HOW-TO PAGE

How to
Self-Relieve
Low Back Pain

WORTHWHILE IMPROVEMENT IN THE FIRST
90 MINUTES OF PRACTICE
ONGOING IMPROVEMENT, THEREAFTER

by Lawrence Gold
Certified Hanna somatic educator
Credentials | Publications | Personal Page

-- ABOUT THE INSTRUCTOR --

-- Feedback from Do-ers --

Does your back go out from time to time? Does your lower back hurt from minor exertion? You can start correcting both problems with what's on this page.

FIRST, THE RESULT,
THEN, THE INSTRUCTIONS

Video captured by an amateur photographer observing the session, published with permission.

PRELIMINARY INSTRUCTION
Get started now - once or twice daily
for three days.

starting gently

next action (summary with explanation)

important fine points

Back muscle spasms, lower back pain, and other more serious back problems start with muscle/movement memory formed during violent injuries, lift-and-twist injuries and long term stress, which cause back muscles to stay excessively tight, cause discs to bulge, and trap nerves. Tight muscles burn and react unpredictably to movement.

"Muscle/movement memory" isn't knowing about correct movement; it's coordination and the ability to control muscle tone -- excessive in people with back pain.

These exercises re-set muscle/movement memory for muscle tone within the healthy range for strength, flexibility, comfort and good coordination.

For most people who do it, "Somatics" works better than any manipulative therapy to recondition your back so you can move and exert yourself like a young adult, again.


Symptoms and Conditions

  • chronic low backache.

  • an acute episode of back spasm that restricts your breathing.

  • sciatica (pain in buttock and/or down the back of your leg).

  • disc bulges or degenerative disc disease (no ruptured disc).

  • slow progress in therapy.

  • unsuccessful back surgery.
  • Answers to Ten Most Important Questions:
    click here.

    Topics on This Page (click:)

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    This is not about "strengthening and stretching, and then holding a neutral spine position", but about reconditioning your back so you don't need to hold a neutral spine position -- or to hold any position. It's about freedom to move.

    I call the idea that "standing upright causes back trouble", "The Great, 'It's Evolution's Fault -- We Were Never Meant to Stand Upright' -- misunderstanding". It's not standing upright -- but excessive back tension -- that causes back pain and degenerative changes.

    Do the FREE 1-week test -- exercise #1 ("Spine Waves"), twice daily.

    Three days is long enough to feel a worthwhile difference.

    Click above for Free One-Week Tryout period to preview all 9 exercises to recondition your back for any activity. After one week, payments of $48.50 will be levied every four weeks. (electronic download - See "Item Description" on your Subscription Acknowledgement from PayPal.)

    Click below within one week to quit your tryout period, free of charge (bookmark this page). You'll know within three days.

    Experts hold fairly uniform opinions about how to cure back pain -- strengthening and stretching, adjustments and massage. Typical results follow: a long, slow recovery process with a still-delicate back.

    Has that been your experience?

    I'm in the fortunate position to be able to show you something better than what most health care providers have to offer. Test my words with a FREE 1-WEEK Test -- the only definitive way to tell whether I'm telling the truth.

    People should re-evaluate their expectations of most accepted (and alternative) therapies. I say more about this situation in my essay, "Diagnosis and Treatment". Here and now, I say that "The proof of the pudding is in the eating." Clinical somatic education (movement education to retrain muscle/movement memory) provides the kind of experience and results you may wish for but may believe is too good to be true or unrealistic: relatively fast recovery and the ability to lift heavy objects, to twist, and to bend down and stand up quickly without pain or fear of pain. Results are telling. Use what's on this page.

    Between 200 and 300 clinicians practice this approach (Hanna somatic education®), worldwide. Read about my own history of injury and recovery. Then, test my words.

    Lawrence Gold's legible signature

    RELEVANT KEYWORDS:
    • back pain
    • lower back pain
    • back muscle spasms
    • tight muscles
    • strengthening and stretching
    • spinal alignment
    • skeletal alignment
    • severe back pain
    • back muscle tension

    GLOSSARY OF MEDICAL BACK PAIN TERMS explained clearly in layman's terms, excerpted from Free Yourself from Back Pain | Nine Movements to Recondition Your Back for Any Activity

    The Difference

    Most approaches to back pain treat the body as if it were a machine that can be adjusted, as if back muscles are unresponsive objects that, if stretched, will stay stretched.

    If you've had treatment based upon this operating assumption and it left you still hurting, you've seen the limitation of approaches based upon this operating assumption. It's why treatment for back pain is expected to take a long time, and why you may have been told that you'll have to be careful of your back for the rest of your life.

    The "body as machine" idea misses an essential point: muscle/movement memory controls your back muscles and spinal alignment. If you get a spinal alignment adjustment or do stretches or get massage, your muscle/movement memory resets your back muscles to the high state of muscular tension that caused the back pain to begin with, and you're back where you started, or close to it.

    If you have had therapy that treats your body like a machine without regard for your sensibilities (as in surgery, strengthen-and-stretch therapy, electrical stimulation, heavy massage or fast adjustments), you may have experienced a rebound spasm and even more pain. If the rebound pain lasts for more than a day or two, that's not "par for the course"; it's a setback.

    Maybe, what would work better is a more relevant -- and more humane -- approach. Address the muscle/movement memory conditioning that controls your back muscles.

    Your back is already sensitized and reactive; you want ease. So what if, instead of treating your body like a machine (or with a machine), we bring you to ease with a non-invasive, self-controlled, "low-tech/high-touch" procedure that addresses muscle/movement memory? What if changing muscle/movement memory could take you to a lower-stress, more easeful state even under desperate conditions such as severe back pain with disc bulges or nerve entrapment -- and do it so completely and so reliably that you no longer have to return for treatment or be concerned about a recurrence of symptoms?

    This is not a casual, fanciful, speculative "what if" question. It's a germane question with consequences.

    The approach presented here has helped thousands of people (not millions, yet) who have already had unsuccessful back surgery or other procedures to end back pain and recover freedom of movement. The results are predictable and highly reliable.

    The video, above, shows one such person. This is a good time to take a moment and view it.

    What to do, next? The video shows you -- or read on.

    see also: "The Psoas Muscles and Abdominal Exercises for Back Pain"
    "A Functional Look at Back Pain and Treatment Methods", by Lawrence Gold
    published in The Townsend Letter for Doctors and Patients.

    When prescribing a treatment for back pain, the first question a health-care provider must answer is, "What is the cause?" Is it muscular? skeletal? disc? nerve? something more? While always involving one or more of those four, the more effective answer is, "something more", as you will learn.

    Pain in the back, itself, usually comes from muscles going into spasm; the pain is the "burn" of muscle fatigue.

    When not muscle pain, pain in the buttock or back of the leg (sciatica) comes from sciatic nerve compression, where it emerges from the spinal column, or passes through the buttock, caused by tight muscles.

    Pain in the upper back comes from muscle fatigue or spasm, which sometimes displaces of rib heads from their seat(s) between vertebrae.

    Disc herniation (bulge), while commonly regarded as the cause of back pain, actually results from tight muscles pulling vertebrae too closely together, which leads to nerve root compression and nerve pain distant from the disc, itself.

    Although some health care providers cite ligament "strain" or "sprain" as the cause, that's rarely the case; ligaments grow extremely slowly, whereas back pain lessens very quickly as back muscle tension lessens.

    All of these conditions trace back to that "something more", which I will explain in detail.

    The Medical Quandary -- The Patients' Quandary: How to Control Back Spasms

    Health care providers, including physical therapists and surgeons, face a peculiar quandary with regard to back pain in general: because their patients' pain so often comes from back muscle spasms, much of their efforts go toward ending back muscle spasms or correcting their consequences (facet joint pain, herniated discs, spondylolisthesis/slipped disc).

    Still, according to one physical therapist, the likelihood of a back pain patient returning in another episode of back pain is about 80%. Back surgeries have a success rate of about 15%. The most commonly used approaches to muscle spasms, including massage therapy, help, but typically bring only partial or temporary relief. Has this been your experience?

    Patients also face a quandary: money concerns. If you limit yourself to methods of treatment covered by health insurance, you are, in effect, choosing a longer recovery period. Is the money saved worth it? Maybe it is, to you.

    However, "somatic" back exercises of the type described and shown here potently support all forms of conventional treatment, with complete recovery in days or weeks, instead of months or years of treatment, for those who follow the instructions and practice daily. Your trying something new will be rewarded by faster improvement.

    Click to see
    free instructional video to relieve back pain
    .

    Why Back Pain Comes On Suddenly

    Let's take another look at back pain that casts new light on conventional treatment.

    Unless you have had a violent accident, your back pain, sudden or chronic, has been coming for a very long time. Muscular tension builds up for a long time before crossing the point of no return and becoming a back spasm. Then, like the proverbial "straw that broke the camel's back," a small movement can trigger a crisis: muscle spasm -- and all the accompaniments.

    So, we return to the therapists' quandary: back spasms. What causes back spasms? What controls muscular tension?

    The answer may be obvious to you: your brain, the master control center for your muscles; your brain causes your muscles to go into spasm.

    Why?

    Muscle Spasms -- Usually Caused by Muscle/Movement Memory Conditioning

    Here, the answer may not seem so obvious -- until you understand it: conditioning. Apart from momentary reflexes, your brain controls your muscles. Your brain gets conditioned through repetition: repeated overuse, repeated overstrain, repeated stress. Your brain learns to hold muscles tight "on automatic". It's what is meant by "muscle/movement memory." At that point, your tight back no longer comes from bending or lifting, but from a tension habit stored in your brain. You're always tight, on the verge of spasm or in spasm, and having gotten used to it, you probably don't even know how tight you've become. The problem isn't exactly "all in your head" -- but it is in your brain.

    With tingling or numbness, the muscles of your back are so tight that they are pulling your vertebrae (the bones of your spine) so close that they trap and pinch nerves.

    So the problem is simpler than you might expect. You probably do not have a medical problem; you probably have a conditioning problem. By relaxing those muscles, you end the pain of spasms. You also free the nerves from pressure and end the symptoms of a pinched nerve.

    With the new methods, a muscular conditioning problem can often be cleared up fairly quickly -- past experience notwithstanding.

    Perspective on Therapeutic Methods to End Back Pain

    The view of most therapeutic methods holds that back pain comes from weak muscles. They therefore prescribe or practice "strengthening and stretching".

    This view is understandable when we consider the following: Tight muscles are tired muscles, and tired muscles feel weak and seem to need strengthening. Tight muscles are shortened muscles, and shortened muscles seem to need stretching. Tight muscles cause postural changes, and postural changes imply the need for strengthening and stretching.

    However, if stretching were the answer, people who stretch their back muscles would no longer have back problems. It begins to look as if "The Stretching 'Emporer' has no clothes."

    The problem isn't weakness or muscles in need of stretching; it's muscular overactivity and muscle fatigue (tiredness and soreness).

    It's simple: When muscles relax, they rest and get refreshed (feel stronger); they lengthen out (no longer seem to need stretching). With normalized muscular functioning, spinal alignment improves, movement normalizes, comfort returns.

    A more direct approach, then, is to improve muscular control. People with back pain generally need to address muscle/movement memory -- to end an episode of back pain, to avoid surgery or to recover after surgery.

    Do the FREE 1-week test -- exercise #1 ("Spine Waves"), twice daily.

    Three days is long enough to feel a worthwhile difference.

    Click above for Free One-Week Tryout period to preview all 9 exercises to recondition your back for any activity. After one week, payments of $48.50 will be levied every four weeks. (electronic download - See "Item Description" on your Subscription Acknowledgement from PayPal.)

    Click below within one week to quit your tryout period,
    free of charge (bookmark this page). You'll know within three days.

    Muscle/Movement Memory Runs the Show

    Muscular control has two parts: the ability to regulate muscular tension (regulate strength and relaxation) and the ability to sense muscular tension. Both abilities are needed, and both are controlled by the muscle/movement memory.

    By concentrating on muscles or skeletal alignment instead of on muscle/movement memory, common therapeutic methods -- everything from soft-tissue manipulation, surgery, spinal decompression/inversion therapy, and most therapeutic exercises in general -- work on effects (muscle spasms and spinal alignment), rather than the underlying cause (muscle/movement memory).

    When you've had therapy, did your doctor or therapist emphasize strengthening and stretching? Did (s)he give you abdominal strengthening exercises, i.e., crunches, and tell you, "These exercises will strengthen your back"? Did it work? That's my point.

    As you create healthier muscle/movement memory, you recover comfortable freedom of movement; you recover the ability to relax; you stay more relaxed without thinking about it.

    A Key

    Muscle weakness is not the issue. Tight back muscles aren't weak; they're tired (and very sore). Try as you might, you can't remedy muscle fatigue by strengthening tight muscles.

    Spinal alignment is not the central issue. Muscular pulls maintain spinal alignment; bones go where muscles pull them. Bones are passive. Tight muscles don't keep themselves tight; your muscle/movement memory keeps them tight and controls their actions.

    "Muscle/movement memory" is another name for "postural reflexes". Despite best intentions, you can't change reflexes by stretching.

    Free control of muscles and movement is the issue . When you have the muscle/movement memory of free control, you have free control. You can freely tense muscles and you can freely relax them.

    CLICK FOR COMPLETE SELF-RELIEF PROGRAMS

    Learn to change your muscle/movement memory . Then, you'll be out of your predicament.

    Now, for proof: direct experience of somatic exercises. Click to see free instructional video to relieve back pain.

    Too good to be true? The proof of the pudding is in the eating -- not in the reading. Click here.

    NOTE: If your problem is severe, (numbness or tingling in your extremities) see your doctor to rule out conditions that can be addressed only by surgical means, such as a disc tear.

    First Aid for Back Pain

    (Read, first. Then, click HERE).

    opt in button

    • Do these movements as a way of creating sensations of movement.

        You need to feel what you are doing. If you do these movements mechanically (i.e., without sensing the muscular effort), you deprive yourself of the sensations needed to gain control over your muscle tension.

    • Move slowly and smoothly.

        If you do them too quickly, you miss the lesson.

    • Be easy on yourself. Work within the range of sensations you're willing to experience. Done gently, this exercise is safe to do even with disk problems.

        Never cause yourself to cringe from fear or pain (some soreness is inevitable); if you cringe, do a smaller movement. Move more slowly, more gently. You get better results by doing "too little" than by doing too much.

    • Always separate repetitions of a movement with complete relaxation.

    NOTE: Cycle through three times, the first day, to get appreciable results. You may experience soreness for a few hours after doing these exercises -- and the main back pain associated with movement will have decreased. Evaluate the effects not by the absence or presence of soreness, but by your improvement of movement and posture and the decrease of the main pain. With repetitions of the exercise cycle, the soreness and the main pain progressively decrease. Stick with it -- or click on one of the images for available self-teaching/self-care programs, below.

    If in doubt or afraid, consult your doctor or therapist before proceeding. Print out and bring this page.

    Click an image

    Quick Help for Back PainFree Yourself from Back Pain to see your self-relief options

    or click the underlined link, and send to receive a quick-return email message with a link to Spine Waves, the first somatic exercise in Free Yourself from Back Pain, in 1 - 10 minutes.

    The gentle, wavelike restorative movements relax spastic muscles to restore comfort. You'll feel taller and more flexible as your back lengthens out.

    Do twice daily or more for three days or so -- for a worthwhile improvement, even with difficult conditions. If you like the result, get the rest of the program.

    Your purchase has a no-time-limit money-back guarantee.

    ARTICLE:
    Back Pain, Therapeutics and Somatics

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