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Have You Had Frustration With the Vicious Pain Cycle?

Years ago, before meeting exercise physiologist Rick Kaselj, MS I found myself caught in this vicious cycle after having a football related lower back injury. In fact, I’ve “thrown out” my back on multiple occasions but not once since consulting with Rick.

As Rick later explained to me this cycle is very common and has happened to most of his clients in the past. It goes a little something like this…

  • back-pain-cycleSTEP 1: At some point in your lifting career you come home and your back tightens up on you and you know something just isn’t right so you take some anti-inflammatory pills and throw an ice pack on. It’s not a big deal and part of playing sports and training hard right?Hopefully in a few days it will be completely better, but usually some kind of discomfort or pain lingers. That’s no reason to miss a workout though. Besides you can just avoid whatever causes it to flare up.
  • STEP 2: Eventually this gets old and if it doesn’t feel better after a few weeks or months it’s probably time to visit the doctor to find out what’s going on. After using up a sick day and sitting for an hour in the waiting room it’s pretty annoying when the doctor tells you to rest, ice, and don’t do things that hurt. 

    Seriously? If your insurance isn’t that great you’ll probably have to go back to your primary care doctor to get a referral to see a specialist. They’ll have you do an MRI which is super expensive so hopefully you have a low deductible. You’ll have to schedule another appointment for that though.

  • STEP 3: After the MRI you’ll get the diagnosis at your next appointment. How many appointments is that so far? I’ve lost track already…sigh
  • STEP 4: of the pain cycle is when you get sent to a physical therapist. If you’re in luck your therapist has worked with athletes in the past but who are we kidding, most of the people in the center are not physically fit at all.
  • STEP 5: Modalities you might be exposed to include hot packs, cold packs, ultrasound and electrical stimulation to name just a few.
  • cortisoneshotSTEP 6: Once your insurance runs out or you think you know the stretches and strengthening exercises well enough you can continue with the rehab on your own time.
  • STEP 7: If it still doesn’t feel better it’s time for another MRI……cha-ching, the cost is really adding up fast.
  • STEP 8: Next you can try more physical therapy or you can cover the symptoms with a cortisone shot that will numb the pain for a couple months. After that there’s always surgery, but something in your gut tells you that’s not what you really need. Listen to your instincts.

Hopefully you’re asking yourself…Mike, how do I make sure I don’t get caught in this twisted back pain cycle? I’m glad you asked and my reply is outlined  below.


Deal With the ROOT of the Problem Not the Symptoms

Having chronic back pain most of my adult life I have spent a lot of time researching alternative back rehab solutions.

With these traditional back pain protocols, they focus on purely stretching and strengthening. This alone does not work or at best provides temporary back pain relief. The reality is that stretching focuses on symptoms, not necessarily the problem.

“Neither Strengthening nor Stretching Will Help You Until Your Lower Back
Has Been Reshaped Into a Pain Free Lumbar Spine.”

root-causeWhile strengthening is important, it needs to be done when the lumbar spine has been reshaped into a pain-free back area. If you have not reshaped the lumbar spine into a pain-free area, you are just adding more strength to a painful region and making the problem worse. In time this stress leads to repetitive back injuries, increased vertebrae damage and overall lower back pain.

If you’re a personal trainer like me, this example will illustrate what I mean by reshaping. Lets say you want to become a strong deadlifter but your form is all jacked-up.

All the workouts in the world aren’t going to do you any good until you get your technique down. Once you have your technique perfected you have the platform to start planning your reps, sets, assistance exercises and other areas of your overall program.

It’s the same deal with your back. Don’t jump ahead to the stretches & exercises until you’ve reshaped the lumbar region to give you a solid foundation to progress from.

In tomorrow’s update we’ll share with you how to re-shape your back so that when you strengthen it you will NOT be causing more damage.

Get back to training hard,

Mike Westerdal & Rick Kaselj, MS

Other Updates:

Early Bird VIP Cut the Line Notification List (52% Off Coupon)

5 Pitfalls at the Gym Leading to Back Pain & Injury (PDF Direct Link)

Leave A Reply (9 comments So Far)


  1. Rick Kaselj
    13 years ago

    This is Rick!

    Let me know if you have any questions?

    Rick Kaselj (One of the guys in the interview)

    .


  2. Ana Philippson
    13 years ago

    Hi Rick,

    You’ve said many times that lying on your back and tucking knees to chest (either one at a time or both knees) adds tremendous pressure to the back….Why? Especially when people say it feels so good.

    Thanks,
    Ana


    • Rick Kaselj
      13 years ago

      Thanks Ana.

      It changes the curvature in the lumbar spine (lower back).

      Change this curve, leads to an increase stress on lumbar spine.

      If you have had a back injury, if you have a sensitive back or if you would like to prevent back pain, I do not advise it.

      Why it feels good is because is stretches the muscle in the lower back which are tight because they are working hard to protect the back from more harm and injury. The good feeling is an acute stretching effect.

      Rick Kaselj of http://ExercisesForInjuries.com

      .


  3. Ken
    13 years ago

    Re-shape my back???? After about 70 years of hard work sports (football, basketball, track & field , up to and including college level) , and later golf, tennis and racquetball (serious weight lifting and training all thu it) I finally reached a point whwre my legs could only handle about 30 minutes of walking. After shots and rehab worked only temporarily my ortho Doc decided the only remedy would be surgery. I now have a metal cage, rods and screws in my lumbar spine. After long rehab I can now do less than 30 min minutes of walking. I’m now back to golf ( only 9 holes with a stiff back). Can my back be “reshaped” enough that I can walk again? Looking forward to lifting weights over 25 lbs. (Please don’t tell me to sit back and enjoy my “golden years”)

    re-


    • Rick Kaselj
      13 years ago

      Ken,

      Yes, Fix My Back Pain can help.

      Rick

      .


  4. Steven W Roberts
    13 years ago

    I went thru a series of spinal injections a few years ago to stop severe back spasms. It helped but the spasms returned a year or so later


  5. Quyen
    13 years ago

    Hi Rick,

    This is to avoid back pain. I’m already have a back pain, and it stop me from work out. I can only do cadiro now. I see a doctors before, all she gave me is a pain relief, and she said that there are no cure for this kind of pain. I only can avoid it by not lifting heavy.


  6. jeremy helms
    13 years ago

    Hi rick, i have been dealing with inexplicable back pain for months now. It started when i would wake up and it would be stiff and hurt a little, i would stretch in the a.m. and be fine the rest of the day. As it went on for a month ot so the pain started coming back throut the day and no amount of stretching would make it go away. Finally 3 days ago i picked up something light at work amd tweaked it


  7. grant
    13 years ago

    commpression fracture L3, L4, L5 endless back pain please help