oldenGoldenDecoy's picture

    Health Care ... Pain in the Backside?

     

    Howdy Doody Dag friends . . .

     

     

    I came across a very fine comment by Artappraiser in Flavius's post "We Were Wrong About Obamacare" related to the problems associated with the present day medical care system that is at the heart of health costs in our present system.

    I couldn't agree more that, as AA stated, "...High tech medical innovation makes for a moral mess, whether it's a for-profit system or a totally non-profit national health service..." and when speaking generally about the elderly on Medicare (of which I am one) AA stated,  "No one is coordinating what drugs they are taking, there aren't enough gerontologists nor anyone gatekeeping their care..."

    We have been members of the Kaiser health system for 28 years. We have fortunately had the services of the same doctor there for the last 15 years. He's become a very highly respected gerontolgist as he's aged with us. And that's where it all starts. If we were not satisfied with him we would not allow him to be our doctor. He understands that we know more about what ails us than he knows. He listens.

    And whether or not people wish to face the fact and understand, there is a large part of the care that comes down to being responsible of educating oneself.

     

    Now, about the pain in the backside? Artappraiser used the following example:

     

    For one instance, I recently was trying to figure out what to do about a really bad case of sciatica type pain. So I go to American forums about it where everyone is bitching that the doctors here send you for  all the MRI's and cat scans and then want to blame it on a herniated disc and want to do surgery on the herniated disks when there isn't sufficient evidence that that helps, but they won't give you a prescription for pain meds. Then I go to UK forums on the same and find everyone bitching that they can't get the docs to give them an MRI, that all the docs are doing is giving them pain meds On either side of the pond, neither are getting the intensive physical therapy that would probably work best for most, because of monetary choices (on one side, for profit reasons, on another for saving money reasons.)

     

    And the following from the Mayo Clinic is what should be the first therapy after your Orthopedist has run you through the basic X-rays and thorough physical exam:

     

    Slide show: Back Exercise in 15 minutes a Day

     

    Photo montage of four back exercises

    Back exercises in 15 minutes a day

     

    Do you want to prevent back pain? Try a few basic exercises to stretch and strengthen your back and supporting muscles. Repeat each exercise a few times, then increase the number of repetitions as the exercise gets easier. If you've ever hurt your back or have other health conditions, such as osteoporosis, consult your doctor before doing these exercises.

    To see all 8 exercises: mayoclinic.com/health/back-pain

     

    ===========================

    The above exercises were first exhibited for me through my Orthopedist at Kaiser Health Clinic in 1986. I had been suffering from sciatica pain for quite some time. Within 2 weeks of doing these exercises my pain was gone. I continue to faithfully do these exercises on a daily basis. It all about alignment, muscle strengthening and proper relaxation.

    ~OGD~

    Comments

    Good advice. I'll also add that if you're having knee pain, you might try stretching your ITB (iliotibial band). Here's a page giving some pictures of stretches, and here's one with descriptions. Here's a video of some good stretches:

     

     

    I'm partial to the stretch at about 0:53.


    Always good to see Ducky; our health care coordinator!

    I learned more about health care from you than anybody else.

    I hesitate to say this but I gave up on doctors and drugs frankly.

    Exercise and diet is not necessarily going to heal lupis or cancer or a number of ailments so I do not proselytize and send out wrong messages.

    I am also not pleased with our tort system (of which I was a small small part for 25 years).

    One person gets to be a millionaire for a misdiagnosis and another cannot get through the court doors in the first place due to some technicality or locality of felonious conduct.

    And I do believe that many tests are ordered because of adverse court decisions; instructions from insurers, etc...

    We have a long way to go as far as proper health care in this country!


    I'm with you on the doctors, but, for the love of Christ, think again about the drugs!


    Jolly, for heavens sake; hahahahaha

    You know, it is not worth blogging if I do not hear from Jolly once in awhile.

    hahahahahahahahahah


    The Mayo presentation is a bit brief. Most people become concerned about their back when  a sudden episode of pain hits.

    You do not want to jump into stretching and strengthening exercises when in pain. The sequence of exercise goes: relax/stretch/strengthen. If your muscles are tight or in spasm, you will do damage without relaxing them first, and this takes time.

    A video produced years ago in conjunction with doctors at Columbia University (link-for VHS there is a DVD also) recommended this plan.  First relaxation exercises for 2 weeks, then stretching for 2, and if you are doing better, then strengthening. All 3 can then be kept up indefinitely. Of course a doctor's visit and diagnosis to ensure you do not have a severe disc abnormality is called for initially, and prescription pain pills and muscle relaxers may be absolutely needed if you have severe pain, but only (hopefully) for 7-10 days.


    It's very important for both patients and providers to understand the state of the muscles and skeleton with which they're working. Physical therapy is different from training, which is totally different from pain relief. 

    That said, if we all made a really serious effort to slowly strengthen and realign areas  of weakness, we could knock a lot of cost out of the health care system.


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