How many years have you endured your chronic lower back pain?
How many specialists, doctors, professionals, therapists, or charlatans have you met?
Are you bored and frustrated with wasting your time and money with people who want you to believe in all sorts of things not to cure you permanently, but simply people who are only concerned with their best interests without the customer, without you being able to be satisfied?
Is it irresponsibility, incompetence, recklessness or bad faith?
The truth is you are not alone, there are millions of people like you and me who suffer from chronic lower back pain, yet you repeatedly believe that you need a temporary, quick fix. and corrective. Unfortunately, they can give you temporary relief, but are you aware that you are repeating the same process which produces the same results?
To end your chronic back pain, it is essential that you become aware of how it started and act on the process in question and not react by unconscious habits by looking only for temporary solutions to calm the effects of the pain.
In other words, are all of these healers conditioned by a deep habit of solving a problem by the end and not the beginning and the end, where your lower back pain originated and also by a temporary relief?
Ultimately, the only solution that works to ending your chronic low back pain has to be on your own and with someone who understands your creative power without seeking to keep you trapped as a “paying customer”?
Have you noticed that no matter what doctor, therapist or health professional you go to see, in your mind and without realizing it, you have already decided what you want due to your ailment? Back?
In truth, if you choose a “way to do” (doctor, massage therapist, physiotherapist, acupuncture, medication, etc.) without realizing that you have a free choice regarding your “wishes to be or to have,” then it is. These means are likely to bring the same results—temporary results to your chronic lower back pain, therefore relief.
Have you forgotten that your nature is first to choose your desired desires and a goal to accomplish that is close to your heart and then see the means or solutions to get there?
Why does almost everyone start with what to do and not what matters most to them? Are we trapped in fear of medical professionals and submit to their authority? Submit to their directives like slaves with nothing to say!
So I have two questions for you:
- Do you want to relieve your back pain or end it once and for all?
- What is it that you love so much that your back pain is preventing you from doing?
Your answers will determine your intention (desire and goal) that is best for you and not that of the healthcare professional.
Millions of chronic low back pain patients like you and me struggle in a healthcare system that is not equipped to help us. We are pushed into intrusive, addictive, and costly interventions that often fail or significantly harm us.
During this time, our doctors believe that there are cures for everything, and lower back pain is one of those almost universal diseases with no cure. Therefore, with their taxes, we, the patients and the taxpayers, end up paying the price for this failure, both in dollars and in health.
Fortunately, more and more people are looking for conservative therapies for lower back pain. While yoga, tai chi, massage, and acupuncture have been around for a long time, there was little high-quality research to understand their effects on back pain, and doctors looked down on these practices for obvious reasons of fear. To lose something.
But over the past decade, that has changed.
To better inform me to free me from my lower back pain, I researched many medical journals on low back pain treatments and read about fifty studies on the two approaches:
- Active therapies: Yoga, aerobic dance, cardio, weights, Zumba, tai chi, etc.
- Passive therapies: Massage therapy, chiropractic, acupuncture, etc.
What I found surprised me! Many of these therapeutic approaches seem to really help, although often with modest effects. But when we compare even these small benefits with the harm we are doing to ourselves while treating lower back pain with medication, the horror of the situation becomes very clear.
Does complete recovery from chronic back pain rely on active and passive therapy, realizing how our pain originated and using our power of creation to create a plan? Action that gives us the motivation to act and the great pride in accomplishing our goal?
The art of medicine is to distract the patient while nature heals them!
Lower back pain is one of the main reasons people go to the doctor, affecting 30% of adults. It is also the main reason for absence from work all over the world.
Doctors talk about back pain in different ways, but the type of pain that 80% of people suffer from is nonspecific lower back pain. This means that the persistent pain does not have a detectable cause, such as a tumour, a pinched nerve, an infection, or a tear.
About 70% of the time, low back pain is short-lived and goes away in a few days or weeks without much problem. A minority of patients, however, suffer from slightly more severe back pain that lasts between four and twelve weeks or chronic lower back pain that lasts three months and more.
Nonspecific chronic lower back pain is the kind that the medical community is often bad at dealing with. Many of the most popular treatments doctors offer for chronic nonspecific low back pain are bed rest, spine surgery, opioid pain relievers, steroid injections, and all have been ineffective in most cases and sometimes downright harmful.
No one dies from chronic lower back pain, but people are dying from medical treatment these days!
In the past five years, more than 100,000 North Americans have died from opioids. Prescribing opioids is common among people with back pain, with nearly 20% of them receiving long-term opioid prescriptions.
All of these opioids were prescribed without really knowing whether they helped people with chronic low back pain. The situation is getting worse, and now high-quality evidence is coming, and the opioids do not really help many patients with chronic low back pain.
Controlled trials have recently been published to compare the long-term use of opioids with non-opioid drugs (such as anti-inflammatory drugs and acetaminophen) for chronic low back pain and osteoarthritis of the hip or knee. After a year, the researchers found that opioids did not improve patients’ function more than non-opioids. Patients on opioids actually felt slightly more pain than the non-opioid group.
As for surgery, only a small minority of patients with chronic low back pain required it. There was no significant difference in clinical trials when comparing the results of patients who underwent spinal fusion (which became increasingly popular with those who received nonsurgical treatment.
Steroid injections for lower back pain, another popular medical treatment, tend to have equally poor results. They actually improve the pain slightly in the short term, but the effects wear off in a few months. The injections also do not improve the long-term health outcomes of the patients.
It’s not entirely surprising that surgeries, injections, and prescription drugs often fail, given what researchers are now learning about lower back pain.
Historically, the medical community believed that back pain was related to the nature and severity of an injury or anatomical problem. But now it’s clear that what’s going on in your brain and the decisions you make matters too.
The best understanding of low back pain is that it is a complex disease. It affects biological aspects such as structural or anatomical causes, which play a certain role, and psychological and social factors play an important role.
For example, when comparing people with the same magnetic resonance imaging results showing lower back injury and bulging discs or arthritis on the facet joints, some people may experience terrible chronic pain. In contrast, d others report no pain at all. And people who are stressed or prone to depression and anxiety tend to suffer more, as do those with a history of trauma early in life or unhappy at work.
Awareness of the role psychological factors play in how people experience pain has become widespread, shifting from the dualistic view of mind and body to the more integrated biological and psychological model. Chronic nonspecific low back pain should not be considered a homogeneous condition or the same for everyone, the researchers warned in a review of exercise research.
A new understanding of pain called central sensitization is also gaining ground. The basic idea is that in some people who suffer from continuous pain, changes occur between the body and the brain that increase the sensitivity to pain to the point where even things that normally don’t hurt are. Perceived as painful.
The lower back is also called the lumbosacral area of the back. It is the part of the back between the lower ribs and the upper legs.
Most of the lower back is made up of muscles that attach to and surround the spine. The spine is made up of many bones called vertebrae. The vertebrae are roughly circular, and between each vertebra is a disc. The discs between the vertebrae combine a strong fibrous outer layer and a softer, gel-like center. The discs act as shock absorbers and allow the spine to be flexible.
Strong ligaments also attach to adjacent vertebrae to provide additional support and strength to the spine. The different muscles that are attached to the spine allow it to bend and move in different ways.
The spinal cord, which contains the nerve pathways to and from the brain, is protected by the spine. The nerves in the spinal cord exit from between the vertebrae to take and receive messages to various parts of the body.
About 80% of people have or will have lower back pain in their lifetime. In most cases, it’s not due to serious illness or a serious back problem.
Nonspecific lower back pain is classified as chronic if it lasts longer than three months. In some people, it lasts for months, years, or even decades. Symptoms may be constant. However, the most common pattern is one in which the symptoms follow an irregular course. Reasonably long periods of mild or moderate pain can be interrupted by episodes of more severe pain.
There are several types of lower back pain, and here are the 4 main ones:
1. Nonspecific low back pain
This is the most common type of lower back pain that is observed. The majority of cases of sudden onset low back pain are classified as nonspecific. This is the type of back pain that most people will have at some point in their life.
It’s called nonspecific because it’s usually not clear what is actually causing the pain.
In other words, there is no specific problem or disease that can be identified as the cause of the pain. The severity of the pain can vary from mild to severe.
2. Pain in the nerve root, often called sciatica
This occurs in less than 5% of acute low back pain. Nerve root pain means that a nerve coming out of the spinal cord (the nerve root) is irritated or pressed. Many people call it a stuck nerve, and you experience pain along the path of the nerve.
Pain in the leg or foot is often worse than pain in the back. As a result, you usually have pain in one leg, sometimes up to the calf or foot. Irritation or pressure on the nerve can also cause tingling, numbness, or weakness in part of a buttock, leg, or foot.
About 90% of nerve root back pain is due to a disc often referred to as a herniated disc. What happens is that part of the softer inner part of the disc swells up due to weakness in the harder outer part of the disc. Thus, the disc can rest on a nearby nerve. Other less common conditions can cause pressure on a nerve and cause pain in the nerve root.
3. Cauda equina syndrome
Cauda equina syndrome is a severe type of nerve root problem. This is a rare disease where the nerves at the bottom of the spinal cord are strained.
This syndrome can cause lower back pain, bowel and bladder function (usually an inability to urinate), numbness in the stool area, and weakness in one or both legs.
This syndrome requires urgent treatment to prevent the nerves in the bladder and intestine from being permanently damaged.
4. Less common causes of low back pain
Inflammation of the joints (arthritis) of the spine sometimes causes lower back pain. Osteoarthritis is a common form of arthritis and usually occurs in older people.
Another form of arthritis that can occur in young adults causes pain and stiffness in the lower back. Rheumatoid arthritis can affect the spine, but other joints are likely to be affected as well.
A variety of rare bone disorders, tumours, infections, and pressure from structures close to the spine occasionally cause low back pain, but less than 1% of low back pain cases.
As I explained at the beginning of this guide, if you consciously or unconsciously choose to relieve your lower back pain, then temporary solutions are the right means to achieve that desire.
These temporary solutions are grouped into 3 categories to give you examples:
Despite the obvious risks, doctors continued to prescribe opioid pain relievers, perform surgeries, and use steroid injections, sometimes to patients who could not afford to try alternative solutions because they did not. were not covered by insurance plans.
However, things started to change slowly, as doctors and public health agencies increasingly advise trying less invasive options and even alternative therapies before considering opioids, surgery, or injections.
In most passive therapies, little or no harm is experienced by patients (except for their wallets), which makes them all the more attractive amid the horror of traditional medical solutions.
There has been a growing body of research suggesting certain active therapies (the patient does the actions themselves as directed by the healthcare professional) such as exercise programs, yoga or tai chi that can really help people overcome chronic lower back pain and may also be effective.
However, even with active therapies, there is a great risk that it will not produce any improvement because, first of all, you have to understand how your lower back pain started and the deep habit that has set in.
Therefore, all of these therapies have one thing in common; they are reactive and not creative because they do not seek to know the process involved that created and is recreating your chronic lower back pain.
They seek to relieve you only, regardless of whether they are passive or active.
Passive therapies are solutions where the patient does not need to participate, move, to make an effort. Therefore no action on his part is required.
Passive treatments convey a fundamental view of lower back pain. Damaged or dysfunctional tissue would send pain signals to the brain, causing the pain it feels. This model is flawed, and it has more profound implications than one dares imagine.
First of all, if you consider that an injury is responsible for the pain, you cannot be relieved if you do not get rid of that injury. You have no choice but to seek out the therapist’s services who they believe has the best technique or the miracle solution needed to treat the injury they believe to be the cause. Personally, I don’t find this very commendable or credible and here’s why.
Still, according to the same model, you should not resume your favourite activities until the injury has been healed. Otherwise, it will worsen. This promotes three things:
1. Dependence on the therapist, believing that only he is then able to help you.
2. A very pessimistic and distorted view of your body, believing that it is fragile, tense, misaligned, badly screwed up and that you must go for regular treatment; otherwise, you will have even more pain.
3. An unconscious habit focusing on something that is probably insignificant, while other factors intermingle with the initial factors and worsen your condition.
Many therapists spend their time trying to act on parts of the body that are not even responsible for the pain. My message is that there is no one cause of pain.
Chronic pain is the result of a complex interaction between many factors. Ultimately, if someone claims to know the precise cause of your low back pain or chronic lower back pain, that should arouse your suspicion.
Therefore, passive treatment aimed at the so-called cause of your problem has very little chance of definitively solving it, of putting an end to it. I’m not saying these passive therapies are unnecessary. They can be useful when integrated into active therapies and supported by the patient with the correct explanation.
They are certainly not when advertised as the only treatment for your chronic lower back pain.
However, you should remember your first desire, either to relieve your lower back pain or to relieve it and put an end to it permanently. It’s all about your personal desire.
Probably, a question could arise right now in your mind: But what is the real role of health professionals?
The real role of a health professional is not to make you dependent on him or to believe himself an authority towards you, but to guide you and to accompany you towards independence.
It allows you to make the most of your potential, thanks to therapeutic education, exercises and movements, lifestyle advice, to understand how your pain started, how certain unconscious habits restore strength. To your pain and to explain your power of creation to motivate you to act.
Breaking the vicious cycle of chronic low back pain takes time, as well as a profound, lasting change in your lifestyle. By imparting knowledge and experiences to you, it helps you update your beliefs and representations about the lower back pain you are experiencing. Therefore, this translates into a change in your beliefs and habitual behaviours.
Obviously, he offers you his passive or active therapies to temporarily relieve you because he too has personal desires and intentions that you should not forget, just like yours. Creating an environment favourable to healing and with the help of passive and active treatments as a temporary solution gives you all the means to take charge of yourself to access autonomy and well-being.
Therefore, you can tailor your lifestyle and activities for the best possible healing to end your chronic lower back pain or just relieve it if that is your desire.
As you will have understood, the main changes are happening on your side, your initiative, and your motivation. This is not to shift all the responsibility onto yourself, of course, but to make you realize that you must participate in all decision-making and active therapy.
Alas! Very few therapists have this vision and even fewer doctors!
Being more creative and active is the best thing you can do.
No single solution exists to end your chronic lower back pain because each person is different in their way of life. Your lifestyle has contributed to your pain without realizing it. Therein lies the solution to your chronic lower back pain and not by seeking passive or active means without knowing this creation process.
The good news is that you already have all the information in you; you just need to ask the right questions to remind yourself of some past decisions and the actions that followed.
But first of all, you must be aware of what you desire as a result and accomplishment in your imagination, for this is the foundation of your next decisions, intentions and actions which will produce these new results.
It is not for the health care professional to choose your desires, intentions or tell you what to do or not to do! If you continue to believe otherwise, you will never be able to end your chronic lower back pain like millions of others before you.
First, as I wrote, it is essential to specify before anything else your desire (to be or to have) because, in this way, it creates your intention (the goal to be accomplished, which is close to your heart).
Certain steps are essential in the process of conscious creation:
STEP 1: CHOOSE YOUR DESIRE
Choosing a negative desire like “no more pain in your lower back” is so overwhelming that your mind is constantly filled with confusion and frustration.
Why not choose a positive desire like “I want to get back into my physical shape” or “I want to be physically well once and for all”?
It allows you to decide and motivate yourself by getting closer to the things you love rather than moving away from the things you don’t. In truth, to move away from something is to be afraid of it and to approach something is to love it.
A desire is a state of being, a feeling or a sensation that you want to achieve. It takes place consciously by knowing and deciding clearly what you want or unconsciously by imitating without realizing the environment in which you have been conditioned.
Our current environment conditions our minds to live with chronic lower back pain by repeating the same reactive solutions as our predecessors.
STEP 2: CHOOSE YOUR INTENTION OR GOAL
So, to make sense of your desire, you have to create something by accomplishing a goal close to your heart, thus clarifying your intention.
To do this, all you have to do is ask yourself this kind of question: What is the accomplishment that is so dear to my heart and that will allow me to say that I have achieved my desire?
The answer is a series of words to your desire, for example, I want to get back in shape so that I can run outside for 30 minutes, or I want to get back in shape once and for all to be able to go on vacation with my wife incomplete physical autonomy to move around.
The intention is an accomplishment you want to create, a purpose that you are passionate about through actions. In other words, without actions, you cannot accomplish this goal nor realize your desire.
STEP 3: HOW DID YOUR SITUATION START?
Accepting and understanding how your chronic lower back pain started is the only path to an awareness that allows for complete healing through your creative power.
Many passive and active therapies are often undertaken without considering how you created this situation in your life. You can do lots of activities or receive a lot of passive therapy that will temporarily relieve your pain, but if you don’t act on the real causes you have developed, you are aiming wrong.
This is where all the difference lies because forgetting how you created your experience is to relive it unconsciously and never transform your situation. There are many therapies you can try until you realize your mistake, and that of all of these therapists is not being interested in understanding how your situation arose.
The truth is, no one in the world knows what has happened in your life better than you and therefore, there is no such thing as lower back pain. I would love to hear health professionals tell me how their back pain started to show me that they are aware of this important step instead of forgetting or ignoring it!
THE BIRTH OF MY LOWER BACK PAIN
In 2005, at 46, I tore the meniscus on my right knee in a wave in Mexico. I thought I had a big sprain, and in the space of 3 months, I took about 50 free. Still, I was in great shape and had been running at least three times a week for the past fifteen years.
Then in 2006, I moved to Colombia (my wife is Colombian). I had the operation in 2009, so I walked a little crooked for 4 years blocking my right knee and taking smaller steps to compensate.
Two weeks after the operation, I got out of bed with severe lower back pain, and since then, every time I want to walk, my lower back hurts. It’s 2021, so 12 years old have lower back pain when I’m standing.
This is how my situation started, but it got worse.
STEP 4: HOW DID THIS SITUATION BECOME AN UNCONSCIOUS HABIT?
Since 2001, I have been sitting at my computer creating websites, but I have always been in good shape by running at least 3 times a week between 30 minutes and 60 minutes. I even did 5 marathons. So from 2005, I stopped running due to my meniscus injury, gained over 50 pounds in three months, my stride while walking was getting shorter and shorter, and I was used to it. To be seated for more than 10 hours a day.
So my leg muscles, which attach to the lower back through my knees and thighs, were getting shorter and shorter, atrophied, from this lack of range of motion, as I would no longer run or walk with it—a longer, more natural step.
By talking to a conscious massage therapist (my daughter) and by manipulating my lower muscles, we came to understand and realize that this deep habit of taking small steps and sitting too long for too long caused my lower muscles to be weak by shortening them through muscle atrophy. When I stood up, these too small muscles pulled on the extremities where they are attached, so the lower back, my knees and my quadriceps without forgetting the imbalance that this made to me in the other muscles, especially the hamstrings, the hips and psoas. Also, my weight was not helping, as I was now 80 pounds overweight.
Therefore, we came to a conclusion, based on facts and observations, that there were certain things to be done if I was to accomplish my goal and achieve my desire.
STEP 5: WRITE OUT YOUR STRATEGY AND ACTION PLAN
Wanting to accomplish something without having a written action plan is a bad habit that doesn’t work, and looking at all the healthcare professionals, all the leaders and all those people who like to be in a position of authority, we can see that they too do not have a written plan in their own life.
So, you have to write your action plan to have the motivation to take the actions, but if the plan comes from others, you will not have the motivation or commitment to succeed.
People are not aware of the great value of writing your action plan because, in our societies, this practice is not used, regardless of the level of education. A conscious and evolved person knows that a written action plan works to accomplish anything.
Also, you should choose a physical activity that you enjoy, not choose it because someone else told you to do it. If you don’t like swimming, there is no point in forcing or forcing yourself to do so.
In my situation, we observed that:
- My lower muscles were atrophied
- That I had an imbalance in my posture
- I was overweight
- That my stride to walk was too short
- Whether I was sedentary in my work or my hobbies
This is my starting strategy which then consisted of writing a monthly action plan to use my creative power in thought, in the written word and action. Then, evaluate me at the end of each month with my massage therapist and see if new decisions and actions could be made when they were not producing the expected results or when I did not feel improvements.
In fact, you have to redo an action plan every month because there are progressions, modifications and adjustments continuously.
Why a written action plan?
- To realize that we are doing it for our interests
- To have the motivation to act
- To make a personal commitment to accomplish a goal that is important to us
- To persevere in the action when it does not work and thus get closer to those that do work
- To never forget why we do this
- To keep the hope of success
The reason for failure is almost always the lack of a written action plan!
Getting moving is probably the most important thing you can do for your chronic lower back pain. However, moving without being aware of the process behind your back pain is a blind curve.
When you have back pain, your first instinct may be to avoid physical activity and sit or lie on the sofa until the pain subsides.
But doctors and healthcare professionals now think, in most cases, it’s probably the worst thing you can do. Studies comparing exercise to no exercise for chronic low back pain are always clear: Physical activity helps relieve pain and stop it if you know the process that gave birth to it, while l Inactivity can delay a person’s recovery.
However, if you choose a therapist who is unaware of wanting to find out with you, what gives and gives birth to your chronic low back pain and from there, to make you realize the importance of creating together a strategy and a written plan of action, then you are in the presence of someone who is only looking to relieve you temporarily so that you come back out of habit.
The only difference between success and failure is in PERSEVERANCE!
If you want a temporary solution to relieve your pain or a permanent solution to both to relieve your pain and be free from it once and for all, we invite you to experience something different and higher by your intention?