A patient complains to a doctor: “Doctor, it hurts when I do this.”
Doctor: “Then don’t do that.”
Simplistic, silly and trite as it is, the advice in this old joke is inherent to any discussion of back pain. For instance, since bending at the waist stresses the spine, it should be implicit that to avoid back pain, you should not lift this way.
This does not mean, of course, that we should never move at all. It simply means that we should move in the right way. What is the difference between the right and the wrong way? Most of the time, common sense will tell you: if it hurts, then don’t do it. On the other hand, there is no substitute for good advice because many sources of back pain are not so apparent. Talking explicitly about it helps to raise concerns that we may not have considered. (more…)