Back Pain
Questions and Answers
Archive 2007 Part 4

I HATE LEGAL DISCLAIMERS, but my lawyer insists...Thanks for understanding...

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A: Hi Susan, This is a relatively common complication of spinal surgery and unfortunately, it has happened to you. I would have contacted an attorney if I were you, even though your options might have been limited by any waivers you might have signed. I doubt that your continuing pain is a result of this occurrence. More likely, the doctor misdiagnosed the actual cause of your pain and the operation was therefore a failure. I am very sorry. I hope you can find some relief. My best to you, Sensei Adam Rostocki

Q: I am looking for a doctor in Nasville, Tennessee area that has the cervical accu spina machine. Wallace

A: Hi Wallace, The best way to find this doctor is to do a Google search using the terms "Tennessee accu spina" You might have to substitute a nearby region if that does not work for you, till you find who you are looking for. Best, Sensei Adam Rostocki

Q: In March my lower back began to hurt. Soon the pain was felt in the pelvic-hip area. I was sent for a back x-ray, ultra sound of lower and upper abdomen and a back MRI. The ultra sounds were fine. The diagnois was bulging discs. If it was only my back hurting I would be in pain but at least it would make sense. Having pain in the front is very distracting. My GYN has examined me twice and finds nothing. My gastro doctor did a colonoscopy (routine) in December and that was fine. My question if it hurts in the front how can it be my back????? Evelyn

A: Hi Evelyn, Depending on which discs are bulging, it is possible that the discs are pressing on a nerve which serves your pelvic region. This is not uncommon, but is rarely the source of long term pain. I am very surprised your doctor sis not clarify this to you. It really makes me wonder why we are paying them in cases like yours. My advice is to press your doctor for concrete answers and a treatment plan. Best to you, Sensei Adam Rostocki

Q: Hello! I have a query. Two years ago a lump in my left breast proved to only be fibrous tissue (thank goodness!) but I was told that as the chest area is attached to so many points of the body, my shoulders, chest, arms, neck, back etc may be painful sometimes. This was true. I changed my diet (as suggested), started aerobic exercise 5 times per week, and the lump reduced in size, and the pain almost disappeared. However, if I slip into my old eating habits (bread seems to trigger off the pain) my aches and pains return. As I'm now into healthy eating and exercise, I've been taking more notice of what my body looks like. Today after my shower, I noted that the middle section of my spine curves inwards quite a bit. I have no idea if it has always been like that, as I don't look at my back! (planning to ask hubby later if it seems to have changed shape) I still have some weight to shift (about a stone), but despite having what I call 'fat pads' on my back, my spine does appear to be curving alarmingly inwards. I asked my children to show me their backs (hahah) to see if mine was overly inwards, and it does appear to be worse than theirs. (I do realise spines are naturally curved.) So, I'm obviously aware of why I ache sometimes and can tell the difference between breast related pain and back pain. I also sit awkwardly in my desk chair (lean to the left) and this won't help my posture. If I sit in the chair for long periods of time, I get a 'nipping' pain where my left kidney is. My main back 'aches' are in the kidney area, and my skin feels like it would had I had a bruise there and poked the bruise (make sense?). I'm 34. I smoke around 7 cigarettes per day (have cut down from 25, trying to give up). I've had five children (background info for you!) and my periods were on time and normal until about 6 months ago. They started being a week later each month, every month. Abdominal pain pre-period, bad PMT, when usually I don't have symptoms like that. I noted I'd been eating bread a lot around this time, so stopped, and last month my period was normal. No pains, no bloating--bloating had been a big factor the past 6 months, as if I were 8 months pregnant, then as soon as my period started my tummy went flat again for two weeks before bloating again when ovulating. My back and shoulders ache a lot today, they did yesterday, but that seems to coincide with the fact that I did my first power-walk Tuesday evening (3 miles), so I'm thinking it is that. My main concern is my curving spine. I dislike going to doctors, only go when I absolutely have to. Should I go just to check it out? Any ideas from what I've written as to what it could be? Thanks. Michelle

A: Hi Michelle, Without seeing you it is difficult to advise whether your condition is normal or possibly problematic. I advise going to a doctor to have it checked and giving that doctor a history of all your concerns. Tell them you want to have your issues sorted out once and for all, and are not looking for pills or some quick fix. I wish you the best and let me know how it goes for you. Sincerely, Sensei Adam Rostocki

Q: I've had back problems on and off for years. I also am genetically predisposed to osteoarthritis. At 48 yo I received a total knee replacement. Nine years ago I had three "cages" placed in my lowerback - I don't remember which discs - two shoulder surgeries - you get the point. Well for around a month now, my lower back and left hip are causing severe pain. I don't know if it is one issue or two. The interesting thing is, the pain is severely worsened when I lay down and sometimes when I sit. I actually get a little relief when I stand. I never heard of anyone having this problem. Usually sitting or laying down helps people. With me, those actions cause terrible pain. What could be the reason? Kim

A: Hi Kim, Back pain comes in every type of symptom and I have seen the most seemingly illogical cases exist time and time again. Given your extensive history of treatment and surgery, it is difficult to even venture a guess what might be causing this symptom. It seems obvious that your former treatments have not cured you, as you continue to suffer even after all the operations you have received. If I were you, I would definitely drastically reconsider your future methods of treatment... I wish you all the best, Sensei Adam Rostocki

Q: Hi,I am a chiropractor, or was, until I became completely disabled due to a bulging, degenerative, injured series of thoracic discs that I damaged 20 years ago during a body surfing incident. I had terrible symptoms for a couple years and found relief through chiropractic, but then when I had a busy practice, I started having terrible back pain, which became worse progressively. Finally, in 2003 I stopped working. I now take multiple medications just to get through the day and night which is totally against my philosophy. The neurologist I have consulted says that at least one disc just needs to be removed (it is effacing my spinal cord) but my symptoms are not bad enough for any surgeon to take that on. They are waiting for my bowel function or legs to go. I have really tried everything, including an extensive neuropsychology evaluation, which ended up being normal (I'm glad for that!). Any suggestions? Kelley

A: Hi Kelly, First, as a chiropractor, I am utterly surprised you buy into this theory for your pain. Second, I have never heard of a condition which is painful enough to make you stop working, yet you can not find a surgeon to operate. Usually, the opposite is true, with surgeons pushing patients prematurely into surgery. Don't get me wrong, I am certainly NOT recommending surgery. I would recommend knowledge therapy, since you seem to have tried everything else. Have you considered this option? It might just be the answer you have been looking for all along. My very best to you, Sensei Adam Rostocki

Q: Hi I am Seetha. I am 36 years old. I have been suffering from back pain for the past four years. It pains a lot only if I work hard or do sweeping, mopping etc. I am a medical transcriptionist by profession. I transcribe for atleast six to seven hours daily. For the last two months I have been suffering from severe back pain. My lower back is aching when I sit for long hours. My buttocks and the surrounding areas pain a lot. I consulted an ortho, who suggested an MRI. Following are the findings. Screening of cervical and thoracic spine: Minimal posterocentral disc protrusions seen at C5-C6 level and T8-T9 levels. Impression: Chronic right paracentral disc protrusion and osteophytes at T11-T12 level. The doctor suggested to take glucosamine for three months regularly. My query is_when the findings reveal that I have spur at the thoracic region, how is that my lower back is paining? Should I undergo any physiotherapy in addition to the medicine? Now I have quit the job as transcriptionist. Shall I continue the job in the future? Will my back pain worsen if I do so?THANKS

A: Hi Seetha, Your MRI does not show anything unusual in the spine. Disc herniations and mild bone spurs are not uncommon and I have them myself. I do not think they are the primary cause of your pain. I would not quit your job yet. I recommend trying knowledge therapy or at least some alternative therapy options to treat your condition. As an aside, Glucosamine is not a medicine, but a nutritional supplement. Although it is healthy for your body, I do not expect that I will do much to cure your pain. Physiotherapy can't hurt and might help. I hope this letter does also... My best to you, Sensei Adam Rostocki

Comment: Hi Again Sensei, I know you never published my first letter, since it was very critical and I said some nasty things. I am sorry for that. I wrote to you looking for help and was very frustrated when you wrote back saying that my pain was psychological. I think I called you some names I should not have in my return email. I was insulted and was really hoping you could help me, but instead you wrote me off with some BS suggestion to read some books. Well, after cooling down, I did read those books and my back pain has been steadily improving for the past month. I am not completely well yet, but almost. I am back to work and happy with myself. I am writing again, taking the chance that you might actually read it (after what I said to you before…) just to apologize. You are the real deal and I thank you now from the bottom of my heart. I was stubborn and an ass*%@! before. I really feel bad. You were trying to help and I was an ingrate. Well, for what it is worth, your advice turned out to be priceless and I owe you BIG TIME. If I can ever do anything for you, ANYTHING, let me know. Sincerest apologies, Busta

A: Hi Busta, I am happy it is working out good for you. I can understand your pain, but you did say some nasty things…Don’t sweat it, I forgive and forget. Sincerely, Sensei Adam Rostocki

Comment: This site was amazing!!! It answered all my questions and it was nice to know that someone knew exactly what i was going through. Thanks again bunchs!!!! Amanda

A: I tried to send you this reply Amanda, but your email would not accept it...Just want you to know I did not forget you... "Thanks for the nice comment Amanda, I really appreciate it. I am happy to know that it info is useful to you. Sincerely, Sensei Adam Rostocki"

Q:For a number of years I have been experiencing pain along the sciatic nerve. The source of the pain seems to be at the joint of my right hip. I can function fine during the day under normal activity almost pain-free. When I sit for an extended time such as driving for an hour or more, the pain increases and extends into my thigh, but usually goes away when I am out of the car and moving around again. It is especially problematic at night. The only sleeping position I can find that is relatively pain-free is on my stomach. If I try to sleep on either side, the pain increases and extends down my right leg all the way to the arch of my foot. Should I go through traditional paths of treatment, or is this a symptom of a psychosomatic condition? You advice would be greatly appreciated. Colen

A: Hi Colen, Your condition could be physical or might be psychosomatic. Unfortunately, the physical symptoms of both types of disorders are identical...The best course of action is to get a complete check up from a qualified physician and imaging studies if appropriate. If they recommend treatment, go along with the prescription (within reason) and see if you improve. If not, there is a good chance that you are suffering from a psychologically induced pain syndrome. Alternately, you can hold off on treatment if you are functional and simply try knowledge therapy right from the start. This approach works well for many and has no risks or side effects. I hope this info helps you. Best, Sensei Adam Rostocki

Q: Hi im frm pakistan plz help me i have severe back pain from last 5 month and went to 3 neuro specialists but the pain stil there .doc said i have sweling at l4l5 wht does it mean?the other checkd be by pinching pins at diferent points of my feet ,i felt like it didnt pinch me in my left toe i just felt numbing sensation.he lifted my left leg and it was ok at that time .its been a month now i on medicine and its geting hard for me to lift my leg it feels like my muscles are stif and i feel numbnes in the whole leg with pain in my lower back .do i need an mri plz help me .God bles u Sobia

A: Hi Sobia, Your problem might be disc related or might be the result of another process such as ischemia. I recommend an MRI. How did the doctor determine that you had swelling at l4/l5 without an MRI or CT scan? Disc swelling will not show up on an x-ray... Get the test done and write to me with the results. At that time, I will be better informed to assist you in finding a path to correct treatment. My best to you, Sensei Adam Rostocki

Q: nine months ago I was in a car accident. The next day I began feeling pain that gradually became much worse. I went through several months of daily therapy. During much of the time the only way I was able to manage therapy was to take oxicodone shortly before going and definitely afterwards. about two months ago my doctor insisted I come off oxicodone. no problem. I don't like being high. I like being in pain even less. I no longer have anything with which to mitigate my pain. I am on 300mg of gabapentine three times a day and 200mg of welbutrin once a day. The gabapentin is not helping as far as I can tell. While I have regained much of my mobility the pain has not gone. I frequently experience bad headaches. sometimes these headaches are intense enough that I have to restrain the impulse to smash my head against things. I have referred pain in my left arm (elbow and two small fingers), between my shoulder blades, under my right shoulder blade through to the front right of my chest, and down the middle of my back. Now for the really confusing part: If I stay at home and do nothing other than my stretches I am usually fine. If I take a walk of three blocks or so my back starts to react and all those symptoms I mentioned above will start in. A half hour bus ride will drop me for a couple of days (cars are fine as long as I can put my head back and have full back support and there are not many bumps). I kayak for three hours solid hours and it is no different than a three block walk. does this make any sense at all?? I did this recently with a friend who talked me into trying it (which was not hard as I hate my life since the accident). I have not done any activity this strenuous since before the accident and I did not experience any soreness at all beyond what I usually feel. what could explain this. Sean

A: Hi Sean, Your pain fits the typical profile of a psychosomatic perpetuation of a back pain injury trigger mechanism. I am sure your injuries have healed in the last 9 months which explains your regained mobility. I think the medicine created other difficulties which have no made you experience these nonsensical pain patterns. When I hear stories like yours, I always remember my own experiences with back pain. I could do so much without much pain, but other seemingly mundane activities killed me...This is typical psychosomatic. I understand you had an accident. You need to understand that the body heals. Accept this fact and try some knowledge therapy to find out why your pain will not let you go. This is the advice which I hope will eventually help you. You have nothing to lose since the docs and the meds are obviously not doing much good...My best to you in all things, Sensei Adam Rostocki

Q: Hope you are fine and doing well, Im Faraz from Afghanistan. want to tell you my story regarding back pain and needs your sugesstion and treatment. "When i entered in my teen ages i started minor back pain and was then a continious back pain. Maybe it was due to my teenage but afterwards it was not a continous, sometime it felt and sometime didnt. now Im 25 single not have any sexual relation or any other activity but still for a shorttime in a week i feel minor backpain, and sometime come to one of my leg as well." The pain is not severe but i want to get rid of it as i have to marry and want to live a healty life with my future partner. kindly advise

A: Hi Faraz, My advice is to get a complete check up from a qualified doctor including an MRI or CT scan if possible. This way you will know for sure if there is something wrong in your spine or not. Once you have done this, please write to me again with the diagnosis and I will be able to advise you better at that time. My best to you, Sensei Adam Rostocki

Q: I have suffered with chronic lower back since 1992. I am nearly 65 years old, and keep myself very fit. I have been doing exercises almost daily since the onset of back pain. I am told that the truth is nobody can fix your back pain by a leading Physiotherapist who works in our National Health Service. If somebody had found a cure, they would be known world wide,etc. How can you possibly claim that you can fix my back pain? Tell me how? I live in Scotland in the United Kingdom. Thanking you. Colin

A: Hi Colin, I am not trying to get any money from you, Colin. I simply advise patients as per what I feel will work for them. I recommend reading this page for more info on knowledge therapy:
http://www.cure-back-pain.org/alternative-medicine-for-back-pain.html
I do sell a book, for those who are interested, for $9.99, but I do not ever ask patients to buy it. There are lots of good books around on the subject which can be taken out of your local library for free. Many of these are listed on my site. Personally, I love Dr. John Sarno's "Healing Back Pain". I wish you the best luck and feel free to write to me any time if I can be of further assistance. If you want more info on my book, it can be found here:
http://www.cure-back-pain.org/cure-back-pain-forever.html
Best, Sensei Adam Rostocki

Q: Hi, I am enjoying your website. What a fantastic resource. I am a dancer/choreographer and have suffered for many years with lumbar/sacral pain. I found out recently from an MRI that I have a severe (almost 1cm) bulging disc L4/5. I have tried everything. I am now considering a decompression treatment from a chiropracter in the los angeles area. His program is 25 decompression treatments, 25 PT treatments, 6 personal trainer sessions along with exams throughout the treatment that spans 3-4 months. The cost is 7,000. Which seems like a lot to me. For what I have researched the going rate is more or less 2500 for 20 visits. What is your opinion about costs? Chris in LA

A: Hi Chris, This seems very, very expensive to me. I am not sure of the exact costs in LA, but I know they are not that much... I would seriously reconsider. If you are looking for advice, you might want to write to my friend, Dr. Eben Davis. He is in San Fran, but I am sure he might know someone in LA worth checking out. His info is available here:
http://www.cure-back-pain.org/eben-davis.html
I wish you the best in your future treatment and thanks for the kind words about the site. I really appreciate them! Sincerely, Sensei Adam Rostocki

Q: So I have been experiencing pain for 4 yrs now, after a horrible accident. And it's seriously ruining my life. I'm only 26 yrs old and is really hard for me to deal with. The pain is severe and I can only stand for maybe 10-15 mins at a time, then the pain radiates down my left leg and I have to sit down cause it's so severe. I have gone to several different doctors; spine specialist, osteopathic,etc. I was dignosed with Spinal Stenosis and Degenerative Disc Disease in my L4, L5, SI after viewing my MRI's. Doctors say the that I have mildly bulging dics, I just don't understand. I have tried physical Therapy, Chiropractor, steriod shots and several different pain killers nothing works. It's just getting worse, I can't even sit on a couch without it killing me. I feel like my life is over at this point. I also experience similar symptoms in my neck going down my left arm but it's less severe. I started school going for a nursing degree and was half way through when the pain started I feel like there's no point in finishing, and im at a dead end job. So I recently went to a Neurosurgeon and now asking for a operation. Many doctors have told me i'm to young, but I can't live with this anymore, I feel like my life is over! What's your opinion on spinal surgery? He was suggesting a Lamintomy. Stephanie

A: Hi Stephanie, I am usually against surgery unless obviously indicated. Since I do not know the extent of your accident or spinal damage, it is difficult to advise you specifically. HOWEVER, I can say that most doctors want to operate and will do so if there is any justifiable reason to do so. If they are delaying, your spine is probably not as damaged as you imagine...

I would recommend trying other non-surgical options, as I do not want to see you joint the growing army of post operative young people who are still in horrible pain and are now permanently disabled. If you accept defeat, you are already defeated...This is what it comes down to. I sense you still have some fight in you if you can summon your courage. Try a new approach and you might just find what all the doctors have missed. Best, Sensei Adam Rostocki

Q: I have a question about my neck. I have recently been seeing a chiropractor for a pinched nerve that I have in my neck. Well about 2 days after I started getting my adjustments the left side of my neck has been itching terribly. It itches all the time and there is no rash. I have been using anti-itch creams but they don't seem to be working. What could be causing my neck to be itching like this? Juliann

A: Hi Juliann, Sounds to me like an allergic reaction, although this would usually leave some visible evidence as well. You might be sensitive to some substance used by your chiropractor or might be having a neurological or psychosomatic reaction to the treatment. It is difficult to know for sure, but I do not think it is serious. If the chiropractor is helping your neck, that is the most important thing... Best, Sensei Adam Rostocki

Q: MY SONKEEPS GETTING BACK PAIN FOR NO REASON. HE IS A TEENAGER AND I AM VERY CONCERNED FOR HIS HEALTH. HE DOES NOT DO SPORTS AND HAS NOT HAD ANY FORM OF INJURY. WHAT CAN THIS BE? DEE

A: Hi Dee, I recommend taking your son to a physician for a good check up. My back pain started at 16 and continued for 18 years, so now is a crucial time in his development. Best to you and your son, Sensei Adam Rostocki

Q: Hi, i am a 46 yr old female suffering from low back pain for almost 17 yrs. Usually with chiropractic visits the pain use to go away. Now it only worsens to the point i can't bare the pain. Muscle relaxers don't help long. I am now having trouble with my legs and can hardly walk or stand straight. Should i seek other help than a chiropractor? I have to work where i sit on a high chair in a teller window and am up and down all day. Any suggestions? Annette

A: Hi Annette, Chiropractic is symptomatic treatment. What you need to do is either find out what is wrong with your back and rectify it (rather than treating the pain) or acknowledge the possibility that there is nothing wrong and your pain is psychosomatic. (In this case, knowledge therapy is advised.) I recommend starting with achieving an accurate diagnosis and working from there. Go to a medical doctor for this, not a chiropractor. Best, Sensei Adam Rostocki

Q: I was wanting to know if this pain I have is serious enough to see a Doctor. Everytime I get up from sitting My lower back hurts really bad, when I stand up is the worse.I worked for the post Office , lifting heavy bags.Now I do a lot of walking at the job I have now.My back never bothered me when I worked at the post office, but my neck did sometimes.Now on my new job, my back hurts really bad. what should I do? Martha

A: Hi Martha, Only you can know if your pain is bad enough to seek treatment. If the pain is severe or chronic, I always recommend getting it checked out. Remember to consider that most "abnormal" spinal conditions blamed for back pain are often not actually responsible. With this knowledge and an accurate diagnosis, you should be able to make an informed choice about treatment. My best to you, Sensei Adam Rostocki

COMMENT: Good day, I would like to inform you that I am glad you made your website and book about psychological back pain. It was funny as few days before i found your website I had unlocked the secret to my chronic back pain on my own by journalling and breaking it down,etc. I know for few years now what causes it, but never fully understood why. I was also in denial about it probably. I came to the same conclusion as you but in a more spiritual perspecitive. I felt that my body was causing the pain as when I did the activity I usually do I am not thinking positively,etc. I realized how I think and that it is not good for my spirit, or mind and that my body was trying to protect me from getting worse or going crazy,etc. I was quite happy and surprised how easy it came to me as I broke it down on paper. I was even more happy when I found your website as it backed up everything I figured out, then I really knew I was right and on the right track. I am currently seeing a chiropractor, and last year or so when I was at the very tip of the iceberg of my research on the power of the mind,etc. I said to him how I had read some books about how people mention how powerful the mind is in regard to pain,etc. I thought it was strange that he did not acknowledge what I said and rebuttled by giving me the positve aspect, as he gave me his very own example of how he positively visualizes this thing and how it works for him every time. I belive it from both ends, but can not fully understand why doctors run away from this psychological issue in life of anykind. I am not sure if maybe he was nervous or taken by surprise and did not know what to say, or was afraid of giving me to much like your info,etc. I already read your e-book which is very good, and like candy for my soul :) Its like being given a huge golden key to a magnificant door to be opened in life and spirit. It is very healing for me to read all of your info. I do have a question though if you are able to break it down more for me or elaborate. I also have acne and I assume it is also related to PIPS, however I am unaware of what type of issues may or how they cause it,etc. The only thing that ever worked to rid of it was the pill, but I went off it as I try not to take an meds at all, and it has negative side effects too. Unfortunately my acne has come back again. I figured it was due to hormones, as that was why the pill worked maybe. Could this be true or do you think it is solely to PIPS? If so what type of emotional problems could usually bring this on? I also only see my chiropractor for adjustments, do you think this is ok to continue, or do you feel adjustments are not needed at all? He has never diagnosed my pain at all and never talks to me about it. In the past I use to tell him if I had during our visits, but he never says anything about it, just smiles at me or changes the subject,etc. I assume he is aware that my pain is psychological. I wish he would just tell me and other patients this fact. he seems like a very nice person and doctor, but I wish he and others could just tell patients the truth. Anyhow thank you very much for making your website and books, they helped me very much and always will and I hope and pray they will help millions of others. I personally emailed your website to all my friens and family. Hopefully they will access your info and use it. My goal was that they would all send to their contacts, and on and on, until millions will know about it. That is my hope and dream for the world. Thanks,Michelle

A: Hi Michelle, Thank you for the nice comments about my site and book. I think acne can be a physical condition, but in adults, it is often psychologically induced or perpetuated in many instances. I consider it a secondary symptom for many back pain patients (back pain substitute symptoms, on my site). To cure it, you must simply associate it with the same psychological issues which cause back pain, gastrointestinal discomfort or what ever your primary symptom happens to be. The process is truly that easy. I discovered it by curing my bad stomach, knee pain and wrist pain by using the identical approach I used for back pain. Life is so much better pain free. I had a really hard time giving up 18 years of chiropractic, but I did it cold turkey. I simply told my doctor he was my friend, but I would never be his patient ever again...and I never returned. For me, it is crucial to give up the idea of a physical treatment if you are strong enough to acknowledge a psychosomatic cause. I wish you the best and thanks again for all your own personal efforts to help spread the word. Please stay in touch and let me know how you are doing. My very best to you, Sensei Adam Rostocki

Q: I feel much pain in my back, from the muscle under the left shoulder down to the left side of my lumber region. This is really bad. I feel stress and much pain in the neck and in the left shoulder muscle in the back and almost altogether feel dizzy if I don't have a nap in the afternoon. Doctors have given up on me. I had all the differnt kind of drugs: from vitamins to antibiotics. X-ray on the whole areas show no signs of injury. Muctar

A: Hi Muctar, Given your history, I recommend trying knowledge therapy. This treatment works well when other therapy options have failed. I hope you can find some relief soon! Best, Sensei Adam Rostocki

Q: Hello, I just had colonoscopy done on firday. my mid back on right started to hurt. first I thought I may have pulled something. pain is sharp and constant. it hurts when I lay down. I went back to the dr. she said it was not easy colonoscopy even thought result was normal she had to move around stuff and I am just sore it will be fine. by end of monday I could not bare pain I went to my regular physician who ran some test. he gave me antibiotic because end of day I had cold sore that came up all week end I had chills and fever. Does anyone know if having sever mid back on right is normal after colonoscopy? My dr. thinks it may be galdbaldder infection. can you please advise? Thanks Astha

A: Hi Astha, The pain could be the result of many things, but is unlikely to be the result of anything spinal. I would simply follow the directions given to you by your physician and hope the symptoms alleviate soon. I do not consider this to be a typical back pain syndrome, but instead an unfortunate circumstance due to your procedure. Your other symptoms due support the idea of an infection as the causation...Feel better soon! Best, Sensei Adam Rostocki

Q: Recently I have been experiencing my upper back pain on my right side, just below my right shoulder/upper middle back. I have had pulled muscles b/f and i kno this is one of them b/c when I use that particular muscle to lift myself up or sit up straight in a chair it hurts. what has got me perplexed is that that portion has gotten somewhat better but the pain has spread to my whole right arm. its not excruciating but like my fingers and hand tingle, the whole arm just feels sluggish and i have minor pain throughout the whole arm. I now have this persistent buzzing sensation on my spine like about shoulder hieght/bet shoulder blades. I know I overexerted my right arm b/c other muscles were pulled there minorly but I don't know why that would cause the general pain everywhere. I am currently using a heat pack on it. I kno it will go away but what's going on? this hasn't happened b/f. Thank you! Denise

A: Hi Denise, I cannot diagnose your pain, but I can say it sounds like a chronic concern to me. Have you considered the possibility that it might be ischemia related? Have you ever been checked by a doctor? If so, what was their diagnosis? Knowing more will assist me in helping you. Best, Sensei Adam Rostocki

Q: i'm 17 years old and just had to under go surgery tuesday night. i have two herniated disks, however one was pushing on my nerve so my doctor told me I had to do surgery. I was told he will cut out the piece of disk pushing against my nerve to relieve the pain going down my leg.He didn't bother to do anything else to help my herniated disks. I'm just wondering if it was possible to be helped by the DRX 9000 system. Being at my age I don't want to miss out on my teenage life. John

A: Hi John, Non-surgical disc treatment is not only possible, it is preferred. Spinal decompression might have been a good option for your condition, depending on your particular clinical impression. Being that you already had surgery, I wish you luck on your recovery and I hope you will be pain free. Your case is typical of the many doctors who advise or even push surgery as the one and only option when it is almost never needed. Surgery should always be a FINAL option after ALL OTHERS have been exhausted. I wish I could tell your doctor this instead of you...My best to you, Sensei Adam Rostocki

Q: please help i have suffered with resistant back pain for over 15 years and it has got worse and worse as the years go by i have had no help from the doctors apart from pain killers which either knock me out or dont work i have tried all sorts of therapy and spent a fortune trying to at least control the pain for example chiropractors sports massage and phsiotherapy my physiotherapist discovered i had flat feet but was not convinced it was the whole problem i have orthotics which have helped but i am still in pain most days and sometimes i can not relieve it with pills heat or ice packs i cant sleep and struggle to get through a normal day please help Elizabeth

A: Hi Elizabeth, I see that you have already bought my book, which is good, since I would certainly point you in the direction of knowledge therapy. I also highly recommend "Healing Back Pain" by Dr. John Sarno. You can get this one at your local library or purchase it from any bookstore. You never mentioned your diagnosis, but I think it is almost irrelevant at this point. You admit to trying everything and not achieving relief. It is definitely time for a new approach for you. Elizabeth, try the knowledge therapy and really make an effort to apply the techniques to your life. Stay in touch and let me know how it works out for you. Best, Sensei Adam Rostocki

Q: I am 43 and one year ago developed lower back pain on my right side,which has been diagnosed as being casued by the Facet Joint.The pain is aggrevated by sitting and radiates into my leg down the right hand side on the outside. I have had pain every day for the past year. I had numerous visits to the Chiropractors, which helped a little. I then visited the Physiotherapist but the lower abdominal exercises given seem to aggreviate the pain. Finaly I went to my doctor who recommended an MRI Scan and X-Ray. This came back clear and actually showed that my back was in pretty good condition. I visited a Pain Management Consultant who injected into the nerve of the facet joint and the joint itself...but still the pain was there. I have been on anti-inflamatories, antripolean (pho)which did give minor relief but was always conscious the pain was still there. So I have gradually stopped these over the past month. I then was given Lyrica by my Doctor but found that it made me feel sick and bloated. So I have also stopped taking these. I am just wondering where to go from here as I seem to have been passed from expert to expert and still have the pain. Deirdre

A: Hi Deirdre, I sent this to your email, but it would not go through...

Hi Deirdre, Have you considered trying knowledge therapy? It seems like you have exhausted all the usual medical therapies with no success. Why not try something which has worked for so many patients just like you? This is my recommendation for your case and I think you could achieve good results with this treatment. My best to you, Sensei Adam Rostocki

Q: Hi, I have lower back pain for about three years. The pain is mild and I usually feel the pain when i sleep on my back. I feel very stiff and tight in my lower back. For my lower back pain, I was requested to take x-ray. In my x-ray report it says "Some premature disc space narrowing is clearly seen at L3-4". Can you please clearify me about this symptom, how should it be treated or cured, and will this cause me any serious back pain which will not be cured in future. It will be nice if you clearly descripe me about the problem that i have and how could it be cured. Thank you, Krishna

A: Hi Krishna, I recommend you talk to your doctor about your particular condition. Disc space narrowing refers to a normal process which is almost universal in the lumbar spine. It has been vilified by the medical establishment and even given the overused terminology DEGENERATIVE DISC DISEASE. It is not a disease at all, just a normal and expected part of life for most people. DDD is seldom painful and I highly doubt that your pain is due to this condition. I was diagnosed with this condition in my early 20's but as you might know, now I have no pain. DDD was never responsible for any of my horrible symptoms. My best to you and hope you find some relief, Sensei Adam Rostocki

Q: i am wondering how you cured your own back pain, my husband herniated 2 discs at 20yrs old. he throws his back out once a year and we practically start from square one after he does. he is not a candidate for surgery. he just threw his back out again yesterdsay and he will be bedridden for a week. he doesn't believe anyone can help him, so i am inquiring. Deborah

A: Hi Deborah, I cured my back pain with knowledge therapy. This technique was the only thing which worked for me, after trying virtually every other modality. It is the same question you are asking which inspired me to write my book ("Cure Back Pain Forever") and explain exactly what I did and how I did it. Of course, I am not trying to sell you...You can get similiar information for free from your local library. I recommend Dr. Sarno's "Healing Back Pain". His book is written from a different point of view than mine (instructive professional versus first person experience) but is an excellent source of treatment. My best to you and your husband, Sensei Adam Rostocki

Q: I have a 13 year old girl with sudden server back pain. she is a health child.never gets sick never misses school never takes medicine. She is in so much pain that after fighting her for 2 years to learn to swallow pills now she has learned. The doctors are running test after test and giving her pill after pill. They even gave her an antibotic. She has not bee sick before the pain. She did not hurt her back before the pain. And she has bee in pain now for over a month. Her back suddenly started poping alot and she says it feels better after it pops. Any way I was hoping you might have some ideas or suggestions that might help us. Wendy

A: Hi Wendy, I am confused why you have been fighting her for 2 years to learn to take pills if she is never sick. Maybe you can clarify this point. Given all these tests, what is the diagnosis? What findings were discovered during imaging studies? This info will assist me in helping you. Best, Sensei Adam Rostocki

Q: Hi its me again i have had no diagnosis of my back pain accept a muscle imbalance, doctors say there is nothing wrong and others just dont know i have read your book which was just like a light bulb going off and i have already started the programme i have removed all pain aids and try to vsualise my blood etc to ease the pain. i have had a rough life so it all seems to fit i witnessed my dad killing my mum at 5 years old then was sent to many foster homes and family members which were sometimes abusive at 16 i was cast out into the world wih only my twin sister who has experinced the same and also suffers with back pain then various abusive boyfriends and trials in my life i am here now and recently seporated from my partner leaving me a single mum i work part time and am also in my final year diploma in counselling as i wanted to help others as i had been through so much myself. I was dreading my life ahead but now i feel so much more positive since reading your book i have always feared putting hope into something as the fall would be harder but i truly believe you and will let you know of my progress and i will try to convince my sister to do the same. Thank-you Elizabeth

A: Hi Elizabeth, I am sure you will make good progress with such a positive attitude. I think you are finally on the right path to health now. Remember that the process takes time and patience, but you WILL GET BETTER if you try. I am sure all these issues you wrote to me have a powerful influence on your life and have factored heavily into your pain conditions. My continued best wishes, Sensei Adam Rostocki

Q: I am a diabetic and whenever I sit on hard chairs after 20 to 30 minutes my left leg and foot began to get numb and it goes to the other leg making me take action in getting up to circulate the leg and it goes away. What causes this to happen. Nancy

A: Hi Nancy, As a diabetic, you have special needs which must be addressed by a specialist in your condition. I recommend talking to your doctor about your neurological concern and seek treatment which is appropriate for your situation. I wish you the best and hope you can recover from your discomfort, Sensei Adam Rostocki

Q: I am a 28 yo white male with a very bad back. According to the MRI's, my back looks like a 60 yo. I was told I have degenerative disc disease and some dry discs that are probably pinching some nerves. I have severe pain going down my legs. It feels like my balls are in a vice just being squeezed most of the time. I have tried physical therapy, epidural shots, etc., but nothing seems to work. I am at a loss right now. None of the doctors want to touch me because of my age. But, I can't live in this kind of pain for the rest of my life. I live in Nebraska and can't afford to travel to Florida or California to have the new surgeries done. Any ideas as to what my next step should be? Corey

A: Hi Corey, I doubt that your pain is the result of DDD. This condition is often blamed for pain, but is rarely responsible. If it were, I would be unable to move at all by now due to my advanced DDD. I am fine...

I would try an alternative approach if I were you. Look around my site and read all the DDD info. If you like what you read, there are answers directly on those pages. I wish you the best Corey, and I hope you find relief soon. Sensei Adam Rostocki

Q: hello, for the past 2 weeks my head has been moving by its self when i try to turn it, it starts shaking by itself like if i am forcing to turn it. is is also stiff in my neck and it is emabarrsing it happen in the middle of no where i will be talking to someone. and someone else will call me then when i go to look at them it statrs shaking. is that a pinched nerve or a muscle spasm in the neck, or a symtom of somehting worse. thanks christina

A: Hi Christina, I recommend going to a doctor immediately to rule out anything serious. They will perform an exam and possibly some testing to determine what the problem is. I hope it is nothing serious and that you can find relief soon. My best to you, Sensei Adam Rostocki

Q: Hi....I went to the doctor the other day as i have arthiritis in my neck which affects my shoulder too......the reason i went to the doctor was .......i have lower back pain for about 6 weeks now and even if i stand at the sink and wasg the dishes it comes on..it only maily starts paining me when i do exursion..........my doctor examined me and said the mustles in my back was hard and my spine is curving .i am 59 years old .i have never suffered with lower back pain before........do you have any idea what it could be?.my doctor is sending me to a muscular clinis .......what can the muscular clinic do........hope you can help....thank you Winifred

A: Hi Winifred, Pain that is only 6 weeks old can be from any possible source. Did your doctor provide any actual diagnosis or simply speculate that is must be a muscular concern? Did they take any imaging studies? The clinic might help or it might not, but you can try. Let me know how it all works out for you, Sincerely, Sensei Adam Rostocki

Q: Hi This portal seems to have tons of information for people suffering from back pain and iam lucky to find this A million thanks!!!! For the past several years iam havin this deadly pain,there was no accidend or injury that caused this pain I had been through a serious of diagnoisis starting from x-rays to MRI scan ,and the report reads a sligh disc buldge in L1 & L2 I am not able to define the pain,when there is a tropical change the pain is miserable,pain disturbs my sleep very badly and mornin hours the pain is worse ok..started tests for spondolytis and it is negative.then angular spondolytis HLA B-27 Negative Microcid and orthobid - MR created a lot of gastric problems now,wots next!!! i live with the pain,at times feel mobility decreses need support to get up really cant describe the pain at times feel it radiates,feel pain in the arms ,groin even scrotum tried physiotheraphy and stuff I lie on the floor,now doctors suspect it could be a neuro pain i jus cant tell u how frustrated it is to live and work with this back ache Any recomendations,suggestions...kinldy help Age: 27 Height:5.9 Weight:76 Kgs so is it a scene with weight!!! Not sure i see a so many symptoms and kinds of back pain listed in your portal what kind of back pain is this,Please help certain things in life escapes defination and this pain is ofcourse .....the people who have it will know wot it is ... Awaiting your reply Thanks for your time in advance - Richie

A: Hi Richie, The groin pain might be linked to the disc bulge, but definitely not the arm symptoms. Since you have been through the extensive diagnostic and treatment processes you described, I speculate that your pain is most likely ischemic. This would make far more sense given the wide range of symptoms and targets you experience. I recommend knowledge therapy to determine if this cause is responsible for your pain. If not, explore spinal decompression, although I do not think this is indicated in your case... Best, Sensei Adam Rostocki

Q: My problem started out as a knot in my upper back, which I'd experienced in the past and it always had gone away within a week or less. It prevented me from turning my head more than just a bit, in either direction. This time it didnt resolve itself. It was a time when I was spending hours at home studying on weekends (I;m old for a student, but was preparing for a professional exam.) I was referred to a physiatrist, by my Primary Care Dr. and he diagnosed a very bad spasm in my upper left back. He referred me for Phsy Therapy and prescribed Skelaxin and Declofenic, which did me absolutely no good. This was in June and by end July, it was feeling 90% better, and I was discharged. In August (mid to late) it started to return. It came back worse. This time there was pain and stiffness in my upper back,and also down my arm, which eventually became a pulling sensation. If I tried to do a neck retraction, it hurt. I also had pins and needles in my hand (thumb and second fingers). This time I called my orthopedist, who was not available for two weeks, so I went to another orthopedist, recommended to me by a friend. He gave me a shot of cortisone, in my back at what we th0ought might be the trigger point, but it did no good as I couldnt pinpoint the actual point of pain. I went back to him and he sent me for an MRI. It showed 2 herniated disks (mild to moderate in the cervical spine(i think c5 and c7, but not sure, the MRI report is in my office). Also 2 root compressions in the same area. He recommended Phys Therapy and I went back. It was very difficult for them to even work with me because I was so so stiff, and I had a lott of pain down my arm - not just pins and needles but now it was bad bad pain. In the meantime I had tried celebrez, ultram, and another pain killer none of which worked. I also visited wtih a pain managment specialist, who told me that eventually I would probably need an epidural, but that it is more complicated in the cervical spine than in the lower spine, becase there is less space to work in, and if he was just slightly off, he could hit my spinal cord. This did not inspire confidence at all. Nevertheless he told me that I should put it off it the pain wasnt realy bad, and stay with the phys therapy. He prescribed Lyrica, but neither that or the PT were working. Finally I went to my original orthopedist, who I wanted to see in the first place but who was on vacation. In the meantime, my Phys Therapist had told me from my symptonms that she believes my big problem is the median nerve, based upon where the pain in my shoulder, back and arm was. Every Dr. agreed that this nerve was involved. Back to my Orthopedist, he also told me that an epidural might be called for and gave me the name of a pain mgmt Specialist that he would recommend. I am seeing him for a consultation next week. However, the ortho told me that I shouold just go for a consult, to establish myself as a patient, and then see how it goes. The ortho also prescribed "dose-pack", a 6 day regimen of decreasing amounts of prednisone, taken in pill form. This was a magic pill. It did not eliminate the pain, but greatly reduced it to the point where I can function physically and mentally much better. It is also allowing the Phys Therapist to work with me more effectively, stretching my median and ulnar nerves, and massaging the tight muscles, which she couldnt do before. I know the Prednisone wont work forever, but it is getting me through and maybe by reducing the inflammation, I hope it will help the area heal by itself. The muscles are less tight - BUT - i still have the pulling feeling in my neck, shoulder and arm, and on and off tingling in my arm. So thats my story this is where I am at for the moment. Comments, suggestions??? Ken

A: Hi Ken, I have a completely different theory. I believe your pain is due to oxygen deprivation of several nerves and muscles in your neck. I have no proof for you, but can say that I have seen this type of pain, just like yours, thousands of times. I would begin a program of knowledge therapy to counteract the causes of this ischemia. If you are not ready to hear this, then I recommend GETTING OFF THE DRUGS and beginning spinal decompression. However, I advise this as a secondary recommendation... (all except the drug part, that you must quit now...) I hope this helps you, Best, Sensei Adam Rostocki

Q: Hey I just have question or a hope that you might be able to provide some advice. I'm a 19 college student and I've had lower back pain for the last couple of years on and off. It comes and goes, it is definatley not constant, but is extremely uncomfortable when it does. I have been to a chiropractor, and they tol me I had this crazy problem. Please know that I might struggle explaining this but hopefully you get the drift. At the bottom of my back, right above my buttocks, a bone sticks out really far. It has a fancy name and has to deal with something not fusing together, I think, or that I fell when I was young and it pushed it a couple inches back. If you have suggestions on what to do that would be greatly appreciated. I could start seeing the chiropractor again, but I wasn't sure if that was the best solution. Or should I go to a hospital to get it fixed. All I do know is that I do remember a thing that the chiropractor did to get it to crack or "pop" and when this happened, it felt great. I vaguely remember it being more about muscle tension but im not sure. Thanks again and any help/advice would be greatly appreciated Andy

A: Hi Andy, It seems like you are describing a problem with a segmented prominent coccyx. Is this correct? Coccyx problems can be a real pain and are often difficult to treat, They are however often blamed for pain which is actually from a completely unrelated source. If you have any definitive diagnostic info, it will assist me in advising you. Best, Sensei Adam Rostocki

Q: IN 2000 I fractured a vertebra, but the injury was not detected until 2006 by a neurologist. I have excruitiating pain thru' the facet joint (I'm told) refering pain into my hip. It seems that no one and no pain relief (chemicals) remove or reduce the pain. I have had injections into my spine and a denivation, all unsuccessful. Is there any treatment that can relieve the pain. Naturally, I have depression and have put on weight. I was an exceptionally active and physically strong person. Any suggestions? Ivan

A: Hi Ivan, What do doctors say is causing your pain? 2000 is a long time ago and any fracture would have healed many years already, unless you have some health condition preventing proper healing. In essence, what condition have you been diagnosed with? This info will assist me in helping you. I do not think you have a facet joint problem by the sound of it. Personally, I would recommend knowledge therapy, since I think you could work through this condition. However, I could be wrong. It is difficult to tell if there is some physical condition causing your pain, but my experience tells me no. If you want to try another physical treatment option, I would recommend spinal decompression. This therapy works pretty good for facet joint issues and might help you. Let me know what you decide and how it works out for you. My best to you, Sensei Adam Rostocki

Q: Hello! I am hoping you can help me. I am writing for my mother who is in extreme pain at the moment. She has a weakness for lower back pain but has never experienced anything like this before.... We are currently on vacation and before we left she noticed a pain in her lower left side of her back. She took a couple Motrin and then was in a car for over 8 1/2 hours. From there she was on a train for about 17 hours and that's when the pain increased. By the time we got to vacation in Florida the pain was so intense she could hardly walk - and my mother has a high tolerance for pain. Her home doc prescribed pain meds and a muscle relaxer and in a couple days' time that helped but now the pain has traveled to between her shoulder blades! The same type of pain! What could this be? Any advice or help? I can't find anything about traveling pain like this anywhere. She does not have any numbness or tingling at all anywhere.Please e-mail me when you can. Thank you so much! - Debbie

A: Hi Debbie, Based on the info you have provided me, I speculate that your mom has anxiety based pain which was aggravated by the mere thought of the trip. I can not know if the travel itself brings on this condition or if some personal matter related to the trip is to blame. Often vacation is a time for an increase in painful symptoms among perfectionists, people with control issues (placing your life in the hands of others in control of your transportation needs) or people who actually have a difficult time leaving work or other responsibilities behind to relax. However, I can almost guarantee that there is no physical problem and the actual cause of the pain is ischemia. The cure for this type of pain is knowledge therapy. I hope this info helps your mom out and I wish you my very best, Sensei Adam Rostocki

Q: i have had 2 m.r.i,s and they showed nothing.i have sever back pain.it is in the lower part.it may be my pelvic,they took m.r.i of that to.nothing,my back is afecting my walking, i have to hold something or i will fall i am 46.and i cant bend over,or roll over in bed without yelling out,the pain is really bad.i cant stand long or when i set down the pain takes my breath.numbness in my fingers.loss of stregenth all over,when i roll and turn a certin way mt back pops seceral times kind of grinding in the lowest part.i stay in a wheel chair most of the time because of the pain.i have seen a neurogylest.and he done all sorts of tests.and found nothing,i am going in one month to see a doctor in vanderbilt in nashville in 30 days,i dont know if i can take another day of this torcher,some days i cant get iut of the bed.it hauts when i urniate,and it is hard to hold it.i have wet myself several times,but they say my bladder and kidneys are ok,i am scared.and am in more pain then i can baredo you have any words of wisdom for me.and by the way i live in muhlenberg co ky,i have been to the e.r in greenville where i live they say we dont know wht to do to help you.and send me home every time ,with no reliaf at all.they are not acuiped to handle anything.anyone in pain around here are just doomed,, thank you angela

A: Hi Angela, Have you considered the possibility that your pain and related symptoms are an advanced form of oxygen deprivation? This syndrome leaves no physical evidence (unless you can examine the nuclei of your cells under a microscope...) and can be responsible for symptoms you describe. Obviously your doctors have ruled out other causes and your diverse symptomatic locations makes a single cause impossible anyway. This is my advice to you...Research ischemia and knowledge therapy. You have tried everything else, why not give something different a chance...My best to you and stay in touch to let me know how you are doing. Sensei Adam Rostocki

Q: I will start off by saying I am a gymnast. I have been having a lot of problems with my lower back. After I work out, my lower back will be super tight especially on one side which makes me sit sideways. I also feel like two bones grind in my back when i arch my back. The grinding really gets annoying and I feel like it causes my back to stiffen even more. It does it every time. I can barely touch my toes because it feels like my back is so tight and compressed together. Any ideas what this could be? Thank you Kristeena

A: Hi Kristeena, I am sorry to hear that you are having this recurrent problem. I advise going to a doctor trained in sports medicine to give you a good exam. As an athlete, you have special needs which must be considered. Your pain might be the result of an injury, a spinal condition or some emotional condition. It is best to rule out the spinal conditions and injuries first...I wish you the best. Let me know how things go for you after your exam. Best, Sensei Adam Rostocki

Q: I have had back,neck and right chest pain for the last 9 mths started after lucentis eye injection and painting a fence prior to next short.The 1st shot led to a panic type reaction and doubling of prior tinnitus condition ---very upsetting and scary. Put on ambien/xanax and referred to pschotherapy, after next injection was given sedatives this time before injection and result was much less upsetting but that's around the time the back neck and chest pain started, I have gone PT and Chiropractic I have had CAT of chest X-ray of neck and all kinds of drugs. Nothing worked. Through all this I have seen a psychotherapist but have not focused on introspective till I descovered Dr Sarnos books 4 weeks ago and whole heartly accept the TMS approach. I have always felt something else besides structure was happening. I'm 64 and feel pretty sure I know my body better than anyone else but also because I'm 64 the pain and tinnitus wears heavy on me as well as a life time of life review for as the Dr Sarno says for some patients psychotherapy is reccomended --- I'm one of the 20%. My questions are: I have had very little change and find this very discouraging. I have stopped all meds long time ago except for xanax to sleep. Should I try taking muscle relaxants again. I really don't want to but the pain does hit home? At times I feel life is not worth living for it seems this psychoherapy seems to cause more harm than good ---- could this be right? I do want to get bbetter but could the pain be pushing me faster than I can go? Has this happened to other patients and how do I know I have the psychotherapist that undeerstands fully the TMS patients and there needs? My therapist seems with me on this but it was I who accidently found Sarno's book after months of him saying the answer lies within? Why didn't he tell me sooner given that he said he was aware of them already. This leaves me doubt? Which Sarno says is something one should not have. Are there therapist out there that are trained with the TMS patient as central and have this experience? I sometimes feel mine is "winging" it I don't like feeling like a trail and error experiment. If so how would I contact them? I have other questions but I thank for being there to answer these for me at this time. Thank You Ron

A: Hi Ron, Going to a normal psychotherapist is EXTREMELY unlikely to do anything at all to help your TMS. Yes, there are therapists specifically trained in TMS psychotherapy who do understand the condition and how to resolve it. I do not know where in the country you are located, but Dr. Sarno has helped many to find a doctor near them for therapy. I am sure his office would be happy to try for you...

On a separate note, why do you seem so resigned to needing psychotherapy. To me, you come off as an intuitive guy who might do better on his own than being led by a therapist who is simply treating you with questions instead of answers...I recommend giving it a try by immersing yourself in knowledge therapy. this approach worked terrific for me and I have never looked back. Keep in touch as let me know how you make out. Best, Sensei Adam Rostocki

Q: I'm having lower lumber back pain I had mri done they found nothing what could it be? Gerald

A: Hi Gerald, You have not given me much to work with here in your short note. However, if you got an "all clear" from your doctor for physical problems, I speculate your pain is most likely psychosomatic. This is THE most common type of chronic back pain, so do not be surprised... My best to you, Sensei Adam Rostocki

Q: Dear Adam: I find this all very interesting. I have previously read Dr. Sarno's book. I would like to get your opinion though on my pain. I started with mid-back pain about 3 years ago, which subsequently lead to open-heart surgery for a double bypass. I would have back pain when lifting heavy objects or walking fast. However, since the heart operation the back pain has persisted which has led me to believe that it had nothing to do with my heart. I do notice that it is worse if I am stressed out, which happens fairly frequently with elderly parent issues. I also have quite a time with heartburn, which seems to burn right through me to my back. I regularly have all the necessary follow-ups on my heart and everything comes back ok. I have also had x-rays and a myriad of doctor visits, chiropractic adjustments monthly, and massage every two weeks. These help for a very short period of time, but the pain is back again with a vengence. I also have good days and bad days. Do you feelthis is related to PIPS and is there hope for recovery? Keep up the good work on your site. Thanks for your advice Mary Lou

A: Hi Mary Lou, To me, it sounds like the back pain and heartburn might very well be psychosomatic. The person who is best able to determine this is you, based on an honest assessment of your personality and pain history. If I were you, I would immerse myself in a knowledge therapy program and make it a priority. If you can do this, I am sure you will benefit in the long term. Keep in touch and let me know how you make out. Best to you, Sensei Adam Rostocki

Q: Is there any help for my husband the has thoracic back pain lower back pain and bad disc's he has been living on pain pills and is in so much pain he cries, we are fighting work mans comp. IS there any treatment we can try that might elevate the pain. Any thing you can give me would be so helpful. Jenny

A: Hi Jenny, I do not know your husband's diagnosis or treatment history, so I am hard pressed to make recommendations. However, spinal decompression shows good results with disc related pain. He might explore this option. If you send more info, I might be able to assist further. My best to you and your husband, Sensei Adam Rostocki

Q: I'm not sure you take questions like this but I figure the worst thing that will happen is you don't respond. I'm a 30 year old some what active guy. I lift weights regularly 3 to 4 times a week. I drive a truck during the week for work. My problem is a few months ago if I stayed leaning over for an extended period of time (bent over doing something) I would get a sharp pain in my lower back near my spine what would bring me to my knees. After a day or so it would go away but if I lean over for to long it would return. It's not muscle related but is the most painful thing I have ever felt and I have had 2 degree burns. When it hits the pain is so bad I can't move. I have no numbness in my lower back or legs or ever feel like one of my legs is going asleep. Do you think this is a pinched nerve or something else? I didn't do anything to my back to cause any injury either. It's now to the point of I can always feel a very small amount of pain when I sit. Standing I have no pain at all normally unless I say jump down out of a truck or something. This it's mild pain and goes away quickly. Any ideas? Derek

A: Hi Derek, I hate to tell you the obvious, but my idea for you is to go to a qualified doctor for a check up. Have them do an imaging study and then you will know for sure what is going on in your spine. This is a far better idea than me guessing at it. Once you get the results, write to me again and I will help to advise you how to proceed with treatment at that time. My best to you, Sensei Adam Rostocki

Q: I am 78 years old. I have had epicdural injections, which helped for two weeks, and three of them. Now they want to cut me open to try and fix it. I can't walk over 100 feet, because my left leg calf get very tight, and hurts. These injections was in L5, and did wonders for 2 weeks only. Tried pills next, didn't help. Would spinal decompression help? What advice do you have to help me. Also left leg is getting weak. % years ago I played tennis, and walked in the wood. I can't do nothing now. I am at my end of the rope. Please help. Thank you. Wayne

A: Hi Wayne, You did not tell me your diagnosis, so I am not sure if decompression is right for you or not. Decompression is indicated for herniated discs, degenerative disc disease and some forms of facet syndrome. As far as surgery, I usually advise against it, but once again, I am not sure of the actual spinal problem you are suffering from. If you send more diagnostic info, I can help you better. Best, Sensei Adam Rostocki

Q:I am a 36 years-old. I had suffered (for what Doctors told me) of chronic lower back pain; mostly before my period or if I had lifted something heavy. Two weeks ago, and after having lower back pain for 2 weeks, I took a HOT shower. It seems that the position how I took the shower & the hot water combination, sent me to ER with a herniated disc. My MRI impressions says: "L5-S1 extruded (possibly sequestered) cranially migrated disc fragment extending dorsal to the L5 vertebral body on the right with likely compression of the right L5 nerve root." So far I have seen an Orthopedic and a Neurologist; both concluded immediately that I required surgery. I have an appointment with a Neurosurgeon today...the true is: I DO NOT WANT SURGERY. I have heard so many horror stories and saw in person (with my brother) how he suffered after his 2 herniated removed discs, that I do not want to go thru that. Part of my right leg is still numbed and my L5 nerves are not working properly since my leg is weak. I can't move my toes up and do not have a lot of strength when I move my right foot to the left. I am so scare...I know today the Doctor will say that I need surgery, and although I am packed with arguments of why I think I should try other treatments first, he is going to paint a horrific scenario that would totally freak me out and I would decide to have the surgery. For what you see here, are there any alternative treatments that you would recommend that would improve the movement on my leg and prevent future lower back pain?. I have been out of pain killers for more that 24 hours and my movements are very slow, but I am not in pain. My leg it's what worries me now. Thanks! Linda

A: Hi Linda, I do not think you require surgery. I would recommend spinal decompression for true disc related pain as a non-surgical treatment modality. There is a ton of information on my site about this therapy which might just be perfect for you. I would also recommend trying knowledge therapy to increase your resistance against future pain syndromes. My best to you, Sensei Adam Rostocki

Q: At my job I usually sit all day in a medical cleanroom..and most of the products I work on puts me in a position where I'm leaning over to the left and forward to do my work..its kind of hard to do it sittin straight up. Thursday evening I was working on something and I was leaning rather hard or to the point where I felt the pain in my back but I wanted to get the job done quickly and would sit up when I was done.. After I was done..the pain subsided then I was off for the day..later that day I felt a really bad pain on the right ride of my back under my shoulder blade close to my spine..it only got worse that night. I tried a heating pad, it worked for the time I had it on but after it just stiffened up again. It also hurts to take a deep breathe. When I do he pain gets worse...its been since thursday and it still hurts and its saturday...the pain is not as bad but it still hurts. I also can't lean to the right ride but the left side of of my back is fine. I've taken excedrin back and body it seems to take the edge off but that's it.. Shaunera

A: Hi Shaunera, Sounds to me like a muscular condition. I would not worry much about it, as this will only set the stage for long term chronic psychosomatic pain to ensue. Try some warm heat and some relaxation. It might last a week or 2, but should resolve by itself. Best, Sensei Adam Rostocki

Q: Dear Sensei Rostocki First off I want to thank you for the creation of this website, which offers very rational approach to all the back problems. I am 28 years old.My middle back pain has been around for 3 years. It started when I worked as a baker, lots of standing, table too low and lots of repetitive motion. I started feeling a tingly sensation at the T-11 level about 1 centimeter to the right. I did not paid attention to it for a few months, but with the time it got worse. 6 months after that I had a car accident, I hit the windsheild with my head, but I did not feel any change in my back pain sensation. I took physio for about 6 months after that but with no results, then lots of chiro visit, massage therapies, acupuncture but nothing really worked. The pain is mostly deep and dull, low level but exremely annoying. Usually when I walk it feels like there is something inside of the muscle, close to the spine, kind of contraction and tightness. The dull pain usually comes when I stand or sit for a longer time. It went away for about 2 months last year but then I lifted my friend, stupid joke, and the next day when I got up the pain was back. I had CT,MRI and X rays done with no findings. I do not really have any symptoms of those spine deseases. I went through some tough times for the past years, there were some emotional problems. I read Dr. Sarno, I kind of fit into psychological profile, but the symptoms of TMS are different to what I am experiencing. There are those tender spots on the back, the pain is usually sharp and more wide spread. I do not have those symtoms. Other than the back problem, I do not feel I have any hidden emotions, I really am able to acknowledge them. There were no trigger points found in my back muscles as well. Muscles are not tender, I feel there is something inside going on, I really can not localize the exact spot where it hurts or comes from. I would like to start yoga but streching sometimes aggrevates that sensation, creates a feeling of tingling or tightness. I can do all kinds of movements, I am not limited, but I do not know if I should go on with streching and yoga even though it does not create a pain, just that above mentioned feeling. Sorry about the long message, this is one of the few ways how to express my frustration.I do not want to give up, because I can not live like that. Thank you a lot for a possible answer. Sincerely Richard

A: Hi Richard, Psychosomatic back pain comes in all varieties and "depths". To me, given my experience, it sounds like you have this condition and a wide range of self prohibiting behaviors and back pain triggers. Ischemia can definitely produce the dull pain you are referring to and can continue for years unchecked. (mine for 18 years...) I would give knowledge therapy a real honest try since you have attempted many other treatments without much success. Let me know how things work out for you. Best, Sensei Adam Rostocki

Q: hi this is for my sister not for me,she is in her early 30's has always had bad back problems since she was 12! 2 years ago she had a massage through bowen therapy,he flick one of her nerves in her back and within days she couldn't walk or talk properly.the hospitals said that she was stressed and that was what was causing her to these "body seizures". she would have constant fits and no one could touch her back.We sent her for every test possible,even ones to determine if it was stress related. her naturopath has been able to temporarily stop her shaking by the pressure points in her neck,but cannot figure out what is triggering it! she is believed to have loupas in her blood and fibro mialgia and schuemans disease in her back. The doctors and specialists say that this is not link to her problems though. She has recently been having back spasms to the point where the hospital medicated heavily on morphine vallium and muscle relaxants but it only stops for an hour or so. She can now only get from her bed to her wheelchair to go to the toilet, but is pretty much bed ridden!My sisters and i dont mind caring for her as we care for our mother who had a stroke, but we cant help her much when we don't know whats wrong with her. So 2 years later she is getting worse and the doctors either say they have no idea what it is or it's stress. Please can you give me some feedback asap. Thanks. Georgina, P.s sorry about the spelling!

A: Hi Georgina, The syndromes you are describing are most often caused by a psychosomatic condition in the vat majority of patients. Some patients actually have a physical problem causing their pain, but these are usually obviously diagnosed, not idiopathic like your sister. I speculate that her problems are also probably psychosomatic and related to severe ischemia causing the powerful spasms and muscular issues. My advice is to start her on a knowledge therapy program. Let me know how she makes out and I send you my best, Sensei Adam Rostocki

Q: Dear Adam I will start me story from the beginning. During my early twenties i developed back pain, which i was led to believe was caused from driving to much. I saw various chiros, consultants and had several mri c/t scans, which showed nothing. The consultant suggested removing my cocyx which didnt do much. Towards the end of my twennties the pain subsided and from 30 to 35 i had no pain at all. In May of this year i bought a new car and almost instantely i got tingling in my feet and then severe lower back pain which mainly comes from ls1 and my sacrum and buttocks. I went back to driving my old car which has done the trick in the past, but to no avail. I have been in pain for six months am unable to drive or sit at all. I have also tried various beds in order to make the pain less severe. I have had an mri scan which shows nothing and have had facet injections which did nothing. My back as i thought alwas was very sensitive to which car i drove and which matress i slept on, and i had always managed to make my small outbreaks go away. But this time it wont go. I downloaded and read your book which has inspired me. And now i am starting to think that your theory maybe why this is happening to me. My main problem is sitting and for three months i have avoided it at all costs. But since reaading your story i am trying to build up my confidence to get through my pain barrier and list of numerous does and donts. You are right i have stopped wearing varios ties to work which i thought made it worse. Ridiculous but real to me) I tried to go out for a meal at the weekend but after an hour had to get up from the restaurant beacuse of the pain. I am feeling very low and feel like my life is always goint to be like this. I am normally a driven and fun person but this has changed me so much. I have started making lists of everyting in my life, and am trying to tkink about things clearly. The one question i have is that if this is caused by pips then why has this happened when i am at my happiest. Beside the pain i have a great partner, sucessful business and have built bridges with my family. All i can focus on is the pain which is a constent reminder. Your feedback would be much appreciated. Martin

A: Hi Martin, I can not say why your pain is worst when things seem good, but I can say it does relate to your personality. Dr. Sarno describes this occurrence as VACATION syndrome, meaning that when we finally have the chance to relax and enjoy life, the pain comes and prevents your full appreciation of a seemingly positive time...(this is certainly applicable in buying and enjoying a new car...) I suggest you continue to dig into the reasons for this and what inside you makes you your own hardest motivator and critic. I definitely get the feeling the answer is inside of your mind...not your back. I think this will be the breakthrough you are looking for... Best, Sensei Adam Rostocki

Q: Hi I have written before L4/L5-S1 Disc bulge L4/L5 foraminal stenosis L5-S1 Facet joint arthritis ALSO NOW C3/4 disc proplapse T6 COMPRESSURE FRACTURE 25% mild mid to lower cervical thoracic spondylosis What does this mean I have had pain for over 14months just had MRI Result mid diffuse disc bulge & facet arthropathy at L4/L5 with associated mild central narrowing & bilateral lateral recess narrowing. Bone density test clear. I have tried PIPS my pain is real & beginining to run my life this all occored after motor vechicle accident 24/03/06 car hit drivers side front fender at 140klm then in march 2007 another mild accident where i was hit from behind which aggraravated the previous pain I have become so depressed I am seeing physcoligist for anxiety depressive illness what does this mean in laymens terms Thank you Michelle

A: Hi Michelle, I am not sure if you are asking me to explain your diagnosis or not, but I think that is your request. Here it goes...

Disc prolapse and disc bulge are basically interchangeable terms for a herniated disc. They exist at L4/L5, L5/S1 and C3/C4 vertebral levels. Foraminal stenosis means that the doctor suspects that the herniated disc at L4/L5 is compressing the spinal nerve root as it exits the foramen. Facet joint arthritis is a normal process to experience as we age. The spinal facet joints often wear down with age and activity. Spondylosis is also a term for spinal arthritis. This time it exists in unspecified middle and lower neck vertebrae. Compression fracture at T6 is common for older patients, over weight patients or patients who are very active in risky sports and activities. There is nothing here that surprises me nor startles me as being unusually for an adult over 35 or so. I do not know how old you are or your weight and general condition. These factors might be important... Best, Sensei Adam Rostocki

Q: hi-my name is Michel-at this present time i am 61-i had an accident at the age of 14-my right femur was broken -as a result i have a hip slightly lower than the other-my body was not balanced anymore -troughout the years i suffered from a subluxation but now i have constant pain and severe at the time-let me point that i do physical work-i am an electrician-and i dont plan to retire sometimes soon i have also degenarative disks in my neckand the pain there is getting worse-i was told streching will be beneficial for me-i still dont know how to name the condition i am suffering from-would you be kind enough to suggest some sort of relief.thank you

A: Hi Michael, A case like yours is not typical and requires careful skeletal and postural evaluation. I recommend going to a specialist to this type of treatment. I would not be worried about the degenerated discs. At 61, this is normal and should only be problematic if you allow it to be. If you are looking for a good physical modality which might help you, consider spinal decompression. This approach works well for many patients. I wish you my best, Sensei Adam Rostocki

Q: Please tell me some doctors in Oklahoma City who do the DRX9000 treatments. My dauter in law ,who lives there, has herniated disk problems would like to know. Thank you. Ken

A: Hi Ken, I recommend doing a GOOGLE search using the term "DRX9000 Oklahoma" to locate a provider. I am in NY, so I do not have much of an idea about who is in practice there. My best to you, Sensei Adam Rostocki

Q: My 41 year old husband for the second time this evening told me he hurt his back at work. he went to the kitchen called me because he felt severe in the middle lower back then cold sweat I got him to a safe place and I sat him down and he passes out but m ore in form of a siezure he stretches back and he makes these noises with his breath. It lasts for about 30 seconds when he comes out of it he acts like if he just woke up. this happened for the first time last year and the same thing complained of hurting his back but that time he passed out on me twice. What could this be? when we went to the hospital last time they didnt find anything wrong. Bridget

A: Hi Bridget, This may or may not be directly related to back pain. Losing consciousness can be an indicator of a serious health problem. I recommend getting him to a doctor who will perform a complete examination to make sure he is ok. Best, Sensei Adam Rostocki

Q: How do you know your pain is real or psychomatic? psppur

A: Hi Psppur, That is an excellent question and unfortunately it is difficult to answer definitively. The best way to determine this is through the test of time. It is unwise to assume any pan is psychosomatic until poor diagnosis and ineffective treatment rule out a physical cause. If the symptoms do not make sense for the clinical profile of the diagnosis or a variety of appropriate treatments are ineffective, there is a very good chance that the pain is psychologically induced... The more experience you develop dealing with the signs of psychosomatic conditions, the easier they are to recognize. For additional information about diagnosing this type of condition, I recommend reading any of Dr. John sarno's fine books on the topic...Best, Sensei Adam Rostocki

Q: my back hurts up high about where a womans bra is and i wake up with it killing me what causes that? casey

A: Hi Casey, Thee is no way for me to determine what is causing this very general description of your pain by email. I recommend going to a qualified doctor and getting a thorough exam performed. If you need help deciding on a treatment process, let me know what the doctor diagnoses and I will do my very best to advise you. Best, Sensei Adam Rostocki

Q: For the last year I have had this painful condition of which I am not completely certain I have been properly diagnosed. I have had pain in my back, underneath my scapula-the ridge and deep within. This pain sometimes radiates to the front. I also have discomfort and tightness while breathing especially on the inspiration part of the breathing process. I used to feel pain and discomfort more frequently but now, these last two months have felt it really only at night while lying down and in the morning. Night time and morning is not good for me. I have had C.T. Scans to test for pneumonia, lung embolisms, breathing tests for asthma, Bone Scans, and Ultrasounds to test for Gall bladder problems. Blood tests also do not reveal any problem. Once upon going to the ER Room at the local hospital I was thought to have Costochondritis. I also say a Chiropractor who mainly focused on applying pressure to my tight diaphragm muscles under my breastline. When my muscles there and my back are touched I have eyewatering pain. Any thoughts, again I have dealt with this a year. I have always been active, except since this occured and now would like to get more active again but deal with pain and breathing discomfort. If this is indeed muscular-as everything else has been ruled out...do you know of any exercises to stretch these areas out? Thank you, and looking deeply for some of your thoughts on this. Heidi

A: Hi Heidi, I will be honest with you...I do not know what type of pain this might be. It does not fit the profile of anything I have heard of before. It is strange that nothing has been discovered through all the diagnostic testing performed. have you considered the possibility that the pain is ischemic and caused by a psychosomatic process? To me, this makes more sense than some idiopathic physical abnormality which defies diagnosis from all these doctors...Best, Sensei Adam Rostocki

Q: If one has lordosis, is there any treatment available that allows one to straighten there spine? Mckinley

A: Hi Mckinley, You would not want to straighten your spine, but you might want to bring back a typical curvature. Spinal fusion can reduce a hyper-lordotic curve, but does so at an extreme risk to other vertebral levels. Other treatments will not change the curvature in an adult, they will simply treat the symptoms. Best, Sensei Adam Rostocki

Q: I have had RSI (esp.), back pain, knee pain, etc. and got a hold of Dr. Sarno's books recently. I have had some luck and more importantly had my hope renewed with the books; where many other treatments have shown only temporary relief if anything and despair. As a 29 year old athlete my life had revolved around ice treatments until recently. I live in the Twin Peaks area of San Francisco and am looking for an analytical psychologist with experience in TMS treatment given my recent symptom imperative experiences. Any help you can provide would be much appreciated. Scott

A: Hi Scott, The only guy I can recommend in California is Arlen Ring. He might know of someone closer to you who can be of assistance. I recommend contacting him directly and let him know I said "hi".
http://www.cure-back-pain.org/arlen-ring.html

Q: Hi, im writing now because i am sick of this pain. i have had for almost 2 months and after reading stories on this site i realise that that isnt too long. 2 months ago i got into the middle of a horse fight and one horse lashed out at another with his foot and caught me on my back. at first i thought i was ok then the whole of my right leg went tingly and almost numb. the next day it seemed to be fine so i went to work as usual. then as i went down to pick up the mop i was overwhelmed with this pain in my lower back that knocked the breath out of me and i could barely walk. i rested for a week but then had to go back to uni.(you cant rest in uni. its impossible so i think i have brought the rest of the pain on myself). I felt better so i went to do my shopping and whilst carrying the basket my back went again but worse than before. I had to try and walk home. it took me half an hour on what would usually have been a 3- 4 minute walk. that was a month and a half ago. ive been to see the doctors and she says i havent slipped anything i just need to rest. ive been resting as much as i can but i have to walk to lectures everyday and sort out meetings and carry my shopping home and it just hasnt been helping. Now ive got that out of the way my question is, do you have any idea what is wrong with me as my doctor wasnt very helpful, she just said what i said before. and can you suggest any exercises or anything to relieve the pain. im just sick of staying in when all my mates are out partying and its really upsetting me. Any help would be appreciated. Lauren

A: Hi Lauren, There is a chance that the doctor missed something and you might require a better exam. Did the doctor take an MRI? This would be helpful in diagnosing the problem. If the result is clear, then you probably do just need some time to recuperate. Let me know about the test and I can advise you better. Best, Sensei Adam Rostocki

Q: Thanks for your great site. Here's my story, appoximately 2 years ago I started having right leg pain, soreness in right buttocks, very difficult to sit, then it progressed to my right hamstring, and then to my calf, this was most painful, burning, tightness, like cramping, and then finally my toes were tingling. I have been to my doctor, and a spine sspecialist, I was diagnoised with a "slightly" herniated disc at L5, on thier recommendation I had 1 Epidurol shot treatment which consisted of 2 shots one at L5 and another at S1. Prior to the doctor visits I had been to Chiro for 3 months with no real relief.The shots I received did get me back to normal for 1 year,I might point out that I am a 53 year old male, weigh 200lbs. and am very active, (I bowl, do yard work, push the mower, like to work on my old cars). Well the problem has come back, but I only seem to have the burning pain in my right calf, I have been to see the Chiro again and he says my right leg is shorter than the left because of the way I carry myself, it's not phsyical, he gave me a foam wedge for my right shoe (it's appox.1/4" thick) it doesn't seem to do much. I do take a blood pressure med. and also an anti-inflamitory (Volteren)and my doctor sent me out SOMA and Vicoden. I am scheduled to see my doctor in 3 weeks (if you haven't noticed I'm using both a medical doctor and a Chiro at the same time to find relief)I am confident my doctor will recommend another Epidurol, but I am curious if decompression is the way to go. Thanks inadvance for your suggestions. Al

A: Hi Al, I think a year's worth of relief is great for 1 set of injections! I recommend skipping the chiro for this condition and definitely losing the shoe wedge. I think another round of epidurals might do you good and spinal decompression is a great option if the pain continues or worsens. I wish you the best, Sensei Adam Rostocki

Q: HAVE A FRACTURED VERTIBRA NO. 7 IM 83 YEARS OLD AND THE PAIN IS IN THE MIDDLE OF MY BACK. THEY ARE RECOMMENDING SPINAL DECOMPRESSION??? PLEASE HELP WITH ADVISE AND OTHER CONTACTS MArk

A: Hi Mark, I assume, you mean T7 vertebrae if the pain is in the mid back...is this correct? Who is recommending spinal decompression for you? A medical doctor or a chiropractor? Normally, decompression is not advised for patients with vertebral fractures. Even if it is safe, I do not see how decompression will help a fractured vertebrae. If you have more info, send it along and I might be able to advise you better. Best, Sensei Adam Rostocki

Q: About 7 weeks ago, my family and I were traveling home on a busy highway, when traffic ahead of us came to a stop. We, too, stopped with out any problem, unfortunatley, the man behind us did not. Our 2005 Saturn Ion was hit at an estimated speed of 60mph by a large Dodge Ram pick-up truck. I had my head resting against the passenger window, and was briefly knocked unconcious. Thankfully, my children and husband ended up being fine, but I was airlifted to the hospital. I had bruising all along the right side of my body, and within a few days, I noticed horrible back pain. I went to my family doctor twice, and he thinks I have sciatica along with bruised joints, but I think it may be more. Here are my symptoms: Burning, hot poker pinching sensation at that 'ball' in the small of my back, right side, that feels like a live wire. This pain goes down through the rightside of my hip, through the back of my knee, and sometimes in my toes. Also, my hip aches constantly, all the way around to the front side. I walk with a pronounced limp after about 2 or 3 hours of being on my feet. In addition, I have weird popping sensation at that 'ball' that is sometimes loud enough to hear, when I shift weight from my right to left leg. When I turn, or shift weight when walking, I feel a strange snap- crackle sensation in my hip. I can't say these sensations are necassarily painful, but more disturbing and kind of sickening, just not right. My doctor doesn't seem concerned, just says it'll take time. My life is on hold at the moment, because I cannot functionnormally. I made an appointment with an orthpedist because I don't feel I should sit back and wait. The X-Rays at the er showed nothing abnormal. What is your opinion? Jen

A: Hi Jen, I recommend getting an MRI to visualize the spine. In the meantime, don't stress over it too much or you DEFINITELY WILL wind up with a psychosomatic pain syndrome using the accident as a trigger...Your doctor might be right, you may just need some time to heal. Send me the results when you get that MRI done. My best to you till then, Sensei Adam Rostocki

Q: I have battled sciatica pain in left leg and buttocks 6 monthsthinking about Accu Spina treatments Do I Need chiropractic manuliptation along with the IDD Therepy? Deb

A: Hi Deb, That question is best answered by your particular AccuSpina provider. I do not know the specifics of your condition, but I am sure your decompression doctor can advise you on this matter. My gut instinct says...no. Let me know how the spinal decompression works for you. Best, Sensei Adam Rostocki

Q: hello my name is sam. My dad has a really bad back pain. i really want him to get better could you give me some advise on how to cure him. he has taken loads of things such as vinegar. hot bed cover. medicance etc. i am his son and was wondering that if you could tell me this is causing it . my dad mainly drinks and he sleeps alot in the arm chair in the night. he normally stays in the chair for ages. i was wondering if that is making it worse. thank you

A: Hi Sam, It is difficult to advise you without knowing more about your dad's diagnostic history. If you could send me more specific info on his condition including diagnostic test results, I can help you far better. Best, Sensei Adam Rostocki

Q: Yo Sensei, I got a question. I have been having lower back pain for around 12 years (coming and going. I am (almost)sure it is TMS/PIPS. I red all Sarno's books, i red your book, Sopher/schechter etc. In february this year i first heard about TMS / PIPS. In April i went totally down with backpain. After that it went from half of may till last thursday okay except from anxiety. In holland TMS is not known so we are still in the dark ages, nobody can diagnose TMS or want's to. And yes i have seen all sorts of therapists. When everything went oke with my back i was cured for about 80%. I walked, cycled but no sports(still to much fear). I was beginning to push the fear further and further back. (pain was switched by anxiety) So after having being painfree in may the next mission was the anxiety. This took a while but the last month it became clear to me that i also had to get rid of the background fear. (i could sit but never long, still sleeping on one side, still making funny moves to release backpressure, lying on the couch at home instead of sitting, you know what i mean). I started to do more and not mind my back. The pain was already gone for almost 6 months and i did almost anything except sports or heavy things. Last week there was a big emotional problem which i solved and after that the pain returned. My question is; can it be that trying to totally get rid of the TMSPIPS monster can cause a flare up off pain. And in combination with emotional stress TMS is again back on track. I am also still working 50% of the time and within a year i have to find another job (2 kids and wife to take care off).Pressure enough but with the tools it must be beaten i think. What do you suggest? In a way i know what to do but i'am surprised by this very painful flare up.(iám doing all the Sarno stuff and also your advises, or at least starting towards a free movement pattern). I'am, like i said, surprised by this flare up. Any suggestions. Thanks to you already Sensei, Greetings Patrick

A: Hi Patrick, I know exactly what you mean throughout your entire letter. You must move past ALL the fear and live a completely normal life, despite your past pain experiences, in order to fully recuperate. I know it is difficult to do, but it will become easier as long as you are confident in the process. As far as set backs and flare ups, this is normal. Although you see how knowledge therapy can cure pain, it does not guarantee that you will never have a psychosomatic symptom ever again. You will face emotional adversity throughout life and must be prepared to potential flare ups. The more experience you have with treating the condition, the less frequent these flare ups will occur and the less they will bother you. I am very proficient at this now and rarely see anything psychosomatic occuring in my body. My mind has just grown used to recognizing it before it sets in and I do not fear it, which takes away its power over me. That being said, I, like you, will always be prone to these symptoms so we must be vigilant not to let them take hold. I hope this helps you . As always, my very best to you and your family, Sensei Adam Rostocki

Q: Hi. I am new to this site. I have had 7 low back surgeries. It started with one disc herniation,then another,a scar tissue removal,and finally fusion of first 4 levels. I still have pain,which is controlled with painkillers. I might need yet another procedure to remove a loose screw and maybe all hardware since they are in there. I have had every test imaginable,every painkiller,and can help answer peoples questions. Sean

A: Hi Sean, I am so sorry to hear about all your problematic conditions. I hope you find some relief once and for all. Best, Sensei Adam Rostocki

Q: My husband has degenerative and bulging discs, spinal stenosis and peripheral nerve is causing a dropped foot. He has always had back problems but never like this. He cant stand or walk. The neurosurgeon doesnt want to operate and is sending us to a neurologist and for physical therapy. Any advice would be appreciated. Ann Marie

A: Hi Ann Marie, You might want to consider a nonsurgical option such as spinal decompression. Ask your doctor about this treatment and how it might help alleviate your husband's symptoms. Best, Sensei Adam Rostocki

Q: I had a disc fusion in my lower back at the 3-4 disc in March 2002. At one point prior to that, I participated in Wado-Ryu Karate. I still enjoy the katas and various techniques. I am concerned about the jar and quick movements that would be needed to spar. What are your thoughts about this? Also, what about stretching, is there a way to improve flexability after having a fusion? Scotty

A: Hi Scotty, I advise talking to your doctor concerning specific restrictions you might have from your fusion. I do recommend going back to studying the martial arts in whatever capacity you can do. I think you could probably still do Karate, but if your doctor says "no", then consider another style which might be better for you, such as Tai Ji Quan. I began my martial arts career in the hard style arts, but gained an appreciation for the soft arts as well, as my skills matured. My best to you, Sensei Adam Rostocki

Q: First of all, I would like to let you know I'm only 17 years old and a tennis player. I had shoulder surgery about 6 weeks ago on my right shoulder to repair a slight posterior labrum tear, an extra flap of tissue on my rotator cuff, and a sac of inflation. While undergoing sugery I was given a cortizone shot in a knot in my back a chiropractor or physical therapist couldn't get rid of. The knot was just a little left of my right shoulder blade and almost to the spine. The cortizone shot did not help, it ended up making it worse. I'm still experiencing a lot of pain in my shoulder because it is now frozen but I'm having a lot more pain in my upper back across my shoulder blades. The pain has gone across the middle of my back to the left shoulder blade and I feel as if the pain is going up my left shoulder as it did the right before the surgery. I always feel the knots in my back move when I do and it is very painful. I am a student and have not been able to sit up in class for a full day since the day before my surgery. I had an MRI and it showed nothing so my doctor assumes its a nerve problem. He has suggested an epidural shot if the medicine he gave me to calm my nerves down does not work soon. Could this be the long thoracic nerve causing problems? My doctor and therapist are quite confused with what to do with me and do not have answers for my pain. Lee

A: Hi Lee, I can not tell you what is causing the problem for sure, but it sounds a bit strange to me, if it is indeed a physical condition. I also question the idea of a cortisone shot in that location...I do not think it was wise for your doctor to do. Given the fact you have a clean MRI and a history of shoulder pain, have you considered the possibility that the problem might be ischemic? This type of treatment-resistant pain is very rarely properly diagnosed and can create the type of condition you are describing. The pain might also be tied to the shoulder surgery in some way. I advise giving it some time and trying not to stress about it too much, as this will only make it worse. If it does not resolve, try a second opinion from a quality medical doctor. If you still do not find a true causation, I would advise you strongly to pursue the idea of treating it as an ischemic cause. Best, Sensei Adam Rostocki

Q: dear sir,i have been suffering horribly with firstly,pins and needles,electric shocks and a shocking heat like an oven these symptoms strech from my bottom to the feet.i had mris and cts and general x-rays.which show definite damage at l1,l2,l3 l4 and l5.my specialist wants at the moment to do decompression at l4-l5 at the moment and may do all if need be also said he will use koflex as well.i am 64 and was an aussie-rules footballer 19 years in melbourne,australia.the last 5 years i had to big neck operations including plastic lacectomy which has helped me greatly but now my lower back is really killing me .what do you think of having the operation.i am a big guy and hope i will be ok.best wishes,hiram janover,israel.

A: Hi Hiram, I would recommend trying non-surgical spinal decompression before consider any further surgeries. This treatment might be just right for your condition. Best, Sensei Adam Rostocki

Q: I was in a severe rear-ender where the car (brand New Taxi)is a total write-off! I was knocked out, I remember the impact but nothing more till I heard the Cab Driver (a big woman appox. 245lbs.) say she was sorry and asked if I was okay! I told her I felt like I had pins, needles and numbness on the top of my head! She started to go into severe shock, so I tried to comfort her! As for myself I think the head rest was set to low so my head was against the hardest part of my head! I have a severe pain that's like a burning sensation in my thoracic part of my shoulder as well as the muscles of the shoulders, which goes down my arms to my hand which go numb! I was released from hospital, even though my pupils were so big there was less than an 1/16 of the normal irises blue/green irises! It was a concussion, as the headaches are like torture!Dizziness, unable to focus, jaw aches, ears, throat neck muscles as I think I was actually hung or strangled by the seat belt! My Thyroid, and neck muscles and glands under jaw still hurt! I am vertically challenged so When I got swung back against he seat I guess the impact was hard I have a crown of them to prove it! I am an Epileptic, and I know I was knocked out, I also have neck swelling that looks like the Mumps/Gout! The back of my skull is still hurting as is my neck, shoulders and lower back! Could this be whiplash, and can this effect my Epilepsy? Or do you thing it some thing different? Sincerely, Joan

A: Hi Joan, Given the unique circumstances of your health condition and your accident, I recommend getting to a specialist in traumatic injury and get a thorough check up. You need to have an MRI and other diagnostic tests performed to determine the extent and locations of your injuries. The accident or the epilepsy might be responsible for you losing consciousness, it is impossible to be sure which. The most important thing is that you survived and will hopefully heal up with time. Let me know what the doctor says about your condition and how you make out. Best, Sensei Adam Rostocki

Q: I fell off a ladder and fell about 6 ft. onto my tail bone (coccyx). I went to a clinic and they gave me celebrex, vicodin and a patch with lidocaine in it. They don't do much for the pain. Sitting and standing up, laying on my back, reaching down all are horrifically painful. I don't know what kind of specialist I should go see and what options will best work on the area. I've read area's of your site but can't seem to find a good answer about coccyx pain. Maybe I'm just missing it. I would greatly appreciate an answer. Thanks Steve

A: Hi Steve, It's funny, I have an entire section on coccyx pain ready for publishing, but there are only a few pages on the site now. Try searching for "Pain in the tailbone." Did you fracture the coccyx? I hope they took x-rays... Let me know the diagnosis you received and I might be able to help you better. Best, Sensei Adam Rostocki

Q: Do you have any info on a technique that uses a gel to replace the disc? Pete

A: Hi Pete, There is ongoing research in this area, using 2 completely different approaches. The first is nucleus pulposus replacement using a synthetic material or a hollow core which would be filled with a gel material. The second is an injectable substance which would attempt to restore the organic disc by refilling it and restoring its former height and diameter. Obviously, for damaged discs, the material would need to be injected after the outer shell of the disc was surgically repaired or the material would need to be able to seal the outer disc wall itself. Both of these options are being explored. Some of the products in development include: Aquarelle, Regain, Prosthetic Disc Nucleus, Newcleus, IPD nucleus Hydrafil, and Neudisc replacements. Injectables include various hydrogels, silicons, polyurethanes and other polymers and elastomers. Currently, these treatment ideas are still in the early testing stages. Best, Sensei Adam Rostocki

Q: I got hit by a soccer ball on the back of my head and my back. I was sitting and it hit me full force. it happened 4 weeks ago. I feel dizzy, nauseous, have neck and back pain, forget things, am very tired all the time and my arms fall asleep while sleeping and so on. The MRI showed that I have 3 bulging disks in my neck, the doctor said I have a concussion and whiplash. No surgery needed they said , which I am grateful for. Besides heat pads, homeopathic remedies, rest, what else is there for me to do to get better fast and 100%? Hope you can give me some hints, Jacqueline

A: Hi Jacqueline, I recommend taking it easy and letting the injury heal. Keep moving, but be careful and don't do too much too fast. It sounds to me like you just need some time for the condition to resolve. Don't stress over it or rush it too much or you will be setting yourself up for a psychosomatic continuation of the pain. I hope you feel better soon. Best, Sensei Adam Rostocki

Q: I am 26 years old and hurt my lower back running. Its been a year now. The original pain I had morphed into something different - it now is primarily in my piriformis and sacroilliac region. There is no other pain, ie sciatic pain running down the leg. Everything seems to make it worse- walking alot, excercising alot, standing alot, sitting alot, sleeping, stress etc. I have gone to several doctors and types of therapy- it has started to get better several times (with massage, acupuncture, physio, etc) but eahc time it returns. Nobody knows what wrong my last doctor, who I trust the most, simply said its 'tricky' hard to get rid of and doesnt really know exactly what it is. I still go for massage, I wear orthotics and I'm starting chirporatic therapy monday cause I feel like ive treid everything and nothing is working(I've also tried ostheopathy, medication, bowen ,etc- as many possible things as I could have and I have given everything a chance to work before giving up on it). apparently there is a history of back pain in my family, but i dont know what it is. Do you have any advice for me? Any idea what it might be? I find it unbareable to sit and do excercise etc and its been ages and nothing is working. Josh

A: Hi Josh, Given the description you have provided and the treatment-resistant nature of the pain, my advice would be to treat it as an oxygen deprivation issue and begin knowledge therapy. If it were caused from an anatomical condition, it would have been discovered and resolved long ago. Best, Sensei Adam Rostocki

Q: Hello Sensei. First i must say im new to this site but it had provided me alot of info about back pains.And now at least i know,im not alone.thanks! I have back pain for the past 3 months..i dunno wads the cause of it but an xray show a shift in one of the bones in the lumbar area..now i have pain like nerve compression...i feel that the pain is always there,whenever i bend down or lean,it will be there..but if i stay upright..no pain.. i am undergoing physio but it is of like no use..i am really very sad because i am only 16..i dun wan to have a chronic back pain..the sports i do are sprint kayaking and running.. i have stopped doing any exercises or sports since 3months ago..but i really want to know if i can get back to doing kayaking or sports.. thanks, Jimmy

A: Hi Jimmy, It is difficult to advise you if your condition is safe for sports or not, without knowing an exact diagnosis. Most likely, activity will be good for you and help you over come the pain. This is almost always the case. I advise asking your doctor about this and if they say no to sports, get a second opinion from a specialist in sports medicine. I hope you can get back to a full life soon. Best, Sensei Adam Rostocki

Q: i am a 72-year-old female describing a horrible pain in my leg. i'm is 5'7" and approximately 125 pounds. i am an active walker with no history of osteoporosis. I retired from teaching 15 years ago. The pain is not in any joints and i cannot recall overexerting myself recently. No swelling is apparent and a close inspection of the skin has revealed no cuts or abrasions. The pain i am experiencing shoots down the back of my leg from my buttocks and it is excruciating. There is no constant muscle soreness. Brandy

A: Hi Brandy, Your condition might be related to your back or might simply involve your leg. I recommend getting a thorough check up and talking to your doctor about your symptoms. Chronic muscle soreness without an obvious cause might be an indicator of an oxygen deprivation condition. Let me know what your doctor says. Best to you, Sensei Adam Rostocki

Q: Thank you for the site. I am 59, I have compression of the disk causing pain in right hip and leg, comes and goes. I and was able to borrow a used inversion table. No directions. Some of my research make mention about using vitamins with the table, is there a formula for how long to invert? . Any help, thanks Roy

A: Hi Roy, I recommend contacting the manufacturer of the table for specific directions concerning proper use of their product. Best, Sensei Adam Rostocki

Q: Hi, I fell on my right side on concrete floor. The same night I had jerky, spastic head and hand movements, pain in back of neck, arms, then weakness in right arm (problem writing), now both. Prior neck surgery (Feb.07,C4-5 art. disk replacement)and back surgery ( Sept. 05,L3-L5 2 art. disk repl.)I have had trouble swollowing (something getting stuck), and occas. problem with coordination and balance. Diagnosis may 07 mild to moderate Lumbar stenosis. I had acute radiating pain from may 07 througout my bosy from head to toes. Now it seems that the upper region is worse. CT Myelogram (last week) shows C5-6 disk bulge with impression on thecal sac. My surgeon does not take me seriously anymore. He suggested to fing "someone to talk to". Can you help? Thank you so much Georgia

A: Hi Georgia, Unfortunately, the surgery might have done far more damage than good. This is often the case with spinal operations. I do not think your present symptoms have anything to do with a minor disc bulge or stenosis. To me, it sounds like something neurological related to the surgery. Your doctor might know more than he is letting on, but does not want to implicate himself in being partially responsible for the symptoms you are experiencing. I recommend trying a neurologist who specializes in spinal problems like yours. Let me know how it goes... My best to you, Sensei Adam Rostocki

Q: Hi, I am a 29 year old female and have had lower back pain since I was a teenager. Most of my pain starts right above my tailbone in my lower back and sometimes radiates down my buttocks and into the back of my legs. Sometimes it feels like the backs of my legs and my toes are numb or tingling. I have had several MRI's and have been to several doctor's over it. I am a smoker and the dr's told me that my back pain was caused from my smoking and that they could actually see my discs deteriorating. Well, my sister in law has the same back problems and she is not a smoker. I have had several cortisone and steriod shots to help relieve the pain. I can't think of any injuries I have had for my back to hurt. I have 3 kids and with all 3 of them I had severe back labor. When I was pregnant with my youngest daughter my doctor had told me that I was having severe muscle spasms in my lower back and she put me on pain meds and muscle relaxers. They helped for a bit but now I'm in pain again. Sometimes it feels as if my back is locking up and I can't move for several minutes. This will happen when sitting, standing, bending, or walking. Also about 3 months ago I noticed a small indention on my right hip close to my buttocks. I didn't think anything of it as I thought it was just a "dimple" on my buttocks. Well, about a month ago I was drying off after getting out of the shower and I noticed that the indention had gotten much bigger. It is almost a reddish blue color inside the indentation. It hurts to touch and feels kind of rigid. The puffy skin around the indentation is hard and I have noticed when sitting it hurts around the site of the indentation and down my right leg. Now I have not associated my leg pain with the indentation until just recently because I have always associated my leg pain with my back pain. I currently have no insurance and want to get this checked out, but I only want to go to one doctor instead of having to be referred to someone. So, with that being said, my questions are 1. what do you think the indentation is and what could have caused it? 2. what type of doctor should I go to to cut out the middle man, so to speak? I hope that you can help me as I have shown the area to several people and no one has ever seen anything like it. Thank you, Nicole

A: Hi Nicole, I am sorry to say that I can not speculate as to the cause of the indentation. However, it could be something serious, so you better get to a hospital to get it checked out ASAP, insurance or not. I would recommend going to the hospital since they will have the right kind of doctor there to refer you immediately. Let me know what the doctors says and I might be able to advise you better once you have it checked out. As an aside, I do not think the disc degeneration has anything to do with your pain, but smoking is BAD for you and BAD for your spinal structures. Best to you, Sensei Adam Rostocki

Q: I am 53 years old. I have been diagnosed with cervical spinal stenosis by a neurologist. Later I was diagnosed with opll. I am not in therapy becasue thus far I have refused surgery until I try other options. Please let me know...if I am making the right choice. ps. wondering if spinal decompression would help... thanks, Emma

A: Hi Emma, I think you are wise to avoid surgery unless it becomes your only option. Decompression is not indicated for stenosis or OPLL. There are a number of other conservative approaches which might be useful. Talk to your doctor to get a complete clinical picture of your condition and what to expect. I wish you well, Sensei Adam Rostocki

Q: Dear Sensei Adam Rostocki, I have been living with chronically tight back muscles for over a year and a half now, which is nothing compared to 18 years but still somewhat of an irritation. My question for you is, once you finally discovered your new method for curing back pain, how long did it take for your pain to subside completely (or almost completely)? I am looking to purchase your ebook but am not sure it will be beneficial, as I have tried nearly everything to cure myself. I would like to be optimistic, though. If you were to write back it would be greatly appreciated. Thank-you for your time. Michael

A: Hi Michael, Using knowledge therapy, I received immediate benefits in terms of losing the emotional and mental fear and dread of the pain. My confidence in the treatment increased over several weeks as my pain gradually subsided. It took me about a month to lose the majority of my pain and a good 2-3 months to really say I was completely cured. It is no overnight process, but is highly effective for those who stay the course. I hope this answers your question and feel free to write to me any time. I am here to help. I know what you are going through. I tried everything and more in those 18 long years...Best, Sensei Adam Rostocki

Q: I was in a horrific accident in 93. My jaw was replace, had another replacement in 2001, I had a fracture in L-3. I have been experiencing chronic pain for for many years from what I thought was due to my jaws. I had a MRI and CT done my results were: MRI: FINDINGS: The signal intensity of the cervical spinal cord is normal.At C2-3 there is no significant disc abnormality or foraminal stenosis. At C3-4 there is central disc bulging. There is no foraminal stenosis. At C4-5 there is a right paracentral disc protrusion or spur producing mild right sided foraminal narrowing. At C5-6 there is mild posterior disc bulging. There is no foraminal stenosis. At C6-7 there is no significant disc abnormality or foraminal stenosis. At C7-T1 there is no significant disc abnormality or foraminal stenosis. ^ IMPRESSION: FAR RIGHT PARACENTRAL DISC PROTRUSION OR LATERAL SPUR AT C4-5 NARROWING THE RIGHT NEUROFORAMEN. IF FURTHER EVALUATION IS CLINICALLY INDICATED, AXIAL CT IMAGING AT THIS LEVEL MAY BE OBTAINED. MILD CENTRAL DISC BULGING AT C3-4. MILD POSTERIOR DISC BULGING AT C5-6. CT: TECHNIQUE: Axial CT images of 1.25 mm thickness were obtained from the occiput through T2 from which reformations were created. FINDINGS: There is no evidence of acute fracture or dislocation. There is mild central disc bulging at C3-4. At C4-5 there is minimal posterior disc bulging that is slightly asymmetric and more prominent to the right with some slight spurring. Minimal right sided foraminal narrowing is produced. There are no significant disc abnormalities at other levels. When today's study is compared to the MR examination of 10/23/07 the minimal disc bulging and spurring on the right at C4-5 likely corresponds to the abnormality on the MR. ^ IMPRESSION: NO EVIDENCE OF ACUTE FRACTURE OR DISLOCATION. MINIMAL POSTERIOR DISC BULGING SLIGHTLY ASYMMETRIC TO THE RIGHT AT C4-5 WITH MINIMAL ASSOCIATED SPURRING AND FORAMINAL NARROWING AT THAT LEVEL LIKELY CORRESPONDING TO THE ABNORMALITY SEEN ON RECENT MR. THERE IS NO EVIDENCE OF PROMINENT SPURRING OR DEFINITE DISC HERNIATION. MILD CENTRAL DISC BULGING AT C3-4. I went to see a Neurological Surgeon today and he diagnosised me with myofascial cervical pain and cervical spondylosis. Said he doesn't know why I hurt. He gave me some pain pill and said take these on you "bad days". I am in severe pain- Can you suggest anything? Kathryn

A: Hi Kathryn, Your MRI results do not show anything wrong in your spine which would cause you the type of pain you describe. Actually, for being in a serious car crash, your cervical spine checks out quite good. Better than mine in fact, and I never had a cervical injury! Anyway, you might be suffering from some type of nerve pain or myofascial pain, but I speculate the cause to be ischemia, not spinal. There is considerable information on my site about oxygen deprivation pain if you want to learn more. It is also possible that you have some type of nerve damage, but this would usually cause numbness with time, not pain...I would avoid those "little pain pills" unless absolutely necessary. My best to you, Sensei Adam Rostocki

Q: I am an athelete, and a distance runner, having run many races and a marathon. A few months ago my sphodylolisthesis started acting up again. I survived a bout about 11 years ago and have been highly functional since the fire was put out. This new bout has been just horrible. The pain level has been such that I scream frequently and cannot walk. I am incapable of doing much for myself. I have tried acupuncture and aggressive physical therapy. I can't even sit on a stationary bike and pedal at no tension. Everything hurts my back and leads to misery. Of course, surgery has been recommended. I've heard so many horror stories and my PT is advising me not to have surgery. I just can't live like this much longer. It is destroying me. I envisioned myself as a very active elder. (I'm 59 now.) Long strenuous hikes and long runs were normal for me. One hundred mile bike rides were normal for me. I just do not know what to do. I can't sleep because of the sciatica pain. I can't walk or stand to do the most basic of personal care things for myself. What else can I do? The doctor wants to do an anterior/posterior surgery. I also hear that they do not straighten out the spine, and leave it in the slipped state! What's the use in having surgery if it is not going to straighten the spine and free up the nerves to end the compression and pain? So far they have done a medial branch block but when the pain returns, it comes back with a vengence. They have proposed a radio frequency ablation to give me some temporary relief. I'm worried about doing that because I don't know if it might cause some permanent damage. I'm so confused. Please help. Thank you. Karen

A: Hi Karen, What is the extent of the vertebral slippage (% wise)? Also, did you have an MRI or CT done? If so, what were the results? This will help me to advise you much better as to the best course of action. Best for now, Sensei Adam Rostocki
Hi Karen, Level 2 is considered 25% to 50% slippage, which is a huge discrepancy. At 25%, there is little chance that the spondy is causing all your pain. At 50%, there is considerable chance. Try to find out your specific percentage from your doctor. The MRI results are crucial to determine the extent of nerve involvement, so try to find that out as well. Best, S.A.R.

Q: Hello, I am a 30 year old female and in the past few weeks I have had a dull pain in my lower back. About three or four days ago, it became more and more painful, until it turned to a sharp pain in my lower back. I have never had lower back pain like this before, and it does not go down into my legs, it stays in the lower back, right above the buttocks. I do not believe it is a pinched nerve from the information on your page. All I know is it hurts so bad I cry sometimes and just want it to go away. I have been walking on a treadmill for the last two weeks, but I do not believe it is from that. Please help! Thank you. Heather

A: Hi Heather, Being that your pain is new, I recommend getting a complete check up by a qualified physician with diagnostic imaging studies. Let me know what the doctor diagnoses and I will be able to advise you better, Best to you, Sensei Adam Rostocki

Q: I've had a small right paracentral disc herniation of L4-5 diagnosed in 2003. I've had 2 MRI's since then, one last year and one last week. There have been no changes since 2003. I've always had a problem on the right side but 5 weeks ago I started having a burning sensation on the top of my left foot and that stopped...then my left calf started to hurt and then the back of my leg started hurting as well as my hip. I mean, when I touch it it is tender and sore. Now, I have a burning pain in my butt on the left side and all this pain down my leg into the bottom of my foot. I have a burning sensation down my leg along with pain. I sometimes feel like there is something in my calf...it twitches sometimes but it feels like something is in there. I have some weird sensations down my right leg as well but the left is worse. The doctor doesn't know why I'm having all the trouble on my left side when the herniation is on the right. He looked at the film with a radiologist look at the film today instead of just reading the report. They don't understand why I'm having the pain on my left side. He gave me Lyrica to try and I did last night and it made me sick-too dizzy. I'm in a lot of pain and discomfort don't know what to do. He offered an epidural steriod injection in 2 weeks. I'm going to see him again today. I used to walk my dog every morning for 1/2 hour and I can do it but I'm afraid to cause more damage. I stopped all other weight lifting too. Thanks for reading. Karen

A: Hi Karen, Sounds like classic oxygen deprivation pain to me. I do not think your herniated disc is responsible for any problems in your back or legs. I recommend knowledge therapy 100%. Let me know how things work out for you. Best, Sensei Adam Rostocki

Q: I need some help. My dad has had numerous back problems amd surgery upon surgery to try to help it. He now has a pain pump that helps with pain but has recently been having more pain and there is no stronger medicine to replace what is currently being used. My dad is 60 years old, has grandchildren now and will have more in the future, and I am not ready for him to not be able to do the things that I know he enjoys. If anyone can help with ideas or doctors that may specialize with this type of thing it would be greatly appreciated. I am not ready to accept that that there is nothing to do about his pain. Thank you. Heather

A: Hi Heather, In order to advise you I need a diagnostic history of your dad's condition as well as the results of his imaging studies. Send these along and I will do my best to help. Best, Sensei Adam Rostocki

Q: Hello There my name's Tony and obviously if i have found this site i have back problems. I am 18 years old and an extremely active person going from general fitness exercise to freestyle BMX riding, motorbikes, martial arts and all. My condition seems almost identicle to yours i have herniations in my L4-L5 and L5-S1 disks, the L5-S1 disk has slipped in the past and leaked the nucleus pulposus so i had an acute episode so i have felt the hell too of an acute episode i have. it all started about 1 year ago from working 2 jobs 1 delivering jumping castles which some were 4 times my body weight and also being a mechanic which had me bending over for long periods of time and heavy lifting eventually i had muscle imbalance but from the pressures from bosses i had to continue to work untill i am at the state i am now. before all this i was training to join The Australian special forces SAS and as you would know they get you doing extreme duties that demands extreme performance from ones body such as running kilometers on end with heavy backpacks, heavy lifting etc. now my question is, reguardless of wether this pain is psychological or what do you think it is possible to recover well enough to build myself back up to be able to withstand these pressures in the future if i have had a herniated disk in the past. or would i be wasting my time if i still attempt to get in if my disk is likely to flare up again on the selection course and give me another acute episode? Your advice would be much appreciated. Tony.

A: Hi Tony, Your question is an excellent one and the answer really depends on the nature of your pain. If it is indeed physical and caused by the disc, it should resolve and not be a serious concern for your future. However, certain activities might cause flare ups of pain from time to time. If the pain is psychosomatic, using the disc as a scapegoat (more likely for chronic pain conditions), then you can absolutely build up your body and continue to do everything and anything you want to do. This is actually an important aspect of the knowledge therapy process...resuming activity. I hope this info helps you. My best to you, Sensei Adam Rostocki

Q: I have been diagnosed with myofascial pain syndrome in my right shoulder.. Had a MRI which showed 4 perineural cysts in the cervical area. Had a consultation with a neurosurgeon in Toronto but he says that they do not cause symptoms.. I have radiating nerve pain down my right arm that does not go away and my shoulder feels frozen.. Do you agree with this neurosurgeon that these cyst do not cause nerve pain? Thank you. Rita

A: Hi Rita, Cysts as you describe are usually asymptomatic, although they CAN cause problems in rare instances. If the cyst grows to a large size or fills with fluid, it can compress spinal nerve roots or even the spinal cord, however, this is not typical. Your doctor would be able to differentiate between problematic cysts and asymptomatic cysts with an MRI. If you doubt the opinion of the doctor, brig the film to another care provider for a second opinion. My best to you, Sensei Adam Rostocki

Q: Good day. My husband is in dire need of assistance, but we do not know the next step to take. He was hit in the back by a JCB digger in Nov. 2003 and has been getting worse over the last couple of years. He is in an awful lot of pain and now has a wheelchair and on occasion uses crutches. He is able to walk but only for a few minutes, because of the pain. His eye-sight is deteriorating and his hair is falling out more and more. He complains of pain all over, from his head all the way down to his feet. He was told that he has a herniated disc, and was prescribed oxycontin, oxynorm and lyrica (been taking this medication for about 2 years) and the dosage was increased twice before. Thing is that he cannot move if he had not taken medication and even when he does, it still hurts. We have 3 small children, 9,5 and 3 and they are unable to play around with their dad, and it has had a tremendous affect on all of us. My husband was also put on anti-depressents, as was I. This is controlling our lives in so many negative ways. My husband attended pain clinic about 2 years ago, to no avail. He has been to see Chiropractors, Neurosurgeons, Physiotherapists, Pain Specialists and Orthopaedics. All say there is nothing they can do for him, and we can't help but think that they are not being truthful. Please help. What alternatives do we have. The medication he is on is now taking its toll on his kidneys, he started having breathing difficulty about a month ago and complains of numbness in his arms and legs and constant chest pains. He has never had any back problems or ill health before the accident. Quite the opposite. He was very active and healthy. What are we to do? Any advice or help would be greatly appreciated. Thank you! Regards Karlien

A: Hi Karlien, All this pain and disability from a herniated disc makes absolutely no sense at all. Are you sure that is the full diagnosis? Please send along any diagnostic info and I will be able to advise you better. Something sounds very wrong to me. Best, Sensei Adam Rostocki

Q: Hello, Just came across your website and thought I'd drop you a line. My name is Matt and I'm a bit of a unique back-pain story. When I was 18 years old I herniated the L5-S1 disc in my back. It was a combinations of things: weight lifting, car accident, poor daily mechanics. I had a micro-discectomy by a very talented surgeon in South Florida. After a few months of physical therapy I was back in the gym. I'm now 23 years old and live in Southern California. I've been very active with weight training for the past 8 months and recently my back began to act up again. There was no particular incident that started this bout of pain. Learning from my last round, I immediately stopped weight training and only do some light stretching. I work a desk job and am sitting most of the day and just can't seem to shake this pain. Though it's slowly getting better, I'm wondering if you might be able to share and advise on how to improve my condition and get back into the gym. Thanks, -Matt

A: Hi Matt, I am sorry to say that your condition is not at all unique. In fact, it is incredibly common. (at least you are not alone...) I doubt that your pain was ever caused by your disc and the surgery was merely a placebo treatment. This is also very common. The pain was most likely due to an ischemic condition driven by a psychogenic causation. With time, the psychological factors acted up again, recreating the pain condition, necessitating new treatment. The back pain prohibitions you describe (stop exercising, etc) are also super common. I recommend knowledge therapy to end this cycle for good. I am sure you will get a VERY different explanation from your doctor, but I stand by my advice to you...I hope you can find relief and my very best to you, Sensei Adam Rostocki

Q: so. My pain is emotionally based? I'm stunned and do not want to believe it. But somewhere, way back in my head, I think you may have something here. I guess I have to buy your book to find out. If you think the pain industry is such a sham, why do you let them advertise on your website? Erika

A: Hi Erika, Ok, here are your answers... I do not know if YOUR pain is emotionally based, but if it fits the profile of a psychosomatic condition, chances are... Of course you are stunned. Everyone is stunned to discover this. How do you think I felt after suffering in HORRIFIC agony for 18 years? You do not have to buy anything. Go to the library and take out every book by Dr. John Sarno to start. Then move on to Dr. Andrew Weil. I am sure you have heard of them. They are far more famous than I. I do not think the pain industry is a sham. I think it is exaggerated and over indulged. I do not have ANY ads on my site from pain sites or products. Google Adsense places ads which I have no control over. Maybe these are what you are referring to... In addition, some patients NEED access to pain management info since they do indeed have physically induced pain. For them, I SHOULD have pain ads. Maybe I will change my policy on this point...lol I hope this email finds you in good health. Please know that I send you my best, Sensei Adam Rostocki

Q: Hi. My name is Lyn. I'm writing you today because my boyfriend have a back pain and it really bother him. We both don't have the money to pay for health insurance so I'm hoping that you have a cure for his back pain. He said it hurt when he sneeze, when he yawn, when he moves, everything hurts him. He said that it feels like someone is grabbing into his back and squeeze it very hard. Please help me find a cure for his back pain. Thank you very much. Have a good day/night.

A: Hi Lyn, Unfortunately, without far more detailed info on his condition, it is difficult to advise you. Does he have a confirmed diagnosis? If not, I recommend trying to save to go to a doctor or maybe try a free or low cost clinic to make sure there is nothing serious going on in his back. Best, Sensei Adam Rostocki

Q: I looked on web but can't find my problem. I am about 50lb overweight, but am active. Ocasionaly I have back muscle pain, take motrin, goes away, and then low back at waist pain that is hot to touch. Its not easy to go to a Dr., I have recently been walking 2 mi every other day, and it is really aggrivated. Nowhere do I see where a pain is described as hot. Can you help? Thanks Tess

A: Hi Tess, I recommend going to a doctor for a check up on that low back condition. As far as hot back pain, try here:
http://www.cure-back-pain.org/burning-back-pain.html
Best, Sensei Adam Rostocki

Q: Thank you for helping me with this!! I am really desperate. I have been in pain for almost two years, gradually increasing. I tried a chiropractor for a few months, also a physical therapist for a few months, and finally an acupunturist but my discomfort level keeps increasing. I cant sit down for long periods of time. The last spinal specialist told me to try the steroidal epidurals, and I do not know if this is a good idea. Here is my MRI results. My MRI report of my lumbar spine shows that at L4-L5 there is disc desiccation and mild diffuse disc bulge and mild bilateral facet arthropathy without neural compromise. Also, at L5-S1 there is minimal diffuse disc bulge and facet arthropathy without neural compromise. Also there is minimal disc space narrowing at L4-L5. Therefore there is a mild discogenic and facet arthropathy at L4-L5 and L5-S1 without neural compromise. Thank you soo much. God Bless!! Andres

A: Hi Andres, Based on your MRI results, there is nothing at all wrong with your spine. Actually, your lumbar area is quite good, compared to most. There is no never involvement and your disc issues are extremely normal. I speculate that your pain is ischemic and caused by a psychosomatic process. I recommend knowledge therapy. Let me know how this works out for you. My best to you, Sensei Adam Rostocki

Q: My family doctor has just diagnosed the cause of pain under my breasts and armpits as Facette Syndrome. He has told me that rowing exercises, and exagerated tricep lifts will help eliminate the condition. I have explained this to my Physical Trainer. But, I was hoping to find more information on specific exercises that help eleviate my condition. My doctor tells me that with proper exercise, the condition will improve. Can you give me some advise regarding exercises to pass on to my physical trainer. Thank you. Lynn

A: Hi Lynn, Complete info on Facet syndrome can be found here:
http://www.cure-back-pain.org/facet-joint-syndrome.html
This is a degenerative condition which will usually not improve due to exercise. It is also rarely the actual cause of any significant pain. I would advise losing this doctor and getting a second opinion. I think the diagnosis could be incorrect. Best, Sensei Adam Rostocki

Q: Hi there, im not sure if you can help or not but im just looking for a bit of an answer without paying to see a doctor. forgive my cheapness.lol I was thrown from a horse i'm breaking in about a week ago. I landed quite heavily on the right side of my lower back. Just above or near my hip. It was a servere stabbing pain when it first happened. I took a few deep breaths and stood up and the pain dulled slightly. I jumped back on and finished working the horse. There was swelling to the area straight away and was very sore to walk. I also noticed numbness to the area pretty well straight away too. Its now just about a week on and the pain is still quite bad, finding trouble in walking, and the numbness is still very much there. Do you think it is bad enough to warrent a trip to the doctors or an x-ray? Or should I just suck it up and tough it out? I dont usually do this sort of thing but the pain and numbness has me a little concerned. Any information would be appreciated. Thank you for your time. Simon

A: Hi Simon, You can be the judge of the severity of the pain. I always recommend a trip to the doctor for any potential fracture. If the pain and numbness continue, I think you know that you will simply have to go get it checked out. Best, Sensei Adam Rostocki

Q: I stumbled upon the book; Mind over Back pain by John Sarno last night which led me on this web search today. For the last two days I have been experiencing severe upper to mid back spasms on the right side. I have had these pains off and on since I was 5 or 6 years old. They recur just about once/twice a year. I have had every test imaginable and the doctors have never found any "medical condition";-- no disc, spine or muscular issues. After reading the books and your articles I am convinced that my condition is mainly emotionally motivated. I remembered that my first muscle spasm occurred during an act of abuse that occured toward me when I was 5 or 6 years old. Strangely though, it seems that there is also a link between cold weather? I seem to have these pains mostly as Fall turns to Winter or in the height of winter. What do you suggest. Is there a specialist in the Chicago area that you would recommend. Thank you for your work. Kimberlee

A: Hi Kimberlee, I recommend continuing with knowledge therapy and reading all the sources on the topic. I think you show great insight into the cause of your pain and can beat it by yourself. It will take some time and effort, but will be well worth it for you and your future. Keep in touch and let me know how you are doing. Look at it this way, all the sources of knowledge therapy you need added together are still less cost than 1 doctor visit. You should be fine. Best, Sensei Adam Rostocki

Q: I had Aqua Puncture and Sheatzu treatments for the first time, did not feel any discomfort. In the evening, it seems that one point under the sholder started giving me enormous pain. It is now more than 72 hours with constant back ache although not as severe as before. I am using a heating pad. Martin

A: Hi Martin, Thanks for sharing your story. I hope you overcome your pain soon! Best, Sensei Adam Rostocki

Q: I was misdiagnosed for 2 1/2 years. I injured myself at work and had pain in the middle of my back to the right of my spine below the shoulder blade and it went up over the shoulder. Doc said it was muscle tears in shoulder. I went to PT, the therapist said it was a neck injury and the muscle tears was caused by my shoulder trying to compensate. Doc said no and did MRI on shoulder after 6 months of pain, that showed the muscle tears. I begged for MRI where the pain originated, he said that was referred pain. After more PT on and off work and agony at times I woke up with unbearable pain in neck. Had MRI of neck and it showed a large herniated disc at C5-6 pressing on spinal cord and nerve. That was 2 1/2 years after the injury. I had epidural injections which made pain worse. Finally at 3 years post injury I had surgery: discectomy with fusion. Doc said that he found 2 pieces of the disc had since broken off. I have recovered well from the surgery but the nerve symptoms changed and were severe. Pain was down the inside of right arm to thumb and first finger, after surgery, pain was down both arms on the outside and to the last 3 fingers. Another MRI showed all is well post-op. Now 6 weeks post op I am much better but still have the nerve pain with numbness to the fingers. My question is: How can I tell there is permanent damage from the nerve compression? Why were the symptoms different and so intense? When can I expect relief? My doctor isn't sure, he said he never had a patient that went so long with the herniation and nerve compression. Thank You, Dawn

A: Hi Dawn, I recommend consulting with a neurospecialist in these matters of nerve involvement. If your MRI is clear, you should be well. Being that you still have symptoms, there is obviously something more going on in that neck. Please send me the MRI results and the diagnosis showing the extent of nerve involvement prior to surgery and the one after surgery showing the all clear. These will help me to advise you better. Thanks, S.A.R. Best, Sensei Adam Rostocki

Q: I have a recurring back pain that that usually occurs after physical activity. usually about once a month and lasts for about 3-5 days. It stems from an injury I sustained about 3 years ago, I fell down some cement stairs and landed on my right side of my pelvis, now I have a recurring pain there that comes after I'm active. The more I stretch the worse it gets, can never find any tender muscles to massage either, it feels like the pain is coming from inside, kinda like it's in the hip joint too. The only thing that gets rid of it is resting and not moving too much. I've been to a couple chiropractors and it has never helped. My right foot also falls asleep quite often while I sit on my couch but is not accompanied by any pain. Thank you Adam

A: Hi Adam, I would advise going to get an MRI so that you can visualize what is going on in the affected area. Once you have imaging results available, write to me and let me know the diagnosis. I will be able to advise you much better at that point. Best, Sensei Adam Rostocki

Q: hi, i am sham i am 27 yrs old. i have back pain for the past 4 years. it caused by misbalance of heavy weight lifting. i took many treatments, but it dint get cured, can you please suggest me any treatment with medicene as well some exercise. thanks & regards, Sham

A: Hi Sham, Please send me more detailed information regarding your diagnosis and the treatments you have tried. It is difficult to advise you based on the limited amount of info I have. Best, Sensei Adam Rostocki

Q: I am a 69 year old female who just recently suffered severe stabbing pain in the back of my thigh radiating down to my calf. This only happens when I'm lying flat, either on my stomach or back and seems to disappear when up up and about. It leaves the area sore, almost like when you have a leg cramp. There is no part of my back that has any discomfort. What could this be? Jacqueline

A: Hi Jacqueline, I am no expert in thigh pain. I recommend going to get it checked out by a doctor to rule out anything serious. I hope it turns out to be nothing of concern. Best to you, Sensei Adam Rostocki

Q: This is the first time I feel like there is someone that truly understands my pain and the sadness that come with it. What I have been reading helps answer 14 years of unanswered questions and countless times that I have doubted my intuition and listened to others instead. My intuition has been telling me the pain is from my hurt heart not my spine since day 1. But, how can feelings and my own mind cause me such extreme and uncomfortable pain. It's like self mutilation at the subconscious level. I love myself and my life and I don't want to cause my self any more pain. I was actually writing to ask how to get your book in print? I cannot find it in book form only PDF. Truly, I need it. Kristin

A: Hi Kristen, Thanks for the interest in the book. Unfortunately, it is no longer available in print, only PDF. It is simply far more economical to distribute this way. Many people buy it and print it at home, it is only like 80 pages. I recommend picking up all the books by Dr John Sarno if you are looking for books in print form. I hope you can find some relief. Best, Sensei Adam Rostocki

Q: Yes,I have a herniated disc (L-5 S-1) and a couple other lumbar bulging discs as well as disc disease,narrowing ect. I was wondering if the DRX 9000 is for everyone and also if there have been cases where it has made a disc worse? Also,if you are not hooked up to the machine right or not adjustd first if it can do more damage than good? I am scared to go back on it after my symptoms seemed to worsen after my last treatment so I have decided to see an orthopedic spine specialist now after seeing a couple of neuro surgeons already. Any advice would be appreciated greatly.I frame houses for a living and my condition continues to worsen.I also love to ski dirt bike and snowmobile(or did) HOW DO I GET MY LIFE BACK? thanks jeff

A: Hi Jeff, Spinal decompression is fine for almost all disc conditions, although I am sure improper treatment might be harmful. I just doubt that serious long term pain is the result of almost any disc condition... which seems to make any physical treatment unnecessary. I usually recommend knowledge therapy for people who want to "get their lives back". I hope this info helps you. Best to you, Sensei Adam Rostocki

Q: I am having a lot of neck pain and cannot afford an MRI. I decided to have x-rays done and the result says this: Five views of the cervical spine were performed and reveal reversal of the normal lordotic curvature of the cervical spine. No prevertebal soft tissue swelling is identified to suggest acute abnormality. There is a degenerative change most prominent at C4-C5 and C5-C6. an MRI should be performed to exclude abnormality. My doctor perscribed Physical Therapy because I still cannot afford the MRI. Can you explain the results better for me? Noreen

A: Hi Noreen, the results mean that you have lost the normal lordotic curvature in your neck and are actually demonstrating a kyphotic curvature instead. There is no obvious sign of soft tissue (disc) abnormality (although x-rays can not accurately detect this). You have some form of degenerative change (osteoarthritis, most likely) in 2 vertebrae in your neck. Hope this info helps. Best, Sensei Adam Rostocki

Q: Can you file for disability because you have arthritis in your lower back?? every day my pain in my lower back is from a scale of 1 to 10 ten being the worst my pain is a 7 to 8 every day, about a week befour i start my period my lower back pain is a 10 its so unbaring at times. I have a job to where i stand on my feet for 8 hours a day, my dad also has arthritis in his lower back he is 87, but i think he retired early due to his back pain. im not sure what to do for lower back arthritis?? is there treatment or what can be done about it??? Denise

A: Hi Denise, I am not really sure about disability laws and back pain. I think it is more of a case by case basis rather than a general rule. You must inquire with the proper governmental agency and they will give you more information. You will certainly have to undergo exams with one of their doctors who will approve or deny your claim. Best, Sensei Adam Rostocki

Q: Ive been babysitting for nearly 4 years for my sister so she could work and such, i've had minimal exercise. a couple weeks ago i started having lower back pains. i was wondering if this was from no exercise or if i've got some kind of bone disease or something like that. if it is from no exercise, what sort of stretches can i do to get back to normal? Thanks. Mike

A: Hi Mike, It is unlikely that your pain is from lack of exercise. As far as a bone disease, you will have to go to a doctor to get checked for something like that. I do recommend getting some exercise since it is good for your body in general, not just your back. You need to invest time and effort into yourself to maintain health. Best, Sensei Adam Rostocki

Q: Hello, I have had a long history of back pain. I am a 50 year-old male and I don't have any other serious health issues. For most of my life, I was fairly fit. But my first injury started while I was exercising about 20 years ago to L-4,L-5 and I don't think I herniated the disc. I think the bulging caused the pain symptoms, but I went to a place in San Francisco where I was living at the time called Back Pax. The wonderful people there put me on a special execise and stretching program that gave totally healed my back. I walked in their wearing a brace and within two weeks I was pretty much pain free. I found that a lot of my pain came from very tight ham strings and weak back and abdominal muscles. Everything was fine until a few years ago when I was gardening and I lifted some mulch and "ping" I had the worse back pain ever--this time going all the way down my right leg. For six months I couldn't stand or sit. I ate and lived on the living room floor. I used some pain meds for a while, but all they did was make me groggy. I have been to every kind of doctor, physical therapist, neurosurgeon, chiropractor, etc. I had an MRI and that told me that there was a protrusion at S-1, L-5. A lot of the pain went away, but I still have residual pain or chronic pain. It usually feels like I am sitting on a piece of glass in my right buttock. I can do some light stretching, but that is about all. Of course, the lack of physical activity has caused me to gain weight. I write for a living so I sit a lot, but I am able to get up and move around. I have wondered about inversion therapy, exercises and I even wondered about the TRUE BACK advertised on TV. Do you know of any approaches that I can try, medications, specific type of doctor. I went to the best neurosurgeon in the Rochester NY area and he more or less told me to live with the pain. Any advice would be appreciated. Tim

A: Hi Tim, I recommend trying spinal decompression. It demonstrates excellent results for curing disc related pain such as yours. Next time you are in Canandaigua, say hi to the fine folks there for me! Best to you, Sensei Adam Rostocki

Q: Hi, I have recently had an mri done on my cervical spine and lumbar region. The mri report was as follows: At C5-6 there is a broad-based posterior central and left parcentral disc protrusion/extrusion which may impinge ontot he ventral root of the emerging left C6 nerve. Effacement of ventral subarachnoid space is evident and this disc does make contact with ther anterior surface of the cervical cord. However; there is no compression or cord edema. I have been waiting for my doctor to call me to explain. I am very anxious to find out if this is something that may need surgery. I have been doing to much research on my own and not really finding out what I need to. Can you help me with this? Carol

A: Hi Carol. I do not see any major problem here. The radiologist is using language which is purposefully creating the criteria for a nocebo pain condition. This is a common practice. The disc problem is NOT causing any problem now, but instead of calling attention to that fact, the radiologist is suggesting that it may...Unbelievable! ...and typical... I would not advise surgery at all. If you do require medical treatment, I recommend spinal decompression. Best, Sensei Adam Rostocki

Q: To start with, my mother at age 45 began symptoms of pain in her legs, as time went on she began to have pain in her arms, as time went on her pain got worse to where by age 63 she had been perscribed Morphine patches, vicodin, neurontin 3800per day, and tylonal w/codine. She had been tryin to get an diagnosis for 16 years until at age 64 they told her she not only had neuropathy in her legs,(she didn't have diabietes)but she had 4 months to live. Her Dr. told here she had SLOW PPROGRESSIVE A.L.S. Just like my mother I began unknowingly of her medical problems, began the start of myself having pain when I turned 45 1/2. I am in so much pain,an I am being perscribed I am on lyrica for the pain in my legs, and I am Norco for the constant pain in my arms,chest,legs. And as of 3 days ago I (after walking in the christmas parades) I now have terrible terrible back pain. I am 49yrs old and very very active considering the pain medication. What are my chances that I have the exact symptoms as my mother did, there seems to be no diagnosis for me and it has been 3 1/2 years of progressively more and more pain. Is slow progressive A.L.S. herditary? All tests came back negitive and all mental testing fine. I am only 5 pounds over my high school weight.And i do everything possible to be healthy. I've tried everything to not be ill! Helene

A: Hi Helene, I am so sorry to hear about your condition. However, I am no expert on ALS an recommend talking to someone far more familiar with the condition than I. I do wish you my best and I hope you do not follow in your mother's pain path. Best, Sensei Adam Rostocki

Q: I was diagnosed with slippage of L5 a couple of months ago...Stage 2. I've had an injection...did not work. Had physical therapy...did not work. Now the pain dr wants to do radiofrequency lesioning. However...this same pain dr referred me to a surgeon that I went to today. He says the radiofrequency will not work. He of course says I need a fusion. Who do you beleive? I've had pain since last April. I don't do much anymore...shopping is limited, my lifestyle has changed. I work at home, but cooking, cleaning...all getting more difficult. Fusion sounds very scary to me. Should I try the radiofrequency first? Jane

A: Hi Jane, I would try ANYTHING to avoid a fusion. It is a terrible operation to endure. Leave it as a last resort and give anything else an attempt first. Are you stage 2 closer to 25% slippage or 50% slippage? That is a big difference in what I might advise...Let me know how it works out for you. Best, Sensei Adam Rostocki

Q: My whole left side of my back hurts really bad. It hurts to sit, get up, walk, turn, lift my six month old son, and to reach for anything. I have tried tylenol and ibuprofen to manage the pain. They barely helped if at all. I don't know what is going on but it has only been two days. Please help me find out what is wrong. Mandy

A: Hi Mandy, You have only had the condition for 2 days. Relax. It might just be some muscle pain. If it continues, go to see a doctor for a diagnosis. Most minor aches and pains resolve themselves in a few days time. Best, Sensei Adam Rostocki

Q: I was under the knife recently for a single fusion. Hundreds of x-rays, molygrams, MRI'S were done. Several Surgeons were consulted with. Two neurosurgeons were present at my hospital visit. Osteoarthritis was part of my diagnosis. Two nerves were found pinched flat as ribbons. Clearance was drilled in these areas almost to excess. The 2 surgeons met with me afterwards, with the same story. S1, L5,& L4 were already jointed and fused solid, with L3 in hot pursuit halfway there. It appeared to me that they were in a situation similar to be pulling & twisting taffy in order to break the joints free to further investigate the nerve damage extent, but the 2 men were unable to break the joints free. Their comments were that I was fused "solid as a rock", and no surgical fusion was necessary at this time. I have never been this inflexible before, and am very limited in my activities. Walking and standing are the most difficult as bending at the waist is impossible. Marcus

A: Hi Marcus, I am so sorry to hear about your condition. I hope you can find some measure of relief and maybe some way of increasing your range of motion. Sensei Adam Rostocki

Q: I have been suffering with back pain since the early 90's and it started from a fall. I was told that I have scoliosis of the tailbone, I had a fracture spine that did heal, and a herniated disc. I severe pain from the waist down my leg, it almost feels like I am being electricuted. One doctor says I cannot have surgery, then another says I can. The only relief I get is laying down and pain pills. Exercise can only be done with pain pills and again I am laying down. Please advise what is happening to me. Thankyou. Sandra

A: Hi Sandra, Have you had an MRI performed? IF so, please send me the report so that I can better advise you. If not, I highly recommend getting it done so that you will know what is really going on in your spine. Best, Sensei Adam Rostocki

Q: I have been diagnosed as suffering from DISC BULGE IN C4-C5,L3-L4,L4-L5,L5-S1 DISCS after I had a chronic pain in the back(disc prolapse). After undergoing spinal traction I feel better now. What treatment should I take to completely get cured?. Is there a possibility of me getting a Slipped Disc again?. I am a woman of 44 years and I am 5ft 2inches height and 70kgs of weight. REVATHI

A: Hi REVATHI, I am happy to hear that you found relief for your pain, that's a really good sign. There is no way to determine if your discs might act up again or not, but it is certainly possible. There is NO way of being "cured" from disc problems since they are prone to constant alteration due to your lifestyle and condition, however, you should not feat a recurrence of pain. Just go about life normally and be thankful for your god health now. If you have a problem in the future, please write to me again. Best, Sensei Adam Rostocki

Q: I am 17 and have been working out for two years. About 6 months ago, I began to feel terrible pain in my back, which I labeled as weakness. I worked out my lower back extensiveley, and the pain soon vanished. However, my upper back, particularly the shoulder blade area cannot go a day without tightening up, causing pain, and inability to function at school. Physical therapy had me work out those muscles, but it has not been effective. My upper, and sometimes middle back just gets so tight, that I can't handle it anymore. Working out was my life, and now I can't do it. DO you have any advice? Neil

A: Hi Neil, I was about your age when my back pain began. I attributed it to the various diagnosed spinal conditions in my back and suffered for 18 years due to that mistake. I do not think you have a physical condition, since the symptoms have changed location. This is typical for a psychosomatic pain syndrome, such as the one which plagued me. I advise making sure you spine is ok by getting a check up and then learning more about knowledge therapy and the reasons why some emotional issues can express themselves through back pain. I wish you the best. Sensei Adam Rostocki

Q: I had 2 levels fused 2 years ago, best thing that ever happened to me. I had a discotomy 4 years ago and after 6 months the pain was back and I herniated another disc right below the one that I had surgery on. The fusion was a last resort after extensive physical therapy, chiropractors, accupuncture (which does provide relief from pain for a limited time) to pain pills, antinflammatories (once vioxx was banded, it was very difficult). The best thing was I took the time to recover, I was off of work for 6 weeks, I worked from home on a limited basis after 3 weeks. I also worked out on the ellipitcal from the 2 week. My neurosurgeon recommended it over walking and I agree 100%. Although it took a good 6 months before I felt really good, my life has changed for the better. It was so painful before my surgery that I was ready to shoot myself. Now it is like I am 20 years younger. I think my neurosurgeon, Dr. Christopher Wolfa, Medical College of WI was fantastic! He changed my life! Steph

A: Hi Steph, Thanks for the story. I am so happy to hear it all worked out well for you. You are a great example of someone who had appropriate surgery as a final resort. I also love my elliptical as well! It is much better than any treadmill out there. I wish you the best for a pain free future! Sensei Adam Rostocki

Q: Im having middle back pain to lower back pain, it almost seems like its my spine, because my wife massages my back and thats where it seems to hurt. I have been on vacation from my job for 8 days and i cant even sleep in my own bed. I have to sleep on the floor for best comfort. My job is very physical and when i am working it doesnt bother me at all, its when i take some days off that is more uncomfortable. Does anyone have an idea what this pain might be? Alex

A: Hi Alex, Without an exam and diagnosis, there is little I can tell you about your pain. However, the fact that is hurts you when you are off work and is fine when active leads me to believe that it is most likely psychosomatic. Dr. Sarno calls this condition "vacation syndrome" and describes it as a common type of pain amongst people who use work to burn up their subconscious stress. I would advise an exam and beginning knowledge therapy. Best, Sensei Adam Rostocki

Q: Hi: I am a 70 year old female, and have had some lower back problems in the last couple of years (did a lot of heavy lifting in my job) that I have had treated with acupuncture, physio and exercises that seems to have helped. Unless I'm on my feet for 5-6 hours at a time, (then my legs feel achy) I experience no difficulties. Recently I started having an unusual pain under my right foot (left side, near toes) The pain comes without warning, lasts only a few seconds but is quite painful -almost a burning sensation. This happens while up or lying down. About a month ago I had my CK levels checked. They were quite high. (I'm not taking any statins) and the doctor thinks I could have rhuematoidarthritis or Lupis, but except for some mild arthritis in the right knee, I have no swelling or painful joints, no low grade fever, no rashes. But this unusual pain does concern me. Could it be connected to a back problem? Thank you, Dorie

A: Hi Dorie, The pain might be a neurological symptoms from a lower back problem, but I doubt it. It seems a bit to isolated and specific for that causation. The pain profile just does not fit for a spinal cause. I hope you discover the actual cause and can find some relief soon. Best to you, Sensei Adam Rostocki

Q: I am 77 years old and I am having localized low back pain on the right side. I hurt in the morning especially and if I bend over it hurts to rise back up in a small spot the size of a silver dollar. I first went to a chiropractor for two weeks and the pain decreased by about 60%. Then after two weeks I bent over to tie my shoes and I could not rise up. I had to call the ambulance to take me to the hospital. There they said it was sciatica and the x-rays looked "OK". I then went back to the chiropractor and he could pinpoint where the pain was coming from. He said it was just under the crest of my hip and just right of the right PSIS. He also said that is where my gluteal muscles attached. He worked on me and I felt better and now two days later I hurt badly. At first the chiropractor said I might have facet problems but after the hospital visit he was thinking muscle strain because now the pain is more obvious. Please help with any ideas because I am going to go the medical route and see what happens. Brad

A: Hi Brad, I would agree that the pain sounds muscular to me. Could be a strain or damage to a muscular or ligament attachment. This type of pain can be severe, but will usually resolve in less than 6 to 8 weeks. It does not sound like facet syndrome to me at all. Best, Sensei Adam Rostocki

Q: Was injured 15 years ago in war explosion, many residual effects including slow posterior tearing of ascending yielding a dissecting Thoracic Aneursym. Long and short of it, was fractures of L3,4, and S1 that have cost me from working as Anesthetist. Main SX's started in R gluteal as ache . After 2-3 weeks begin traveling down R sciatic nerve with very decreased reflexology in R heel and +++ hyper response in both knees. L side would alternate with R. On score 1-10/ when this "sharp, even sleeping awakened " severe """electrical high voltage""" feeling down & up tract with 9-10 "yelling pain" Ortho/Neorology found "additional MRI = (3)roots highly inflammed...pain meds blunt it, but the sliding, decreasing dose of Predisone after 12 hours was "fantastic"!! since this old warrior is stuck with this condition, 'what is future utilization with these little white pills ??? Future treatments ? feedback Major

A: Hi Major, I am doing my best to interpret this question, since it is not clear. I would be interested in seeing the MRI results for your spine to get a better idea what exactly is going on in there as a result of your injury. If you have a report, please send the results along to better provide me with some insight to advise you. Thanks, Sensei Adam Rostocki

Q: I have significant continued chronic pain 18 months after artificial disc replacements in lumbar region (L3-S1), 3 discs. Why? The discs used were ProDisc, surgery performed by Dr. Bertagnoli in Germany. I reside in the U.S. I am 55 yrs., healthy all my life, male, 6'3" 210 lbs. I had a ruptured disc at age 36 L4-L5. subsequently the adjacent discs deteriorated with my only options being fusion or ADR. I chose ADR due to many factors, including recommendations by my local surgeon and Dr. Bertagnoli. I expected a long recovery time but it has been 18 months with good physical therapy. I own my own business so I can take off when pain increases. I only work an average of 20 hours a week outside of my home. My back pain will improve over weeks and months then, for no known reason, will regress again. I am on 75 mcg. Fentanyl patches and pain pills to boot. I am now going through a 3 week period of 7+ pain levels and really frustrated. My back surgeon says the architecture of the spine is fine, the discs are performing as they should. No one can pinpoint the cause of the pain - which is in the back, hips and both legs. Sitting, driving and standing in one place too long are major contributors of pain. In fact, I have hired a driver to avoid that activity. I cannot find information on similar patients with a similar procedure and a similar time frame for recovery. I have heard the recovery can be up to 36 months, I do not know this for a fact. If my pain is at this level, does it indicate revision surgery? Any help would be appreciated. Scott

A: Hi Scott, My interpretation is completely different. I theorize that your discs might not have been the cause of your pain all along. This is why the surgery did not cure the pain. Ischemia is often blamed on disc conditions and can make life a living hell. Have you considered this possibility? Best, Sensei Adam Rostocki

Q: I bought a new Toyota Rav4 about two months ago. Shortly there after I started a new job. Around this time I started having severe upper back pain, right between my shoulder blades. It's been terrible ever since and I can't seem to get it to go away. At first I thought the car seats had tweaked my back. The lumbar support on the RAV is too much for me and I thought maybe it was pushing my neck forward and causing stress on my upper back muscles. I went back to driving my old car. The pain is still here. I now think maybe it's my new job. Maybe I'm very stressed because it is a new situation, a new position for me... but I don't feel over stressed out over it. Maybe it is the office chair i am sitting in? Please help. THis back pain is affecting my mood severely. deborah

A: Hi Deborah, To me, the answer to your pain seems obvious. It is not your car, nor your chair. It is your stress. Of course you do not feel the stress, because you are repressing it. That is why you have pain. If you can make the stress conscious, the pain will go away. It might be from the new job and it might not. I recommend knowledge therapy and I am sure you will be fine. Best, Sensei Adam Rostocki

Q: I was wanting to know what the recovery time is for Disk Replacement Surgery? The doctors at the VA said I need a Disk Fusion. I really have know desire to lose mobility in my back. I'm also looking to find out if the VA even does this procedure yet. Thank you for your time. Randy

A: Hi Randy, Disc replacement is usually a far better option than fusion. Recovery time varies greatly depending on your physical condition and the specific location and procedure performed, but is MUCH faster than recovering from a fusion of any type. I recommend getting additional opinions about your need to undergo surgery at all, since operative care is almost never necessary for disc issues. My best to you, Sensei Adam Rostocki

Q: Hi Sensei, Just want to say thanks for the book and all your good advice. You have made a big positive change in my life and I look forward to being completely pain free soon! You are doing good work and I just want you to know I really appreciate it. Take care, Paulina

A: You’re welcome Paulina and thank you for your kind words and support. It is letters like yours which give me the motivation to keep writing. Best, Sensei Adam Rostocki

Q: I have lower back pain that has steadily been getting worse over the last few years. It started about 3 years ago as pain that would occur after walking or standing too long usually about a week before my menstruation. Slowly that stretched into 2 weeks of pain and now the pain is all the time except for the week that I am menstruating. It still only comes on with walking or standing, but I cannot even walk across a small grocery store without my back killing me. It feels like a charlie horse in the small of my back. At first my doctor thought it was endometriosis but we found it wasnt that and going on the bill did not help. It in fact made it worse because usually the back pain goes away while i am menstruating but while on the pill the body does not have a real menstrual cycle and i never got relief for the 3 months I was on the pill. My doctor did a CT scan and said everything looks normal and the only thing he can see is a little bit of arthritis near the lower part of my back but it was not enough to warrant medication. That is where i stand now. I really do not believe the arthritis is causing the back pain that I am talking about because it goes away 1 week of every month. I have other minor back aches that do get better with backrubs and ointments like ben gay.. thats probably the arthritis.. this is different.. Do you have any suggestions? Janie

A: Hi Janie, Have you considered the idea that the pain might very well be psychosomatic? This is BY FAR the most common type of back pain and would explain why your diagnostic process has been so utterly unsuccessful up till this point. I recommend checking out knowledge therapy to see how this idea fits. My very best to you, Sensei Adam Rostocki

Q: Good evening, I was wondering what was difference between "degenerative disc disease" and "degenerative joint disease" ? The reason why I am asking is that my MRI result is showing at the C3-C4 level that I have uncontroversial joint disease and that some medical staff I talked to stated it was the same condition as a disc disease, which brought me to conduct a research in order to clarify my question. Can you assist me into with the above mention question? Sincerely, David

A: Hi David, DDD is a condition of the intervertebral discs. It is not a disease at all, simply a component of normal aging. DJD is another name for arthritis. It is a bone condition. Certain aspects of the condition are expected and normal, while others can be problematic for certain patients. Hope this helps. If you are an adult, I can already tell you that you have DJD in your spine, and most likely significant amounts in your lumbar and cervical regions. It does not take an MRI to know this... Best to you, Sensei Adam Rostocki

Q: I had an MRI and it was all clear but I am still in pain. Workers comp says it's lower back strain. I am still in so much pain I cry 3 weeks later. What do you think? Donna

A: Hi Donna, The most common cause of chronic back pain is ischemia, which will not show up on an MRI. This might be the cause of your pain. There is considerable information about the condition on my site as well as the treatment options. A muscle concern might also to be to blame, but should resolve within a month or so...Best, Sensei Adam Rostocki

Q: hi i am poorni ,i am 26 years old. from the past 12 months , i.2 2006 december i am suffering with low back pain. doctor suggested me to do the excercises to relief from the pain. i did the excercises for 3 month s, but there is no use. actually last 2006 june , i underwent sacrum surgery. there is a tumor in my sacrum ( right side). I recovered from this surgery after 5 months. doctor told me that this occured to me due to very thyroid . in 2006 July doctors underwent me the thyroidectomy surgery. later i underwent 2 nuclear medicine treatments for reducing the galnds in my body. this is my previous history. now 2 weeks back i consult the orthoipeadician for backpain he suggested me the fusion surgery . now i want to know the clarifications can i recover from the fusion surgery ??? how many months it takes?? i did nt get married upto now?? can i do marriage?? can i walk , and do the other things Thanks && Regards Purni

A: Hi Purni, I would love to have the answers to all your questions, but unfortunately, I do not. I think your circumstances warrant asking these very specific questions directly to your doctor who has a much better idea of your actual condition than I. I can tell you to avoid fusion if at all possible, If you do have the operation, you can recover, but it can be a long and painful road, and the extent of your recovery is not guaranteed... I do send you my best and please let me know how your condition works out in the future. Sensei Adam Rostocki

Q: Twice now I've experienced severe pain on the right side of my body, under my ribs, my chest and my upper back. It's a constant severe pain that lasts up to 2 hours and extremely painful to breathe. What could this be? What can I do to get help with the pain? Jennifer

A: Hi Jennifer, The pain you are describing could be from ANYTHING. I recommend going to the doctor to have it checked out if it continues. My best to you, Sensei Adam Rostocki

Q: I was told and treatment for my son, spinal decompresson, would ease Tic's or Tourettes syndrom is any of this sound correct? He, my son was treated for about 3 month's and was working, but his grandmother quit taking him, I'm not the custodial parent his father is. Janice

A: Hi Janice, I am not familiar with the benefits of spinal decompression for Tourettes. I suggest you contact an expert in that particular condition for additional information on effective treatment options. Best, Sensei Adam Rostocki

Q: Hello, I like your site..very informative. I am now 41 yrs old, 16 months ago I over exerted myself lifting some 5/8" sheetrock over my head on scaffoling. A couple days later I noticed a constant pain in my low back. Couple weeks later I saw a Chiro my Mom recomended, he determined a bulging disk, manually adjusted me. The next day tingling began in the left foot and has stayed since getting somewhat better but I also have a little numbness in soul of foot and up around ankle. Long story, I saw my GP took an MRI mild bulge to right L3, minor bulge L$, moderate bulge L5 to left. I have also gotten some pain in right hip/buttocks area. Worst damn thing I have ever gone through, I hate these pinched/irritated nerve symptoms. I have gone through the 3 month PNBC program and still exercise it seems to be all I can do, lots of opinions out there but no real answers. Like I said long story, I have seen many docs, most confusing injury one could ever go through. will this pinched nerve ever resolve or will I always have this numbness thing being it has been this long. Thanks Lee

A: Hi Lee, I assume you work in construction or some related industry. Your back is pretty good according to the MRI if this is the case. I doubt your pain will endure because of physical reasons, but it might because of psychosomatic perpetuation, which is very common. If you truly feel the discs are causing the neurological symptoms, I would recommend trying spinal decompression as a good treatment option. If you are not sure, I recommend knowledge therapy. Let me know how it works out for you. Best, Sensei Adam Rostocki

Q: I had a benign tumor removed from my spine July 31, 2006. For about 9 months, I had intense muscle pain (tightness in the thoracic where I had the laminectomy. Most of the tightenss subsided for several months and then it returned ((ncreased considerably) a couple of months ago. I had an MRI and there is no sign of another tumor. I do stretching, and have had massage but the tightness (Primarily on my left side) will not ease up. It's not only painful,it puts stress on other parts of my body when I walk. Do you have any suggestions? Thank you, Sharon

A: Hi Sharon, This is a tough one since the cause might be a direct effect of surgery or it could be a psychosomatic perpetuation of symptoms using the operation as a scapegoat. I recommend consulting with your surgeon to have a look at it. If they can not find a cause for your continuing discomfort, I would recommend learning more about knowledge therapy to counteract any nocebo effect you might be experiencing from the procedure. Let me know how it works out for you. My best to you, Sensei Adam Rostocki

Q: You have a great website and I am looking forward to reading your newsletter. Last night I had just purchased your book, I haven't read much yet only to page 18 but I can relate to much of what you have gone through seeing all the various chiropractors, physicians, orthopedics, etc. I have experienced much the same and have also seeing a nueroligist to add to the list, and like you receive varied opinions and advice all of which adds up to very little. Thank you for your help, you are doing a great service to many people. Merry Xmas, Lee

A: Thanks Lee for the nice comments, I really appreciate them. It is letters like this which help to keep me motivated to continue writing. Best of everything to you, Sensei Adam Rostocki

Q: Hi my name is Aunjell and I'd really like to get your opinion and I'd enjoy hearing more about what you went through with your DDD. I was diagnosed with DDD about a year and a half ago when I was 24 and I'm almost 26 now. When it started it hit hard and I got to the point where I was unable to walk, cook, or lift my baby. I went through chiropractic, physical therapy. and got injections. The 1st one didn't help so a month later and had 2 shots and that helped. Then a year later it hit me hard again and now it's really effecting my life, I hurt all the time and am on morphine and nothing seems to help. I just had an injection 2 weeks ago and found no relief. I can get more injections in January. Also, my DDD is L4 and L5. Am I just doomed or what else is available cause I really don't think I want surgery. I also wonder if I'm having this many problems is it just gonna keep getting worse cause I'm so young? I just want to get back to my life and be able to work all the time and be able to play with my kids more. Any advice you have would be helpful. Thanks, Aunjell

A: Hi Aunjell, I doubt that the DDD is causing you all this pain. I recommend you thoroughly read the DDD section and all the links off that page on my site. You should make sure to read the page concerning back pain scapegoats as well. DDD is rarely to blame for ANY significant pain. It is simply a typical part of the aging process. My guess is that something else is going on to cause you all this suffering. Best, Sensei Adam Rostocki

Q: My wife has been diagnosed with a herniated disc at c5-6. she has shooting pain in her left arm. Our chiropractor referred us to an orthopedic surgeon, who wanted us to try steroid injections and conventional therapy before considering surgery. We are interested in spinal decompression, but she is already exhibiting nerve damage (weakness in the arm, mixed up reflexes) so the surgeon tells us conventional treatments may not work and surgery is our only choice. If she did not have nerve damage, the surgeon would agree with the spinal decompression, but not at this stage of the problem. Do you know what can we expect if we don;t perform the surgery and rely only in the spinal decompression procedure? Thanks, Mario

A: Hi Mario, Are you surprised that a surgeon would want to operate? That is what they do. Avoid it at all costs. If there is nerve damage, surgery will do no more than any other conservative treatment, unless your particular surgeon can regenerate dead nerve tissue (NOT). I recommend going conservative all the way. If nothing works, surgery is still always an option. I would also lose that doctor who seems to be in such a rush... Best, Sensei Adam Rostocki

Q: I have the same story beginning at 18, I'm now 47 and would love to hear your story. Cris

A: Hi Cris, My back pain ordeal is well documented throughout the site. The best place to begin is here:
http://www.cure-back-pain.org/chronic-lumbar-back-pain.html
My best to you, Sensei Adam Rostocki

Q: I just found out that i had a ruptured disc in my neck, my doctors are saying its very serious and needs to be taken care of now. I would love to do the decompression therapy that is offered but it costs 1500 dollars and is not covered by the insurence company. I do not have that kind of money, nor can i afford to finance it. Is there any other way out there to get this covered, i do not want to have sugery. I am just trying to find any other option out there before surgery becomes the easier choice because the insurance will cover it. I would love your opinion........Roxanne

A: Hi Roxanne, Yes, I understand your problem. Some care providers can work out to have your decompression covered by billing for related services such as physical therapy. You would have to work this out on an individual basis with a compassionate doctor. Surgery will not be the easy way, despite the financial coverage, if it leaves you with permanent effects. Be very careful about your decision. There is of course the chance that surgery is the best option, but that is very rare and would depend greatly on the MRI results used to make you diagnosis. Unfortunately, there are few other curative options available. My best to you, Sensei Adam Rostocki

Q: My husband recently had an xray showing a fifth vertebra fracture. He has alot of swelling and some soreness on his lower right back. Doctor says the fracture could have occurred years ago and may have flared up now. We are concerned about the swelling, it's been about 3 weeks. Have tried cold and heat but the swelling is not going down. What are our treatment options? Should we consult a second physicians opinion? Thank you! Karen

A: Hi Karen, It is not unusual for old injuries to show up again and again. Although, it might not be the cause of the pain, since an x-ray will not diagnose many potential causes which might be coincidental to the old fracture. When you describe swelling, do you mean on the surface, like a bump or do you use this word since the doctor said their is "internal swelling"? This will help me to advise you in greater detail. Best, Sensei Adam Rostocki

Q: Hey my name is Michelle I am 17. I have recently been in a car accident on 07-25-06. I was like 7 months pregnant. We totaled out 1996 saturn, into a 2007 mustang. She was ticketed for a failed to yeild the right away. That is how the accident was caused. Well anyways I just went for MRI'S On my neck, back and brain. I do not understand it Could you explain the results to me a little? On my back...#1 I have Loss of the normal lordotic curvature. This may reflect Strain. #2 At L5-S1, There is mild Subligamentous Circumferential bulging, Which abuts the thecal sac. My neck... #1 Loss of the normal lordotic curvature, This may reflect strain. #2 there is no evidence for canal stenosis. My brain.... #1 Markedabnormal signal changes are identified in the left temporal bone. This may simply reflect the presence of mastoiditis. If additional imaging is desired, I reccomend consideratiob for a dedicated CT scan of the temporal bones, which may better visualize this region. #2 There is a single white matter lesion identified in the deep white matter of the right frontal lobe, which can be normal. The presence of a single white matter lesion is likley within normal limits. Okay that is what my MRI'S say, I really do not understand it, I tryed to research it up, but I am still confues, Can you please tell me what it means, not in docotor terms, in terms where i may understand it? I will really appreciate it. Thanks alot Michelle I look forward to hearing from you!

A: Hi Michelle, I am always surprised when doctor does not take the time to explain these results to patients. After all, it is your body, and you should understand what is going on with your health...

Back: You have a straightened spine (extent not noted) which might be due to muscular tensioning. You have a mild bulging (herniated) disc at L5/S1 which touches the membrane which protects your spinal nerves (Cauda Equina)

Neck: Once again, spinal straightening, possibly from muscular tension.

There is nothing particularly unusual or troubling about these results.

Brain: Out of my field of knowledge, sorry.

I hope this helps you. Best, Sensei Adam Rostocki

Q: Dear Sensei Rostocki: As I write I am suffering from a upper back spasm attack. This is the third time spasm has completely devastated me. Background first: I'm 24 years old, graduate student in biomedical engineering. I started receiving chiropractice care 2.5 years ago for a completely different reason. I was getting A LOT of headaches and my arm movements was completely limited. Chiropractice has cleared the headache within the first visit (I was shocked) and I kept going. Back then, I was practicing Kendo, which require me to wear a set of Bogu (armor) that is quiet heavy, so I dropped Kendo and started Kungfu. My chiropractor complained that I was really "tight" because of my muscular build and my progress is not as fast as many of his patients. But nonetheless, my motion is mostly restored. I've made a lot of progress in my chiropractic care lately and this co-occurred when I finally learned to "relax" in martial art. I think they are related but can't be sure which is the cause. My current status/question: On an average day, I only feel this annoying "weighty" feeling on my neck. So I would sorta jerk my neck around habitually... I know this is a habit and probably psychological... HOW do I deal with this? Also, I've had 3 back pain attacks so far, starting last summer. (including right now). I think it's ischemia related. Everytime it's after I "over-practice" after feeling sore already. It's VERY spontaneous. The last two times I woke up with the severe spastic pain. This time, my back has been sore for a few days and I thought it's cuz my spine is mis-aligned again. And then suddenly it started out of no where to get tighter and tighter until I couldn't get out of bed. What is your suggestion, Sensei? From a martial artist perspective, how do I prevent this? Kai

A: Hi Kai, To me, everything about your letter (and therefore your personality) suggests a psychosomatic cause for your pain. I do not think the chiropractic has been anything more than a placebo for you, nor do I think you require any medical treatment. Martial artists are prone to this type of pain since they almost always demonstrate the common personality traits of those who suffer from psychosomatic pain...(perfectionistic, detail oriented, motivated, disciplined, slightly repressed...etc) I recommend knowledge therapy and a conscious denial of any physical condition causing your pain. I am sure if you can do this, you will be FINE. Let me know how it works out for you. Best, Sensei Adam Rostocki

Q: I have experienced occasional back pain that I could relieve with Advil and ice with a 24 hr recovery. Recently 5 days after 4 days of moving and carrying heavy boxes up and down steps I went bowling. After the third frame I experienced slight back pain. took two Advil and bowled one more game. two hours later I was walking like a penquin and found standing straight very painful. the next day the pain intensified and I could not walk. Xrays revealed nothing except tight muscles and I was given a shot of Delotid and phenergan so I could walk. I have since been on bed rest and skelaxin and oxycodone and find standing straight still very painful. I am 50 and physically fit. Is this a 72 hr recovery? Will

A: Hi Will, You are suffering from classic muscular strain and overuse. Too much activity in a short time frame can do damage and cause painful symptoms, as you are experiencing now. Rest a bit and relax. You will be fine. Best, Sensei Adam Rostocki

Q: Four months ago after a vigerous game of squash I went for a Spa. About three hours later my left knee was really stiff. I hobbled about for two/three days and my knee recovered but the pain moved to my left gluts where it still remains. I had an MRI which showed my L5 disc quite squashed but not severely so ! I am in a lot of pain first thing in the morning when I get out of bed and when I go from sitting to standing especially if I have been sitting for more than 30 mins ! I have seen two doctors and am now doing physio but am not improving especially as I have stopped taking painkillers (Acoxia). Any suggestions on a road to recovery ?? Maurice

A: Hi Maurice, The pain might be a psychosomatic perpetuation or might be a muscular or ligament injury which is taking a long time to heal. I am inclined to think it might be an ischemia issue. I think you will recover with time, just don't get caught up with some nonsense diagnosis and treatment. Best, Sensei Adam Rostocki

Q: I believe that DRX-9000 can medically intervene in C 3,4 and Atlas medical issues I have. Have had positive major stable experience with VAX-D in the late '80s (after jump start with VAX-D, massage, chiropractic and electro stimulation, Yoga practice appears to keep me at maximal medical improvement) Am anticipating DRX-9000 canidacy when I retire (physical job might interfer with DRX-9000 therapy at this point in time, in my humble opinion). Please be kind enough to send opinion and/or links on non-evasive non-surgical, therapies offered to C 3,4 herniations and Atlas issue. Thank you for your concern.~Arnie

A: Hi Arnie, I recommend DRX9000 as a great alternative to surgery for a variety of disc issues in the neck and lower back. You need to be available daily for about 1 month for treatment to be effective. Best to you, Sensei Adam Rostocki

Q: i have had back pain for 9 months. i started to have neck pain this october. i have had a mri for both and have protruding discs in both cervical and lumbar regions. i am debating on getting drx9000 treatment and don't know if i should do the cervical region or the lumbar region.any suggestions. Wendy

A: Hi Wendy, I recommend treating the location which is more symptomatic. Once finished, you can always receive treatment on the other area if it is still a concern. Best, Sensei Adam Rostocki

Q: I am 5' 6" weigh 180, have a breast size of 40D. I suffer from excruciating back pain. I went to a gynecologist thinking I had endometriosis. Had a D & C that came out negative for endometriosis, with only mild cysts and scar tissue that were removed. Went to Physical Therapy, which helped, however now lower back pain has gotten worse, with tingling and numbness of legs and arms. What could be helpful to ease my pain, that I can do at home. Thank you for your response. Olcione

A: Hi Olcione, Have you been examined by an orthopedist or other back specialist? Do you have a diagnosis or are you guessing about the cause at this point? Send me more info and I will do my best to advise you. Sensei Adam Rostocki

Q: My husband has been diagnosed with CFS. we are trying to find a way forward but the difference between fibromyalgia, tension myositis, and CFS confuse me. Are these variations of the same thing? I've not been able to assess the differences very clearly. I am open to anything that might help but don't want to go down a road with a wrong diagnosis. Thank you for any help you can give. Rochelle

A: Hi Rochelle, CFS is far different than either fibromyalgia or TMS, but all 3 can be psychosomatic. (TMS by definition is always psychosomatic) CFS is a common symptom of both of these conditions as well. Personally, I believe that 90% of CFS is psychosomatic and I do not believe it is a condition unto itself. In my experience, knowledge therapy can work well, but other times the CFS symptoms are actually caused by a misdiagnosed physical condition. I hope this info helps, Sensei Adam Rostocki

Q: i suffered from chronical backache since i was pregnant with my daughter (now 13). i have been to doctors, and they would perscribe pain killers, until i have decide there must be something else wrong. since i developed as a young teen, i was always teased about my big breasts. i have always been self concious. i cant wear normal clothes, due to the fact of my breasts, then it will be too small over my breasts, and fine bellow, which cause me to always wear bigger clothes. 3 years ago i have been to a plastic sergeon who tried so hard to help me, for he aknowledge the oversize breasts, and deffinetaly need to reduce the size of of breasts, that is causing my backache. we tried with a motivation letter and photos which was send to my medical aid in order to help me with the prosedure. now i know there is allot of patients who takes advantage using the medical aids for their plastic surgere, with all respect not in my case. i do not have the funds the follow such a prosedure and i realy need to have this operation. i am 37 years of age, 1.50m tall, and weighs 62kg. my breasts are a big problem, can anybody help me to rebuild confidence that i have lost since childwood. i cant even get dressed in front of my husband, or have a bath together, i am so self concious. please help me. Sharon

A: Yes Sharon, breast reduction might be the answer for you alright. There is a tremendous amount of info here:
http://www.breast-plastic-surgery.org/breast-reduction.html
and here:
http://www.breast-plastic-surgery.org/psychology-of-breast-reduction.html
I hope you can find relief soon, Sensei Adam Rostocki

Q: Hi. I have been suffering with back pain. I have see doctor after doctor, chiropractor, physical therapy, manipulation and still in chronic pain. Tried ant-inflammatories, nerve block medications, epiderals,and still constant pain, I have had Mri's, Emg, Mylegram with no luck. I have pain in my thoriastic, lower lumbar and buddocks and now left leg feels numb. My pain is burning, stinging, pulling and tightness and sometimes cold sensations. I feel I have classic symptoms of a pinched nerve somewhere in my spine. I pulled my back out just getting up from a kneeling position and I have had constant pain since then with no relief. Can you help? Thanks so much. Karen

A: What did your MRI say? What is the diagnosis? This will assist me in advising you better. Best to you, Sensei Adam Rostocki

Hi Karen, I would say FORTUNATELY the MRI shows no problems. The pain is most likely ischemic, which explains why there is no evidence of a spinal causation. This is the most common type of back pain and it is what I suspected from the first time reading your letter. I hope this info helps you, Sensei Adam Rostocki

Q: I had a lower lumbar fusion on August 24th 2007. Today is December 26th 2007. My question is how long does it take to recover from this? I have other medical problems fibromyalgia, diabetes, high blood pressure. My pain is not subsiding and I realize that a fusion does not always remove the pain, however the pain I am having now is NOT the same pain I endured pre-surgery. It is now higher in my back and restricts me from doing nearly everything. My surgeon says the rods and screws are showing all in the right position. I am so tired of being in pain. What would you suggest? Tammy

A: Hi Tammy, Had you written to me prior to the operation, I would have suggested not doing it. As of now, what is done is done...The operation is hellish to endure and many patients never regain functionality. Surrounding vertebral level degeneration is almost inevitable. I advise you meet with your doctor and put the screws to them for some concrete answers to your specific questions. I wish you all the best, Sensei Adam Rostocki

Q: Hi, You mentioned that there's 3 things to do to help resolve psychological issues that "create" or that are related to back pain from the Primary Gain: "...*Discover the repressed emotional issues and how they relate to your life and personality. * Acknowledge that these issues are indeed the cause of your physical suffering. ... * Accept these issues as part of you. ..." I really want to try. However, how would I know that I discover the emotional issue(s)? How do I find them, any tips? How will I know that is it? Should I look to events close to when my back problem started? It is communly relates to what, any examples that I could relate to? Many Thanks AG

A: Hi AG, This is the precise topic of my book. I cover this and all accompanying material in great detail. IF you want an alternative source, you can take out any books by Dr. John Sarno from the library. These should help you find the answers you are looking for. My best to you, Sensei Adam Rostocki

Q: Trying to keep it "reader's digest" short :-) 6 weeks ago, I was sitting in my chair watching a ball game, and the left side of my upper torso went tingely, completely, and instantly, from the tip of my ear, to the waist, and down to my wrist. The ER said it was parantathesis (sp) but that I should see my doctor and let him guide me. I had none of the "standard" symptoms of a heart attack or stroke, in that there was no pain, no radiant, sharpness into my left side, no outward sign of any degradation in movement. In fact, I leapt out of the chair, freaking out, shaking my arm, and not quite sure what to do. For the days between the ER, and my doctor visit, I would still get smaller amounts of this tingling, which was across the surface of the skin, in various places along that same area that had gone completely "tingled" By the time I saw my doctor, these episodes had all but ended, maybe one or two small ones across my left breast. They seemed to be triggered by standing up, or getting out of a kneeling position. It left behind, pain in my chest, varying from a stab, to an ache, to a pain that made me have to stop and sit down By this time, I was awash with fear, anxiety, and terror, such that my already hypertensive blood pressure was off the scale. My doctor gave me an EKG that showed all normal, and put me on xanax to calm me down, then went after the high blood pressure, but has never given me a reason for the original incident. The pains in my chest area are "lightning bolts" "stabbing" and one spot just above the center breast bone that feels like a hot knife cutting into me. A second trip to the ER, and three hours later, several EKGs, chest xray, and blood work, and they told me my heart was okay, showed no signs of any kind of attack, but my upper chest still hurt. All the symptoms would come and go, never anything that incapacitated me, but only that scared me something awful. The Calcium and Beta Blockers my doctor gave me for the BP, made things worse, and the pain in my chest increased so I quit them for now. Through it all, my back hurt a big, but it was not the focus of my fears. I had a stress echo cardiogram, and they said the heart is fine. My doctor is sure its anxiety, but between the test results and the occasional xanax, I really don't feel anymore anxiety than usual. Now my back is really tight and sore and the discomfort in my chest makes me pretty much unable to function. If I had a job, I would have been fired, as I have not been able to move about much for these six weeks or so. I am better off laying down, and don't feel comfortable sitting for long. standing is okay for a time, but then I have to lie down for a bit. Draw a line slightly below the breasts, and around the back, and the another under my armpits and around the back, and there is the location of all the tightness, and discomfort in the back, occasional stabbing, and the burning near the center of the breastbone in the front I have to assume that I have injured or pinched, or somehow affected a nerve or more than one. My doctor is just a family doctor, and I do not know where to turn to get my back fully checked for possible nerve damage. Do you suppose the discomfort and 'stabby' pains in the chest, are related to a back problem? I will be reading your pages for more info, but am not certain if this means chiropractor, physical therapy, neurologists, or what. Where should I go next for some help with this awful discomfort and occasional pain? Thanks for listening, and a Merry Christmas to all. John

A: Hi John, It does not sound like a back problem to me. In fact, it sounds like an ischemia issue. Do you know if you suffer from paroxysmal hypertension? Thus is a related condition which affects many people with this same type of pain syndrome. I believe if your high blood pressure is indeed the paroxysmal variety, the cause might well be psychosomatic. Let me know and I will do some more research for you. Best, Sensei Adam Rostocki

Q: What is happening to me is not a sharp back pain but my lower back in my spine starts making a tingling feel then I start having severe spasms. I'll shake all over the bed. After the first attack they seem to come and go for about twenty or so minutes. Most of the time it happens when I lie down in bed but now I've notice it happenening when I am sitting down watching TV. It never happens when I up and walking or at work just when I relax my back. I have had lower back problems all my life, even as a teenager, and I'm sure that comes from playing sports all the time. Now in my late 40's my lower back is very weak and hurts when I have to lift or do anything that requires me using my back. Thank's for any insight to my back spasm problems. Rick

A: Hi Rick, Have you ever had a comprehensive evaluation of the problem? MRI? If you have results, this will help me advise you far batter. Usually, pain that comes on when at rest is purely psychosomatic, especially in chronic conditions. Have you ever considered this possibility? Best, Sensei Adam Rostocki

Q: What to do? 7 Months of severe lower back, buttox, and leg pain-Treatments-General Practioner,3 Different Chiropractors, Neurologist,Acupuncture,Sterod{Prednisone}, Electronic Muscle Stimulation. No relief from any of these medical sources. Pain is still very severe when I walk over 50 to 100 feet. Pain is just as bad when I stand. Only partial relief when I lay down. MRI Results--L4-5 leftward protrusion and right anterior facet joint capsulosynovial cyst, with compression of bilateral decending L5 nerve roots. Mild central stenosis. At L5-S1, DISC SPACE NARROWING AND DESICCATION, WITH DISC BULGE AND SUPERIMPOSED BROAD BASED CENTRAL PROTRUSION. Partial effacement of bilateral exiting L5 nerve roots and a mild contour alteration of bilateral decending S1 nerve root sleeves, left greater than right. X-Ray showed that my right pelvis was one inchout of alignment{higher}. Was advised to consult a surgeon by General Practioner and Neurologist. That is my absoloute last resort. I do not have any confidence i back surgery. Pain is debilitating and depression has set in. Please comment and suggest anything that you feel might help me. Thank you sincerely, Rudy

A: Hi Rudy, I recommend looking into spinal decompression. It might be the best treatment option available to you without surgical intervention. Let me know how you make out. Best, Sensei Adam Rostocki

Q: i took an epileptic grand mal seizure while in the house on my own and am unsure of the fatality, hoewever my ribs werein pain and now the pain has moved to also my lower back especially when i am lying or bending as i bend during my work i would like to get this cleared up and hope that you may have some suggestions as to what to do i have been taking painkillers over the past week but it is still there Willie

A: Hi Willie, Seizure related back pain is often the result of muscular injury suffered during the tightening phase of the event. It will most likely resolve by itself in a matter of weeks. If not, I recommend going to get it checked out to make sure there is nothing more serious going on in there. Best, Sensei Adam Rostocki

Q: Have you any advice for me, I have 3 children, youngest 20 month through an emergency section, and since then, every 3 months, I bend done, and my back lower goes into spasm, making it hard to walk, bend, get into bed for a few days. Has occured since my last child. Im 36. Have tried chiropractic, now trying bowen, and its occuring even more. Iv got caring responsibilitys and feel really diasabled when it comes on. MRI scan stated lower back shows compression. Im desperate, you got any real advice, i seem to be waisting money. Tasneem

A: Hi Tasneem, Please send me the MRI report so that I get a more comprehensive idea of the diagnosis. This will assist me in advising you. Thanks, Sensei Adam Rostocki

Q: A relative of mine was in a CAR accident 3 years ago.... her upper back -- facets,spinal pinched nerves, discs , joints , muscles ,ligaments , are torn ,, INFLAMED ... she had 6 sessions of epidermal injections over the last year or so / the doctor also tried to burn the nerve in the SI joint -------- THE DOC. made her pain WORSE !!! The upper problem has caused her SI joint in her hip ----- PAIN,,,, she is on 10 PERCS a day . She can not stand straight --- What in your opinion CAN she do ??? She is almost ready to give up ........ Wally

A: Hi Wally, More specific and detailed diagnostic information such as an MRI report would be helpful to advise you better. Also, exact details of what you mean by burning the nerve in the Sacroiliac Joint. I assume this was a minimally invasive surgical procedure to destroy the nerve? Let me know and I will try to help. Sensei Adam Rostocki

Q: I am a 43 year old female. For the past 5-6 weeks only while laying in bed, I have developed A severe right lower back pain. Cannot get relief from the pain whether lying on my back or my side. Actually cannot wait to get out of bed the pain is so severe. Once I get up the first couple steps are difficult but once I get moving and take a hot shower I feel fine till bedtime rolls around. What could be a cause of back pain only while lying down? Irene

A: Hi Irene, In my experience, the most common cause for this is ischemia related to psychological issues which might trouble us while sleeping. When you sleep, your subconscious mind is in control and this is a time when repressed emotional issues often trigger physical pain conditions to wake us from our sleep, thereby protecting us from these painful issues. Of course, there might be other explanations, but I have seen this type of pain countless times and it almost always turns out to be psychogenic. I hope this info helps you. Best and Happy Holidays, Sensei Adam Rostocki

Q: I am a fit 40 yo man.7 days ago I sliped (not fell) and luckly caught my self.Unfortionetly,my back arched fairly hard (pelvis out)and I now have some moderdate pain in my mid and lower spine when I arch or bend over.I do not appear to have any decreased flexability.Today I made a Dr,appointment for mon. 12/26.I understand that you can not diagnose me over an E-Mail,but do you you think happened ? and can I wait till after Christmass to see a speacialist? Thank you for your time. John, New York

A: Hi John, It sounds like a muscular condition to me, as is common with strain or sudden events like a slip. The pain might be severe, but is probably nothing to worry about. Go get it checked to be sure, but don't stress over it. Most likely, it will turn out to be nothing at all. Let me know how it works out for you. Sensei Adam Rostocki

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