I've been wanting to write about this topic since the start of my blog, but it felt so overwhelming. Recently a friend told me she plans to have surgery for back pain and it prompted me to finally write about my experience with back pain.
In the fall of 2007 I started having pain in my hips. I had four months of physical therapy to treat weak hip flexors. I started to feel better and slowly returned to physical activity. The pain came rushing back. In spring 2008 I visited an orthopedic specialist and was diagnosed with a herniated disk. He prescribed anti-inflammatories. I had allergic reactions, switched meds, more side-effects and still no relief. He ordered and MRI which confirmed a herniated disk at my L5/S1 and bulging disk at my L4/L5. I had two epidural steroid injections, acupuncture and more physical therapy. I bought books about back exercises, special back pillows, and ice packs. I was taking pain killers every day to function. Nothing helped and I truly thought I would need surgery.
Then one of my in-law's told me about tension myositis syndrome and Dr. John Sarno's books. I was skeptical at first but I knew I had nothing to loose. The general concept is that back pain is caused by a disorder called tension myositis syndrome (TMS). This is a real disorder and causes real pain, but it is the result of repressed rage and emotions. The basic idea is that the brain creates these physical symptoms to distract us from dealing with the emotions. All of your energy and thoughts are focused on the pain and therefore one can avoid the emotions. It might sound strange at first, but it really does make sense. Dr. Sarno includes childhood issues, personality traits and external pressures as the emotions that can contribute to the TMS. Childhood issues were not something that were a big contributor for me, but the personality traits (perfectionist, goodist, pleaser, overachiever) and life pressures (aging, mortality, work, family, money). The personality traits fit me perfectly and I had more than enough life pressures. During this time I got engaged, graduated from college, moved to a new city, started a new job (which I hated), and planned a wedding.
The best part is that you don't have to eliminate these pressures or reduce the stress in order to make the pain go away. You simply have to acknowledge it and work at acknowledging feelings because if you let your conscious mind deal with them (instead of suppressing them) your body wont produce the pain to distract you. Get it? Dr. Sarno's book,
The Mindbody Prescription, is a must read for anybody experiencing back pain. The book expertly explains the syndrome, the theories and the historical evidence to support TMS.
For those of you who have back pain, you might be thinking "If my scan shows I have a herniated disk, than I obviously have an injury and therefore pain." But the truth is 30-50% of people would show disk herniation regardless of pain symptoms. Further, many people describe that their pain moves, but if your pain moved than it couldn't be from a disk herniation because that should be pinching the same nerve and causing pain in the exact same place all time. It wouldn't move.
After I read the book and opened my mind that this was possibility I instantly started to feel better. I would say that I am 85% better now. I am even training for a triathlon for May! Last summer I could barely walk/sit and couldn't function without prescription pain killers. Now I'm running, biking and swimming! I still get pain on occasion but now I know what it is and it usually goes away quickly. I still get nervous when I have pains and aches; my injury was such a major part of life for months and I was accustomed to not pushing myself to avoid injury. I think that overcoming this mindset will be one of my biggest challenges when it comes to triathlon training, but I'm up for the challenge. I can't wait to write letters to my many back doctors who told me I could never run again after I finish my first triathlon.
Please, if you or anybody you know is experiencing back pain, please get this book and really consider the idea of the mindbody connection. If anyone is interested I have an 8 page summary of TMS (given to me by Dr. Sarno at my first appointment with him) Just comment below and I will happily email it to you.
Back Pain Research
Back Pain Eludes Perfect Solutions
May 13, 2008, The New York Times
http://www.nytimes.com/2008/05/13/health/13back.html?scp=8&sq=%22back+pain%22&st=nyt
Magnetic Resonance Imaging of the Lumbar Spine in People without Back Pain
New England Journal of Medicine, July 1994;
http://content.nejm.org/cgi/content/full/331/2/69
This study found that when doctor's examined the MRI scans of 98 people without back pain, 52% where found to at least have a bulging disk. The results, bulging disks and back pain could be purely coincidental
Resources on TMS
Seligman Medical Institute
http://www.smi-mindbodyresearch.org/
An Expert Interview With Dr. John Sarno
June 2004;
http://www.medscape.com/viewarticle/478840
Rachel's RSI homage to Dr. John Sarno
http://podolsky.everybody.org/rsi/