Everett Chiropractic Center Blog

October 10, 2014

What Do 89% of Primary Care Physicians Think Is The Most Important Short-Term Trigger For Low Back Pain?

Not Important Until It's Important!

Not Important Until It’s Important!

Well, according to a recent Study referenced in this article, it’s biomechanical risk factors such as posture. “And more than half think biomechanics is a long-term trigger for sudden episodes of acute LBP.”

Reassuring for someone who works directly with posture and helps to improve the biomechanics of motion in the spine all day every day. “Evidence-based”. That’s what is supposed to drive health care choices. Nice to know that the research is there.

“Posture is where function and structure meet, a perspective increasingly supported by research.” I couldn’t agree more. (And what do 89% of Primary Care Physicians recommend as the treatment for back pain? Well, that’s for a different Post…)

Here is more that you might find interesting:

“… patterns of unconscious coordination commonly recruit many of the same deep core muscle patterns for breathing as for postural balance and stabilization. ‘Nerves that fire together wire together,’ and muscle, nerve, and postural patterns become facilitated when used and weaken when neglected.”

“It can take multiple training sessions for professionals who focus on breathing (e.g., yoga teachers, respiratory therapists, meditation instructors, certified posture exercise professionals and others) to help people find and engage long-neglected patterns so they can take a full diaphragmatic breath”

This is why a series of chiropractic adjustments might be required to get desired results and one or two just doesn’t always do it. It’s also why, even if you know and can describe how to bend and lift properly (intellectually) if your habit is to do it poorly, you will continue to do it poorly when no one is looking. The answer to that is a daily practice where you are able to focus on your technique – a Yoga, Tai chi, Qi Gong or some such class of personal practice. Without that you won’t really change your habits. This a critical part of helping corporations reduce back pain injury risk: once you get past several other steps. This whole issue can’t be addressed if that foundation isn’t laid properly.

It’s also the main reason every new patient is evaluated in terms of how they move and use their back – to whatever extent possible depending on how bad they are hurting, it may have to wait a while. Then when the pain is relieved patients have the opportunity to learn how to bend and lift (use their back), or get up off the ground (use their knees) properly – so that they can then prevent relapses and build normal reflex patterns and normal control. Strength and flexibility develop naturally just by proper use.

The Point Of Offering All Of This To Corporations

When someone does use their back, knees and shoulders properly they drastically reduce the odds that they will become a back pain injury statistic. Simple prevention avoids the “natural history of back pain” by proactively addressing the risk factors and increasing awareness among workers. And unlike the Back Schools of the past that didn’t work (looking back the reason is obvious, but it wasn’t at the time:-), this approach simply asks people to perform movements and motions that are required for their jobs anyway, then strives to help them with their technique. The language of proper body mechanics spreads throughout the workplace and everyone begins to recognize correct and incorrect movement. In the same way that shouting “safety first” back and forth conveys serious meaning, the key concepts of proper body mechanics could become everyday workplace jargon. That would be a very good thing for all concerned. But I am starting to rant… Don’t get me started on the State of Washington and their approach to back pain prevention and the relative value of attention to biomechanics.

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1 Comment »

  1. […] if a de-conditioned (weak) workforce might increase that risk even more. I have already mentioned what most medical doctors believe is the most important issue. And I have argued repeatedly over the years that it isn’t just alignment, it isn’t […]

    Pingback by $23,297 For The Average Reported Low Back Injury Claim; The Tip Of The Iceberg | Everett Chiropractic Center Blog — December 24, 2014 @ 12:34 pm


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