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Category: Chronic Pain

A comprehensive guide on chronic pain, its causes, symptoms, and effective management strategies to improve your quality of life.

Hypermobility Knee Exercises Based on Researches
People generally have some issues with the specific hypermobility knee exercises that are currently out there. They either don’t work or they yield very little results. This is largely due to the simple fact that the current treatment around exercises for those with hypermobility, are built on a false premise and simply do not take into account the nuances that come with this population.

The gold standard at the moment for hypermobile knee exercises, and indeed any exercise for those with hypermobility, seems to be the old “build muscle around the joint to help stabilise it” approach.

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This old outdated approach that has seen many hypermobile people simply lose interest in, after seeing it return such little results, comes with 2 main issues. Issues that most people don’t really talk about.
1. Building muscle requires sufficient load and consistency to do so. How is anyone with unstable joints supposed to use such load required to build muscle and not get injured?
2. Muscle gains are slow. If we use women as an example, and whilst ensuring that training and diet are on point, we could expect to see around a 10lb gain in muscle mass over the course of a year. However, there are no studies that follow muscle gain in those with hypermobility. So how much muscle are we supposed to add to create stable joints: 5lb, 25lb? and how are we supposed to even add muscle tissue when we can’t handle the load required to build muscles in the first place?
There are also other issues, such as why do women with high muscle mass still dislocate, whilst others with less muscle mass dislocate less?

The current treatment seems to fall apart somewhat when we start to question it. No wonder this current treatment has caused so much distress and gaslighting to those with hypermobility when it doesn’t even make any sense. We have seen so many people in the studio who have all reported the same thing, they did their physio, it didn’t work, and they were blamed for not trying hard enough.

What’s needed in a hypermobile knee exercise?

In order to stabilise a joint, a few key points need to be met:
1. You need a tactile cue to light up the areas of the brain dedicated to the knee ( Like KT tape or a band), in order to connect to the tissue.
2. The load needs to be used in a closed chain fashion.
3. Specific mapping techniques need to be used to detail those cortical maps and give control over the joint again.
4. Load needs to be increased over time to ensure tissue tolerance goes up.
5. And for detailing of the cortical maps for long term (tactile cues are only temporary) you need coding pattern techniques (chat to one of the team)
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Many people have used many different forms of exercise to help stabilises hypermobile knees, and whilst we often see swimming or hydrotherapy as a form of great exercise, please remember there are issues with these.

We live on land and we need to be able to deal with the various forces that enact upon us. Whilst swimming can be a great form of cardiovascular exercise, it is not doing a great deal in the form of stabilising our joints, and it takes away the loading forces that will help up in the long run, which can decondition us further.

There is also an issue with the use of hydrotherapy, those 39-degree waters will vasodilate our blood vessels, forcing our hearts to work harder to pump blood around, as well as causing blood pooling, potentially making us dizzy and faint. Which is not want we want when we are in a large body of water.

Load is a crucial part of stabilising joints, however, it needs to be the right form of load. Open chain exercises such as the leg extension machine you would find at any gym, are a good example of bad load, putting large leverage forces through tissue, which those of us with hypermobility can not properly handle(yet).

A good hypermobile knee exercise needs to be transferable to everyday life, meaning the benefits of it cross over to other movements and other activities.

There seems to be much demand for a simple and effective hypermobility knee exercise. So, below you can find one of our favourite hypermobility knee exercises, which is aimed at helping those with hypermobility and Ehlers-Danlos syndrome, by addressing some of the real issues that need to be addressed.

Keep in mind, that a large problem with hypermobility exercises, in general, is that individuals tend to have trouble contracting the right tissues or even feeling the muscle they are exercising in the first place. This is why a tactile cue, used with a closed chain exercise, is a great way to train the tissue and your brain, in an exercise that is transferable to everyday life.

For this type of exercise, it is far better to use time, rather than sets and repetitions. You can start off performing this exercise for up to 1 minute twice per day, and spend the next 3 weeks trying to get up to a total of 4 minutes.

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02/15/2023
Chemotherapy Drugs as an Arthritis Treatment

Believe it or not, chemotherapy drugs can actually be used to treat arthritis. Most people assume these drugs are for cancer treatments only, but that is not the case. The doses of medication used for rheumatic or autoimmune conditions are lower than the doses used for cancer treatment. While the pain management specialists at Chronicillness.co Site of United States is not able to administer this treatment at this time, we are always at the forefront of pain management, and can help you look into this treatment if you are interested.

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In many rheumatic diseases, inflammation causes damage to parts of the body, such as what happens to the joints in rheumatoid arthritis. In most cases, inflammation results from autoimmunity, a malfunction of the immune system in which a person’s own tissues or organs are mistakenly attacked by the body’s immune system.

Chemotherapy slows cell reproduction and decreases certain products made by these cells, and therefore may help people with certain inflammatory and autoimmune diseases. Because of the suppressive effect of chemotherapy on autoimmunity, these drugs are sometimes called immunosuppressive drugs.

There are quite a few chemotherapy drugs on the market, but only three are widely used in treating rheumatic diseases today. They are Methotrexate (Rheumatrex), Azathioprine (Imuran), and Cyclophosphamide (Cytoxan).

Methotrexate is the chemotherapeutic drug most widely used by rheumatologists. It’s widely used for two main reasons; it is effective in treating rheumatoid arthritis and certain other rheumatic diseases (especially polymyositis and certain types of vasculitis or inflammation of blood vessels), and it is relatively safe. Most patients are able to take methotrexate by mouth in a single, weekly dose, although some patients prefer to take it as an injection once a week.

Azathioprine has been used for many years as an immunosuppressive drug to prevent rejection in patients receiving kidney transplants. It is also used to suppress the abnormal immune response in some patients with vasculitis, systemic lupus erythematosus, rheumatoid arthritis, and vasculitis. However, patients should be aware that azathioprine has been linked to lymphoma, a cancer of the lymph nodes.

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Cyclophosphamide is considerably more powerful and toxic than methotrexate and azathioprine. It is used to treat the most aggressive and dangerous rheumatic diseases, such as severe lupus and some forms of vasculitis. This drug directly attacks rapidly reproducing cells such as those in the immune system. Resting cells, that are not multiplying, can be affected if there is enough drug present. It is taken either by mouth or by injection.

Side effects of chemotherapy drugs are common, even though the doses are typically lower than the doses used to treat cancer. All of these drugs can suppress the formation of blood cells, resulting in anemia (low red blood cell count), leukopenia/neutropenia (low white blood cell count that may cause decreased resistance to infection), and thrombocytopenia (low platelet count that may cause impaired blood clotting).

In addition to those side effects, methotrexate and azathioprine can damage the liver, and cyclophosphamide can damage the urinary bladder lining and cause bleeding or cancer in the bladder lining. Cyclophosphamide also causes hair loss and sterility while methotrexate and cyclophosphamide can damage the lungs.

Patients should remember that no drug is entirely safe, and it’s best to talk to one’s rheumatologist about the possible benefits of these drugs, as well as their side effects. The occurrence of side effects depends on the dose, type of medication, and length of treatment.

It is very important to have the appropriate follow-up exams and laboratory testing while taking chemotherapy drugs, as careful monitoring can minimize all of these risks.

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02/15/2023
Chronic Pain Due to Sciatica

Sciatica refers to pain, weakness, numbness, and/or tingling in the leg and it is caused by injury to or pressure on the sciatic nerve.

The sciatic nerve starts in the lower spine and runs down the back of each leg. Not only does it control the muscles of the back of the knee and lower leg, but it also provides sensation to the back of the thigh, the sole of the foot, and part of the lower leg. When there is pressure or damage to the sciatic nerve, sciatica occurs.

The most common causes of sciatica include pelvic injury or fracture, tumors, herniated discs, and piriformis syndrome (a pain disorder involving the narrow muscle in the buttocks).

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When a herniated disc presses on nerve roots, it can cause pain, numbness, and weakness in the area of the body where the nerve travels. A herniated disc in the lower back can cause pain and numbness in the buttock and down the leg. Sciatica is the most common symptom of a herniated disc in the low back.

If a herniated disc is not pressing on a nerve, patients may have a backache or no pain at all.

Sciatica pain tends to vary from patient to patient. Some may feel a mild tingling, dull ache, or burning sensation, but in more severe cases, the pain is sometimes intense enough that a patient is unable to move. Though it usually only affects one side of the lower body, patients occasionally experience pain on both sides.

Symptoms of sciatica are burning or tingling down the leg, pain in the rear of the leg that is worse when sitting, shooting pain that makes it difficult to stand, and weakness, numbness, or difficulty moving the leg or foot. Pain may also extend to the foot or toes depending on where the nerve is affected.

Pain can also start slowly and get worse after standing or sitting for long periods of time, at night, when patients sneeze, cough, or laugh, and when patients bend backward or walk more than a few yards (this most often occurs with spinal stenosis patients).

After sciatica is diagnosed by a pain management specialist, the next step is determining and treating the underlying cause because sciatica is a symptom of another medical condition. In certain cases, recovery occurs on its own and no treatment is required.

The main objective of sciatica treatment is to calm the symptoms and reduce inflammation. Applying heat or ice to the painful area is a good idea, as well as taking over-the-counter pain medications such as ibuprofen (Advil, Motrin IB) or acetaminophen (Tylenol). Patients should reduce their activity for several days, though bed rest is not recommended. Also, avoid heavy lifting or twisting of the back for the first six weeks after the pain begins.

If patients still feel pain, injections to reduce inflammation around the nerve may have to be given. Other prescription medications may also be prescribed, along with physical therapy exercises. Since nerve pain is typically difficult to treat, patients may want to see a neurologist or a pain specialist.

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02/14/2023
5-HTP: A Natural Supplement That May Improve Fibromyalgia Symptoms

At Chronicillness.co Site, the pain management specialists know that managing the day-to-day symptoms of fibromyalgia can be exhausting and troublesome. Sometimes medication just isn’t enough. This is where alternative treatments, such as supplements and herbs, come in.

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Because many people—not just those with fibromyalgia—are now using alternative therapies, Congress has formed the National Center for Complementary and Alternative Medicine (NCCAM). It is part of the National Institutes of Health (NIH), and it helps appraise alternative treatments, including supplements, and define their effectiveness. This organization is now creating safe guidelines to help people choose appropriate alternative therapies that may help their symptoms without making them ill.

Some preliminary studies indicate that some medicinal herbs and natural supplements may help treat symptoms of fibromyalgia. Other studies of herbs and natural supplements, however, are less positive. For patients who want to take a natural approach to treat fibromyalgia, it’s important to learn as much as possible about the therapies to consider. The herbs and natural supplements described in this article are just some of the alternative therapies that may have an impact on fibromyalgia.

5-HTP (5-Hydroxytryptophan) is a building block of serotonin. Serotonin is a powerful brain chemical, and serotonin levels play a significant role in fibromyalgia pain. Serotonin levels are also associated with depression and sleep.

For those with fibromyalgia, 5-HTP may help to increase deep sleep and reduce pain. In one study published in the Alternative Medicine Review, researchers reported that supplementation with 5-HTP may improve symptoms of depression, anxiety, insomnia, and fibromyalgia pains. However, there are some contradictory studies that show no benefit of 5-HTP.

5-HTP is usually well tolerated. But in the late 1980s, the supplement was associated with a serious condition called eosinophilia–myalgia syndrome. It’s thought that a contaminant in 5-HTP led to the condition, which causes flu-like symptoms, severe muscle pain, and burning rashes.

Melatonin is a natural hormone that’s available as an over-the-counter supplement. It is sometimes used to induce drowsiness and improve sleep patterns. Some preliminary findings show that melatonin may be effective in treating fibromyalgia pain. Most patients with fibromyalgia have sleep problems and fatigue, and it’s thought that melatonin may help relieve these symptoms.

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Melatonin is generally regarded as safe with few to no side effects. Due to the risk of daytime sleepiness, though, anyone taking melatonin should use caution when driving until they know how it affects them.

There’s no specific evidence that St. John’s wort is helpful in treating fibromyalgia. However, this herb is often used in treating depression, and depression is commonly associated with fibromyalgia.

There are several studies that show St. John’s wort is more effective than a placebo and as effective as older antidepressants called tricyclics in the short-term treatment of mild or moderate depression. Other studies show St. John’s wort is as effective as selective SSRI antidepressants such as Prozac or Zoloft in treating depression.

St John’s wort is usually well tolerated. The most common side effects are stomach upset, skin reactions, and fatigue. St. John’s wort should not be mixed with antidepressants as can cause interactions with many types of drugs.

It’s not known exactly how SAM-e works in the body, but some feel this natural supplement increases levels of serotonin and dopamine, two brain neurotransmitters. Although some researchers believe that SAM-e may alter mood and increase restful sleep, current studies do not appear to show any benefit of SAM-e over placebo in reducing the number of tender points or in alleviating depression with fibromyalgia. Additional study is needed to confirm these findings.

While the studies are limited, it’s thought that L-carnitine may give some pain relief and treat other symptoms in people with fibromyalgia. In one study, researchers evaluated the effectiveness of L-carnitine in 102 patients with fibromyalgia. Results showed significantly greater symptom improvements in the group that took L-carnitine than in the group that took a placebo. The researchers concluded that while more studies are warranted, L-carnitine may provide pain relief and improvement in the general and mental health of patients with fibromyalgia.

Before taking any herb or supplement for fibromyalgia, talk to your pain management doctor at Chronicillness.co Site or pharmacist about possible side effects or herb-drug interactions. Herbal therapies are not recommended for pregnant women, children, the elderly, or those with weakened immune systems. In addition, some herbs have a sedative or blood-thinning qualities, which may dangerously interact with anti-inflammatory painkillers or other pain medications. Others may cause stomach upset if taken in large doses.

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02/13/2023
Most Common Causes of Upper Back Pain

Lower back pain is a common problem among people suffering from chronic pain, and while upper back pain is not a very common spinal disorder, it can cause significant discomfort and pain when it does occur. The most common causes of upper back pain are muscular irritation (myofascial pain) and joint dysfunction.

While there can sometimes be an injury to a disc in the upper back (such as a thoracic herniated disc or degenerated disc) that causes severe upper back pain, such injuries are usually very rare.

The reason why upper back pain is so rare is that the thoracic spine (also called upper back, middle back, or mid-back) is very different in form and function than the cervical spine (neck) or the lumbar spine (lower back). The neck and lower back are designed to provide us with mobility, but the thoracic spine is designed to be very strong and stable to allow us to stand upright and protect the vital internal organs in the chest. Because this section of the spinal column has a great deal of stability and only limited movement, there is generally little risk of injury or degeneration over time in the upper back.

Because there is little motion and a great deal of stability throughout the upper back (thoracic spine), this section of the spine does not tend to develop common spinal disorders, such as a herniated disc, spinal stenosis, degenerative disc disease, or spinal instability. These conditions can cause upper back pain but are exceedingly rare in the upper back.

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Because of this stability and lack of motion, in most cases, anatomic causes of upper back pain cannot be found, and an MRI scan or CT scan will rarely image an anatomic problem that is amenable to any sort of surgical solution for the upper back pain.

Upper back pain can occur as a result of trauma or sudden injury, or it can occur through strain or poor posture over time. As an example of the latter cause, in recent years, upper back pain has become a familiar complaint from people who work at computers most of the day. Often, upper back pain occurs along with neck pain and/or shoulder pain.

The vast majority of cases of upper back pain are due to one (or both) of the following: muscular irritation (myofascial pain) and joint dysfunction.

The shoulder girdle attaches by large muscles to the scapula (the shoulder blade) and the back of the thoracic rib cage. These large upper back muscles are prone to developing irritation (myofascial pain) that can be painful and difficult to work out.

Often, muscular irritation and upper back pain are due to either de-conditioning (lack of strength) or overuse injuries (such as repetitive motions). Muscle strains, sports injuries, auto accidents, or other injuries can all result in pain from muscular irritation.

The ribs connect with the vertebrae in the thoracic spine by two joints that connect with each side of the spine, and dysfunction in these joints can result in upper back pain.

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02/12/2023
What Are the Risks of Pain Relief Alternatives to Opioids?
With so much attention focused on the dangers of opioid painkillers, it’s easy to forget that even “safe” over-the-counter products carry some dangers.

If you don’t think twice about reaching for a pill to relieve aches and pains, especially medicines called nonsteroidal anti-inflammatory drugs, or NSAIDs, you need to know about the wide-ranging cautions surrounding their use, especially if you take them on a regular basis and over a long period of time.

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NSAIDs can cause:
- New or worsening high blood pressure
- Heart failure
- Liver issues
- Kidney damage
- Anemia
- Life-threatening skin and allergic reactions
NSAIDs can also increase the chance of a heart attack or stroke, even within just the first few weeks of using one, and the risk can rise over time. Your risk for heart issues is greater if you have high blood pressure or heart disease or recently had a heart attack or bypass surgery. Aspirin is the one NSAID this warning doesn’t apply to. However, NSAIDs, including aspirin, can damage the stomach lining and cause gastrointestinal (GI) tract bleeding and ulcers.

Your risk for GI issues is higher if you:
- Take NSAIDs long-term
- Are over age 60
- Are a heavy drinker
- Have a history of GI bleeding or ulcers
- Are also taking blood-thinners, steroids or certain other medications
If you’re considering acetaminophen, commonly known by the brand name Tylenol, as an alternative to NSAIDs, know that acetaminophen can also cause severe liver damage, according to the U.S. Food and Drug Administration. Like NSAIDs, it’s also in hundreds of other products, so as with all drugs, read medication ingredient labels to avoid taking too much of the same active ingredient and potentially overdosing.

In general, always take the lowest effective dose for the shortest amount of time possible, and only after talking to your doctor if you already have high blood pressure or any other chronic condition.

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02/11/2023
Reactive Arthritis

There are many different kinds of arthritis that can affect people, and one of the not-so-well-known types is called reactive arthritis (formerly referred to as Reiter’s syndrome). It’s a form of arthritis that affects the joints, eyes, urethra (the tube that carries urine from the bladder to the outside of the body), and skin.

The disease is recognized by various symptoms in different organs of the body that may or may not appear at the same time. It may come on quickly and severely or more slowly, with sudden remissions or recurrences. Reactive arthritis primarily affects sexually active males between the ages of 20 and 40. Those with HIV (human immunodeficiency virus) are at particularly high risk.

While the cause of reactive arthritis is still unknown, research suggests the disease is caused, in part, by a genetic predisposition: approximately 75% of those with the condition have a positive blood test for the genetic marker HLA-B27.

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In sexually active males, most cases of reactive arthritis follow infection with Chlamydia trachomatis or Ureaplasma urealyticum, both sexually transmitted diseases. In other cases, people develop the symptoms following an intestinal infection with shigella, salmonella, yersinia, or campylobacter bacteria.

Unfortunately, there is no known way to prevent reactive arthritis besides using a condom during sexual activity.

The first symptoms of reactive arthritis are painful urination and a discharge from the penis if there is inflammation of the urethra. Diarrhea may occur if the intestines are affected. This is then followed by arthritis four to 28 days later which usually affects the fingers, toes, ankles, hips, and knee joints. Typically, only one or a few of these joints may be affected at one time. Other symptoms can include mouth ulcers, inflammation of the eye, keratoderma blennorrhagica (patches of scaly skin on the palms, soles, trunk, or scalp), back pain from sacroiliac (SI) joint involvement, and pain from inflammation of the ligaments and tendons at the sites of their insertion into the bone (enthesitis).

Due to the fact that symptoms tend to occur several weeks apart, diagnosis of reactive arthritis can be complicated. A doctor may diagnose reactive arthritis when the patient’s arthritis occurs together with or shortly following inflammation of the eye and the urinary tract and lasts a month or longer.

There is no specific test for diagnosing reactive arthritis, but a doctor may check the urethral discharge for sexually transmitted diseases. Stool samples may also be tested for signs of infection. Blood tests of reactive arthritis patients are typically positive for the HLA-B27 genetic marker, with an elevated white blood cell count and an increased erythrocyte sedimentation rate (ESR)—both signs of inflammation. The patient may also be mildly anemic (having too few red blood cells in the bloodstream).

X-rays of the joints outside the back do not usually reveal any abnormalities unless the patient has had recurrent episodes of the disease. On an X-ray, joints that have been repeatedly inflamed may show areas of bone loss, signs of osteoporosis, or bony spurs. Joints in the back and pelvis (sacroiliac joints) may show abnormalities and damage from reactive arthritis.

Bacterial infections, such as chlamydia, will need to be treated with antibiotics. Joint inflammation from reactive arthritis is usually treated with nonsteroidal anti-inflammatory drugs (NSAIDs), such as naproxen, aspirin, or ibuprofen. Skin eruptions and eye inflammation can be treated with steroids.

Those with chronic disease may be prescribed other medications, including methotrexate. Patients with chronic arthritis also may be referred to a physical therapist and may be advised to exercise regularly.

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02/11/2023
For Rural Patients, Opioid Treatment Centers Often Too Far Away

Methadone is often used in the fight against opioid addiction, but long travel times in rural areas may be hampering efforts to get more people treated, a new study finds.

If methadone for opioid addiction was available in primary care clinics, more people would have better access to treatment, researchers suggest.

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In the United States, methadone is only available at clinics certified by the federal government as Opioid Treatment Programs, or OTPs. This restriction, along with state and local laws, limits the number of clinics that offer methadone for opioid addiction.

For the study, researchers looked at drive times to OTPs in rural and urban counties in Indiana, Kentucky, Ohio, Virginia and West Virginia. These states are among those hardest hit by the opioid epidemic.

Drive time is important because methadone treatment requires six visits a week to an OTP, the study authors noted.

Except in the largest cities, average drive times to OTPs were longer than to other clinics, the study found.

The average drive time to a methadone clinic was 37 minutes, compared with 16 minutes to other medical clinics and 15 minutes to kidney dialysis centers. In rural areas, the drive time can be close to two hours, the researchers found.

“This study makes clear how poorly accessible methadone is for rural communities harmed by the opioid epidemic,” study author Dr. Paul Joudrey, a post-doctoral fellow at Yale University, said in a university news release.

Joudrey noted that another drug, buprenorphine, is used in primary care settings to treat opioid addiction, but it doesn’t help everyone. Addiction experts recommend that methadone should be available in all communities to improve health and reduce death among people who are addicted to opioids.

The report was published Oct. 1 in the Journal of the American Medical Association.

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02/10/2023
5 Common Chronic Pain Problems From Dancing
One of the most common complaints Chronicillness.co Site of United States sees amongst dancers knee pain following an injury. Dancers are hyper-mobile, meaning the joints move in a larger range of motion than normal. Typically, this is desirable for dancers, however, it can cause other body parts to control movements and lead to painful problems. Knee pain is common because dancers are usually back on their feet and performing at high levels following an injury.

At Chronicillness.co Site of United States, our team of board-certified pain specialists helps patients overcome chronic pain every day. With the most advanced treatments and management strategies available, Chronicillness.co Site is the leading pain relief facility in the entire state of the United States. If you or someone you know suffers from knee or thigh pain as a result of a dancing injury, contact Chronicillness.co Site today for a full evaluation.

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The knee commonly referred to as the hinge joint, is the largest joint in the human body, responsible for supporting bones, muscles, tendons, cartilage, and ligaments. The knees can bear weight up to four times of a person’s body and are consistently bending, moving, and moving to keep us mobile. For dancers, proper and capable knee function is imperative. If you have suffered an injury from dancing or need to prevent an injury from occurring, please review these 5 common dancing injuries that lead to chronic pain complications if left undertreated.
1. Adolescent Anterior Knee Pain. The patella, kneecap, is a common place for healthy young athletes to endure pain—especially females. Excessive stress to the knee is common in dancers who are required to train hard. Dancers often go through early growth spurts, which decreases flexibility. Bones grow more rapidly than muscles during this time putting more stress on the kneecap.
2. Hyperextension. Locking the knee joint or using extreme flexibility to the knee joint often places excess stress on the knee joint and lower leg.
3. Patellar Misalignment. When the patella slips out of its place, it will generally relocate back. When this happens repeatedly, it can be very painful in the future and lead to dislocation and inflammation.
4. Meniscus Tears. The “C” shaped cartilage of the knee joint helps protect the femur and tibia from grinding against one another. Landing a high jump, twisting a knee, or other dancing injuries can cause a tear in the meniscus. Range of motion, walking, and gait are affected when this injury occurs.
5. Osteoarthritis. Inflammation and degeneration of cartilage within the bones of the knee joint cause osteoarthritis. Pain, swelling, and stiffness often result, in limiting capable activities and dance abilities if untreated.
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02/10/2023
Signs Your Back Pain Is Serious

We’ve all had back pain from time to time. Maybe we lifted luggage that was too heavy, held a baby for too long or carried a backpack overloaded with books.

Some aches and pain here and there are normal—ones that tend to go away after you rest or exercise. But millions of Americans have ongoing back pain. It’s the leading cause of disability in people younger than 45, and many factors can cause it.

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You shouldn’t be in severe and significant pain for a long time. So, how do you know if your back pain is serious? Read on to find out more.

Here are a few signs that your back pain shouldn’t be taken lightly.

1. You fell.
Consider if you’ve had a serious trauma, such as you fell from a height or had a car accident. Even if you’ve had a minor trauma and are over 50, your health care professional will want to talk to you and examine your back pain. When you’re older, falling down even a few steps can cause a fracture. If there is no fracture, you may be told to manage your pain with medicine and physical therapy.

2. You have an ongoing fever.
A fever that isn’t responsive to medicine and is accompanied by back pain could be a sign of a serious infection. If it’s an infection, you may be prescribed antibiotics. You may be told to rest and then resume your daily activities once you feel better.

3. You have tingling or numbness.
Here, you have a pins-and-needles feeling in your back that won’t go away. It usually means that you have nerve damage or irritation, making it more significant than your typical back pain. You can experience permanent disabilities if you leave this condition untreated. Your health care professional can evaluate you and may order tests to get images of your spine. Treatment depends on your diagnosis.

What is VCF?

Vertebral compression fractures (VCFs) are the most common fractures in people with osteoporosis, a silent condition that weakens your bones and makes them more susceptible to fractures. VCFs affect about 750,000 people annually, says the National Osteoporosis Foundation. And they affect about one-quarter of postmenopausal women in the United States. The risk of this condition increases with age; about 40 percent of women age 80 and older are affected.

VCFs happen when the bony block or vertebral body in the spine collapses. That can lead to severe pain, deformity and height loss. These fractures happen more commonly in the middle portion of the spine.

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Most of the time, a VCF happens without an injury or pain. It can be caused by something as insignificant as a sneeze. One of the first signs of VCF is height loss. Think about whether your adult children seem taller. Do you need to hem pants you’ve worn for years? Are you suddenly unable to reach a shelf? These signs may mean you’ve experienced VCF.

Risks if left untreated

VCFs can be very painful. People who’ve had one VCF are at five times greater risk of having a second one. Risk for death goes up to more than 50 percent a year after a vertebral fracture.

Each broken vertebra raises the risk for another since it changes how weight is balanced on the spine. You’ll experience pain in your back and chest as these muscles have to work more to hold you upright. It gets more difficult to walk. You develop stomach troubles and difficulty breathing. If you do nothing, you may experience disability.

Complications related to VCF include:

Segmental instability

When a fracture leads to a vertebral body collapse of more than 50 percent, there is a risk of segmental instability. Because spinal segments work together, when one segment deteriorates or collapses, it can produce pain and impair daily activities. The instability eventually leads to a quicker degeneration of the spine in the affected area.

Kyphosis

Here, the front of the vertebrae will collapse and “wedge” because of a lack of normal vertebral space. Kyphosis leads to a more rounded thoracic spine, which may be referred to as hunchback or dowager’s hump.

Neurological complications

If the fracture causes part of the vertebral body to place pressure on the spinal cord, the nerves and spinal cord can be affected. The normal space between the spinal cord and beginning of the spinal canal can be decreased if pieces of the broken vertebral body push into the spinal canal.

The narrowing of the spinal canal due to a VCF can injure the spinal nerves or cause problems later from nerve irritation. The lack of space can also lower the blood and oxygen supply to the spinal cord. This can lead to numbness and pain in the affected nerves. The nerves may lose some of their mobility when the space around them decreases, which can lead to nerve irritation and inflammation. Back pain isn’t par for the course as you get older. If you experience any back pain, make sure to speak with a health care professional about your symptoms.

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02/09/2023