Back Pain
Questions and Answers
Archive 2008 Part 3

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

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This is YOUR back pain questions and answers forum. Enjoy it, and use it to answer all your questions on back pain.

A: Hi Stephen, How did the orthopedic clinic come to the conclusion that you had a damaged nerve? Typically this is far beyond the practice of any orthopedist and is usually discovered through specific neurological testing performed by a neurologist. Many times, this diagnosis is made speculatively and is completely incorrect. I see this frequently with patients suffering from ischemia. In these cases, there is no damage at all, just mild chronic oxygen deprivation. This is the reason I am very interested in how the diagnosis was made...Best, Sensei Adam Rostocki

Follow Up: he just asked me to try and do a few things like trying to touch my toes, which i could not do. he asked me where the pain was. when asked to do certain things, the pain is now constant in lower back back of knees and calf musles sometimes going down to feet. i just cannot get any relief at all, yours steve.

A: Hi Stephen, That is not the diagnostic procedure which can determine nerve damage. The physio is fine, but is unlikely to cure you. I do not recommend surgery. Do you have an MRI result available? If so, send me the report text, if not, I recommend getting one, if possible. I know it can be a challenge in the UK. Best, S.A.R.

Q: Hi! I am a 29 year old female with chronic lower back pain that sometimes spreads to my upper back, it seems to move around. I was in a car accident in May of 2007 while I was 4 months pregnant with twins. They were unable to do much for me at the time. Well, I delivered the twins 8 months ago and I still have the pain. Most of the time when I go to the Doctor, they attribute it to the pregnancy. I had to have an emergency csection after laboring and pushing for an hour. I had an epidural. Someimes the pain feels like it is coming from where the epidural was administered, other times it feels like it is in other areas. I just recently had an MRI and I am waiting for the results. One Doctor told me my back hurt because of carrying car seats with babies in them. Anyways, the starngest thing is this, I have gas now almost constantly, which is embarrasing, but at the same time, it makes my back feel better. I also urinate very frequently and have always wondered if this is all connected. Have you ever heard of anything like thsi before? I hate it! This pain is making me so moody! Charlotte

A: Hi Charlotte, I have heard of all these symptoms...many times before. They are common psychosomatic symptoms mostly. Given the fact that your pain moves around a wide area, comes and goes and is accompanied by digestive tract issues and urinary concerns, I would normally say that the cause is psychological. However, given your history with an accident and more importantly, the epidural, I think it would be wise to wait and see what the MRI says. When you get the results, please send them along and I will be better prepared to advise you. One thing is for sure, the pain is NOT from carrying the car seats. That doctor should be ashamed...Best to then, Sensei Adam Rostocki

Q: How come my insurance Aetna doesnt pay for spinal decompression, even though it seems to be a popular choice for back pain relief? I would think normal surgery would cost so much more versus the decompression surgery. GD

A: Hi GD, Yes, decompression costs less than surgery and is more effective. As far as why they don't pay, you will have to ask them. As the treatment becomes more popular, the insurance policies are likely to change...Best, Sensei Adam Rostocki

Q: Hi! At first,I must praise your wonderful site and hope you'll continue with this great work...I'm 35.My problems started 7 years ago,experiencing sudden sciatica pain one morning when I woke up not having a single clue what would cause this.Avoiding any pain-killers,I was in strong pain 6 months,then all went away slowly,following a 3 year pain-free break if I avoided any physical activity.I was diagnosed by MRI with a L3/L4 Schmorl's node,a condition even doctors regard as harmless and generally asymptomatic let alone a cause for sciatica...After 3 years,after being physically active once,pain returned,reminding me of 6 awful months I'd like to forget forever and haven't gone away 'till this day...Second MRI showed same results as the first one...I tried physiotherapy, chiropractics,Bowen's therapy,pilates,weight-lifting to strengthen my body with pain constantly following me,especially unbearable 1 or 2 days after exercising...Nothing worked,perhaps just some placebo took place occasionally...I dropped weight lifting and started exercising with body weight and noticed that pain gets worse when I strongly tense my trunk muscles even if I do standing exercises without any pressure to the spine...It seems so illogical but pain sometimes drives me mad and influences all areas of my life,constantly pushing it away from my mind.It sucks an awful lot of energy from my body.It moves around my leg,never knowing where it'll go next day and that's frightening,not knowing what to expect...I'm really tired of all this and sincerely ask for your advice...Adriano.

A: Hi Adriano, To me this seems like a classic case of psychosomatic ischemia. The fact that admit an extreme fear of exercise and physical activity definitely reinforces this idea. I believe you have conditioned yourself to experience pain and have come to expect it from vigorous activity. I recommend knowledge therapy as a permanent cure for your pain. Let me know how it works out for you. Best, Sensei Adam Rostocki

Q: Hello! My name is Amnah and I am a student at Bedford South school. This month we have been asked to do a project about chronic illness. I choose arthritis. I was hoping you give me information about arthritis and its symptoms, risk factors, management and coping strategies, treatment (conventional) and treatment (alternative). I would love to hear from you soon! I really appreciated it.Thank you,Amnah

A: Hi Amnah, The most common types are Osteoarthritis, Ankylosing spondylitis, Rheumatoid arthritis, Septic arthritis, Gout, Juvenile idiopathic arthritis and Still's disease. Only the first 2 types are covered on my site. Here is the section of my site with all the arthritis information:
http://www.cure-back-pain.org/arthritis-in-the-spine.html
As you can see, there are many pages linked off this section with lots of good information for you. If you have a specific question which needs answering after you complete your research, feel free to write to me and I will do my best to answer it. This info should get you started...Best, Sensei Adam Rostocki

Q: Is the decompression therapy recommended for individuals who have had back surgery? Debra

A: Hi Debra, It really depends on the nature of the surgery and the location. Your best bet is to talk to a variety of decompression providers near you, since every one has their own guidelines as to whether or not you are a good candidate. Generally, a spinal fusion contraindicates many patients, while some other procedures are fine. Best, Sensei Adam Rostocki

Q: I was reading the section on your blog about muscle tightness being related to physiological problems. I have had sever tightness in my upper back muscles for years, it keeps on getting worse. I never experience any sort of real pain, just very stiff and tight muscles. I find mild relief for a short period of time when I crack my back and release these knots. I have seen a spine specialist and was told I had a herniated disc. I really don't believe this is the cause of my problem. I never have any of the symptoms of disc herniations and really don't have any pain, just extreme tightness. I'm a very nervous worry wort type of person and am beginning to think that maybe this is caused by me worrying and stressing all the time. I really don't have anywhere to look for help and not sure what I can do, but I'm only 24 and feel like I have the back of an 80 year old. I'm open to any thoughts, ideas or suggestions.Thanks, Logan

A: Hi Logan, It seems like you might have some good insights to your own problem already...this is half the battle. Stiffness is definitely a result of internal tension. I recommend knowledge therapy. There is nothing to lose and no more tightness to gain...Let me know how it works out for you. Best, Sensei Adam Rostocki

Q: Well im in the marine corps and my back has been hurting for over 3 years, I had a MRI down it said I had 2 minor bulging disc and degenerative changes on multiple levels, and I have a torn muscle on my lower left back, So they said do deadlifts and back extensions, so I have been since January 8th and it feels better but if i go a couple days without doing either exercise my back starts hurting a lot if I bending the wrong way and what not, they told me the back muscle was more than half gone and mostly scar tissue is it gonna take long to fix or is it something else as well. Ian

A: Hi Ian, Weight training is a strange prescription for a torn muscle. Anyway, degenerative changes and bulging discs are common. I am inclined to think that you might have a psychological conditioning issue behind your pain, especially if you get increased symptoms when you do not work out. The actual cause might be ischemic, since exercise will not do anything to relieve disc pain. I hope this info helps and I send you my best, Sensei Adam Rostocki

Q: I fell playing soccer and have agonizing pain in my tail bone. Any suggestions? Dan

A: Hi Dan, As long as you have received a proper check up to make sure there is no injury which requires medical attention, you must just be patient. As detailed in my coccyx pain section, these types of injuries can last for a long time. However, most do not require any special care and will eventually resolve by themselves. Best, Sensei Adam Rostocki

Q: I am experiencing discomfort and pain which sometimes run to my thigh, and ankle and feet and discomfort in my right hip joint. I am a regular badminton player should i stop playing because this pain makes me feel weak and sometimes numbness occurs which go away after rest. sanny

A: Hi Sanny, It sounds like a sciatica syndrome. You should go get a check up to make sure there is nothing seriously wrong. If you check out ok, stopping your exercise is not a good idea. Let me know if you have a diagnosis or what the doctor says and I will try to advise you further. Best, Sensei Adam Rostocki

Q: Dear Sir,I suffered neck muscle pain for 3 years & i observed that it also affect my upper back muscle. I always want to move my neck left & right to relieve the pain and i hear some sound like stretching of my muscle of my neck. Even at the middle of my back muscle...i feel the same pain. I was really tired of this feeling & condition. I am sportsman & like to play tennis. After playing tennis, then i feel much more pain. Can you pls advice me how to cure this muscle pain? If i continue playing...did this things make more worst to my neck & back muscle pain? Wait for your kind reply. Thanks & More Power! Elmer

A: Hi Elmer, Have you been diagnosed with any particular condition by a doctor? If so, what was the result? Have you tried any treatments yet? This information will help me to advise you better. Sensei Adam Rostocki

Q: Hello, I've been suffering from low back/right buttock pain for several months. I was previously a runner/cyclist and cannot do much now, which is sort of a living hell. I read Mind over Back Pain. The pain seemed to improve after reading it, but it has returned. I just ordered Dr. Sarno's 2nd book. I've tried chiropractics, acupuncture, PT, and massage and am not improving. Are there any doctors or physical therapists that have studied with Dr. Sarno and can use his treatment techniques in Portland, OR? I have a friend here who was treated by him in New York and cannot say enough good things about her treatment. Thanks so much, Christine

A: Hi Christine, The closest doctor to you is in Seattle:
Mark G Strom, MD
Integrative Health
Medical Acupuncture
1370 Stewart St, Suite 202
Seattle, WA 98109
(425) 922-7576
(425) 669-7500 Fax

Personally, I would recommend getting Healing Back Pain and reading it daily for several weeks. The cost is far lower and the effectiveness is the same as seeing one of these doctors. You might consider some other knowledge therapy books as well for a minimal investment of $20 to $50.Best, Sensei Adam Rostocki

Q: I have meralgia paresthetica in my right thigh. Can spinal decompression provide me relief? I have had both knees replaced in the last year and a half. The meralgia paresthetica did not start until after the first replacement, and seems to have exacerbated after the second replacement which was 6 weeks ago.Thank you for your attention. Paul

A: Hi Paul, No non-surgical spinal decompression is not the correct treatment, although surgical nerve decompression is sometimes used. Personally, I see this condition to be one of the most misdiagnosed conditions due to its high incidence among both obese and ischemic patients. Ischemia is perhaps the most common and least diagnosed causation. I would consider this possibility before attempting any invasive treatment modalities. I hope this info helps. Best, Sensei Adam Rostocki

Q: Hi. For about 3 months now, I have been experiencing discomfort everyday!! It started in my right upper back, the muscle between my spine and shoulder, it went into my neck and even my right part of my head, my shoulder, my upper arm and the right side of my chest. The pain is no unbearable, it actually feels like a spasm in my upper right side, I also sometimes have pins and needles in my right part of my head. I went to doctors, they treated me from bladder infection to constipation, nothing worked and I am feeling helpless!!! I went for a massage, when they pressed that muscle on mu upper back on the right hand side, my whole right arm went numb. I don't want to go to doctors anymore, as they can't seem to give the correct diagnosis, PLEASE help!!!! Ansia

A: Hi Ansia, The condition you are describing defies my logic...I never heard of anything quite like it. If you have been checked out by a number of doctors who have ruled out anything serious, I would recommend knowledge therapy as a potential cure. The pain might be ischemic and knowledge therapy is the best treatment for this condition. Best, Sensei Adam Rostocki

Q: Hi I'm hoping you can advise me. Here's my story. I'm a 35 year old female. Last May--kind of all of a sudden for no apparent reason, I started to get severe pain in the back of my head (lower) and in the neck. After a while it would lead to horrible headaches. I went to the doctor who prescribed anti-noninflammatories, none worked. He then prescribed Vicodin and muscle relaxers which definitely helped with the pain temporarily but not the problem.It's been a year now, and I've been suffering with this excruciating pain that now has extended all the way down my back at night. Basically around 6pm when I start to relax I feel the tightness begin and if I don't take a vicodin or muscle relaxer the tightness gets worse and worse and I can't sleep. Sometimes if i force myself in the early morning to sit up and stretch it can bring a minute amount of relief, but the pain does not subside until I stand upright. Basically the doctor just says I'm stressed out and doesn't have an answer. Would you have any advice for me? the lack of sleep is playing a huge role in affecting my waking life.thank you. Sherrie

A: Hi Sherrie, As long as you have received a comprehensive exam and have been cleared for any serious health concern, I feel confident that knowledge therapy is the best treatment for you. You sound to me like a person who has a considerable amount of conditioning involved in your pain syndrome and this often accompanies ischemic pain. Please stay in touch and let me know how you are doing. Best, Sensei Adam Rostocki

Q: Hello, You mention "knowledge therapy" throughout your website, instructing some individuals to learn as much as they can about their particular condition. However, i could not find the definition of how to use "knowledge therapy" as a protocol to decrease/eliminate pain. How would one use this modality specifically to treat their condition? Tymothy

A: Hi Tymothy, I recommend reading this page and all the pages which link off it. They give a clear description of the treatment:
http://www.cure-back-pain.org/alternative-medicine-for-back-pain.html
Best, Sensei Adam Rostocki

Q: I've been in pain for the last six months. It started on Dec. 15 2007, two days earlier I was at the gym that I usually hit 3-6 times a week but this day I believe I over lifted and might have injured it there. However the pain kicked in two days later. It's been killing me for the last 5 months, I'm 18 years old and in chronic pain. I've notice certain things make it worst like sitting down puts me in intense pain, in my lower back. When I lift things I get tight under neath my shoulder blades. MY SPINAL BONE IS SORE TO TOUCH IN SOME AREAS DOWN MY BACK. I HAVE GOTTEN TWO CAT SCANS AN MRI NO ONE CAN SEEM TO KNOW WHY OR WHAT IS CAUSE THE PAIN I HAVE DONE A LOT OF THE TREATMENT YOU HAVE DONE BUT NO RESULTS. THE THING IS BEFORE THIS INCIDENT IN DECEMBER, I HAVE NEVER HAD ANY BACK PAIN....WHAT IS CAUSE THIS? AND HOW AND WHAT DO I NEED TO DO TO GET BETTER? Chris

A: Hi Chris, For patients who do not have any spinal reasons to explain their chronic pain, I always recommend knowledge therapy as the best treatment option. This is the exact therapy I used to cure my pain and is particularly suited to your situation. Best, Sensei Adam Rostocki

Q: Hi My name is Laurie. I am 31 yrs old. I have 2 questions for you. I have DDD as well as 4 protruding discs. What do think would be the best treatment for my pain that I have. My pain shoots down into my leg. My doctor wants to do para vertebral joint injections, but my insurance company says that I don't meet the requirements for this procedure. Do you have any advice?Sincerely, Laurie

A: Hi Laurie, Injections are symptomatic treatment. I recommend spinal decompression as a far better permanent solution. Best, Sensei Adam Rostocki

Q: i hurt my back at walmart 6 months ago i stay in terrible pain i can not even sweep floors without sitting down i have no insurance and i do not know what to do Tammy

A: Hi Tammy, Getting an accurate diagnosis is crucial to recovering. I understand this is difficult without insurance, but you have to try. As an alternate plan, you might consider knowledge therapy. It works great for many patients and can be accomplished for free using resources at your local library. Best, Sensei Adam Rostocki

Q: Please help.....I don't know what to do! I'm a 40 year old, professional woman who is generally pretty active and independent. Not anymore though! Almost 4 years ago, one day I was simply unable to move due to severe lower back pain. Initially, I sought help from a chiropractor, which cost me a pretty penny (no insurance) and ended up causing more pain than relieving it. From there I went to an orthopedic specialist, who I've been seeing now for over 3 years. Originally I was diagnosed with a bulging disk and arthritis in my lower back. I was given Hydrocodone for the pain and was told that it would heal by itself. My doctor convinced me to try a cortisone shot. I was very reluctant due to all the controversy but my doctor's statement was "Try it. One won't hurt you.". Boy, was he wrong! I had serious adverse reactions to the cortisone which after 3 years, I'm still battling. That one cortisone treatment caused severe swelling throughout my entire body (I looked like an elephant), heart palpitations, dizziness, menstrual abnormalities etc. To date, I still struggle with swelling in my legs and feet.....all from a cortisone shot which I was told that "one won't hurt you". So any kind of steroid treatment is out of the question. After a year of dealing with that, my doctor finally diagnosed me with fibromyalgia. Initially, I thought this was simply a "catch all" diagnosis but after suffering with this and reading up on it, I can say he was "right on". i believe I've been suffering with fibromyalgia since I was a teenager but that it was never diagnosed. For the past 2 years, I've been on pain medication......hydrocodone then oxycodone and now opana. I've found that the pain medication does help me get through my day to day pain but recently, the past month, I've found myself in SEVERE AGONY!!! I can barely walk or move....and I definitely can't work! I ended up in the emergency room, thinking something else was terribly wrong. That trip turned out to be futile. A shot of demerol and a prescription for flexeril was their solution, although the flexeril helped the muscle spasms I was having. Two days ago I was back at my doctor's office, begging for help. Now I'm told that I'm having an SIJ (sacroiliac) flare up and that it's common in fibromyalgia patients. I mentioned seeing a chiropractor again, so my doctor gave me a prescription for some manipulation. I will be seeking an evaluation this week. Now that you have a brief history, I'm looking for some advice. I still can barely move or walk, I'm screaming in agony and none of these pills are helping. After doing some reading, I know there's some exercises that can help the sacroiliac flare up I'm currently having. But I'm not finding the specifics......what particular exercises and how to do them. Can you lead me in the right direction? I'm to the point where I'm crying all the time because I'm unable to complete a simple task. I desperately need some help getting out of this pain so I can at least function somewhat. Kelly

A: Hi Kelly, I am the wrong person to ask for advice on exercises, since I do not think they will do anything to resolve your condition. I would advise knowledge therapy. This is the best treatment I have ever come across for pain conditions such as yours. I also advise to try and get off the meds. They are certainly not doing you any good and judging by your sensitivity to substances, might be doing additional damage. Best, Sensei Adam Rostocki

Q: I REALLY DON'T WHERE TO BEGIN WITH THIS HELLISH STORY, EXCEPT TO JUST JUMP RIGHT IN. I BEGAN EXPERIENCING BURNING SENSATIONS IN MY LOWER SPINE THAT EVENTUALLY ENVELOPED THE ENTIRE SPINE. THE SENSATION WAS LIKE HOT LAVA JUST COURSING THROUGH MY SPINE. EVENTUALLY IT LOCALIZED IN THE THORACIC AREA RIGHT BEHIND MY HEART AT T-6 AND 7. THE PAIN INTENSIFIED AND BEGAN BORING THROUGH MY CHEST CAVITY UNTIL I COULD HARDLY BREATH. I WAS LITERALLY SCREAMING IN PAIN. I ENDED UP IN ER HOOKED UP TO MORPHINE, MY FIRST EXPERIENCE WITH A CONTROLLED DRUG. THE NIGHTMARE CONTINUED WITH COUNTLESS DOCTORS, TESTS AND PAIN PILLS. I SPENT SIX MONTHS LYING IN MY DEN FLOOR UNABLE TO DO ANYTHING. I EVENTUALLY ENDED UP IN WINSTON SALEM, NC WHERE I WAS DIAGNOSED WITH A THORACIC HERNIATION, WHICH I WAS TOLD ONLY HAPPENS TO ABOUT ONE IN A MILLION PEOPLE. I SUFFERED A BLUNT FORCE TRAUMA TO MY BACK WHEN I WAS A ABOUT 10 RIGHT AT T-6 AND 7 AND WE THINK THAT WAS THE BEGINNING OF THE INJURY. AS TIMES GOES ALONG, THE BODY GETS OLDER, AND CONSIDERING THE FACT THAT I REMODEL REAL ESTATE PROFESSIONALLY, FLIPPING, AS THE TV SHOWS CALL IT, I WAS DOING SOME HEAVY LIFTING, AND EVENTUALLY THE CRACKED DISC JUST EXPLODED, ANTERIOR INTO MY SPINAL CORD. AFTER THE SPINAL CORD DECOMPRESSION AND DISC REPAIR I WAS GETTING BETTER, BUT SCAR TISSUE GRABBED A NERVE AND I FELT LIKE I WAS BEING ELECTROCUTED 24-7. I EVENTUALLY ENDED HAVING A RHIZOTOMY, WHERE THEY WENT BACK IN AND CLIPPED THE NERVE. I ENDED UP WITH RIDICULOPATHY OR NEURITIS OF THE DEED NERVE ROOTS OF THE SPINAL CORD. IT FELTS LIKE THE ENTIRE TRUNK OF MY BODY HAD BEEN DOUSED WITH GASOLINE AND THEN SET ON FIRE. I ACTUALLY PRAYED TO DIE. I WAS NOT LIVING, JUST EXISTING IN A NEVER ENDING NIGHTMARE OF HELLISH PAIN. I WANTED TO GO TO HEAVEN, BE WITH MY DADDY, AND GET OUT OF THIS MISERABLE EXISTENCE. IT HAS NOW BEEN 3 1/2 YEARS AND AFTER A YEAR SPENT WITH AN ACCOMPLISHED OSTEOPATH AND ACUPUNCTURE, AND MANY HOURS SPEND IN PRAYER, I AM BEGINNING TO SEE SOME RELIEF. I HAVE BEEN ABLE TO LOWER MY NARCOTICS SOME, AND WITH THAT COMES THE DEPRESSION, WHICH I AM SUFFERING FROM NOW. I HAVE BEEN HOMEBOUND THE ENTIRE TIME, WHICH SOME EXCEPTIONS, AND THAT SECLUSION COMPOUNDED WITH THE PAIN AN HELPLESSNESS AND AND THE TOLL THAT IT WAS TAKING ON MY MARRIAGE I SUNK INTO A DEEP PIT OF DESPAIR. I CANT TELL THAT MY EMOTIONS PLAY A PART IN MY PAIN. WHEN I REALLY GET UPSET THE FIRE IS STOKED AND I PAY FOR IT FOR DAYS. THIS HAD LEAD TO TRANQUILIZERS WHICH I HATE, BUT KEEP MY EMOTIONS FROM OVERTAKING ME. I WANT DESPERATELY TO GET MY LIFE BACK, TO TAKE THIS EXPERIENCE AND HELP SOMEONE ELSE. I CAN HONESTLY SAY THAT DESPITE THIS NIGHTMARE I HAVE GROWN AS A PERSON, I HAVE LOST A VERY PRIDEFUL SPIRIT AND HUMBLED MYSELF BEFORE ALMIGHTY GOD. I HAVE SURRENDERED MYSELF TO HIS WILL AND WHATEVER TIME THIS FIREY FURNACE LASTS, I WILL STRIVE TO BE PATIENT AND STILL THANKFUL FOR MY BLESSINGS. I DO BELIEVE GOD USED OTHERS TO HELP. IF YOU HAVE ANY SUGGESTIONS, PLEASE LET ME KNOW. I AM ACTUALLY CONSIDERING ECT FOR MY DEPRESSION, SINCE THE ANTI-DEPRESSANTS HAVE NOT WORKED. IN FACT, SOME MAKE MY PAIN WORSE. I LOOK FORWARD TO HEARING FROM YOU. GOD BLESS YOU FOR YOUR WORK.JANET

A: Hi Janet, Being that you have tried the conventional and surgical routes without success, it seems like the obvious choice to investigate knowledge therapy as an alternative approach. I think for you, this treatment would be an uphill battle due to your experiences so far, but it is never to late to give it a try. You have nothing to lose and a possible cure to gain. I wish I had the chance to speak to you before that first surgery...Best, Sensei Adam Rostocki

Q: Please share with me your final experiences. I have been diagnosed with both herniated disc and pinched nerve and no one seems to be able to help. Thanks in advance for any assistance,Pat

A: Hi Pat, Hopefully, I have some life left in me and will not be sharing my "final experiences" for some time...only kidding with you. I am pain free now for years and am living life to the fullest. My herniated and degenerated discs are not the source of any pain and although they are still there, I am free from their tyranny. I wish the same for you and I do not see any reason why you can't become pain free as well. Stay in touch and let me know how you are doing. Best, Sensei Adam Rostocki

Q: I have done my mri and the impression notes: L4/L5 posterocentral broad based disc protrusion with posterior annular tear of the L4/5disc. No significant compression of the thecal sac or nerve root compression What should I do? Can I do swimming or yoga or both? Thank you, Jenny

A: Hi Jenny, I think swimming and yoga are great. I do not see any major concern from this diagnosis at all. It is very common...I would definitely recommend knowledge therapy, as well, to beat the nocebo effect of the diagnostic process. Best, Sensei Adam Rostocki

Q: will this process work for me? I have had two epidural s for my t9 t8 t7 I do not have back pain. I have a burning in my chest and the shots did not work .I am also taking lyrica that does give me some relief.if this system works I will start asap Ira

A: Hi Ira, Your question is not exactly clear. I assume you are referring to knowledge therapy. Yes? Well it depends whether it will work for you. What is your diagnosis? How open are you to the idea of a mind/body cause? This will help me to answer your question better. Sensei Adam Rostocki

Q: i am a woman of 47 and have curvature of the spine i have pain in my left leg but have been told that if this was not fixed by the age of 16 there is nothing that can be done i do not think that in this day and age that that is now true it really would be a dream come true to me please if you can help e mail back thank you so much regards sandy

A: Hi Sandy, I would like to know more about the specific curvature you have and the extent of the curve before advising you. Scoliosis? Kyphosis? Lordosis? To what degree? Also...what is the location and shape of the curve? This will help me to consider your situation from an informed point of view. Best, Sensei Adam Rostocki

Q: Sensei Adam, I stumbled upon your page by what I don't believe was an accident... And It really opened my eyes...I'm in the military and have been under a huge amount of stress for the past year. Well in January I was in what I would call the best shape of my life. Running 5 miles every other day, working out, eating right. I was bottling all the stuff I had going on inside, and dismissing it like I have always done. My motto was If im not thinking about it, It aint hurting..Then I find out im going to Afghanistan in a Month and a Half. Well there I was on the treadmill running, I remember it clear as day... In my fourth mile, my normal good pace, and oh my The muscles in my Right Butt cheek feel weird... so I slow down... the next day it just feels like a strain... then it just stayed with me... I felt as though I couldn't tell anyone cause I would look like I was trying to get out of Afghanistan, and I didn't want to let my Squad down.Then I found your book. I was desperate, I paid the $9.99 or whatever. And as I read the words hit me like a Mack Truck. All that stress was kicking my butt, and I did nothing spectacular that could have hurt me... But it was enough to trick me into believing I was hurt... I only bought it three days ago, But I have noticed things about my situation, and the times I had been physically hurting before, I realized that I do indeed suffer from P.I.P.S. Its been a hard 3 days, prying myself off the Icy-Hot, The Ice packs, The Naproxyn... I just felt obligated to write, and thank you, and really speak to you. Make sure you're real cause I doubt everything, but what was surprising was how much it made sense. I had a few questions to, Did you feel like while you were telling yourself that nothing was wrong, You were lying to yourself? And that you would never get better? Thanks again, Woody

A: Hi Woody, Thank you for the kind letter. When I was suffering from my back pain, it had been 18 continuous years of suffering and I tried EVERYTHING during that time. Nothing worked. When I found knowledge therapy, much like you, the idea made perfect sense to me and I recognized myself on the pages of Dr. Sarno's books. This was the breakthrough I needed and I was confident of it from early on. However, it did take some time to completely rid me of my pain. In a few weeks, I was better physically, but the psychological fear and simply being "used" to being in pain took months to get over. It was all worth it now...I can advise you to be confident in the approach. It is the real deal and you WILL be fine. Just keep at it past the point where you feel better to allow the knowledge to really "sink in" to your mind. Please stay in touch and let me know how you are doing. Best, Sensei Adam Rostocki

Q: Buenas Noches:Me LLamo Jesus Marquez. Doy gracias a dios de haber encontrado esta pagina. Te imploro me ayudes a superar este problema tan dificil que esta acabando con mi vida.Llevo 8 meses sufriendo de un dolor en la zona dorsal de mi espalda, que no ha cesado ni un minuto durante este tiempo. Me he practicado resonancia magnetica, he ido a un numero incuantificable casi de doctores(traumatologos,fisioterapeutas,quiropracticos,acupunturistas,etc) y no he logrado disminuir este dolor tan intenso.Este dolor me ha quitado toda posibilidad de tener una novia, de conservar mis amistades e inclusive no he podido desarrollar mi carrera de ingeniero. Por favor amigo ayudame....

A: Hi Jesus, Do you have the results available from your MRI? In order to really help you, I need to know what is wrong with you. I understand you have been to chiropractors, physiotherapists and acupuncturists, but what condition are they treating you for? The diagnosis? I understand that this condition is having a severe effect on your life. I hope I can help you. If possible, please send the MRI results in English. That will also help me to help you. Best, Sensei Adam Rostocki

Q: HI MY NAME IS MANDY I HAD A LUMBER DISCS REMOVED BOTTOM OF MY BACK ,3 WEEKS AGO I AM IN TERRIBLE PAIN IN MY LEFT LEG ON MY BUTTOCKS AND ALL DOWN MY LEG IT IS WORSE THAN IS WAS BEFORE I HAD MY OPERATION I CANT PUT MY FOOT ON THE FLOOR AT TIMES ,I WOULD LIKE O NOW WHY THIS IS I AM GOING FOR A MRI SCAN ON SATURDAY WHY DO I HAVE TO HAVE ANOTHER SO SOON I CANT EVEN GO TO WORK AS I CANT STAND .I THOUGHT I BE BETTER AFTER MY OP BUT IT DOESN'T SEEM THAT WAY .I HAVE 3 CHILDREN AND I CANT GO ANYWHERE WITH THEM AND I FEEL SO GUILTY .COULD YOU GIVE ME ANY GOOD NEWS PLEASE MANDY

A: Hi Mandy, It has only been 3 weeks, so there is no sense worrying too much. I know the situation is frightening and frustrating, but I hope you will improve soon. I do not want to scare you, so I am not going to talk about how I feel about back surgery to you at this point. If you do not improve, write to me again in a few weeks and we will talk more. Best, Sensei Adam Rostocki

Q: I was injured in 2005 and the cervical and lumbar regions are involved. I had a neck shot a week and a half ago and at the time had no knee or ankle reflexes. I have been diabetic for 1 year. I suspect inactivity and weight gain since the accident for this. The doctor thought that the diabetes was the cause of the reflex problem. Six hours after the shot the reflexes had returned. The shot was at C7 and T1. My knees also had also felt unstable. This was also much improved after the shot. What might cause this? There are other problems as well and I hope this might be a partial answer. Theresa

A: Hi Teresa, I have no explanation for you , since this spinal region has absolutely nothing at all to do with the lower body. It should technically not relate at all. Maybe your doctor can figure it out. Best, Sensei Adam Rostocki

Q: I had an accident 3 years ago, ever since the accident I am prone to a lot a neck pains and strains, I also very easily get muscle strains in my upper back and around the shoulder blades, could this be because of the neck injury? The MRI showed cervical injury, I think C3,C4,C5.. the nerves between the vertebrae are jammed. I want to exercise but every I try to I have to stop due to injuries.I also feel that my muscles are very easily prone to injuries or could it be the same muscles get injured because I never gave them time to rest and heal properly. Rajiv

A: Hi Rajiv, Pan due to an accident usually heals, but sometimes might cause long term problems. If I had the exact MRI results available, it would be easier to advise you. If you can send me what the report says, it would be helpful. Generally, rest will not make you better, nor will vigorous exercise. Somewhere in between will allow the tissue to get activity while still not being overly stressed. Let me know if you can send the MRI report. Best, Sensei Adam Rostocki

Comment: I just wanted to let you know that my story is the same as yours...back pain for 20 years...lots & lots of doctor & chiropractor visits. Then I read an article by Dr. John Sarno & bought his book; within 3 weeks the pain was gone. I used to be in pain 95% of the time & now I have occasional bouts maybe 5% of the time. I know exactly why you have set-up this website as it's almost like a miracle. It gave me my life back. I am totally into "mind/body" stuff now; I think your website is wonderful for getting the message out there...thanks! Connie

A: Hi Connie, Thanks for the support. I really appreciate the kind words. I try to get the word out to as many people as possible and find the job of maintaining the site to be very rewarding, when it can actually help a person find relief. I wish you continued good health! Best, Sensei Adam Rostocki

Q: FOR A FEW YRS NOW, I'VE HAD SERIOUS LOWER BACK PAIN. IT CAN BE VERY UNCOMFORTABLE! THERE HAVE BEEN TIMES THAT IM NOT EVEN ABLE TO WALK FROM THE PAIN. THE PAIN SOMETIMES IS SO TERRIBLE THAT IT MAKES ME CRY! I CAN'T EVEN GET OUT OF BED @ TIMES. SOMETIMES LIKE THE PAIN IS REALLY BAD, I WISH THAT I CAN JUST OPEN MY BACK AND PUT WHAT EVER IS OUT OF PLACE BACK WHERE IT BELONGS. DO YOU KNOW WHAT I MEAN? IT REALLY SUCKS WHEN I GET THE PAIN TO MY LOWER BACK!!! IF YOU HAVE THE SOLUTION, PLS HELP ME WITH THIS PROBLEM TO MY LOWER BACK THAT I'M ALREADY TIRED OF FEELING FOR YRS.SUSAN

A: Hi Susan, Yes, I know exactly what you mean and how you feel. It is very frustrating. Unfortunately, there is no cookie cutter solution for every patient, but I found knowledge therapy to work well for most. Best, Sensei Adam Rostocki

Q: I have been suffering with back pain on and off for many years, but it has now gotten to the stage where I am getting so bad that I must do something.Firstly my left leg feels weaker than my right and although I can walk a long way, I do get a band of pain around the groin and top of leg area. I have pain coming down my leg from the side and then around to the front of my leg and down as far as just below the calf, (but at the front) this pain is increased with sitting and throbs a lot when lying down. I have been told many things after having x rays over the past 15 years, mostly that it was just degeneration of the L4/L5/S1. Also told that is is from the bursor in my hip etc etc I have just been to see a specialist who want again to take some MRI xrays he feels sure it is the sacroiliac joint inflamed. But on reading your site I am not sure whether he rally know, how do I get to the root cause of the problem and is there some self help I can use? thanks, Sandra

A: Hi Sandra, An MRI is always a good idea. No harm in that. In the meantime, the absolute best method of self help is knowledge therapy, which I promote throughout my site as the best overall back pain cure. I highly recommend it. Sincerely, Sensei Adam Rostocki

Q: i am suffering from extruded disc at C5-C6 level from july 2006, I have tolerable Pain since from the incidence.I want to know whether this injury affect my health further. S

A: Hi S. It is impossible to determine the prognosis of any particular health condition, but if you are ok now, you will likely be ok in the future. Just be sure to use common sense and treat the condition as indicated. Best, Sensei Adam Rostocki

Q: Hi, 12yrs ago now I was in a mva which left me with T5 and T6 vertebrae more than 60% crushed. As the years have progressed the vertebrae above and under are deforming and I have been told I have degenerative osteoarthritis in my spine. I suffer alot nerve pain from this but in particular the constant ache can throw me into the depth of depression. I am only 32yr old and have been on many hard core narcotic pain meds on and off for years. Recently I have taken myself of durogesic patches and am just using tramal for relief however I am desprate for some other form of treatment. I have had physio for years to no avail. I have been linked with the pain clinic at RBH in Brisbane who offered me not much hope. My GP is about to start acupuncture 2 or 3 times a week to see if i get some relief, but if there is any other advice you could share i would be very grateful. I have been told in the past spinal fusion is not an option for thoracic area. Thanks for listening. Deanne

A: Hi Deanne, I understand your situation. It is difficult when you want to be free of the medications, but have sever pain. Acupuncture might be worth the effort. I would also recommend knowledge therapy, since it might help you to improve your condition and is easy and free to try. As far as other physical modalities, you might consider researching epidural injections in the affected area. These work well for some patients. Best, Sensei Adam Rostocki

Q: i had an accident 7 years ago, i had an xray that didnt show anything. i have always had problems with pain in the bottom of my lumbar spine, which radiates down my leg. last week i went and had a ct scan which showed i had 4 bulging discs. my question is would the bulging discs have been there all this time since i have always had the pain ever since the accident. any information would be much appreciated, thanks leanne

A: Hi Leanne, There is no way to be sure how long the disc conditions existed for. They might even predate the accident. The only way to be certain is to have prior diagnostic films from before the accident and then immediately after. Anything else is a guess...I send you my best, Sensei Adam Rostocki

Q: Hi, I'm 31 years old and from last year and the previous I've been moving appliances, heavy furniture and been occasionally painting and cleaning apartments. During last summer I have gained a lower back pain and heel problems. I saw a Doctor at a sports medical ctr around that time and he sent me to get x-rays. A month later he said that I had a heel spur and that i would have to buy hand made orthotics for $395 which i bought and they have worked well for me. He also told me that the results showed that I had a back sprain in my lower back and then examined my posture and checked to see if I had any neurological problems. He found nothing to be wrong with me at that moment even though I told him I can't walk, stand or bend. He prescribed extra strength ibuprofen and muscle relaxers and referred me to see a physiotherapist. The pills, nor the physiotherapy did nothing for me so I went back to him and requested he write me a referral to get another x-ray, plus a lumbar ct scan else where. Now this year I feel even worse. Terrible sleep, neck and back pains. I can't travel, driving hurts. I'm unable to do anything around my house much less step outside. I've been trying to rest while my 10 year old son and 3 year old twins(boy and girl)try to have fun with less of their dad. A new doctor viewed my 2nd x-rays plus ct scan and said I have a herniated disc, L5s, arthritis of facet joints. Since then I've taking anti-inflammatory drugs, been wearing a back brace. I've recently had an M.R.I. of the lumbosacral spine done. The M.R.I indicated that the conus is at T12-L1, the bone marrow is unremarkable. Bilateral spondylolysis of L5 with anterolisthesis L5 on S1 and a small hernia at L5-S1. I have an appointment in june to discuss surgery options but I'd rather try some other treatment. Do you think I would be better off finding a non-surgical treatment like seeing an acupuncturist or a chiropractor before I decide to do surgery? Thanks Terrence

A: Hi Terrence, I do not see anything on your CT results which worries me. I would certainly not advise surgery, nor a back brace. Acupuncture might provide symptomatic relief, but will not resolve any structural conditions. Chiropractic might help. I would lose the anti-inflammatory drugs, since where is the inflammation? Spinal decompression might be the best bet as far as physical treatments, but I recommend knowledge therapy first... Best, Sensei Adam Rostocki

Q: Where could I buy a chair for someone who has back pain who works in the office.Many thanks, Milly

A: Hi Milly, There are many places to buy these chairs. You can check any quality office supply store or do a search for ergonomic chairs in a local business directory. Best, Sensei Adam Rostocki

Comment: I just wanted to say thanks. You have a great site and it helped me alot. I am sending it to all my friends from the physical therapy center. Alan

A: Thanks for the nice email Alan. I really appreciate your comments. Thanks also for helping me to get the word out about the plight of suffering patients with unresolved pain. Best, Sensei Adam Rostocki

Q: Hi, I have a friend who has severe chronic back pain. She has suffered for over 20 years. She has had multiple back surgeries and is to the point where she just wants to die. She has had metal screws and plates put in her back. They have taken them out. I'm not sure what started her back from having to have all of these surgeries. It is in her lumbar region. We are worried she will kill herself and the doctors don't want to treat her anymore. What can we do to help. Is there any other options now for her? Nancy

A: Hi Nancy, Without knowing her condition, it is impossible for me to advise you concerning her pain. However, you can certainly do everything you can to support her and just be there for her. Everyone needs a friend like you, who is willing to go that extra mile when needed...I am sure there is a solution for her and I hope you can find it together. Best, Sensei Adam Rostocki

Q: Can your system be used by someone who has had a spinal fusion? I have about 9 vertebrae fused with bone graft, also have had a lumbar disc removed and have some degeneration and stenosis. And loads of pain ..........Be interested to hear if you think it would be ok for me with those problems. Thanks very much. Louise

A: Hi Louise, Knowledge therapy can be used by anyone, since no physical modalities are utilized. However, having already suffered so much from a fusion, you will have an uphill battle overcoming your pain. It is not impossible, but I wish I could have spoken to you before the surgery. Fusion is a tough thing to overcome...I send you my very best wishes, Sensei Adam Rostocki

Q: i would like to show me how i get up from bed in the morning when i have a back pain,please and thank you. Rafic

A: Hi Rafic, This is something you should go over personally with your doctor or physical therapist. Sometimes, it requires some extra effort to get up with pain, but where there is a will...there is a way. Best, Sensei Adam Rostocki

Q: I don't know what to do but i have been reading your site and think that i have a major problem but dont know how to get medical staff to look at me. I have a compression of the t11 t12 vertebra which the disc is in contact with the cord slightly compressing it how ever i also had a hip damaged in the same accident that medically they have only found that it has torn cartilage in the hip how ever i have alway had numbness and tingling in the legs as well as trouble with bowel and bladder functions also leg weakness medically they have acknowledged ,and was reading about equina syndrome as well as suffering sciatic pain in lower back and legs like i said i have trouble with medical staff both mri have been done recently how ever things are still deteriorating don't know who to go to to get them to listen.what do i do? Rachael

A: Hi Rachael,Finding the right doctor can be a challenge for some patients. You need to find someone who can listen to you and understand your specific pain conditions. Finding a doctor who will take a personal interest in your situation can be a challenge. Unfortunately, this problem occurs with many patients. The best advice I can give you is to start fresh with a new doctor and begin by telling them that you really want to star over with someone who will listen...Best, Sensei Adam Rostocki

Q: I am in my mid 40's and have recently started cleaning houses for a living, in the few short months I have done this I have had severe pain in my neck shoulders and upper back. Let me explain further, in my early 30's, I had my only child, I had 2 epidurals, which didn't work anyway, but after having my daughter, the epidurals left my upper back with numbness and in pain. I am sure it was due to the 2 Epidural's I had, so I followed up with a Chiropractor which gave me great relief, until one day he popped my neck, and popped a vertebra out, which later in the day I noticed I had a very sore neck, not really thinking much about it, I did not call him for 3 days until I had severe pain, he told me to come in right away knowing he had made a mistake and started stretching and manuerving my neck to undo the damage he had caused. I went to him for approximately 2-3 months, with not alot of relief, he said I would have degenerative disc disease due to the injury he caused!! I should of sued him but I did not, I thought my neck would eventually get better, I was very nieve at that time, so about 3 years later, I was cleaning out a refrigerator and had the freezer door open, had just bent down to get my cleaning stuff, forgot the freezer door was open on the frig. and hit my upper back on the freezer door that had partially swung half way shut, well immediately, I had SEVERE PAIN, and almost passed out, I called my doctor and told him what happened and he just called me in some muscle relaxers and pain medicine, I had NO MRI's or X-rays. I lived in pain for a few weeks, but the pain did eventually get better and my back was just always stiff, between my neck and the middle of my back, I am not sure what disc it was. Now I have been to my family physician and told him about my pain in my back neck and shoulders, he said it is just muscle strain, and told me to do exercises, and gave me some muscle relaxers, but that pain in my back the one area, never goes away, my spine actually hurts in the one area, it cannot be touched, I have had a friend of mine give me a massage, but if he touches that spot, I go through the roof!! He said there is a not there on my spine also he can feel. I use ice and then heat, rotating back and forth, I take muscle relaxers, pain medicine, and exercise daily. Does this sound like a herniated disc or ruptured disc to you? and how to I get my doctor to send me for an X-ray or a MRI, he doesn't really care, but I have to work, and I need relief and to know what is wrong? Please shed some light on my situtation if you can.Thank you, Sore back and neck, Paula

A: Hi Paula, I agree that you need an MRI. As far as what the condition might be, well, it could be anything. Back pain can be severe from a serious cause and it can also be agonizing from a completely harmless process, such as ischemia. That is why the MRI is SO important. This should be your priority. Reading your letter is just another of 100 reminders I get every week showing how so many doctors simply medicate with drugs and hope their patients will just go away and only come back when their pills run out. It is sad. I am sure you feel very neglected by this ordeal. I would also...Let me know how that MRI goes. Best, Sensei Adam Rostocki

Q: Hi, I am a big fan of Dr. Sarno. 10 years ago I read his bookon healing back pain and it changed my life. I have a related question. my brother was diagnosed with a benign brain tumor last year. lately he has been having mild mini "seizures", only lasting for about 30 seconds, and located on the left side of his head. He is on anti - seizure meddication and there has been no change in the tumor (he has MRI's evrey 6 months) His neurologist feels they are psychologic in nature. Would seeing Dr. Sarno be of any benefit? Ray

A: Hi Ray, I actually do not know how Dr. Sarno would feel about dealing with the possible psychosomatic conditions associated with a brain tumor. I would highly recommend calling his office and asking him for yourself. I hope you can find some help for your brother and I send you both my best wishes. Sensei Adam Rostocki

Q: The suspected cause of my pain are the facet joints at L-4/L-5, which were injured during a car accident. Will a medial branch block at L-3/L4 provide relief from the pain? Randi

A: Hi Randi, It might and then it might not. Facet joint pain is a diagnosis on the rise and is commonly misdiagnosed. I am not a big fan of nerve blocks, since they do nothing at all to deal with the underlying condition and typically offer progressively shorter terms of relief. Best advice I can give you is to try it and see for yourself. Just do not place too much hope in it and if it turns out to be great, then you will be pleasantly surprised. Best, Sensei Adam Rostocki

Q: If a person has had RA for twenty years and recently an achogram showed a mid-thoracic deformity. What is this and what is the prognosis? Barb

A: Hi Barb, This is a very case specific question and should be brought up with your doctor, who has intimate knowledge of your particular rheumatoid arthritis condition. There is no doubt that RA is a real burden and is never easy to deal with or treat. I send you my best, Sensei Adam Rostocki

Q: I am 16 and have been diagnosed with spina bifida, spondylolisthesis grade 4, a thoracic spine, curvature of the spine and lumbar stenosis and i have unbelievable back pain especially when i bend over or even lifting something then i struggle to stand upright. My GP has referred me to 4 different hospitals and we keep getting told i need invasive back surgery not a back brace as it wont correct it due to the number of things wrong. I did go to physiotherapy though it seemed to hurt me more, since i was discharged i have stopped doing the exercises that was recommended. I have researched the surgery and though i've been told i'll only have 50/50 chance of walking again i really want it to relieve me of some pain. I've read your page on failed spinal surgery and it scares me, should i go through with the operation? Samantha.

A: Hi Samantha, Your fear is completely understood, but you also know that your options are extremely limited with such diverse causes of pain. While I have a difficult time recommending surgery to most patients, there are some who are clear candidates and you are one of them. I am not telling you to have the operation, but at least consider it carefully and investigate your options thoroughly. Unfortunately, you are not the typical back pain patient and have to deal with very critical spinal issues. I do send you my best and please let me know how things work out for you. Sensei Adam Rostocki

Q: Hi, I've had a minor accident while playing with mu kids. I fell heavily on my back but just felt normal momentarily pain which was gone within few minutes. A couple of weeks later while carrying a few crates at my bar my back totally jammed. The pain was unbearable coming from the lower part. I just could not move. I was taken to hospital and after xrays was kept there. They stuffed me with Naprosyn,Ditalgesic, Valiums, Anticoags injections.... but the pain would not go. After a week they took an MRI and noticed a bulge on L5/S1 discs. Im now home, bedridden, still taking naprosyn and was recommended a spray called biofreeze which does help for a while. Distalgesic was stopped coz my liver tests rose alarmingly. Im still in pain and would like to have your opinion on how to ease and cure the pain and what medication you would recommend. Acupuncture has been recommended too but I really don't know. Right now all I'm taking is 1 naprosyn am and 1 pm. Thanks. Steve

A: Hi Steve, None of the therapies you are using or considering will cure anything. They are ALL symptomatic treatments. If the pain is indeed from the disc, then you must either take time to allow it to heal on its own, or pursue a modality which will resolve the underlying condition. I recommend time and knowledge therapy as the best choice and non-surgical spinal decompression as the back up plan. Let me know how things work out for you. Best, Sensei Adam Rostocki

Q: I am 34 and I have at least two bulging disk at L4 and L5 I am in a great deal of pain . Sitting and walking hurt the worst I have not seen my dr since my Mri so I do not know what the next step for me is. I am I being a wimp or is my pain real ? I take a pain medication and valium and it doesn't help much . I get sever pain down my right leg when I sit to long or walk to long and sometimes even if I lay on my back to long this has been going on for 2 months I have been seeing a chiro he is really good but I only get pain relief for about 2 days and my ins doesn't pay so I have to spend out of packet which is getting very expensive. I am assuming my Dr. is going to want me to stat physical therapy soon ? I just feel lost and confused. Can any one help me understand better what is going on and why I hurt so bad it is interrupting my daily life style please help me. Michelle

A: Hi Michelle, Do you have MRI results available? If so, that will help me to advise you. Let me know, Sensei Adam Rostocki

Reply: yes I have my MRI and it says L5-s1 there is a centeral to slightly left paracentral disc bulge/ which minimally indententw the thecal sac,but dose not compromise the central canal or the existing nerver root. At L4-5 there is again a mild disc bulge with no visual compromise th the central canal or the exiting nerve root. The rest are unremarkable. Michelle

A: Hi Michelle, Looking at your report, I do not see anything at all which is worrisome on your MRI. The herniated disc you have are common and do not seem to be the cause of any symptoms. I hope this answered your original question. Thanks, S.A.R.

Q: I have severe lower back pain that appears to be getting worse by the day. I had noticed the pain when sleeping and try to get up from bed. It is as if my lower back stiffens right up and causes tremendous amounts of pain, which makes it extremely difficult to get out of bed. What do you think is the cause of this pain and how should I be treating it. Again it stiffens up and feels like an intense burning feeling. I thank you so much for your assistance!!! Tammy

A: Hi Tammy, I can not diagnose the reason for your pain. I always recommend you go to a doctor and get a complete exam for any medical condition. However, if you have diagnostic results available, such as an MRI, I will be happy to try and assist you in finding appropriate treatment. Ischemia is often responsible for this type of pain and is typically worsened when reclining or resting. I hope this info helps you. Best, Sensei Adam Rostocki

Q: After an auto accident, got following report from the Thoracic Spine CT the doctor ordered because first x-rays at hospital were described as "rib contusions":"Multiple contiguous axial images were obtained through the thoracic spine. Coronal and sagittal reconstructions were performed. There is mild anterior wedging of T7. The approximately a 40% compression deformity. This may be related to the trauma in March. This may also be related to underlying osteoporosis. There is a mild central compression deformity of T6, this is approx 20%. There is generalizes osteopenia. No other fracture or compression is seen. Question traumatic versus related to osteoporosis. My question: exactly what does all of this mean in every day language? Thank you for your reply. Riki

A: Hi Riki, This means that you have compression of 2 thoracic vertebrae. The cause is not conclusive, since it may be from the accident or might be due to low bone density. There is nothing much to worry about... I send you my best, Sensei Adam Rostocki

Q: I had back surgery 2/26/08 (lamenectomy) on levels L3,4,5. I feel the surgery was a success but I'm having terrible spasms that start in my legs and work there way up into my chest. They paralyze me when they are going on and they last approximately one minute and they leave me weak and and exhausted. They even happen at night and scare me. Have you ever heard of anything like this and how long will they last. Any help you can give will be very much appreciated. Gary

A: Hi Gary, Yes, I have heard of this many times in many patients. The location and exact symptomology of the spasms varies greatly. As far as how long it might last, I can't help you there. Some patients get better fast, some get better slow, some do not get better. Lets hope you belong to the first category. I send you my best wishes for a speedy recovery. Let me know how you make out. Sensei Adam Rostocki

Q: I have mild scoliosis and lordosis. Now that my thoracic back pain and muscle tension and a "need" to back crack have increased over the past few years (I am 27, female), I am wondering if there is a connection between my diagnosis and my pain. I wonder what physical therapy exists for EITHER OF THESE CONDITIONS. I also am very curious if there are any conditions involving the juncture points between individual ribs, and the spinal vertebrae. Most of my issues seem to involve just that.THANK YOU. Lynn

A: Hi Lynn, It is highly unlikely that mild scoliosis or lordosis is the cause of your pain. As far as cracking your back, this is a habitual practice which should have absolutely no effect on your spine or pain. The "need" is purely psychological. I would advise you to look into knowledge therapy, since this is the treatment I feel might do the best for you. Sensei Adam Rostocki

Q: Dear Sir, for years i have been dealing with bilateral lower limb neuropathy caused by sciatic nerve root impingements at L3-L4 L4-L5 L5 S1 caused by a combination of herniated disks and neuroformainal narrowing. recently I feel down the steps almost like a cartoon my body flew up in the air with my arm extended below myself elbow locked cane in hand it caught a step and dislocated my shoulder. while a few days later my neck started to throb and ache my hand has since gone numb in in the pinky and ring fingers with tingling from the wrist up to the inside of my arm mid line to the interior of my bicep tricep both my hands have started to alternate between flushed white to purple with speckles i haven't gotten the reports yet but from the xray i saw the vertebrae just below where the shoulders connected to the spine was rotated about 20 to 30 degrees to the left could that have happened in the fall and what if anything would it effect I've been getting headaches and muscles spasms in my chest that make it hard to breathe sometimes i find out what the results of the xray are two days from now when i call my primary care doctor. Tom

A: Hi Tom, The possibility of injury from this type of fall is easy to imagine, but without prior imaging studies of the region prior to the fall, it would be difficult to confirm. I am sorry to hear about your situation and hope you can recover soon. Best, Sensei Adam Rostocki

Q: What is the name for the back ache affecting the lumber region? Podinilame

A: Hi Podinilame, I am not sure I understand your question. There are dozens of conditions which can affect the lumbar region. Best, Sensei Adam Rostocki

Q: You fail to acknowledge Sarno. Why? I was cured by him 20 years ago, and am disappointed you fail to acknowledge his contributions in this field. Wondering why. Bob

A: Hi Bob, I don't think you looked around too much on my site.Dr. Sarno is featured on over 100 pages including these:
http://www.cure-back-pain.org/dr-sarno.html
http://www.cure-back-pain.org/john-sarno.html
http://www.cure-back-pain.org/tension-myositis-syndrome.html (entire section with many pages)
http://www.cure-back-pain.org/healing-back-pain.html
http://www.cure-back-pain.org/mindbody-prescription.html
http://www.cure-back-pain.org/tms-equivalents.html
http://www.cure-back-pain.org/fibromyalgia-specialist.html
http://www.cure-back-pain.org/the-divided-mind.html
and about 90 more.

I always give credit where credit is due and Dr. Sarno deserves more than anyone. I even dedicated my book to him...

Best, Sensei Adam Rostocki

Q: Hello Sensei- I am 50 yrs of age-I have had on/off shoulder/neck pain for 4 mo's after chiro neck manipulation. I had an MRI and says I have thinning disc's in three of my cervical disc with slight bone spurs. To me they look to be 50-40% the height of the adjacent disc's(maybe 50-30%?). The doc said I need injections and have had one-it helped. But says I need another for disc nerve treatment. Sensei, I am completely petrified that I will not lead a normal life into old age 75-80 yrs without a fusion in neck. The doc says I should lead a normal active life. I am not convinced. Do you have any positive info you could share with me regarding "thinning disc's" per my MRI? I wish I could send you the DVD of my MRI-and I could get your opinion- any "good" news at this point would be VERY helpful. I read about DDD and get depressed.I am also going to see a dietitian per the doc.Sensei-if I exercise everyday and get the proper diet for spinal nutrition- will disc's this thickness have a good chance of lasting 25-30yrs?-is this a slow process that can be slowed more with nutrition/exercise? Thank you for your time and help with this Sensei-I REALLY appreciate it. DDD is such a "gray area" name! ps-It's nice you make this effort for others............... mike

A: Hi Mike, DDD is the neck is not only common...it is normal and expected. Half the thickness is actually pretty good for an active 50 year old. As an example, I have virtually no disc material left in 3 lumbar levels and I have no pain at all. I think the psychological fear of the condition is a bigger factor for you than the structural condition. I can really sense your dread in the email and think this is crucial to overcome if you have any chance of beating the nocebo effect of the diagnosis. Thank goodness your doctor is being honest and telling you that you will be fine...I am sure you will. I REALLY recommend knowledge therapy to you, more than most. I think it will make all the difference in the world for your future prognosis. Stay in touch and let me know how you are doing. Best, Sensei Adam Rostocki

Q: solicitamos a ustedes una cotizacion sobre DRX9000 catalogos y precios.Quedando agradecidos por la atencion que se le de a la presente.Atentamente, Felipe

A: Hi Felipe, I do not sell DRX9000 units, nor provide services for them. You will have to contact the manufacturer or a qualified care provider for the information you are looking for. Best, Sensei Adam Rostocki

Q: Hi there, please could you tell me if back ploblems cause drop foot? i have L5 bulge, DDD, scoliosis,pain in shin muscles,bilateral spastic foot drop( very painful)and wasted calf muscles.also forearm, hand pain with numbness that comes and goes. parts of face across nose and cheek numb. many thanks, sorry the list is so long :)Caroline

A: Hi Caroline, Back problems can cause foot drop. Obviously, the hand and facial pain does not correspond to the lumbar condition. Ischemia can also cause all these conditions, so be sure to keep that in mind when considering treatment options. Best, Sensei Adam Rostocki

Q:Hello,I am 35 years old computer professional. I was suffering from kind of pain and stiffness around my neck and got my MRI done. The results are in C3-4 i have a diffuse bulge that is touching the nerves, that causes the pain. Report from MRI.There is straightening of the cervical spine - suggestive of paravertebral muscle spasm. alingnment is normal. diffuse bulge with left paracentral focal disc extrusion of C3-4 causing thecal sac indentation, left neural formaninal stenosis, impingement of left exiting C4 nerve root and mild cord indentation at that level. However no abnormal signals are seen in the cervical cord at that level.mild diffuse bulge of C4-5, C5-6, and C6-7 discs noted causing thecal sac indentation. However no neural foraminal stenosis/nerve root compression is seen. the vertebral bodies show normal outline, and marrow signals. Appendages appear normal. Facet joints and flaval ligaments are normal. cranio-vertebral junction is normal. Cervico-medullary junction is normal. no evidence of body canal stenosis is seen. pre and paravertebral soft tissues are normal.Rest of the intervertebral discs appear normal. could you kindly explain the severity of my problems, and the curing procedures. Currently i am given some pain killers, and am still wondering are there any medicines to correct this bulge. Kindly help.Best Regards, Raj

A: Hi Raj, I do not see anything which worries me. There is a good chance that the symptoms will resolve completely on their own, without any treatment. If you feel you do require some treatment, I recommend non-surgical decompression as a good option. In addition, I also recommend knowledge therapy to prevent lingering pain and to better understand the normalcy of the conditions you have been diagnosed with. Best, Sensei Adam Rostocki

Q: HI SENSEI, IM 24 AND HAVE HAD SEVERE BACK PAIN FOR OVER A YEAR. I'VE HAD 3 E.S.I.'S, P.T., PAIN MEDS, AND SAW A CHIRO. I HAVE BULGED DISC AT L4 AND L5 AND A POST ANNULAR TEAR AT S-1. ANY WAY IM NOW SEEING A PAIN MANAGEMENT DOC AND HE SUGGESTED THAT I GO TO HIS OTHER CLINIC IN ATLANTA (400 MILES AWAY) TO HAVE NUCLEOPLASTY. I AM WANTING YOUR OPINION ON THIS PROCEEDURE. ALL THE INFO I'VE FOUND ON THE WEB IS FROM ARTHOCARE THE COMPANY THAT SELLS THE SPINEWAND INSTRUMENT FOR THIS PROCEEDURE. I CAN NOT FIND ANY FEEDBACK FROM PEOPLE WHO HAVE HAD THIS DONE, OR ANY UNBIAS OPINIONS ON THIS. WHAT DO YOU THINK? IS IT SAFE ? DOES IT WORK ? MY INSURENCE CALLS IT AN "EXPERIMENTAL PROCEEDURE" AND WILL NOT COVER IT. IT IS VERY EXPENSIVE. IS THE DOC JUST TRYING TO SELL ME THIS FOR HIS OWN FINANCIAL GAIN OR IS IT AS EFFECTIVE AS HE CLAIMS? ANY INSIGHT WILL BE GREATLY APPRECIATED. THANKS, J.T.

A: Hi J.T.There is some info about the procedure here:
http://www.cure-back-pain.org/nucleoplasty.html
However, I would not recommend any surgery until you have exhausted all noninvasive options. For you, I would recommend knowledge therapy and non-surgical spinal decompression. This is a safer option and probably will generate better results. Let me know what you decide and how it works out for you. Best, Sensei Adam Rostocki

Q: Two weeks after my back surgery(hardware and fusion and unpinch nerve)and in severe pain a MRI showed a large hematoma pressing on spinal cord and again had surgery to remove clot.My question"Is this rare and what causes this. Barbara

A: Hi Barbara, Hematomas are a common complication of any invasive surgical procedure. They can be caused by poor surgical technique, biological predisposition or simple idiopathic reasons, depending on individual circumstances. They are not rare, but not exactly commonplace either. Best, Sensei Adam Rostocki

Q: My doctor told me that I have Air in my back in the area that has not healed. Is this normal? What is the next step? Its about a 2" gap. I am using a bone stimulator up to 4 hours daily, however its not healing. I want to know what happens next, and what I should or shouldn't do. I had Spinal Stenosis, and a stint was placed in my L-3, L-4, L-5. I would like any information. Thanks, Pat

A: Hi Pat, Please give me a more detailed explanation of what you are dealing with and I will do my best to advise you. I am not sure exactly what you are describing...Thanks, Sensei Adam Rostocki

Q: I can't lie down and sleep because of pain. I went to my doc, he said, herniated disk which I have had before. I have been to 3 doctors, been treated with spinal decompression which solved the herniated disk pain, but I still can't lie down to sleep and the doctors are no help. Someone else must have had this problem and know what it is and what to do. It seems to involve my hip, do you have any info that will help me figure out where to go for help? Thank you. Pam

A: Hi Pam, Do you have an MRI which details the area which is in pain? If so, what does the diagnosis say? Best, Sensei Adam Rostocki

Q: I have had 8 spine surgeries and I'm fused at L5S1, C5-7 and T1 through T9 with rods. I still have alot of thoracic pain and have recently developed severe rib pain. I have tried pain meds, physical therapy, light therapy, acupuncture, chiropractors,supplements, exercise and have had over 150 pain injections. I can't figure out why after a surgeon operates on you and you still hurt he tells you to find another doctor and that attitude snowballs. It's like they all know each other theyfigure well if that doctor couldn't help you I can't either. I'm only 38 and I suffer horrible pain everyday and can't find anyone to help even when I refuse to take narcotic pain medications so that they understand I'm not a drug seeker they still do nothing. I just don't get it we live in the greatest country in the world yet we let people suffer in horrible pain. Can you recommend someone that might be able to help? Gene

A: Hi Gene, You are exactly the type of patient I think about everyday when I am writing for the site. You truly have my sympathies. Unfortunately, you are another victim of failed back surgery syndrome and I am sure there has been tremendous damage already done to your poor spine. I wish I could have talked to you before that first surgery...

At this point, it is difficult to advise you on the best course of action. I do send you my best and hope you can find some relief through some method...surgical or non-surgical. Please stay in touch and let me know how you are doing. Best, Sensei Adam Rostocki

Q: please share with me how you were able to get rid of your neck pain for good. I have been on all the meds, treatments, traction, etc. I have foraminal stenosis,facet disease, all on my left side C4-C7. I too have been told that I have over compensated for my right sided injury almost 10 years ago. I have been searching for any help that could give me some relief. I have yet to have any surgery, but I plan to if I cannot find some relief. I was also wondering if decompression therapy would work for the cervical and T1. Thanks for your helpful site and I hope to hear from you soon. Suzanne

A: Hi Suzanne, I used knowledge therapy to completely overcome my pain. It was the greatest thing I ever found in my life. It worked for my back pain, stomach problems, wrist pain and knee pain. All of these conditions had been previously resistant to a wide range of treatments.

Spinal decompression is indicated for facet syndrome, although it offers its best results for disc concerns. Personally, I believe this is true due to the common misdiagnosis of facet joint issues in patients who actually have a normal and expected degenerative profile. I send you my best, Sensei Adam Rostocki

Q: I've had lower left back, left hip and left pelvic pain for 10 months. MRI's show previous trauma to pelvic area, fluid in the hip joint and fluid in facet joint. I've been doing core strengthening exercises and was initially on anti-inflammatories. For several years I walked about 10 miles a day of hills. This might have contributed but not sure. I can now only walk about 4 miles a few days a week. What can I do to improve? Thanks!!! carla

A: Hi Carla, I am a bit confused by the fluid in the facet joint part. Which facet joint? How is the fluid staying there? Regardless, to improve, I recommend trying knowledge therapy. You seem like the type who wants to find a way around the pain and sometimes the best path is a straight line to your goal. This is one of the main principles or knowledge therapy. Additionally, you might consider diversifying your workouts to include other activities. Personally, I love swimming and can't wait for summer to kick in, so that I can get my share of the ocean. Stay in touch and let me know how you are doing. Best, Sensei Adam Rostocki

Q: I was diagnosed with a 12mm snyovial cyst between my L4 and L5 disc. It's been impinging on my sciatic nerve causing me severe pain down my left leg now into my inner ankle. I underwent epidural injections for a year and half and they gave me relief but they were stopped because I reached my max. I have presently been prescribed topomax and arthitex however it really doesn't help with the radiating pain when I walk. I have no pain when I sit only when I walk. As soon as I begin to walk the nerve seems to lock up my hamstring. Is there any way to keep that sciatic nerve from locking up that hamstring. I do stretching exercises however they are short lived. Do you know any medication that might work for that. I do not take pain medication. Thank you. Patti

A: Hi Patti, Most treatments are symptomatic, which means they may or may not help the pain, but will definitely not cure the condition. Although I am usually anti-surgery, in your case, if the pain is definitely due to the cyst, it might be an option worth pursuing. Let me know what you decide to do for it and how it turns out for you. Best, Sensei Adam Rostocki

Q: I am 40 years old male. I had met with an accident exactly 4 months back. I had received right head injury and cervical cord problems with pain in neck radiating to left shoulders right up to left hand and fingers.I was advised to use Philadelphia cervical collar for three months during day and soft collar during night. Initially I was also treated with traction. I am still not satisfied with my recovery. The back side of neck is still very stiff. The neck movement is restricted to 20 degree either sides. I find difficulty in balancing while moving outdoor. The recent MRI report is given below.I am worried and depressed. Please tell me what is the present condition as per MRI, and what is the chances of full recovery. Thanks and Best Regards. KundanExamination : MRI - Cervical SpineImaging Sequences : SE T1W axials and sagittal. FSE T2W sagittal and gradient axials.Findings : There is mild reversal of cervical lordosis centered at C5-C6 level. All cervical intervertebral discs exhibit signal changes - S/O desiccation. Dorsal hard disc bulge at C5 - 6 level is noted, effacing the ventral subarachnoid space and indenting the cord. There is early bilateral foraminal narrowing at this level. Small peridiscal osteophyte is also present. Minimum diffuse bulges of C4-5 and 6-7 discs are observed, effacing the anterior subarachnoid space and abutting the cord. The neural foraminae appear normal at these levels. Osteophytic ridging of the discs is present. No significant PLL thickening. Rest of the cervical intervertebral discs are normal in height, morphology and signal characteristics. Cranio-vertebral junction appears normal. Prevertebral soft tissues also appears normal. No abnormal signal focus noted in the spinal cord. Conclusion : Mild reversal of cervical lordosis centered at C5 - 6 level. Desiccation with dorsal hard disc bulge at C5 - 6 Level, effacing the ventral subarachnoid space and indenting the cord. Early bilateral foraminal narrowing at this level. Minimum diffuse bulges of C4-5, and C6-7 discs, effacing the anterior subarachnoid space and abutting the cord. The neural foraminae appear normal at these levels. No abnormal signal focus seen within the cord. Kundan

A: Hi Kundan, The cervical lordosis is nothing to be concerned about. Disc desiccation is a completely normal and expected part of the aging process. The disc bulge at C5 - 6 could be the source of your trouble. I am not concerned with the bulge at C4-5 and C6-7. The foraminal narrowing is mild and typical and the osteophyte formation does not appear problematic. I would suggest knowledge therapy, since I believe there might be a psychological component to your pain. I would also suggest spinal decompression to take care of any potential symptoms from that C5 - 6 disc. Let me know how you do. Best, Sensei Adam Rostocki

Q: My boyfriend had a lumbar fusion of L5 & L6 in Nov. 2007, he is still in intense pain, and all previous symtoms remain.After an MRI it was discovered he had inflammation around his spine. He went through a 6 week course of oral levoquin, then another 6 week course of IV vancomycin and levoquin. Had another MRI this week, no change & the infection doctor said he has no answer other than sometimes people react to the cement used during surgery. Surgeon is away, conveniently. Is there any way to resolve this? Sue

A: Hi Sue, I wish I had a better answer for you...Unfortunately, spinal fusion most often creates far more problems than it cures. It is the reason behind the epidemic of failed back surgery syndrome and one procedure I feel is utterly overused. The symptoms and lack of relief your boyfriend is suffering are far more typical than you might think. I just hope he might be able to find some relief. I wish I had the chance to talk to him BEFORE he committed to the surgical route...

I send you both my best, Sensei Adam Rostocki

Q: I have a 6mm herniated disc in the c6 area of the vertebrae. It is pushing on and flattening the spinal cord. I also have a spondylolisthesis in the L4 and 7mm bulge at L5 which is creating a drop foot. Surgery has been recommended for my neck. Would I be a candidate for spinal decompression? Would this work for my neck? Barrie

A: Hi Barrie, I always recommend consulting with a qualified spinal decompression provider, but it seems that the treatment might be just the ticket to avoid surgery. You would need to treat each area separately, but I think it is worth the effort to prevent surgical intervention. Let me know how you make out. Best, Sensei Adam Rostocki

Q: Hello, Greetings! Can you please let me know the contents of your e-book SENSEI's referring to 1) Does the e-book prescribes any specific exercises for specific problems. 2) What other contents does it have other than mention on your web site.Regards, Sapan

A: Hi Sapan, The book details the exact methods I used to cure my own pain. In addition, it explains how to use these methods to cure other common health conditions and how to prevent the pain from returning. The book does not detail physical exercises at all. I send you my best, Sensei Adam Rostocki

Q: Hi, I have a C3/4 possible disc prolapse, & T6 Compression fracture, I have had this for almost two years now.The doctors however think it is in my head & have never made further investigation. I am on Work care & of course they just think I am a liar I am not looking or expecting a pay out from anyone a) I am not black & b) I am not dead from the car accident. Through frustration & the run around from doctors I am now being treated for anxiety depression. I get a hot burning pain in the middle of my back right where my bra does up, the pain is so intense it takes my breathe, I just cant stand it.Hav been to physo, am on Norspan patches 10mg & 5mg,dizepam, digesics, Efexor 4 depression & now Lyrica which is making me tired, dizzy and sick i have been on it for 3 weeks & I cant eat. Nausea all the time. I also have a disc bulge at L4/5 it still gives me pain but i have learned to manage it. In regards to T6 compression fracture they tested me for osteoporosis which i don't have of course that would be easy for them that & degenerative bones. I know my body & I know something is not right. I was hit by a car going over 120klm I was doing 100klm the car hit me on the drivers side front fender, i was pushed around as i said i can now manage Lumbar pain but i need to know what is going on with T6 C3/4 Can you advise? Dianne

A: Hi Dianne, What exactly does the MRI report say? This will help me to advise you much better, especially about the thoracic condition. Best, Sensei Adam Rostocki

Q: Hello, I am a 33 year old female in my 34th week of pregnancy, 5'3" and normal pre-pregnancy weight of around 115. About a month ago I was started waking up nightly after being asleep for around 4-5 hours with really, really bad rib pain. It felt as though my rib was popped out of place and hurt when I coughed. My OBGYN prescribed indomethacin to help with the pain but of course after some research online I was not comfortable with taking this. I decided to pay a visit to my local chiropractor that I had been to years before and he confirmed (without x-rays) that I did have a rib head out of place. Two adjustments later and I don't have so much of the rib pain anymore but instead a more excruciating, throbbing back pain located in my middle back around the bra line. Same thing though, it doesn't start bothering me until I've been asleep a few hours and then I can barely move 1/2 an inch without feeling as though I need to scream out in pain. When I wake up in pain I can't find a comfortable position at all unless I move to a recliner sleeping upright. The pain seems to go away after the first 30-1 hour after I 'm up and moving around. When I'm in pain though, my back throbs the same as if I had just hit my finger with a hammer - only worse. On a pain scale of 1-10 with 10 being kidney stone pain (which I 've had before) this rates a good 8. Any ideas what this could be? This is my 3rd pregnancy and I've never had this kind of pain before and with 2 children already good sleep is of course very important. Becky

A: Hi Becky, If not for the pregnancy, I would rate this occurrence as most likely being psychosomatic. However, pregnancy can create all manner of strange and illogical pain conditions. It is difficult to speculate on the cause, but I do not think the answer lies in drugs or chiropractic. Being that you are so close to delivery, I recommend doing whatever you can to find some comfort and hoping that the issue will resolve after the birth. My blessings to both you and baby, Sensei Adam Rostocki

Q: was injured at work in aug 2007 I was bent over picking up a plastic strap and the fork lift driver hit me with his load of boxes weight was 1,000 pounds in my lower back right but cheek and leg .I went to there doctor and was given a x-ray of my spine and was told it was normal had mild scoliosis with convextion to the right . The pain was and still is extremely bad .My lower back, right buttocks and leg all the way to my knee still hurt so bad thatI am in bed at least 4xs a week. At first they said it was lumbar sacral associated with sciatica put me in pt 3xs a week and still no relief . Approximately one month later I was taking a shower and I bent my head back to wash my hair and I had such severe pain that I couldn't lift my right leg out of the shower. I went and seen a orthopedic specialist and he ordered a MRI of the l-spine without contrast it came back normal . The DR then said that I had right sacroiliac and ordered si joint injection along with joint manipulation and a trial of acupuncture . workcomp allowed the injection which only helped about 1 day and denied the rest , they said there wasn't enough evidence to prove that was what was wrong with me . I continued to see the orth doctor and was just getting pain meds each month and he had me off work. IN December my employer had a IME done on me and that doctor said that I had a lumbar strain and that I could go back to work full duties . I tried to go to work and couldn't do it I work in a factory and I am a line leader which means I work in all department and have to be able to lift up to 75 lbs the doctor I was seeing at the time said that I could return back to work with restrictions and they refused to let me work . I then went to my private doctor and gave him my report from the IME doctor which was a mistake They did there residency at the same hospital. I requested a referral to a orthopedic doctor in our network and he did give me a 1 time visit . I went to see the new doctor and he checked me out and said that he thought it was right sacroiliac and said that he would request a bone scan to evaluate from my pcp, and also request another visit . I then went back to my pcp and asked if he had got the request from the Orthopedic Doctor and he said that he did and put me in the hospital for 24 hr evaluation and requested a bone scan for pain in my coccyx which that is not were my pain is .I then went back the next week and he said that bone scan was normal that this is chronic pain syndrome and gave me a med called nurontin ans said to take 900 mg per day would it be possible that the bone scan can be wrong? I was in so much pain that I couldn't stay still .I wake up every night in pain even with the meds and cant bend, or walk very long I have a hard time siting for longer than 10 minutes do you have any advice for me please help . thank you Patricia

A: Hi Patricia, I am very sorry to hear about your condition. For cases such as yours, where there is no physical reason for the pain, I generally recommend knowledge therapy. Many times, the source of the pain is ischemia, which explains why it does not show up on tests, such as the MRI and bone scan. Drugs, injections and other physical therapy options will not cure this type of pain. I hope this info helps you and I send you my best, Sensei Adam Rostocki

Q: The doctor came to my house and said that all of my disc's were out of place. He diagnosed me wit Sciatica, and drained the dead blood out of my back through a couple holes he made with a needle...after the massage, he told me to wrap my back with aluminum foil... Do you recommend this? Araz

A: Hi Araz, It sounds a bit strange to me. Where do you live? This is certainly not the way I have seen back pain treated anywhere else. Also, how can a doctor diagnose a disc being out of place without an MRI? It is impossible to determine by sight or touch... Best, S.A.R.

Q: You say here on your site not to become addicted to pain med's. I have been dealing with chronic back pain for almost 6 years now, I have been to several doctors,surgeons,web sites books and still can't the straight answer. I have been told that there are too many problems in my lower back to operate. The percentage of a successful operation is only 10 %. I hate my life right now I am a slave to the medication, everything I do is based on the level of relief I have at that time. When I was first diagnosed with DDD I swore I wouldn't have a back operation at any cost, now I would beg for a chance to correct my situation with surgery or any other type of non medicine type of treatment. Besides the actual physical effects of the drugs you have to deal with all the B. S. from people around you. I am sick of being treated like a drug addict and people looking down at me when they find out that I have to take over 200 mg of morphine every day to relive the pain in my back. I have tried many different types of therapy and nothing worked the pain is only getting worse. I have to wonder how bad it is going to get and will I end up crippled because of this. I have enrolled in college to get a degree in computer science so I can go to work in the hospital industry to do research and find the cure myself if I have too. Mostly I want to do research on the topic and contribute any way I can. I don't want to live the rest of my life like this, but I feel like I have run out of options. The only thing I can do is hope someone comes up with the answer. I am 48 now if I live a normal life I have another 30 plus years to live with this problem, that in it's self is depressing. I am dedicating the rest of my life to help in the fight for proper treatment of people in my condition or worse, It's almost like this is my purpose in life. some day some how I will make a difference I can feel it. Until then I am open to suggestions on any other option that may be available to me.Hope to hear from you soon. Ken

A: Hi Ken, Your story sounds a lot like mine. I was told I had all these conditions in my spine, except I never bought into the medicine route and surgery WAS offered to me many times. Actually, it was virtually pushed on me...Regardless, I discovered that the pain was not sourced from any of the spinal scapegoats blamed for my symptoms. I am pain free after 18 years, so it proves it is possible...and trust me, my life was a living hell.

The information about your exact diagnoses is a bit unclear, so I would ask you to send your MRI reports if you can. They will help me to advise you better. You should investigate the knowledge therapy route. It might be the answer for you. It worked great for me. It is free and has no side effects. I bet that sounds good...Hope to hear more back from you about your diagnoses... Sensei Adam Rostocki

Q: hello. My back started hurting a month ago. and my left leg hurts also. I can barely walk. Im only 19 years old, do you know what this is from? its the lower back. Araz

A: Hi Araz, There is no way for me to know why your back is hurting. I recommend going to a qualified doctor for a complete check up. Once you receive a diagnosis, I will be happy to assist you in finding an appropriate treatment, if you can provide me with detailed information from your doctor. Best, Sensei Adam Rostocki

Q: I got the results of the MRI....."protruding disc in the L3, L4, L5 and S1. with no fractures." I go to see the PA on the 23rd of April. I would like to have someone else tell me what that means. They gave me 2 injections that didn't work and was horrid the next day. (I have a high pain tolerance, but this is starting to interfere with everyday life.) Then they gave me a 3rd injection, this time in the L3 nerve root. This gave wonderful relief (after the day after, the butt muscle hurt terrible the next day, but after that, my back, butt, hips, legs and knees felt great) They gave me the shot on the 20th of March, but the pain started coming back on April 1. I use Litacane all over and take Vicoden, but that doesn't seems to help much, so mostly just the cream. I'm in PT now, but I don't know if it is making it worse or just more of the shot wearing off. Too many variables. The other day after working I had to lay down in the car (I get a ride) because it felt like someone was putting an electrial prod through my tailbone. When I tried and go to bed at night, it is the same way, also feels like rods going through my hips too and my knees and legs feel terribly achey. Can you give me some understanding. I can't stand in one spot too long or sit very long without stabbing burning pain. I'm better if I'm moving. Please help if you can, I appreciate it. Brenda

A: Hi Brenda, I was hoping for a detailed report showing the severity and exact location of each individual disc bulge, but this will have to do. To me, your condition seems quite typical, as many of us have bulging discs in our lumbar spines. Without the MRI confirming location and nerve involvement, it is difficult to determine if the discs are indeed causing your pain. My advice is to skip the shots and drugs and try spinal decompression. This treatment show excellent results for resolving structural disc related pain and is completely noninvasive. If this fails you, I would try knowledge therapy, since at that point, I would be inclined to think the problem might be ischemic. Best, Sensei Adam Rostocki

Q:Hi Sensei Adam, I have been diagnosed with moderate to severe bilateral C5,6 &7 exit foraminal stenosis, apparently secondary to uncoverebral joint hypertrophy. This diagnosis came from a cervical spine xray and CT scan. It doesn't mean much to be, but my doctor said I have cervical spondylosis/arthritis. I am constantly bothered by various forms of neck and muscle pain and, at worst, along with bouts of cervical vertigo. I have tried various form of relief including chiropractor, physiotherapist, pain relief drugs, neck exercise, heat and aromatherapy treatment. When pain is at worst, some give mild relief. I am concerned that I more recently have moderate signs of affected upper limbs, aching, kind of dull numbness, sometimes tingling in the hands (particularly at night, or upon waking). Usually this sensation goes away quite quickly once I start moving around, but recently my right arm and shoulder have been plaguing me somewhat, as has the right side of my neck and shoulder. I also seem to have acquired problems with my spine about chest height, causing me some pain and discomfort. There appears to be a bulge there ... and this is where the chiropractor often did adjustments. I am currently experimenting with pillows. For a couple of years I have been using a mild inflated pillow, but I find I wake often during the night. I have recently acquired a memory pillow, which allows me a better nights sleep, but my condition appears to have worsened quite dramatically (which could be co-incidence). Is there any type of pillow you can recommend for neck pain? It should be stated that I am quite interested in your theory of knowledge therapy. I am under considerable day to day stress with no short term resolution. I have little doubt that this contributes to my pain, even if it is not the cause. I think the most confusing part of my condition is the basic lack of support I have received from the medical fraternity. I have been warned off chiropractors (who did little to ease pain anyway). Apart from just putting up with my condition, and continuing to exercise neck, apply heat/aromatherapy treatments, is there anything else I can do?Thank you very much for your time and attention. Kindest, Jac

A: Hi Jac, Thank you for your well constructed letter. It provides me with a good amount of information to advise you. First off, I am not surprised that you have not received any relief from your treatments. They are not appropriate for ending pain which might actually be coming from your diagnosed condition. Spinal arthritis is expected and universal. It is akin to be diagnosed with "getting older"...None of these treatments will do anything to reverse the arthritic process. That being said, very few cases of osteoarthritic pain are serious in the spine. Foraminal stenosis is a condition which is often blamed, but rarely responsible for ongoing pain due to arthritic changes. Some of your symptoms correspond to the C5-7 nerve roots, but some do not. This makes me think that there might be another cause or contributor to your pain.

As far as pillow, I went through all of this for years, and realized it was a place