The Pilot News

Finding relief for nonspecifi­c back pain

- BY MICHAEL ROIZEN, M.D., AND MEHMET OZ, M.D.

Harrison Ford, Usain Bolt and Peyton Manning have all had to deal with back pain. And they’re just some of the 31 million Americans who, on any given day, contend with that agony.

What causes all this discomfort? Sometimes it’s a slipped disc, muscle spasm or congenital spine problem like scoliosis. Other times, however, the source of pain is harder to diagnose, and convention­al medical treatments don’t provide relief.

A study in the journal PAIN suggests that in such cases, stress and emotional/ psychologi­cal factors may be the cause. After all, stress can cause vasodilati­on, which makes a person blush. So, say the researcher­s, stress/repressed emotions can trigger physiologi­cal changes (in your nervous system and muscles) that cause nonspecifi­c back pain.

To treat such cases, the researcher­s used a 12-week, psychophys­iologic symptom relief therapy (PSRT) program. It educates patients about the links between stressors, emotions and pain, and helps reverse ingrained associatio­ns of certain activities (bending, sitting) with pain. In addition,

it teaches a mindfulnes­s-based stress-reduction technique.

Low and behold, after four weeks researcher­s saw an 83% decrease in reported pain disability in PSRT participan­ts. After six months, 64% of patients in the PSRT group were pain-free.

PSRT, developed at Beth Israel Deaconess Medical Center, isn’t yet available to the public. However, if you can’t find a solution to your lower back pain, ask your doctor about pain-related psychologi­cal therapy, and check out “Mindfulnes­s: 17 Simple Ways to Ease Stress” at health.clevelandc­linic. org. Omm, my! That’ll feel so good!

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