America is clearly embroiled in an opioid crisis. And the roots go back to over-prescription of pain medications by doctors who were either poorly informed, sadly deliberately mis-informed by Big Pharma or lacked the ethics to consider the long-term consequences of continuing to prescribe these dangerous medications. We at Restore Fx are committed to helping patients learn to manage their pain in ways that are SUSTAINABLE.
How can you determine what is a sustainable treatment for chronic pain?
At Restore Fx we have what we call the "pocket test": is it FREE? Because if it isn't you may not be able to continue to afford it at some point; is it PORTABLE? Because chronic pain follows you throughout your day-- to your work site, to the family reunion, to the church picnic and to your kids soccer game. So if you can't bring your treatment with you wherever you go, it's not of much use to you; and is it SELF-ADMINISTERED? Because if you have to go see someone to administer the treatment (i.e. massage, chiropractic, injections, surgeries or even renewing a pain medication prescription) what are you going to do when it's 3AM and your pain is through the roof? You need to be able to SELF-TREAT pain, wherever, whenever and even if you are alone at that moment. So if it doesn't pass the "Pocket Test" you may want to reconsider having it be a mainstay in your management of chronic pain. Imagine depending on chiropractic visits and then going on a family trip to another state. You wake up in terrible pain and have no other tools for managing the pain because your "go-to" is the chiropractor. I have no problem with chiropractic care, or massage therapy, or physical therapy or other treatments administered by other professionals. They can be great additional resources once you have some good "pocket-tested" tools.
What tools would pass the "pocket test"? At Restore Fx we teach mindfulness meditation, yoga, Pilates, stretching, self-massage, appropriate use of heat and ice, self-correction techniques, cognitive-behavioral therapy, nutrition and appropriate self-administered exercises. All of those things can be done on your own, without paying any money or seeing a professional. If you are not familiar with these tools you may want to look into our services or find a local provider who can teach you.
Wishing you health and wellness in your journey living with pain,
Pain is Distressing….But Distress Can Be Tolerated!
Through Distress Tolerance we learn how to get through difficult moments until they pass.
Through distress tolerance we move to do something that will help us ride through a difficult, but transient, time.
Distress tolerance is about willingness and acceptance…being willing to accept your current situation and then to do something about it.
The purpose and goal of distress tolerance coping skills are to cope with and get through particularly difficult moments until they pass and one is in a better moment.
Thus, these skills are to be used when one is in significant physical and/or emotional pain or distress. Through the use of these skills, we do not fight with our pain. Instead, we accept the pain and the difficult moment, but we empower ourselves to manage the moment.
The trick is to use distress tolerance strategically and deliberately…so you know what to do and you are in control during the most difficult times.
Distract: Through distraction we focus our attention away from our pain and onto something else.
Sensory Distraction: In this process we activate the part of our brain that is more involved with our senses (sight, touch, sound, taste, smell). In doing so, we de-activate the part of our brain involved in physical pain and emotional distress. It will not make the pain go away, but it will quite literally turn down the volume of the pain.
Examples of Sensory Distraction: exercise, holding ice and feeling it melt in our hands, listening to music, tapping our leg with our hand, smelling something strong/odorous, eating something with a powerful taste.
Cognitive Distraction: Here we activate the part of our brain focused on logical and rationale thinking, reflection and imagination. In doing so, again we de-activate the part of our brain involved in physical pain and emotional distress. Our mind can only focus attention on one thing at a time, although our attention can shift quite rapidly and frequently. However, by sustaining our attention on something that is interesting or mentally stimulating, our focus is taken off of our pain and distress.
Examples of Cognitive Distraction: Reading a book, playing a musical instrument, watching a movie, crafts and projects, puzzles, anything that requires or activates focus and attention.
Self-Soothe: This is similar to distraction, but in a soothing, enjoyable and comforting way. Use your senses (vision, touch, hearing, smell and taste) to soothe and bring comfort to yourself. The same activation and de-activation process in distraction occurs, although self-soothing requires a willingness to be soothed.
Examples of Self-Soothing: Watch a sunset, pet a pet, take a hot bubble bath, get a massage, listen to your favorite soothing music, watch a funny movie, listen to the birds, watch children play, eat and savor a favorite food, anything that brings enjoyment and comfort.
Improve the Moment: The idea with Improve the Moment is that you are going to be in pain anyways, so you might as well do something productive. Otherwise, all you have to show for your time is pain and distress. So, tell yourself “I am going to make the best of this difficult time and do something to make my life a little bit better.”
Examples of Improve the Moment: Pay the bills, exercise, do some chores, respond to emails, call a friend, work on your resume, look for job opportunities, wash your car, play with you kids or pets, you get the idea.
It too Shall Pass: This is more of an attitude and an outlook versus an active coping strategy, nonetheless, it can be quite effective. Keep in mind that life is always changing and distressing moments pass. Every moment leads to another, and we know from life experience that the next moment can bring something else and something better.
Use this as a mantra for It Too Shall Pass:
Moments pass, that is the nature of moments. Don’t get stuck in a bad moment - wait for a good moment to come. Remember, a good moment is just around the corner waiting for the bad moment to pass.
Vacation: Take a small vacation from your life and the stress that comes along with it. A weekend, a day, or even an hour away from what you usually do can revive and redirect energy. Vacations recharge and restore us to balance. Be specific and plan it out, or specifically plan not to plan. Treat yourself to something out of the ordinary, something special, something fun. Remember, a good vacation takes some thought and planning.
Try these techniques when you are feeling overwhelmed by your pain (or any upsetting situation). While we can't always make our pain go away we can make riding it out less distressing.
For more information on distress tolerance see this great website: titled DBT Self-help.
“We are living in an age when sleep is more comfortable than ever, and yet more elusive.”
-David K. Randall
We all know the difference a good night's sleep has on our mind and body; we are eager to start the day, we feel alert and awake, and things that usually stress us out seem to be less of a big deal. Even though someone who is asleep appears to be inactive, that quiet lump under the covers is surprisingly filled with trillions of cells working to restore, rejuvenate, detox, and heal the body. Sleep also aids the mind in storing and processing memories, helping us make sense of newly learned information, and helping with focus, creativity and decision making skills when awake. It’s no wonder then that humans, and every single other animal, needs restful sleep.
In his book Dreamland, David K. Randall tells us how our quantity and quality of sleep underlies all of the decisions we make throughout the day. Sleep also significantly impacts our emotional intelligence. Meaning that if we are sleep deprived we are less able to control our emotions and make reasonable decisions. Adults need anywhere from 7.5-9 hours of restful quality sleep. Randall emphasizes that if we don’t get enough sleep, our body will keep score of the debt, and feel emotionally and physically fatigued until we get proper rest we need.“Humans need roughly one hour of sleep for every two hours they are awake, and the body innately knows when this ratio becomes out of whack. Each hour of missed sleep one night will result in deeper sleep the next, until the body’s sleep debt is wiped clean.” Sleep is necessary for our well being, especially when we are suffering from chronic pain. It could be extremely exhausting and aggravating to find yourself awake at night, tossing and turning, looking at your clock, and which a sigh, hoping to fall back asleep.
Sleep is mandatory for our well being, especially when we are suffering from chronic pain -- unfortunately, pain is also one of the leading causes of insomnia. Studies have shown that two-thirds of the people who suffer from back pain have insomnia; studies have additionally shown that disrupted sleep also worsened back pain. Insomnia and pain clearly influence each other-- creating a vicious cycle where more pain leads to less sleep and less sleep leads to more pain.
Another finding from the NSF 1996 survey, showed that people who experience pain AND sleep problems scored significantly lower in general mood, physical health, ability to handle stress, ability to get up and go, and their ability to concentrate compared to people who didn’t experience pain and sleep problems. The good news is that we have some control over our sleep habits, but first we need to learn which habits promote sleep and which ones obstruct it. If you can learn to sleep better, you can reduce the impact of sleep deprivation on pain.
So pay attention!--
Here is a list of bad habits that you may need to get rid in order to get a better night's rest:
- cold, cough and decongestants
- painkillers (like Tylenol#3 for example)
Create soothing bedtime rituals to ease your mind and body at the end of every day. Here are some rituals and activities you can experiment with before you go to sleep:
Whatever you decide to do for your last bedtime activity, try to keep in mind that it should promote calmness. Invest your time in figuring out what activities your body responds well too— and stick to those habits, your body will thank you!
Remember, sleep impacts pain and pain impacts sleep. By taking control of one side of the cycle you can prevent your (lack of) sleep from making your pain worse.
"Grief does not change you. It reveals you."
~ John Green
In working for over two decades with clients with chronic pain I have come to know many things. One is that no one expected to be there-- no one expected to one day get hurt and be in pain and have that pain not go away and have that pain slowly erode everything they know about their lives. Their work, their finances, their relationships, their self-esteem, their health and yes, even their faith. So there is a LOT of loss in living with chronic pain. Sometimes folks try to brace against that loss. They try to batten down the hatches, build a wall, dig a mote and fill it with sharks and manta rays and such-- anything to keep from feeling the deep grief and loss about the things that the can't do anymore due to their pain. Or the things they lost due to their pain-- houses, cars, jobs, savings accounts and even marriages. And I get it. No one likes to have to feel pain. No one likes to have to face loss. The problem is that grief and loss won't be ignored. They are going to keep trying to push to the surface. They will scale any wall you build, cross any mote, slither in through the cracks. And if you don't find a way to feel the grief and let it go it is going to make your pain a LOT worse.
In my work as a therapist I can honestly say that it is never to late to grieve a loss. I have seen many people who start off thinking that "there's no point in getting into that, it was so long ago" or "I should be over this by now" or "I can't change it so why think about it?" But with support and encouragement these people have been able to do the important work of uncovering unprocessed grief that they have carried around for months or even years. And the results are remarkable. Letting go of grief can bring about profound changes in energy level, mood, openness to new relationships and even forgiveness of one's self and others. And it can even lessen your physical pain.
If you are carrying around unresolved grief, no matter what kind or how old it is, I invite you to think about starting to process that loss.
The following post has been excerpt from a blog by Alexandra Katehakis & Tom Bliss. Many thanks for their words of wisdom on letting go.
No one knows the hurt of heartbreak until they've experienced it. The gnashing pain of saying "good-bye" to a lover--when we know the relationship isn't working, when we have to leave in order to grow into our potential, when we've been so terribly betrayed that we can't hold a vision for healing, or when someone dies--is beyond comprehension until we live through it. Loss is so devastating that many people hold onto pain, resentment, or anger as a perverse way to stay in relationship with the one we've said "good-bye" to. Sometimes it even feels righteous to stay in anger, hurt, or upset--almost as though we can right the wrong if we dig in our heels. Yet over time, this stance leaves us embittered and stuck, hanging on for dear life so as not to feel the awful feelings of sorrow. Worse, that mental clinging precludes our moving on.
Grief, on the other hand, is an essential step in our progress forward. Grieving requires the ego and the recriminations to get out of the way so that we can become vulnerable and fully feel the loss of what once was. Without the full-bodied sensation of our grief and loss, we can never get past them. Letting go and grieving is a cleansing and healing process for all: we tear open our emotional prison and energetically release ourselves, and our former beloved, to move on.
DAILY HEALTHY ACTS
· If you're holding on to an old wound and haven't let yourself feel the loss, take time today to write about what keeps you invested.
· Free yourself for a good cry over your big losses.
· Have a small ceremony to commemorate the anniversary of the loss of a loved one, whether it was a relational loss or literal loss. Light a candle in his or her name to free them, throw a rock into the ocean to symbolize an aspect of the relationship that needs to be let go, or plant some flowers so that your grief can blossom into something new.
While this kind of thing can sound weird or "hokey" in my experience we can really feel a lot better by creating some kind of ceremony to let go of things. Or talk to a counselor. Sharing grief is one way to lessen the burden.
Wishing you peace in your journey to heal your chronic pain,
Program Director, Restore Fx
The following excerpt was taken from Dr. Andrew Weil's website and is an interesting investigation of things that impact pain tolerance. We have long known that different things increase or decrease pain tolerance such as sleep, mood and social support.
More Friends = Less Pain
The more friends you have, the higher your tolerance for pain, according to a new study from the U.K. Researchers at the University of Oxford wanted to know whether our social networks affect the activity of endorphins in our brains, perhaps enabling these natural compounds to better tamp down pain in people with a wide circle of friends. To test this idea they recruited 101 adults ages 18 through 34 and asked them to respond to a questionnaire on their social contacts. The associations asked about were not limited to the people the participants saw or talked to daily but also those they were in touch less frequently, including once a week and once a month. The respondents also rated their stress levels and fitness and the researchers assessed such traits as “agreeableness.” To determine pain tolerance the researchers asked the volunteers to squat against a wall with their knees at right angles and stay in that uncomfortable position as long as they could. Combining the information about the size of the participants’ social networks and the length of time they were able to squat, the researchers found that those with more friends were better able to tolerate pain, suggesting that our endorphins are positively influenced by how well connected we are to others.
My take? Although the study was somewhat unconventional, this is an interesting finding and plays into my long held view that we haven’t evolved to be alone. We need the intimate support of a family and are meant to be part of larger communities, bands and tribes. In addition, the kind of connectedness you can get by playing a role in your community – working with others for common goals – can give you great satisfaction. There are many rewards to being part of a wide social circle. This study suggests that greater tolerance for pain may be one of them.
-Dr. Krista Jordan, Program Director, Restore FX
All of us have been there. We are kind of shuffling along in life, having some successes and some failures like most folks, when WHAM! Out of nowhere comes some totally unexpected calamity. A car accident, a work-related injury, death of a loved one, a natural disaster. You name it, life can kick you in the teeth when you least expect it.
At Restore Fx we see this all the time. Great folks, salt-of-the-earth folks, who unexpectedly are dealing with a devastating injury that has taken over their lives. In times like that it can be helpful to find books like this one by Anne Lamont.
Ms. Lamont is funny, poignant, tender, honest and pulls no punches. She's like the cool aunt we all wish we had, who could tell you about crazy stuff they did in the 60's and also comfort you when your heart is broken or you get diagnosed with cancer. In a word, she's inspirational. And her writing is just so beautiful, like a spoken song. Here is just one example where she is talking about her awakening, of how she eventually learned to know and love herself through the help of others:
"They knew that there was a power and a beauty deep inside me, but that I was afraid of this and I was in fragments. Men and women alike, old and new at teaching, were like aunties or grandparent in their firm patience with me, in their conviction of my worth. They had a divine curiosity about me-- "Hey, who's in there? Are you willing to talk straight and find who you actually are, if I keep you company? Do you want to make friends with your heart? Here-- start with this poem.
This is who I want to be in the world. This is who I think we are supposed to be, people who help call forth human beings from deep inside hopelessness."
Indeed. I agree. I believe in the inter-connectedness of all beings and in the interdependence of people as an essential part of the human condition. We are now learning that loneliness is a greater risk factor than smoking for disease and death. I believe it is not only a capability but a responsibility of all of us to reach out to each other. To be that curious person who will keep company and share poems and generally help our fellow humans. To quote John Lennon, "imagine" how the world could be if we all took on that job.
And I can't bear not to share just one more excerpt from this book:
"When we agree to (or get tricked into) being part of something bigger than our own weird, fixated minds, we are saved. When we search for something larger than our own selves to hook into, we can come through whatever life throws at us."
Again the research on social isolation and altruism comes to mind. How we can help ourselves by literally helping others. I think it's not a coincidence that many 12-step programs tell folks to do "service work", literally to go serve others, as a way to save themselves from their destructive habits and addictions. Sometimes spending too much time navel-gazing can drive a person crazy. Sometimes you just need to get out of yourself and realize that other people are struggling and you can probably do something to help them.
So Stitches is about pain, it's about how life can knock the wind out of you and then kick you while you are down. And that while you are down there you just may realize that there is some beautiful little insect crawling around on a blade of grass that you would have never seen had you not been face down in the lawn gasping for breath. It's about how just when you need it someone can come along and offer you a hand, and you may find yourself helping them in kind. About how somehow we keep finding ways to mend and darn and pull the threads together to keep this sometimes fragile thing we call life from fully unraveling.
It's a mercifully short book given how busy we all are these days. The writing is beautiful. It may make you feel better about being human and messy and confused a lot of the time. I loved it and I am looking forward to delving in to another one of her works soon.
Wishing you health and happiness, and feel free to recommend books for me to read and review!
Program Director, Restore Fx
Guilt and shame are
Well, certainly no one wants to feel either. In my work with clients with chronic pain I have noticed that many of our clients at Restore Fx seem to be
"guilt magnets" and "shame prone". This often goes along with being a "people pleaser", wanting to help others our to the point that you may not take care of yourself very well! People pleasers may cringe at the slightest sign that they may have hurt or offended someone and spend hours thinking about it afterwards. While it's certainly nice to care about other people, often people-pleasers may put themselves in situations where they get over-extended or do things for others that can end up causing them stress or even physical pain.
So what does it mean to be a people pleaser? Or a guilt magnet? Or to be shame prone? Is it all the same? And are they all bad things to be?
Psychology has long made a distinction, however, between guilt and shame. Guilt is actually considered to be a desirable emotion as far as society is concerned. Guilt is defined as feeling bad for something you have DONE. That is different from shame, which is feeling bad for WHO YOU ARE. Consider this-- if we lived in a world where no one ever felt guilty, i.e. never felt bad for hurting someone or cheating or stealing-- then what would keep people from doing whatever they wanted? If you knew that whatever you were going to do would not upset anyone in the slightest then why not do whatever you want?
So if guilt has a function, then what about shame? While I am not an anthropologist, my personal theory is that shame is just overshooting the mark of guilt. I think that Mother Nature gave us the capacity to feel guilt for the reasons stated above, but sometimes that feeling grows too large and instead of being just about our behavior it becomes about our identity, about who we are. Shame does not serve any positive function. While guilt makes us want to move towards people in order to repair the damage, shame makes us feel so bad that we isolate and move away. As shame researcher Brenee Brown puts it "shame corrodes the part of us that thinks we can do better [and therefore is willing to go and say we are sorry]". Shame leads to self destructive behaviors and isolating from others. Shame is toxic.
So what are we to do if we find that, like many clients who come to Restore Fx, you seem to be "shame prone"? What if you tend to feel shame about even small things? Working on shame resilience is an excellent goal for therapy. Shame can only survive in secrecy and shadow. If you share your shame with someone, almost always you will find that the feeling diminishes. When we can see that the other person does not run screaming out of the room after we make our "confession", we don't feel so bad. And sometimes we are even lucky enough to talk to someone who reciprocates our shame tale with one of their own. Hearing someone say "oh, I've done that too" or "I did something else that made me feel the same way" we feel tremendous relief. We feel that we are not alone and perhaps we are not the worst person on the plant.
Talking to a counselor provides a regular opportunity to talk about shameful experiences and feelings. It gives us the opportunity to shine a light of objectivity and neutrality on the shame-drenched sludge that we have been harboring in the deeper recesses of ourselves. And in that light of objectivity and through the compassion of another person we find that the shame shrivels and retreats, growing smaller and less powerful. Keeping the secret of shame is what keeps it alive. Sharing the secret of shame is the antidote.
Researcher Dr. Brene Brown has written several Ted Talks and written several books about shame. She notes that "shame happens between people and needs to be healed between people". I could not agree more. Fortunately for us Dr. Brown has made a career about researching shame and has come up with four common characteristics of people who are "shame resilient":
If you are interested in learning more about shame I recommend any of Dr. Brene Brown's work on shame and shame resiliency. Another great resource is work on self-compassion, which is another way to fight shame. For more information on self-compassion see Dr. Kristin Neff's website on the subject. She has links to her Ted Talk as well as information about self-compassion and even a self-quiz you can use to see how you rank on self-compassion.
Wishing you health and happiness in your journey to manage your chronic pain,
Program Director, Restore Fx
Many people who have chronic pain also struggle with stress and tension. Chronic stress can cause a number of problems ranging from irritability, depressed mood, lack of productivity or insomnia. One of the best antidotes to stress is exercise, which can be challenging for folks who have chronic pain.
But even if you are exercising (and certainly if you aren't) that may not be enough to remove all of your stress. We almost always need to look at other lifestyle factors (like reducing caffeine and other stimulants) as well as other techniques such as diaphragmatic breathing, guided relaxation practices and mindfulness meditation practices. What follows are some basic videos that people can watch in order to learn how to use these techniques to help with anxiety.
The first link is for teaching diaphragmatic breathing. Some people call it "belly breathing". The reason it's helpful to learn this technique is that if you can fully engage your diaphragm by doing this type of breathing it stimulates the parasympathetic part of your nervous system. That part of the nervous system is what causes your body to relax. If you have been stressed out then your nervous system most likely is sympathetically activated, meaning that the sympathetic branch of the nervous system is dominant. This part of the nervous system (the sympathetic branch) dumps a lot of adrenaline and cortisol (stress hormone) into your bloodstream which causes symptoms of anxiety like shallow breathing, sweating, hot flashes, increased heart rate, stomach upset, headaches, muscle tension, etc. The way to stop this stress response is to activate the parasympathetic nervous system by doing diaphragmatic breathing.
This link will give you a super simple explanation of diaphragmatic breathing :
This link will show you a person doing diaphragmatic breathing so you can follow along and practice it:
This next one is a specific pattern of breathing that also activates the relaxation response and this is another good tool for turning off the stress pattern if you have started to feel anxious:
You can also do the diaphragmatic breathing with a 4-7-8 pattern, or if you prefer you can use any pattern where you exhale longer than you inhale (so for example inhale for 5, hold for 2, exhale for 6, or any other variation as long as the exhale is longer than the inhale).
In order to maximize benefit you should try to practice some form of relaxation breathing at least 2x/day for at least 5 minutes each time. Once you have the hang of it you can increase to up to 10 min each day. Many folks make one of those times when getting ready to fall asleep. It can help you relax and fall asleep if anxiety tends to keep you awake.
The next tool in the anti-stress arsenal are mindfulness meditations. These have been shown to reduce anxiety and depression, improve concentration and attention and even improve control over your emotions. Studies show that doing this just 11 minutes each day will produce actual structural changes in the brain (increased activity of the frontal lobe). It helps reduce symptoms of ADHD, depression and anxiety as well as increasing emotional control.
At first you should probably just try 3-4 minutes of mindfulness at a time. Doing too much at once can make it annoying and then you might get turned off to it. Try to start with 3-4 minutes each day and after a few days add another minute, do that for a few days, then add another minute and so on. Eventually you will want to do at least 11 minutes each day of mindfulness meditation.
All of the following videos have good technique so you can try them all and see which ones you like. You can also search yourself on youtube for other ones. But remember even if the video is 20 or 30 minutes just do 3-4 minutes at first. You will not be able to empty your mind, it is totally normal to have thoughts intruding constantly. That's fine. The goal is just to notice the thoughts and then let them go. I think of them like people walking into the room and I notice them and say "hi" and then let them walk away and I let them go. The goal is not really to empty your whole mind because the human brain does not work that way. It's just the process of acknowledging the thoughts and letting them go that builds the brain in the areas that benefit you.
And finally here are links to guided imagery for sleep. These are great to help you fall asleep. You just start playing it when you lay down to sleep and usually folks fall asleep before the whole program finishes.
If you don't like any of these you can search with keywords "guided imagery for sleep" or "hypnosis for sleep" to try some other ones. You can also specify in your search male or female voice, music vs. nature sounds, etc.
If you have other youtube videos that you have found useful for managing anxiety or for falling asleep we would love to hear about it! Send Restore Fx an email or post your comment below.
Thanks and stay tuned to more ideas on managing symptoms of stress without medications.
Dr. Jordan and the team at Restore Fx
Another awesome and inspiring story of someone who hit rock bottom and still came out on top!
Amputee veteran lands on Men's Health magazine cover
An amputee Army Veteran is making Men's Health magazine history.
33 year old retired Army Sergeant Noah Galloway is the first reader to appear on the magazine's cover after winning the publication's first "Ultimate Men's Health Guy" contest.
The Alabama native was serving in Iraq back in December of 2005 when his humvee set off an IED. He lost his left forearm and left leg below the knee. Galloway told Men's Health the injury set him in a downward spiral. He said, "I'd sit at home and drink and smoke and sleep. That's all I did."
But then in 2010, Galloway decided to make a change. He joined a 24-hour gym so that he could work out in the early morning hours without people gawking at him. Eventually he became a runner, participating in marathons, Tough Mudders,spartan events, and other running events.
His experience led him to creating the No Excuses Charitable Fund, an organization that aims to support after-school wellness programs. And while the father of three told Men's Health that he still has the occasional down day, he's learned that they always pass.
To read more about Galloway's story, you can pick up the November issue of Men's Health magazine.
Dr. Jordan recommends the following article that appeared in an issue of AADEP Advisor.
Poor body mechanics cause chronic lower back pain
If you want to steer clear of lower back pain, remember this: Arch is good, flat is bad. Back pain is anything but rare; only headaches and colds are more common. According to the National Institute of Neurological Diseases and Stroke, Americans spend more than $50 billion each year on lower back pain, which is the No. 1 cause of job-related disability in the country and one of the leading contributors to missed time from work.
Continue here to read the full article: http://www.news-medical.net/news/20141007/Poor-body-mechanics-cause-chronic-lower-back-pain.aspx
Krista Jordan, Ph.D., ABPP