Back Pain – How Does It Become Chronic?

This 3-year study into back pain across the globe published in the prestigious medical journal The Lancet reports that our current treatments for back pain are lacking in evidence of effectiveness. See article below

LANCET ARTICLE low back pain

This research paper [below] shows how the Psoas Major Muscle exerts huge compression and sheer forces on our low spine resulting in crumpling and severely shearing the lumbar spine.

Anatomy and biomechanics of psoas major

We label Low back pain as either Acute, meaning it is of recent onset and Chronic

where (for instance back pain), the same pain returns on a regular basis and with time, usually becomes more intense, more frequent and also seems to refer to other areas of the body like the hips and legs.

And even though this pain is treated on a regular basis, this seems to only last for short periods before it flares up again.

As a new Graduate, many years ago I was treating men from the Holden Car Manufacturing Plant at Elizabeth  in Adelaide.

This baptism of fire was to become the best thing that happened to me in my profession that I had chosen.

My expectation for these men was to treat them how I had been trained to do and they would get better.

This totally naive expectation was soon replaced with frustration, questioning myself as a physiotherapist and finally just feeling like the situation was hopeless.  We would treat these men, but then they would return not long after with the same back pain.  I really felt I could not help them and this made me angry that after four years of studying it had come down to this.

My instinct was to try and see if there was another way to get these men a better result.

Over this long journey, I came across the work of one of our most prominent leaders in pain: Professor Lorimer Moseley of the “Explain Pain” book.

Lorimer’s writings and relentless research has him questioning how we interpret pain in the body and the way we therefore treat it.

One of the proposals Lorimer makes and to keep it in simple terms for my readers – is that

“PAIN is produced by the brain when the brain feels threatened, NOT from tissue damage”.

So put simply – this proposition that treating where pain is felt, is the reason that acute pain becomes chronic pain.

Posturepro is the home of the Soaz Method

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https://apps.apple.com/us/app/psoas-3d-interactive-model/id1201600479?ls=1

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