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Welcome back everybody I did -- during the break and I'm curious to ask the doctors if it was helpful I stood up.
-- and it you know several studies are now showing that if you sitting at your desk all day it is not good for your health.
But there's little proof that it could lead to back pain still experts say putting.
Up pressure on your -- by sitting so long may make you prone to injuries -- doctor -- was -- -- Smart things.
It was really gets -- look this is a very common to health issues.
Over 90% of Americans suffer from -- low back pain at some point you know life.
Fortunately a lot of isn't really self limited and this appears on its own.
Before we get into the -- reasons behind low back pain it's also important to understand.
The actual structure of -- -- Think of it as a high -- that has thirty floors -- is -- you have thirty very -- cheaper there these are the floors in between each floor.
You have -- shock absorbers.
And those -- the disks.
Where the elevators are in the core of this whole building that's where -- spying core this is spinal cord of the nerves are so what happens over time.
Let's talk about the causes and how do you end up having sitting for a long time.
Sitting is the worst position for you responded why because we're using -- highest point of pressure in that building that's.
They're lower level of basement exactly that's exactly where our back -- so -- when you said that's going to put a lot of weight of the order floors are on there.
You wanna get up exactly what you did you want to take frequent breaks you want to make sure.
Now we have computers -- we have FaceBook and Twitter is we're spending more time make sure that level of computers at the level of your belly button your hands are comfortable.
And once in -- get up.
And negative -- exercise now we're gonna do something really quick together as simple way.
To really solve the muscle pain Cingular back Jamie -- see if you can do this it's very easy.
And saw cure stomach all the way in all the way to the back.
As if it wasn't all our.
If you take a deep breath and hold it for about ten seconds.
And slowly breed out.
Normal and then.
I was just checking with my time clock you do -- five times and you're gonna see some relaxation of your muscle that's very important.
So that's what we see most of the time but in general there's also like the old man disease they -- terror.
Did you generated disease somebody called arthritis so what happens over time -- this building gets older the floors are going to basically get shaky.
Bimbos are going to get closer and did disk which was in between these is going to leak it to where they elevators are.
That's called -- to -- -- it's going to put pressure on the nerve.
And that's where you're going to get what some -- called sciatica get tingling in your nerves at all the pain that you have.
-- now that you've told us everything that can happen to our back and I asked factor Siegel what we can do about it well here's what we can do about it this.
It was a beautiful description and I want you -- saying that these nerves.
And bones and muscles in the back are very tightly together we call -- a very tight compartment and that's the biggest problem.
Because most of the time when people have lower back pain they're having a muscle spasm because that nervous so close to the muscle now what can they do they can get up and stretch.
They can use an ergonomic.
Chair where they're 490.
Degrees here's what they can't do don't go rushing to an imaging -- don't have some doctor said you for a million tests.
You know if I need to use medication I -- muscle -- -- again most of the time it's muscle.
-- I -- -- get a million emails on this but don't go running to a chiropractor right off the back.
Figure out -- -- ask -- -- figure out what's wrong with your back what about an analgesic.
A block -- well again if you -- -- if you -- a bad day.
And you -- some -- -- I'm OK with an occasional analgesic use but David just said the key thing here.
It can by the your kidneys it's not good for you -- I don't like any of my patients taking medications and any kind without my being aware of it.
Could they surprise me or become in Jamie they come and -- -- I'm not taking any medicine -- just been taking three out of -- -- day for the past two months so stretch take frequent breaks.
See your doctor if this persists and David went over some of the causes it can be sciatica can be at this probably -- -- what Lamar and obesity -- it worked up.
Not a Kyra there is -- pressure on the merits a lot of times what they do is under -- floor Roscoe.
Can't really calm down -- -- around the -- would make sure that you receipt of board certified.
Doctor and I had this conversation with a good friend one -- Chrysler from -- cyanide.
You know so many people treat -- back then you have orthopedist you have sort of pain management you have anesthesiologist talked -- -- -- -- -- -- what's right for you.
You know it's such a big is such a big topic physical therapy before you start considering surgery wanna go slow with virtually -- one last -- -- -- heat or -- -- -- -- He wants interest and if it's -- problems.
Thank you both got emails -- back and they you know sort of income and then actually had this -- -- from Stephanie in South Carolina and she says McCrery.
Is regarding a spine procedure called MI LD minimally invasive Lombardi compression.
Used to correct spinal distance analysis is it safe something that chief should consider and what is -- we've talked about some of the remedies -- what is this.
Well David certainly -- -- report for this was -- described the anatomy.
In other words if there's narrowing in that spinal canal because you're getting the soft tissue pushing their those -- of -- -- -- to -- -- -- narrowing.
You're gonna get a lot of symptoms especially when you get up and try to walk.
-- what do we do about that we can do we decompression get the pressure out of the canal and that it it -- expands that's that this surgery should this email or just describe.
It's state of the art.
But -- as we've discussed on the show before I'm pretty and David and I are pretty conservative about rushing to newfangled treatments it's all about the -- and it's not about the procedure it's not.
This is a good procedure this is a -- procedure it's whom who's doing it how much experience they have.
But in this case.
The actual -- -- which is the bones often need to be decompress which means so who -- little bit more extensive procedure than this.
-- described -- actually cure the problem long term I've had too many problems with recurrent symptoms in that particular procedure may not be enough.
In most cases.
Well I think it's impossible to really cover this whole topic within like four minutes but the truth is that there -- a lot of surges.
That may recommend I -- next to me.
-- what -- did this minimally invasive one is basically it's a tricky case access wonderful roster.
To see where the -- is and you are able to really remove it through this minimally invasive.
And there's no really one treatment that's best for every patient you have you talked to multiple doctors.
Find out what's best for you this mild MI LD treatment works and about 70% of the time.
And if it doesn't work you can always -- I -- next to me put this is is just the general recommendation.
Talk to orthopedic surgeon a finalist as I was gonna say we -- talk about back pain probably almost every week -- a lot about that but you but.
-- it's -- if I want to know about acupuncture.
Next time tell are we gonna both of that thanks both of you.
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