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Medical Forum / General / General / April 2006

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Lower back pain.

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Peter Jason - 08 Apr 2006 05:28 GMT
I have just had another episode of seizure
when tying up a shoelace.  Something in my
lower back went "click" and then the
lower-back muscles painfully seized up and I
could hardly move for 3 days.

I went to a physiotherapist who prodded down
each side of my lower spine and this made me
feel a bit better.

He said that the back muscles "store up"
abuse over a long time and then a small event
will cause a major seizure such as the one I
experienced.

Rather like an earthquake I suppose.

Does anyone have a similar experience and
some advice to stop this happeng in the
future?

The physiotherapist gave me some exercises to
do too.

Why should back muscles "store up" abuse; it
seems funny to me.
Phil Anthropist - 08 Apr 2006 06:53 GMT
>I have just had another episode of seizure when tying up a shoelace.
>Something in my lower back went "click" and then the lower-back muscles
[quoted text clipped - 14 lines]
>
> Why should back muscles "store up" abuse; it seems funny to me.

As a nurse, my understanding is that the cartilage that forms the
intervertebral discs can suffer from cumulative damage, and since it cannot
repair itself then in that sense it 'stores' up abuse. This can eventually
result in a tear in an intervertebral disc such that the soft material in
the disk centre can protrude (rupture or herniate) out and press on a spinal
nerve root, the so-called 'slipped' disc. See
http://www.besttreatments.co.uk/btuk/images/herndisc_spine_rupt1_UK.jpg. I
don't know whether back muscles can store up abuse.

There are lots of websites that will advise you on how to manage low back
pain due to muscle strain, e.g.,
http://www.spine-health.com/topics/cd/tlbp/type02.html. For a medical
article try: http://204.200.218.224/print_files/Chapter_12_Back.pdf

Phil
----
MSE - 08 Apr 2006 21:44 GMT
This has happened to me many times over the last several years after being
hit (directly) by a car when I was bending over to zip up one of my
daughter's jackets in a parking lot. The guy backed into me. I felt no pain
at the time, but a day later I was in agony and have had this kind of
repeated sporadic back attack in the lower back ever since. However, I have
been without such an attack for almost 3 years since I modified my regular
daily swim routine with ending by putting fins on and kicking on my back,
low and deep, for at least 300 yards. If you are comfortable in water, I
would recommend trying this and sticking with it at least 6 days/week. Good
luck.

>I have just had another episode of seizure when tying up a shoelace.
>Something in my lower back went "click" and then the lower-back muscles
[quoted text clipped - 14 lines]
>
> Why should back muscles "store up" abuse; it seems funny to me.
Peter Jason - 10 Apr 2006 01:44 GMT
I was interested in the theory that the lower
back stores up small injuries and then seizes
up to allow a "batch repair" by holding all
the muscles in a "rictus spasm" while this
occurs.

I am trying to get some confirmation of this
and there is nothing about it in the "Merck
Manual" though I will try to check out
similar books devoted to sports injuries and
physiotherapy.

In the meantime I have been given a series of
exercises to do such as push ups, sit ups,
leg presses and brisk hip-swinging walks
around the block.

We'll see how it goes. I do a lot of physical
work in my job such as walking, lifting and
climbing up/down ladders.

I have never come across the subject of
handedness such as being right or left handed
and the bias this puts on the body parts, and
if there are exercises to counteract this.
No medico has ever mentioned it.

> This has happened to me many times over the
> last several years after being hit
[quoted text clipped - 39 lines]
>> Why should back muscles "store up" abuse;
>> it seems funny to me.
 
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