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AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:30 AM in Lower Back Pain

I had my MRI done and waitng to see PT, to get information on weight training/excersize to make my back stronger. I dont have the paper work in front of me, but have a couple of annular tears more so in lower back (lower) I can get it if need it. My question is, how do you know they are telling you what might be good for your back to make it strong, and it screws it up. I told a TRAINIER that I have a really bad back lower and he had me doing leg press w/heavy weights 160pds and row, where you sit and bend forward and slowly pull up weight, well thats what put me back in the Doctor's office and I can feel it at times pulling and wanting to go out, its almost been 2 months, I am scared to go walk, 3miles or walk. I went to the zoo on Sunday with my kids and was on my feet for 10am to 5pm, I bent the right way everything, I go to get up in the van and sit, and it was like a sharp knife went in to the lower right side of my back, so got home pulling slightly almost went out 3 differnt times, so go PJ'S on and ice packss all night, woke up fine, but I feel like a prisioner in my own house, when it goes it hurts and if not carful the mild problems can become worse. I am 6ft and was 190, been on w.w. and now to 178,I know I will never be 130, not after having 5 children and young age at 44, I am trying to get down to 140-145. Who can I contact for knowledge of the spine and what not to do and what to do. The Doctor at pain management said I dont know ask them at the PT, he is a Doctor he should know.


  • I have an anular tear also and it is painful. I'm doing walking, recumbent stationary bicycle and slim glider. That's mild excercise enough for me. I would get another Pain Management Dr also. I'm going to my 2nd PM Dr now and he's helped me alot. He gave me a booklet with excercise and nutrition and relaxation info and pschologic tips also. He has helped me more than the first PM Dr. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • It is a difficult problem as even those with training will give you different advice. For example, I have been told that a recumbent bike was bad for anyone who has had a lumbar problem as that position puts too much stress on the discs. My surgeon told me if it felt OK, it was OK. The same goes for treadmills. Some say they're great as they provide a softer surface than walking or running on asphalt or concrete; others say that you should avoid anything that is that repetitious...where you use the same muscles in the same way over and over and over. When you are walking outside, you just naturally vary your pace, your length of stride, even if it is just a little bit.

    The problem with trainers is that they have some training, but it is generalized, one size fits all training. I have been given horrendous advice and exercises at a high end club by trainers with college degrees. If I had done what they recommended, I would have ruptured my lower lumbar disks and probably ended up in the emergency room.

    Also, it really depends on your particular spinal issues. For many people back extension positions are recommended as they "push" a herniated disk back into place. But, if you have spondylolisthesis, it can really make matters worse and should be avoided at all costs.

    Even going to physical therapy does not guarantee that you will be given good exercises for your particular problems. I wasted time through two courses of therapy with a mediocre therapist. It was only when I went to the third place that specialized in spinal patients did I realize what a difference there was in individual therapists.

    I guess it is like anything in life these days. We are consumers and we need to do our homework, learn as much as we can before selecting those professionals that we allow to work on us and then, proceed with caution.

    Our Western medicine has become so compartmentalized. Each specialist only treats his little kingdom. Where things overlap become a gray area. Your PM probably wasn't kidding. He probably doesn't know anything about exercise and what would be appropriate for you.

    A physical therapist CAN be great, if you can find the right one. Also you can do lots of reading, in books and on the internet and eventually you will start to see a pattern of exercises that are shown on every site. You can take that information and see if it can be adapted to you. Sometimes the best place to find a PT or trainer is by word of mouth. Ask around among people who have had spine surgery, call the nurses desk on the orthopedic wing at your local hospital...it seems like every second person has had back surgery! And, use common sense. You probably have a good idea of what is going to cause you problems later on in the day. When in doubt, don't try it!

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