Common Myths About Back Pain
There are dozens upon dozens of myths out there about what leads to back pain, what you should do to prevent back pain, and what kinds of treatments may solve your back pain troubles.
Today, I am here to tell you that you should think again about what may be causing your aches and pains and urge you to think twice about your course of treatment.
My goal as a massage therapist is to help relieve your pain. But what if many of the commonly suggested treatment solutions are ineffective at best? Throw out everything you know about back pain, and let’s take a look at some of these claims to see whether or not they stand up to science.
You probably have heard that poor posture causes back pain. In fact, it’s likely that you heard it frequently from your parents when you were growing up as they were encouraging you to stand up straight.
And chances are you’ll find lots of experts claiming this to be true on the internet as well: chiropractors and doctors, physical therapists and personal trainers, and yes, massage therapists, all telling you the importance of posture if you’re looking to avoid or alleviate back pain.
Are all these claims really supported by facts and by experience? Should you spend time working to improve your posture if your only concern is avoiding pain and discomfort?
Take a look at this study: In examining teenagers who had sunken chests, overly arched lower backs in their younger years, one elevated hip or a deviation of the spine from the midline of the body, none of these parameters were found to be associated with lower back pain, mid-back pain or neck pain in their later years.
Perhaps you’ve heard that an increase in the arch of the lower back during pregnancy is the cause of many women’s discomfort while expecting. However, an in-depth analysis measuring the arch of the lower back in 12 healthy women during their first and third trimesters of pregnancy was conducted in order to discover if there was any truth to this myth by monitoring changes in the curvature of the spine.
The point of this study was to locate any direct correlation between postural changes and back pain. While back pain is a common occurrence for many women in pregnancy, these postural changes were not found to be the cause of back pain at all.
Overall, there is little truth to the idea that poor posture can lead to back pain, just as there is no evidence to show that we can cure back pain by changing our posture.
Herniated discs and degenerative disc disease are both common problems that will show up on MRIs, but these structural changes may not be the actual cause of your back pain.
While many may start to consider surgery to alleviate pain, fixing these abnormalities by going under the knife actually may not give you the reprieve you’re hoping for.
Just how frequently is pain associated with bulging or degenerated discs? In one well-known study of 98 people with no back pain symptoms, 52 percent had a herniated or bulging disc at one or more levels, the rate of which increased with age. But they did not have pain symptoms that would indicate a problem or structural change in their back.
Why? Because “the discovery by MRI of bulges or protrusions in people with low back pain may frequently be coincidental.”
In fact, if you examine many major joints in the body, you are bound to find something wrong with them, pain or no pain. Whether that pain be located in the pelvis and hips or in the knees, operable joint issues may not actually be the issues.
Of course, this does not mean that herniated discs or disc degeneration don’t cause pain in some people. But just remember that many people living their lives without back pain also have bulging discs.
Working with a massage therapist to alleviate pain may be a viable option to treat your pain effectively.
Another common misconception about back pain is that having a strong core is essential to having a pain-free, healthy back. But what evidence is there to support this claim?
Numerous studies have been conducted to examine whether core strengthening exercises are the solution to lower back pain. Take a look at this study, though, which found that in individuals with little abdominal muscle strength, there was no statistically significant difference between the group that was performing core strengthening exercise and back education and the group that relied on back education alone.
This study divided participants into two groups: a group of people with chronic lower back pain who received muscle control therapy and a second control group that received placebo-like treatment. The first group received outpatient physical therapy over the course of 12 weeks, with exercises designed to improve the function of specific muscles in the lower back. The second group receiving the placebo treatment had de-tuned ultrasonic therapy.
The results? This motor-control-focused exercise did help with muscle recovery but did nothing for back pain.
What we can learn from this is that while exercise is generally good for us, current evidence shows us that strengthening our core is not a magic cure-all that will free us from back pain.
If posture, bulging discs and poor abdominal strength are not the causes of back pain, then what is? If you suffer from chronic back pain, it might be frustrating to hear that these perceived causes might not be the root of your back pain woes at all.
So just what is causing your back pain? Here are a few causes that might be leading you to feel pain and discomfort in your back:
● Muscle strain or injury, leading to back spasms, discomfort and even weakened muscles over time. Massage can help with this.
● The large muscles in your upper back are prone to irritation, either because of a lack of strength or overuse. Massage can relieve this irritation and improve range of motion.
There are more serious causes of back pain, too. Some kinds of cancer may present as back pain and it can also be a symptom of fibromyalgia or osteoarthritis.
There are a handful of red flags in regards to back pain. See your doctor right away if
● You have numbness or obvious weakness anywhere in your back, hips, groin or legs or incontinence.
● You fell or had an injury that involved impact.
Also, if you’ve had the pain for more than 3-4 weeks, it’s spreading or getting worse, or it’s affecting how you sleep, get checked out.
Back pain is no joke. You feel it with every move, and it affects your life in all kinds of ways.