still replacing fossil fuels with renewable energy around the world. is this really possible documentary, the renewable revenue november 25th on d w. the ever heard of the 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 slumped cost you can dump on you and that would lead to pain. especially in the book. it's more about how the mind is connected to the spine. i'm what really helps with pain this week on in good shape. the

stock is advised to brett, so a fish and of course, mammals like separate whales we humans are also the brits for the in some ways were in like out you pollution re relatives. one difference is that when we woke, sits on the stand, we use the spine to support top bodies vertically rather than horizontally. and that's not really what it was made for. the spine is made up of $24.00 individual vertebrate plus the se, crum, which is attached to a tiny tail vestigial one. it's called the cook 6 at 1st loans. individual budget breaks. 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 that strand. this gets the spine. a huge range of motion, sick and stretch,

bends till even twists around it. so next is. so everything runs smoothly as possible. deluxe stick into a virtual disk 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 channels of the spinal cord sprouting from the brain stem and running downwards. it branches out between individual, vertebrate and to the rest of the body. that and the transmit impulses telling the arms and legs to move. for example, or carrying sensory 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 upper body presses down on the spine like a tower. the ability to break in particular to cope with a great to load fast cost you

a sudden movements or lifting heavy loads can damage the intervention pool 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 developed 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, isn't a bad, however, it pro either lucian re advantages. the biggest is that it freedom hands. and they've allowed us to do things that the brits have never dreamed of. the a bone is something many of us may not pick up much on the icons cell phones. even

though they called us to hang our heads, which overlooks the neck muscles, instead of the usual 5 kilograms, the cervical spine is exposed to 22 kilos of force when the head has been to 45 degrees. and it was case scenario that can lead to what's cool text neck just like lifting heavy weights or twisting to rapidly cause to slip this a problem that even the youngest people sometimes have to cope with. finally, back on the road for years, lucas becca was unable to cycle the reason one, herniated disc after another because lucas such severe pain that he was scarcely able to work to on funds was fast. i had only localized pain in my level back guns and long some for log on and it all slowly shifted to my buttocks,

my legs on the car and suddenly sitting became a problem with them sits and the mobile, they just no longer worked really just mr. k paused, then when i started to need to take breaks and walking along additional sense of, of somebody in the end and things got so bad that i could only sit the 15 minutes at a stretch of thoughts 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 like interior can escape and squeeze nearby nerves. in some situations, a herniated disk can quickly turn into an emergency when the perfect solution, cuz when patients have pay with legging for rice, 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 present, especially when it last longer than 6 to 8 weeks as well. at that point, surgical treatment should also be considered up 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 his 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 some of 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 figuratively speaking. in patients with herniated discs physiotherapy help stabilize the spine. that's why lucas back on now also has 3 sessions. a week was catalina mixed up, and the physical therapist doesn't just focus on his back muscles. full mind, bunch of preventive menu to disk or to treat one after it has occurred. you should definitely train would beat muscles running up and down the spine and was glad to work. but these are also very important to, to strengthen your abdominal muscles and also because they are often weak and the back muscles in the lower abdominal muscles. in particular, the training that twists out of the 20th a bad. lucas becca also has to work hard on the leg that was effected with regular exercise, he hopes he'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 out of the on 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 at leona imitates a kind of radar device, determines whether she's doing them correctly. one click to get on going visual feedback. so you can concentrate completely on the exercise can really work on it. and how it's meant to be performed all the time. i can come to suspend,

as if i were doing the exercise in the regular way. i wouldn't have this constant feedback like i might get feedback from the physiotherapist from time to time. but i wouldn't have this chance to correct myself because the, the big physio therapist, stuff on it in the, in shows the sense is a working properly. and the instructions are accurate. in fact, therapy performing sequences of movements correctly. it's very important. as i'll see in front of it's definitely a way to look at a home as well given by following the program of physical therapy that's already been device for you. but without the physical therapist presently sufficed by this is assess pressure type. the idea is to disrupt patients from the pain using a playful environment to change how they perceive that and bodies distance. but the address to totally wrong. you need to keep moving to the but do it in measured amounts within certain limits. don't do massive numbers of exercises today. if it

stops you from doing, i need to. all right, well that's just, it's about staying active in this system. makes that easy. yeah. is 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 a question quickly, samantha, when it comes to chronic back pain, this problem is often that patients avoid movements to cause the skin of the pain that's triggered by them. good, often at least to a more general avoidance. so activities you conclude when dining programs like these be all up. so we've developed to can help people to reduce this in addition about performing a movement and to ultimately enjoy doing it to the office and just don't get it because it's fun to work with these apps, it's decent and on. so i'd like a piano sellers. i is now having fun with the new treatment method as well. and the study is even receive 250000 zeros in german government funding. the pushing

yourself is one thing, but know your limits. is a 70 percent of people with back pain, also complained 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, the mentally looking whole used to run to catch the bus. despite hvac tank should get stressed out and increasingly tens. luckily all that's now in the past, i've draw a lot of hard work on her part. she makes which 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 cup on this reason is it started with severe back pain over

a year ago. for an m r i. she was diagnosed with the displaced the depressed adult to advice to top surgery, a procedure involving spinal fusion. she was 47 as it was a horrifying just as it was like, there's no escape from bank pain except through surgery. but i didn't want to believe that low. i felt i was too young to confront the source on the field. she decided to seek a 2nd opinion hoping to find another way to relieve his chronic back pain. tulsa, vedic specialists, cost, and be she had gave her a thorough examination and looked on her m a. i scanned the also diagnosed a displaced vertebra, that is experienced, indicated that it wasn't in the main course of the back pain and thoughts as you go from the 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 of 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 musicianship, 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 physical factors, misses and humans on machines. we don't function on a cold, we'll buy coke. we will basis many factors influence us, including the fact we have a head, a hot on the motions. they all play a role and have to be taken into account when assessing pain. because pain is

complex. pain can also be caused by psych logical stress. the body is put on the muscles. tense up nodes are stimulated, pain is an early warning system, but the nervous system can become super sensitive and hanging then loses its morning function. nose can go rogue, constantly transmitting pain signals. the body remains in a state of alone. the brain becomes fixated and a pain memory develops. the result is a vicious circle strikes causes pain, and the pain causes even more stress that leads to a signaling cascade. so the pain is proceed with ever more intensity. the patient grows anxious and avoid the pain, and avoidance tends to accelerate the process of the pain turn in chronic. gotcha, so yeah, no. but how do you escape the vicious circle? what's called multi modal pain management can be a solution. it involves doctors psycho therapist,

i'm physical therapists 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 is this thing that we know that after about 3 months of the brain literally starts to learn 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 mentor 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 i'll be back in often 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 to go to the bottom, the god multi modal payment of the 2 weeks ago. the death of the parents unloading this june, the code 19 pandemic put under a lot of strain. she's had lower back pain for years. i should say, when i'm stressed out, when it is an acute problem,

you know i can switch off then i can't 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 video therapy. tim side task 1st tries to discover where the 58 year olds, physical, a, mental block. so often people 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 is really bad right here. building a muscle,

re gaining confidence. practicing how to consciously face the pain is keep you from. i know some people dodge tasks, others over exert themselves. ultimately, the key thing is confronting people with what they can't do any more about them and 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 is everyday activities. is no good 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 at home again. that's also the case with melanie. look at health. she doesn't that her bach stretched around anymore. now she is in control of the pain, not the other way around. the know you, it's giving me a new way to grow more relaxed and approach things differently. and in

2020, nearly 620000000 people worldwide suffer from low back pain. by 2050, that number could exceed 840000000. according to one study, keeping 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 caused by luxury and joint wins that between us i know is out and about with her 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. christy smith got really bad after i gave the stick 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. so i finally told myself it was time to get it seemed to by 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 kristof 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, the need it's, it's bony prominence as a kind of joint. most people have never heard of the sack ro, really act joins or s. i joins connect the say, chrome 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 affected more often finished on the shaft. now during pregnancy, hormonal changes close that created the outcome, the bodies, other joints to loose and enabling a child to pass more easily through the best canals. finished to be the body then doesn't completely return to its pre pregnancy state. i assign. so problems often remain in the area after woodside such as localized paint, unrestricted mobility. besides the orthopedic specialist employs a test to make sure zip clean effect. noise pain is definitely being triggered by the sack 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. is that the pain you feel? fetch me up? yes, yes, yeah, come on. so aside, joint dysfunction appears likely. besides loose ligaments it can have other

underlying causes. but design is difficult to your good one is when you joined gets scott does, which can happen. for instance, when you mix of steps and your muscles aren't prepared to absolve the shock, freedom counseling that can be helped with manual therapy with which it was and come another important causes thing to our legs and binds somebody is coming for them to different levels. either structurally, or in terms of functional leg landed in this country that can cause if i constantly extend the need, for example, cost. what that interferes with the force transfer from the legs to the loss of mine, by the 2nd row alia, joint legs have different lengths or a crooked spine. the team at the joint clinic can analyze what exactly is stressing this? that crow really act joined with a special video scan technique called for the spine measurement cipollina effect opted for it. it revealed it or sign really is slightly crooked and carrying her child on one side and her loose or ligaments are increasing the

pressure on her. psycho really actually which is probably blocked manual stair, a beacon health 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 fits, it did help as part could 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 best phone in our life and exercises called the windscreen wipers. ok. thank you. my live in a stomach one me up. know, raise your hands in this position and you pretend to be the wind screen. why? but right now, the rain is light. that means you twist to the last, slowly, twisting to the ride, slowly to what was as far as a can until you could a stretch in the side of your spine. and now, would you like this exercise, mobilize in strength, most ligaments and muscles around the spines. that cheap and flexible at the beginning stop was 8 to 12 repetitions

make sure you don't get the 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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