That’s a very nervish… Area. So to speak. But having back issues since 2009. What I’ve learned is the majority of doctors and the va aren’t in the business of ” curing”. I’ve been fed so many different prescriptions that did nothing but dull down the pain. My uncle was in the same boat and decided to pursue the surgery option after getting tired of the fetynal they kept giving him and not being able to do much… Went up to st. Louis va, had his back surgery and came back in a wheel chair which he is still in to this day. That was several years ago. He left paralyzed from the waste down from the surgery. And still gets his back pain, albeit not as bad he says.. But at what cost? Well… The cost of his use of legs and having to have his home retrofitted to accommodate, having his Truck modified to accept his motorized wheel chair with a lift on it and hand controls instead of feet controls. And many many other things has had to give up.
I wish I could answer that question in a more professional aspect like… Oh the l3 and l4 are wrapped around by 20 different nerves that Control the aspects of moving and blah blah blah but I’m not a doctor lol just someone with back pain for years.
Probably because the back is a collection of parts old your body, such as several muscles, muscle groups and nerves etc…
As a kid I learned a lot of my back pain was caused by my legs, with muscle tightness pulling my back in odd directions
Your abs are a muscle group that wrap around to the small of your back, if there is an imbalance or poor strength other muscle groups could have to pick up the slack.
Have the issue i would guess is figuring exactly what is causing your issue
Imagine a creature walking on all fours. They’re like a bridge. Now make that half circle stand upright. You’ll have to brake the back. And then bend it back a little. Now the lower back is curved in. And the upper back just wants to slouch forward. You just made an S-shape from basically a C-shape.
One of the big issues with our backs is that we walk upright on two legs. Our spines evolved over millions of years before we walked upright to support walking on 4 limbs…. in the distant past 4 legs and after that two legs and the arms still used to assist in walking like in the other great apes.
This means that over time our backs will get damaged just from walking upright like a human. Even when things are treated people will of course go back to the whole walking upright thing.
Walking upright puts stresses on the spine that it hasn’t evolved to handle.
It’s because most of us are lazy…
Most of us are sedentary and we sit a lot. That tends to lead to muscle imbalances and lack of flexibility. Those are the breeding ground for back problems, but they generally aren’t noticeable.
The something happens that causes the problems to get a bit worse, but they show up as a *big* increase in symptoms, typically with pain, spasm, or inability to move.
That’s the typical scenario.
Most people rest, and and that point the symptoms resolve after a few days. Or they go to their doctor, take some muscle relaxants, and the symptoms resolve. Or they go to a physical therapist, do some exercises for a few days, and the symptoms resolve.
Unfortunately, they haven’t resolved the underlying issues, so the symptoms come back.
It is possible – in many cases – to fix the underlying issues, but you need to spend enough time with a physical therapist and actually do the exercises for long enough
Move more. Sit less. I’ve had a weak back for years. 25 years landscaping. Switched to real estate for about 10 years. All was fine until about 5 to 8 years in. Back pain came back. Then switched to construction. Should been the end. Turns out its been the best move ever. Bending, lifting, stretching, just general work has been no issue. Landscaping was too much low stuff. Real estate was not enough and construction seemed to just be enough. I’m not perfect but no complaints.
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