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Repetitive Strain Injury/Back pain while walking and standind after injuries

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Question
I have had 4 back injuries all on the job injuries, within 15-16 years of doing the same type of work, lots of repetitious lifting, bending, turning, twisting,reaching, pushing, pulling. 10-15 hours a day 15-16 years. In 1999 I had a torn herniated lumbar disc took me quite awhile to get back to some kind of normalcy. 2012 another injury lumbar sprain/strain I was off work for 5 months. About three days of the first symptoms of the injury, sharp stabbing pain in lower back doing certain movements. After the three day of it, every time I would do repetitious movements as listed above, within 15-20 minutes my whole lower back would stiffen up with sharp, throbbing pain going in lower back, hips, butt, and upper thighs. Causing me to sit right away about 5-10 of sitting pain goes away. This went on the whole time I was off. Finally got a Epidural injection Feb 15 2013, it was instant relief all the way up to Feb 9 2015. Then I had got another injury identical to the 2012 injury, but this time after the fist three day of that same sharp, stabbing pain when doing certain movements. Being able to do repetitious movements as listed above the time frame is shorter, any where from 5-15 minutes depending on the type of repetitious movements.
Could this have turned into an occupational disease? Due to injuries and the repetitious nature of my job and over exposure.

Answer
Hi Eric,

I wouldn't call what you are experiencing a disease, however I would define it as a repetitive strain injury. I imagine you have already had all the diagnostic tests the doctors could offer, right?  

All of the movements you mention will contract the various muscles that either originate on your lumbar vertebrae and your pelvis, or will insert into those bones.  An insertion of the muscle always moves toward the origination point, so you feel the pain at the insertion, although the spasm is actually most likely in the belly of the muscle. A disc can bulge or herniate when a muscle is putting so much pressure on the vertebrae that it is pulling the bones tightly together, and the disc is forced out the side of the structure -- similar to stepping on a jelly donut and the filling will shoot out the opposite side.

The four primary muscles are:
1: your psoas and iliacus muscles are responsible for bending forward, and sitting down.
2: the quadratus lumborum, pulls you to the side, and
3: a thigh muscle, the rectus femoris, holds your pelvis down and because of a domino-effect ultimately causes sharp pain when you try to stand up.  

The Epidural injection blocks the pain, but it doesn't eliminate the source of the pains, which in this case are the tight muscles putting pressure on the bones.

If you go to http://www.15MinuteBackPainSolution.com you can read about the muscles that cause low back pain, and see that there is an eBook that walks you through a self-treatment protocol to release each of the muscles that cause low back pain.  Also, on http://www.FlexibleAthlete.com there is a safe-stretching DVD program that shows you how to self-treat all the muscles in your body, and then walks you through a safe, yoga-style stretching routine to release the muscle tension.

As you treat the muscle spasms, and then stretch the tight muscle fibers, you will stop having the pain and be able to continue to work more comfortably.

Wishing you well,
   Julie Donnelly

Repetitive Strain Injury

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Julie Donnelly, LMT

Expertise

I can accept questions that relate to chronic or acute pain caused by muscle spasms and contractions. Repetitive Strain Injury is actually Cumulative Trauma to muscles. Releasing the spasm &/or contraction will relieve the strain that is felt at the insertion point on the bone. I am the co-developer of the unique safe-stretching program "Focused Flexibility Training," which combines easy instruction for self-treating spasms throughout your body with proven yoga stretches. I have recently authored two new books: "The 15 Minute Back Pain Solution," and "The Secret to Your Best Golf Game EVER!

Experience

Since 1989 I have been working with endurance athletes and individuals suffering from chronic pain conditions. I have authored seven self-treatment books and three self-treatment DVDs and I have developed the Julstro System for the treatment of carpal tunnel syndrome, Trigger Finger, and other Hand/Wrist pain. I am a national and international presenter at conventions, seminars, and workshops. Principle topics are "Work Shouldn't Hurt," and "The Pain Free Athlete." In 2005 and 2006 I was the massage therapist for ultracyclists competing in the Race Across America (RAAM) 3000+ mile race from San Diego, CA to Atlantic City, NJ. I've taught the Julstro techniques to physical therapists at the Cleveland Clinic, to massage therapists in areas around the USA, and I've taught Julstro self-treatment clinics to dancers at Juilliard School of Performing Arts (NYC),the sprinting team at NC State, and I am working closely with several Olympic-hopeful. We have successfully eliminated the repetitive strain injuries that could keep them out of the Olympic Games, and the best part is they know how to do the self-treatments so they can stay pain-free and flexible.

Publications
Triathlete Magazine, Endurance Magazine, multiple national and international trade journals.

Education/Credentials
Swedish Institute of Allied Health, NY, NY - Initial education in massage therapy Licensed NYS Massage Therapist since 1989. SUNY Empire State College, Saratoga Springs, NY - B.Sc. degree in Interdisciplinary Health Education I was an Associate Professor helping to develop the massage training program for SUNY Rockland Community College

Past/Present Clients
Privacy prevents me from filling in this section without prior consent from my clients. Life Experience: I have been specializing in the treatment of chronic pain and sports injuries since receiving my NY massage license in 1989. A personal bout with carpal tunnel syndrome was the catalyst to my developing a self-treatment that heals the symptoms of carpal tunnel syndrome quickly and without surgery. My work with endurance athletes was the inspiration to teach people how to self-treat so they could stop pains even during a race or heavy training day. Both of these situations ultimately became the products that are sold on my websites: http://www.FlexibleAthlete.com and http://www.julstro.com. I currently treat people in my offices in Sarasota, FL, Cary, NC, or Pearl River, NY

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