Back Pain
Questions and Answers
Archive 2007 Part 1

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A: Hi Kathy, Sorry to hear about your back and knee pain. I do not think that your diagnosis is correct. It is rare for sacroiliac joint dysfunction to cause any permanent nerve trauma. Sounds very fishy to me... My guess would be that the pain is psychological and the pain and numbness caused by oxygen deprivation. Hard to give any other advice without a more complete clinical picture. Best of luck to you, and I hope you can find some relief...Sincerely, Sensei Adam Rostocki

Q: IS THERE SOMEONE IN MAINE USA WHO PROVIDES TREATMET ON THE DRX 9000 THANKS, WILLIAM

A: Hi William, Try this...mainespineandnerveinstitute.com Best, Sensei Adam Rostocki

Q: I injured by back recently and have been diagnosed with a herniated lumbar disc. One of my doctors said the herniation is on the left side of my back but I have pain in the middle back, with shooting pain and tingling down down my left thigh. Is this possible. Thanks,Kathy

A: Hi Kathy, If you mean the pain is in the middle of your lumbar back, yes, it is possible. Pain from a recent herniation is common, but should go away by itself. If the pain continues, I would suspect that the herniation is coincidental to the pain...Stay in touch to let me know how you are doing. Sincerely, Sensei Adam Rostocki

Q: Hi Sensei, I am Guru,I had horrible back pain 2 years ago which made me stay in the bed for 2 days...I didn't do much about that other than taking pain killers.Ever since then I feel I have a back problem...though I never had that kind of severe pain again..slight pain in my lower back and keeps on coming once in a while..whenever I get pain I used to stop going to the gym for a few days...but I am (or was) always worried about lifting things, the way I sleep, bending etc.

Yesterday again I had this slight pain and was thinking it is high time that I consult a doctor...while I was looking for a good doctor, I bumped into your site today..went thru a few articles..ordered your book. I have yet to read your book but I am already feeling good ..today I thought of missing the gym...now I am like, what the heck..I am going to the gym... tonight I will start reading your book hoping that http://www.cure-back-pain.org could well be the best web site I have ever bumped in to. Guru

A: Hi Guru, I am so happy you found the site and the book BEFORE ending up in some horrible and unsuccessful medical treatment program. I have no clinical data on your case, but I can almost guarantee that the pain is psychological. The fear of activity of always a good indicator... Take time and read the book. Keep reading the site. There are over 350 articles,so it might take some time. You have to put the pain in perspective and accept that it will not harm you. Once you can so this, you will be free from it, forever. I know what you are experiencing, since I have been through it all myself. I have confidence that you can beat it. Stay in contact with me, Guru, and let me know how you are doing. My best to you. Sincerely, Sensei Adam Rostocki

Q: Hi, my name is Jodi. I hurt my back in 94 while lifting and turning with a 5 lb box, I remember a feeling of total pain in my mid back and my right arm going numb.I went to the Dr that day, she told me to go home and lay down and put heat on it, I did. The next day I was worse, my neck has had a lump on the base of it since then and it goes to the left. I was told my problem was T7, 8, & 9, but nothing serious. I had a steroid shot that year, { was 34 } at the time, that made me worse, couldnt drive or do anything, the pain was too bad. The specialist told me that the problem was " my age ". I thought that was strange because I wasn't very old. {and my whole back leans to the left} I went to physiotherepy for one and a half years, that did no good. They told me that there was nothing they could do for me so I stopped going. I have had an MRI that came back as moderate scoliosis. But that is not explaining the T7,8 & 9. I reached a plateau after about 2 years, I had the pain. If I watched what I did I could somewhat handle it. I have been on so many meds that I have to take previcid because they have messed up my stomach. In 12 years I have also had 2 bone scans, which came back normal. About 2 years ago I fell off that plateau lifting my 1 year old grandson. I have been in TERRIBLE pain since and the symptons have gotten worse. I still have the problem with the thoracic part of my spine and neck, now I have the entire back right down to the bottom of my tailbone. Tingling in my arms and legs, heavyness in them also, they turn color either red or purple. My legs have given out on me 3 times in the last 3 years where I fall down. Its like there is nothing there. I have a really bad lean to the left. I go to a chiropractor and a massage therapist once a week and we are not getting answers from anyone {been kind of put on the back burner because its been so long}. I had a bone density test done last week, that was normal but now I have border line severe scolosis. The mid back is unbearable to the touch. I went to a bone specialist a couple of months ago and he told me it was my age catching up with me, I wasn't pleased with that appointment, he never took his hand off the door knob. I really dont know what to do, I keep going to the chiropractor and massage therapist because it does give me a bit of relief, but it is expensive for maybe an hour of relief if I am lucky. I dont do any exercise or walking because movement makes it worse. I cant handle any more. The mid back so bad at times it hurts to breathe, its like a hurt that is on the inside. I dont know how to explain it . The creepy crawling feeling bugs me. There are times when just my spine is really painful. I dont get much sleep, when I do sleep the only way I can is on my right side with 5 pillows under my head and shoulders. Laying on my back is OUT of the question. I guess on everything else I am asking besides what you think is wrong with my back, why do the specialists tell me that my back is normal, its just my age. And the big problem there is that it is in the report they send my dr so not much gets done. I am taking antidepressents because of the pain. I have been classified as being "severe chronic" Any insights you might have would be a great help. Thank you very much, Jodi

A: Dear Jodi, Reading your email sends chills through my spine...I truly feel for you in this time of desperate need. I had to read the note twice to make sure I got it all. Here are my thoughts. They are based solely on the info you have provided to me. More clinical info might change my mind, but here it goes...The tests you have had all come back as normal. I assume that the T vertebrae suffered some degeneration that is normal for "your age" and most likely due to the scoliosis. T vertebrae so not normally degenerate much at all, but a curvature can cause this, for sure. I do not see a clinical reason for your agony, but to me this usually signifies a psychological causation. Have you considered this possibility? I would be interested to know how bad your curve is, and any specific diagnoses or test results you have. This might help me to help you better. Please stay in touch, and I hope you can find some answers to your pain question. My prayers are with you. Sincerely, Sensei Adam Rostocki.

Q: I have severe pain and discomfort under and around my right shoulder blade in my back that radiates around into my right chest just to where the ribs meet the sternum. It has now started to cause numbness in my right arm into the index finger and thumb. I have had a nerve conduction study, as well as an MRI of my neck, and a CT scan of my chest and no one can seem to find the cause. I had the first onset of the shoulder pain shortly after delivering my daughter seven years ago, I received an epidural for this delivery. The pain has not gone in this time. Could you please help me with this as I have been to several doctors with no help. I don't know what else to do. I thank you so much for your time in this matter. Sincerely, Joey

A: Hi Joey, The problem could be a pinched nerve. If the nerve study came back positive, it is unlikely, but still possible. Musculature can also pinch off a nerve signal, not just a spinal condition. I do not know exactly what type of study you had done, so it is hard to judge... The most logical and likely answer is that your neurological symptoms are being caused by oxygen deprivation. This is the most common type of pain experienced by all patients. It will not show up in any imaging studies, since it leaves very little evidence. The only way to be sure is to check the nucleus of the nerve cells... I bet that is what is happening in your shoulder area. You can read more about oxygen deprivation back pain on my site. I hope this helps you and that you can end this pain soon. Best to you. Sincerely, Sensei Adam Rostocki

Q: Dear Sir, first of all congratulations on an excellent website! I have suffered with back pain and tension headaches for too long and am determined to fight back. Dr Sarno's book has taken me along a certain length of the path but now I need further guidance and I feel your book will help. My question is quite simple, is it possible to buy the book in lieu of downloading it via pdf as, one, i am on 'dial-up', and two, i am running an ancient win98 system!! If it's pdf only could you tell me how many kb or mB it is so i can prepare for all the a4 paper needed! Regards to you and your staff in the USA from here in UK and a Happy Christmas to all! Matthew

A: Hi Matthew, Thanks for the comments on my site. I always appreciate positive feedback. I hope that you can continue to make progress towards a real cure for your pain. The book is a 628 kb optimized download. It is approximately 80 pages. I do not sell it in print anymore, since it costs more to ship then the customers will pay. I will happily email it to you in lieu of a download if that will help you. As far as me and my staff...well, it is just me. The book, the site, the design, the reader interaction...I do it all. It keeps me busy, but it is a labor of love. Feedback from readers like you help keep me motivated everyday to keep writing. Let me know if you need the book emailed, or if you have any other request or suggestion. Best to you for the holidays and every day. Sincerely, Sensei Adam Rostocki

Q: I had surgery back on 1st of Sept. 2006. They replaced the L5 with a metal disc. I have no pain in my back or legs now. That part is great. The problem that I am haveing is ED which I did not have at all before surgery. My surgeons PA warned me that ejecculation my be a problem after surgery. But now there isn't hardly anything going on. I sometimes get an erection and it dies quickly. I have a beautiful loving wife and she is not the problem. The surgeon says that he did nothing to cause the problem and seems reluctant to help me. I am 59 years old (YOUNG). Do you have any advice. Oh by the way good web site. Jesse

A: Hi Jesse, Sorry to hear about your problem, but I am happy at least your back pain is relieved. Thank you for the kind comment on my site, it means a lot to me. Your surgery was fairly recent, so I would not panic. Your body may just need some time to fully recover and learn to function normally again. I do not like the attitude that your surgeon displays, but I can not say that I am surprised by it. I would recommend consulting with a good urologist and asking what they might make of your current situation. Whatever you do, don't stress too much over it. That can only make the condition worse. Hope this helps a little...Best to you, Sincerely, Sensei Adam Rostocki

Q: I have backpain and everytime it happens my left leg and arm become numbed. I suspect that I'm pregnant right now. Gerlyn

A: Hi Gerlyn, Congratulations on the pregnancy. The clinical picture of the pain you are describing makes little or no sense. The only cause could be multiple injuries or more likely, oxygen deprivation. If you send me more information, I might be able to help you better. Good luck, Sensei Adam Rostocki

Q: Just curious. I had an EMG had radiculopathy in C5 area. Can this cause tingling in face, more specific cheek bone??? I have tingling in lower left arm, also have ridiculopathy in lumbar spine which causes tingling in left leg. thanks, John

A: Hi John, Yes, facial tingling is possible with a pinched cervical nerve. However, don't you think that it is strange to have tingling in all these areas of your body at once? I doubt that any of your symptoms are caused by any radiculopathy, as chronic nerve problems are indeed rare. Oxygen deprivation is a much more likely and plausible solution. Just my 2 cents worth, but it has been my experience... Best to you. Sincerely, Sensei Adam Rostocki

Q: Need immediate help/info--daughter has badly herniated disc L5-S1; was scheduled for surgery until pre-op bloodwork showed pregnancy at approx. 6-8 wks. gestation; surgery cancelled. she is 10+ pain level. My heart is breaking and I am so afraid for her. Please let me know if you have any HONEST and PROVEN relief information. I have read that surgery CAN be done on a pregnant woman as written by an anestheseologist in a journal somewhere; is this true?? Bev

A: Hi Bev, Seems strange that the pregnancy and back pain came together. This is often NOT a coincidence...Sure surgery can be done on anyone, pregnant or not, but it is not advisable. Any anesthetic poses a risk to the baby. Beyond that, I would almost NEVER recommend surgery for a herniated disc. I speculate that the pain you are describing is coming from a completely different source. It has been my overwhelming experience...Best to you and your daughter. Sincerely, Sensei Adam Rostocki

Q: I have had lower back pain for nearly 2 years. I have tried all the traditional methods except surgery. I just started using the DRX9000. My questions are two fold: What is your opinion of it and what cost should I pay to use it? Thanks, Jim

A: Hi Jim, I have several articles on spinal decompression in the TREATMENTS section of my site. I think it is a good option for those that have not responded to traditional conservative treatments. As far as cost, it really depends on where you live and what the market will bear. DRX9000 is a state of the art technology, so expect to pay a premium for the treatment. The machines are incredibly expensive... Best to you. Sincerely, Sensei Adam Rostocki

Q: I have two herniated discs. L2/3 and L3/4. Have been in IDD therapy for three weeks. Sometimes I think it helps then it dosen't feel like it at all. Question. For the past two weeks I have had burning in my middle toes and sometimes the ball of my foot, bi-laterally. Help me what is going on? Lynn

A: Hi Lynn, The symptoms you are describing can be a product of some nerve involvement due to the herniated discs, or might be related to oxygen deprivation affecting the spinal nerve roots at the same levels...It is hard to tell from the info you have provided. If you send me a more complete clinical picture, I might be able to tell you more. Best to you. Sincerely, Sensei Adam Rostocki

Q: hi,I am 42 years old, I was diagnosed to have lumbar radicular syndrome by my doctor (lower back pain, affecting the left leg). My doctor referred me to physio therapy. I go there twice a week. My therapist does 10 minutes massage for my lower back and then for 10 more minutes my therapist places 2 electrical pads on my lower back to reduce the pain. I take 30 minutes walk everyday, in addition I do simple light exercises 3 times per day advised by my therapist. All these activities help me, but do not cure me. I take sometimes diclofenac or ibuprofen to kill the pain but only when necessary. Sitting for more than 15 minutes is difficult and painful. I get weak legs when standing up for more than 30 minutes so I need to sit down. Lying flat on by back is painful, on the right the pain is reduced. I have been like this for 2 months now, but before this period I had general back pain for about 3 months and pain gradually developed until it settled in the lower back. It is very annoying. I would appreciate if you could help me by giving me futher advise on how to reduce the pain or to be totally cured. Many thanks. Sona

A: Hi Sona, You are not cured since you are only receiving symptomatic treatment. As long as you continue in this type of therapy, you will continue to have pain...I do not know all the facts of your condition, but it does not sound like a pinched nerve to me. Usually, this will have a more definite clinical picture than your general pain. You might be suffering from oxygen deprivation back pain, which is the most likely cause of your varied pain conditions. I would read more about this possibility and think about the fact that your pain is likely more than it seems. Ischemic back pain is usually the result of some psychological process... Best to you. Stay in touch and let me know how you are doing. Sincerely, Sensei Adam Rostocki

Q: Hi, my name is Julia, and I am fourteen years old. I was diagnosed with Sherman's Kyphosis with a curve of 67 degrees. It is only noticeable in the x-rays. I would like to know if theres anything else I could do besides bracing. I have a brace and am supposed to wear it 23/24 hours a day. Please let me know if there's somthing that will help me besides bracing and stretching. Thank you

A: Hi Julia, Most cases of Sherman's Kyphosis resolve themselves with no additional treatment. Commonly, the condition is caused by the rapid growth rate that adolescents experience. Once your body starts to mature, the curve should stabilize or even decrease. There is not much else that can be done now. Scientists are working on developing genetic treatments that might help people in the future not to develop this condition. For you, just keep doing what you have been doing, and don't worry. You will be fine. My best to you. Sincerely, Sensei Adam Rostocki

Comment: "The sound produced by a spinal manipulation is akin to the cracking of one's knuckles, and is medically termed "crepitus"." I believe the above from your website is incorrect. It is called a "cavitation." Dr. Asim

A: Hi Doctor, Thanks for the comment. It depends on your belief about the nature of the sound. Most medical doctors say crepitus, some chiropractors say cavitation. Regardless, I will make both terms available on the site. Thanks again, Sensei Adam Rostocki

Q: Hello savior of backs. I have an issue that I will attempt to describe. Because of your website, I am cerain I have a pinched nerve, but I know little else or a remedy. I am a 24 year old, active basketball player that no longer posseses the ability to play. I awoke one morning after a previous nights basketball game and felt acute pain located in the lower left side of my back, where the last rib meets my spine. I consistently feel pain when I perform a sit-up @ 10 degrees or when I lay flat on my back with my head propped up more than 5 inches. When I stand up straight and look down to read, the tilting of my head causes the lower left side of my back to go increasingly numb. I have been taking advil, 3 times daily and have suffered for 6 weeks in-a-row. The main reason I write to you is because I do not possess health insurence. If you have a cure or a descriptive answer related to my symptoms, I would be forever in your debt. Aaron

A: Hi Aaron, Pinched nerves can cause this type of pain, but for 6 weeks...not likely. I would definitely lose the Advil. Staying on it for that long is a no no... Did you do anything to injure the area? Is there any pain or numbness in any extremities? More info will help me to help you better. Write back to tell me everything that seems relevant, and I will do my best to assist you. Sincerely, Sensei Adam Rostocki

Q: My mum had surgery on her back and had second sugery to repair a cfs leak please could you tell me how they repair it. Vicky

A: Hi Vicky, I do not know which procedure was used to correct your mom's cerebrospinal fluid leak. My best advice is to contact the doctor who performed the surgery and ask them what type of procedure was done and the details of that specific procedure. Best to you. Sincerely, Sensei Adam Rostocki

Comment: Hi, This is a very helpful site. I looked up 'Bowen Therapy'. Is this the same as Myotherapy or Myopathy (I'm not sure of the correct name) as my brother and father had this treatment. My brother had a bike accident and has had chronic back pain ever since (approx 12 years). He has been going to Physio's and Chiropracters for all these years and would receive some relief but generally always had problems. One of our family friends who is in her 70's and has had back problems her whole life went to this Bowen Therapist for approx 7 sessions and hasn't had a problem since (approx 2 years). My brother has since been for 3 sessions and in 6 months hasn't had anymore pain. This was from going to Chiro / Physio up to 3 times a week for 12 years to 3 visits of this treatment and no pain!

Having had a fall 5 years ago and being consistently in pain ever since, I have tried everything and after hearing this, went to receive this treatment however did not go to the same person as he is a few hours away. I went 10 or so times and felt relief at different times but am no better.

After seeing this 'miracle' with my brother and family friend, I can say I truly believe in this therapy however, it seems extremely evident that it depends on who you go to and their experience. Mary

A: Hi Mary, Sometimes I believe it more the healer than the therapy. Obviously Thomas Bowen has a real gift for healing that some of his followers share. In martial arts, there has long been debate about the best style. I always said that it is more a matter of the best practitioner regardless of style. I think this ideology holds true for any professions. I am happy to hear that your friend and brother had such wonderful success with Bowen. I hope you can find the same success soon. Sincerely, Sensei Adam Rostocki

Q: Dear Sensei, Your site is great and so comprehensive. Thanks for being there and for all your information. This past month I have been experiencing pain in my right shoulder blade area which permeates to my neck, right arm and down to my fingers which feels numb and always aching. I don't get much sleep at night because of this pain. My husband has been massaging me though it hurts and just giving it attention seems to help a bit. However, I started going to a chiropractor, took x-ray and it showed I had a herniated disc, plus my neck seems to be going the wrong way. Funny huh? He worked on me 3 times and suggests regular treatment. He even suggested coming if there was no pain eventually as tension and stress seem to cause back pain, etc. So I agree with you that this is not working to stop the cause but just working with the pain. He also said that massage is bad for me. I live in Okinawa and have started going to the onsen for water relief and relaxation, and hope this will relax my muscles, and maybe help if it is oxygen deprivation that you seem to also suggest could be a cause for a pinced nerve, as the chiropractor said it was this. He said to use cold compresses on the areas that are painful, whereas you suggest heat. I also heard before that it's good to alternate bewteeen the two. Which is right? I had been going to the gym regularly, but stopped during the holiday season. I think that once I resume exercise this should also help. By the way I am 55 years old if that matters. I appreciate any suggestions you can give me. I know this is not a lifetime pain as I believe in God's healing powers and prayer and that there are lessons and spiritual reasons for physical afflictions, but if I do what I can, then He will do the rest. God bless you! Honey

A:Hi Honey, Thanks for the kind letter. As far as heat vs. ice, it is simple. Ice immediately after a new injury or re-injury for 48 hours. Heat is best after that...Ice reduces swelling but prevents blod flow. Heat encourages bloodflow. You want to encourage blood and oxygen to the site...

I am not surprised by the chiropractors desire to have you as a long term patient. I just wrote quite a few new pages on chiropractic as a business. It is brilliant to build in a profitable business plan directly into the treatment philosophy. Wish I had thought of it...lol! Anyway, pain from a pinched nerve or herniated disc should resolve in a matter of weeks with little or no treatment. I think massage is fine, and always a benefit for almost any injury. If you continue to have pain, write to me again, and I will see what I can do for you. Best, Sincerely, Sensei Adam Rostocki

Q: My Chiropractor took an ex-ray of my back 6 years ago and then took another one recently. The ex-ray showed I had developed spurs on my spine. Is there anything I can do to further prevent any other spurs and is there any thing I can do to reduce the ones already formed? What causes these things anyway? Thank you, Nancy

A: Hi Nancy, Bones spurs are a common side effect of the normal degenerative processes that occur in our spines. They are rarely painful or symptomatic, but are often blamed for unexplained back pain. Bone spurs actually occur all over the body, not just in the spine. Here is some additional info for you... http://www.cure-back-pain.org/bone-spurs.html http://www.cure-back-pain.org/back-pain-scapegoat.html http://www.cure-back-pain.org/degenerative-back-pain.html I wish you the best. Sincerely, Sensei Adam Rostocki

Q: I in a lot of pain. Am currently taking morphine for the pain. Bulging discs on L4-5 and L5-S1. Am from Canada and find treatments here are a bit behind those in the states. Need immediate relief from this pain. L5-S1 bulged first time 18 years ago and L4-5 in summer of 2005. Please reply ASAP with some suggestions regarding good clinics to contact in the US. Sincerely, Jody

A: Hi Jody, I am so sorry to hear about your desperate condition. I do hope you find some relief soon. I am actually in the process of working on a doctor referral directory, but it will not be online for some time. The only doctor I can recommend unconditionally is John Sarno at the Rusk Institute here in NY. My best advice is to search Google for a particular area close to you and the type of doctor you want to see. Example... "New York Orthopedist"

It is rare for herniated discs to cause such pain, although they are often blamed for it. I know from experience. My discs are in worse shape now than ever and I am completely pain free. I would also advise to get off the Morphine ASAP. It is a poison to your body and soul. Stay in touch and tell me how you make out. Sincerely, Sensei Adam Rostocki

Q: I have 2 degenerated lumbar discs. Will this DRX help me and how much will it cost and where can I get this proceedure done in the Jupiter FL 33458 area ? Jerry

A: Hi Jerry, DRX9000 might help you if you are experiencing pain due to these degenerated discs. In my experience, disc degeneration is rarely the source of pain. If you want to pursue this treatment, simply do a Google search for DRX9000 Florida. There are so many results, and you would know the locations far better than I. Best of luck to you. Sincerely, Sensei Adam Rostocki

Q: Thanks for this site. I'm a fellow martial artist, ready for a fight in the dojo, and have suffered bloody sparring injuries without so much as a murmur, but just now reduced to teeth-chattering, shouting agony by a back spasm producing the worse pain I;ve ever experienced. It's helpful to know I'm not the only one, and your description of the agony of the spasm makes me feel less alone, and less of a weakling. I don't know what the prognosis is, but thanks for the advice. Grahame

A: Hi Grahame. Sorry to hear about your pain. Like I say often throughout my site, "You have to live through it in order to REALLY understand horrific back pain." I hope you can find the cause and then the cure. Stay in touch and tell me how you are doing. Sincerely, Sensei Adam Rostocki

Q: Hello. My name is James and I am 18 years. I am experiencing some back pain wich is of course the reason why I write to you. Recently, about a week ago, I to was playing basketball. I don't normally play a lot of a basketball but I regularly run so I am in shape. Anyway, I had been playing for about 2 hours I guess when I began to experience what I thought to be a runners cramp in my lower left back.(A stitch in my back/side) I can't name an event, like a very high jump or hard fall that caused it, it was more that I just noticed it and as I continued to play it worsened. I came home and went to bed thinking I would be better in the morning. However, when I awakened I realized the pain had not gone. It has lasted over the last week. It doesn't hurt all most of the time and actually it is barely noticeable except when I run, jump, or run up stairs but then it hurts pretty bad. Not a sharp pain, more a strong, sometimes throbbing ache. I think the pain is specifically located directly to the left of my spine, right at or maybe an inch above my waistline. There are two bone nubs (if you will), one directly to the left and right of my spine, at that location. I am told these may be the top of my sacrum. Anyway, the pain seems to be under that left bone. It hurts especilly when I am running jumping or landing with my left foot. (I noticed the pain subsided when I would more gallop, using my right leg as much as possible.) Anyway, I orginally thought it to be a pinched nerve posssibly because my muscles don;t seem espicially tight and because it almost felt like something was being pinched, as a said, like and intenses runners cramp, not a muscle cramp and but a stitch in my side/back. Anyway, I have experienced no numbness or tingling though so I am not really sure what it is. If you have any thoughts on what it is or what i could do to help it that would be greatly appreciated. As I said, it has really not changed in a week except to get a bit worse when I tried to play basketball again. Thank you, James

A: Hi James, Sounds like some soft tissue injury to me. Sports are the most common cause of general muscle and ligament damage. I think that is what you have, based on your description. I would not worry about it, but don't keep re-injuring it. This type of pain might last for up to 2 months, as mine has in the past from martial arts training. If you continue to have pain after this time, or if the pain worsens, I would recommend getting checked out. Hope you are well soon. Sincerely, Sensei Adam Rostocki

Q: My husband just had a second disectomy Nov 9,2006. Got a cold (4 wks post-op) coughing sneezing. Is it possible he re-herniated the disk? Says the pain is different then before surgery. He has sharp pain in the buttocks. He is doing exercises, says they don't bother him while doing them, just hurts later. He Doesn't eat right. Michelle

A: Hi Michelle, It is unlikely that your husband re-injured a disc from coughing. If he has a complete discectomy, there would be no disc left to re-injure anyway...It sounds to me like his pain has been blamed on the discs, but keeps recurring despite treatment. My bet is that there is another cause, and he will continue to have pain as long as he goes along with the disc pain diagnosis. Check my site for pages on BACK PAIN SCAPEGOATS and MISDIAGNOSED BACK PAIN. I think these are the most relevant to him at this point. Just my thoughts...Best to you. Sincerely, Sensei Adam Rostocki

Q: I'm a 40 year old male that first experienced back pain 3 years ago. I have been seeing a chiropractor on a regular basis since then. My spine was curved and she fixed that but I still experience other back problems. Since August I started to experience occasional "moving" back pain! But 5 weeks ago (after slipping on some ice)the soreness/pain has become quite intense. The x-ray indicated the bones spine is OK but I have 2 spots/marks and some arthritis. The pain moves every few days from all over my back/chest -left/right side. Have you heard of this? Thanks. Tony

A: Hi Tony, I am not sure what "spots/marks" means. Did they find some injury? Regardless, it is unusual for physically caused back pain to jump around as much as you describe. Have you considered the possibility that your pain might have a psychological cause? To me this makes more sense than the clinical picture you are describing. Let me know how you feel about how this may or may not apply to you. Best to you. Sincerely, Sensei Adam Rostocki

Q: I located this site through a tension myositis syndrome link. Are you familiar with Dr. Sarno and his theories on TMS? If you are familiar with him do you believe his theory? I suffer from fibromyalgia and arthiritis along with IBS, Iritis, acid reflux etc... His philosopy is that all this, in addition to chronic back pain is attributed to repressed anger or repressed emotions and if a person truly believes this is the real problem they will be healed of their pain. HMMMM!!! Candy

A: Hi Candy. I am sending you some links so that you can see exactly how I feel about all these topics you ask...
http://www.cure-back-pain.org/tension-myositis-syndrome.html
http://www.cure-back-pain.org/relief-from-fibromyalgia.html
http://www.cure-back-pain.org/psychological-back-pain.html
There are many pages that link off these 3. I would recommend reading them all. Dr. Sarno is 100% correct. The solution to almost all the pain you describe is by acknowledging and solving psychological issues, not enduring medical treatment. Best to you and let me know what you think after reading these... Sincerely, Sensei Adam Rostocki

Q: I have burning down my leg and feet also in the muscle of legs. Wondering what it could be...Selma

A: Hi Selma, Your description is too general for me to give you any advice. If you send me more specific information, I will do my best to help. Sincerely, Sensei Adam Rostocki

Q: Came acrosss your site, mentioned on the TMSHelp forum. I'm 45, have suffered from 20 years of lower back pain, tried everything conventional and alternative just like you. Also had 2 microsurgeries for herniated discs, supposedly minimally intrusive, but the last one has left me in severe pain and quite disabled.

Comment: So many seem to say how much Sarno's approach has dramatically helped them, even cured them. This has not been my experience unfortunately, at least with back pain. I have all 4 of his books (plus Scott Brady's plus Monte's ebook), read them over and over and injested them throughout the past two years, done the work, dug deeply into and unravelled my inner workings and repressed emotions, gone regularly to a good psychotherapist, practiced mindfulness as much as is humanly possible. I have come to a greater sense of inner peace, understanding and awareness, and the chronic fatigue syndrome I also suffered from for years has pretty much dispersed (one big victory!) But . . . there has been no movement whatsoever in my low back pain. In fact it has worsened.

Now I fit the Sarno personality profile and see myself in his description, and have learned from his books not to be scared by the structural 'diagnoses', and I do believe they really are mostly bogus. But despite this I find that ignoring or challenging the pain as so many say to do to be disastrous - setbacks from pushing my limits have lasted months. The pain, at least for me, is not harmless at all and can leave me completely unable to function.

Also, I keep moving as much as I can within my limits, and have to do gentle stretches, mobility movements, stabilization core work (Based on Rick Jemmet's book) and self trigger point massage daily, well over an hour a day, or I deteriorate rapidy. I tried to discontinue all these 'physical' treatments as Sarno and his followers say, but within a few weeks could barely get out of bed and it took a couple more months to get back to where I was before I stopped the daily exercise/massage work. Since I have to live and support myself and family, it is just not an option to give up these exercises as they do give a window of a couple hours where I can almost function. They work better than any pain pills, at least temporarily.

So to be honest I'm at a loss. I've come to the conclusion that either Sarno/TMS is really not the answer to my particular back problem, or that my subconscious is really pulling one serious job on me. I've dug into virtually everything that could be lurking down there, about all that is left ongoing is the extreme frustration caused by the pain and ongoing disability itself.

Sorry to go on, but I thought I'd share my story. I do appreciate that you dont share the knee jerk negativity towards all physical approaches that Sarno and many of his followers do. You also seem to imply that not all lower back pain is 'psychosomatic'. You are not as extreme about it and that is quite refreshing.

Question: Is there anything in your books or your approach that is any different than Sarno's? Just wondering if there honestly might be any 'secrets' or insights that you have, as a former sufferer, that he doesn't have that might be of help to myself, someone who has truly seen and tried it all.

I have a feeling we may be only scratching the surface of what may be going on in complex lower back pain, physically and psychologically. The understanding of it all is still a work in progress. But perhaps we are getting closer. With best regards, Peter

A: Dear Peter, Your letter has really touched me a so many have in the past. I read it twice to catch all the details... I DO think that your pain is psychosomatic based upon your description of the pain and the way it responds to treatment. I think you might have some really stubborn issues at work in your subconscious that refuse discovery. Sounds cryptic, I know, but I have seen your type of pain before. It IS possible to beat it...There are some definite signs of a psychological causation directly in your letter:

The fact that you are holding on to the exercises, stretches, and self massage is proof that you still believe in the structural diagnosis to some extent. It is IMPOSSIBLE to cure the pain if you hold on to this idea. The fact that you mention having to work to support your family shows me that the pain still holds a tremendous fear for you and that you allow it to hold a great power over you.

I do not think that all back pain is psychosomatic, but I think that most pain is either caused or perpetuated by some psychological process. Of course, some patients DO have physical injuries or disease that cause chronic pain. I know that you don't want to hear this, but I do not think you fit into this category...

As far as my book, I am very honest. It is a memoir of my struggle with pain. I wrote everything I could think of that might be of some use to suffering patients. Every trick, strategy, or idea that helped me is in there. It is written from a different point of view than Dr. Sarno's or any other I have read. It has been of use to many patients that needed a different perspective on the pain. I am not a good salesperson, nor is that my intention with my site. I really just can't stand the fact that so many are suffering as I suffered before. Basically, it is there if you want to try it...

I don't know you, Peter, but I do have much experience with patients like you...like me...

I get the sense that there IS something else in you that needs to come out. You did not mention if your psychotherapy was with a therapist trained in TMS treatment. My best recommendation would be to go see Dr. Sarno himself and have him set you up with a psychotherapist trained in this particular aspect of psychosomatic pain. Some psychotherapists just do not know how to approach the matter correctly. If you have done this already, then I can only advise you to keep searching for the answer. I believe it is inside your mind, not your spine. If I can help you further, do not hesitate to ask. I can sense your frustration and desperation and it hurts my heart. My best to you. Sincerely, Sensei Adam Rostocki

Q: I appreciate your website and read it with interest because I seem to find myself in the same situation with being diagnosed with a lateral herneated disk L4:5 and two small tears in the disks directly above and below plus mild osteoarthritis in the facet joint. I am more or less going through what you describe and have been suffering on and off since my early 20's I am now 37. Like you suggest I have been trying to work through all of my issues both emotional and physical to try and resolve this pain. I have always been overweight, but last year I made a huge effort to loose the excess 60lbs and I have been excercising regularly for about 3 years but I increased my work outs to incorporate core strengthening excercises as the weight came off. I regularly visit a chiropracer who has made a difference and gotten me off all of the muscle relaxants and anti-inflammatory medications. I had faith that I was following the correct strategy for a life without backpain. The emotional triggers also crossed my mind as I have read the book by John Sarano. During the summer months I took a trip home to the UK and during this time I was so dissapointed to have a bad episode with my back and spent the whole two weeks with nasty sciatica and acute backpain. I spent three days of my holiday flat on my back to prepare myself for the journey back home to Canada. I did manage to find a chiropractor who managed to get me back in shape for the journey home and I was fine for the flight. This episode stressed me considerably as three weeks later I had to travel to Victoria BC to attend a conference for work. In fact I was so stressed that I was actually suffering from panic attacks at the mere thought of a 7 hour flight. Despite talks with my chiropractor, trips to the massage therapists I really didnt want to go on this trip, I just had a bad feeling. Friends around me convinced me it was in my head, stress related and once I was on the way I would be fine. Needless to say I wasnt fine and that week was the worst ever in my whole life. My back went chronic from sitting on the flight and when I arrived at the hotel I was in so much pain that I had bad sciatica, backpain and numbness down both legs. I was really stressed and frightened but I was determined to attend some of the conference so I went for the first day and gave my talk in chronic pain. I just remember talking but my brain was completely detached from my body and it was like I wasnt really there.

When I could no longer manage the pain, as lying down did not help and the ice machine in the hotel was broke I found a local doctor and went to see if I could get some pain killers. The doctor would not prescribe me any medication but sent me to a physiotherapist and I also found a local chiropractic centre that had massage therapist. I had treatent everyday but the back was so painful that I felt physically ill while the therapist was working on my back. I cried so much and I was so stressed at the thought of having to sit on a plane for 7 hrs then a 2 hr car ride home when I couldnt walk or even bare to sit for 10 mins.

The night before the flight back I cried the whole night, luckily a friend was flighing back with me so he packed up all of my stuff and carried all of my luggage. When I got on the plane the effects of my pain killers were already wearing off and I had taken so many that week that I was simply afraid to overdose as they didnt touch the pain. Furthermore I hadnt slept in 7 nights as my pain was so severe so I was exhausted. Dont ask me how, but somehow I managed to survive the flight but when we arrived back in Toronto I asked friends who picked us up to take me to hospital where I finally got morphine related pain killers and sleeping pills so that I could rest.

This happened to me in September and I was paid up to attend a friends wedding in Mexico in December. I managed the trip to Mexico but suffered pain throught the whole holiday and had an acute attack which knocked me out for almost 3 days. I couldnt sit through the entertainment at the hotel as my back was too painful sit and I couldnt enjoy my evenings as I cannot dance anymore because of my back. I actually got a massage on holiay to try and relax my back muscles but afterward the whole of my lower back became so inflaimmed that it was actally physically visible as a swollen ring. When I got back home depression set in and I spent Christmas feeling very depressed and hopeless about everything. Depression ruined my healthy eating plan and backpain made excercise difficult so I have piled back on 40lbs since my initial chronic attack in September.

The doctor perscribes me pain killers, anti-inflams and muscle relaxants and referred me to a physiotherapist and an anasthesiologist, I continue to see my chiropractor and try not to take prescribed medications. My physiotherapist told me that it looked like I have a disk issue but that there was a facet joint problem which was proven recently by the MRI scan. The chiropractor thinks that my pain is mostly coming from my head or mostly an emotional trigger. It is true I am in a couple of difficult relationships emotionally and I have a very challenging job thats hard to do with constant backpain. Plus I am alone in Canada as all of my family is in the UK. I know all of these issues could be contributing to my back problems but if it is emotional then the pain is being triggered by my brain in a subconscious manner as I have really been working through my problems and practicing breathing and excercise techniques to reduce my stress levels.

I have just had the first of three epidural injections as the physiotherapist together with the anasthesiologist thought this might help to address the nerve endings that were perhaphs over zealously triggering pain in my back. Interestingly I have had no pain since I gave up doing any form of excercise after my holiday. This doesnt fit in with what is recommended at all I know, but after 4 months of chronic backpain I stopped excercising and I didnt follow a healthy diet, gained weight and my backpain just went away.

I have been really trying to find the answers in my case, I even have my physiotherapist stumped as she cannot understand my body either. Maybe I am crazy and it is all in my head and I am doing this to myself, if this is the case then I wish that I could stop. I do have issues in my life and I admit that I am not truly happy with my personal life. I dont think I have more problems than anyone else but if you have any ideas on what I can do to stop this back pain I would really appreciate your advice. How did you know in your case that your pain was being caused by something non physical? How did you change this. I have been through the devastation and depression, I dont believe that a good diet and excercise and being slim makes much difference in my case.

I used to enjoy travelling and be an outgoing fun very active person, now I have panic attacks at the thought of going away from home and my work starts to suffer as I need to travel for my job. I dont even like to make dates with friends for the weekends because if I have alot of pain I just prefer to stay at home alone as I cannot predict from one weekend to the next if I will be painfree or not. I am quite alone really.

I hope that oneday I will be able to figure out what my problem is and be truly free of this nightmare condition. Melanie

A: I tried to send this reply to you immediately Melanie, but your email would not accept it...

Hi Melanie, Yours is the second letter of the day that really got to me. I can sense the desperation in your letter and it really breaks my heart...

I can almost guarantee that your pain is completely psychosomatic. It seems that you have many issues including family, work, and personal image. I think that all the treatments you are doing are making things much worse for you. I also think that your pain relief by stopping exercise and diet certainly confirms the personal issues you have with your own self esteem vs. what you feel society expects from you. I can assure you that there is a life on the other side of all this pain and it is possible for you to achieve. You NEED to come to terms with the issues causing your pain and get off the pain medicine and placebo treatments. I have rarely been so sure as in your case...

I advise you to keep reading pages from my site. Search on the following terms for applicable pages...back pain fear. back pain frustration. psychological back pain.

These are all applicable to your scenario. I really do hope that you can find some relief. Please stay in touch and let me know how you are doing. My best to you and know that you are not alone. Sincerely, Sensei Adam Rostocki

Q: Please is there any way I can raise money to help my girlfriend who has had surgery on her back and is in severe pain every day. Do you know of any doctors who whould help her. She has no insurance and is in soo much pain. Help us come up with some idea to save this wonderful person who hurts so much everyday........Thank you, Ken

A: Hi Ken, I am no expert on money. My advice is to go to a state or county run medical center and apply for assistance. I know it is available since a few of my students have received it in their time of need. Alternately, you can get her a low cost insurance plan especially tailored for her ongoing condition. Plans like this can be had here in NY (which is usually more expensive than almost anywhere else) for as little as $240 a month. I wish you the best. Sincerely, Sensei Adam Rostocki

Q: I have had this awful pain in my back for the last 2 months. Getting worse and worse. Starts in the middle of the back, travels through shoulders and now it feels like it's my whole back, including lower back. I've been trying psysiotherapy, started massage treatments but nothing is helping. X Rays didn't show anything. Now I'm so convinced that something is wrong that I'm having a loss of appetite and not sleeping (also not sleeping because of pain). Would a Cat Scan or MRI show what the problem is? Should I insist on one through my doctor? Dina

A: Hi Dina, I would get the test done if possible. The pain you are describing sounds more like psychosomatic than physical, but better to be safe than sorry. At least you will have a more complete clinical picture of the pain... Best to you, Sincerely, Sensei Adam Rostocki

Q: My daughter who is 20 years of age stated her knee hurt and then her big toe is numb. Does this sound like back problem to you? Vicki

A: Hi Vicki, It could be any number of issues. I would advise monitoring it and seeking medical attention if it persists or worsens. Sincerely, Sensei Adam Rostocki

Q: Whenever I have an explosive situation, such as an argument at home I will leave the situation and my back(lower)goes into throbbing sharp pain. It only does this when I have an altercation with someone. I know what your thinking...okay..but my house is filled up with crazy. Hope you have heard of this at one time or another. Candice

A: Hi Candice, This certainly sounds like stress related back pain at its best. It is easy to cure using knowledge therapy. Pain from conscious stress is far easier to resolve than pain from subconscious issues. Best to you, Sensei Adam Rostocki

Q: I looked your site over. I guess I fit in that supposed small percentage of real pain sufferers. I have had back pain since I was a teenager. I have seen multiple chiropractors over the years to keep things going. I am now in my late 40's and have had MRI's on my neck and lower back, due to pain and obvious nerve impingement. My scans show obvious compression on the nerves, and due to the advancement of the degeneration of my discs, a herniation at L4 and L5. I also have endplate changes that indicate I have the type of breakdown that causes a lot of pain and inflammation over the years and is probably due to a defective gene. This is newer information I guess. Your comments about pain free breakdown must be for the people that have painless docomposing going on. I don't believe any of your suggestions here will take away pain permenantly. An object pressing on a nerve that causes the nerve to respond is going to cause something to happen. It is just a matter of what. If you are younger and have an accident that causes a sudden herniation maybe it can become pain free. If your back is undergoing a breakdown process that involves revolving bouts of inflammation, healing, scarring and breakdown. It will not be pain free and eventually disabling. Christine

A: Hi Christine, I could not disagree with you more if I tried... First, there is little proof that any of these conditions causes actual pain. Second, there is no proof that any of these conditions causes inflammation of any kind. Nerve involvement is extremely unlikely to cause long term pain. I also take exception to your comment about "small percentage of real pain sufferers". ALL BACK PAIN IS REAL PAIN, psychosomatic or not. The pain is caused by the mind, but truly experienced by the physical body. Endplate changes have less to do with genetics and more to do with the normal aging process, as does disc degeneration. Continued nerve compression does lead to a clinical phenomenon called NUMBNESS, not pain. Ask your neurologist... I feel bad for you, but I will continue on my mission of helping others to learn the truth and dispel the old myths about back pain. I have helped tens of thousands...That is no accident and no placebo. This is a FACT regardless of your opinion on my ideas. I think you have missed the point of my writing entirely. The proof in my ideas is the vast amount of patients that have achieved a complete cure by realizing the psychosomatic nature of their pain. All the proof you have is your own experience of one patient that is still in pain despite years of treatment. It is not a very compelling arguement...Written with sincere respect, but utter disagreement, Sensei Adam Rostocki

Q: Today my wife slipped on the second step from the bottom of the stairs and landed hard on the bottom step, landing on her butt.She landed hard enough to knock the breath out of her. After she regained her breath she said her back hurt like a band of pain across the middle of her back. We walked around a bit because she said it hurt more when standing still. After she took some Advil and applied heat to her back the pain is now just on one disk of her spine. I've gotten her to lay down on a heating pad which has helped the muscle pain.I'm going to look through your site, but wanted to see if there was anything else we need to do. John

A: Hi John, Sorry to hear of your wife's unfortunate accident. For this type of injury, I always recommend seeing a doctor to make sure there is no fracture or other serious problem. After that, I would recommend following the general advice outlined in my site. Mainly, don't become frightened by some diagnosis and develop chronic pain from a simple fall. I am sure that she will be fine, but better to be safe than sorry. Best to you both. Sincerely, Sensei Adam Rostocki

Q: I am 50 years old! I have been a transit bus driver for 10 years! I have taken a lot of time off work because I could not endure my pain anymore! Point less because the pain has not eased off and let alone go away! My pain used to be only located in my lower back but now it's all over my back and my neck pain is unbearable! I have been on difenac 75mg for 1 year and it does not help anymore! Ibuprofen xtra strength helps a little ! I would describe my pain on a 1 to 10 as a 9! Standing in front of the kitchen counter or shopping is agony for me! I have to go lay on the floor for 15 minutes to ease off the pain and to be able to carry on! Walking none stop is fine but it takes me half a day to be myself afterwards! I love my walk and I am never gonna give it up! I used to do everything from hiking to play tennis, badmington! Yoga is very painful so is pilates! I have been diagnosed with facet syndrome but I don't believe that's what it is because my pain is so extreme! Do you have any solution for me! I also tried injections in the spine and it only lasted 3 weeks pain free the first time and 1 week the second time! Boy did that ever felt great to be pain free! I have to finish this email because my back and neck is killing me ! I would be at the mercy of any doctor to be tested for research if they could assure me of a real diagnosis! Thank you!! Odette

A: Hi Odette, Sorry to hear about all your pain. The symptoms don't really sound like facet joint pain and the variety of prohibited behaviors sound a lot like psychological symptoms to me. Have you read my pages on psychological back pain? I think these might apply to you, especially since you have had a poor history of medical treatment results. Let me know what you think and I hope I can help you. Sincerely, Sensei Adam Rostocki

P.S. What is up with all the exclamation marks !!! lol...

Q: Hello, I am a 56 year old male and recently decided to taper off my daily dose of diazepam (valium) after taking them for 32 years. I have been through horrendous withdrawal symptoms over the past 2 years and thought the worst was over, but now taking only 1mg 3 times daily instead of 5mg 3 times daily, I find there are new problems and am having trouble figuring out if the symptoms I'm having are withdrawal symptoms or real back/neck problems. I have burning pains that run the length of my spine, but seemed to begin in my neck, just at the base of the neck. I also have what seems to be some kind of swelling right in the nape of my neck and this 'bursts' and leaks at times. As a result the area feels wet and sticky and a red rash has appeared now. I have lots of pain, but the worst sympotm of all is that I have terrible balance and feel like I am falling about like I was drunk, but I don't drink and never have done. My spine feels "rubbery" and the nack and back feels like it's just 'flopping' around at times and I just fall as though I had vertigo or similar. I do get pains in the area of my left ear at times which is very warm and seems to make the balance problem worse. I have a constant feeling of something moving through my spine and get a lot of strange tingly feelings in the spine as well. I have tried to find a casue for these symptoms, but still don't know if I'm on the right track. I have a broken nose which happened when I was assaulted app., 8 years ago and have had headache almost ever since. 2 years ago I went into hospital to have the balance problem looked at by ENT guys, but they found nothing. I did pick up an infection from the hospital though when they took a biopsy from my throat and I have been clearing my throat of a white sticky phlegm ever since. I am to go in again soon to have them look down my throat as I am having problems swallowing food and have pains in the throat area. I feel they are covering up and don't want to admit that they infected me last time.

I thought I would cantact you in the hope that you might be able to see some connection between some of my symptoms which might point ot the cause of my balance problem and pain. I do hope you can come up with a good suggestion. Thanks. Joe.

A: Hi Joe, Sorry to hear about your many health problems. It sounds like you need to get to a good doctor soon to have that neck problem looked at. It sounds like some sort of infection to me. Don't play around. The clinical picture you are describing needs a professional to diagnose and treat properly. This does not sound like any common back pain syndrome I have heard of before. Best to you, Sensei Adam Rostocki

Q: How do I order book from Australia? Is the price different? Thank you. Jan

A: Hi Jan, You can order the book from anywhere in the world. It is a PDF download and the same price, converted to your currency.. Feel free to write with any more questions. Sincerely, Sensei Adam Rostocki

Q: Hello, I read most of the information from your website. Here is my story, Immediately after my second pregnancy and delivery, I noticed severe leg pain, numbness, tingling in my left leg. After couple of months, doctor did x-ray and then MRI. I was diagnosed with Herniated disc, did physiotherapy, pain was much better. I was able to do my daily routines normally and I was never given the full information about the spine disc etc. I did go to couple of doctors showing my MRI, they mentioned that I should get better as days passes. After a year or so, I developed a 'Knee wear and tear" in my left leg, I did Physical therapy and pain was much better. Recently I had sever spur in my heels (left heels) and doctors gave a corticosteroid injections. I couldn't walk for 15 days, but now the pain is much better.

Meanwhile my left leg pain become severe, so doctor order me to do MRI again, between 1st MRI and 2nd MRI the time gap is 3and a half year, the result of MRI is that I have disc degenerated with L5-S1 (the same herniated disc), right now I am going thru the physical therapy, My pain is bearable (though it is sever at times) I don't take any pain killers. My question is how to over come the pain and reduce the age of disc degeneration for other disc (I know once the disc degeneration starts, one after the other will continue). How to strengthen my hips, lower back muscle, so that I can reduce the other disc hernia and disc degeneration. Thanks in advance, Punitha

A: Hi Punitha, I can advise you how to accomplish your goals, but I do not think that will help you. It seems that you have a history of pain syndromes that come and go and might well be from a psychological cause, rather than a physical one. Disc degeneration is universal and almost never the cause for severe back pain. There is no way to reduce or prevent it, just as there is no way to stop wrinkles or grey hair. There is also no need to stop it. I would recommend knowledge therapy as a way to come to terms with any unresolved emotional issues that might be the real cause of your possibly misdiagnosed back pain. This is my advice to you. I wish you a complete recovery. Sincerely, Sensei Adam Rostocki

Q: Hi, I suffer of back pain due to my large breasts. What recomendation can you give me in order to receive help from my insurance company and what doctor should I see first. Thank you, Heidy

A: Hi Heidy, This are some pages on Large breast back pain: http://www.cure-back-pain.org/large-breast-back-pain.html http://www.cure-back-pain.org/breast-reduction-for-back-pain.html

I am writing a special page on back pain reduction bras in the near future, as well.As far as getting your insurance company to pay for treatment, I would recommend talking to your doctor. Health problems due to large breasts are legitimate claims and should be covered. As far as a doctor recommendation, it really depends on what procedure you want done. It might be a good idea to talk to a few to narrow down the options, then find the best doctor in that field to treat you. Best to you. Sincerely, Sensei Adam Rostocki

Q: How may I go about having a consultation with you? Do you still have programs/lectures for the public to attend? I am plagued by migraines. My son will be graduating from NYU Law School this spring and I would love to arrange something then, or whenever. Thank you, Loring

A: Hi Loring, As I am not a practicing medical professional, I do not give consultations. I do offer plenty of free advice and opinions for specific questions. My website is my forum and I use that to communicate with my readers. If you have any specific things you want info on or any topics you need addressed, feel free to write back to me. My best to you. Sincerely, Sensei Adam Rostocki

Q: Hello, I am a fit, 51 year old male. I am very active with wieght lifting and I play tennis, that helps me with a cardio workout. I was camping with my wife, and noticed a little tinge of pain in my lower mid-back. I often can tell if I have strained my back from excersise, and will discontinue as needed. This time, there was not any activity that I could pinpoint, that caused this particular injury. The symptoms are: when I look down toward my feet, either standing or siting, it feels like someone is squeezing my kidneys, and even prevents me from breathing. It kind of feels like a temporary paralization, with pain in my kidney area, both sides, and my disrupted breathing. This has been ongoing for five days. Thank You....Robert

A: Hi Robert, Your symptoms are general and slightly vague. You are obviously an active guy and you know your limits, which is good. You might have hurt something or the pain might be coming from some other cause. I would not worry after only 5 days. Don't stress over it. Periodically test how you are recovering and I am sure you will be fine. If not, please write back and let me know everything that is going on. My best to you for a speedy recovery. Sincerely, Sensei Adam Rostocki

Q: I HAVE SEVERE BACK AND NECK PAIN DUE TO LIFTING AN INVALID AND CARRING HEAVY LUGGAGER. HERE ARE MY MRI RESULTS. WILL I ALWAYS HAVE PAIN?

CERVICAL- RIGHTWARD DISC HERNIATION/OSTEOPHYTE COMPLEX AT C5-6 RESULTING IN MODERATE TO SEVERE NEUROFORAMINAL NARROWING AND PROBABLE IMPLNGMENT UPON THR RIGHT C6 EXITING NERVE ROOT. C5-5 MILD BULGING AND ENDPLATE SPURRING. Thoracic- leftward disc bulges at T4-5, at T5-6 and T7-8 with a leftward disc protrusion at T6-7 resulting in mild effacement of the left ventral subarachnoid space at this level. Ligamentus hypertrophy is also noted at T2-3, T10-11 and T11-12. tiny right paracentral protrusion at T12-L1. Linda

A: Hi Linda, You have a lot of disc abnormalities, but there is no guarantee that these are the actual cause of your pain. They might be, and they might not... Even the MRI result states that the nerve impingement is "probable". People can have herniated or bulging discs with no symptoms. I am one of these people. Often, as in my case, the pain was blamed on my discs, but turned out to be from a completely different causation. In order to answer your question about always being in pain, it would be crucial to determining for sure if these discs were responsible for all your suffering. An overly simplified answer would be maybe... I would recommend looking into alternative treatments such as knowledge therapy to determine if your pain might be coming from some other source. If this fails, then I would proceed with medical treatments. My best to you. Sincerely, Sensei Adam Rostocki

Q: HI SENSEI, I AM SONA AGAIN, WITH THE LOWER BACK PAIN (SYNDROME). I JUST HAVE A QUESTIONS PLEASE: I FINISHED GOING TO PHYSIO THERAPY, MY THERAPIST SAID IF I GET WORSE I SHOULD GO AND SEE HER AGAIN. I WAS PROGRESSING WELL, ACTUALLY MY LEFT LEG BECAME ABOUT 70 TO 90 PERCENT WELL, BUT MY LOWER BACK STILL HURTS, IN FACT IT IS BECOMING WORSE. THE THING IS IT BECOMES SLIGHTLY WELL THEN I THINK I AM RECOVERING, BUT I KEEP GETTING ATTACKES AND BECOME WORSE THAN BEFORE, THEN REMAIN STABLE, THEN GET ANOTHER ATTACK AND SO ON. THIS HAPPENS FREQUENTLY. I EVEN FEEL THAT THERE IS SOMETHING MOVING BEHIND ME, IS IT NERVE AGGITATION OR MUSCLE SPASM, I DO NOT KNOW. MY QUESTION IS, IF IT IS WHAT YOU SAID THE CAUSE IS (PSYCHOLOGICAL PAIN) WILL IT WORSEN MY BACK (CAN IT CAUSE FURTHER DAMAGE?) OR IS JUST BEING PAINFUL AND THAT IS ALL? THANKS SENSEI, REGARDS, SONA

A: Hi Sona, If it is psychological, then the actual physical cause of the pain is oxygen deprivation. This process can be extremely painful, but is completely harmless. It causes no permanent damage and can be reversed at any time. It might feel as if it is destroying your spine, but it is just an illusion. I am living proof of that. My best to you, Sensei Adam Rostocki

Q: Hello. I'm 23 years old and have been having back pain since I was 15. That was about the time I developed breasts. In proportion to my frame my breasts are quite large. I weigh 130 pounds, am 5ft 7in, and have a 34 DD chest. Lately my back pain has become chronic and severe. I cannot seem to find anything about this on the internet and I have looked and looked. The thing is, I've always had a very arched back. When I am laying on a flat surface I can actually pass my hand under the small of my back, just barely brushing it. My buttocks stick out far because of it and just standing straight makes it look like I'm thrusting my ample breasts into the faces of everyone I know, so I've always had bad posture as well. When I was younger i asked my mother why my back was curved and she told me that I was lucky and an arched back is considered a sign of beauty. I'm having severe headaches, abdominal pains, that I'm seeing a gynecologist for and am unsure as to whether my back could be contributing to my symptoms. What is a normal curvature for the spine? Do you think it should be brought to the attention of my doctor or am I really stretching for answers here? Mindy

A: Hi Mindy, I am so sorry to hear that you are suffering from such pain at a young age. I can not tell you if your pain is due to your breast size, your spinal curve, a combination of the 2, or neither. I can send you some pages to research this further on your own...

http://www.cure-back-pain.org/lordosis-treatment.html
http://www.cure-back-pain.org/bad-posture-back-pain.html
http://www.cure-back-pain.org/back-pain-in-women.html
I am sure you have already seen...
http://www.cure-back-pain.org/large-breast-back-pain.html

The problem with your condition is that both physical conditions might be the cause of your pain, but it could be psychosomatic as well. The nocebo effect suffered by women with large breasts can be strong when it comes to perceived effects relating to back pain. Your doctor might be able to help. If you find that treatments do not work well for you, or if your pain intensifies, I would recommend using knowledge therapy to cure this potential psychosomatic pain syndrome. I hope this helps some... My best to you. Sincerely, Sensei Adam Rostocki

Q: I have a pain on my left hand side running down my entire back, just under the left hand shoulder blade and stopping halfway down, its not a sharp pain more of a dull ache. Claire

A: Hi Claire, The symptom is very vague. It is difficult to make any judgment without some additional info. Maybe send me some more details and I might be able to help. Sincerely, Sensei Adam Rostocki

Q: Hello, I am a 22 year old in shape female who has been involved with dance and yoga for many years. Last summer I experienced extreme pain in my lower right back and regardless of acupuncture and massage therapy, the pain just didn't go away. I recently travelled to Thailand for two months and the pain more or less went away, but since I've been home, the pain has returned and has spread to my lower left back as well.

The sensation acts up a lot when I'm sitting cross legged or rounding my back in any way. it feels like someone stabbing me in the lower back, but as soon as I straighten my back and put it up against a wall for support, it slowly goes away. It aches and I really hate it. I have no idea what to do, or how to fix it, or what it even is. It seems like whenever I look online for information nothing really describes the pain I'm experiencing. If you could give me any insight that would be amazing. Thanks! Caitlin*

A: Hi Caitlin, The reason you are having trouble finding appropriate info is that your pain definitely sounds like it is psychosomatic. The symptom is strange and the fact that straightening your back relieves it is even stranger. However, the main indicator pointing to a psychological cause is the fact that travel relieved the pain. I would highly recommend learning more about knowledge therapy to end this pain once and for all. If you need further assistance, feel free to write back. My best to you. Sincerely, Sensei Adam Rostocki

Q: I have been hurrting in my neck,and top part of my shoulder,it just feels like it is numb and tingling all the time, now my lips and hands have been going numb,would it be a piched nerve in my neck? Also at night when I lay down for bed, my whole body will jerk ,sometimes my legs and sometimes my upper body,I jerk so hard I almost jump out of bed, why is this happening,could it be stress? Cheryl

A: Hi Cheryl, it could be a nerve problem and it could be psychologically induced oxygen deprivation to the nerves and muscles causing these symptoms. I do not know how long it has been occurring, but the longer it continues, the more I would suspect oxygen deprivation as the cause. It might be a good idea to get it checked out if it continues. Best to you. Sincerely, Sensei Adam Rostocki

Q: This actually involves my husband's spine problem.. He has been diagnosed with Ankylosing Spondylitis recently. We understand there is no cure and it must be tolerated. He has minimal pain but when he has it, it is pretty bad. I do not remember seeing Spondalitis on any of your pages. Can you help us? Thank you kindly, Dorothy & Tom

A: Hi Dorothy and Tom, Here is some info for you...

http://www.cure-back-pain.org/ankylosing-spondylitis.html

This is a topic that is on my list of topics to be expanded in the near future. It can be a challenging condition to deal with. Medical science is at a bit of a loss when it comes to effective treatments for this condition. I hope you can find some relief and I wish you the best in all things. Sincerely, Sensei Adam Rostocki

A: Hi and thanks for posting this site. Very interesting. I've recently gone to a Chiro as I have lower back pain. I was recommended by a work colleague. I spent $215 at my appointment. $75 for the consultation and $140 for xrays. I was manipulated in my upper back and the appointment was over. I then returned yesterday, was manipulated in my neck and mid back (bearing in mind the pain's in the lower right)and asked if I would like to proceed with a "program" for 6 weeks x twice a week sessions and then another 6 weeks, once a week appointments. Total cost to me, $742 but if I paid upfront, $670. This program is meant to resolve a back condition I've had for some time but I feel I'm being danced around the flagpole here and as you've suggested, been taken on through the personal injury mill. I'd like to hear your thoughts if you've the time. Thanks, Iain

A: Hi Iain, It seems like the old money machine just keeps on going... I do not think you got a fair deal at all. Taking financial advantage of a person in pain is like kicking a wounded puppy. Unfortunately, this is far too common in the back pain industry. Maybe it would be worth it if you were cured, but the reality is that this type of treatment is symptomatic and can actually perpetuate the pain. I hope you can find relief, both for your back and for your wallet...Best to you. Sincerely, Sensei Adam Rostocki

Q: Dear Sir, I am 27 years old and 7 years ago I have been diagnosed with double disc hernia (L5&L4). Then, I was living in Romania and my doctor advised me that I should not go for surgery as the pain will go and there are lots of people that live with this problem. The pain has gone indeed, and never came back, but I had to "re-educate" my posture and my movements (bend knees when I lift something, I don't lift heavy things, I watch my weight etc.). Now it's a time in my life when I am thinking to try for a baby. I now live in UK and I went to see my General Practitioner for advice and maybe a test for my back. I was surprised to be told without any examination that my worries are only phychological. Everything my previous doctors said was dismissed and I have been told that the body can heal itself and that I shouldn't worry. I need your advise because I am so much worried now. I am very slim and I do exercise a lot, but I can feel sometimes that my back is not well and I do not want to risk a baby's life or live in a wheelchair because I did not take some precautions before making this step. Thank you! All the best. Dennisa

A: Hi Dennisa, Go ahead and have a baby, you will be fine. Pregnancy can cause some back pain, but will not put you in a wheelchair or hurt your baby, despite your previous disc trouble. Herniations at those lumbar levels are so common...I have them also (L4/L5 and L5/S1 ruptured). Here are some pages on pregnancy back pain, just for you...

http://www.cure-back-pain.org/pregnancy-back-pain.html
http://www.cure-back-pain.org/back-pain-during-pregnancy.html
http://www.cure-back-pain.org/pregnancy-lower-back-pain.html
http://www.cure-back-pain.org/postpartum-back-pain.html

I wish you all the best for your future, and remember to be the best mom ever! Sincerely, Sensei Adam Rostocki

Q: My mother, aged 65 years is having pain in the left lower half of her body for the past 5 months... On putting the feet on the ground, the pain starts from the left hip and travels down left leg and is then transferred to the left foot. There is also tingling sensation in the left foot. On showing her to an Orthopedic specialist, he has prescribed pain killer, vitamin etc.. She has also undergone physiotherapy for two weeks ..(once a day). Also she is wearing an LS Frame type belt for about 14 hours per day. Now she has been advised traction using a 10K.G. sand bag for weight...which she has started a week back and is continuing .. Also the pain if recurring even after the above treatment. My query is that how long she has to wear the belt.? Is there any side effect of traction..? How soon would the pain be relieved ? With regards. J.S

A: Hi J. What is the exact diagnosis? It is easier to give some advice once I know what is causing the pain. As far as the traction, it is a joke and will not help. The main purpose of it is to restrict the patients movement. Other than this, it will do nothing...I would skip it altogether. Best to you and your mom. Sincerely, Sensei Adam Rostocki

Q: In December I had an MRI (not my first)for three days I experienced pain, from the neck all the way down. I felt every pound. I was in tears. I was diagnosed in Jan.04 with breast cancer and I took chemo until Aug.06. Could this be a reason? Please help me understand. Lourdes

A: Lourdes, I am so sorry to hear of your situation. Yes, the chemo and the cancer can both be causes for your back pain. The stress of dealing with this health crisis can also be a contributor to your pain. These are topics that are on my (ever growing) list to cover in the near future. I would advise your doctor of your pain and make sure they can find a treatment that will make you more comfortable. My prayers are with you. Sincerely, Sensei Adam Rostocki

Q: Hello. My son Daniel who is now 34 years old was born with scoliosis. I noticed right after he was born that something was not right. His stomach was leaning to one side. When I mentioned it to the doctor, he laughed at me, and said it was just gas. My son is my fifth child, and as one of his siblings had been a colicky baby, I knew that gas was not an issue with Danny. He was a very happy baby. I kept taking him to doctors, but I was not taken seriously. When Danny was ten months old he started to walk, and his leaning to one side became very obvious. I was told by the doctor that his hips would even out by the time he was four. I demanded to see a specialist, but the doctor did not se a reason to refer us to a specialist. When Danny was two, a friend referred us to The Shriners Hospital in Portland Oregon. Within weeks, Danny was diagnosed, and underwent his first spinal fusion, followed with a brace, before he was three. The doctors kept a very close watch on him, and realized that they had to do something very drastic at the age of six as the curvature had continued above the fusion. He was put in a halo traction for 6 weeks. Followed by the insertion of a Herrington rod. He was in a body cast for some time after surgery. When he was ten, the Herrington rod was replaced, and following the surgery ha was again placed in a body cast. Danny adapted well to everything he went through as a child. However, when he became a teenager, it was obvious that his body image was suffering. People can be very cruel. He was well accepted by his peers, because of his personality. But it was others that hurt him severely. One women came up to me one day, pointing at Danny, asking me if "that little hunch back was my son. We lived in Sweden from the time Danny was 12, until he was eighteen. During that time I took him to several doctors, but no one had any suggestions about what to do to straighten his back. We moved back to Canada when Danny was eighteen, and again, his problem was ignored. It seemed as if his problem was to big for anyone to handle. Shortly after our return to Canada, Danny was introduced to street drugs, and became addicted. After that, I feel that none of the doctors he has seen, have been unable to see past his drug problem. His curvature is now so bad so it is affecting his mobility, his heart, and his lungs. His hips and ribs meet,and he has a large hump on one side. As a mother, I have continued to try to find help for him. After hearing,and reading about successful surgeries, I decided to do some research online. I found a doctor in our area, British Columbia, Canada, who specializes in spinal surgery. I managed to convince my son's doctor to refer him to the spine clinic in Vancouver. After a waiting period of two ears, Danny finally got to see the doctor yesterday. He had put high hopes in being able to get help in straightening his back, but the doctor told him that his spine has become a solid bone, and did not think that Danny is a candidate for the surgery he specializes in. The doctor ordered a bone scan, and pulmonary tests, which will be done on March 26. The doctor told Danny that there is one kind of surgery that is very risky, and he does not do it for that reason. Danny is absolutely devastated by these news, he is willing to try anything, no matter how risky. He has been on the methadone program for three years, and is doing fine with that. But his deformity is affecting every aspect of his life. My reason for writing this letter is that, in the event that the currant specialist finds, that after the test results he can't do anything for my son, there is someone out there who performs the extreme surgery with successful results. Thank you for your time. Sincerely, Christina

A: Hi Christina, I am so sorry to hear your story. It sounds to me that Danny had a chance early in life and was simply ignored by the doctors treating him till it was too late. I am very sorry indeed. I will post your letter and keep my eyes open for any surgeon that might be able to help. Till then, my best to you and your son. Sincerely, Sensei Adam Rostocki

Q: Hello Sensei, I am interested in buying your book--the hard cover version. I have read all of John Sarno's books about 3 years ago and am totally convinced of his method in healing not only back pain, but other problems as well. My present problem that is ruling my life is IBS which I have had since I was a young teenager (I am now 36 years old). Before I buy your book, I want to know if you have included in your book any information on how you cured your IBS. I would really appreciate the help and guidance that you can give me on this. Please respond, ASAP. Aida

A: Hi Aida, The information in my book covers all the steps I used to rid myself of all my pain syndromes. However, the book is no longer available in hard cover as it is just not economical to print and ship. I do not know if you saw these articles, but here they are in case...
http://www.cure-back-pain.org/digestive-tract-sensitivity.html
http://www.cure-back-pain.org/irritable-bowel-syndrome.html

I wish you the best and hope you can be completely symptom free soon. Sincerely, Sensei Adam Rostocki

Q: Hi,I am 17 years old. I am a former competitive gymnast and am now a cheerleader ( i have a very athletic build)I am not the kind of person to stop what I"m doing because of aches and pains;which probably came from my gymnastics training.I have suffered from chronic back pain ever since I was in a car accident in November of 2005. I cannot stand, sit, or walk for long periods of time. School,going shopping, and even cleaning the house cause me pain. The pain wasn't immediate. I had the normal soreness that is expected after a car accident, but after about a month had gone by and my back was still in constant knots and was hurting so bad i had trouble concentrating in class i eventually had to tell someone. I completely stopped all kinds of athletics (cheerleading, gymnastics, running) for 8 months just to make sure that I wasn't going to hurt myself any more.I was given my first of many prescriptions to a pain killer and sent to a physical therapist that was not able to do anything but relieve me from feeling like my back was in knots. After that I started to feel the constant dull pain that has many different stages ( burning, stinging, shooting, twisting, stabbing) in my low back all the way across. I was then sent to an orthepedic surgeon and given yet another pain killer and told that it was obviously something wrong with the ligaments in between my facets ( i'm sorry i cannot give you actual medical terms) , the numerous x-rays and my mri showed that i had no fractures or degeneration of any kind. After my first diagnosis i went to a pain doctor that would treat it my pain, he also provided me with yet another type of pain killer. He did facet injections on 3 vertebrae of my low back. The injections only showed that, that was where the pain was, it had no long-term effect. The pain doctor and orthepedic surgeon next discussed me having a nerve dernervation (?) performed but then realized that i am too young and that that would also only be short term for such a painful procedure. I was then told to have a new kind of acupuncture that sends electric currents through the needles... Needless to say this wasn't a pleasant experience... i was the doctor's guinea pig for the treatment and due to many different things i was in excruciating pain during the procedure. I did not go back to the pain doctor and instead found a holistic doctor who gave me herbal supplements, taught me yoga, and sent me to her own acupuncturist. I didn't see any change from the herbal supplements. The yoga I think has helped me keep my pain at a relatively stable level. I stretched and do a few yoga core strengthening excercises everymorning. the acupuncture felt amazing but only while I was on the table. Overall I think the doctor did help, but she was still not able to relieve me of my relatively constant pain. Her suggestion was to quit all my physical activities and find some new hobbies. That suggestion wasn't and isn't an option to me as long as no one can tell me that i am making my "injury" worse (which no one has). About a month before this I had started tumbling and cheering again when that particular doctor had given me the "OK". I then went to a chiropractor who like all the others thought he knew what my diagnosis was and the treatment for it, niether proved to be correct. By this time I was starting to notice a constant aching in my hips and upper buttocks.I then went to a sports medicine doctor who sent me to his physical therapist .They did a kind of stretching of the tendons , becuase i had lost all mobility in my low back. ( none of the past doctors had ever mentioned this or simply tested for it) I eventually gained "full mobility" and had gotten my core very stong. Again her treatments only kept my pain at a level with minimum flare ups, but the pain was still relatively constant. I am now with a neuromuscular therapist who also thinks that they know the exact diagnosis and treatment... and by their watch i should by now feel improvement, but i don't!! I am still keeping up with my daily regimen of stretching, yoga, and little mixtures of things i have learned from all the past doctors. I feel like a have had the pain for so long that it feels normal to me... and i don't remember what it feels like to not have the pain. I read your story and thought you probably could share in my frustration and feeling of hoplessness. I have been effected by this in more than just having the pain. I suffered from depression that was caused by one of the painkillers. I no longer am taking any kind of perscriptions or any type of pain relievers for my back. I am now having symptoms of constipation which i have heard to be common with people who suffer from chronic back pain. I hope that i have provided enough information for any suggestions that you might provide... thanks! Kate

A: Dear Kate, Your letter has touched me like so many have in the past. Reading your story definitely brings back memories of my own struggles with back pain and specifically the feelings of being all alone in these struggles...Sometimes, it just does not seem fair that none of these "professionals" can help, although they all feel that they know everything about why you have pain. Trust me, it is just educated guessing, and in your case, same as mine, it is unfortunately always wrong. I feel for you Kate. I don't know how to advise you. There is a good chance that your pain might be from your accident. There is also the chance that some psychosomatic condition has used the accident as a trigger to start a chronic pain syndrome. You might have a better idea than me, or maybe not. Sometimes these issues can avoid notice by the sufferer more than anyone. I never thought my pain was psychosomatic till I managed to cure it. Being that you have tried almost everything in the physical realm, I would strongly recommend giving knowledge therapy a try. It can't hurt and might be the cure for your pain. At least it will not cause any further damage or any nasty side effects. I am sure you want to avoid more of these after those prescription drugs... All I can give you for sure is my blessings and my best hopes for you. Please stay in touch and let me know how you are doing. Sincerely, Sensei Adam Rostocki

Q: Hi,I have chronic lower back pain always. I have had a rash on the lower back 2 times. Do you know if a referred or sympathetic pain can come in the form of a rash? Thanks, Babs

A: Hi Babs, Psychosomatic pain can definitely appear as a rash. The problem is determining if the pain syndromes (back and skin) are related. This can be a tough one, but usually the 2 turn out to be related equal representations of the same unresolved emotional issues or physical cause. I hope this helps a little...
http://www.cure-back-pain.org/skin-disorders.html
My best to you. Sincerely, Sensei Adam Rostocki

Q: My son is 12 years old. For the past 6 months or so he has been complaining about pain in his left side next to his spine above his buttocks. He has most pain after sitting , even for short time, as he stands to straighten up. He does not have pain when he is standing and walking and is able to twist left and right. Can you tell me what this can be. We have been applying hot compresses and ointments as a doctor prescribed but doesn't seem to help. Once he is back to playing his soccer or having gym ... he seems to be back to this problem. Do you have any suggetions or comments so I can help him with this pain. Thank you so much, Maria, concerned mom.

A: Hi Maria, If the activity is related to physical activity and there is no conclusive physical reason for the pain, I would speculate that the pain might have some emotional cause, possibly related to the activity. At 12 it might be difficult for your son to understand or prevent this from occurring. I would suggest trying an orthopedist first, and if that fails, go to a specialist in mind/body medicine. This is about the best info I can provide with the details you provided. If I can be of further assistance, feel free to write back with more information. My best to you and your son. Sincerely, Sensei Adam Rostocki

Q: Am 40yr old female. Have had low back pain on left, left sacroiliac pain, leg/knee/ankle pain for 12 yrs. Last 3 yrs has gotten a lot worse, have been through sleep study for restless leg syndrome, gall bladder removed because it didn't work, ovarian cysts on left and little finger and ring finger on left side numb for a year and only thing they can come up with is non-vascular thoraic outlet syndrome. Am an occupational therapist was let go of my job 2 months a go and literally slept for a month afterwords.Last year I was walking approximately 4 miles a day and know can only walk 1 mile due to pain in sacroilliac region on left and extreme leg pain getting worse in p.m. Steroid shots seem to help for about 1 and half months and am told surgery is only option, due to degerenative discs L4, L5, S1, arthritis and extra bony growth on left sacral illiac region....what would you do? Any other options? Do you think sacroiliac subluxation?Thanks for your time.....K8

A: Hi Kate, It seems you have been in treatment for a great number of health problems. None of them really seem to correspond with your worsening symptoms. As a caregiver, I would be more interested in what was going on in your mind, rather than your body. I get the impression from you that the 2 might be closely related... I would take a few steps back from the surgery option...the FINAL option...and try something different. Have you considered the possibility that your pain might come from some psychological cause? I would think about it now, long and hard, before considering surgery. If you need further guidance, feel free to write to me again. My best to you. Sincerely, Sensei Adam Rostocki

Q: I had back surgery. Two hernated disks and severe stenosis. It has been five months since surgery. The mussels in my legs are still weak, spongy or rubbery. Can you tell me how long this will last? The neurosurgeon tells me I have severe nerve damage. I can't work or do anything that I have to use my legs for very long. Tony

A: Hi Tony, It is difficult to advise you on this matter without more detailed information. My recommendation is to ask your doctor about your future prognosis, since he knows all the details of your condition. My best to you. Sincerely, Sensei Adam Rostocki

Q: I'm 62 and done yoga for years but found because of a pulled muscle have had to stop but v flexible. Have had back pain for 4 years (I slipped on the stairs I think) plus what has been diagnosed as bursitis (I get cortisone injections every 3 months) I have had to literally fight to have an MRI and got referred 3 weeks ago privately. My pain is terrible, back pain, buttock pain, down my leg and in the last few weeks the back of my heels. My MRI report is as follows"there is loss of disc height and hydration at L4/5 with associated end plate changes. At this level, there is a moderate diffuse generalised disc bulge extending laterally into the lower right exit foramina, though the exiting root is not significantly depressed. Combination of disc bulging and facet joint degeneration/backling of the ligamentum flavum, gives rise to moderate spinal stenosis at this level thought there is preservation of the posterior thecal fat. There are milder changes at L3/4 and other levels L2/3 & L5/S1 demonstrate facet joint degeneration but no other significant abnormality. No evidence of any other significent disc prolapse. In layman's terms I am presuming that there is no pinched nerve so why am I in so much pain. I very rarely sleep well because of the pain. I have taken all the pain killing tablets under the sun but have found that after 4 yrs of taking this and that, co-codimol seems to work a little bit. The dr today has said that he will refer me for spinal injection (privately of course) but not convinced this will work. I am very confused and annoyed that I do not seem to be getting anywhere. Anne

A: Hi Anne, Well, your MRI results say a lot to me. Degenerative disc disease, slight osteoarthritis, mild disc bulge and stenosis...These tell me that your spine is normal, and actually in pretty good shape for someone of your age. I wish my MRI reports read so kindly...You should count your blessings on this part.