Back Pain Questions Archive 2009 Part 6

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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 Zul, My book is a knowledge therapy book. There are no exercises or other physical treatments, since the cause of most chronic pain is not structural. There is a tremendous amount of material on my site, starting here:
http://www.cure-back-pain.org/alternative-medicine-for-back-pain.html
Best, Sensei Adam Rostocki

Q: Wife 50 Years old suffered back injury (Car Accident) 2001 had fusion on C4-C6 one plate did all. Outcome was great feeling better with limited movement. 6 months later went through Ulnar nerve surgery stemming from pinched nerve from Plates.Went through two of these out come was ok till sometime after having pain from same pinched nerve.Dr's said nothing they could do. Recommending Pain clinic. In short the treatment of her pain from this clinic led to 12 -14 treatments after the 5th didn't help anymore and it just got worse every treatment. It was so bad that she was hospitalize for malnourishment fever loss of weight and more. Released from hospital after their treatment and continued to go down hill.Till we saw spinal and infectious decease Dr's they did the correct MRI and found the infection In T1 & T2 and Disc in between destroyed so a week in hospital then Treated at home Pic Line and antibiotics did this 2 times now there talking about debridement. is there any exact info on this debridement of T1 & T2? Paul

A: Hi Paul, I do not have any exact info on it, but I can comment that your poor wife's case is a perfect example of why I tell patient to avoid surgery at all costs... I hope that she will be ok! Best, Sensei Adam Rostocki

Q: I was very relieved to find your website, especially the blunt reality that it can be so very painful, but also that you have to have faith and cant succumb to fear... your website help lifted my spirits on Wednesday- four days after I fell from a hammock (approx 3 feet) and landed perfectly on the right hand side/small of my back. Its been frustrating getting support and suggestions from my doctors, who tell me to "wait" and let the meds/body heal. Well I'm on day 6, feeling mentally better but still very painful to try and get in and out of a car (OUCH) and also into bed at the end of a day. Trying to have faith and feel optimistic, but I am a very active person, so this has been quite a test of patience for me. Scott

A: Hi Scott, Thanks for the nice words about the site. I hope you feel better soon and I have faith that you will. Best, Sensei Adam Rostocki

Q: Dear Sensei,I have written you before and would like to take advantage of your insight once again. I have read your book, Dr. Sarno's book and viewed his DVD several times and believe myself to be a candidate for a TMS diagnosis. Most of the personality traits, pain resistant treatment-7 doctors, multiple or no diagnosis, 2 MRI's and a discogram demonstrating no remarkable disc abnormality, epidurals(failure),radiofrequency abblation for supposed facet joint arthritis (dismal failure), physical therapy, drugs (refused), nerve test on leg (normal). The only positive realized was the fact two spine surgeons informed me I was definitely not a candidate for surgery. My pain management doctor now believes the trouble is not in my back but possibly Chronic Fatigue Syndrome. When I told him fatigue was not one of my symptoms, he answered some people with Chronic Fatigue were not tired!

My concern is after reading Dr. Sarno's book I experienced my worst pain episode the next day and after viewing his DVD several times my pain level has escalated a great deal. The pain upon arising in the morning (my worst) I am now experiencing in the afternoon and evening as well. I am barely able to stand or walk. Is it possible the unconscious is creating a fierce backlash against my attempting to end its control of my pain? I have been journaling and bringing to the fore many thoughts and feelings I had been unwilling to confront and also have an appointment with a counselor to explore these feelings in depth.There seems to be no other explanation for this sudden escalation of pain. Your comment would be greatly appreciated. Thank you again, Beth

A: Hi Beth, You already know what I am going to say, but I will say it anyway. YES. IT is TMS. The pain fights back, as it recognizes the threat. You need to stay the course and convince yourself that there is nothing to fear. Scoff at the illogical symptoms rather than fear them. This is the way. Don't give up. At least you are thoroughly convinced that the medical system is not the answer which puts you way ahead of the game. AND... than doctor who said CFS, tell him his diagnosis should be SDS... stupid doctor syndrome. Best, Sensei Adam Rostocki

Q: i had an MRI test which states that cervical spondylotic changes with evidence of muscular spasm at C5/C6 diffuse dorsal disc bulge causing neural foraminal narrowing with effacement of exiting nerve roots bilaterally. please comment on it. Hassan

A: Hi Hassan, Arthritic changes in the cervical spine are normal and universal. You also have a herniated disc which is thought to be impinging on the nerve roots on both sides of the spinal column. This is very common, and most often misdiagnosed, although it can occur. Most bulging discs at this level are asymptomatic. This is all the info I have to comment on, so I hope it helps. Best, Sensei Adam Rostocki

Q: Hi, I have suffered from lower back pain for the past 9 weeks.I am uninsured so after about 3 weeks of pain when I went to the ER all they would do for me was give me a low grade muscle relaxer.They asked me a few questions and determined I had a pulled muscle.They refused to give x-rays because I am uninsured and was unable to pay for them upfront.My pain began in my lower back and I was unable to stand up straight after sitting.It switches from one side of my back to the other.Over the weeks It has changed and now I have a pain than runs down my butt and hip and it still switches from side to side every few days.I am unable to walk for very long periods or stand very long either without pain and spasms.When trying to grocery shop I have to sit down every 10 minutes if not sooner.I went to a general practice doctor yesterday and she did several exercises with me and determined that I had a bulging disk.I was given a cortizone shot that has really helped and steroid pills to take for the next 6 days but I still feel some of the pain today coming back.I am supposed to go back for x-rays and an mri but can not afford to and am seeking alternative treatment.My questions for you are first:what can I do to relieve my pain and possibly cure my back myself so I can do my shopping without having to sit every few minutes,second:does your book offer real treatment for my type of pain,third: can a bad mattress cause these type of back problems because mine is old and uncomfortable? Any exercises you could suggest to help me would be great. Thanks so much for helping people in pain! Daphane

A: Hi Daphane, I hate to say it, but your doctor represents the very worst type of car provider and the exact type I criticize so often on my site. Let me guess, the old straight leg raising test... "Does this hurt. Yes, oh you have a bulging disc". NONSENSE. There is absolutely NO WAY to diagnose a herniated disc through exercise and if this was truly done, your doctor should be ashamed. It is lunacy. I highly recommend getting the MRI as advised so that you really know what you are dealing with. You may well have a herniation, as these are so common, but it certainly does not sound like the cause of your pain. Let me know what the MRI says. Best, Sensei Adam Rostocki

Q: Hello, I am Daniel a 40 year old male, in the US Army, stationed in Germany. I have been doing some research and came across your web page. In 2007, I was diagnosed with spondylothesis of the L5/S1 which was found while treating another issue (Avascular Necrosis of the right femoral head). I had no pain as a result of this spondylothesis. In Feb 2009 while getting rehabilitation for a hip resurfacing surgery, I started to experience nerve pain when walking in my right calf. Over the past few months this has increased, as well as numbnes in my right foot which also includes burning pain when touched to the small toe and one next to it. I have seen 4 surgeons, both neurology and orthopedic. All say the same thing, I require a spinal fusion of the L5/S1. I tried one last thing, with injection therapy which really did not seem to help. The doctor that ran the 2 week long inpatient physical therapy and injection therapy also stated that a spinal fusion would be required. In researching for a surgeon that does the most invasive procedure for the fusion, I found a doctor who assisted in the development of the ProDisc. When reviewing my case, he observed that my L4/L5 was DDD. This doctor is going to perform a spinal fusion of the L5/S1 and do an ADR using the Prodisc on the L4/L5 in order to elevate the added stress that will happen to the L4/L5 from the fusion.

Just wanted to see what your opinion maybe about this procedure. Finally, when I asked him my recovery time, he stated that I should be able to do light desk work and start driving within 2 weeks of the surgery. Is this a realistic recovery time? Thank you. Daniel

A: Hi Daniel, What is the extent of the spondylolisthesis? Do you have the MRI or x-ray report available? Best, Sensei Adam Rostocki

Q: Hello there, I have been suffering from sciatica for 15 months following a L4/L5 disc herniation. This started with pain in the right buttock which I ignored and eventually after about a month the disc herniated and I had acute sciatica which was treated with a cocktail of drugs and also chiropractic adjustments (which may or may not have helped)... Now 15 months on I still get the pain down my right leg in my buttock thigh and calf, these can be quite bad at times and require rest or hot/cold packs or TENS treatment before the pain is alleviated.I recently spoke to my chiropractor and he advised my to look into having microdiscectomy surgery done because the symptoms have been there for so long... That's my sad story! Now, My question is: does this sound familiar and are there are real alternatives besides the dreaded knife?? Thanks, Aidan

A: Hi Aidan, Sure, lots of alternatives. In most cases, the herniation is not to blame for the pain anyway, so surgery is often a waste of time and effort. Can you send your MRI report? This will help me to advise you specifically. Best, Sensei Adam Rostocki

Q: A list of doctors in the Boca Raton, Fl. area utilizingAccu-SPINA ( IDD THERAPY )Thank you, Ronnie

A: Hi Ronnie, Care providers using accuspina can be found in the directory on the official company website. Best, Sensei Adam Rostocki

Q: I have been diagnosed with a herniated disc of the L5-S1. It says there is mass effect on the left nerve root. At L3-4 there is mild narrowing of the spinal canal. It says it could be from an old fracture(which I don't remember ever doing). My back has hurt off and on for 8 months but this last time I feel it down my leg and foot. Right now my back doesn't hurt but my calf does causing me to limp. Also half my foot feels numb. I know that Dr Sarno says to push through the pain and continue doing what you had always done before. I am a very active person who works out 4 times a week lifting, running, and cycling. My doctor wants me to see a neurosurgeon before doing anything. Should I see this Dr or push through it and ignore the pain. My calf and foot have felt like this for 1 month. Thank You for any advice, Chris

A: Hi Chris, It would not hurt to see the surgeon. You can at least get an educated opinion and may be disqualified for surgery, which would help you to discount the pain. A mass effect on the nerve root typically means it is barely touching, not compressing and is rarely symptomatic. Best, Sensei Adam Rostocki

Q: my fiance has narrowing of the spinal canal ok ? plus spinal stenosis , plus on this paper report it says something about her having osteophytosis along the vertebral body margins at c5/6 level large spurs projects into the canal..at c5/6of up to 7mm the doctor basically said she needs surgery but shes got a 50 50 percent chance of permanent paralysis , its pressing on her nerves in her cervical and lumbar spine , give me the bests answer you can? i'm no doctor but i'm learning from others about not to do surgery unless necessary ..what would you advise ... shes on pain killers oxycodone 10/325mgs she gets 100 pills a month but they don't help the pain ../ please help me with advice, her name is cindy shes 44 yrs old i'm 38 yrs old. ty from steven

A: Hi Steven, I would like to see the MRI report before advising you. Additionally, please clarify, does the doctor say it is a 50/50 chance for paralysis during surgery or if she does not have the surgery? Best, Sensei Adam Rostocki

Q: Hello, Well my story began about 2 years ago. I began having back pain when I was only 16 years old and until now the pain has NOT gone away. I continually complained to my parents who didn't think much of it because they thought I was too young to be suffering from anything serious. But as months passed and as my condition worsened they finally took me to see the doctor. I got to the point where I couldn't even sit on a chair for more than 5 minutes. Standing for long period of time was unbearable and it was an all and all reckless period. So after speaking with my doctor she told me to set up an appointment with an Orthopedic. So I did. He did some test and told me that it wasn't anything too serious. My tail bone has slightly moved, but if I did some exercises to strengthen my back it will cause it go back in place and stop it from moving. He recommended I take some classes in physical therapy and I did which were of some help. I also bought a donut seat which eased the pain up and I could finally could sit on a chair comfortably! But the pain wasn't gone totally. It did lessen for a period of time but now its back.The pain starts from my lower back down my buttocks and down unto my upper thighs. I feel so weak at times due to the pain. I feel lazy and unmotivated. I still try to do some exercises to strengthen my back but it doesn't seem like its doing much to help it. My back is really bothering me and I really don't know what to do anymore. I honestly I just hate going to the doctors because they never have an answer or they tell you something in which you already know. Its very aggravating! Do you have any advise for me? Does sleeping on the floor help your back? What sorts of therapy do you advise? Sara

A: Hi Sara, I think your diagnosis is incorrect. The symptoms are well above your coccyx, which is anatomically illogical. I would discount the advice up to this point. From here, I recommend one of 2 paths. Either try a new doctor and hope for a better diagnostic conclusion or try the alternative approach, which is knowledge therapy. The latter is my advice. I think you will be fine. Best, Sensei Adam Rostocki

Q: Dear Sir: Is walking good for sciatica pain? I use a treadmill almost daily for 30 minutes. I'm the woman who wrote you that I herniated from the L3 to the S1. I had surgery in 2005. I will find my MRIs - pre-surgery, and make sure you see them. In the meantime, is it always good to be walking even with lumbar pain? Inertia seems to make everything worse.Susan

A: Hi Susan, Walking is fine. I do it myself everyday for long distances. When you send your MRI results, I can give you more detailed advice. Best, Sensei Adam Rostocki

Q: Thanks for your reply. I feel that my condition is not stabilizing, the moment I'll stop taking pills, in few weeks the pain will reach its most acute state, getting me almost bed ridden. So will I be able to get relief from alternative treatments such as knowledge therapy or herbs therapy? In your opinion what course of treatment will be most suitable to me in order to stabilize Ankylosing Spondylitis conditions and lead a normal life without having any sort of dependency on painkillers?Many Thanks! Avinash

A: Hi Avinash. I do not have a definitive answer for you. There is no known cure and I do not think that knowledge therapy will cure you, although it may provide some relief. I also do not have much hope in dietary alteration, as this is mostly placebo for a condition like AS. I wish I had a better answer for you. I do send you my best. Sensei Adam Rostocki

Q: My 14 yo. daughter just saw a specialist, had xrays and will have an mri in the next 2 weeks. We were there for her scoliosis and found that her curved back is due to scheuermann's kyphosis . She has not yet menstruated and my hope is that we are not too late for correcting with the boston brace. The doctor prescribed a providence brace but I realize through my research that the providence will not be enough. I am extremely upset for my daughter. Her curve is very noticeable although I do not have the degree to that yet. She has a 20 degree curve for the scoliosis. She has taken ballet since she was 5 and I am also finding that there could be a link to low estrogen and no cycle along with spinal problems. We are heading in for a blood test to check the estrogen tomorrow. Can you share your thoughts on how aggressive we can be? Kelly

A: Hi Kelly, I recommend finding a real specialist in scoliosis as first priority, not just a doctor who treats it, but one who lives for it... I think bracing is fine, but do not forget to consider your daughter's emotional needs as well. Scoliosis does not have to be painful or symptomatic and most patients who do suffer from it eventually do so from the nocebo reaction to the diagnosis. Keep this in mind. I do not recommend surgery unless it is a matter of life or death. Best, Sensei Adam Rostocki

Q: In 2005 I herniated from the L3-L5-S1. I had a laminectomy and diskectomy. Although I still have numbness in left leg and foot,it helped some, for awhile; but 4 years later the pain is radiating from the backs of my knees to my buttocks. I also have terrible burning in feet & legs. Are there ANY exercises you can recommend so that I can avoid repeating the surgery? I do not believe it will help to cut again. Thx. Susan

A: Hi Susan, I do not believe that exercise is the answer for you any more than the surgery was several years back. I will be happy to give you my opinion on your case if you can provide your MRI report, especially pre-surgery. Best, Sensei Adam Rostocki

Q: I have been experiencing severe back pains on an ON OFF period now for the past 10 years.They seem to come sometimes when I have a really bad day at work I mean mentally and emotionally and physically.Some times its so bad that I cant even more and have to crawl to the bathroom.Now days its getting worse and I am scared it will ruin my life.I am 40years old weighing 100kg and am 187cm tall. Please do advice and are there any supplements that are really good for this,now I just take pain killers until the pain is bearable. Suresh

A: Hi Suresh, I advise getting to a doctor for a complete physical and hopefully imaging of the spine. Once you know what is going on in your back, it is far easier to design an effective treatment program. Until then, it is all guessing. Best, Sensei Adam Rostocki

Q: Hello Mr. Rostocki, This is Avinash from Dubai and I was Googling for getting information on how to get relief from back pain and I came across your web site. I was really delighted to see that someone has created a web-site completely dedicated to the information and cure related to back pain.

About my story, well, I have been diagnosed with Ankylosing Spondylitis. I am 35 years old now and have been suffering with the back pain over a decade. But in last couple of years it has been aggravated. Initially it was more at the lower back and hip areas but now I have the pain in the center of the back. For last one and half year I am on medication. I am taking Arcoxia 60mg 3 to4 times a week (Not every day). I was taking this medicine everyday until April 2009. When I was taking it everyday, the pain was minimal. Since I wanted to reduce dependency on the pain killer, i reduced the dosage after consulting my doctor. When I was going through your site, I could not see Ankylosing Spondylitis specified in the list on the left side of the home page. So my question is, will I get a permanent cure from the problem I am suffering? Waiting for your reply, Regards, Avinash

A: Hi Avinash, Here is some info about your condition:
http://www.cure-back-pain.org/ankylosing-spondylitis.html
There is no cure, but the condition most commonly stabilizes, as yours may have. I will hope for the best for you. Sensei Adam Rostocki

Q: I had L5-S1 removed and fused one year ago and ever since my surgery the back of my left leg and the bottom of my left butt cheek sweats when I have a bowel movement. So far four doctors have no idea why this is. Anyone have an answer or have heard anything like this? Jay

A: Hi Jay, In all my experience with back pain, I have never heard of symptoms like this. Very strange! But, at least not painful! Best, Sensei Adam Rostocki

Q: I am wondering if you injured your tailbone 40 years ago, if treatment can still help today. I was 10 years old and we were in a gym assembly at school. I was about to sit down and someone pulled my chair away. I naturally thought the chair was there and went to plop down quickly, so it was a hard fall on the concert gym floor. I couldn't move at all after the fall, and was carried out of the gym by a teacher. I remember being in excruciating pain for weeks and not being able to do much of anything. We lived on a farm and my parents did not know much about treatment, so I had nothing done to my back or tailbone. I started noticing bad back pain around 16 years old, and have lived with this awful pain my whole life basically. Like I said before, my question is it still possible to get help now? I live in Vancouver, British Columbia. Do you know of any doctors there that could help? Elsie

A: Hi Elsie, That is a huge assumption thinking that this incident is responsible for a lifetime of pain. It is also contrary to the basic evolution of our species, as the most basic anatomical function is healing. I advise going for diagnostic testing and do not be surprised if your tailbone turns out to be innocent of blame. Let me know what the tests reveal. Best, Sensei Adam Rostocki

Q: Thank you for reading this Sensei. My name is Leigh. I have suffered from differing degrees of back pain for the last 10 years. I am 32 yrs old. CT scans have showed L5-S1 bulges, although i suffer no neurological changes, i do endure significant lower back pain. I studied Aikido for 2 years before i injured myself at work and i have great respect for those that teach in the field.My pain is always there - it seems worse if i try to much physically. Could it be psychosomatic?? I am a stressed person. Mt doctor wants to try Amitriptyline 10mg as a chronic pain treatment. Do you have an opinion on my situation?Kind regards, Leigh

A: Hi Leigh, Most herniated discs are asymptomatic. Bulges at this particular level are the most common and qualify as "normal" for the countless millions who have them. As you might know, I have them myself... I do not advocate any type of drug for back pain, since they can only lead to problems and will not cure anything. As far as psychosomatic, I am sure you already know my feelings, as if you are willing to accept this as even a remote possibility, then I highly recommend trying knowledge therapy. You have nothing to lose with this treatment and no risks... Best, Sensei Adam Rostocki

Q: Please help...I've been in agony for eight months now. Tried everything as well. What can I do? Desiree

A: Hi Desiree, You have to give me a whole lot information more than this if you want me to help. How about starting with your diagnostic info and the symptoms you have? Best, Sensei Adam Rostocki

Q: Sensei,I have had some pain relief with my lower lumbar disc herniations by reading Dr. Sarno's book and journaling. I find this to be a difficult as it conjures up some feelings of failure in life. My question to you is, have you been able to resume full body workouts including long distance running? Marty

A: Hi Marty, I do not run (out of preference, not inability), but yes, I do incredible amounts of vigorous full body exercise. Best, Sensei Adam Rostocki

Q: hi there, i was very happy to read your web page, hoping that the horrible jaw pain i am suffering is in fact psychosomatic. i had tight, sore jaw muscles following grinding cheap muesli, and my dr recommended stretching out the jaw muscles. i stretched them to a ridiculous extent, i guess, as i believed a good stretch should be sustained for 15 seconds and hurt a bit (as with a tight calf muscle). however my dentist, who didn't examine me, said that it would be almost impossible for me to have done a permanent injury to myself. i have some experience with psychosomatic pain when i developed RSD (now CRPS) following a fractured toe 18 months ago. i healed myself after reading about john sarno's work and having hypnotherapy. now i have been plagued with jaw pain for 5 months. the emotional issues could still be a factor.... do you think i should consult someone regarding the medical cause of my problem, or give the psychosomatic scenario my best shot? thank you so much for your time, it is much appreciated.. cheers, suzanne

A: Hi Suzanne , From what you are telling me, it definitely seems psychosomatic. Re-focus on the knowledge therapy and put the idea of injury out of your mind. Best, Sensei Adam Rostocki

Q: Hi, my name is Joe and I am 20 years old. I have been experiencing back pain for almost a year and a half. It first started my senior year in high school, during a wrestling match. I got it checked out after and was diagnosed with Degenerative Disc Disease, which healed about 5 months later. Then a year later I herniated my back while squatting for football at college. I started with Physical Therapy, which really didn't help. Then was introduced to spinal injections, which helped with the pain running down my leg, but I still had pain in the left side of my lower back. After I returned from college I was still having the lower back pain so I decided to try spinal decompression, which hardly helped. Now I still have the lower back pain and I can't bend straight down to touch my toes, which I was able to do before without feeling pain in my lower back. If I walk more than 5 minutes I start feeling the pain in my lower back as well. I was wondering if you could give me any advice about my situation. Thanks Joe

A: Hi Joe, Can you type up your MRI report for me. This will help me to advise you. FYI, DDD does not "heal" ever. I doubt that was the source, which leads me to doubt the entire diagnosis, especially after so many failed treatments. Best, Sensei Adam Rostocki

Q: Hi, I am a 34 year woman who has been suffering bad back pain for the last 16 months. I had an accident at work and herniated c-4 c-5, c-5 and c-6 and had to have a double fusion. In that same accident I caused a disc in the lumbar region of my back to bulge into the spine. I also have a small annular tear as well as scoliosis. I have been in physical therapy for the entire time since surgery and I have had 3 steroid injections. Nothing has taken my pain away. The Dr. says my only option is surgery but I don't want to go that route considering my age. I'm willing to try any method alternative or other. If you have any suggestions I would be forever grateful. Thank you for taking the time to read this. Kelly

A: Hi Kelly, As I am sure you have learned from my site, I rarely see symptoms from conditions such as yours and consider most cases misdiagnosed. In many cases, the "injury" existed structurally long before the incident you blame for causing the pain. Being that pain did not exist prior to the "injury" you never knew the herniations might have been there. This is very common. I do not know if it applies to you in particular or not... I can recommend many alternative treatments, but before I do, I would love to have a look at your current MRI report, as well as the one used to determine that you needed the surgery on your neck. Best, Sensei Adam Rostocki

Q: Hi, Am a 26 yr software Engineer. Am having a back pain for the past 1 month. i should say my back pain starts 3 months back.Initially there was not much pain.But later it got aggravated. i did nothing till now to cure my back pain. i thought it was due to traveling or some gastrocities problem.But nowadays when i started to work and when i got up from the chair, My back is paining like anything. i spoke to my brother who is a doctor told me take orthobidMR. I had taken it from yesterday. I use to got office by two wheeler and most of hours i sat and work. i rarely go for a walk. please advice me what should i need to do?? My height 168cms Weight 75Kgs. MuthuManikandan

A: Hi MuthuManikandan, You need to get an accurate diagnosis as to the cause of the problem. I advise you to meet with your brother for diagnostic testing and stop any medications until a source is discovered. How can you treat pain, when you do not know the cause? Best, Sensei Adam Rostocki

Q: hi i was on clomid and now completed it ovulated and hoping for a good result, however i am experiencing swollen sore breasts and backache as cramping pains more or less period symptoms, i was due for my period today or tomorrow do you think there is no chance of pregnancy? Adline

A: Hi Adline, This is far beyond my experience and I advise that your talk to your doctor about this issue. Best, Sensei Adam Rostocki

Q: Hi. I was reading about disk disease and i think there is an inaccuracy in there. My mother which is 71 now has had DDD since the age of 25 and by the age of 40 her left knee had lost all cartilage and is bone to bone along with parts of the spine also having worn very thin. I myself turned 30 this June 2009 and i have been told i have military neck kyphosis and have had scoliosis since i was a kid. the same doctor and his partner found a bone spur in between c4 and c5 vertebrae. i have what is similar to restless leg syndrome in my upper back in between the shoulder blades and in my shoulders and elbows, chronic neck and full back pain most severe in the upper spine. the doctor that told me about all this said that before the MRI he had given me a placebo which had no affect i still could not be still at night and still had pain. he then put me on loratbs and except for still having very tense muscles the pain is nowhere near as bad. but now I have no insurance and I'm still suffering with the nerve pain from the bone spur. is there anything i can do besides surgery ? i have been dealing with this for ten years almost and would give anything to be normal again and be able to lay down and go to sleep like a normal human being. please give me some advice. thanks for your time, Lonnie

Sensei, Sir, I apologize for not reading your bio first as i am also a long time student of martial arts particularly tae-kwon-do and jiu-jitsu i am starting to have trouble with my flexibility in jiu-jitsu i can't seem to pass guard as well and i'm having alot of muscle pain due to pinched nerves from my bone spur i believe. I have more confidence that you may be able to help as i now know more about you. Again thank you for your time. Lonnie

A: Hi Lonnie, From what you tell me, there is nothing unusual about your spine at all. There are also no inaccuracies on my DDD page. If anything, I am giving the benefit of the doubt to many cases which I know to be asymptomatic...

I can not comment on the bone spur, without seeing your MRI report as to where it exists and the effects it is producing. However, I can tell you that there are multiple explanations for your symptoms. Bone spurs are completely common in the cervical region, as they are in the lumbar. If you would like to type up your MRI report for me, I will be happy to take a look and give you a detailed opinion on your case. Good luck in your martial arts! Best, Sensei Adam Rostocki

Q: dear sensei rostocki - you'd recommended getting an mri as a good first step, which i did. the summary was back with l4/l5 disc herniation, medium sized (7-8mm), on the right hand side. this is consistent with my symptoms of loss of some feeling in right foot, weakness of dorsiflexion, pain down leg, etc. i've read your book, which i think is really useful, and i'm trying to actualize it. but i'm really tempted to get a cortisone injection and physical therapy, as recommended by my physician. what do you think? thanks for your time and attention. bill

A: Hi Bill, Neither of these treatment modalities will do anything to reduce theherniation or its effects of whatever nerve tissue is supposed to beinvolved. So what is the point? I suggest you ask your doctor thisquestion and watch them squirm. Personally, if the disc is the source,which I can not comment on from this small amount of info, I would recommendspinal decompression over either of these 2 methods. Best, Sensei Adam Rostocki

Q: I have had 2 back fusion surgeries since Dec 2007 & am in worse shape since the surgeries. I am interested in your method, but am not too computer savvy & wonder if you are selling a book or method that you have to pay for. Thanks Walt

A: Hi Walt, You do not have to buy anything. Just go to the library and take out Dr. Sarno's books. This will get you going with knowledge therapy. Best, Sensei Adam Rostocki

Q: hi i would like to know i have this pain between my shoulder blades for almost two months now ,and about two weeks ago the pain started in my chest it is like it is right through and when i swallow something it hurts in my chest and it feels like my breast are paining ,the doctor first said i have alot of acid ,and then he said it is kidney infection and last week he said it is stomach infection and shoulder has this burning pain and due to stress i developed a ulcer and the heartburn is bad ,and when i breath sometimes it also hurt thanking you, beverley

A: OK, Beverly, So what is the question? Best, Sensei Adam Rostocki

Q: Dear Sensei Adam, I am convinced of the powerful mind-body association influencing one's health. My personal back pain of three years happens to fit most parameters of TMS including mis-diagnosis, resistance to pain treatment and personality type. My dilemma is understanding fully the conscious mind presenting an embellished version of a primitive, damaged and not very admirable true self. How depressing to present a false image to the world over a lifetime, especially when it is a construct of the seemingly awful subconscious. The acceptance that you are not who you believe yourself to be would be helpful. The constant struggle to maintain a socially acceptable status quo would be explained. But everytime your true inclinations are brought forward to the conscious mind doesn't this throw a blanket of suspicion on your entire persona? Trying to second guess true intentions is very tiring. The last thing I would ask is do you believe self-protection of the conscious can become self-punishment of repressed transgressions also thru induced pain? Is it the same process or different? I would greatly appreciate your thoughts on these matters.I may have "missed the boat" entirely and would like your comments on that as well. I find your website to be both informative and sincere. Thank you Sensei, Beth

A: Hi Beth, You said a lot without too many words. I will try to address your points as best as I can...First, the subconscious is not awful, although it may seem that way. I look at it more as TRUE rather than bad. It is yin and yang. Balance. Honesty. However, since most people hate to associate anything negative with themselves, they usually only see the good facets (the disguise, if you will) and when they are suddenly awakened to the subconscious, tend to focus on the bad... Think balance.

Yes, living externally with an invented conscious persona is difficult, especially if you recognize the false nature of it. However, it is not an eternal sentence. You can become the real you if you have patience and are true to your ENTIRE self (as much as you can realize, that is).

As far as symptomatic self-punishment, the verdict is still out. Most doctors and knowledge therapy experts say NO to this, but I am not sure. I think in many cases, the answer is no, but in some, self punishment may truly exist. As I try to teach throughout my life...No matter what position you take, making it an absolute is just setting yourself up for failure...

so on that note, I say it is a case by case basis...

I hope this helps and thanks for a fascinating set of questions! Best, Sensei Adam Rostocki

Q: I am almost 6 months post spinal fusion (L4 - L5 - S1). This operation was done only after "years" of severe back pain. I went through many rounds of PT and Steroid Shots before having the surgery. While I like my Doctor I feel I was given VERY LIMITED information up front. While I bare some responsibility for understanding everything - I was in so much Pain I just wanted "something" done. I am SOOO Miserable now. The disc pain is gone but I am definitely having issues. I am in a lot of pain. The evil Disability people forced me back to work. (Please note: I WANT TO WORK!...am not trying to milk the system) I just dont know where to turn exactly... Is it common to have this much pain this far out. Still taking quite a few Vicodin - having a lot of trouble sleeping. Is there a place where I can go to find "actual and verified" statistics on how long it truly takes for people to recover. What is the average amount of time people should be off from work. I am convinced that I was forced back to work too early. I was doing ok ..but am now going the wrong way with my recovery. I am in constant pain and it is wearing me down. Please direct me to some good - verified and reliable information. I anxiously await a reply as I am quite desperate. Kim - Pittsburgh, PA Also - Just wanted to share something that has helped me along a bit... I started wearing a "SPANX" type product merely for the purpose of some support once I came out of the brace. It does not actually provide support of course but I find the compression very comforting! (Just wanted to share) There really needs to be a spinal fusion support group...it would realy help to talk and share ideas, suggestions, stories. Any help would be appreciated.... Kim

A: Hi Kim, There is no such source of verified information. Some sources may claim it, but they are lies. I can tell you that for a fact. Spinal fusion is a barbaric torture which should be outlawed in most instances, It is never a solution for almost anything... but instead a path to continuing pain in the majority of cases. This is why I am so anti-fusion. I hope you condition improves, but I can not say I am hopeful. Typically the fusion causes more damage than it solves and leads to escalated and accelerated degeneration of neighboring levels, leading to more and more operations. I hope I am mistaken in your case. Best, Sensei Adam Rostocki

Q: My husband has been in pain for quite some time with his neck and shoulders. We have been to the Doctor and he has been given Catafast sachets and later Rantudil Forte with a topical gel called Fastum. If possible, he has gotten worse. I was wondering if you could help us with some advice on how to ease his pain because it is making his life very difficult. Thanks a lot regards, Helen

A: Hi Helen, What was the diagnosis (cause) provided by the doctor? How was this diagnosis obtained? Best, Sensei Adam Rostocki

Q: hi after fainting back in june i experienced severe face tingles and a hard bony like lump appeared just behind my earlobe this causes me to feel very dizzy sick and numbness in my face and head my physio thinks it could be a prolapse and my chiropractor thinks my left vertebra slips out constantly but the lump is behind my ear i have not had any scans because im pregnant what do you think this is its affecting me really bad thanks for your time Ashlee

A: Hi Ashlee, I do not think either. What does your doctor say? This is the only opinion that matters right now and there are plenty of diagnostic testing methods which can be used when you are pregnant, so this should be a priority. Best, Sensei Adam Rostocki

Q: My 13 yr old son was found to have a "straight neck" during his football physical. The doctor suggested he not play football due to this condition. Does this "straight neck" condition put him at greater risk of injury than normal? My research on the subject indicates that this is a quite common condition. I've also talked to several people that also have "straight neck" and played football all through school. Thank you, you're opinion is valued. Tyrone

A: Hi Tyrone, Yes, it is extremely common and not a problem in 99% of cases. I do not know the extent of the condition experienced by your son, but I would seek a second opinion. Best, Sensei Adam Rostocki

Q: In May of 2007 I had a Level 3 spinal fusion of my L4-S1In Sept. 2008 I had the hardware removed (severe pain) and I'm having severe pain in my lower back (stabbing, pinching) and can't walk. What do you suggest. Thanks Dee

A: Hi Dee, Had I spoke to you in May 2007, I would have suggested NOT getting the fusion. At this point, there is no sure solution. The procedure is pure barbarism! The best thing I can suggest is trying a variety of modalities to see if any provide relief. Try knowledge therapy, acupuncture and TENS. Let me know if any of these work well for you! Best, Sensei Adam Rostocki

Q: Please re-accept as a question. First, 3-4 weeks ago I began to have what felt like a muscle sprain in RHS mid back. Incidentally, it coincided with beginning summer swimming with grandson, which may or may not have been the onset cause. It does not seem to be spine related, which I am no stranger to. At night certain bed movements cause brief intense pain. It's similar to an electrical shock knocking the breath out of me. If this causes something like a hic-hup it jolts my stomach or inner organs intensifying the momentary pain. (I dread to think what coughing spasms would do.) I immediately arise to get vertical and the pain subsides quickly. During the day I very seldom, if at all, have the night time effects, but still feel something similar to a pulled muscle. In your opinion what is the cause of my problem? Gary

A: Hi Gary, I make it a point to try not to diagnose conditions which could truly be anything. It could be muscular, but this would typically involve more pain when active, not when resting. Most night time conditions are ischemic, since that is when decreased blood flow exacerbates the symptoms. These are virtually always psychosomatic. If it continues, go get it checked out. Let me know how it goes, ok? Best, S.A.R.

Q: Sir,I've been suffering from severe upper back pain for the last one year. The pain seem to start from a small area on my left upper back which spreads later on.when i touch that area where the pain originates i can feel a small swelling which slips off. I've been to several orthopedic surgeons,and they say that there is nothing wrong with my back.But still the pain persists. Recently i met a doctor who told me that my pain is due to nerve entanglement. He prescribed me some medication,and i had relief for a while but later on i started having pain again. The pain worsens if the climate is cold and my work demands me to sit on chair for at least 8 hours a day.Please help me. Riyas

A: Hi Riyas, Without more concrete diagnostic info, it is difficult to advise you. I do not buy into the nerve entanglement diagnosis and do not think that theory is correct. A more logical explanation for the pain is ischemia, so you might consider knowledge therapy as an alternative cure. What type of diagnostic testing did the doctors perform? Do you have access to an MRI or CT scan? Best, Sensei Adam Rostocki

Q: dear sensei rostocki -i read your book and thought it was wonderful; i'm working on it. i also read the questions and your answers in the interactive q&a section, in which you highlight getting an mri, which seems at odds with your recommendations. should i get one? my own pain began about three weeks ago. it started out being lower back. as my back loosed up, it migrated to my upper leg. and in the last day, my foot feels, not numb, but something. i've discussed all this with my doctor, who feels we could wait a few more weeks, then perhaps do an mri. what do you think? should i focus on my emotional issues, anger and guilt, and accepting myself, or go straight to getting more diagnostic aids? thanks for your time, and the work you put into your book and this site. bill

A: Hi Bill, If you are not in an emergency condition, then I think waiting and putting focus on the emotional aspects is fine. I typically recommend an MRI for people, since there are many possible structural sources of pain and I like to recommend a decisive path for treatment, be it knowledge therapy or spinal surgery. It prevents the event of suggesting a psychosomatic causation when someone actually has cancer or something equally bad... Best, Sensei Adam Rostocki

Q: Dear Adam, I hope this email finds you well. My husband has what has been described as a moderate bulge in his L5. His symptoms are simple: his tailbone aches, and he has burning at the end of his penis. These symptoms come on at the same time and are worsened by bending over and lifting. He has been to several spine doctors, who don't seem to agree on whether this L5 bulge could be giving him these odd symptoms. He has had four cortisone shots, none of which did much. He has been to a urologist, who doesn't detect anything wrong with his prostate. Any advice you can offer would be greatly appreciated. Best wishes, Elli.

A: Hi Elli, The symptoms are DEFINITELY not from the disc. That is for sure. If he checked out physically and no other explanation is apparent, then I can virtually guarantee that the symptoms are psychosomatic. I advise knowledge therapy for this type of pain. Best, Sensei Adam Rostocki

Q: I have pain in the right lower side of my back.It kills me to bend over.I also will take a spasm there once in a while.I work at a motel doing rooms and also laundry,on my feet alot.When I get home from work and then sit down and then get up. omg it hurts.I am all bent over and can hardly move. I am 58,can you help me please, Julie

A: Hi Julie, The first step is to achieve a correct diagnosis. Have you been to a doctor? If not, this is my first recommendation to you. Best, Sensei Adam Rostocki

Q: Dear sir,I was injured March 10, 2007. I am a T-10 Asia A complete. I have terrible Chronic Nerve pain in the L-1 Groin area. My back itself has no pain. Despite my injury I feel well except for this dying pain that is ruining my life. Do you have any suggestions besides drugs, or spinal injections. Thank you,Joe

A: Hi Joe, Have you considered acupuncture? This would be my suggestion. If this doe not work and you are positive it is L1, you might consider a minimally invasive procedure to block that nerve from signaling. Best, Sensei Adam Rostocki

Q: 3-4 weeks ago I began to have what felt like a muscle sprain in RHS mid back. Incidentally, it coincided with beginning summer swimming with grandson, which may or may not have been the onset cause. It does not seem to be spine related, which I am no stranger to. At night certain bed movements cause brief intense pain. It's similar to an electrical shock knocking the breath out of me. If this causes something like a hic-hup it jolts my stomach or inner organs intensifying the momentary pain. (I dread to think what coughing spasms would do.) I immediately arise to get vertical and the pain subsides quickly. During the day I very seldom, if at all, have the night time effects, but still feel something similar to a pulled muscle. Gary

A: Ok Gary, Thanks for sending in your story. I do not see a question. Best, Sensei Adam Rostocki

Q: Hello, my name is Valerie. I am 29 years old and am currently suffering from horrible neck pain. It started about 2 1/2 weeks ago when I was hospitalized for a Multiple Sclerosis flare up. My left leg is weak and I am in need of a cane to get around. Last Saturday I was staying at my parents house and my mother gave me a memory foam pillow to sleep on. I woke up the next morning with horrible tightness and pain in the neck. I went to the chiropractor Tuesday (with no improvement) so went back Wednesday, Thursday and Saturday morning. Here it it Sunday and my neck is not relieved and my pocket book is depleted from all the chiro visits. I have been doing ice therapy, salonpas ointment pads (think icy hot but less harsh and smells better) and I am at a loss I don't know what else to do. I am in so much pain and it is affecting every aspect of my life..please help. Valerie

A: Hi Valerie, I would skip the chiro altogether. The pain may be muscular, in which case it is no big issue. If it continues, I advise going to a physician for diagnosis. Let me know how it goes, ok? Best, Sensei Adam Rostocki

Q: My Mom (87 y old) is suffering because of her lower back pain.Her all tests (as blood test ,USG and others)are ok.I was visiting my Parents recently and my Mom spine problem is getting worse. I brought with me her x-ray result which was transferred on the disc. Is any chance to check this result and give diagnose or is needed MRI or other tests?Please let me know what I can do to help my Mom.Sincerely, Leokadia

A: Hi Leokadia, X-rays are virtually useless in diagnosing back pain, unless there is a severe spinal curvature or fracture, which would certainly have been noted on the radiology report. This report should appear on the disc, as well as the films. You can take a look. An MRI is a far better test for diagnosing back pain and this is my recommendation, if available. I appreciate the effort you are taking to help you mom! Best, Sensei Adam Rostocki

Q: I was diagnosed with ddd in upper back just below neck, pain is going from neck area to left arm up to elbow, I have been taking therapy, with little or no improvement, canyou, please advise of any remedy, therapy or life style change which may help this condition. Aman

A: Hi Aman, DDD is a completely normal and universal condition which is almost never the source of pain. The vast majority of pain syndromes blamed on DDD are misdiagnosed. If you have an MRI result, I will be happy to have a look for you to confirm. Best, Sensei Adam Rostocki

Q: I was injured at work and herniated C4-5 and 6-7. I had neck fusion and surgery for my hand (carpal tunnel)at the same time. I worked with the injury for a year before I agreed to surgery. Anyways, to make the story short, after surgery I developed a frozen shoulder that needed to be manipulated. I was put to sleep for this procedure. I got the range of motion back in my arm but I remain in pain for over two years. I get headaches regularly and I have pain between the shoulder blade and the spinal cord with numbness in both arms and hands. Additionally, I have referral pain to my left rib cage, both shoulder and forearm. The rainy weather causes a lot of pain and there are a number of trigger point through the back. Lyrcia is helping some with cort. shots. Is there anything else that would work or is this the best it will get? Peggy

A: Hi Peggy, I do not know. To me, the whole thing sounds ischemic, not related to any injury. This is common and well detailed on my site. Being that you have tried everything else (too much including the surgery IMHO) without success, I would recommend knowledge therapy. Best, Sensei Adam Rostocki

Q: I am a normal 19 yr old, though would not be very active, i have been having back pain for nearly a yr, i have had an x-ray and MRI but nothing appeared to say what was causing the pain. I have also been attending physio for nearly 10 months. My physiotherapist says that the muscles in my back have spasmed. I suffer from pain from the bottom of my back up into my shoulders and neck. Although physio has eased the pain slightly it has not completely recovered and every few months the pain goes back to being terrible. I do not know what is causing my pain and seems to get sore no matter what e.g. sitting too long, walking too long, swimming anything really. please if you could suggest any other treatment i can try it would b greatly appreciated. Sarah

A: Hi Sarah, It sounds like a classic oxygen deprivation pain condition to me. I recommend knowledge therapy and I am sure you will do well if you devote yourself to the treatment. Best, Sensei Adam Rostocki

Q: Cant remember when it started. But every so often I'll get a severe and sudden stabbing pain in my lower middle back that seems to radiate to me sides. I also suffer from daily headaches (for months now) and sudden stabbing pains in my chest. I have had EKG and chest x-rays (doc couldn't find anything but gave me pain killers and insisted it was just plurisy). I disagree. I in pain and discomfort all the time. Please help! Cati

A: Hi Cati, I advise you to follow up on the diagnostic process. Try another doctor and focus finding the source of the pain. Let me know what happens. Best, Sensei Adam Rostocki

Q: I had L-4/L-5 fusion 1.5 yrs. ago. I had some stenosis, as well. Now, progressive heel pain; stabbing, on outside of bottom of heel. Is it in hip or fusion? Where do I begin??Cathy

A: Hi Cathy, You begin the same place as everyone. You must consult with your physician and get appropriate diagnostic testing. I would not be surprised if the new symptoms are the result of the fusion, as these are truly the worst of all spinal surgeries. Let me know what the doctor says. Best, Sensei Adam Rostocki

Q: I'm male,Age 37, first time i felt leg pain and 5 years later i got back pain. recently i tested blood and MRI, in MRI (loss of lumber lordosis was noted, in my blood test (ESR 29 mm) and CRP is (Negative) and the rest of blood test MRI is normal.I can't stand and walk for a long time. what can i do for my back treatment. Thanks, Shafi

A: Hi Shafi, Being that your diagnostic testing is normal, I speculate that the cause of your pain is ischemic. I recommend knowledge therapy for you and I am sure you will do well with the treatment as long as you dedicate yourself to it. Best, Sensei Adam Rostocki

Q: I have three herniated discs. L 3 4 and 5. I see a chiro regularly and take cymbalta as well.over the past few months and especially the past several weeks I've had chest pain in my upper right side and upper should blade area. My primary doc said I had three dislocated ribs and sent me back to chiro. I've had several adjustments and still have moderate pain. what else can be going on? they want me to get a MRI. I also have numbness and burning sensatiom in my mid back at bra line. on and off I have a crawling like feeling on my left side of rib cage. help! -Nameless

A: Hello, I recommend you follow the advice to get another MRI. The pain higher up is obviously unrelated to the herniated discs in the lumbar spine, so further testing is indeed needed. Best, Sensei Adam Rostocki

Q: A few years ago I injured my back lifting weights. Since the injury my lower back muscles have become "loose and lumpy". The doctor I saw said it was scar tissue? Do you agree? How can I fix this? My back is now easily injured. Thanks. Doug

A: Hi Doug, Based on what you are telling me, the diagnosis does not seem right. I would go for a second opinion to a sports medicine physician. Best, Sensei Adam Rostocki

Q: I have had lower back pain & both leg pains below the knee for a few years. in December 2007 i had an mri done here is the report. have look and see what you think of it. after finding the bone marrow disorder a lot of test were done but they were negative, thank God. but my pains got worse i have pain all over my back down to my hips, my bottom, my neck, side of both my legs and some days i get pain on my right side leg from hip to the feet. I had another MRI taken on the 29/01/09 see report below...

All vertebral body heights are maintained with no collapses. Within the cervical spine there are osteophytic disc bars at C3/4, C4/5, C5/6 and C6/7 which indent the ventral theca only and at C5 causes moderate right C5 and right C6 neuroforaminal narrowing. Minor degenerative lumbar changes are noted with small non-compressive disc bulges at L2/3, L3/4 and L4/5.The spinal canal is capacious throughout and the spinal cord and conus return normal signal.

First MRI

Throughout the lower thoracic spine, the lumbar spine and the sacrum the bone marrow signal shows irregular low signal on the Ti and T2 sequences indicating replacement of the normal fatty bone marrow. The changes are seen in all parts of the vertebrae. There is no skeletal deformity. Additionally there is some disc degeneration with posterior disc bulging. This is most prominent at the L3/L4 level but there is no nerve root involvement.

Bone marrow disorder, clinical correlation suggested.It has been notified that this is a clinically important finding and that the referring clinician should receive the report promptly.

Regards, Mohamed

A: Hi Mohamed, There is no spinal reason for any of your pain. I am not well versed in the bone marrow issues, so I can not comment on whether or not they might be a contributor. I can tell you that your widespread symptoms bear the marks of an ischemic pain condition to me. Therefore, I feel that knowledge therapy might be a worthwhile possibility for your treatment approach. Best, Sensei Adam Rostocki

Comment: I have suffered a pain in my back by over doing jobs like bending over to lift things and over doing it. Katerina

A: Hi Katerina, Thanks for sending in your story. I send you my best, Sensei Adam Rostocki

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