Archive for the ‘Back Pain’ Category

What am I going to do about my back pain?

Wednesday, May 2nd, 2012

1/18/2012 – See Dr. Hey and hear that the icyball has allowed me a significant quality of life until this point.  Phrases like “worst stenosis of the year, but its only January” “If we didn’t see you we would have thought you were much older from your X-rays” “If you were my younger brother, I’d had the surgery” Post pics later:

$50 Copay NCBCBS Blue advantage B

$250 against $3500 deductible for back brace

What is an epidural?

1/20/2012 – First Epidural – I almost passed out.  The pain became excruciating as my leg nerve blocks were “pressing in”.  I said”I don’t feel well, it hurtssssss…and then the pain became a tingle.  Then the right leg started to hurt excurciatingly.  I didn’t think I was going to make it.  The pain was so intense that I felt nausea and started sweating and had to be carted into a room and observed.  Within a few minutes my BP was back to normal, but I have never felt so much pain. My nurse intimated that I was a wimp.  It hurt, way more than the MRI in Dec. Humbled by the pain of the injection makes me feel like I don’t know real pain. Numb sciatic nerve and burning foot from injection lasted several hours.

$50 Copay NCBCBS Blue advantage B

1/21/2012 – Spend the day helping my son do a brake and rotor replacement on a Saab.  Feeling OK without the brace.  Went to church with it under a sweater and was un-noticeable.   CC would regularly bring 2 blue icyballs cold in a sack inside her purse and bring them out at just the right time.  In church, after we have been standing.  Got bill for surgery Posterior T12 or L1-illiac wing instrumentation fusion with laminectomies. possible TLIF. Bone autograft and allograft

1/22/2012 – Finished the brake job with my son and daughter.  She had her first date.  Pain is minimal, although wearing brace. Horrible night sweats!

1/23/2012 – Localized pain due to the injection. Otherwise feeling good.  Went a few hours without backbrace. Went swimming.

1/24/2012 – Up early, localized pain.  Feeling a bit better.

2/13/2012 – Twinge, but abated with a swim, phew!

3/5/2012 – Struggling to get up stairs, hurts in the morning – hoping to swim later tonight.

3/7/2012 – Call for another injection.  Try Naproxen Sodium and hold out for total 3 months between

3/9/2012 – Remarkably better on Naproxen Sodium.  I swam 30 laps today (continuous for cardio) – kept up with Catherine only because we were on a time crunch.

3/30/2012 – BCBSNC won’t pay for a lidoderm patch.

4/2/2012 – Still doing remarkably well even after mowing the lawn.  Yes, up hills to the point where my legs went numb from muscle pain, not nerve pain.

3/30/2012 Noticed 2 weeks of swimming ~ 1 mile 3xweek – weight is 205

5/1/2012 Swam 40 laps over a mile today.

5/7/2012 Swimming miles a week.  Hope it keeps up.

5/10/2012 Wow, Took two heavy gracery bags back to  our room in Atlanta (the “W”) Reverse descrimination is nice.  I

5/11/2012 Walked several miles today on a treasure hunt for my wife. What fun, but the clinical trial is a NO. I do not have a disc tear, so no injections of Fiberin. Oh. Well. Not my plan.  God’s plan. I walked another 20 Atlanta blocks to prove I can do whatever it takes.

5/14/2012 Having difficulty walking – loosing my breath (even after swimming 3 days in a row). Seems I may have injured abdominus rectus muscles “six-pack” and its causing smaller lung capacity.

5/22/2012 2 ESI (epidural steroidal injection) with lydocaine.  Felt initially better due to the lydocaineand had cold sweats like the first in January on the first night after.

The Arthritis Foundation Ease-of-Use seal

Wednesday, March 21st, 2012

I use my Thermalball almost every day for my muscles and arthritis and degenerative bone disease, sometimes hot and sometimes cold.  I would like 3 large Thermalballs in a canvas sack, but I have to admit a ball is pretty easy to use on its own.

Gee, maybe you should take a look at this and get your product a seal of approval from 8 scientists…is this is an intelligence test or what?

The Arthritis Foundation created the Ease-of-Use Commendation Program to encourage manufacturers to design user-friendly products and packaging that could be recommended to the millions of people living with arthritis.

How are products tested?

The process begins with the manufacturer, who submits a product to the Arthritis Foundation seeking expert evaluation of its product. At the GTRI lab, scientists experienced in the design and evaluation of products conduct tests to find out if the products is easy to use for someone with arthritis. The answer results from a three-step testing process.

  • Each product is evaluated by a team of scientists, who test the product against a number of “pass” or “fail” requirements specific to the type of product under evaluation. For example, how easy it is to open a medicine bottle or to operate a stationary bike?
  • Then the scientists assess and establish user tasks based on every manner in which someone with arthritis might use the product, from the point at which the product is removed from the packaging – yes, the package itself is evaluated – through multiple uses.
  • Finally, a team of eight testers who have moderate-to-severe arthritis are evaluated for grip, torque and muscle strength, endurance, pinch force and range of motion. The testers then get to open and use the product, and then each tester is interviewed by the team of scientists.

“We try to be as objective as possible. I rarely ask if a tester likes the product or not, because that’s not the issue,” says Brad Fain, PhD, senior research scientist at GTRI. “I want to know if it’s easy to use.”

How do products earn the Ease-of-Use seal?

To garner a “favorable” grade from GTRI and become eligible for the Arthritis Foundation’s Ease-of-Use Commendation, a product must meet the following criteria:

  •  A “pass” rating on all the checklist evaluation items, at least five or eight testers must be able to use it with little or no difficulty; and
  • No more than one of eight testers should experience great difficulty using the product.

How do I relieve butt pain after running?

Friday, March 2nd, 2012

yoga-squat.pngFrom Runner’s world:

Piriformis syndrome is a frustrating condition that’s literally a pain in the butt for runners. This throbbing ache originates in the buttocks and often radiates down the legs and/or to the spine. The culprit is an overtaxed piriformis muscle (from running on uneven ground or having tight hamstrings, for example) that spasms and aggravates the sciatic nerve. This routine will help keep your piriformis strong and flexible. Do the exercises three times each week, after a run.

Bonus Postrun Relief
After a long run or intense workout, end your stretching session by placing a thermalball under your right sit bone. Put all of your weight on the ball and slowly rotate your hips to release the piriformis. Do this for several seconds, and then switch sides.

side-plank-leg-lift-art.jpg 

CLAM SHELL
Lie on your right side with your knees bent. Rest your head on your hand or on your arm. Contract your abs and slowly open and close the top leg 20 times. Rest and repeat; switch sides.

PIGEON FORWARD FOLD
Begin on your hands and knees. Bring the heel of your right foot in front of your left hip. Relax into this position and hold while taking 10 to 20 deep breaths. Repeat on the opposite side.

SIDE PLANK WITH LEG LIFT
Start in a plank position. Rotate your body so that you’re balancing on your right hand. Slowly, with control, lift and lower your top leg five to 10 times. Rest and switch sides.

STANDING FIGURE 4
Stand on your left leg. Rest your right foot on your left knee and do a single-leg squat. With your hands on your hips, hold this position for a few seconds. Return to start and repeat 10 times on each leg.

Chronic Low Back Pain Patients (CLBP) display altered brain…

Wednesday, February 29th, 2012

Display Altered Brain Connectivity in the Default Mode Network—An Arterial Spin Labeling (ASL) MRI Study 

pain biomarkers:

Some people say “pain is all in the mind.” Perhaps it actually is, according to a poster on an imaging biomarker presented at the 2012 AAPM (American Academy of Pain Medicine) Annual Meeting. The researchers, from Harvard Medical School and the Martinos Center for Biomedical Imaging, looked at the brains of people with chronic low back pain and discogenic pain along with those of healthy people using arterial spin labeling, a form of MRI that measures blood flow to particular brain regions. Comparing the images showed changes in connectivity between regions of the brain. While this is early work in a small group, the imaging technique may have potential as an objective biomarker for chronic pain. Pain biomarkers are elusive, but could be useful in diagnosis and tracking pain in clinical trials, as well as in helping patients and physicians differentiate chronic pain from psychological symptoms.

poster290.jpgPain in the brain