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Top 10 Club -- the back pain self-cured - Backtivity - searching the world for a back pain cure, for you, by you

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Content provided by Joe risser and Mph - Preventive Medicine physician. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Joe risser and Mph - Preventive Medicine physician or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
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———————————–

What constitutes a back pain CURE?

Studies pretty consistently show that about 10% (1 in 10) people who have suffered with chronic low back pain (defined as “pain between the lower ribs and gluteal folds, with minimal radiation to the thigh and never below the knee”, lasting at least 12 weeks, with daily or nearly daily pain, that is severe enough to interfere with daily activities — sometimes loosely measured as a minimum pain level of 3 on a scale of 0 – 10 — will discover a “cure.”

Cure is a big word

In the context of low back pain, “cure” means different things to different people. Surprisingly, there are multiple definitions of cure even in the medical literature. This seems preposterous since everyone knows what cure means when talking about infections or cancer. But low back pain is a chronic condition in which the norm is recurrence.

There have been attempts of defining a cure in the medical literature. There’s even a review of 82 of those studies. Here are some of their findings:

  1. 66 different measures of recovery were used among the 82 studies
  2. 17 used pain as a proxy for recovery
  3. 7 used disability or function
  4. 17 were based on some combination of pain and disability
  5. 9 used single-item recovery rating scales (e.g., Yes to, “My back pain has resolved.”)
  6. 11 used an anchor of “completely recovered”
  7. 3 used return to work as recovery criterion
  8. 6 used physical performance as recovery criterion

When the same 0 to 10 pain scale was used, one study set the bar for 0, another at 1, another at 1.5 (Really???), and yet another at 2.

I want to take a second to editorialize about the scientific strength of studies in medicine, in general. I have come to the conclusion that after hundreds of years and thousands of studies that mankind has dedicated to understanding pain, we have a very long way to go. At the end of the article reviewing these studies, the authors write,

It is perhaps not surprising that wide variability exists in the measurement of recovery in low back pain. Indeed, this situation is not uncommon in health-care research. Lack of standardized definitions for key terms and outcomes is noted in studies of whiplash-associated disorders, drowning, falls, spasticity, peptic ulcers and schizophrenia.

I suspect that anyone hearing this will say, “What do you mean, you don’t know what drowning (or an ulcer, or back pain cure) is?”

Medical science can learn a lot from other disciplines that some of you might not associate with “hard science.” Economics comes to mind. One shining example is the work of husband and wife Princeton economists Angus Deaton and Anne Case (herself a chronic back pain sufferer) who discovered alcohol, drug abuse, and suicide among those with chronic pain is largely responsible for a recent increase death rate among middle aged Americans.

How we Define Cure

Combining clinical research with what we have learned from self-made experts, we have chosen the following criteria to define a cure:

1. Once had back pain lasting at least 12 weeks
2. Had back pain on at least half the days in any 6 month period
3. Nonspecific low back pain (pain located between the twelfth rib and the inferior gluteal fold for which no specific
source of pain could be identified)
4. No longer taking pain medication regularly
5. Pain intensity had been a 4 or greater on a scale of 0 – 10
6. Pain intensity has been a 3 or less on a scale of 0 – 10 for at least the last 12 months
7. Exercised for a minimum of one hour per week with no more than four weeks off during recovery from back pain
8. Continue to do back-specific exercise at least 3 days a week on average
9. The cured individual considered exercise to be the most important treatment in curing their back pain
10. Did NOT have major trauma causing back pain
11. Did NOT have back surgery

If you meet these criteria, we want to learn from you! The raison d’être of Backtivity is to identify the cured, learn what worked for them, and use that to create more.

If you would be so kind, please complete the following brief questionnaire about your journey.

Are YOU among the Cured?

1) When was your first episode of low back pain in your life? Less than 3 months ago3 - 6 months ago6 months to a year ago1 to 5 years ago5 to 10 years agoMore than 10 years ago
2) When was your back pain at its worst? Less than 3 months ago3 to 6 months ago6 months to a year ago1 to 5 years ago5 to 10 years agoMore than 10 years ago
3) Using the following scale, how bad was your back pain at its worst?
Visual Analog Pain Scale
012345678910
4) How long did that (worst) episode last? Less than 1 week1 to 3 weeks4 to 12 weeks (1 to 3 months)3 to 6 months6 months to a yearMore than 1 year
5) When you were having back pain attacks, how often did they typically occur after that first episode? Less than once a yearEvery 6 months to a yearEvery 3 to 6 monthsEvery 4 to 12 weeks (1 to 3 months)Every 1 to 3 weeksMore than once a week
6) How long would the pain typically last during an episode of back pain? 1 to 2 days3 to 7 days 1 to 3 weeks4 to 6 weeks6 to 8 weeks 3 to 6 months6 to 12 monthsThe pain was CONSTANT for a year or longer
7) Did any of the following activities precede your first episode of back pain? FallLiftingTwistingBendingAccident involving a moving object or vehicle (bicycle, skateboard, motorcycle, motor vehicle)WalkingRunningOther exerciseProlonged inactivity (bedridden, for example)None of the above
8) How much stretching or flexibility exercise (like toe touches, bringing your knee to your chest, or yoga) do you typically do every week now? NoneLess than half an hour a week1/2 to 1 hour a week1 to 3 hours a week3 to 5 hours a weekMore than 5 hours a week
9) How much endurance exercise (like planks, superman, abdominal bracing -- these exercises are usually held for as long as you're able, rather than done for reps like strengthening exercises) do you typically do every week now? NoneLess than half an hour a week1/2 to 1 hour a week1 to 3 hours a week3 to 5 hours a weekMore than 5 hours a week
10) How much strengthening or weight training exercise (like weighted machine exercises, dumbbells, pilates, push ups or pull ups -- these exercises are usually done for reps, rather than held for as long as you're able like endurance exercises) do you typically do every week now? NoneLess than half an hour a week1/2 to 1 hour a week1 to 3 hours a week3 to 5 hours a weekMore than 5 hours a week
11) Where did you learn the exercises that you do specifically for your back? Physical therapistPersonal trainerBookDVDFriendsWatching people at the gymOn my own

Please fill in the comment box below.



Be sure to click Submit Quiz to see your results!


Email
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The post Top 10 Club — the back pain self-cured appeared first on Backtivity.

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———————————–

What constitutes a back pain CURE?

Studies pretty consistently show that about 10% (1 in 10) people who have suffered with chronic low back pain (defined as “pain between the lower ribs and gluteal folds, with minimal radiation to the thigh and never below the knee”, lasting at least 12 weeks, with daily or nearly daily pain, that is severe enough to interfere with daily activities — sometimes loosely measured as a minimum pain level of 3 on a scale of 0 – 10 — will discover a “cure.”

Cure is a big word

In the context of low back pain, “cure” means different things to different people. Surprisingly, there are multiple definitions of cure even in the medical literature. This seems preposterous since everyone knows what cure means when talking about infections or cancer. But low back pain is a chronic condition in which the norm is recurrence.

There have been attempts of defining a cure in the medical literature. There’s even a review of 82 of those studies. Here are some of their findings:

  1. 66 different measures of recovery were used among the 82 studies
  2. 17 used pain as a proxy for recovery
  3. 7 used disability or function
  4. 17 were based on some combination of pain and disability
  5. 9 used single-item recovery rating scales (e.g., Yes to, “My back pain has resolved.”)
  6. 11 used an anchor of “completely recovered”
  7. 3 used return to work as recovery criterion
  8. 6 used physical performance as recovery criterion

When the same 0 to 10 pain scale was used, one study set the bar for 0, another at 1, another at 1.5 (Really???), and yet another at 2.

I want to take a second to editorialize about the scientific strength of studies in medicine, in general. I have come to the conclusion that after hundreds of years and thousands of studies that mankind has dedicated to understanding pain, we have a very long way to go. At the end of the article reviewing these studies, the authors write,

It is perhaps not surprising that wide variability exists in the measurement of recovery in low back pain. Indeed, this situation is not uncommon in health-care research. Lack of standardized definitions for key terms and outcomes is noted in studies of whiplash-associated disorders, drowning, falls, spasticity, peptic ulcers and schizophrenia.

I suspect that anyone hearing this will say, “What do you mean, you don’t know what drowning (or an ulcer, or back pain cure) is?”

Medical science can learn a lot from other disciplines that some of you might not associate with “hard science.” Economics comes to mind. One shining example is the work of husband and wife Princeton economists Angus Deaton and Anne Case (herself a chronic back pain sufferer) who discovered alcohol, drug abuse, and suicide among those with chronic pain is largely responsible for a recent increase death rate among middle aged Americans.

How we Define Cure

Combining clinical research with what we have learned from self-made experts, we have chosen the following criteria to define a cure:

1. Once had back pain lasting at least 12 weeks
2. Had back pain on at least half the days in any 6 month period
3. Nonspecific low back pain (pain located between the twelfth rib and the inferior gluteal fold for which no specific
source of pain could be identified)
4. No longer taking pain medication regularly
5. Pain intensity had been a 4 or greater on a scale of 0 – 10
6. Pain intensity has been a 3 or less on a scale of 0 – 10 for at least the last 12 months
7. Exercised for a minimum of one hour per week with no more than four weeks off during recovery from back pain
8. Continue to do back-specific exercise at least 3 days a week on average
9. The cured individual considered exercise to be the most important treatment in curing their back pain
10. Did NOT have major trauma causing back pain
11. Did NOT have back surgery

If you meet these criteria, we want to learn from you! The raison d’être of Backtivity is to identify the cured, learn what worked for them, and use that to create more.

If you would be so kind, please complete the following brief questionnaire about your journey.

Are YOU among the Cured?

1) When was your first episode of low back pain in your life? Less than 3 months ago3 - 6 months ago6 months to a year ago1 to 5 years ago5 to 10 years agoMore than 10 years ago
2) When was your back pain at its worst? Less than 3 months ago3 to 6 months ago6 months to a year ago1 to 5 years ago5 to 10 years agoMore than 10 years ago
3) Using the following scale, how bad was your back pain at its worst?
Visual Analog Pain Scale
012345678910
4) How long did that (worst) episode last? Less than 1 week1 to 3 weeks4 to 12 weeks (1 to 3 months)3 to 6 months6 months to a yearMore than 1 year
5) When you were having back pain attacks, how often did they typically occur after that first episode? Less than once a yearEvery 6 months to a yearEvery 3 to 6 monthsEvery 4 to 12 weeks (1 to 3 months)Every 1 to 3 weeksMore than once a week
6) How long would the pain typically last during an episode of back pain? 1 to 2 days3 to 7 days 1 to 3 weeks4 to 6 weeks6 to 8 weeks 3 to 6 months6 to 12 monthsThe pain was CONSTANT for a year or longer
7) Did any of the following activities precede your first episode of back pain? FallLiftingTwistingBendingAccident involving a moving object or vehicle (bicycle, skateboard, motorcycle, motor vehicle)WalkingRunningOther exerciseProlonged inactivity (bedridden, for example)None of the above
8) How much stretching or flexibility exercise (like toe touches, bringing your knee to your chest, or yoga) do you typically do every week now? NoneLess than half an hour a week1/2 to 1 hour a week1 to 3 hours a week3 to 5 hours a weekMore than 5 hours a week
9) How much endurance exercise (like planks, superman, abdominal bracing -- these exercises are usually held for as long as you're able, rather than done for reps like strengthening exercises) do you typically do every week now? NoneLess than half an hour a week1/2 to 1 hour a week1 to 3 hours a week3 to 5 hours a weekMore than 5 hours a week
10) How much strengthening or weight training exercise (like weighted machine exercises, dumbbells, pilates, push ups or pull ups -- these exercises are usually done for reps, rather than held for as long as you're able like endurance exercises) do you typically do every week now? NoneLess than half an hour a week1/2 to 1 hour a week1 to 3 hours a week3 to 5 hours a weekMore than 5 hours a week
11) Where did you learn the exercises that you do specifically for your back? Physical therapistPersonal trainerBookDVDFriendsWatching people at the gymOn my own

Please fill in the comment box below.



Be sure to click Submit Quiz to see your results!


Email
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week\";i:1;d:0;i:2;i:0;}}","answer_one":"","answer_one_points":"0","answer_two":"","answer_two_points":"0","answer_three":"","answer_three_points":"0","answer_four":"","answer_four_points":"0","answer_five":"","answer_five_points":"0","answer_six":"","answer_six_points":"0","correct_answer":"0","question_answer_info":"","comments":"1","hints":"","question_order":"9","question_type":"0","question_type_new":"2","question_settings":"a:1:{s:8:\"required\";i:0;}","category":"","deleted":"0","answers":[["None",0,0],["Less than half an hour a week",0,0],["1\/2 to 1 hour a week",0,0],["1 to 3 hours a week",0,0],["3 to 5 hours a week",0,0],["More than 5 hours a week",0,0]]},"34":{"question_id":"34","quiz_id":"2","question_name":"How much <em>strengthening or weight training<\/em> exercise (like weighted machine exercises, dumbbells, pilates, push ups or pull ups -- these exercises are usually done for reps, rather than held for as long as you&#039;re able like endurance exercises) do you typically do every week now?","answer_array":"a:6:{i:0;a:3:{i:0;s:4:\"None\";i:1;d:0;i:2;i:0;}i:1;a:3:{i:0;s:29:\"Less than half an hour a week\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:20:\"1\/2 to 1 hour a week\";i:1;d:0;i:2;i:0;}i:3;a:3:{i:0;s:19:\"1 to 3 hours a week\";i:1;d:0;i:2;i:0;}i:4;a:3:{i:0;s:19:\"3 to 5 hours a week\";i:1;d:0;i:2;i:0;}i:5;a:3:{i:0;s:24:\"More than 5 hours a week\";i:1;d:0;i:2;i:0;}}","answer_one":"","answer_one_points":"0","answer_two":"","answer_two_points":"0","answer_three":"","answer_three_points":"0","answer_four":"","answer_four_points":"0","answer_five":"","answer_five_points":"0","answer_six":"","answer_six_points":"0","correct_answer":"0","question_answer_info":"","comments":"1","hints":"","question_order":"10","question_type":"0","question_type_new":"2","question_settings":"a:1:{s:8:\"required\";i:0;}","category":"","deleted":"0","answers":[["None",0,0],["Less than half an hour a week",0,0],["1\/2 to 1 hour a week",0,0],["1 to 3 hours a week",0,0],["3 to 5 hours a week",0,0],["More than 5 hours a week",0,0]]},"35":{"question_id":"35","quiz_id":"2","question_name":"<em>Where <\/em>did you learn the exercises that you do specifically for your back?","answer_array":"a:7:{i:0;a:3:{i:0;s:18:\"Physical therapist\";i:1;d:0;i:2;i:0;}i:1;a:3:{i:0;s:16:\"Personal trainer\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:4:\"Book\";i:1;d:0;i:2;i:0;}i:3;a:3:{i:0;s:3:\"DVD\";i:1;d:0;i:2;i:0;}i:4;a:3:{i:0;s:7:\"Friends\";i:1;d:0;i:2;i:0;}i:5;a:3:{i:0;s:26:\"Watching people at the gym\";i:1;d:0;i:2;i:0;}i:6;a:3:{i:0;s:9:\"On my own\";i:1;d:0;i:2;i:0;}}","answer_one":"","answer_one_points":"0","answer_two":"","answer_two_points":"0","answer_three":"","answer_three_points":"0","answer_four":"","answer_four_points":"0","answer_five":"","answer_five_points":"0","answer_six":"","answer_six_points":"0","correct_answer":"0","question_answer_info":"","comments":"1","hints":"","question_order":"11","question_type":"0","question_type_new":"2","question_settings":"a:1:{s:8:\"required\";i:0;}","category":"","deleted":"0","answers":[["Physical therapist",0,0],["Personal trainer",0,0],["Book",0,0],["DVD",0,0],["Friends",0,0],["Watching people at the gym",0,0],["On my own",0,0]]}},"error_messages":{"email":"Not a valid e-mail address!","number":"This field must be a number!","incorrect":"The entered text is not correct!","empty":"Please complete all required fields!"},"first_page":true}

The post Top 10 Club — the back pain self-cured appeared first on Backtivity.

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