Back Pain in Context
You are
not alone
Excruciating back pain is so seemingly unique and
awesome an experience that the suffering individual often
assumes that they are the subject of a rare event or perhaps
one of the few persons to ever sustain such a degree of
agony. After all, if it were a common phenomenon, surely
someone they know would have told them about it. The reality
is that few people actually discuss it because, in so
doing, it exposes a frailty or imperfection in themselves.
The Pain
Few people who do not have "bad backs" can
appreciate the excruciating torture that constitutes back
pain, the inconvenient agony of lying on the floor in
a fetal position knowing that any movement produces a
sensation equivalent to a sharp wedge being driven into
the spine, the exponential number of lifestyle restrictions
it produces, and the depression accompanying the realization
that your mind has youthful desires yet your body's actions
are confined by limitations ordinarily reserved for the
elderly.
Contemporary
Perspective on Back Pain
At this juncture, I suspect I am "preaching to
the choir" because if you have accessed this information,
it is most likely due to a personal experience with back
pain or knowing someone close to you who can't be faking
that much discomfort so convincingly and consistently.
Historical
Perspective of Back Pain
In some respects, using non-surgical, physically manipulative,
means to mechanically alter the spine may be retrospectively
looked upon, in part, as a long-lost art probably practiced
by Medieval Arab physicians.
Science
and Art
This medthodology is based upon the premise that there
is nothing meta-physically mysterious about back pain.
It is not only the result of fate but of function as well.
By and large, once the mystery is revealed, the "secret"
becomes common place and like all mysterious entities,
it then becomes less frightening and manageable.
Alternative
Therapeutic Modalities
There are certainly other back pain therapies
available; and I would invite the reader to try them.
They are usually divided into conservative and surgical
modalities. For an overview of the available modalities,
I again refer the reader to the above referenced AHCPR
literature or any practitioner.
Back Surgery
If the reader is considering the alternative surgical
option and turns himself over to a surgeon for a solution,
I must first reveal a sobering statistic. In a study by
Weber(25), 280 patients were evaluated over a ten year
period. At the end of one year, 90% of surgical patients
reported a satisfactory outcome compared with only 60%
of the conservatively treated group. However, 25% of the
conservatively treated group over the ten year period
resorted to surgery.
Comparative
Programs
Although there are several back pain books
on the market and numerous physical therapy programs,
The O'Connor Technique (tm) is not just another back pain
methodology filled with various exercises that no one
can realistically be expected to do when in the throes
of a back pain episode or for that matter maintained daily
for the rest of one's life.
Not
an Excercise Program
In fact, The O'Connor Technique (tm) is not predominately
an exercise program at all. Although the value of proper
exercise to keep the back musculature in good tone cannot
be underestimated as a preventative measure, it is not
necessary to exercise pain away. Pain is alleviated by
a few simple movements called "MANEUVERS."
Dismissing
the "Psychological" Contribution To Spinal Pain
Another fallacy (which is currently being touted in
the back pain treatment circles usually accompanying the
mischaracterization of a person in legitimate pain as
being poorly motivated) is that when people don't get
better in keeping with the averages, they have a good
probability of having a psychological component to their
back pain which is interfering with the therapeutic process.
This causes me to advise: When your doctor drags out a
psychologist or psychiatrist to participate in the management
of your back pain yet you know you are in real pain and
that it is the pain itself causing the depression, anxiety,
or hopelessness, it is time to re-evaluate the successfulness
of your current therapeutic regimen and the wisdom of
your physician or his HMO.
Getting
Better as a Process
MAKING YOUR BAD BACK BETTER is, among
other things, an ongoing continual process of altering
your activities of daily living in a non-inconveniencing
manner. Take heart, though, any inconvenience can be seen
to be vastly overshadowed by the benefit.
Become
your own Chiropractor
Chiropractors for years have explained their technique
as one in which the manipulator "adjusts" the
spine. The theory (as explained to me on numerous occasions
when the nearly identical "spiel" is repeated
in offices, at street fairs, etc.) holds to a belief that
the spinal vertebrae can go out of "alignment."
Hope
At times, it may seem to the back pain sufferer that
there is little or no hope for ever being "normal"
again. Some readers may say to themselves, "If I
have to go through all this every day of my life, I might
just as well have the whole thing fused surgically and
live with a stiff low back."