Do I have to do my exercises for the rest of my life?

People often think, “Do I have to keep doing all of these exercises for the rest of my life?” after coming to therapy and performing weeks of exercises, getting hands on care from your therapist, then getting back to your pain free life.  This is a great question, and the answer is both yes and no.

Let me explain: If you are performing 10-20 minutes of exercises on a daily basis, there is no need to continue to perform this many exercises.  However, I have a question for you: Do you brush your teeth every day?  Why?    To prevent you from having cavities, would it make sense to perform a few exercises every day to prevent you from having your pain again?

After you complete your therapy there are most likely 2-3 exercises that you should be performing to keep your strength up and prevent you from having your problem return.  This should only take 5 minutes or so 2-3 days a week.  You want to keep the muscles that have a tendency to be weak strong to keep your pain away.

 

Dr. Christopher Aeschliman, PT, DPT

Back Pain And Sciatica Treatment Options

Stop Spending Money on ineffective treatments and gadgets when managing pain.

Costs of Surgery 100-300K+  (Insurance will cover this if your deductible is Met)

Cost of Injections  $150-400/injection ( Short lived and causes more damage)

Cost of Going to The Dr first for Pain  (Time, waiting for medications to work, time off work, time back to Dr to say Pain medications are not working, Costly X-Rays, CAT scans and MRI’s that reveal no problem. Or your spine looks like the spine of a 90 year old.) Could be up to 2 months of your time.  Pain still continues.

Dr refers you out to see a PAIN Specialist for injections.  Cost $150-400/injection. (Typically the injections will last the longest the first time, then future injections cause damage but are still a bandaid and does not FIX the problem. )

Finally you get to see a P.T. in a hospital setting that gives you silly exercises that are temporary and in effective.

Then off to your Ortho Dr. You are a GREAT candidate for surgery.  You see where this is going right?

From what my patients tell me, this process can take 6 months to a year.  But barely any relief and you have missed so much work and have spent possibly your deductible.  This is our current IN-Network system.  So now that your deductible is met you want to only see providers that are any in network provider.  I understand, you have spent a lot of Time and Money and want your insurance to now cover your treatment.

The problem with this model is that you will only reach the GOALs set forth by your insurance company. Typically if physical therapy is the option of treatment selected you can now be happy to reach a level of 3/10 pain by using your insurance card. Most people believe that PT does not work, because they chose a PT that was an in network provider that chose to get paid a discount from their insurance and because they are reimbursed so low they will need to see several people at one time to cover the expenses they have.  This system does not work to effectively FIX your back pain or any other pain for that matter. You will see temporary results in this system. ( BTW, after this many will seek surgery because of the time) Ouch!

The choice that we recommend is much cheaper, saves time and will help you better understand your body and the pain you are experiencing.

Seeing a Therapist that specializes in Hands on Treatment first, followed by neuro re-ed, muscle energy techniques, Laser, Dry needling and cupping followed by some exercise.  (Not hours of exercise) Will effectively FIX your pain and help you to return to doing the things you LOVE TO DO. The cost of this Model.  Under $2000.00 to be fixed. In most cases it can be under $1000.00 for the total treatment. Better yet, you don’t need to see your Dr first, go in for X-Rays or expensive MRIs and will get relief the very 1st visit. Typically in 10-12 treatments you are done and better understand how to prevent the pain from coming back.  Which treatment will you choose? Ready to FIX your pain? Reach out to me today askkim@stretchphysicaltherapy.com  A Better You… One Stretch At A Time.

Temporary Back Pain Relief

hooklying

All too often people suffer from low back pain.  The first step to treating the back pain is to find a pain relieving position.  The pain relieving position is the foundation upon which we can build our exercise routine.  No matter the type of back pain, the position as shown above tends to calm down the lower back pain.  The position is to lay on your back with arms down by the side.  The legs should have a moderate bend in both the hips and knees.  Symptoms tend to subside upon getting into this position.

Why does this position tend to relieve lower back pain?  Our biggest villain for joint pain is gravity.  Gravity is relentlessly pushing down on our bodies all day, everyday.  When we are sitting, standing or walking, gravity is putting pressure straight down our spine which takes its toll on our lower spine after a while.  When we lie down, gravity is not pushing directly down the spine across the spine so it’s effects aren’t as great.

Now our posture also plays a part in this as well.  Even if we had perfect posture, we wouldn’t be able to stand all day long due to gravity pushing on our lower spine all day.  But very few people have great posture so our ability to stand or sit for prolonged periods is less than optimal.  In this hooklying position, the position of the legs rotates the pelvis back and flattens the spine.  The flattening of the spine helps muscles and ligaments relax and decompresses the forces gravity was exerting on the lower spine all day.  This helps to get us into a better posture albeit laying down.

So do this next time your back pain acts up to see if you get relief.  Just remember, movement is the real treatment to lower back pain so remember to do exercises as well.

Have a great day!

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