so in 60 minutes on d, w. well then progress pop calls to everyone who wants to know more about this topic 2nd, then a good about this story is beyond the headline world in progress. the w talk costs the ever heard of power opposing. it's the idea that in a search it's cost you can make you more confident and willing to take risks. sorry says it's nonsense, but what is true is that a slump cost you can dump on you on the lead to pain, especially in the box. it's more about how the mind is connected to the spine and what really helps with pain this week on in good shape. the

stock, is it the bread? so of fish and of course, mammals like separate whales we humans are also the brits, but in some ways where and like how the pollution re relatives. one difference is that when we wilkes, it's all stemmed. we use the spine to support our bodies vertically rather than horizontally. and that's not really what it was made for. the spine is made up of $24.00 individual body to break the se, chrome, which is attached to a tiny tail vestigial one. it's called the cook 6 at 1st loans, individual budget break. look a little strange, but everything in an on one serves the purpose. the loan plunges act as an cuz for ligaments and muscles enhancing the strength of this gets the spine,

a huge range of motion. it can stretch bend to even twist around its own axis. so everything runs smoothly as possible. elastic individual disc made of connective tissue contained in college and located between the vertebrae. but perhaps the most important feature is a whole 2 to 3 centimeters in diameter. when lined up in spine, the holes form the channel. so the spinal cord sprouting from the brain stem and running downwards. it bron she's out between individual vertebrate and to the rest of the body. that and this transmit impulses telling the arms and legs to move, for example, or carrying century impulses like pain back to the brain. when horizontal, the body's weight is distributed evenly among the vertebrae. it's roughly the same system is used in bridge construction. but when we say to cool, stand the weight of the up above the price is down on the spine like a tower. then the vertebrae in particular to cope with

a great to load. fast post you sudden movements or lifting heavy loads can damage the into the triple disks and even push them into the spine can now this can put pressure on the notes of the spinal cord, close, severe pain, but taking it easy. lying around or not moving much isn't good for the spine. either a common cause of back pain and neck tension is weak or under develop muscles. so it's important to train you back muscles that can relieve strain on the good to break into vegetable disks. looking up right is an old bond, however, it pre evolutionary advantages. the biggest is that it freedom hands and they've allowed us to do things that of the brits of never dreamed of the on

a boat, which is something many of us may not pick up much unlike of cellphones, even though they cause us to hang our heads which overtakes the neck muscles instead of the usual 5 kilograms. the cervical spine is exposed to $22.00 kilos of 4. when the head has been to 45 degrees. and it was case scenario that can lead to what's cool text and neck. just like lifting heavy weights or twisting to rapidly cause to flip this problem that even the younger people sometimes have to cope with. finally, back on the road for years, lucas becca was unable to cycle the reason one herniated disk after another. because lucas such severe pain that he was scarcely able to work to on farms was fast. i had only localized pain in my level back gums and so long some for log

on. and it all slowly shifted to my buttocks, my legs on the car and suddenly sitting became a problem for them sits and then we'll go. they just no longer worked really just mr. k paused. then when i started to need to take breaks working longer, additional sense of us and in the end and things got so bad that i could only sit the 15 minutes at a stretch of dots when it was clear to me that i wanted the surgery. when do slips, discs requires surgery or the inter vertebral desks or elastic shock absorbers that line between the bony vertebrae. they have a gelatinous enter layer surrounded by a fibrous outer layer. if that ring tears for some reason, the jelly light interior can escape and squeeze nearby nerves. in some situations, a herniated disk can quickly turn into an emergency when the perfect condition, cuz when patients have pay with leg and process,

meaning they can no longer active. the lift their foot, for example. it's an urgent indication that surgery is necessary and should be performed within 20 to 48 hours of your sites, the labels that pop from the symptoms of process. so there's also a relative indication for surgery and patients who have chronic pain is presented, especially when it last longer than 6 to 8 weeks as well. at that point, surgical treatment should also be considered obama to the, to the people who should like with lucas back on 4 months ago, he had an operation on his slipped inter vertebral disc is attending physician. so no other alternatives m r i images revealed that in addition to a herniated disk that had occurred years ago, lucas now had a 2nd one in a bad location. it was pinching has cyanotic nerve, which is why he felt such severe pain in his leg. what a surgery for a slipped desk involve the link to material has to be removed in order to relieve

the pressure on squeezed nerves around the spinal cord. the operation is not risk free. using a microscope, the surgeon has to be careful not to injure any delicate nerves. things appear to have gone well for lucas. since the surgery, he's been mostly pain free. and that includes when the doctor presses on the joint office, killing twitter to testify. careful heart. when is non invasive treatment enough? numerous studies have shown that a 90 percent of patients with slipped desks, pain therapy and physical therapy. you can also take care of the problem. the damaged disk can regenerate in the 1st 3 months. the body resolves the herniation all on its own. you have 10. hm. and young patients, i'm discounting asians often have a launch fluid component. so in those cases,

the chances are good the how many agents will decrease significantly in size simply by drawing out a little bigger to by speaking in patients with herniated discs physiotherapy help stabilize the spine. that's why lucas back on now also has 3 sessions a week with catalina moved up, and the physical therapist doesn't just focus on his back muscles. for my son to prevent a hun, you a to disk or to treat one after it has occurred. you should definitely train the beat, muscles running up and down the spine was glad to work. but these are also very important to strengthen your abdominal muscles and also because they are often weak and the back muscles in the lower abdominal muscles in particular need training that twist or the 20th a bad. lucas becca also has to work hard on the leg that was effected with regular exercise

t hope so you'll be able to prevent slips disks from ever happening again. the, the people in pain often need distraction to relax while back problems are often caused by a lack of exercise. might there be a way of addressing those issues at once? a german research team is looking into the r physiotherapy the cell yvonne has suffered from back pain for 2 years, and so far, nothing has helped. so she immediately volunteered to test a new treatment option. headset on, i'm driving. there were 2 avatars in the virtual world. one demonstrates exercises which atlanta imitates a kind of radar device, determines whether she's doing them correctly missions, but the address to totally wrong. you need to keep moving, but do it to measure the amounts within certain limits. don't do massive numbers of

exercises today. if it stops you from doing any tomorrow, it's about staying active in this system makes that easy. yeah, this team, the study has been going on for 2 years. if the method prove successful, it will have an impact on the entire field of pain medicine by question wickersmith when it comes to chronic back pain. this problem is often that patients avoid movements to cause that scared of the pain that's triggered by them. good. often at least to a more general avoidance. so i can see that to you conclude when time programs like these be all up. so we've developed to can help people to reduce this in addition about performing a movement in time to alternately enjoy doing it to the office and just don't get it because it's fun to work with these apps. it's decent unbeknown. so i'd like a piano sell as i is now having fun with the new treatment method as well. and the study is even receive 250000 zeros in germany's government funding. the pushing

yourself is one thing, but know your limits is a 7 cheapest sentenced people with back pain also complain about having too much stress and just your brain is constantly on high alert. the muscles in your body will also tend so full design to alleviate pain in the back. it will make sense to treat not just the body, but also the mind with behavioral therapy. for example, mentally looking whole used to run to catch the bus. despite her back paint should get stressed out and increasingly tense. luckily, all that's now in the past. after a lot of hard work on her part, i feel more confident, most stable. i'm not paying for yet, but i also know what's good for me now. physically as well as mentally a crap i list reason is it started with severe back pain over

a year ago. after an m r i. she was diagnosed with a displaced vertebra, a dr. advice to a top surgery, a procedure involving spinal fusion. she was 47 and was horrifying just as it was like there's no escape from back pain except through surgery. but i didn't want to believe that your so slow. i felt i was too young the front as much, almost failed. she decided to seek a 2nd opinion hoping to find another way to relieve his chronic back pain, also feeding specialist the cost and be she had gave her a thorough examination and looked on her m a. i scan. he also diagnosed the displaced the breast, but his experience indicated that it wasn't in the main course of the back pain and thoughts as you go from 10. well, over 50 percent of all cases, the structural changes that you see on the scans are not the main cause of the symptoms. patients and worry of course they can see the changes on the m,

r i or other types of scan. but the cause of the pain is often quite different. that's where the psychological element plays a leading role that's on the dispute. the see should, complimenting as fees and visual or psychological mother. and you look on whole front thoughts. she would have to do video therapy, exercise mall, or get massages. she was a little taken aback. 9 so me, it wasn't about my mind. it was physical, it was my back. i wouldn't have thought of psychotherapy to her to pick it up. that reaction to the connection between mind and back pain is something unaccountably, in the depth comes across frequently. in her experience, people tend to focus too much on the physical factors, images and humans, and machines. we don't function on a coke, we will buy coke. we will basis many factors influence us, including the fact we have a head, a heart and emotions. they all play a role and have to be taken into account when assessing pain. because pain is

complex. painting can also be caused by psychological stress. the body is put on that muscle is tense up, nodes are stimulated, pain is an early warning system. but the nervous system can become super sensitive . paying then loses its warning, function. nose can go rogue, constantly transmitting pain signals. the body remains in the state of a lot. the brain becomes fixated and a pain memory develops. the result is a vicious circle. stress causes pain and the pain causes even more stress that leads to a signaling cascade. so the pain is perceived with ever more intensity. the patient grows anxious and avoids the pain and avoidance tends to accelerate the process of the pain. turning chronic got to the office, right. but how do you escape the vicious circle? what's called multi modal pain management can be a solution. it involves talk to

a psychotherapist. i'm physiotherapists working closely together and developing a treatment plan in 3 areas. medical treatment does your therapy and psycho therapy on the lot to plays a key role. psychologist katelyn sniggle knows how low back pain impacts on the mind. this is this thing. we know that after about 3 months of the brain literally starts to learn and pain. the brain become sensitive and label set and movements as the cause of pain and potentially dangerous certain thoughts. encourage us to avoid doing things so we don't do them in the future. scientific studies show that chronic low back pain can also be treated with psychotherapy and one meta analysis. researches evaluated almost a 100 studies with over $13000.00 participants and found behavioral therapy to be the most successful treatment. physiotherapy combined with psycho therapy

achieves the best results and then on the look and health is trying that approach. she wants to use like a therapy to get to the emotional and psychological rates. and the problem in therapy, she realizes how much pain is dominated her life to 3 practitioners consult frequently during the multi modal therapy which lasts about 3 to 4 weeks. here, progress is often surprisingly fast because all the back in the office from the patients often realize after just a few days that they focus on reducing stress and what link stress with pain. then they can also reduce pain by reducing stress, etc. and kind of as due to the bottom, the gun multi modal payment around 2 weeks ago. the death of a parents unloading us doing the cupboard 19 pandemic, put under a lot of strain. and she's had lower back pain for years. i should say, when i'm stressed out, when it is an acute problem,

i can switch off then i can sleep well. and the next day he gets off to a new from woodstock because i'm exhausted on my back. that's even more put, been the working off. may i have it towed fear of pain is one aspect, fear of movement is another physiotherapist. he can fight tough. first tries to discover where the 58 euros physical and mental blocks are. often people who are afraid of causing more damage, likes a few, or this could slip or a nerve could get damaged. it's our job to dismantle such thoughts patterns, how to play with physio therapy daily for several hours. not passive, but active circuit training. and if you go movements again to everyday life, sweeping, clearing out shelves, painting gold, drawing out what works and what doesn't here it's ok, but low down. it's really bad right here. a building

a muscle. re gaining confidence. practicing how to consciously face the pain is compute for might have some people dodge tasks, others over exert themselves. ultimately, the key thing is confronting people with what they can't do anymore. and i don't like doing any more and getting them to sense to how much does it take to get better in this area. and this everyday activities to, to bother also takes part in groups like a therapy sessions that she started to understand more about what her bunk pain has to do with her mind and emotions. as far as i know it's allowed to hurt. but this training helps me to attenuate that pain, and i can handle it better is convinced that i'm it only. and that's also the case with melanie. look at health. she doesn't that her box dress around anymore. now she is in control of the pain, not the other way around. and then know you, it's giving me a new way to grow more relaxed and approach things differently. and in

2020, nearly 600. 20000000 people worldwide suffer from low back pain by 2050. that number could exceed 840000000. according to one study paper, an asian on africa, i'm most frequently affected, work habits, excess whites and smoking on them. the risk factors for about the same sentence that we can change. sometimes that cause biologically and joint. when is that between a fact now is out and about with our little daughter, the 30 year old sometimes forgets about her chronic condition. but as soon as she picks up sophia, it's there again, a surge of pain in her lower back. christie smith got really bad after i gave the sick with having to constantly lift her out of the car or out of bed or change her diapers. i mean suffering from serious, lower back pain on and off for quite a long time now to the so i finally told myself it was time to get it seemed to buy

adult to own sabrina. if i went to a local orthopedic clinic 2 weeks ago for an x ray today, she's meeting her consultant, doctor cliff stuff, divide. the images reveal that she doesn't have a slipped desk and the pain isn't radiating from the spine to, from what's called the posterior superior iliac spine. a nice, it's bony prominence as a kind of joint. most people have never heard of the sack row. really. ag joins or s i joints connect to say, from with the valium, the blade shaped pelvic bones to the right and left side of the spine. they are held in place by tight ligaments and can only make tiny movements. however, the side joins transmit power from the legs to the spine, so they're under a lot of pressure. displacement or dysfunction, inflammation called sacral. lee itis and osteoarthritis contributors,

severe pain. women who have given birth are effected more often finished on the shaft during pregnancy. hormonal changes close that really act on the bodies other joints to loose and enabling a child to pass more easily through the best canals needs to be the body, then doesn't completely return to its pre pregnancy state. i assign, so problems often remain in the air after what size such as localized paint unrestricted mobility. besides the orthopedic specialist employs a test to make sure zip clean or 5 years pain is definitely being triggered by the 2nd row. really act joint points on these and smiths. so to do this pain publication test, i take my hand and pressed it here. does not hurt, does it? yes, this is the pain you feel? yes, yes. yeah. come on. so aside joint this function appears likely. besides loose ligaments, it can have other underlying causes. a design is difficult to do,

and one is when your joint gets stuck and does, which can happen. for instance, when you mix of steps and your muscles aren't prepared to absolve the shock. feet on this comes when it can be helped with manual therapy anyways using come another important causes thing to our legs and bind somebody is coming for them to different. let's eat the structurally or in terms of functional leg lender. and essentially, i can kind of constantly extend the need for example, cost of a tough that interferes with the fullest transfer from the likes to the lumen boss of mind by the secretary of joint legs of different lengths or a crooked spine. the team at the joint clinic can analyze what exactly is stressing this acro really act joined with a special video scan technique called for the spine measurement. so between a fact opted for it, it revealed it or sign really is slightly crooked. and carrying her child on one side and her loose or ligaments for increasing the pressure on her. psycho

really actually which is probably block manual therapy can help dr. eva, it applies pressure in short bursts and targeted spots to release the joint. and then i do feel some relief, but it still hurts me as i think the pain is more from the pressure fist. it did help as part one to prevent the joint from getting blocked in the future. so between us like now now wants to try to stabilize her pelvis with physiotherapy. regular exercise provides the long term stability your back needs, but why it is also important and even simple exercises can help. here's one that tim recommends. hi, what come to a great exercise for a spine which is of course the backbone us in our life and exercises called the

windscreen wipers. okay, thank you. my linus, the only one me up know, raise your hands in this position and you pretend to be the windscreen. why? but right now, the rain is light. it means to twist to the last slowly and twist the right slowly to always as far as i can tell you fear to stretch in the side of your spine and know what you like. so this exercise, mobilize and strengthens ligaments and muscles around the spine that keep it's flexible at the beginning. stop was 8 to 12 repetition.

make sure you don't get to cram and or twist within your comfort zone. hope you enjoy trying that one out. that was in good shape for this week. see you next time, bye for now the

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