10/29/2019
Such a great summary of the basics on back pain!
💥💥 RIDER BACK PAIN WEEK 💥💥
This week we’re talking all things back pain in riders. This is the first in a series of posts. Tonight is an overview of back pain facts 😊
✅ Back pain is common and normal
80% of people will experience an episode of back pain at some stage in their lives. Back pain is like getting tired or feeling sad, it’s not great when it happens but it does happen to almost everyone.
✅ Most episodes of back pain improve quickly
That’s the good news. Most episodes of back pain are as a result of simple sprains and strains and the prognosis is excellent. Most people will make a full recovery within a few weeks and almost 85% of people will be fully recovered within three months. Only a small percentage go on to have long term, disabling conditions.
✅ Pain does NOT reflect tissue damage
All the recent research evidence shows us that pain does not reflect tissue damage but is a complex and highly sophisticated protective mechanism. Pain is actually an output of our brain. Our bodies contain specialised nerves which detect changes in temperature, chemical balance or pressure. These danger detectors send alerts to the brain but they cannot send pain signals, only the brain can do that.
✅ Pain is all about protection
Pain is as a result of our brains evaluating information, including the danger data from this specialised detection system, our expectations, previous pain exposure, our beliefs, as well as our cultural and social norms. Our brains correlate all this information and come up with a “best guess” scenario based on this information. So, as Lorimer Mosley a leading pain scientist says, pain depends on how much danger your brain THINKS you are in not how much danger you are actually in. Anything that suggests you need protecting brings pain up and anything that suggests you don’t brings pain down.
✅ Pain and tissue state are poorly correlated
You can have major pain without major tissue damage. Think of when you have cut your finger or sprained your ankle - these things stop hurting WAY before the tissue is back to normal physically.
✅ We are amazingly adaptable
The longer we have pain, the longer our nervous and immune systems learn to make pain. But we can retrain the nervous system.
✅ Movement is key
Movement gradually suppresses the pain system. Exercise has been shown to be THE best modality in the treatment of acute and chronic back pain. Studies have shown long term benefit in a wide variety of exercise, including resistance training. No one exercise type has been shown to be better than another so find what you like and can tolerate, and build up as you can.