dw, we've got some hot tips for your package that zip code is spots affinities. check on some great cultural memorials to boot w travel. we got the ever heard of power opposing. it's the i did that in a search, it's cost you can make you more confident and willing to take risks. science 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 and what really helps with pain this week on in good shape. the

stock, is it the bread? so a fish. and of course, mammals like separate whales. we humans around the brits, but in some ways we're in like out you pollution to 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 vertebrae plus the se, crum, which is attached to a tiny tail, a vestigial one. it's called the cook 6. at 1st glance, individual that break, look a little strange, but everything in an on one serves the purpose. the long plunge is active. and cuz for ligaments and muscles enhancing the strand, this gives the spine a huge range of motion. it can stretch bend to even twist around its own axis. so

everything runs as smoothly as possible. it looks stick into the triple this made of connective tissue containing college and located between the debris. but perhaps the most important feature is a whole 2 to 3 centimeters in diameter. when lined up in spine, the holes form a channel for 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 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 upper body presses down on the spine like a tower. 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. quotes 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 evolutionary advantage is the biggest is that it freedom hands and they've allowed us to do things that out of the brits of never dreamed of the

which is something many of us may not pick up much unlike our cellphones, even though they cause us to hang our heads, which overlooks 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 called text. and that just like lifting heavy, weights or twisting to rapidly cause slip this a 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 disc after another because lucas such severe pain that he was scarcely able to work to on farms was at 1st i had only localized pain in my level back guns as long as i'm for log

on and it all slowly shifted to my buttocks, my legs on the car, and suddenly sitting became a problem with insights and the mobile interest 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 to surgery. when do slipped desks requires surgery, 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 tiers 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 process is issue, cuz when patients appear with legging 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 the, of the websites, 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 because, especially when it last longer than 6 to 8 weeks as well at that point, surgical treatment should also be considered to apply 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 the 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 off this killing clicker to test a couple hard 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 actions often have a launch fluid component. so in those cases, the chances are good,

how many agents will decrease significantly in size simply by drawing out a little bigger typically speaking, 50 and patients with herniated discs physiotherapy help stabilize the spine. that's why lucas back on now also has 3 sessions a week with 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 us. but these are also very important to, to strengthen your abdominal muscles. and also because they often, we could the back muscles in the lower abdominal muscles. in particular, the training that twists out of the 20 at the bad lucas back 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 both issues at once? a german research team is looking into the r physiotherapy, diana sullivan 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. one click to don't 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 it if i were doing the exercise in the regular way. i wouldn't have this calling some feedback like i might get feedback from the physiotherapist from time to time. but i wouldn't have this chance to correct myself because he done the physiotherapist stuff on his end and shows the senses of 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 following the program of physical therapy that's already been device for you, but without the physical therapist presently suffice. task 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 this inspect the address to totally wrong. you need to keep moving to the but do it to measure the

amounts within certain limits. don't do massive numbers of exercises today. if it stops you from doing, i need to. all right, well, since 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 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. often at least to a more general avoidance so i can see that you can call me when dining programs light, 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 5th interest and get it because it's fun to work with these apps. it's decent. and on top, i can absolutely on us as i is now having fun with the new treatment method as well . and the study is even receive 250000 zeros in gemini government funding.

the pushing yourself is one thing, but know your limits over 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 simple design to alleviate pain in the fact it's that will make sense to treat not just the bodies, but also the mind with behavioral therapy. for example, men in the looking whole used to run to catch the bus. despite hvac tank should get stressed out and increasingly tense. luckily oh 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 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 advise the top surgery a procedure involving spinal fusion. she was 47 that i can say, as it was horrifying, just as it was like there's no escape from bank pain except through surgery. but i didn't want to believe that for so long, i felt i was too young for the front, especially on the field. 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 vertebra. 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 musicianship, complimenting as fees and visual, or psychological mother. and you look on whole front thoughts. she would have to do physical therapy, exercise mall, or get massages. she was a little taken aback. 9 and 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 fighters interest and humans on 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. 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 . pain then loses its morning function, no skin 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. stress 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 avoids the pain and avoidance tends to accelerate the process of the pain turning chronic opposite. yeah, no. but how do you escape the vicious circle? what's called multi modal pain management can be

a solution. it involves talk to psycho therapist, 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, got to ensure legal knows how low back pain impacts on the mind. is this thing we know that after about 3 months, the brain literally starts to learn pain. the brain becomes sensitive and label set and movements as the cause of pain and potentially dangerous certain thoughts encourage just to avoid doing things, so we don't to them in the future. scientific studies show that chronic low back pain can also be treated with psychotherapy. and what it meant to analysis, researches evaluated almost a 100 studies with over $13000.00 participants and found behavioral therapy to be the most successful treatment fits your therapy. combined with psychotherapy

achieves the best results and then on the look on health is trying that approach. she wants to use like a therapy to get to the emotional and psychological routes and the problem in therapy, she realizes how much pain is dominated her life. the 3 practitioners consult frequently during the multi modal therapy, which last about 3 to 4 weeks here. progress is often surprisingly fast because all the back in the office on 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 go to the bottom began multi modal payment around 2 weeks ago. the death of the parents unloading us doing the coping 19 pandemic hotel and wrote a lot of strain and she's had low 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 name from woodstock because i'm exhausted on my back. that's even more support been working off may have it toward s. sierra pain is one aspect and this is sierra movement is another physio therapy. tim 5 tests. first tries to discover where the 58 euros physical and mental blocks are. the kind of often people who are afraid of causing more damage, likes a few or this could slip for 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. it's ok, but low down is really bad right here. building a muscle, re gaining confidence,

practicing how to consciously face the pain, to skip the some idol, some people dodge tasks, others over exert themselves to 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. 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 box stress 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 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. 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 christoph, divide. the images reveal that she doesn't have a slipped disk and the pain isn't radiating from the spine to, from what's called the posterior superior iliac spine. and the fits bony prominence as a kind of joint. most people have never heard of the cycle really act joins or aside joints connect the se, 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 site 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 causes exec, really act on 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 of ice on. so problems often remain in the air after what sized such as localized paint unrestricted mobility. besides the orthopedic specialist employs a test to make sure zip clean. if i ignore his pain, is definitely being triggered by the 2nd row. really act joint points on these and smith's. so to do this pain publication test, i take my hand and pressed it here on does not hurt, does it? yes. is that the pain you feel fishing out? yes, yes. yeah. come on. so aside, joint dysfunction appears likely. besides loose ligaments it can have other

underlying causes. a design is difficult to do him. good. one is when your joint gets stuck and does, which can happen. for instance, when you must have stepped on, your muscles aren't prepared to absolve the shock rate on this comes with it 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 lens eat the structurally or in terms of functional leg lender that can cause if i constantly extend the need for example, cost of a task that interferes with the force transfer from the likes to the loss of mine by the suck, really joint legs have different lengths or a crooked spine. the team at the joint clinic can analyze what exactly is stressing this? that grow 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 for increasing the pressure on her sacral really actually which is probably blocked manual if they're 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 and it did help us talk which one to prevent the joint from getting blocked in the future. so between us like now now wants to try to stabilize our pelvis with physiotherapy. regular exercise provides the long term stability your back needs, but the 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 us, the only 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 the twitch, to the last, slowly twist to the right, slowly to was call is a can until you filled a stretch in the side of your spine. and now, would you like the so this exercise mobilize and strengthens ligaments and muscles around the spines that cheap and flexible at the beginning stop was $8.00 to $12.00 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. or the

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