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Exercises for a healthy backExercises for a healthy back may be the answer for many. Practically all of us will experience back pain at some point in our lives. In fact the American Academy of Orthopedic Surgeons believe that 80% of us will develop back problems before we die.

In order to lessen the risk of back pain due to injury; it will help to strengthen the core muscles of the body to better stabilize and support the spine. This can be achieved through exercise which will strengthen the muscles, make them more flexible, and correct the muscle imbalance. These core muscles include every muscle between the shoulders and the hips. Back pain can result as an imbalance among these muscles for example if the front of your thigh is stronger than the back of your thigh it causes a pull toward the front of your spine.

There are exercises you can do to help balance and strengthen your core muscles and we will take a look at a few of them as follows:

Deep Breathing Exercises for a Healthy Back

This works the diaphragm which is a muscle that can help to support your spinal column and helps the lower back when you walk or run. Practice deep breathing through your diaphragm to utilize this important muscle. As a check, when you breathe in, your stomach should go out instead of your shoulders going up if you are utilizing diaphragmatic breathing.

Tummy Tuck Exercises for a Healthy Back

Lie face down on the floor and squeeze your glutes to draw your abdominal muscles away from the floor. The motion should be to stretch your tailbone to your heels and not contracting your thighs. Do 15 repetitions of the tummy tuck and alternate it with the bridge.

And Then: The Bridge

Put your feet up on a bench or flat on the floor and scoop your pelvis upward keeping your rib cage low. The muscle contractions should focus on the hamstrings and glutes and this exercise should be alternated with the tummy tuck above.

Adopting these core exercises for a healthy back should pay dividends for all those affected

How to avoid Back Pain – Here are 6 Top Tips that really Work!

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By Sophia Kupse, qualified Holistic Practitioner

As soon as you start to feel pain in your neck, shoulders and back you immediately start to think, what did I do to create it?

People overlook the obvious and blame a root cause – my heels are too high, I sit at my computer for hours each day, I drive too much, I over did it at the gym, etc. Sophia Kupse Holistic Therapist and author, known as The Muscle Whisperer, states that ‘everyone looks for a physical reason to justify their pain, rather than looking at what challenging or stressful event occurred prior to the pain starting.’ If you haven’t had an accident, fall or acute physical injury, back pain for many, is something we grow to live with, as no matter what treatment you have to relief it, it always reoccurs. That’s why many people don’t believe in treating the pain, as they never seem to resolve it successfully. Her new book ‘The Muscle Whisperer-The Keys to Unlocking Your Back Pain’ sheds new light on the subject, offering a revolutionary holistic approach to treating back pain and fresh hope for long term sufferers.

‘If you keep on focusing on just the physical reasons then you limit your recovery.’ We live in a time where the pace of life is supersonic fast and everything is done, at break point speed. Daily deadlines, achieving results, pressure getting to appointments, the list is endless and it is all driven by the need to succeed or we are made to feel like failures, by todays over stretched society. Our body reacts to what our mind tells it, so in an ideal world, getting your work, life balance right means, less physical pain in the body and a calmer approach in the way we live. When we react to sudden emotional negative change, such as death, financial loss, separation, illness etc, we produce the ‘fight or flight response’ in order for our bodies to cope with the experience. It releases the hormones, adrenaline and cortisol, so we can deal with the unexpected pressure thrust upon us. Excess adrenaline converts to lactic acid forming knots, which build in the largest muscle groups of the body, held in the back.

Sophia, founder of the Langellotti Tri-Therapy, known as ‘LT Therapy’ uses a combination of Eastern and Western medicine to release stress locked in the back muscles. She says ‘Scientifically proven that muscle has memory, our thoughts create our pain. How we react to stress will result in the formation of knots building up in the neck, shoulder and back over a long period of time, until finally the pressure on the sensory nerves in the back respond and we feel physical pain.’ Sophia releases stress related events held in the muscles, from childhood to present day, using her unique ‘Tri-Method’ system which consists of an advanced massage technique, volcanic heat and ice marble, tailor made to suit the individuals needs at time of treatment. She uses principles of traditional Chinese medicine, Yin and Yang to bring about balance in the body and successfully restore flexibility in the muscle. During the treatment, she highlights key areas on the back, where knots are located that produce the pain. She intuitively identifies who created the emotional stress, what period of time in their life it was and how long ago, in order to determine when the change in the muscle took place and generated the pain. She then physically releases the painful event from the muscle, whilst the client mentally, through their conscious and sub conscious mind, releases it too. ‘When I look at the back it’s like reading a map, I pinpoint people and key events that brought about the discomfort in the muscle and quickly release it.’ No more than three treatments are required for deep rooted or long term pain, but results are felt immediately. ‘My method delivers rapid results with minimum trauma to the muscle and client.’

This treatment is for those people who want to find the answer to ongoing back pain where   conventional routes failed. ‘LT Therapy’ offers a new, fresh revolutionary approach to an age old problem.

Sophia advices her clients how to prevent the pain from returning and here she shares five top tips, part of her winning formula to avoiding back pain;

1)      Drink more water –Why? Because when our muscles become dehydrated they allow the myofascia layer, the loose strong connective tissue that surrounds all muscles, to become sticky, reducing mobility and eventually leading to pain. ‘If the muscles are hydrated they will serve you well and will ensure optimum flexibility in both the fascia and muscles.’ Ideally up to 2 litres minimum of filtered water a day.

2)      Eat more clean foods-Why? Clean foods are alkaline foods such as all greens, root vegetables, avocado, lemons, limes tomato, certain fruits, green juices, fresh organic wheatgrass, herbal teas, filtered water etc. The lower the acid content in the food you eat, the better on the body. Acid produces an inflammatory action in the muscle so in order to reduce your pain, if you do suffer from back pain or any pain; you should eat an 80% alkalised diet in order to keep the body’s ph level to an optimum 7.4.

3)       Keep moving-Why? This includes starting the day with a few stretches before you get out of bed in order to prepare the muscles for movement. Simple stretches in whichever way your body feels like moving is something that happens instinctively in the animal kingdom and probably why, they don’t suffer from physical pain like humans do. Even if you have limited ability in your limbs, due to an accident or ongoing long term back pain, the body was built to move, so it is important to keep active. Long sedentary periods allow muscles to slowly cease and acid starts to store in the muscles, especially when we are stressed trying to meet deadlines at the computer, releasing adrenaline and chewing through a chocolate bar at the same time, all tops up the acid bank ensuring you feel back pain later in the day.

4)      Keep your weight down-Why? Keeping within your BMI means your controlling bodyweight. The more excessive weight your body carries the more pressure builds up and has a huge impact on the joints and muscles. Fat wraps around the muscles and creates an inflammatory residence for it. You should be working towards reducing body fat through diet and activity, walking being ideal for those who dislike the gym.

5)      Control your pain-Why? If you are suffering any neck, shoulder or back pain you must get it under control. If its long term then consult your GP for appropriate medication, however, for the majority of people, they suffer acute periods that flare up due to stress related events. Take immediate action and you’ll be helping the body and muscles recover quicker. When you feel pain you move differently and this can trigger new areas of pain as a result of walking or sitting incorrectly, all because you wanted to avoid the original pain. Painkillers for a limited time, help the body recover quickly so you can get back to being active again pain free.

6)      Practice daily meditation-Why? Meditation is a major factor in helping the body recover through the mind. Meditation in particularly Transcendental Meditation that I practice is effortless and takes just a few hours to learn with a qualified tutor. It offers emotional balance and is anti-inflammatory by switching off the stress response. For more information and to discover huge benefits visit www.tm.org/uk

Sophia Kupse is a qualified Holistic Practitioner working with Eastern & Western therapies for over 20 years. She has a clinic in Harley Street London and in Leeds, West Yorkshire. Her new book – The Muscle Whisperer: The Keys to Unlocking Your Back Pain by Sophia Kupse is available in paperback via Amazon priced £7.99. www.themusclewhisperer.co.uk

source The London Ecomonic

 

Huffington Post UK
A recent survey of 2056 people by backpainhelp.com has revealed that some seemingly easy everyday tasks become impossible for those suffering. Sex, working, housework and driving are among the key activities prohibited when back pain strikes.

from back pain – Google News http://ift.tt/SbxyLD
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Samantha DakersFEELING GREAT: Mistakes that cause mothers back pain

from Article by …
Samantha Dakers | Guest Author Hartlepool Mail

So last week’s column was all about hip and back pain caused by pregnancy. And here’s what’s interesting about this topic: There’s a very good chance (60 per cent) that you or someone you know made one of these next mistakes at the time they were pregnant or just after.

And that’s likely to be the reason they’re now, even in their 40s and 50s, suffering with what we call in our physio clinic “daily annoying and nagging, back pain”.

Worse yet, partly because of what people close to them at the time tell them, they think that it’s “normal”.

It really isn’t. This type of daily annoying and nagging back pain is a warning sign and a good indicator that one of these five things happened after you gave birth:

1, You were told “it’s just sciatica” and then still thought that’s normal as if it’s okay (when it most definitely isn’t).

2, Accepted that it’s “just hormones” as if that’s a good reason why the pain is STILL there, weeks and months, even years after the birth.

3, You wore a “belt” or back support without any intention of correcting or strengthening muscles by doing proper exercise (these don’t include pelvic floor ones either).

4, You continued to work only on exercising “pelvic floor muscles” and forgot to include the most important of all – core stability muscles in your exercise plans.

5, You weren’t offered or given “hands-on” physical treatment that involves manual realignment and specialist postnatal massage.

Now maybe you’re thinking that it’s too late and that nothing can be done to help you out?

That’s unlikely to be true. It’s often the case that most people suffer simply because joints, in the back and hip area, get set or stuck in the wrong position.

You know, after the birth and the hormones have made the pelvic area “lax”, these joints just don’t always drop back into the correct place.

So what can and should be done and despite what some midwifes say, it can almost immediately, is a technique called “manual re-alignment”.

It’s an expert technique of gentle massage, rocking and manipulation that puts the pelvis back into the correct position. Gets joints working properly again too.

And once that’s been done, it’s so much easier to work on the exercises you need to make your body stronger.

And the ones that you need to make your back stronger are called core control exercises, the kind you would do in a good Pilates class.

In a nut shell, that’s how simple it is to get over postnatal back pain. If you’re still suffering 10-15 years later, then you’re not alone. As many as 60 per cent of ladies still do because they didn’t get given the chance to go and get treatment like the plan you’ve just read.

My tip: if you or anyone you know is still in pain following a pregnancy, ask your trusted expert about manual realignment and core control exercises to make you better.

If they don’t know, or can’t give you confident answers, I’d be happy to help out Sammy@paulgoughphysio.com is my direct email or look here www.paulgoughphysio.com/postnatal-back-pain for free advice and tips.

 

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Is your wardrobe the answer to your back pain?

from Article by …

Taryn Davies | Femail First | 

Back pain is the blight of many Brits, but have you ever considered that your wardrobe could be elevating your discomfort? The British Chiropractic Association (BCA) is urging people to consider their clothes and how they could impact on their posture. According to new research from the BCA, 39% of adults (aged 25-34) admit to regularly wearing restrictive clothing, with this figure shooting up to 74% for 18-24 year olds.

Nearly a fifth of all adults questioned also said they carry a large handbag or shopper regularly. Half of people who carry a bag with one strap admitted to not ever alternating the shoulder they carry it on, which can contribute to neck or back pain.

With 77% of adults saying they either currently suffer from back or neck pain or have done in the past BCA chiropractor, Tim Hutchful, explains why our wardrobes could be playing a part in our pain: “Restrictive clothing like pencil skirts and skinny jeans can stop the body  from moving freely so when you perform certain movements in tight clothes regularly, this can lead to injury. Heavy handbags constantly worn on one shoulder can damage posture, for example by causing someone to develop a ‘drop-shoulder’ where one shoulder is lower than the other.

“When choosing an outfit each day, variety is key – wearing the same type of outfit every day could be restricting the same part of your body, putting unnecessary strain on it – it’s important to share the load.”

BCA chiropractor, Tim Hutchful, gives the following top tips for clothing:

  • Keep your outfit styles varied: Try and avoid wearing the same outfit combination every day as this could restrict movement in certain areas of your body which could cause you injury.
  • Prevention better than cure: If you think your clothing or the bag you carry might be causing you back pain, try changing them for a period of time as this may help your posture.
  • Get the straps right: If you have a rucksack, use both straps and adjust them so your bag is held close to your back which should reduce strain.  If your bag has one strap, alternate the shoulder you carry it on.
  • Put your best foot forward: Good footwear is important for your back health and soft-soled shoes that are supportive are the key. If you regularly wear high heels it is important to wear trainers or shoes with smaller heels from time to time.

How this spring / summer fashion must-haves can impact on your posture:

  • The pleated skirt or culottes: A pleated skirt will allow your legs to move freely without being restricted so there is no unnecessary strain on the legs which can contribute to good back health.
  • The bucket rucksack hybrid: This style of bag is designed to carry lots of items in it but be careful not to fall into the trap of overfilling it as it will become heavy putting a large amount of strain on the back.
  • Trainers and brogues: These sensible shoe choices are popular this season and may also help your posture.

The BCA recommends that you seek professional advice if you are experiencing pain for more than a few days as an undiagnosed problem could lead to longer-term damage if left untreated.

 

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Jeff Gordon braves back pain to finish 7th. NASCAR 2014

Sarah Glenn

After back spasms that forced him out of the car for the majority of Saturday practice, Jeff Gordon didn’t even know if he would be running the Coca-Cola 600 at Charlotte Motor Speedway.

But after treatment that included extensive therapy there Gordon was behind the wheel of his No. 24 Chevrolet on Sunday, just as he had been for the previous 736 races  the longest consecutive start streak among active drivers.

And though he woke up Sunday morning not optimistic that he would be able to go, Gordon gritted through the pain and never giving the appearance he was in pain. He left Charlotte with a hard-fought seventh-place finish.

“It was tough,” Gordon said. “I was aching in there. There was one time when I got on the brakes into (Turn) 1, and it triggered something. I didn’t know what was going to happen after that, but it settled down. Luckily, I started getting off the brake.”

In case Gordon needed relief, Hendrick Motorsports had Regan Smith on standby. But once he took the green Gordon says nothing was going to get him out as long as his long-term health wasn’t at risk.

“I’m happy that I got through it,” Gordon said. “It tells me a lot about what kind of threshold I have, and I just want to show this team the kind of commitment I have to them because of what they have shown me this year.”

By finishing seventh Gordon maintained his position atop the Sprint Cup standings. Entering next week’s race at Dover International Speedway, the four-time series champion holds an 11-point advantage over second-place Matt Kenseth, who finished third Sunday.

As for whether his back is up to the task of handling the speeds and g-forces associated with racing on the high-banked Dover track, Gordon isn’t concerned.

“Having some rest and being able to take it easy and do my normal therapy,” he said, “I should be fine by Dover.”

Sprint Cup standings
Position Driver Points Behind Wins
1 Jeff Gordon 432 1
2 Matt Kenseth 421 -11 0
3 Kyle Busch 408 -24 1
5 Carl Edwards 408 -24 1
5 Dale Earnhardt Jr. 394 -38 1
6 Jimmie Johnson 388 -44 1
7 Joey Logano 378 -54 2
8 Brian Vickers 365 -67 0
9 Brad Keselowski 361 -71 1
13 Ryan Newman 361 -71 0
11 Greg Biffle 351 -81 0
12 Kevin Harvick 345 -87 2
13 Kyle Larson 344 -88 0
14 Denny Hamlin 340 -92 1
15 Austin Dillon 334 -98 0
16 Paul Menard 328 -104 0
17 Kasey Kahne 324 -108 0
18 AJ Allmendinger 314 -118 0
19 Aric Almirola 312 -120 0
20 Clint Bowyer 309 -123 0
21 Marcos Ambrose 303 -129 0
22 Tony Stewart 299 -133 0
23 Jamie McMurray 286 -146 0
24 Casey Mears 282 -150 0
25 Ricky Stenhouse Jr. 258 -174 0
26 Martin Truex Jr. 251 -181 0
27 Danica Patrick 218 -214 0
28 Kurt Busch 215 -217 1
29 Justin Allgaier 205 -227 0
30 Michael Annett 179 -253 0
31 Cole Whitt 164 -268 0
32 David Gilliland 160 -272 0
33 Alex Bowman 152 -280 0
34 David Ragan 150 -282 0
35 Reed Sorenson 145 -287 0

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10 Tips from across the Net

The primary way to deal with back pain should be prevention, Here are 10 tips to help you do just that.

10 tips to prevent back pain image

1. Lift Safely

Safe lifting involves using your legs to spare your back. Bend your knees, tighten your abdominal muscles, and keep the object being lifted close to your body. For more tips, see Safe Lifting Techniques, which provides an illustrated step-by-step guide.

It is also a good idea to be aware of unsafe lifting techniques, so that you can avoid them. Unsafe lifting techniques usually involve positions that will cause you strain when you add a load to them.

2. Minimize and Avoid Twisting Motions

The use of twisting motions should be carefully monitored, and scaled back or eliminated as appropriate. When lifting heavy objects, twisting should be avoided. When doing heavy work, such as housework, try to keep twisting to a minimum. In other activites, pay close attention to how you are moving your spine, as well as any warning signs such as pain or tightness, that may indicate trouble. Scale back on the twisting according to the warning signs your body gives you.

3. Drink Plenty of Water

Our bodies are comprised of approximately 70% water. Enough water keeps us fluid, rather than stiff. Drinking plenty of water enhances the height of intervertebral disks, keeping them the healthy shock absorbers they are. Water is necessary for nearly every bodily process so is good to have in generous supply, at least 6-8 8-ounce glasses per day. It is almost impossible to drink too much water. For the facts on dehydration, read Dehydration: What a Pain!

4. Live an Active Life and Strengthen Your Abs

Exercise and activity keep the muscles of the spine strong. The most important muscles to strengthen to avoid back pain are the abdominals. Include stretching in your fitness program to avoid stiffness, which causes pain. Another reason to stay flexible is that stiff muscles are a precursor to injury.

5. Maintain a Healthy Weight

Maintaining a healthy weight is generally an excellent way to prevent all kinds of diseases and discomforts. For the spine, it avoids compression and loading of the intervertebral disks, prevents postural abnormalities, such as anterior pelvic tilt, and interrupts a sedentary lifestyle, with its accompanying stiff and/or weak muscles.

6. Find the Best Sleeping Positions

Finding a sleeping position that works for you can help you avoid placing unnecessary strains on your back or neck. Doctors tend to vary when recommending ideal sleep positions, so being guided by your comfort levels and using your own judgement are good accompaniment to his or her advice. About’s Sleep Disorders editor, Florence Cardinal, has some great tips for sleep positioning.

7. Warm Up

For those who exercise, and that should be everyone, warm ups are a must. Warm up means 5-10 minutes of light aerobic activity just prior to the exercise session. The purpose of a warm up is to acclimate the muscles to a more intense activity level gradually enough to prevent injury, and therefore, pain. Recommendations by experts vary as to whether the warm up period should include stretching.

8. Cool Down

The cool down period after an excercise period must include stretching. During cool down, your muscles are still warm from exercising, and are very receptive to stretching. Stretching will be less painful during cool down, as well. Stretching relieves muscle tightness, which is one cause of back pain. Stretching also helps to balance the action of muscles, enhancing ideal alignment, and relieving joint strain.

9. Purposely Interupt Long Periods of Sitting

If you sit for long periods of time, force yourself to get up from your chair as much as your work environment will permit. Sitting loads the spine and compresses the disks, leading to disk problems. Slaving over a computer for long periods of time can also cause posture problems, such as kyphosis, and neck problems.

10. Try a Holistic Approach

Holistic bodywork techniques and systems such as massage therapy, yoga, Pilates, Feldenkrais, Chiropractic, or acupuncture are a great way to keep the structures of your spine tuned up for a lifetime.

 

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New study into back pain link in moms

from article by …

Bid to find back pain link in mums
The West Australian

A world-first study in Perth is helping to unravel why being a mother can cause years of back pain.

University of WA occupational biomechanist and PhD student Adele Stewart says early motherhood causes back pain in up to 90 per cent of women, but it is not known what role back strength and hormones play.

Pregnant women are often told back pain is just part and parcel of motherhood.

“Pain is a complex and personal experience and not always a sign that something is wrong, but the combination of pain and dysfunction often is,” Ms Stewart said.

“Pregnant women and new mothers are frequently told ‘back pain is part of the journey so accept it’ but in reality it could mean an increased risk of injury.”

She is testing the theory that the hormone serum relaxin, which helps the ligaments soften in pregnancy but could make the back joints so lax that it creates the potential for injury.

“The hormone is produced in high quantities during pregnancy, particularly in the first half of the pregnancy when the risk of back pain is not considered as great as in late pregnancy,” she said.

“It’s possible there is a loss of strength and stability and the woman is far more vulnerable to back injury which may get carried through the pregnancy.”

Ms Stewart said a weakened lower back increased the risk of injury, a particular issue when it came to looking after children, both at home and in child care.

“We can’t effectively limit or treat back pain and disorder until we know more,” she said.

Cara Deed is 27 weeks pregnant with no history of back pain but woke up a few months ago in excruciating pain in her lower back.

“I was told it was part of being pregnant,” she said.

The study needs women planning to become pregnant, those in the first 12 weeks of their first pregnancy and first-time mothers with a baby aged three to six months.

Healthy women who have never been pregnant are also needed.

For details, email adele.stewart@research.uwa.edu .au.

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Combined Treatment of Back Pain and Depression Proves Most Effective for Seniors

from Article by …

Sunday, May 25, 2014 1:05 PM EDT

Robert Boykin, 73, of Zelienople, pictured April 29, 2014, recently took part in the ADAPT study being conducted by the University of Pittsburgh Medical School, which seeks to find the best way to treat seniors who suffer from both low back pain and depression. (Lake Fong/Pittsburgh Post-Gazette/MCT)

Researchers at the University of Pittsburgh School of Medicine are studying the most effective means of treating chronic low back pain and symptoms of depression — together — in those 60 or older. The ADAPT (Addressing Depression And Pain Together) study has been going on for four years. Seventy-five men and 123 women, ranging in age from 60 to 94, have taken part. About a third of seniors suffer from low back pain. Nearly 20 percent of Americans age 65 and older have clinically significant symptoms of depression, according to the National Alliance on Mental Illness. Up to 25 percent of seniors may suffer from both, said Dr. Jordan F. Karp, associate professor of psychiatry, the principal investigator. “Chronic low back pain and depression make each other worse,” Karp said. “Both can cause poor sleep, keep people from enjoying their usual activities, isolate them at home. Patients can enter a vicious cycle of the blues, pain, physical deconditioning and feeling hopeless.” Nearly 40 percent of those who’ve participated in the ADAPT study so far have had back surgery that has not worked, Karp said. “People who are contemplating surgery need to have their depression treated, because depression can negatively affect outcomes,” he said. About 30 percent of ADAPT participants to date have fibromyalgia, which may make it more difficult to treat depression. Doctors aren’t sure what causes fibromyalgia, and there is no cure for it, but there are treatments that ease the discomfort it causes. About 12 million Americans — roughly 90 percent of them women — suffer from it. People with fibromyalgia ache all over. Muscles may feel as if they’ve been overworked or pulled. Some patients may be very sensitive to touch and pressure. Other symptoms include fatigue, chronic headaches, trouble with concentration and memory, hypersensitivity to cold or heat, and tingling in extremities. Although fibromyalgia is the second most common musculoskeletal disorder after osteoarthritis, the percentage of ADAPT participants who suffer from it is higher than he expected, Karp said. Only about 7 percent of older women have fibromyalgia, he said. There are two phases to the ADAPT study. In the first, which lasts six weeks, all participants take the anti-depressant drug venlafaxine (Efflexor). About a third of those who’ve participated in the ADAPT study so far have shown improvement during phase one, Karp said. In the second phase, which lasts 14 weeks, participants who haven’t improved during the first phase are given a higher dose of venlafaxine and are divided into two groups. Half receive the higher dose of venlafaxine only. The other half also get counseling on how to manage pain, mood, sleep and other difficulties seniors who suffer from both conditions typically experience. The purpose of phase two is to determine whether people who didn’t improve during phase one need the problem-solving therapy to get them feeling better, or if the higher dose of venlafaxine will suffice. “One of the reasons we picked the medicine we used is not only because the FDA approves it for depression, but it also has been observed to have analgesic (painkilling) effects,” Karp said. Low doses of venlafaxine increase levels of the neurotransmitter serotonin, which regulates mood. Higher doses of the drug also increase levels of the neurotransmitter norepinephrine, which may regulate both mood and pain. Neurotransmitters are chemicals in the brain that relay signals between nerve cells to tell the brain what’s going on in the body. Both serotonin and norepinephrine tend to block some pain messages. When people are depressed, they tend to feel pain more acutely. Having less pain can relieve depression. Attacking both problems at once can produce a double benefit. “Getting people moving and in better control of their pain through healthy behavior changes may also help their mood and improve quality of life,” Karp said. Zelienople, Pa., resident Robert Boykin, 73, a financial consultant with AXA, emphatically agrees. He’s suffered from chronic back pain due to spinal stenosis. “On top of that, back in November, I went into a real tailspin of depression,” Boykin said. Then he learned of the ADAPT study. His final session was a few weeks ago. “It was a godsend,” Boykin said. “They brought me out of the hole I was in.” The venlafaxine provided immediate relief. But for him, “the talk therapy was almost as important as the drug therapy,” Boykin said. “(Senior clinician) Sunita (Chickering) was extremely effective at uncovering problems — chiefly anger issues — I’ve had over the years.” His back pain is pretty much gone, Mr. Boykin said. And although he still feels depressed from time to time, “at least I know now how to deflect it.”

 

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