Backs & Back Pain. Discs of the Slipped variety etc

I’ll have a decent crack at writing something substantial over the weekend when I’m at a desktop but it’s worth noting that for LBP specifically there is a push from the evidence based side of the medical field to move away from imaging, pharmacological management, passive interventions (massage, chiro etc), use of GPs (unless for referral), surgery and any terms/phrases that insinuate that the cause of pain has anything to do with misalignment/something “out of place” or that joints/bones can be “put back into place” as they’ve been proven 1) inaccurate 2) not effective 3) harmful or 4) all of the above

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i feel for everyone with back problems as i am now using crutchs to get around as the pain and freezing up can leave me stranded. rather like a large statue that would need a forklift to move. i can’t handle opiate pain killers as they make me feel terrible. trying a bowen therapist as of today so will see how that goes

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the guy banging on about us not knowing about coaching asking a bunch of lunatics that post on a footy forum how to fix back pain?

Not usually, … but when I do, I have to be vigilant in my sitting posture, … it can certainly make it more likely to fk up.

Simply cannot stand at other peoples low sinks to do dishes, … that is inviting it to go, … that 10 degree stoop or so, … nope.

I had a degenerative disc at L5S1 (lower lumber).

After 18 months of every non invasive treatment available I had a spinal fusion surgery. Best thing I’ve done. Almost 18months on I’ve had zero back pain and am exercising.

I had my surgery performed by a neurosurgeon. 6 weeks post op was back at work .

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I’ve found this video a year ago and it has helped me. Dunno about the science of it. Would like to hear @Eastie_Boi thoughts on it though.

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That’s pretty bluddy good compared to what I’ve been told, … but then again, it may be a different sort he wants to do,… using 4 small pieces of my rib bone (IIRC) to eventually grow into small carved notches in the vertabrae and fuse them.

He doesn’t like the plates and screws version for a few reasons.

They used bone marrow in mine.

14 hours post op I was walking.

I do have certain restrictions like not running but I never farking liked that much anyway. And conscious of twisting. But honestly I was at the point of vomiting from pain and people though I had cancer because my face was so ashen before the op.

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Is that like forever,… or just the first 6 months or so?

What’s the actual issue?

Forever. I mean road running. The fusion is fine. It’s the pressure on other vertebrate.

I run at the park with the kids just not fun runs and the like.

Right leg being 30 mm shorter than my left ultimately. Caused major lower lumbar disc slip and bulge a few times before that was diagnosed,… and now as the years go by, …is approaching the point of deciding to go out if I turn my head sideways and wink, … it just seems to take less and less for it to go.

So I’m changing tack from prevention, and accepting it will inevitably continue to happen w/out surgery, and am now focusing on trying to mitigate the damage, and downtime and find a faster route to recovery instead.

Actual limb length discrepancy? Or functional cos of spasticity or something?

Either way have you been to a podiatrist and got built up shoes?
If you don’t get it sorted out down there, your hips, low back, spine and neck are going to be doing a lot of weird twisting ■■■■ to compensate.

Yeah. Actual limb length discrepancy.

It’s actually gotten worse over time I think, was 22 - 25mm (so they said) 20 or so years ago. Too late to sort it other than orthotics, and/or building the boots up.

People would have no idea how hard it is to find just a pair of basic fkn runners suitable for the build up these days, … friggen,gel pocket this and torsion centre that. :laughing:

I’ve given up now,… just stick with skating shoes.

Fun fact - it’s estimated that over 90% of the population has a limb length discrepancy of over 1cm, and iirc a 5-6cm discrepancy is the point where it becomes clinically relevant (but I’ll confirm the second one).

Yeah, … at the time the Physio said 7 to 10 mm was nothing abnormal.

But when he levels you up using one and a half local phone books, …

I just wish the first prick I saw with my suspicions when I was 25 or so, had done his farken job properly. If I’d starting wearing built shoes/ orthotics then, it’s almost certain the damage doesn’t happen 6 years later.

Taught me a valuable lesson about Doctors.

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I’m loathe to start giving out medical advice on an internet forum but having experienced the problem long term myself, maybe my input could be helpful.
Two years ago, my back pain was so extreme, I couldn’t walk from the front of my house to the back. (No, it’s just the average sized home.) We had chairs every five or so meters throughout the house and I would lurch from one to the next. It was crutches and, at times, a wheelchair. I went to my GP. Totally useless. I tried physio, chiro, osteo, massage therapy. I had x-rays and scans. I was basically told I was just another old guy with a clapped out, degenerating spine. Nothing worked. What I couldn’t understand however, was why their diagnoses didn’t fit with the symptoms.
Eventually a friend suggested I try a Gonstead chiropractor that her family had found effective. I did a bit of research on line to see exactly what I’d be getting into and the theory seemed good. There’s none of this generalised twisting and crunching that the others had tried. They firstly try to work out exactly what the seat of the problem is, i.e., what’s actually causing it, then they work specifically to rectify that issue, using minimum force for maximum effect. In my case, he looked at an x-ray I had taken for another chiropractor some years previously, pointed to a dark spot on my sacrum and identified the cause of the problem immediately. When he showed it to me and explained it, it was so obvious. I have no idea why any of these other “experts” I’d tried hadn’t picked it up. (Then again, Gonstead Chiros are spinal specialists with many years’ training.)
Once the problem was identified, all that was need was a quick, painless, adjustment to realign my L5. Improvement was immediate. After several visits over the next couple of months to keep things in place, I was back out in the bush, hiking anything up to 30 kms a day with a pack on my back and I’m still going. If ever I feel it start to deviate again, which is usually because I’ve done something I probably shouldn’t have, I just make another appointment and a quick, readjustment sorts it out. I am totally sold on this guy and what he can do and I am so thankful to the person who recommended him to me.
So my suggestion, for what it’s worth, would be to google “Gonstead Chiropractor”, see how they approach and, hopefully, solve the problem and then, if it makes sense, consider looking one up and give it a try. Sorry if I sound like I’m preaching but I’m only passing this on because it has worked so well for me and a number of others I have sent in his direction. Hope this can be of some help. Back pain truly sux!

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How did you have the discrepancy tested?
Unless it was via imagining (ie X-ray) it’s unlikely the figures you’ve been given are accurate as all the tests we have access to during an assessment are, to put it bluntly, woefully inaccurate.

No, don’t be. It sounds like hope!!

Never heard of it. Will look right into it. Thanks. :+1:

Ok followed up with the clinically significant LLD - depending on the source it ranges from 3mm to 60mm which doesn’t help much lol.
At uni they teach 50-60mm (at least in myotherapy and physiotherapy)