Ultimate Neck Pain, Back Pain & Sciatica Relief Strategies

The Truth About Back Pain and Diagnosis Bias!

Are You a Victim of Neck Pain, Back Pain, and Sciatica Diagnosis Bias?

Diagnosis bias is a real issue in the medical community, one not often discussed, openly or in private. In fact, diagnosis bias is one of those ”dirty little secrets” only recently addressed; and then, only in closed door conferences and at a few of the more progressive medical schools in the country.

Chronic fatigue and chronic to chronically acute neck pain, back pain, and sciatica are among the most difficult conditions to diagnose and treat. A great deal of the reason, or reasons, for the difficulty in properly diagnosing and treating chronic pain and chronic fatigue, to include chronic neck pain, back pain, and sciatica is because while pain is a very real symptom of an underlying condition, and the underlying condition may be recognized and treatment initiated, it is also an abstract concept.

Pain as an Abstract Concept: Difficulties in Diagnosis and Treatment

When I state that pain is an abstract concept, I mean pain in any of its guises, in any and all of its manifestations, is as different from one person to the next as personality and/or fingerprints are. For this reason, and a myriad of others, neck pain, back pain, and sciatica create a number of challenges for medical practitioners, not only in the diagnosis phase but in subsequent treatment.

Value Attribution, Diagnosis Bias, Neck Pain, Back Pain, and Sciatic Nerve Pain (or Sciatica)

When dealing with neck pain, back pain, and sciatic nerve pain (sciatica) complaints doctors, like most people, will often make an initial assessment based on value attribution. Value attribution, in this instance at least, is a first impression of the medical kind! Unfortunately for the individual suffering from chronic fatigue or chronic neck pain, back pain, and/or sciatica the medical practitioner will often stick to that attribution when making even a critical diagnosis, even in the face of contradictory evidence.

Value attribution and diagnosis bias occur for a myriad of reasons, most of all because doctors are human. Medical practitioners are subject and susceptible to the same biases and prejudices the rest of us are. Interestingly, this bias, once set in place, will often shape the medical practitioner’s future perception of a patient’s complaints, once again, even when confronted with contradictory evidence, and will shape the treatment received…or not received.

Value attribution and diagnosis bias are covered extensively, and quite well, by Brafman and Brafman in their book Sway: The Irresistible Pull of Irrational Behavior. I recommend it for anyone who would like to understand why we do the things we do and make the decisions me make…and are forced to live with. This book is particularly appropriate for anyone who feels he or she may have been a victim of diagnosis bias.

The Video, Chronically Acute Back Pain, and Diagnosis Bias

I have first hand knowledge of diagnosis bias as it applies to neck pain, back pain, and sciatica and I discuss the situation and its eventual outcome in the video below. It should be an eye-opener for many, for others living through it at this time, it may give you what you need to press on and fight back, fight against the diagnosis bias that nearly took my life and ultimately robs many neck pain, back pain, and sciatica sufferers every year of the life they could have if only someone took them seriously…or just took them differently!

Chronic Fatigue, Chronic Pain, Empathy, and Abstraction

In fighting chronic fatigue, and chronic pain, one very often goes through the same battles to be heard and taken seriously. Many times even friends and relatives just don’t understand. How could they, pain is such an abstraction and if they have never experienced it themselves? Again, how could they!

Given the above, one would still hope the medical community, and particularly specialists trained to deal with chronic fatigue and chronic neck pain, back pain, and/or sciatica would be somewhat immune from value attribution and diagnosis bias. Yet we know that, in fact, some are and some aren’t!

The Good, The Bad, and The Misdiagnosis

Just as there are good physicians and bad ones, there are good chefs and terrible ones, there are good pilots and bad ones…and they all make mistakes. The trick here is to not allow others to lump you into a category before an adequate diagnosis has been made. Whether the condition is a chronic one, one that is chronic and acute or
is relatively new and still very much in the acute phase, do not allow your medical pracitioner to make an attribution, a diagnosis, based on a bias and without all the facts. As stated above, pain in any and all of its guises is a symptom and it is their task to uncover the cause and treat it effectively.

Do Not Take No for an Answer!

And do not take “I don’t know” for an answer! Press on until someone, somewhere provides you with a legitimate diagnosis and the quality care you deserve, care we all deserve. There is a life on the other side of any chronic fatigue and/or pain condition, do not allow anyone to rob you of even one day of your life…much less your life in total, as almost happened to me!

Best wishes in health!

John

Professor John P. J. Zajaros., Sr., The Bad Back Guy
216-712-6526
216-539-7412 (bus)
Skype: johnzajaros1
johnz@ultimatebadbackstrategies.com

PS, If you would like to take matters into your own hands and grab control of your life? If you would like to achieve a neck pain, back pain, and sciatica free life? Simply click here and you will be on you way, one step closer to neck pain, back pain, and sciatica relief…once and for all!

The Ultimate Neck Pain, Back Pain, and Sciatica Relief and Treatment Strategies for a New You in the New Year!

Over the course of the Summer and Fall we have explored many of the ultimate in neck pain, back pain, and sciatica relief and treatment strategies, in terms of self-administered treatment and focusing on:

1) The personal assessment, to include the visual assessment, measures with the tape and a scale, and chronicling the observations made in a journal and on a spreadsheet. By doing a proper personal assessment and then keeping track of the course of treatment, both in terms of results and setbacks, you will be able to pinpoint the areas needing attention and those areas responding to your neck pain, back pain, and sciatica relief and treatment strategy.

2) The proper equipment to implement your program. This not only includes the proper gear but the best exercise facility and a trainer suited for someone with neck pain, back pain, and/or sciatica. Also get proper shoes, socks, ice-compression braces for the cervical and/or lumbar regions, and related materials and equipment for your walks, workouts, and for your day-to-day life. DO NOT SKIMP! You will pay the price if you do. Just think about how much you have spent on medical bills, co-pays, prescriptions, and lost wages! Also carry with you an emergency kit for your walks and workouts, so if something should come up, you are prepared.

3) This also includes the best medical practitioner, one sensitive to your needs as a patient and as a person attempting to reclaim their life. I feel this is crucial! Do not accept someone with a fatalistic approach! You are not doomed to have neck pain, back pain, and/or sciatica for the remainder of your life. If you have a medical practitioner who tries to get you to go along with that mindset…fire him or her at once! Keep in mind another thing, the best available at the present time, does not mean it will be the best available 6 months, a year or 5 years later. So never give up…and never give in!

4) The proper program! This is crucial. I’m afraid there are gaps in almost every program out there. Not only does each and every program have gaps, they all have their particular biases. Remember, what works for one may not work for the next, so if something doesn’t match up well and workout to your satisfaction, after a proper trial, of course, then move on. But never give up or give in! There is a program for you…or another coming down the pike in the next few months! (Guaranteed!)

5) Get active! Make sure you begin with stretching and walking, then build up to exercises designed to make the most of your time and situation…while still dealing with you neck pain, back pain, and sciatica. Make sure you don’t over do it at first but make sure you maintain an active lifestyle, and do more each and every day.

6) Remember CANI! Tony Robbins’s “constant and never-ending improvement!” Only through consistent and constant action, building one day upon the day before, can we ever hope to achieve our goal…in this case neck pain, back pain, and sciatica relief long term.

For the remainder of the steps we have taken, just look back over the past 5 months, here and at The Bad Back Guy’s Neck Pain, Back Pain, and Sciatica Relief Blog!

The video below includes a description of the next 40 days, in very broad strokes. I hope you will stay with me for the next 40 days, as we enter the New Year…a neck pain, back pain, and sciatica free New Year!

Take a look back to June 30, 2009, by then I was well on the way to a new life, a neck pain, back pain, and sciatica free life. However, you will see a different person than the one looking back at you from the video below. I did that in less than 5 months! I can help you do the same…if you will allow me into your life just long enough to help you change it, to get it back, to find real and lasting neck pain, back pain, and sciatica relief!

I look forward to serving you, if you will let me! Neck pain, back pain, and sciatica do not have to be a reality…and neither do any of the 5 factors:

1) Excess weight and/or obesity.

2) Muscle weakness.

3) Muscle imbalance.

4) Inadequate diet and nutrition.

5) Dehydration.

After 14 spine operations, a complete shoulder reconstruction, and a number of other injuries and medical issues, including 2 crushed vertebrae in my neck, I am no stranger to pain, to surgery, or to rehab. My military background, my background training top-level amateur and professional athletes, and my education as a physical anthropologist, winning one of the most prestigious doctoral fellowships in the country at the time, and focusing on age-progressive phenomena affecting the spine and sacroiliac joint, put me in a unique position to not only help myself…but to offer my assistance to those who need it, if you want it!

Once again…neck pain, back pain, and sciatica do not have to be a death sentence…or a lost-life sentence! There is a way out and I can help!

Contact me anytime!

John

Professor John P. J. Zajaros, Sr., The Bad Back Guy
216-712-6526
Skype: johnzajaros1
johnz@ultimatebadbackstrategies.com

PS, For the best program online at the moment, and a great first step to neck pain, back pain, and sciatica relief…click here!

Stretching is a crucial part of any neck pain, back pain, and sciatica relief and treatment exercise program.

Begin your routine slowly and you will be amazed at the results!

I have made the video below with two stretches I do often, several times a day as a matter of fact. They help relieve tension and they help to alleviate stiff and tired neck and back muscles.

For those just beginning a neck pain, back pain, and sciatica relief and treatment exercise program, these stretches will be immensely helpful!

Contact me anytime!

John

Professor John P. J. Zajaros, Sr., The Bad Back Guy
216-712-6526
866-835-2913 (toll free)
Skype: johnzajaros1
johnz@ultimatebadbackstrategies.com

PS, For a wonderful program that will get you started in the right way and lead to real and lasting neck pain, back pain, and sciatica relief…just click here!

Neck Pain, Back Pain, and Sciatica: Understanding and Dealing With Failed Back Surgery Syndrome

Spine surgeries are performed for a myriad of conditions and complaints every year here in the United States and around the world. Of the spine surgeries performed, an incredibly high number result in what is known as failed back surgery syndrome.

When referring to the terms spine surgery and back surgery, I will be applying them in their broadest sense, meaning neck, upper, middle, and lower back surgery.

Back surgery is generally the result of a number of complaints and conditions, usually all related in some way to acute and/or chronic neck pain, back pain, and/or sciatica. Failed back surgery syndrome is generally a continuation of pain, known as chronic pain, and other symptoms affecting the patient.

The medical names for the various back pain expressions are as follows:

1) Back pain, also known as dorsalgia, is a generalized pain experienced, mild to acute, isolated to chronic, in the back and originating as the result of a number of conditions, affecting a variety of structures (e.g., nerves, vertebrae, joints, intervertebral discs, etc). Back pain is said to affect as many as 95% of all adults at some time in their lives.

2) Neck pain, also known as cervicalgia, affects as many as 66% of all adults at some time in their lives. Neck pain may also express as pain in the shoulder, arm, and hand, with associated numbness and tingling into the hands and fingers.

3) Upper back pain, also referred to as thoracic pain or middle back pain, is expressed along the spine from C7 to L1, or from the base of the neck to the base of the thoracic region of the spine. Upper or middle back pain is often but not always isolated to a specific location and has a lower incidence than neck or lower back pain.

4) Lower or low back pain, also known as lumbago, is pain in the lumbar region and may be localized or may radiate laterally. In its worst form, lower back pain will be accompanied by sciatica or leg pain radiating into one or both legs.

5) Sciatic nerve pain or sciatica, also referred to as sciatic neuritis, often associated with lumbar radiculopathy, and commonly referred to as “leg pain,” generally arises as a result of an irritation or compression of one of the five nerve roots that ultimately make up the sciatic nerve. The leg pain may extend into the feet and often ranges from acute to chronic and sensation from tingling to numbness of the legs, feet, and even the toes.

Stress and Trauma Induced Neck Pain, Back Pain, and Sciatica

The pain expressions listed above, neck pain, upper and middle back pain, lower back pain, and sciatica, are complex and often arise as the result of stress placed on the spine and the reaction of the spine and the supporting musculoskeletal system to a specific stressor or constellation of stressors, whether generalized or specific. The spine may also be traumatized as the result of an isolated event, thus resulting in pain to a specific location and ranging once again from acute to chronic, depending on a myriad of factors.

Failed Back Surgery Syndrome: Failure of Expectations

Often, particularly when the reason for the back pain is the result of a number of factors, back surgery may not yield the anticipated result. The failure of the back surgery thus leading to a continuation and, in many instances, increasing levels of neck pain, back pain, and/or sciatica, and failed back surgery syndrome.

Failed Back Surgery Syndrome: Odds of Success and Behaviors

It is estimated that several million individuals see a medical practitioner daily for neck, back, and sciatic nerve pain and that between four hundred thousand and five hundred thousand individuals in the United States alone undergo back surgery in one form or another every year. Of the half a million neck pain, back pain, and/or sciatica sufferers who submit to back surgery every year, between 20% and 40% continue to have significant issues, to include similar or increased levels of pain, overall muscle weakness, excess weight and/or obesity, sleep disorders, depression, numbness and tingling of the extremities, and disability…to list just a few.

Failed Backs and Frustration Across the Board!

There is a general sense of frustration, not only on the part of the surgical patients and their families, but also within the medical community, as failed back surgery syndrome is one of the most perplexing issues facing orthopedic medicine today. The condition is not an isolated syndrome, and in fact to call failed back surgery syndrome a “syndrome” is a misnomer, it is a condition resulting from a constellation of issues and a myriad of factors, many completely unrelated to the surgical procedure itself.

Failed Back Surgery Syndrome: Reinforcing Results and Behavior

Individuals with failed back surgery syndrome, also referred to as post-laminectomy syndrome and failed spine surgery, or simply failed backs, generally have chronic to chronically acute pain affecting the original area of concern. Neck pain, back pain, and sciatica may grow worse with time and the pain may become debilitating and disabling. The resulting pain often leads to guarding, decreased activity, loss of muscle tone and sensation, over all malaise, and often addiction to pain medication.

A Mixed Bag: Why FBBS?

Failed back surgery syndrome may result from an ill-advised surgery, an ill-prepared surgical patient, an improperly executed surgical procedure, an incomplete surgical procedure, an incomplete or inadequate post-operative experience to include under prescribed physical therapy or incomplete physical therapy regimen, and a myriad of other reasons and consequences. Failed back surgery syndrome may also be the result of a number of psycho-social and socio-economic factors, as has been suggested in the medical literature lately as orthopedic medicine attempts to come to grips with this complex and frustrating issue.

The Reality of Failed Back Surgery Syndrome: Get a Second Opinion!

The reality of the matter is, regardless of cause, failed back surgery syndrome is a fact of life for tens of thousands of neck pain, back pain, and sciatica sufferers every year…and there is little hope in sight that this complex issue will be resolved any time soon. Ultimately, before agreeing to any sort of surgical intervention for neck, back or sciatic nerve pain, an individual should get a second opinion and explore every avenue of relief possible first…because the risk of a failed back surgery is real.

More in the next article: How to Deal With Failed back Surgery Syndrome

You can also see several videos dealing with failed back surgery syndrome and neck pain, back pain, and sciatica at my blog covering The 30 Day Neck Pain, Back Pain, and Sciatica!

John

Professor John P. J. Zajaros, Sr., The Bad Back Guy
216-712-6526
Skype: johnzajaros1
johnz@ultimatebadbackstrategies.com

PS, If you want to win back your life and live neck pain, back pain, and sciatica free? If you want to find real and lasting pain relief in a program of self-treatment with great individualized support? A free trial that is 100% guaranteed? Just click this link and begin your new life today!

The 5 Ds – Degenerative Disc Disease, Diet, and Dehydration
Degenerative Disc Disease Part III

As stated in the previous two articles in this series, degenerative disc disease is not a disease but a process, a condition. Or, better still, degenerative disc disease is an age-progressive phenomenon or set of phenomena working in concert, and against musculoskeletal health generally, and spine health in particular. Degenerative disc disease affects millions worldwide, one of the principal causes of neck, back, and the sciatic nerve pain as we age.

There are a number of reasons why musculoskeletal health generally, and spine health in particular, degenerates as we grow older. There are a myriad of factors and processes that come into play and affect the overall health of the spine as we age, to include:

• Many begin to carry excess weight, some becoming medically obese.

• Our muscles weaken as we age, particularly when living a sedentary lifestyle.

• Muscle imbalances are common and widely misunderstood.

• Inadequate diet and nutrition is a fact of life for many reasons, around the world.

• Inadequate hydration and/or dehydration is a reality for many of us.

We have touched upon the first three of the above factors contributing to degenerative disc disease in the first two parts in this series. In this article, we will deal with the fourth and fifth factors on this list:

• Inadequate diet and nutrition

• Inadequate hydration and/or dehydration

In many ways, the final two factors are the most important for reasons we will discuss below (note: the number of factors affecting spine health is by no means restricted to the five mentioned previously and above but they are the most important).

Degenerative disc disease generally leads to neck pain, back pain, and sciatica at one point or another in our lives, particularly as we age.

Degeneration of the intervertebral disc (IVDs or discs) may lead to a bulging or herniated (ruptured) disc. When the disc bulges or ruptures posteriorly (to the back), the disc material may affect (i.e., irritate or impinge) the nerve root and lead to neck pain, back pain, and/or sciatica…depending on the level affected. Disc degeneration, depending on how severe and at what level, may lead to a cascading or ripple effect. Whereby, discs above and below the affected IVD begin to come under increasing levels of stress and may bulge or rupture, particularly if they have started to degenerate, as well. This sort of ripple effect can be very difficult to treat and neck or back surgery is generally ill advised, the likelihood of failed back surgery syndrome is a reality.

In an individual with advanced degenerative disc disease, the prognosis is generally not good and neck pain, back pain, and sciatica may be chronic and pervasive throughout the spine.

While the above scenario sounds dire, there is a way out!

We have discussed excess weight and/or obesity, muscle weakness, and muscle imbalance in the previous two parts in this series. Diet and nutrition and hydration are crucial to tying it all together and, without attention to these final two factors, the likelihood of a good outcome when dealing with degenerative disc disease is almost nonexistent.

Diet, Nutrition, and Dehydration

Without proper diet and nutrition, and without adequate hydration, meaning an adequate intake of water on a daily basis, our body cannot ward off the effects of age nor can it replenish and rebuild itself, as is required for overall spine health. There are a number of reasons why diet and nutrition, or rather inadequate diet and inadequate nutrition come into play, particularly as we age. Many of the reasons for inadequate diet and nutrition are cultural, some are biological, and many more are economic. For many throughout the world, it is a combination of all three. However, for the majority of us in the western world it is a matter of lifestyle. In very much the same way a sedentary lifestyle often affects disc degeneration, leading to degenerative disc disease and neck pain, back pain, and sciatica, a busy lifestyle, one where meals a gulped down and little attention is paid to nutrition and balanced meals, the outcome may be the same.

Rebuild and Replenish: The Consequences of Aging

When little attention is paid to diet and nutrition, the body simply cannot ward off the effects of aging and cannot repair and rebuild itself. As we live our lives, the body generally, and spine in particular is placed under severe stress and often must deal with traumatic events on a daily basis. If the spine is healthy and has plenty of material to rebuild itself, the stress and even isolated trauma is generally handled quite nicely. However, as spine health begins to deteriorate and the process of disc degeneration is initiated, combined with an inadequate diet lacking the proper nutrients, the breakdown in overall spine health is exponential and neck pain, back pain, and sciatica becomes a reality. This is easily offset, if caught early enough, and may be arrested even in more advanced cases, provided proper attention is paid to nutrition and diet…meaning what and when we eat.

Dehydration: A Fact of Life for Millions

The final component to be dealt with in this article, the last of the five factors contributing to degenerative disc disease; and, neck pain, back pain, and sciatica is dehydration or simply inadequate hydration. The intervertebral discs are made up of approximately 85% water. During the course of the day we lose a great deal of water through a variety of processes and functions. By the end of the day, providing we do not take in adequate amounts of water, we go into water debt. The debt is difficult to repay and the damage done, if this debt is ongoing, is substantial. Water is crucial to bodily function and is necessary for cell health, for rebuilding and repairing various anatomical structures, and for overall physiology. Meaning, without water the structure and the function of the body is negatively affected.

When it comes to spine health, dehydration leads to intervertebral disc degeneration because the main component of the IVDs, water, is lacking.

In today’s world, we take in large amounts:

• Soft drinks, many with caffeine and sodium.

• Coffee and tea, both with high levels of caffeine and/or related substances.

• Alcohol, more destructive and in more ways than we can address here.

• Sports drinks, perhaps the worst when it comes to sodium.

• Energy Drinks, perhaps the worst of all for sodium, caffeine, and a number of other substances (chemicals)!

In every instance, in every drink listed above, there is one common factor, they are all diuretic. Consequently, they all negatively impact the body’s overall ability to hold water. As a result, and because they are the staff of life for millions of people around the world, almost all of us drink them, many of us are in a constant state of dehydration…and don’t even know it.

The constant state of dehydration leads to inadequate amounts of the necessary component for proper spine health, water.

Dehydration also leads to significant problems at the cellular level. If there is not enough water for the body to properly conduct the business of life, it will rob the resources it needs from other areas, in this case the body will find the water necessary for day-to-day existence and the overall health of the spine will suffer. The constellation of behaviors and consequences above leads to disc degeneration.

The IVD degeneration leading to degenerative disc disease and, you guessed it:

• Neck Pain

• Back Pain

• Sciatic Nerve Pain or Sciatica

So, what is the answer?

Actually, the solution is not as complex or as overwhelming as it may appear. In order to offset the consequences of aging, particularly the consequences with a behavioral component, we need to adjust our behavior. If we adjust our behavior by addressing the negative impact of the 5 factors on the body generally, and the musculoskeletal system and spine specifically, we may be well on the way to our very own Fountain of Youth.

By addressing the factors leading to a breakdown at the cellular level (i.e., diet and nutrition, dehydration), addressing the behaviors affecting the musculoskeletal system (i.e., the 5 factors), and integrating a plan to focus on the body as a whole (i.e., diet, exercise, and education), we will insure proper spine health and may be able to alleviate and/or eliminate the consequences of degenerative disc disease and neck pain, back pain, and sciatica.

John

Professor John P. J. Zajaros, Sr., The Bad Back Guy
216-712-6526
Skype: johnzajaros1
johnz@ultimatebadbackstrategies.com

PS, If you are ready to begin the process of changing your behavior and dealing with your neck pain, back pain, and sciatica, as well as your degenerative disc disease, simply click here and take the next step! If you make the decision and take the first step, you will never regret it. And, you may discover your very own Fountain of Youth!