Re: Help with Lower Back Pain

[Guest guest]

Ernie,

Welcome to the world of about 80% of adults.

Low back pain features so much in GP clinics, Physio's and Chiro practices etc

that there should be a general set of rules for everybody to follow.

One interesting study from Melbourne conducted by Dr Marx et al concluded

that over 80% of subjects who increase " back erector " strength by greater than

70% (this is taking some licence on the study as it is not within reach) will

resolve mostly all the problems related to pain associated with disc

protrusions, impingements etc.. (I will see if I can get an online copy of the

study for you).

I would equally welcome commentaries from the group regarding the most common

and effective treatment modalities for low back pain and maybe a cooperative

approach will set some new guidelines in place for the world to see.

Kindest regards

Alan Brown

Melbourne Australia

Help with Lower Back Pain

Hi..My name is Ernie. I'm 5' 11 " and weigh 255 lbs. I am an avid

physical fitness type but I have been having lower back pain for the

last couple of years. In January, when I started training for my

annual summer running road races the pain in my back became such that

it became really difficult to run with a normal stride.

I tried to live with the pain through the summer but it got worse and

worse to the point where I had to see a physician.

After x-rays and MRI's he advised that I had degenerative disc

disease in my lower disc. He said that in most cases, the pain goes

away. The way it was explained to me by others in the medical

community is that since my disc can no longer function properly as a

shock absorber, the local muscles and ligaments around it are trying

to do the job and these are pain generators which cause my back

muscles to spasm.

Eventually, from what I was told, my vertebrae will fuse together

naturally and the pain will go away in that spot, but will re-appear

higher up my back when the next disc starts to degenerate from the

workload.

I have been prescribed with Bextra for inflammation but that really

hasn't improved my mobility.

At this point, I can't run, can't do a full sit up from a prone

position and I have a lot of trouble rolling from my back to my

front. It's almost like I don't have those muscles any more that are

required for these motions. Every now and then if I step off a curb

or kick my leg suddenly, I get a shooting " electrical shock " type

sensation in my lower back which sometimes causes a sudden spasm.

The doctor was not very helpful about what I need to do to get back

to a normal life. He kind of recommended trial and ever. As soon as

he deemed I was not a surgical candidate, he kind of lost interest in

healing me.

So I'd like to start this thread to see if any of you have had, or

have heard of, similar experiences and any ideas to rectify my

situation.

I'm willing to try anything. Would a new bed help? Exercises?

Medicine? Chiropractor? etc...

I'll hang up now and listen. Thanks so much!

Ernie Barsamian

Princeton, NJ

[Guest guest]

Hey Ernie,

There are a lot of talented coaches and docs in the group, and I'm sure you

won't be lacking for some good advice. My take on your situation, for

whatever it may be worth, is that you need to have a REALLY good reason to

be running (especially in road races, which I assume means some sort of

distance running) at your size even if your bodyfat is very low.

Now that's a question only you can answer, but Stuart McGill has done some

really leading-edge research on the subject of low back pain management.

Here are my interpretations of his philosophy and recommendations:

1) Disk injuries are typically caused by " single-event excessive

loading " (such as when a football player is tackled unexpectedly,

resulting in a lumbar disk herniation) or " multiple event

sub-maximal loading. " (the easiest way to accomplish this would

be to perform high volumes of sit-ups) In both cases, lumbar

flexion (low back rounding) is usually the culprit.

2) Learn to distinguish between lumbar flexion and hip flexion. From

a sit-up position on the floor, go ahead and " hinge " yourself up from

the hips, so that your entire spine moves as a single unit. That's hip

flexion. When you perform a crunch, if you come up off of the floor

one spinal segment at a time, that's trunk flexion.

3) Learn to maintain a neutral spine. Look at yourself in the mirror—

hopefully you've got a certain amount of curve in your low back. If

you've got low back symptoms, your goal is to KEEP that curvature

at all times. If you bend over, flex at the hips instead of the trunk.

If you need to turn, pivot on your feet rather than twist.

4) Learn how to brace your abdominals while breathing

diaphragmatically at the same time. Then improve your bracing

endurance capacity.

5) De-emphasize spinal flexibility and strength, emphasize spinal

endurance. People with lumbar disk problems usually have too much

mobility already, and need to work on creating stability instead.

The bracing drill we just discussed is an example of that concept.

6) Avoid static postures of all kinds, especially flexion (i.e., sitting).

Maintaining a flexed lumbar spine for long periods of time is asking for

trouble. If and when you must sit, try to change your positioning (spread

your legs, extend them, then flex your knees, get up every 15-20

minutes, and so on). Otherwise you'll suffer from " Static fixation " and yes,

Mr. Spine won't appreciate it.

7) Back injury risk is highest in the morning avoid loading, especially

flexion, in the first 2 hours after rising.

8) Avoid lumbar flexion during hamstring stretches, keep the lumbar spine

neutral! And don't do those knee-to-chest stretches either. Just don't.

9) Start paying attention to lifestyle-related irritations and stresses

(sitting, driving, slipping, rolling over in bed, lifting objects from

floor, etc)

10) Lat strength can be useful in improving abdominal bracing strength,

since the lats anchor to the thoraco-lumbar fascia. Lots of rows and chins

OK?

11) Fast walking with arm swings is usually therapeutic for people with

lumbar disk issues. I know, it looks silly, but it also looks silly when

you're hobbling around like you've got a stick up your (well, you know)

because you're in debilitating back pain.

12) Compression by itself isn't bad— in fact your disks need compression

to get their nutrition. It's just that excessive compression is to be

avoided. Let your symptoms be your guide.

13) No loading can be as bad as excessive loading‹ find the optimal middle

ground.

14) No sit-ups, EVER. Not if you've got low back symptomology.

Hope that helps!

Staley

Staley Training Systems

Las Vegas, NV Toll-Free:

> Message: 1

> Date: Wed, 26 Nov 2003 16:14:48 -0000

>

> Subject: Help with Lower Back Pain

>

> Hi..My name is Ernie. I'm 5' 11 " and weigh 255 lbs. I am an avid

> physical fitness type but I have been having lower back pain for the

> last couple of years. In January, when I started training for my

> annual summer running road races the pain in my back became such that

> it became really difficult to run with a normal stride.

>

> I tried to live with the pain through the summer but it got worse and

> worse to the point where I had to see a physician.

>

> After x-rays and MRI's he advised that I had degenerative disc

> disease in my lower disc. He said that in most cases, the pain goes

> away. The way it was explained to me by others in the medical

> community is that since my disc can no longer function properly as a

> shock absorber, the local muscles and ligaments around it are trying

> to do the job and these are pain generators which cause my back

> muscles to spasm.

>

> Eventually, from what I was told, my vertebrae will fuse together

> naturally and the pain will go away in that spot, but will re-appear

> higher up my back when the next disc starts to degenerate from the

> workload.

>

> I have been prescribed with Bextra for inflammation but that really

> hasn’t improved my mobility.

>

> At this point, I can't run, can't do a full sit up from a prone

> position and I have a lot of trouble rolling from my back to my

> front. It's almost like I don't have those muscles any more that are

> required for these motions. Every now and then if I step off a curb

> or kick my leg suddenly, I get a shooting " electrical shock " type

> sensation in my lower back which sometimes causes a sudden spasm.

>

> The doctor was not very helpful about what I need to do to get back

> to a normal life. He kind of recommended trial and ever. As soon as

> he deemed I was not a surgical candidate, he kind of lost interest in

> healing me.

>

> So I'd like to start this thread to see if any of you have had, or

> have heard of, similar experiences and any ideas to rectify my

> situation.

>

> I'm willing to try anything. Would a new bed help? Exercises?

> Medicine? Chiropractor? etc...

>

> I'll hang up now and listen. Thanks so much!

>

> Ernie Barsamian

> Princeton, NJ

> --------------------

> http://members.aol.com/ebarsamian

[Guest guest]

I have scoliosis and occasional lower back problems. I tried chiropractors

and that really helped. My regular MD kind of laughed and asked if I felt

better after going to one. When I said ¡ÈYes¡É, he kind of shook his head

in disbelief and said to keep on going if I thought it was helping me. So I

did and it worked in combination with losing weight and getting more

physically fit.

My back is in much better shape. No more pinched lower discs. No more

shooting electrical pains, etc. I can now do lower back extensions on my

Bowflex with 240 pounds of resistance (flexing from the hip). As long as I

do it slow and smooth with no jerkiness my back can take it just fine. I

have been gradually increasing the resistance.

I would say go ahead and try a chiropractor. Be careful though because many

will try to brainwash you into going all the time. Go as much as YOU think

YOU need to go. I was going twice a month for several years before I quit

going altogether.

Basically what a chiropractor does is give you physical therapy for your

spine. By twisting it into various positions, they gradually un-fuse it and

get all the moving parts working properly again. A medical MD will suggest

back surgery; sometimes good, sometimes bad. Try it the holistic way before

you decide on surgery.

Burns

Sausalito, CA

Try IBIDEM's Bowflex Tracking Service at: <http://ibidem.us> http://ibidem.

us

Email:

marinmountainman@...

Help with Lower Back Pain

Hi..My name is Ernie. I'm 5' 11 " and weigh 255 lbs. I am an avid

physical fitness type but I have been having lower back pain for the

last couple of years. In January, when I started training for my

annual summer running road races the pain in my back became such that

it became really difficult to run with a normal stride.

I tried to live with the pain through the summer but it got worse and

worse to the point where I had to see a physician.

After x-rays and MRI's he advised that I had degenerative disc

disease in my lower disc. He said that in most cases, the pain goes

away. The way it was explained to me by others in the medical

community is that since my disc can no longer function properly as a

shock absorber, the local muscles and ligaments around it are trying

to do the job and these are pain generators which cause my back

muscles to spasm.

Eventually, from what I was told, my vertebrae will fuse together

naturally and the pain will go away in that spot, but will re-appear

higher up my back when the next disc starts to degenerate from the

workload.

I have been prescribed with Bextra for inflammation but that really

hasn¡Çt improved my mobility.

At this point, I can't run, can't do a full sit up from a prone

position and I have a lot of trouble rolling from my back to my

front. It's almost like I don't have those muscles any more that are

required for these motions. Every now and then if I step off a curb

or kick my leg suddenly, I get a shooting " electrical shock " type

sensation in my lower back which sometimes causes a sudden spasm.

The doctor was not very helpful about what I need to do to get back

to a normal life. He kind of recommended trial and ever. As soon as

he deemed I was not a surgical candidate, he kind of lost interest in

healing me.

So I'd like to start this thread to see if any of you have had, or

have heard of, similar experiences and any ideas to rectify my

situation.

I'm willing to try anything. Would a new bed help? Exercises?

Medicine? Chiropractor? etc...

I'll hang up now and listen. Thanks so much!

Ernie Barsamian

Princeton, NJ

--------------------

http://members.aol.com/ebarsamian

[Guest guest]

The absolute best advise I could give is to contact a Chek

practitioner (level 3,4 best options). These people are extremely

expensive (up to 125$ an hour) but the will help you the best, bar-

none. They don't just help you with your back pain, they will also

help you with your workouts. They design programs for you. These

programs are not your typical physical therapy program. They will get

you doing front squats and extremely difficult isolation exercises

that will drastically increase your strength while actually helping

strengthing your back. They are extremely used to working with back

injury people. They focus on corrective exercise. Disregard any

negative comments from the group regarding Chek. If you are in

serious pain, he will be able to help. I am not Chek certified, so I

have nothing to gain. I simply feel that this is your best, and

healthiest option. To find someone in your area who can help you, go

to www.Chekinstitute.com.

Good luck.

Brad Kaczmarski CSCS

Carbondale, IL

[Guest guest]

Ernie,

I empathize with you. Low Back Pain can be the hardest thing to get

rid of. With your case it sounds like when you incorporate any kind

of hip flexion move (ie, sit ups, stepping on/off curb,) you get

terrible pain. This would make me think that your psoas is locked

and overworked....all the above movements activate this muscle and

you get a negative reaction...aka PAIN.

How is your Posture?

When you stand do you have a tendancy to lock your knees? Do you

allow your pelvis to rotate anteriorly? Does your lumbar spine have

excessive curviture? If you answer yes to these I would first off

change your stance.....IE,, 1. Slightly bend you knees 2. Bring

pelvis into neutral position (activate your tranverse abdominals),

and 3. Elongate your spine via your abs (tranverse and

rectus) .............get out of your lazy stance.........

2nd. I would have a massage therapist dig on my Psoas and release it

3rd. I would learn how to do exercises without stimulating the

Psoas. Such as the following:

1. Abdominal crunches on a foam roll...keeping your low back in

neutral position or even smashed into it....keep your legs (and

hipflexors) relaxed by pushing your feet into the floor. When your

are executing the crunches think about curling the spine 1 vertabrae

at a time up and then pushing your self down on vertabrae at time as

well (dont just let gravity take you down...push your self down

slowly).

2. Supine pelvic tilts while flattening the back into the

floor.....try to elevate the pelvis while posteriorly tilting

it....keep legs bent and feet off the floor with the thighs

perpendicular to the floor....keep from swinging from the thighs or

feet.

There are many other ab exercises I could list but mainly try to get

out of your Psoas by not allowing yourself to do any type of

abdominal movement without significantly curling your spine into

a " C " curve formation....never allow yourself to raise (or lower)

yourself while your torso is straight,,,,thats all hip flexors...aka

PSOAS........

In a nut shell study the PSOAS muscle...

a good book is called.........The Psoas Book by Liz Koch

Good Luck,

Kasper

Santa Barbara, CA USA

> Hi..My name is Ernie. I'm 5' 11 " and weigh 255 lbs. I am an avid

> physical fitness type but I have been having lower back pain for

the

> last couple of years. In January, when I started training for my

> annual summer running road races the pain in my back became such

that

> it became really difficult to run with a normal stride.

>

> I tried to live with the pain through the summer but it got worse

and

> worse to the point where I had to see a physician.

>

> After x-rays and MRI's he advised that I had degenerative disc

> disease in my lower disc. He said that in most cases, the pain

goes

> away. The way it was explained to me by others in the medical

> community is that since my disc can no longer function properly as

a

> shock absorber, the local muscles and ligaments around it are

trying

> to do the job and these are pain generators which cause my back

> muscles to spasm.

>

> Eventually, from what I was told, my vertebrae will fuse together

> naturally and the pain will go away in that spot, but will re-

appear

> higher up my back when the next disc starts to degenerate from the

> workload.

>

> I have been prescribed with Bextra for inflammation but that

really

> hasn't improved my mobility.

>

> At this point, I can't run, can't do a full sit up from a prone

> position and I have a lot of trouble rolling from my back to my

> front. It's almost like I don't have those muscles any more that

are

> required for these motions. Every now and then if I step off a

curb

> or kick my leg suddenly, I get a shooting " electrical shock " type

> sensation in my lower back which sometimes causes a sudden spasm.

>

> The doctor was not very helpful about what I need to do to get

back

> to a normal life. He kind of recommended trial and ever. As soon

as

> he deemed I was not a surgical candidate, he kind of lost interest

in

> healing me.

>

> So I'd like to start this thread to see if any of you have had, or

> have heard of, similar experiences and any ideas to rectify my

> situation.

>

> I'm willing to try anything. Would a new bed help? Exercises?

> Medicine? Chiropractor? etc...

>

> I'll hang up now and listen. Thanks so much!

>

> Ernie Barsamian

> Princeton, NJ

> --------------------

> http://members.aol.com/ebarsamian

[Guest guest]

Hi Ernie,

Just a " few " questions to set the mood re: your situation.

1. How long have you been plus 225lbs? (any sudden changes in weight

recently?)

2. Can you describe what your build is like?

3. How long ago is the first memory of the problem?

4. Do you feel the symptoms greater when exercising?

5. Great point about the sit-up and discomfort - are there other

exercises (low back, shoulder or leg) which also bring on the

symptoms or have drastically gotten " worse " ?

6. Have you been running continuosly for the past 2 years or did you

ever take a long break (prior to the symptoms)?

Looking into what you have mentioned so far, you are a big guy to be

running (regardless of level of fitness). Your descriptions of

symptoms also indicate that however the condition began, it is

crossing into most ranges of daily living.

Hopefully with some more information a few of the health care

specialists in the group can provide some general direction for you.

Unfortunate what you experienced with the Dr. . Atypical I would

suggest. As for your comment about seeing other health care

professionals - good for you, be open-minded. I think it already

sounds like you may require a multi-disciplinary approach, so you

have the right mind-set.

All the best,

Dennis

Toronto Canada

> Hi..My name is Ernie. I'm 5' 11 " and weigh 255 lbs. I am an avid

> physical fitness type but I have been having lower back pain for

the

> last couple of years. In January, when I started training for my

> annual summer running road races the pain in my back became such

that

> it became really difficult to run with a normal stride.

>

> I tried to live with the pain through the summer but it got worse

and

> worse to the point where I had to see a physician.

>

> After x-rays and MRI's he advised that I had degenerative disc

> disease in my lower disc. He said that in most cases, the pain goes

> away. The way it was explained to me by others in the medical

> community is that since my disc can no longer function properly as

a

> shock absorber, the local muscles and ligaments around it are

trying

> to do the job and these are pain generators which cause my back

> muscles to spasm.

>

> Eventually, from what I was told, my vertebrae will fuse together

> naturally and the pain will go away in that spot, but will re-

appear

> higher up my back when the next disc starts to degenerate from the

> workload.

>

> I have been prescribed with Bextra for inflammation but that really

> hasn't improved my mobility.

>

> At this point, I can't run, can't do a full sit up from a prone

> position and I have a lot of trouble rolling from my back to my

> front. It's almost like I don't have those muscles any more that

are

> required for these motions. Every now and then if I step off a curb

> or kick my leg suddenly, I get a shooting " electrical shock " type

> sensation in my lower back which sometimes causes a sudden spasm.

>

> The doctor was not very helpful about what I need to do to get back

> to a normal life. He kind of recommended trial and ever. As soon as

> he deemed I was not a surgical candidate, he kind of lost interest

in

> healing me.

>

> So I'd like to start this thread to see if any of you have had, or

> have heard of, similar experiences and any ideas to rectify my

> situation.

>

> I'm willing to try anything. Would a new bed help? Exercises?

> Medicine? Chiropractor? etc...

>

> I'll hang up now and listen. Thanks so much!

>

> Ernie Barsamian

> Princeton, NJ

> --------------------

> http://members.aol.com/ebarsamian

[Guest guest]

Ernie,

I certainly agree with Alan. I have been treating and rehabbing LBP

patients for 20+ years and the hyperextension aka glut-hamstring exercise

aka back raises aka back extension exercise) - what ever you may call it -

this is the exercise. If you have sciatica however you may need to

initially perform the exercise behind the knee rather than at the ankle (for

a better understanding of this look at an informational web site

backsmith.co.nz). For discs this exercise helps to basically " suck " the

protruding disc material (waiting on research to prove this) more central

and away from the nerve roots involved. And never ever give up on exercise,

just stay away from anything which produces radiating symptoms into a leg.

Dr J , MSc, DC

Whangarei Chiropractic Centre

20 Kensington Avenue

(64-9)-437-7345

Whangarei NEW ZEALAND

" Nothing is forever except for Heaven & hell - CHOOSE CAREFULLY " (unknown)

Help with Lower Back Pain

>

>

> Hi..My name is Ernie. I'm 5' 11 " and weigh 255 lbs. I am an avid

> physical fitness type but I have been having lower back pain for the

> last couple of years. In January, when I started training for my

> annual summer running road races the pain in my back became such that

> it became really difficult to run with a normal stride.

>

> I tried to live with the pain through the summer but it got worse and

> worse to the point where I had to see a physician.

>

> After x-rays and MRI's he advised that I had degenerative disc

> disease in my lower disc. He said that in most cases, the pain goes

> away. The way it was explained to me by others in the medical

> community is that since my disc can no longer function properly as a

> shock absorber, the local muscles and ligaments around it are trying

> to do the job and these are pain generators which cause my back

> muscles to spasm.

>

> Eventually, from what I was told, my vertebrae will fuse together

> naturally and the pain will go away in that spot, but will re-appear

> higher up my back when the next disc starts to degenerate from the

> workload.

>

> I have been prescribed with Bextra for inflammation but that really

> hasn't improved my mobility.

>

> At this point, I can't run, can't do a full sit up from a prone

> position and I have a lot of trouble rolling from my back to my

> front. It's almost like I don't have those muscles any more that are

> required for these motions. Every now and then if I step off a curb

> or kick my leg suddenly, I get a shooting " electrical shock " type

> sensation in my lower back which sometimes causes a sudden spasm.

>

> The doctor was not very helpful about what I need to do to get back

> to a normal life. He kind of recommended trial and ever. As soon as

> he deemed I was not a surgical candidate, he kind of lost interest in

> healing me.

>

> So I'd like to start this thread to see if any of you have had, or

> have heard of, similar experiences and any ideas to rectify my

> situation.

>

> I'm willing to try anything. Would a new bed help? Exercises?

> Medicine? Chiropractor? etc...

>

> I'll hang up now and listen. Thanks so much!

>

> Ernie Barsamian

> Princeton, NJ

[Guest guest]

Hi Dennis,

I'll answer your questions numerically:

1. The last time I was under 225 was about 10 years ago, although I

had been heavier about 20 years ago.

2. I lift weights (or at least used to) quite a bit. Here is a pic:

http://members.aol.com/ebarsamian/seacrest.jpg

3. I'd say that my back has been " bothering me " for about 2 years.

4 & 5. Actually when I exercise (weightlift) my back feel great.

Things I cannot do are running, sit-up from a prone position, roll

over without using my elbows. I also experience pain doing barbell

curls from a standing position or when spotting someone else on the

bench press. My greatest amount of pain comes when I am bent over at

a very slight angle (shaving, brushing teeth). When I bend over

further, it doesn't hurt.

6. I took last winter off from running because it was cold and snowy

here. When I started up in the spring, my back began to bother me.

It has been really bad since.

Thanks for all of your help.

Ernie Barsamian

Princeton, NJ

http://members.aol.com/ebarsamian

-- In Supertraining , " strength_coach2003 "

<strength_coach2003@y...> wrote:

> Hi Ernie,

>

> Just a " few " questions to set the mood re: your situation.

>

> 1. How long have you been plus 225lbs? (any sudden changes in

weight

> recently?)

> 2. Can you describe what your build is like?

> 3. How long ago is the first memory of the problem?

> 4. Do you feel the symptoms greater when exercising?

> 5. Great point about the sit-up and discomfort - are there other

> exercises (low back, shoulder or leg) which also bring on the

> symptoms or have drastically gotten " worse " ?

> 6. Have you been running continuosly for the past 2 years or did

you

> ever take a long break (prior to the symptoms)?

>

> Looking into what you have mentioned so far, you are a big guy to

be

> running (regardless of level of fitness). Your descriptions of

> symptoms also indicate that however the condition began, it is

> crossing into most ranges of daily living.

>

> Hopefully with some more information a few of the health care

> specialists in the group can provide some general direction for you.

>

> Unfortunate what you experienced with the Dr. . Atypical I would

> suggest. As for your comment about seeing other health care

> professionals - good for you, be open-minded. I think it already

> sounds like you may require a multi-disciplinary approach, so you

> have the right mind-set.

>

> All the best,

> Dennis

> Toronto Canada

>

>

[Guest guest]

Hi Dennis,

I'll answer your questions numerically:

1. The last time I was under 225 was about 10 years ago, although I

had been heavier about 20 years ago.

2. I lift weights (or at least used to) quite a bit. Here is a pic:

http://members.aol.com/ebarsamian/seacrest.jpg

3. I'd say that my back has been " bothering me " for about 2 years.

4 & 5. Actually when I exercise (weightlift) my back feel great.

Things I cannot do are running, sit-up from a prone position, roll

over without using my elbows. I also experience pain doing barbell

curls from a standing position or when spotting someone else on the

bench press. My greatest amount of pain comes when I am bent over at

a very slight angle (shaving, brushing teeth). When I bend over

further, it doesn't hurt.

6. I took last winter off from running because it was cold and snowy

here. When I started up in the spring, my back began to bother me.

It has been really bad since.

Thanks for all of your help.

Ernie Barsamian

Princeton, NJ

http://members.aol.com/ebarsamian

-- In Supertraining , " strength_coach2003 "

<strength_coach2003@y...> wrote:

> Hi Ernie,

>

> Just a " few " questions to set the mood re: your situation.

>

> 1. How long have you been plus 225lbs? (any sudden changes in

weight

> recently?)

> 2. Can you describe what your build is like?

> 3. How long ago is the first memory of the problem?

> 4. Do you feel the symptoms greater when exercising?

> 5. Great point about the sit-up and discomfort - are there other

> exercises (low back, shoulder or leg) which also bring on the

> symptoms or have drastically gotten " worse " ?

> 6. Have you been running continuosly for the past 2 years or did

you

> ever take a long break (prior to the symptoms)?

>

> Looking into what you have mentioned so far, you are a big guy to

be

> running (regardless of level of fitness). Your descriptions of

> symptoms also indicate that however the condition began, it is

> crossing into most ranges of daily living.

>

> Hopefully with some more information a few of the health care

> specialists in the group can provide some general direction for you.

>

> Unfortunate what you experienced with the Dr. . Atypical I would

> suggest. As for your comment about seeing other health care

> professionals - good for you, be open-minded. I think it already

> sounds like you may require a multi-disciplinary approach, so you

> have the right mind-set.

>

> All the best,

> Dennis

> Toronto Canada

>

>

[Guest guest]

I second Brads advice about seeking out a CHEK Certified specialist. Yes,

they are a little pricey.....but you won't get the usual Americanized version of

great healthcare (drugs, inactivity, and regurgitated physical therapy

protocols that were taken out of the back pain cookbook from 1950). Good luck

Blake,MA,ATC,CSCS

University of Connecticut Health Center

Department of Sports Rehabilitation

10 Talcott Notch Rd

Farmington, CT

[Guest guest]

I second Brads advice about seeking out a CHEK Certified specialist. Yes,

they are a little pricey.....but you won't get the usual Americanized version of

great healthcare (drugs, inactivity, and regurgitated physical therapy

protocols that were taken out of the back pain cookbook from 1950). Good luck

Blake,MA,ATC,CSCS

University of Connecticut Health Center

Department of Sports Rehabilitation

10 Talcott Notch Rd

Farmington, CT