5 - Back Pain Basics - Review

Goals Information Skills Drills Questions Review

 Session Review

The degenerative model of back pain describes a chain reaction of changes.

  • At first the nucleus weakens, tears, and scars.
  • As disc height decreases, the vertebrae move closer together.
  • This puts pressure on the facet joints, which can cause them to become arthritic.
  • Changes in the ligaments, discs, and facet joints can cause the spinal segment to become loose and unstable.
  • Bone spurs form on the vertebrae.
  • The nucleus may squeeze (herniate) through the weakened annulus

Mechanical pain comes from wear and tear on the parts of the spine.

  • It's like a machine that is wearing out.
  • It usually gets worse with activity and eases with rest.
  • The pain rarely goes down past the knee.
  • It usually doesn't cause weakness or numbness.

Neurogenic pain comes from a nerve injury.

  • It occurs when spinal nerves are inflamed, squeezed, or pinched.
  • It can cause pain and symptoms that affect structures away from the spine.

Neurogenic pain is more concerning than mechanical pain.

  • Neurogenic pain involves the spinal nerves and can lead to weakness and numbness in the legs.
  • Mechanical pain usually doesn't affect the nerves.

Protect your back while sweeping and mopping.

  • Engage your core muscles to keep you from twisting back and forth.
  • Keep one leg in front of the other and lean forward and back from your hips.

Sample calculations of the training heart rate for a sedentary
40-year-old man.

  • 220 - 40 = 180 (180 is his maximum heart rate).
  • 180 x .6 = 104 beats per minute (bpm).
  • He should feel 26 pulses in 15 seconds during exercises (26 x 4 = 104 bpm).

Goals Information Skills Drills Questions Review

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