Move More, Sleep Better and Longer

(Spine-Health.com) -- New research presented at the 22nd Annual Meeting of the Associated Professional Sleep Societies (APSS) shows that “an acute session of moderate aerobic exercise, but not heavy aerobic or moderate strength exercises” can improve the amount and quality of sleep for people with insomnia (without resorting to pharmaceutical sleep-aids).
What exactly does "acute" mean in this context? Merriam-Webster defines acute as “having a sudden onset, sharp rise, and short course”, so “moderate, but not heavy, aerobic exercise” is like a brisk 20-30 minute walk.
In this new research, 36 patients, all with primary chronic insomnia, were divided into four groups:
- Moderate aerobic exercise (e.g. walking)
- Intense aerobic exercise (e.g. running)
- Moderate strength exercise (e.g. pilates)
- A control group (no exercise)
Of the above 4 groups, the moderate aerobic exercise group (exercise walking) showed the most sleep improvements:
- 54% reduction in time it takes to fall asleep
- 36% less awake time during the night
- 37% increase in total sleep time
These findings highlight the importance of moderate physical exercise to help treat insomnia.
In general, about 30 percent of adults are thought to have symptoms of insomnia. It is more common among elderly people, women, and those suffering from a pain condition.
Source: American Academy of Sleep Medicine, http://www.aasmnet.org/Articles.aspx?id=92611 Unconventional Sleep Tips: How to Get to Sleep and Stay Asleep
I have a lifelong difficulty with falling asleep at night and then -- even more problematic -- staying asleep. I don’t have a medical cause for insomnia or any sleep disorders, just a brain that likes to go into overdrive when my body finally has a chance to lie down and rest.
38 Questions to Ask Your Surgeon Before Having Back Surgery
This subject comes up a lot in our forums - "I'm considering surgery, what questions should I ask my surgeon?" From articles on Spine-health.com and contributions from our discussion forum members, we've compiled a list that you can print up and take with you to your consultation. Good luck!
Back Pain and Holiday Blues: 18 Tips to Reduce Your Holiday Stress
Ah yes, the holidays are upon us once again, and with them the holiday blues. Not everyone is in festive spirits, especially those of us with chronic pain. Often, chronic back pain leads to depression, and alternately depression can worsen physical pain. The added anxiety and stress of all the holiday planning and expectations can intensify feelings of sadness.
Chronic Back Pain and Wandering the Halls at 2:00 am
Two-thirds of Spine-health.com's visitors report having sleep problems, but ... so what? Spending the long nighttime hours wincing in pain while wandering from bed, to recliner, to couch, to simply roaming the house, and finally back to bed for one last short bit of sleep. That's the real story. Exhausting. Makes me tired just reading about it.
Recent excerpts from our message board explain the real challenges of sleep problems due to chronic pain:
How to Power Nap at Work
What do Leonardo da Vinci, Albert Einstein and Thomas Edison all have in common? They've all made important contributions to the advancement of mankind, they're all distinguished in their respective fields, and they were all avid power nappers.
More and more employees are spending a significant part of their afternoon staring blankly at the computer screen, or pinching themselves to stay awake during an afternoon staff meeting.
Lyrica Helps with Restorative Sleep
Just read about an interesting study that showed that Lyrica (pregabalin) helped the participants get more restorative sleep, not just fall asleep faster. Thanks to Dr. Steven Poceta, a neurologist, who explains on his Revolution Health blog:
Unusual Office Chair Solutions
Many people feel very uncomfortable in their office chair. And there are lots of good office chair reviews if you're looking for a new option. But what if the problem is not your specific office chair but the fact that you're sitting on one at all? If this may be true for you, then here are some office chair alternatives to consider.







Any 

Subject: Exercise done in a pain free
Exercise done in a pain free manner to improve circulation and joint health can both speed healing and reduce pain. Less pain equals better rest equals better healing and less pain. Sounds like a good plan. Thanks for the info!
http://www.moveathink.info/exercisesforlowerbackpain
http://www.moveathink.info/lowerbackstretches
http://www.moveathink.info/backstretches
June 20th, 2008
Subject: explore
Criteria for REM sleep include not only rapid eye movements but also a rapid low voltage EEG. In mammals, at least, low muscle tone is also seen. Most memorable dreaming occurs in this stage.
June 21st, 2008
Subject: sleep
The cervical curve, convex forward, begins at the apex of the odontoid (tooth-like) process, and ends at the middle of the second thoracic vertebra; it is the least marked of all the curves.
June 21st, 2008
Subject: Back Pain
Ten years ago I had an MRI showing. Annular tear at L4-5, lumbar pseudospondylolisthesis. Schorl's node at L-2, bilateral sacro-iliitis,osteoarthropathy. I am alyways in pian my feet feel like they are burning and may heels now tingle. Do to no health insurance right now cant not get it check out . Can some one tell me what the above all means in simple words. Thanks
June 21st, 2008
Subject: A New Blog from The Patients Voice – about Back Pain
Dear Friends
Welcome to the newest blog from The Patients Voice. In this blog we are very keen to explore your thoughts and ideas about the experience of suffering from back pain.
We would therefore like to invite you to participate in the blog. Firstly by having a look at the blog and secondly by participating yourself. It is a great opportunity to share experiences and information about back pain.
To visit the blog please go to
http://www.thepatientsvoice.org/Back_Pain/Live_Blog_ver2.asp
Blogs are a wonderful way for patients and their carers to connect with each other. But not just that they are a great way to disseminate information with people who suffer from back pain.
You may also notice that our site has been re-designed so please feel free to have a look at other parts of the site. If you have any suggestions regarding the site please do feel free to email me about them.
Remember The Patients Voice is a great opportunity for you to share with others.
Best wishes
Belinda Shale
The Patients Voice
www.thepatientsvoice.org
June 23rd, 2008
Subject: Back Pain
In 2002 I crushed the pars in my back from L1-L5. I was told it would heal. Well here I am 6 years later and I cannot have a normal life because of the pain. When I try to stand or walk my legs start to burn and my feet will either feel numb, tingle or burn, or all of the above. I get out of bed and I almost collapse to the floor because the pain is so great. I cannot stand straight up when I get up out of a chair I have to ease into an upright position. I am on very strong pain medication. As a matter of fact I have to take 10 pills a day for one thing or another. I am depressed, I never want to leave my house. I have to take Prozac. I don't know how to handle this way of life that I have now. I went to rehab and the therapist told me it was my pain, to own and learn to live with it that there was nothing that could be done about it. Well that took away all hope that I ever did have. I am now scheduled to go to a neurologist to see what he can do and I am also scheduled for a pain clinic. My psychologist has given me a book to read on living with chronic pain. I am just tired of everyone acting as if this is in my head. I have a very supportive family, but I just keep expecting that support to end and I will be all alone with my pain. I don't ever feel suicidal but I do get tired of the pain and think to myself sometime that it would be okay if something did happen to me and I died. Last year during an exam I found out that I was suffering from urinary incontinence which is related to the nerve damage in my back, I have arthritis in S1-S2. The bad thing about all this is I am only 38 years old. I have a teenage son and a 21 year old daughter and two beautiful grandchildren. But they all have to come to me for visits cause I wont leave the house. I have applied for disability and it takes so long that I am afraid that we will lose our house while waiting. I do get a small disability check from VA because I was on active duty in military when I was injured. I just need someone to talk to that is going through this too. Someone that understands the uncertainty and hopelessness and helplessness.
June 27th, 2008
Subject: Understanding
Lynn, I do understand where you are coming from. I am 43 years old and had a failed back fusion in sept 07. I have 2 children ages 16 and 11. I am currently getting LTD and am applying for SSD. Life for me is very hard sometimes. I am tired of always talking about my back pain I am seeing many differnt DRS> and am taking meds to ease my pain, relax, and to sleep. It would be nice to wake up and feel at least 50% better. You are not alone. I think about my bills all the time and wonder what to pay first. Even recieving 70% of my pay is tuff on my family. I live in NJ and day to day living is very expensive try to hold your head up and be strong for your family,they need you.Good luck, I hope that everything works out.........hootie
July 4th, 2008
Subject: back pain
Lynne,
I want to respond and see if I can assist any.
I feel I have some ability to,and will list why...
! I too am suffering from chronic pain
I was an officer in the army yrs. ago
I did get a 20% disability..(for a problem not nearly as severe as you have had).
I am a retired psychiatrist and have seen many people struggling to get disabilities coverage thru Social Security.
First it seems that you should have seen a neurologist,and a pain MD.before now..I am guessing that you have not
Dont know what analgesics you are on that would be helpful to know.Many narcotics,as many as you are needing,can lead to depression...could also a..ffect your urination problems.you need to see neuro..
the" therapist" you have sounds like an IDIOT>What are his/her credentials?
Pain,disability,medications,change in life style can all lead to depression.Are you seeing a psychiatrist who is familiar with these problems? (dont tell me , NO).Prozac is not an instant bullet that can undo all these(and other ) issues...activity as much as possible ,even if painful is IMPORTANT..you can go out it may be hard,but try..passivity also worsens self image/depression.
I had pts. who applied for disability,and I found they did much better with an atty..sometimes they had to go to Soc Security 2 or 3 times befor success
Why dont you have a better military disability? Can you you challenge this?
I would.
Disability should improve if you work on it some...
Will close for now hope this helps.If you give more data maybe I can be more helpful.
Meitus@earthlink.net
ps...if your therapist means "own it" as far as the pain meaning do as much as you can..even tf painful..thats what Im saying...if it is punitive...then as above...He should be helping you with meds,and benefits, and other suggestions,such as pain clinic,or day program...if available...perhaps I was too harsh without getting enough data from you. I apologize...Your therapist may be saying things you dont like...likle get moving...and you may be resisting..which many depressed people do,especially in physical and mental pain
hope I hear from you
Meitus
July 15th, 2008
Subject: Back Pain
Hey Lynn,
I know where you are coming from. I too have chronic pain. I am not as bad off as you, but I am 44 years old and have lost all joy in the things I use to do. I try to put a brave front, but I am tired of all the pain and pain killers that I have now become so tolerant to that they no longer work the way they are suppose to. I have also tried the anti-depressant medicine that is suppose to be good for pain as well, but the side effects were not worth it. (It was causing me problems when I urinated)
I just recently had discography done and they have determined that I have a tear in my L-5 disc. My surgeon is recommending surgery, but I am going to have to put it off until we can save the money to compensate for my salary. It sucks and on top of that my husbands insurance could not come to an agreement with the surgeons office i had been seeing for months so I will need to pay approximately $2500.00 to the surgeon. I am so despondent right now. I am scared that the surgery will not "fix" the problem and then where will I be. And on top of all that they have already confirmed that I have tears in the discs in my neck so I am looking at further surgery in the future. I am only 44 years old and if this all I have to look forward to I do not know if it will all be worth it. I do not want to live my life as a cripple! So as you can see there are others out there just like you.
July 15th, 2008
Subject: Back Pain
Hey Lynn,
Let me start off by saying that I had never had any specific injury that I can lay the blame to. I have just had reoccurring pain running down my leg for years and it usually flaired up once or twice a year. Then over 4 years ago the occurrences became more frequent and lasted for longer periods of time until they just never seemed to stop. Tried all the procedures ( do not recommend radio wave frequency, almost as bad as my discography) and all the other things that every one describes injections, physical therapy. So I know where you are coming from. I too have chronic pain. I am not as bad off as you, but I am 44 years old and have lost all joy in the things I use to do. I try to put a brave front, but I am tired of all the pain and pain killers, that I have now become so tolerant to that they no longer work the way they are suppose to.( I have been on them for almost 18 mos) I have also tried the anti-depressant medicine that is suppose to be good for pain as well, but the side effects were not worth it. (It was causing me problems when I urinated)
I just recently had discography done and they have determined that I have a tear in my L-5 S-I disc. My surgeon is recommending surgery, but I am going to have to put it off until we can save the money to compensate for my salary. It sucks and on top of that my husbands insurance could not come to an agreement with the surgeons office I had been seeing for months so I will need to pay approximately $2500.00 to the surgeon. I am so despondent right now. I am scared that the surgery will not "fix" the problem and then where will I be. And on top of all that they have already confirmed that I have tears in the discs in my neck so I am looking at further surgery in the future. I am only 44 years old and if this all I have to look forward to I do not know if it will all be worth it. I do not want to live my life as a cripple! So as you can see there are others out there just like you.
July 15th, 2008
Subject: PAIN!!!
Hi There
Pain is a scary word to me. I Have Cervical Stonsis and fominal spoydlosis. An bone decease I have been going to a pain clinc since march 2008. I have had more needles stuck in my neck actually 3 different types and they do not tickle.And I never got any releaf,, Well today I went and I got 4 trigger point injections in my muscel around my neck What trigger point injection do is the block the path of pain, And belive it or not I am actually feeling better..
Maybe this is something you could look into.
Go to google type in trigger point injections and they can explain how they work. When you have a lot of pain your muscel tighen up and cause more pain so when you get these injectiond the block pain and start to relaz your mucel and the pian slowly sudsides I am proof
Joni
July 16th, 2008
Subject: L5-S1 disc rupture
Hi,
I am 41 years old and in relatively good health. I had been a fitness quest for about 9 months and worked my way up to jogging as much as 13 miles at a time at a 8.5 minute mile pace. I was also doing eliptical machine, lifting weights, abdominal work, etc... I was probably in about the best shape of my life. Then one morning I woke up with with a terrible hamstring pain in my left leg when I got out of bed. I had been playing some soccer with my 7 year old son and some neighbor boys the day before but had not felt like I did anything to hurt myself. I found that I could strech out my hamstring and the pain would go away until I sat down for any length of time. Then when I stood up it would come back and I would have to stretch it out again. I could walk without too much pain. Sitting at work everyday and driving a car was uncomforable. After a couple of weeks it did not get better so I went to my doctor. He sent me to physical therapy. After a couple of times I found that it was getting worse not better. I was beginning to get pain in my quadriceps area and gluteus minimus area pretty bad too. Really my whole hip. I went back to the doctor after a couple more weeks. He sent me back to physical therapy. It kept getting worse. After a couple of minutes on my feet pain was radiating down my whole left leg, especially my calf. Just standing at the sink putting my contacts in, brushing my teeth, and combing my hair became a nightmare. Walking into work from my car almost brought tears to my eyes. My whole hip and calf area had so much pain that I could not believe it. I have had alot of mostly sports related injuries in my life and nothing even compared remotely to this kind of pain. I went back to the doctor again. He said that a gluteus minimus injury could radiate pain down the leg and even showed me a picture, so I believed him. For a couple more weeks it continued to get worse. I went back to my doctor a 4th time and told him that I was going to die if he didn't do something for me. He told me that no one had ever died from a hamstring or other leg injury before. I told him I agreed with that but that I would likely die from the self-inflicted gunshot wound to the head!!! He finally said O.K. he would refer me for an MRI. This had all taken about 8 weeks from the morning that the hamstring pain had started. I had been taking Vicodin and Motrin 800's like they were candy and by this time they were only able to knock the pain level down from about a 9 to a 5 on a scale of 1 to 10. I had not had even the slightest bit of back pain this whole time. Absolutely no indication whosoever of any kind of back injury so I was totally in shock the day after my MRI when they told me that I had a severe L5-S1 disc rupture. But they sent me the MRI films and it was so obvious. They said that the L5-S1 area is where all of the nerves going down your legs are and that this rupture was compressing my spinal cord by about 50%. They sent me to a spine specialist the next day who gave me 2 shots of a steriod and other stuff directly in the spine. Within a few days about half of the leg pain was gone. A week later they had me come back for 2 more shots in the spine. More of the pain went away this time. I can now feel a little pain in the L5-S1 area since most of the leg pain is now gone. The leg pain was soooooo bad initially that I couldn't feel any back pain at all. Every time I stand up my left foot still goes to sleep for a couple of minutes but most of the leg pain is gone. They tell me that I can start walking again and doing some light elliptical but not to bend at the waist at all under any circumstances. They say that in 1 month they will look at it again and if my body has not started to eat up the rupture they would like to go in and trim off the rupture. They say that it would very minimally invasive and there would be no fusing or anything. This scares me but we will see at what happens....
July 3rd, 2008
Subject: I feel your pain
Wow..sounds like me telling my story. The way you describe all your pain is very similar to mine.I had back pain over the years from different injuries. In my younger days it was just to go easyfor a week or so til the pain subsided. Well, about a year before my surgery I was doing some work around the house and when I got up.....the worst pain I had every felt. I couldn't move. Well, did the whole route..chiro,injections,etc.Finally, last resort surgery on 4-30-08. L3-S1, lamenectomy,eight screws, two rods, two cages.
I must be lucky or blessed. Pain gone immediately. Walking a few miles a day, back on the elliptical. Going to dr. tomorrow to see if I can start some exercises.
I remember prior to the surgery the feelings that a gun to the head would be some welcome relief. Just my bullheaded attitude kept me going. So glad I did.
So, just hang in there.
July 9th, 2008
Subject: Very similar story
Hi,
My story is so similar to yours. I developed pain a few years back in my right hip after using the eliptical machine. It got so bad this past year I thought I needed a hip replacement. My dr. sent me for hip x-rays which revealed only minimal arthritis (very common for someone 43 years old apparently). At first I just thought, oh well...I guess I'm glad I don't need a new hip! Then I started looking for answers on my own. I thought I had piriformis syndrome, and still believe I do (piriformis muscle runs through the hip and can trap the sciatic nerve) The pain continued to get worse and in March/April of this year started radiating down my leg into my ankle. I was sent to PT with no results. I just had my MRI last week which revealed a herniation at L4 -L5. I'm consulting with a surgeon next week, but like you, very hessitant to have back surgery. Here is what has helped me!!! I found a chiropractor (I'm usually one who believes that they are right up there with voodoo doctors, but desperate times call for desperate measures!) He does something called ART (Active Release Techniques). PT has something similar called MAT (Muscle Activation Techniques). It is basically applying pressure to the piriformis, or what ever muscles are bothering you due to all the compensatory stuff going on, while activating (moving) the muscle. I saw a reducation in pain almost right away after one session of this! I highly recommend it. I too had no pain in my back.
Also, a must read book is by Aaron Filler, chief surgeon at Ceders Hosptial called, Do you really Need Back Surgery? This book is so comprehensive and CURRENT (2007) on options and opinions, and points of view. I found it really enlightening and feel as though I can go to my meeting with the surgeon feeling informed and armed with questions. The last thing I have done to try and take care of myself during this misery is to go to a place called The Migun (Me-gun) Beds. Google this to see if there is a center near you. They are Jade Cryal thermal heat massage beds. Each center has unlimited free massages that last about 30 minutes. They are a demonstration center, hoping you love the beds so much you'll buy one for $3,000, but there is no pressure to buy and they encourage you to use the beds as long as you need to to see if you improve. They are a wonderful comfort and after a session (I go five days a week and started two weeks ago)I have several hours of pain relief with almost no symptoms at all. It's kind of new age, but again, chronic pain opens the mind to try new things! I wish you the best of luck. I feel your pain. This is definately a challenging time for me too. I'm a teacher, so luckily I have a few weeks to focus on healing this summer.
Becky in Colorado
July 13th, 2008
Subject: Re: ACDF & Plating surgery 3 mos. Post-Op
Hello everyone,
I was feeling great until Dec. '07. I was rear-ended while sitting at an intersection waiting for the red light to change. My life, like many of yours, was changed in an instant. I went to E.R. the next day, because I could barely move and the pain in my neck, shoulders, left knee, and back was excruciating! Diagnosis: Cervical, left knee and lumbar sprain. Followed up w/my PCP two days later. Then, started the process of how to treat me. I had 2 cortisone shots in my neck, 1 lanicaine shot in the lower rt. side of my head (terrible headaches started), P.T. for 4 wks.,muscle relaxers & Vicodin. No improvement. In Jan.'08,I started feeling this terrible ache, numbness, weakness, and tingling in my left arm down to my finger tips. I was referred to 2 NS. Finally, 4 mos. later, ACDF & plating surgery. I am under the care of a Pain Spec. and 2 NS. I am frustrated because the pain has not improved, nor has my quality of life. Now, I'm taking stronger meds. and will undergo more tests. Has anyone else at 3 mos. post-op felt this way? To say I am frustrated is an understatement! Would love feedback
.
July 8th, 2008
Subject: L3, L4, L5, S1 Lumbar Fusion
Hello, New to Group. Just had the above double fusion three weeks ago.
So much was not said and still a lot to learn now that surgery is over.
I have many questions and properly can add a lot of comments to discussion.
I just turned 54 years old, white male and started over 17 years ago with herniated disc, (That is when I was first diagnosed with herniated disc). I was attacked at work 4 months ago by a mental health patient. I stressed my back out of wack trying to keep patient from escapping and then pat. got me in headlock. If I had not had to go for consultation and medical exam, and X-RAYS, would not know what shape my spine has gotten into. Will log in latter to ask many many questions. One question is how long is one really out of work. 2nd question-does anyone have BM probems afterwards?
July 10th, 2008
Subject: sciatic pain/microdisc surgery
I suffered from sciatic pain for eight months. It was so bad that I had to go on extended leave from work. I had re-hab...no sucesss...I had steroid injections..got worse.
An MRI showed herniated disc at the L5/S1 level. It was only a small protrusion, not indicative of the pain I was having. My surgeon believed that there was something undetectable causing the pain. He was right, he removed the fragment shown on the exam and another, not seen, about the size of a pencile eraser. I was dismissed the same day and pain free except for the incision. I would rate it at about
two or three on a ten scale. It is now three days post and no sciatic pain.
alvan
July 13th, 2008
Subject: that is encouraging
Alvan,
That is very encouraging that your surgery appears to have been successful. I will likely have the same thing scheduled in about 10 days. I have a large L5-S1 rupture. I have had 4 shots of steroid in the spine and they initially helped alot. But now the pain level is creeping back up. They told me that they will probably want to go in and trim off the rupture when I go back on the 25th of July. I am terrified of this as I had heard only disaster back surgery stories. It helps to know that all back surgeries do not have horrible results.
Mark in Indy
July 14th, 2008
Subject: back pain
I had my L 2 tranverse fractured in Jan. I started getting so sick I thought I was dying. Pain shoots up my right side into my neck to the point it feels like I am having a stroke or something, and it makes me feel real weird. Is this normal, or is this the type of pain one usually experiences with this problem? I started to go to the hospital again last night. It woke me in the middle of the night so severe it was scary. If it didn't get into my neck, it would not scare me so bad.
Thanks for any info. nanaharr
July 13th, 2008
Subject: to Becky in Colorado
I agree with your comments about thinking it was a hip problem. I thought I would be told that I had some kind of degenerative hip problem like Bo Jackson. I played hockey for years and always seemed to have deep hip bruises during the season. I thought that I must have done some kind of permanent damage over the years. I thought that it would be the end of my professional baseball and football careers! That is if I had professional baseball and football careers! Anyway, I go back on the 25th of July and they will supposedly tell me if they want to go in and trim off the rupture or not. My pain is now getting a little worse again so I would guess they will recommend that I do this. The pain is not nearly as bad as when I wanted to put a bullit in my head every day, prior to the spine shots, but it is definitely getting worse. Thanks for the advice on chiropractics and what book to read.
Mark in Indy
July 14th, 2008