Understanding Back Pain

Be it tension from working at a computer all day or a stiff feeling when you get up in the morning, almost 96 percent of us experience back pain at some point in our lives, according to Reza Ghorbani, M.D., a board-certified interventional pain management specialist and president and medical director for the Advanced Pain Medicine Institute in the greater Washington, D.C., area.

But diagnosing what your back pain means can be difficult. The back is loaded with nerves, bones, discs, muscles, ligaments, tendons and joints, making it complex and sensitive to pain, he says.

“This can even resolve a herniated disc within a month, without having injections or surgery,” he says.

If, however, your pain doesn't go away within a month, gets worse or prohibits you from going to work or maintaining most of your daily activities, or if you develop numbness or weakness in your legs, then you should see your doctor right away. He or she will examine you and may prescribe medication or order an MRI or X-ray to further determine what course of treatment should be taken.

And remember, back pain is preventable. Maintaining a healthy weight, exercising and not smoking can all help keep your back in good shape.

Muscle Strain
Dull, aching pain usually signals muscle strain, which is one of the most common causes of back pain, says Ghorbani. It can occur anywhere you have a muscle, which means the neck and upper and lower back are all at risk. Twisting the neck or torso, lifting something, exercising without stretching properly first or working behind a desk or computer are frequent causes of strained or pulled muscles in the back and neck, says Ghorbani.

Degenerative Disc Disease
Dull, aching pain could also signal degenerative disc disease if you're over 30 years of age. As we age, the discs between the vertebrae in our spine naturally start to shrink, placing more pressure on the spine. While not everyone will develop symptoms (genetics can play a role in whether you will), that increased stress can mean dull, aching pain on a daily basis, at the end of the day for some. And, depending on how worn the disc is, the pain can turn from dull and achy to sharp, shooting and burning if the disc tears or becomes herniated. DDD commonly occurs in the low back, but it can affect the upper back or neck, too.

Herniated Disc
A sharp, burning pain is often a sign of a herniated disc. Intense pressure on the discs between the vertebrae can cause them to rupture or herniate. Herniated discs often occur in the lower part of the back and tend to be accompanied by a stinging sensation that travels from the low back to the buttocks, says Ghorbani. Pain from herniation in the upper part of the spine can coincide with discomfort in the front of the thigh, while neck herniation often means headache pain or a burning sensation down the shoulders and arms, too.

Sciatica
A sharp, shooting pain indicates a nerve is being affected, says Ghorbani. The most common cause of sciatica pain is a herniated disc in the low back pressing into the sciatic nerve, causing pain to shoot from the lower back to your buttock and all the way down to your toes. If pain is projecting from the neck to the shoulders, elbows and fingers, you may have a herniated disc in your neck (the term sciatica does not apply to the neck). If you develop numbness or weakness in your legs, see your doctor right away. It could be a sign of nerve damage, says Ghorbani.

Facet Joint Disease
Facet joint disease is a common cause of low back pain, says Ghorbani, although the upper and middle spine is not exempt. When the facet joints between each vertebra in the spine degenerate -- either from arthritis or age -- the joints can become inflamed and painful. The dull, achy symptoms tend to be concentrated in one area (not shooting down a leg), and spasms can occur as an attempt to stabilize the back. Standing or moving around can ease the pain associated with facet joint disease, while sitting or resting for too long can make it worse. If getting out of bed in the morning is difficult because of a stiff back, facet joint disease may be to blame, says Ghorbani.

Failed Back Syndrome
Between 15 and 40 percent of people who have had back surgery have failed back syndrome, a condition that leaves you in either more or the same amount of pain as you were in prior to surgery, says Ghorbani. The pain is usually constant.

“You don't have to stand up, walk or twist. It comes from a malfunction of your nerves,” he says.

Symptoms can be a dull, achy pain that radiates into the hips, buttocks and thighs or sharp stabs of pain in the back and legs.

Spinal Stenosis
Stenosis is a narrowing of one or more areas in the spinal canal, which causes pressure on the spinal cord or nerves. It's often a condition that follows other back disorders such as herniated disc, arthritis or degenerative disc disease, says Ghorbani, and it can cause cramping, pain and numbness in the legs, back, neck, arms or shoulders; a loss of feeling in the extremities and sometimes problems with bladder or bowel function. The symptoms tend to get worse with walking or with activities and somewhat better with rest. If you develop numbness or weakness in your legs, see your doctor right away.

What is Yoga?

Yoga is derived from the word yoke which means union or joining. Hence, Yoga is literally the joining together of the finite self and the infinite self.

What does this mean?

The finite self is defined as the actual physical body and the experiences that we have physically. Everyone can relate to the physical body because it is a real entity that can be seen and touched.

Next comes the infinite self. This is the inner self- the higher self-the spiritual self.


Many people associate the spiritual self with religion and this is a common misconception.The spiritual self does not have anything to do with religion. Yoga is not a religion. Yoga accepts people of all religions, whether they are Christian, Jewish, Agnostic, etc. Not all people who practice Yoga belong to a religion, and not all the people who belong to a religion practice Yoga.

Yoga provides you with the means to connect to your infinite body. Most people visualize Yoga as just a workout, however, it is much more than that. Yoga positions (asanas) are just as good for the body as for the mind (neurological system) as well as the metabolism (endocrine system).

Asanas follow one after the other in a specific way. In some Yoga paths, the teachers should not modify the sequence, but let them be carried out as they were originally designed. The goal is to direct the flow of energy and circulation to different areas of the body. This allows you to prepare the body for meditation, the last step in the Yoga path. It also is a means to obtain ultimate bliss (Nirvana).


The combination of breath exercises (pranayama), Yoga positions (asanas), mudras (hands positions), bhandas (body locks), and meditation, comprise the practice of Yoga.

Yoga provides the skills necessary to connect mind, body, and soul. In today's world we are brought up with how to deal with the external world, but most rarely touch base on the inner world.

Yoga will teach you how your body works, how to breathe properly, and how to use all of these techniques for your own benefit. This will enable you to understand and relate the mind and body together instead of separately. Yoga provides you with the tools necessary to quiet the mind so that you can access the natural state of oneness.

Therapeutic Yoga

Focusing on Neck and Back for strength and relief.
Group training on Saturdays
Personal training on Mondays and Thursdays
Speak with Loretta (845-279-4680) for details.

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