Unnecessary Chronic Back Pain

Do you ever go through a day praying that the pain in your back will just go away? Incidents of chronic back pain are growing fast. According to the National Back Pain Association, back injuries at work are rising at 500,000, while overall back work accidents have fallen to 33,000. This suggest that most chronic back pain is caused by wear and tear. The National Back Pain Association also states that between 1994-1995 there were 115 million certified days of sickness due to back pain. This cost industries at least $5.1 billion in lost production. Many people think that the only way to get rid of the pain is by taking pain medications. But this is not so. Massage is an excellent way to relieve back pain. It is a safe passive form of therapy.


What causes back pain? Wear, tear, and overuse. There are four potential soft tissue problems that stem from wear and tear. These conditions frequently involve ischemia. Ischemia is a decreased supply of oxygenated blood to a body part often marked by pain and dysfunction. The four most common problems in the healing process are chronic tension, low grade inflammation, adherences, and scar tissue. Muscles in a state of chronic tension have the neediest cells but get the least of what they need. The sustained muscle contraction squeezes the blood vessels reducing the flow of oxygenated blood through the muscle. This vicious cycle creates more need for fuel, a reduced fuel delivery, and a waste accumulation, which causes muscle fatigue and pain. The pain is a result of an acid waste build up, or it can be from substances released by the cells that cause the vessels to dilate. This release is part of the inflammation process. Inflammation is the protective response of the tissues of the body to irritation or injury. Cardinal signs are redness, heat, swelling, and pain accompanied by loss of function. Part of the Inflammation process is increased scar tissue production which causes limited extensibility. Inflammation is moist and adhesive. If not cleared through the lymph vessels, it will harden and cause the muscles to cling to the surfaces of surrounding tissue. This is an adherence.


Massage can help relieve chronic back pain by addressing the initial cause by stimulating the body's own natural healing abilities. Massage removes physical or emotional blocks created by tension. It enhances circulation of blood and lymph (waste removal) in two ways: by direct mechanical effect the massage therapist can put pressure on the muscles and vessels pushing the fluid through them, and secondly, by a reflex action through the nervous system. Massage brings about a calming feeling allowing the muscles to relax from their constant state of contraction. Rehabilitation of back injuries occurs through restoring mobility between tissue surfaces, increasing extensibility of individual structures, the break down of adherences and scar tissue, increased circulation of blood, and waste removal (lymphatic system).

 

By Janelle A. Chambers CMT
Certified Massage Therapist and
member of the American Massage
Therapy Association