Lower back aches after playing

Discussion in 'Trumpet Discussion' started by buckhorn, Sep 10, 2013.

  1. turtlejimmy

    turtlejimmy Utimate User

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    Oregon
    Everyone is entitled to their opinion. Personally, I don't like chiropractors either. That doesn't mean that misaligned tendons, bones, and muscles don't cause a lot of pain and disability out there. When it's a case of misalignment, surgery won't help, it's counterproductive. When it's a case of degeneration or trauma, you may need something more than physical therapy. If you go to anyone for any length of time, and they don't fix the problem, then it's time for something else. My therapist fixed everything that was wrong with my back (from years of bad posture, mainly), in a half a dozen sessions.

    Misalignment does not require traction/immobilization at a hospital (which will do nothing) ... it requires intelligent physical therapy.

    I had a back that was so bad, I went through regular episodes of extreme pain and immobility. It was often so bad, I couldn't get out of bed (or off the floor in that extreme case). My lower back would "go out" at times and cause tremendous pain on one side. All of that is IN THE PAST. Physical therapy, that is intelligent and targets out of aligned structures in your back, can bring about a complete cure. Your doctors can't do that, sad to say. You're talking to someone who has been through it ..... extreme pain ..... and a complete cure. I wish you the best of luck with your back .... a lot of pain in that area can really unravel your life.


    Turtle
     
  2. gzent

    gzent Fortissimo User

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    Rochester, MN
    I agree intelligent physical therapy from a properly trained PT. Even then, it must be from a PT that is up to date on the proper exercises
    for your particular problem. For example, the PT I used here recently told me that the exercises I was taught back in 92 are no longer
    used for disc problems. The science of the spine has advanced and they have learned a lot about what actually causes pain and what
    new exercises are beneficial.

    For my problem, keeping my spine straight is important while doing exercises to strengthen my core.
    That wasn't emphasized years ago, but it is now.

    Also, a competent PT will teach one how to have good posture - a different technique than I was told in the 90's.

    However, as helpful as PT is, I can't say I would skip the step of getting a proper diagnosis from an MD.
    The MD got me the MRI which showed the deterioration of my discs which led to the injections.
    PT was used as part of my treatment, but the injections did the most good, IMO.
     
  3. turtlejimmy

    turtlejimmy Utimate User

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    Oregon

    Here's where we agree, Greg. My physical therapist explained everything she was doing, as it was happening, and gave me an enormous amount of useful information about posture, keeping the back healthy, etc. Her goal was to cure me, and give me the information necessary to take care of my own back. That's not always the goal of a chiropractor, who might look at a new patient as more job security.

    I totally agree that getting all the information necessary is always helpful. Physical therapy is not invasive, if it doesn't work, someone else can be contacted, like an MD, for lab tests. Physical therapy can't fix everything. The stuff it can fix, which is a lot, is worth exploring, before a surgical procedure. It's cheaper, too. All of my costs to her were out of pocket, but amounted to all of about $180 (back then she was $30 a session). To this day, I consider that the best money I ever spent.


    Turtle
     
  4. gzent

    gzent Fortissimo User

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    True.

    However, I feel the need to caution those who think a PT or worse a chiropractor is a first choice when they feel back pain.
    I personally wasted years and lots of money on a chiropractor with no idea of what was really wrong with my spine.
    Going to a spine specialist (MD with certification for orthopedic surgery) was what got me down the right path.

    I understand that route can be expensive.

    I would challenge - how much is your health worth to you?
    And more importantly, what if your pain is not posture, or muscular, or even a disk, but what if it is cancer?

    You could be using a totally wrong wrong treatment when surgery could be required to not just alleviate the pain,
    but to save your life.

    So maybe because I work at a big hospital I my bias makes me sound like a commercial.
    But medicine is complicated. Fixing a machine as sophisticated as the human body is a challenge.

    We use all sorts of diagnostic techniques to find illness and design treatment plans.
    Is it expensive? Yes. But again, what is your health worth? Consider the time lost to living with
    pain for years because you are getting the wrong treatment - what is that lost time worth?

    I wish I could go back and tell myself of 25 years ago what I know now about my spine, but I can't.

    Some people only learn the hard way and that's their choice. When it comes to this topic, and a lot
    of topics we talk about, I put my experience out there as truthfully as I can. A lot of time people
    resist, sometimes in a rude way (not the Turtle). I can take it, I'm a big boy. I would rather get
    insulted by 20 ignorant people if it means 1 person can use my experience to lesson their struggles.

    Greg
     
  5. Solar Bell

    Solar Bell Moderator Staff Member

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    Metro Detroit
    Number one,,

    I am also 60ish..... I play all the time, lead in the busiest big/swing band in Detroit. Don't think for a moment that you are getting into the old fart stage. You think that way, you end up that way!

    As a new guy in the band said to me after Saturday's gig, "How do you play that strong and hard through all the sets every week?"
     
  6. gmonady

    gmonady Utimate User

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    Dayton, Ohio
    Greg, have you tried Willow bark or Back-2-Life? Both are strongly Evidence-based and a lot safer than steroids and traditional NSAIDs.
     
  7. graysono

    graysono Mezzo Forte User

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    Hyde Park, Utah
    Been there and done most of the foregoing including a hemilaminectomy (L5-S1) when I was about 40. That was 35 years ago. What works for me now, is some careful abdominal strengthening and stretching particularly of my hamstrings. (There is apparently evidence that suggests that tight hamstrings may either be a result of or the cause of some lower back issues.) I have had to fall back on occasional--once a year epidural injections--when all else fails. So this is a rather a large club, n'est-ce pas?
     
  8. gzent

    gzent Fortissimo User

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    Rochester, MN
    Haven't tried either.

    Back2Life sounded like hokum to me. Long brisk walks do as much good I would think.

    I've tried various NSAID's. Ketoprofen in larger, scripted doses worked the best.

    I have no reason to think Salicin would be much different than aspirin since they are so close
    chemically. My experience, in OTC doses, Aspirin works a little better than Tylenol, but not as
    well as Ibuprofen or Ketoprofen which both do more than Naproxen for me.

    A couple of shots of Captain Morgan in a glass of Coke seems to be a pretty good remedy as well. :)
     
  9. VetPsychWars

    VetPsychWars Fortissimo User

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    Greenfield WI
    At $200, not exactly something to try on a whim.

    But!

    A person may have a rocking chair, and using that same position with your legs on the seat of the rocking chair might result in some of the same effect. At least that doesn't cost you anything but time.

    Tom
     
  10. gmonady

    gmonady Utimate User

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    Dayton, Ohio
    It's not hokum... It really works... I have not had a single patient say they have not improved on this device. I saved one patient from orthopedic surgery and she is totally pain free now 2 years out after using this device. It really works... I bought one for my daughter that destroyed her back as a gymnast. She too is now pain free.
     

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