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Backache, stress, and tension : understanding why you have back pain and simple exercises to prevent and treat it
Today's busy world provides too much stress and not enough time for exercise. Instead of walking, running, and doing physical chores, we sit for hours at a desk, use machines to do work for us, and drive a car for even the shortest trips. As a result, more than sixty-five million Americans experience back pain, neck stiffness, and tension headaches. Dr. Kraus provides various approaches to back and tension problems, the primary focus being a series of carefully planned exercises to strengthen the whole body and to correct specific physical deficiencies.
Book
The little pocket book of stretching with ease for a pain-free back : heal and prevent backache and injury
Fitness and stretching expert Linda Minarik explains how you can avoid and treat back pain and injury with this illustrated guide to stretches for your back.
Book
Inter- and Intra-Examiner Reliability Study of Two-Point Discrimination Test in the Sacral Area of Pain-Free Individuals
Tactile acuity is typically measured by a two-point discrimination test (TPD) and a two-point estimation task (TPE). In the back area, they are only conducted in the lumbar and cervical regions of the spine. Considering that such measurements have not been conducted in the sacral regions, the purpose of this study was to assess the inter- and intra-examiner reliability of the TPD and TPE at the level of the S3 segment. The study included 30 pain-free subjects aged 20–30 years. Tests were performed with a pair of stainless hardened digital calipers. The TPD was measured in two locations: 5 and 15 cm from the midline; for TPE both, points were located inside the measured area. Session 1 involved assessments by two examiners in 10-min intervals. Session 2 was measured by one examiner, at analogous intervals between tests. The TPD inter-rater reliability was excellent for mean measurements (ICC[sub.3.2]: 0.76–0.8; ICC[sub.3.3]: 0.8–0.92); the intra-rater reliability was excellent for mean measurements (ICC[sub.2.2]: 0.79–0.85; ICC[sub.2.3]: 0.82–0.86). The TPE inter-rater reliability was good to excellent for mean measurements (ICC[sub.3.2]: 0.65–0.92; ICC[sub.3.3]: 0.73–0.94); the intra-rater reliability for all studies (ICC[sub.2.1], ICC[sub.2.2], ICC[sub.2.3]) was excellent (0.85–0.89). Two measurements are sufficient to achieve good reliability (ICC ≥ 0.75), regardless of the assessed body side.
Journal Article
Prevalence and clinical significance of lumbosacral transitional vertebra cohort
Objective To determine in a cohort of young patients with suspected axial spondyloarthritis (axSpA), the prevalence of lumbosacral transitional vertebra (LSTV), its association with local bone marrow edema (BME) and lumbar spine degeneration, and the potential relationship with MRI findings and clinical signs of axSpA. Materials and methods Baseline imaging studies and clinical information of patients from the SPondyloArthritis Caught Early-cohort (back pain [greater than or equal to]3 months, [less than or equal to]2 years, onset <45 years) were used. Two independent readers assessed all patients for LSTV on radiography, and BME-like and degenerative changes on MRI. Patients with and without LSTV were compared with regard to the prevalence of MRI findings and the results of clinical assessment using Chi-squared test or t test. Results Of 273 patients (35.1% male, mean age 30.0), 68 (25%) patients showed an LSTV, without statistical significant difference between patients with and without axSpA (p = 0.327). Local sacral BME was present in 9 out of 68 (13%) patients with LSTV and absent in patients without LSTV (p < 0.001). Visual analogue scale (VAS) pain score and spinal mobility assessments were comparable. Conclusions LSTV is of low clinical relevance in the early diagnosis of axSpA. There is no difference between patients with and without LSTV regarding the prevalence of axSpA, pain and spinal mobility, and a BME-like pattern at the pseudoarticulation does not reach the SI joints.
Journal Article
Healing Our Backs with Yoga : An Essential Guide to Back Pain Relief
\"Therapeutic yoga expert Lillah Schwartz clearly explains movement principles, basic anatomy, breath awareness, and the central elements of alignment-based yoga to help you uncover your own healing potential and move toward back pain relief.Step-by-step instructions with 27 pose sequences, 285 color photos, explanations, hints, and cautions take the guesswork out of yoga so you can practice simple and powerful poses aimed at healing your back.Whether you are a seasoned yoga teacher or a first-time yoga practitioner, Healing Our Backs With Yoga offers the keys to unlock the natural healing capabilities of the body.The book includes clear instructions along with hints and cautions to guide the reader on his or her healing journey, and is written with all levels of yoga practitioners in mind. The average person and beginning yoga student will find the background information on physiology helpful in starting a practice to help heal back pain. Other levels of experience will learn to think of their practices in a new light. And, yoga teachers will find new ways to help students along with a new way to think of their own practices.\"-- Provided by publisher.
Book
Raphanus sativus Linne Protects Human Nucleus Pulposus Cells against Hsub.2Osub.2-Induced Damage by Inhibiting TREM2
Intervertebral disc degeneration (IDD) occurs due to damage and loss of nucleus pulposus (NP) cells. This study investigated the protective effects of Raphanus sativus Linne (RSL), commonly known as radish, against oxidative stress caused by H[sub.2]O[sub.2] in human NP cells and its ability to inhibit TREM2, a protein that induces apoptosis and degeneration in NP cells. RSL significantly improved cell survival by reducing the apoptosis markers cleaved caspase-3 and Bax and increasing Bcl2. It also enhanced mRNA levels of ACAN and Col2a1, important for NP cell function, and reduced levels of ADAMTS-4, ADAMTS-5, MMP3, and MMP13, which are involved in NP cell degeneration. Additionally, RSL downregulated TREM2 expression, which is elevated by H[sub.2]O[sub.2] and causes disc degeneration. Overall, RSL extracts support human NP cells under oxidative stress and may help prevent IDD by regulating key degeneration pathways, particularly TREM2. Intervertebral disc degeneration (IDD) progresses owing to damage and depletion of nucleus pulposus (NP) cells. Cytoprotection mitigates oxidative stress, nutrient deprivation, and mechanical stress, which lead to cell damage and necrosis. We aimed to examine the protective effect of Raphanus sativus Linne (RSL), common radish, against oxidative stress by H[sub.2]O[sub.2] in human NP cells and whether the RSL extracts can inhibit triggering receptor expressed on myeloid cells 2 (TREM2), an inducer of apoptosis and degeneration in NP cells. We administered hydrogen peroxide (H[sub.2]O[sub.2]) to cultured human NP cells treated with RSL extracts. We used immunoblotting and quantitative PCR to investigate expression of the apoptosis-associated proteins in cultured cells. RSL significantly enhanced cell survival by suppressing the activation of cleaved caspase-3 and Bax. In contrast, RSL extract increased Bcl2 concentration to downregulate apoptosis. Additionally, RSL treatment notably enhanced the mRNA levels of ACAN and Col2a1 while significantly reducing those of ADAMTS-4, ADAMTS-5, MMP3, and MMP13, key genes involved in NP degeneration. While H[sub.2]O[sub.2] elevated TREM2 expression, causing disc degeneration, RSL downregulated TREM2 expression. Thus, our findings imply that RSL supports human NP cells under oxidative stress and regulates the pathways underlying disc degeneration, particularly TREM2, and that RSL extracts may potentially prevent IDD.
Journal Article