Edward A Reno III said:
I'm really frustrated. In the middle of a job and I tweaked my back again. Didn't throw it out completely thank god but enough to where I can't stand up straight. This is chronic issue that comes around when I get lax with my exercises, though even then it can come out of the blue. Client supposedly wants to move in on Wednesday, but there's no way I'm going to be able to show up tomorrow to finish up the thing I'm building. Have an appointment first thing tomorrow morning with the dr. to score some muscle relaxants, which are basically the only thing that give me a semblance of mobility when this happens.
I'm sure I'm not the only one with this problem. Any strategies for dealing with this when it happens that you guys follow?
Hi Edward
I a bad fall when I was 22 years old and it took 3 weeks before I could stand and walk. Nothing was diagnosed then but 15 years later I started getting problems and detailed investigations revealed that I had broken my back in that fall. Over the years the problems became worse and now 45 years since the accident I feel that I am an expert in my condition.
The first thing that I learnt is that exercises that strengthen the back muscles is vital. Some of the exercises are not obvious for the back. I will not describe the ones that I do as it may vary from one condition to another.
When I have a bad spell I am almost immobile and the pain can be very bad. The pain is mainly from the muscle spasm and it is important to calm those muscles down as soon as possible. This can be tackled in three ways:
- reduce the stress by resting in the most comfortable position
- use pain killers to interrupt the pain/spasm cycle
- use a heated pad on the areas of pain
I will go into a bit more detail on the three areas above.
I have spent a shed load of money on a very comfortable chair that allows me to recline in a really satisfactory way when in a period of pain. The chair is German and sold (in the UK) under the "Zero Stress" name. After several years of indecision we have also bought a Tempur mattress. We have the original (firm) version. Tempur use memory foam which moulds to the shape of the body. I am touching wood right now - since we bought the mattress in January of this year I have had no period of immobility at all - I used to have about one week in five where I could not walk more than a few steps.
For pain relief I tried Paracetamol (not sure what it is called outside the UK) and Ibuprofen. However, Paracetamol was mostly useless and Ibuprofen upset my tummy too much. About 8 years ago I moved on to oral Morphine which is (for me) the very best way to help break the pain/spasm cycle. I usually can manage with just two doses but it does lead to constipation which is a risk that people need to be aware of.
All of the medical experts that have contributed to my ability to live with this have told me to use heat to relieve the muscle spasm. I still hear (non medical) people swear by the application of cold packs which I do not recommend. I have a bag full of beads (cherry stones will do) that you put in the microwave for 3 minutes and then apply to the area of pain.
My spinal consultant did offer to operate but I have put this off for now. About 12 years ago things were so bad that I could do nothing other than shuffle around the house. This went on for nearly 5 months. The consultant then recommended a series of injections into the spine which I agreed to. They worked brilliantly and I was walking upright again within 10 days. I was told at the time that these injections sometimes do not work but mine were great. I am getting to the stage of having the injections again although the step change improvement from the Tempur mattress may mean this is not required.
The bottom line is - apply heat, find an effective pain relief that suits you and get a Tempur mattress.
Peter