This chapter addresses numerous ancillary topics that have relevance for back pain sufferers yet have only a tangential relationship to the bio-mechanical principles to which the bulk of this book is devoted. They are varied concepts of associative importance in the prevention and successful resolution of pain so as to "make bad backs better;" however, they don't easily fit into any other categorical grouping. Readers are encouraged to review the below headings and read those sections that have pertinence to their individual concerns and needs.
ACUTE PAIN MANAGEMENT STRATEGY
These sections contain a wealth of proprietary information not available elsewhere, to the author's knowledge. Therefore, in order to access these topics, the reader must become a member by purchasing a subscription or send for a copy of the book: MAKING YOUR BAD BACK BETTER, by William T. O'Connor, M.D.. If you review the above list and recognize that one or more of these topics pertain to you and you have back pain, you would be well advised to acquire that specific information from this source since you are unlikely able to acquire it elsewhere.
As an example of the quality of contents, please see the IN PAIN NOW? side-bar selection, it largely reproduces the above annotated ACUTE PAIN MANAGEMENT STRATEGY Section's instructions for an acutely painful episode. It is provided for free as a service to browsers in pain to both give relief and reassure them that the information that they obtain through this author is of functional and realistic value. Quite frankly, there are insights available here that are not available anywhere else in the literature. Presented as a good Samaritian gesture, the reader with acute, current, confusing, and debilitating pain of recent onset is encouraged to follow the recommendations given and in the process will be better able to decide if the pain being experienced meets the criteria most likely to be appropriate for use of The O'Connor Technique (tm).
The section on PREGNANCY AND DELIVERY is invaluable for anyone who anticipates pregnancy with a history of back pain or if one wishes to prevent the back pain complications of back pain. The author believes that a majority of the 67% of women who have back pain with delivery could have their pain revented by applying the PRINCIPLES of The O'Connor Technique (tm). This is extremely pertinent for the 37% of women studied who still have the pain 6 weeks after delivery and the 7% who still have pain as much as a year and a half later. This becomes relevant when one considers that as much as a third of women with back pain associated with delivery describe it as exceeding the pain of labor and delivery.
An extraordinary amount of people find that they get their back pain while travelling. TRAVELING WITH A BAD BACK recognizes this phenomenon and gives the reader concrete methods to prevent having their vacations ruined by back pain, neck pain or backache.
DEPRESSION usually accompanies any long-standing back pain, backache, or neck pain. This Section addresses this problem from the perspective of a physician author who has witnessed and treated the fear, debilitation, and depression of an illness that seemingly has no solution.
Often, now-a-days, there is a trend by other physicians who have exhausted their therapeutic abilities and are unaware of The O'Connor Technique (tm) to "put the cart before the horse" by attributing the continued pain of a spinal condition to a psychological inadequacy. They reason that, because back pain is so common and most people get over it within a short time period, those that don't get better must have a psychological problem that is preventing them from getting better. This is usually attributed to depression. The following excerpt from a May 20, 2001 treatise on back pain in the physican's journal, Pateint Care, exemplifies this phenomenon and directs the physician in the management by attributing the problem to the patient's failing in an ability to cope.
"Most people visit a physician for low back pain not just because their back hurts, but also because their ability to cope with the pain is compromised. Try saying, "I know your back is hurting. Lets's talk about why you're having trouble dealing with it."
By practicing this approach, the physician presupposes that that some condition, most often depression, is preventing the patient from getting over the pain. These physicians fail to recognize that it is the pain that created the depression or the inability to cope in the first place. This author's experience finds such a strategy offensive. The physician would do better to admit his/her inadequacy in managing the pain rather than shift the blame to the patient; nevertheless, depression plays a significant role in back pain and needs to be addressed. Fortunately, this webbook gives a solution to the pain problem and pays genuine attention to the reality of depression resulting from chronic spinal pain.
The section on LUMBAR SUPPORTS offers insight into the most successful support device identified in the author's experience. There are numerous products available, but most of them for one reason or another don't work as well as the one described in this section.
Too, SPORTS play a dramatic role in back pain, backache, and neck pain. This section demonstrates how applying The O'Connor Technique (tm) PRINCIPLES to specific sports can make these sports less painful and gives the reader a perspective on the role sports play in the creation of back pain and, thereby, its prevention.
For instance, the section on PREGNANCY AND DELIVERY is extremely valuable for any pregnant woman who wishes to avoid back pain for the rest of her life because the people who are participating in her delivery are not educated in the principles of The O'Connor Technique (tm). Two thirds of women undergoing labor report the presence of back pain, and a third of women have continuous, severe, low back pain exceeding that of the contraction pains! As much as 37% still have pain four to six weeks after delivery and 7% still have pain a full year and a half after delivery! These figures lead one to the inescapable conclusion that the pregnancy and delivery process is traumatic to the spine. The author believes that the bulk of this pain can be prevented with knowledge and practice of The O'Connor Technique (tm) PRINCIPLES. The sad reality is that it is unlikely that the caregivers assisting in the delivery will become educated to these understandings within the near future enough for a difference to be made in the outcome. If you can imagine the value of a year and a half of pain, you might consider gifting a subscription or a copy of the book to someone you know or love who is pregant. Expecially if they have a history of low back pain.