Misunderstanding #1: Lower back pain can lead to paralysis if it's not treated

The spinal cord comes off the base of the brain, runs throughout the neck and middle back, and ends before the lower spine. Because the spinal cord ends before the lower spine, and there is a large amount of space for the nerve roots in the lower spine, even serious conditions (such as a large disc herniation) are very unlikely to cause paralysis.

Misunderstanding #2: My back pain will probably get much worse as I get older

Some people are concerned about their back pain progressing and potentially becoming disabling as they get older. However, back pain is actually less common in people over 50 years old than in 30 - 50 year olds. This is especially true for pain that is generated by the disc, such as a disc herniation or degenerative disc disease. Therefore, if you can find a way to manage your pain and maintain your daily activities, your back pain may actually start to get better as you get older.

Misunderstanding #3: The spine is delicate and easily injured

The muscles, tendons and ligaments that surround the spine provide a great deal of strength, flexibility and support for the spine. Therefore, in general, a healthy spine is not easily injured. Activities that can harm the spine include lack of physical fitness and flexibility, poor posture and straining your back, and other generally unhealthy habits, such as smoking and poor nutrition. In most cases, by the time back pain occurs, there has been a summary of things gone wrong over many years which, later, leads to instability and a more easily injured spine.

Misunderstanding #4: There is a standard treatment for most types of back pain

Compared to other medical conditions, there are relatively few standardized approaches to treatment of back pain problems. Spine specialists from various areas of expertise will often disagree on the diagnosis and most appropriate treatment, and health professionals within a specialty will also frequently have different opinions. A few diagnoses are relatively straightforward (such as tumors, infections and fractures) and there is generally more consensus for these conditions.

Misunderstanding #5: Rest is the best way to avoid more back pain

While a short period of bed rest may help reduce acute pain, in general progressive doctors advise against more than one or two days of rest. In fact, resting and general inactivity can cause more pain, as lack of activity leads to muscle atrophy and other harmful effects, which, in turn, can create more pain. Many people with back pain tend to overprotect their backs and, as a result, are more prone to injury and pain due lack of conditioning.

Misunderstanding #6:The doctor didn't find anything wrong, so the pain must be all in my head

Pain is always real. The physician may not be able to find the anatomical cause of the pain, but the pain still exists. And for chronic pain (e.g. pain that lasts more than 2 or 3 months), it's important to proactively treat the pain. While psychological factors (such as depression and sleeplessness) will often need to be included as part of a comprehensive treatment program, it is also important to search out conservative care treatment options that can help alleviate the pain.

Misunderstanding #7: I must be very careful to protect my back to avoid further pain

Many people with back pain actually overprotect their backs and, as a result, are more prone to injury and pain due to lack of conditioning. To stay healthy, the spine needs a regular regimen of stretching, strengthening and aerobic conditioning. An overall sedentary lifestyle and lack of exercise leads to lack of strength and flexibility and generally does more harm than good. Unless your doctor tells you differently, protecting your back should mainly include proper posture and body mechanics, and appropriate physical therapy instruction to ensure that you are exercising correctly.

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