall anyway. Good luck!

*Her own sport is fencing - she competed at a high level, I think - and has always said to me that she doesn't fancy skiing herself, on account of the number of ski-related injuries she's had to treat over the years! Laughing
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DaveMcSki, suggest you go to someone who is an actual doctor of medicine, instead of a Chiropractor.

A physio is probably what you need, but also worth getting the advice of a back specialist, and your GP can refer you for both of these. If you tell your GP you've been to see a Chiropractor they may laugh you out of the surgery, but worth mentioning because they may find some of the damage that the Chiropractor has done.
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DaveMcSki, what Monium says.

If you have pain at the impact site which is still there and just as bad > 2 weeks post injury, rather than muscle spasm/pain radiating to one leg etc, I'd go and see a GP as first step. A bit late for A&E... If they clear you, physio next.

Wonder if you've broken off a transverse process? Not that you'd do much different anyway. Anyway - see a doc.

Chiropractors and Osteopaths - interesting - some very good ones around, but some very weird explanations, and sometimes perhaps a tendency to encourage dependency. Read up on the history of the disciplines sometime... the first 10-20 years are fascinating Wink

Monium, one of these days I will meet someone whose chiropractor has not told them they have their back pain because one leg is longer than the other... Wink

I keep kidding myself I am going to have another go on a board - but it will be with body armour on a powder day.
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The reason why there are so many therapies for back problems is that definitive answers/cures are elusive. There is a lot of quackery out there more interested in income generation rather than the patient and I'd be wary of 'practitioners' who like to 'invite' you back for more TENS/G5 and other useless applications with only the most marginal of effects.

Having broken T3/T4 and herniated S4/S5 I have a bit of experience and I've found being conservative with treatment rather than going through a dreary round of 'experts' with nice smiles and Audi's seems to be more effective. Give it a bit of time, keep active where possible and things hopefully will abate.
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Then you can post your own questions or snow reports...
Quote:

If you tell your GP you've been to see a Chiropractor they may laugh you out of the surgery, but worth mentioning because they may find some of the damage that the Chiropractor has done.


My GP actually reffered me to a chiropractor when I could hardly walk, within 2 sessions I was walking fine and within a week back to normal. Think I had about 4 sessions then he told me no need to come back.

Might depend on who you get, like anything there are good and bad out there.

Just before we went ski-ing at xmas the wife had very sore back pain, the doctor prescribed Diazepam, Cocodomol and NSAIDS and said the muscle needed to be relaxed. Taking all that and having a bit of rest seemed to sort it out.
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
osteopath 100% satisfied saved a fortune
Chiropractor cost a fortune 10% satisfied
Physio dont know
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Cheers guys ,I have done the round of therapies in the past, but as i said that's always been when my back has been so sore i could hardly move, and in fairness most manage to improve things, mqybe just get it out of spasm? It dont think it was the impact that caused it this time as it was more of a forward twisting fall, and the pain is radiating into my upper leg
Any way i'll go and see the G.P. and see what they suggest, Thanks
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Hurtle, please PM me her details.

I have some lower back pain which I cant shift and been to an osteopath who helped make it better. Funny enough my recent snowboard trip helped with eleviating the pain. It seems it feels better with exercise but when I'm at the office I have to be careful. Going to change my chair when I get some cash.
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I second kevin mcclean, Keep active and fit, make sure your ham strings and calf muscles are gently stretched regularly.

A visit to the Chiropractor made mine worse. The idea that cracking bones can cure muscle inflammation and tears is lost on me, maybe I had to believe more in the process to have a better outcome. That said, many swear by chiros and good for them if it works. Also I guess some are better than others.

Physios are ace.
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And love to help out and answer questions and of course, read each other's snow reports.
Gainz,
Quote:

please PM me her details.
Will do. (She herself doesn't keep asking you back for treatment you don't need, quite the reverse. I would hope that anyone she recommends would be the same.)
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Having spent 25 years in manual work, as a landscape gardener, I have had various back pains, aches and spasms. These were getting increasingly bad when I went skiing for the first time 3 winters ago. I did no ski specific exercises ( I wanted to go somewhere hot) and I ended up in A and E with spasms so massive that I had trouble peeing and a kidney stone was initially diagnosed. I was fit and swam 3 miles a week on top of a physical job.
I reluctantly agreed to try again the next year, and spent a couple of months doing squats and lunges when I remembered; I am now hooked, and about to go on my 5th trip. The squats began training muscles long forgotten by 25 years of bending down ( 80% of my work) rather than squatting, and my back is so much better. Another 25 yrs and it might be perfect !
I had visited all types of practicioners, and whilst they were sometimes good at relieving symptoms, the problem always reoccurred. Sports massage offered the best relief, but skiing helped me realise that I had over developed some muscles at the expense of others. When one does sport or movements that one is not fit for, other muscles compensate for weak ones, and the problem gets worse. This is the root cause of most back problems, whether you sit at a desk all day, or have a physical job. I visited a sports trainer specialising in "muscle amnesia". His excerises are very similar to the ones that I had been given by physios over the years, but the difference is that they involve weights and, more importantly, I have stuck at them and changed my habits of a lifetime.
I appreciate that this is of no use to someone who has had a physical injury, which may have started their problems, or joint degeneration. I would stick with
kevin mcclean, `s advice, and when it has calmed down identify where your weakness`s are, and get training. ( I never did more than 30 squats a day) Sports trainers, pilates, and Alexander technique are all good proactive ways of training. If you are already fit, sport masseurs with a few years training should not be dismissed as they have a sound knowledge of how muscles effect one another. Good luck.
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 You know it makes sense.
You know it makes sense.
I would echo cstreat's comments about ski specific exercises. Don't know what kind of shape you are/were in before your back incident. But a physio can give you specific exercises to help strengthen your core. Depending on the shape of your back, which a GP should be able to help diagnose, you can then spend time with a physio who will work with you, and assess the best course of exercises to help strengthen the smaller stabilizer muscles in your core. They can also assess issues with your posture that may be contributing to lower backpain. I had a back injury a little over 3 years ago, and after just 5 sessions with a physio I noticed a change. I have been very consistent in my core workouts, almost never missing a workout in those 3 plus years. I rarely have back pain, but it does crop up if I am doing yard/house work, or lifting/moving heavy objects. In which case an ice compress, a few days of no activity, and some ibuprofen for a day or two helps. Then it's back to at least once a week of doing my core workouts.
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 Otherwise you'll just go on seeing the one name:
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Another fan of core workouts here: my chosen route to freedom from back pain (approved by physio) is Pilates (mat based - no machines.) I do get pain sometimes, and stiffness often, but a cessation of activity never helps me - some very gentle core work and easy stretching, leading gradually to resumption of full work out routine, is (for me) the way forward.

...says the person who resumed working out, after a month of being a total blob, only yesterday. Embarassed Embarassed
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 Poster: A snowHead
Poster: A snowHead
when you do get it sorted then it may be worth using a support of some type, i sufer a lot of back pain and use a bioskin back brace, it is the best £50 i ever spent, i wear it when cruising around and when the going gets a bit toughter it can be tightened up and gives a really stable feel

sure i could spend more time doing core stability stuff, but my lower back is long term stuffed from falling off a rock face many years back and whatever i do doesn't seam as good as the brace

good luck getting it sorted
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
CEM,
Quote:

falling off a rock face
Ow. Shocked
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
CEM, since you wouldn't let me have any boots on Wednesday morning the least you could have done was sell me a back brace...!
wink
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Thanks everyone, I think I am reasonably fit. I do a bit of running and general gym work and a bit of day ski touring in winter, but i will discuss the core stability workouts with the physio at the gym .I reckon I am very "Ski" fit and can ski hard with the young uns and never really get aches. It probably goes to show that my wife was right when she said I was far too old for a snowboard! 25 years ago I had a labouring job handling 50 kilo potato sacks and at the time it was no problem. Nowadays Health and Safety says you shouldnt lift more than 20 kilos without assistance and maybe they are right! At the time even if there had been somone to help, you would have looked pathetic if you had asked.CEM, I,m away to google the back brace.
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Anyway, snowHeads is much more fun if you do.
DaveMcSki, just to confirm, there is a PM in your inbox.
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I wouldn't wish it on anyone when it's bad it really eats away at you, I have been around the houses for treatment and sometimes I can have a spell of a few months pain free before I need a crunch. Well worth spending 20 quid on a set of bakballs, apart from looking like a sex toy they are great for really getting into the muscles and joints and I found if you use them everyday they work a treat.
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