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Back Pain
Question:
I have had to go to the Doctors because i have been having increased back pain when racing on my bike. When I get the pain I also get a numb left big toe and tingly leg. The Doctor says that one of my disk is aggravating my nerve and needs to be looked at by a specialist.

I am now a little worried as to how this will effect my cycling and if it easily cured. I am only 26 and have only just got going. Anyone else suffer the same or knows any more about backs?


Answer:

Here's what you need to know about back pain in a nutshell:

1. Absolutely no one knows anything about what causes back pain. All this stuff about disks pressing on nerves and so on, has never been demonstrated to be the cause of any pain. (On the other hand, numbness radiating down to the legs does suggest something to do with the sciatic nerve... but not necessarily that a disk is bulging on it.) X-rays of people with back pain often show bulging disks and other abnormalities, true, but the problem is that people with absolutely no back pain also often show these same abnormalities.

2. Virtually all back pain goes away by itself after a few weeks if you just make appropriate modifications to your lifestyle, and take it easy but not too easy: bed rest, for example, usually results in worsening. Best thing is to walk and move around as much as you can.

3. If you would like to make your back pain permanent and crippling, just visit an orthopedic surgeon and have him do one of his standard mutilation jobs. If you knew exactly what they did, you would not believe it; and none of it has been shown to actually work. Caution: the definition of a "successful" spinal fusion in orthopedic surgeon parlance is merely that the graft took, not that it resulted in any improvement.

4. Since almost all if not all back pain eventually heals by itself, just about any quack treatment, even those that double or triple the recovery time can seem effective without controlled comparisons.

5. There is one treatment type that has been shown to have some effectiveness, and that is as done by chiropracters (and maybe phsyiotherapy). Unfortunately, chiropracters are complete morons and subscribe to incredible quack ideas about why their treatments work (apart from one possibility, that some back pain is caused by capsular joint subluxation). Also unfortunately, but fortunately extraordinarily rarely, once in a blue moon, a chiropracter kills or paralyzes a patient by doing an "ooops" while wacking around with the vertebrae. Anyrate even if they don't, they can sure scare the hell out of you in the process.

6. If you are getting increasing back pain while racing your bike, it shows that something is wrong with your set up: either your posture, technique, or positioning on the bike; or with your conditioning, strengthening and strectching programme. Weak areas that may lead to back problems: overly tight hamstrings, weak stomach muscles, weak upper body, weak back muscles. However, strengthening these is tricky and can easily lead to worse problems if you don't know what you are doing, and most people don't. Example: most types of sit ups are bad for you, as are many back strengthening excercises. General rule: avoid anything which requires you to arch your back more than the flat or rest position, or extend the back more than flat or rest position.






 
 
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