Got Back Pain? Look at Your Feet...I Did

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Posted on 2009-03-27 16:15:31

Are you part of the 80% of the population who suffers from lower back pain? Pain that makes getting out of bed difficult? Pain that prevents you from enjoying the activities that you love? Pain that just won't seem to go away no matter what approach you take to treat it? If so, then I truly feel your pain. Well not really, that would be kind of weird if I could, but I can definitely relate because years ago I was just like you. My story is not much different than the same one most of my patients tell me on a daily basis (or at least three times a week-that's my work schedule-jealous?). There is one significant difference though: I found the answer to my back pain and it only had a little to do with my lower back! Let me explain.

As a teenage athlete back in the day I was susceptible to ankle sprains. This began when I was around age 15 and continued for many years until I finally got too busy, and hate to admit it too old, to abuse my body year-round. At the time I figured that spraining my ankles was a "rite of passage" to being an "elite" athlete (all 5'8" and 135 pounds of me soaking wet). It wasn't until I looked around and noticed that not a single one of my fellow athletic friends had similiar problems did I realize that this was not a normal result of being a so-called "jock". In fact, if it was, there are millions of better athletes out there than me who never sprained an ankle. Then, around age 19, the lower back problems kicked in. What began as extreme stiffness when getting out of bed that made it difficult slipping on socks eventually became so disabling that I avoided playing pick-up basketball or lifting weights just to get a good night's sleep, despite knowing that it was going to hurt in the morning anyways. This continued throughout my graduate school training and into the early years of professional practice. Imagine that, a chiropractor with a bad back! Oh the irony.

So, exactly how did I come to write this entry with my lower back problems in the past?  For one, I forced myself to sleep on my back instead of my stomach, something I advocate for most of my patients (but not all-more to come on this later). Secondly, I began to focus on my poor posture and adapted my workouts more to core strengthening rather than obsessing about having a "six-pack". Finally, and most importantly, I was introduced to the amazing capabilities of foot orthotics. These custom-molded, plastic inserts have not only had a profound affect on my health but have also transformed the results I get in treating my patients. Little did I know way back when that my ankle sprains were directly related to the bowed-legs my father so graciously bestowed upon me and that the same poor mechanics which caused those injuries also played a part in my lower back pain. In a nutshell, the instability from my structural "defects" (bowed-legs) leads me to overcompensate in order to avoid rolling my ankles with every step I take (ouch) and eventually finds its way all the way up to my lower back. And to think, if I had only figured this out years ago I may have actually lived up to my potential (once again all 5'8" and 135 pounds soaking wet) as an aspiring professional athlete (name the sport...I was going to be the next Bo Jackson). Guess it was my destiny to end up doing what I do (all 5'7" and 165 pounds of me now...I've lost an inch and put on a little weight...more on that later).

That's all for now folks,

Dr. Joe Musolino

Janet said:

Hi Dr Joe - What would you suggest to help dealing with shin splints? I wear orthotics, I stretch prior to workouts and after yet I ALWAYS get shin splints but ONLY in my right leg, not my left.

2009-07-01 17:23:22

Gabriek said:

First and foremost, fimyobralgia IS a real illness. There is at least one specific test that is used as part of making a differential diagnosis. I'm shocked that the first respondant here doesn't want to understand and accept this for a fact. Further, although it wouldn't be used simply because of it's cost, there are specific tests that can be done during a functional MRI that shows the differences in pain responses between an FM patient and a non-FM patient.Have you ever seen a chiropractor for an evaluation and help? It is possible to get some help from a DC, but it's not for everyone. I have other types of arthritis, in addition to FM, so it may be that I would get more relief from a chiro than does someone else. But it's something to try.Have you been referred to a pain clinic? This would be a way for you to get a more updated combination of meds and to help to find other specific management methods that will also be of assistance to you.And when did you last see a rheumatologist? Yes, FM exists, but there are a few other types of arthritis that can mimic some of the effects of FM and that are more easily dealt with. This doesn't mean that you don't have FM or that you're not in pain, it's just a way of checking that there isn't anything else going on. Having any one chronic illness does not make you immune from any other type of medical problem, inlcuding other chronic illnessesMake certain that you stretch and exercise (to tolerance) every day. Doing all of this in heated pool, as a part of an arthritis aquafit program, can do wonders to help relieve some of the pain, and to increase flexibility. It's also a way to get out on a regular basis, and that helps greatly, too.

2012-04-25 10:08:27

Felisha said:

Background info: I'm 23 years old female. I ineujrd my back about 7 or 8 years ago, I got whiplash from a bucking horse. They think I tore muscles and ligaments in my lower back, nothing was broken for the X-rays. I did physical therapy (PT) for it for about 6 months. About 3 weeks ago I found out that my left leg is about 3 cm longer than my right and could be causing some of my back pain. Oh and I have consent lower back pain. About 1 year ago in March I was diagnosed with lateral tracking of the patella on my right knee. I did 6 months of PT for it and I'm back in PT for it and have been doing it for a month and half. I got an MRI and it was clean, nothing torn or broken. The surgeon says I definitely have knee pain but the cause of it is unknown and surgery right now is not a option. I can't run, go up or down stairs with out pain, sitting or standing for a long time hurts, driving hurts sometimes, I cant put all or some of my weight on it. I get a burning pain in the inside of knee, it makes a popping feeling, and on the top outer ledge of it. I'm going to go see an orthopedic spine surgeon this week, but this would be doctor number 4 that I have seen for my knee. I really just want to run again and have someone tell me that they know why I'm in so much pain. I can deal with the back pain b/c that never stopped me from running, riding, or got in the way of my life but my knee has. So if anyone can give me clues or help me out with this I would greatly appreciate it. If anyone knows of a Dr. House for knees please let me know!

2012-04-25 11:20:41

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2012-04-28 11:31:03

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