Are Standing Desks Good for Your Back?

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Article featured on Summit Orthopedics

Standing desks promise many benefits, including better overall health and less back pain. Research is ongoing into what, if any, benefits a standing desk might actually have, but if you’re used to sitting for long hours and staring at a computer each day, you know how tough all that sitting can be on your back and neck. Can a standing desk help?

The connections between sitting and back pain

One reason sitting for long periods of time can cause backaches is that it puts more pressure on the discs that cushion the spine’s bony vertebrae. Sitting for a long time can also cause muscles in the back to get stiff, creating soreness. If you’re sitting with poor posture, that can make the effects worse. Slouching can put more stress on the spinal ligaments and result in increased pressure on some parts of the spine. Standing desks seek to solve these problems.

Why might it be better to stand at a standing desk?

If your work requires you to be on a computer for most or all of your workday, a standing desk gives you a way to do that work while standing. Here are some potential benefits of standing more during the day:

  • Standing can help with your posture (if your slouching is just a habit and is not caused by a larger problem with your spine).
  • Standing may reduce back pain over time.
  • Standing burns a few more calories per hour than sitting does.
  • Some people find standing boosts their productivity (although this is not true for everyone).

Note Some people — those with vascular problems or who are at increased risk of swelling in their lower limbs — might have increased health risks from a standing desk. Talk with your healthcare provider before choosing to try a standing desk.

How can I get started with a standing desk?

  • The most important thing to do is to take it slow. Don’t expect to go from 8-plus hours of sitting to 8-plus hours of standing right away. Build up your stamina gradually.
  • Be mindful of the increased pressure on your feet and ankles. For example, you may want to wear supportive shoes to help prevent foot soreness. Anti-fatigue mats can also help.
  • Take breaks to walk and move. This is also true if you’re at a sitting desk, but just because you’re standing doesn’t mean movement stops being beneficial. Move around to prevent stiffness and soreness.

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

Improving Alignment for Back Health

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Article featured on Orthopaedic Associates

In our busy lives, we often forget the significance of good posture. Did you know that maintaining proper alignment can have a profound impact on your spinal health and overall quality of life?

In this article, we will explore the importance of posture and how you can work toward having better posture for a healthier you.

The Importance of Good Posture

Good posture does more than just keep you looking confident. It ensures that your body functions optimally by:

  • Reducing the risk of pain and injuries.
  • Improving breathing.
  • Aiding digestion.

When it comes to back health, posture plays a pivotal role. A well-aligned spine reduces stress on muscles and ligaments, decreasing the risk of chronic pain and degenerative diseases.

Steps to Improve Posture

Improving your posture is a proactive approach to maintaining a healthy back and overall well-being. Here are steps you can take to enhance your posture:

1. Awareness and Identification

The first step to better posture is self-awareness. Pay attention to how you sit, stand, and move throughout the day and identify any habits that contribute to poor posture. This may include:

  • Slouching
  • Hunching over devices
  • Leaning to one side while sitting

2. Regular Posture Checks

Set reminders to check your posture regularly, especially if you have a desk job or spend hours on a computer. Ensure that:

  • Your shoulders are relaxed.
  • Your spine is aligned.
  • Your feet are flat on the floor.

Making these adjustments a habit can significantly improve your posture over time.

3. Core Strengthening

Maintaining a strong core is an essential component of good posture. Incorporate core-strengthening exercises into your fitness routine. Planks, bridges, and leg raises are all effective exercises that target the muscles supporting your spine.

4. Stretching Exercises

Stretching helps alleviate muscle tension and promotes flexibility. Focus on stretching your:

  • Chest
  • Shoulders
  • Hip flexors
  • Hamstrings

These stretches can counteract the effects of prolonged sitting and contribute to better posture.

5. Proper Ergonomics

If you have a desk job, make sure that your workspace is ergonomic. Level your chair, desk, and laptop or computer monitor to promote good posture. You should ensure that your chair supports your lower back and that your screen is at eye level to reduce strain on your neck.

6. Posture-Friendly Furniture

Invest in furniture that encourages good posture. Supportive chairs with lumbar support, ergonomic pillows, and standing desks can all contribute to maintaining proper alignment.

7. Mindful Sitting and Standing

Be mindful of your posture while you are sitting or standing. Imagine a string pulling the top of your head toward the ceiling to help you sit or stand tall. You should also distribute your body weight evenly between both feet when standing to prevent favoring one side.

8. Use Props

Consider using props, like cushions or lumbar rolls, to maintain correct spinal alignment while sitting. These props can help you maintain the natural curve of your lower back.

9. Regular Breaks

Don’t forget to pause and rest frequently throughout the day, particularly when your work involves minimal movement. Take a moment to stand up, stretch out your muscles, and walk around every hour. This can ward off tight muscles and encourage healthier posture.

10. Consult a Professional

If you are struggling with posture issues or experiencing persistent back pain, consult a healthcare provider or physical therapist. They can provide personalized guidance, exercises, and therapies to address your specific posture-related concerns.

By incorporating these steps into your daily routine and being mindful of your posture, you can make significant progress toward achieving better alignment and a healthier back.

When to Seek Medical Attention for Back Pain

While self-care can help with back pain, certain signs warrant a visit to a healthcare provider. Common signs you should seek medical attention for your back pain include:

  • Persistent or Severe Pain: If back pain persists or worsens over weeks, consult a doctor.
  • Leg Pain and Numbness: Pain radiating down the leg with numbness or weakness may signal nerve issues.
  • Recent Trauma: After an accident or injury, get a medical evaluation to rule out serious damage.
  • Loss of Bladder or Bowel Control: Sudden loss of control requires immediate medical attention.
  • Unexplained Weight Loss: Weight loss with back pain may indicate underlying health problems.
  • History of Cancer: Back pain in cancer survivors should be discussed with a healthcare provider.
  • Fever or Infection Symptoms: Back pain with fever or signs of infection needs medical assessment.
  • Difficulty Walking: If back pain impairs walking or causes leg weakness, consult a doctor.
  • Previous Spinal Surgery: Post-surgery pain changes should be discussed with your surgeon.

In these cases, seeking medical advice is essential for a thorough evaluation and appropriate treatment.

Remember, early detection and intervention can lead to better outcomes for back pain and related conditions.

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

What is Bursitis?

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Article featured on Johns Hopkins Medicine

What is bursitis?

Bursitis is inflammation of a bursa. A bursa is a closed, fluid-filled sac that works as a cushion and gliding surface to reduce friction between tissues of the body. The major bursae (this is the plural of bursa) are located next to the tendons near the large joints, such as in the shoulders, elbows, hips, and knees.

Bursitis is usually a temporary condition. It may limit motion, but generally does not cause deformity.

Bursitis can happen in any bursa in the body, but there are some common types of bursitis, including:

  • Retromalleolar tendon bursitis. This type of bursitis is also called Albert disease. It’s caused by things like injury, disease, or shoes with rigid back support. These put extra strain on the lower part of the Achilles tendon. This attaches the calf muscle to the back of the heel. This can lead to inflammation of the bursa located where the tendon attaches to the heel.
  • Posterior Achilles tendon bursitis. This type of bursitis, also called Haglund deformity, is in the bursa located between the skin of the heel and the Achilles tendon. This attaches the calf muscles to the heel. It is aggravated by a type of walking that presses the soft heel tissue into the hard back support of a shoe.
  • Hip bursitis. Also called trochanteric bursitis, hip bursitis is often the result of injury, overuse, spinal abnormalities, arthritis, or surgery. This type of bursitis is more common in women and middle-aged and older people.
  • Elbow bursitis. Elbow bursitis is caused by the inflammation of the bursa located between the skin and bones of the elbow (the olecranon bursa). Elbow bursitis can be caused by injury or constant pressure on the elbow (for example, when leaning on a hard surface).
  • Knee bursitis. Bursitis in the knee is also called goosefoot bursitis or Pes Anserine bursitis. The Pes Anserine bursa is located between the shin bone and the three tendons of the hamstring muscles, on the inside of the knee. This type of bursitis may be caused by lack of stretching before exercise, tight hamstring muscles, being overweight, arthritis, or out-turning of the knee or lower leg.
  • Kneecap bursitis. Also called prepatellar bursitis, this type of bursitis is common in people who are on their knees a lot, such as carpet layers and plumbers.

What causes bursitis?

The most common causes of bursitis are injury or overuse. Infection may also cause it.

Bursitis is also associated with other problems. These include arthritis, gout, tendonitis, diabetes, and thyroid disease.

What are the symptoms of bursitis?

The following are the most common symptoms of bursitis. However, each person may experience symptoms differently.

  • Pain
  • Localized tenderness
  • Limited motion
  • Swelling and redness if the inflamed bursa is close to the surface of the skin

Chronic bursitis may involve repeated attacks of pain, swelling, and tenderness. These may lead to the deterioration of muscles and a limited range of motion in the affected joint.

The symptoms of bursitis may resemble other medical conditions or problems. Always see a healthcare provider for a diagnosis.

How is bursitis diagnosed?

In addition to a complete medical history and physical exam, diagnostic tests for bursitis may include:

  • X-ray. A diagnostic test that uses invisible electromagnetic energy beams to make pictures of internal tissues, bones, and organs on film.
  • Magnetic resonance imaging (MRI). An imaging test that uses a combination of large magnets, radiofrequencies, and a computer to make detailed pictures of organs and structures within the body.
  • Ultrasound. An imaging test that uses high-frequency sound waves to look at the internal organs and tissues.
  • Aspiration. A procedure that involves using a thin needle to remove fluid from the swollen bursa to check for infection or gout as causes of bursitis.
  • Blood tests. Lab tests may be done to confirm or rule out other conditions.

How is bursitis treated?

The treatment of any bursitis depends on whether or not it involves infection.

  • Aseptic bursitis. This inflammation results from local soft-tissue trauma or strain injury. The bursa is not infected. Treatment may include:
  • R.I.C.E. This stands for rest, ice, compression, and elevation
  • Anti-inflammatory and pain medicines, such as ibuprofen or aspirin
  • Injection of a steroid into the affected area to help decrease pain and swelling
  • Splints or braces to limit movement of the affected joint
  • Septic bursitis. The bursa becomes infected with bacteria. This causes pain and swelling. Treatment may include:
  • Antibiotics
  • Repeated aspiration of the infected fluid (a needle is used to take out the fluid)
  • Surgical drainage and removal of the infected bursa. This is called a bursectomy.

What can I do to prevent bursitis?

Try the following measures to prevent bursitis:

  • Warm up before exercising or before sports or other repetitive movements.
  • Start new exercises or sports slowly. Gradually increase the demands you put on your body.
  • Take breaks often when doing repetitive tasks.
  • Cushion “at risk” joints by using elbow or knee pads.
  • Stop activities that cause pain.
  • Practice good posture. Position your body properly when doing daily activities.

When should I call my healthcare provider?

Call your healthcare provider if you have any of the following:

  • Pain or trouble moving affects your regular daily activities
  • Pain doesn’t get better or gets worse with treatment
  • A bulge or lump develops at the affected joint
  • Redness or swelling develops at the affected joint
  • You have fever, chills, or night sweats

Key points about bursitis

  • Bursitis is inflammation of a bursa, a closed, fluid-filled sac that works as a cushion and gliding surface to reduce friction between tissues of the body.
  • The most common causes of bursitis are injury or overuse, but it can also be caused by infection.
  • Pain, swelling, and tenderness near a joint are the most common signs of bursitis.
  • Bursitis can be treated with rest and medicines to help with the inflammation. Antibiotics are used if infection is found. If needed, surgery can be done to remove the bursa.
  • You can help prevent bursitis by doing things like warming up before exercise or sports, increasing activity slowly, padding joints, taking rest breaks often, and stopping activities that cause pain.

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

Minimally Invasive Microdiscectomy for Disc Herniation

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Article featured on Rothman Ortho

Disc herniation is a prevalent spinal condition characterized by the protrusion of the soft inner core of a spinal disc through its tough outer layer. This condition often leads to debilitating symptoms such as shooting leg pain (commonly referred to as sciatica), localized back pain, numbness, and muscle weakness. When conservative treatments like physical therapy, medications, and epidural injections fail to provide relief, minimally invasive microdiscectomy is a surgical solution.

This guide aims to provide clarity on the procedure, covering everything from its underlying causes and diagnostic methods to the intricacies of surgery and comprehensive postoperative care. We will delve into the benefits of minimally invasive approaches, discuss patient outcomes and recovery timelines, and address potential risks and complications associated with the procedure.

Understanding Disc Herniation

Disc herniation occurs primarily due to age-related degeneration, trauma, or repetitive strain on the spine. Sometimes it’s due to bad luck. The intervertebral discs, which act as shock absorbers between vertebrae, can weaken over time, causing the inner gel-like nucleus pulposis to bulge or rupture through the tough outer annulus fibrosus. This protrusion can compress nearby spinal nerves, leading to symptoms that include shooting leg pain, muscle weakness and possible bowel or bladder dysfunction.

Accurate diagnosis of disc herniation typically involves imaging techniques such as magnetic resonance imaging (MRI) and X-ray. Occasionally computed tomography (CT) scans can be used. These imaging studies not only confirm the presence of herniation but also help in determining the size, location, and degree of compression on the nerves.

Minimally Invasive Microdiscectomy: Precision in Practice

Procedure Overview

Minimally invasive microdiscectomy involves making a small incision, typically about 1 inch in length, to access the affected disc. This approach minimizes disruption to surrounding muscles and tissues, which results in reduced postoperative pain and faster recovery times.

Most surgeons employ specialized techniques that ensure precision and efficacy in disc removal while preserving spinal stability. Advanced imaging technologies such as intraoperative fluoroscopy and direct visualization of the herniated disc aid in real-time localization of the herniated disc and compressed nerves.

Advantages of Minimally Invasive Approach

Minimally invasive microdiscectomy offers several advantages that contribute to improved patient outcomes:

  • Faster Recovery: Patients typically experience shorter hospital stays and quicker return to daily activities, thanks to reduced tissue trauma.
  • Reduced Blood Loss: The minimally invasive approach results in minimal blood loss during surgery, reducing the need for transfusions.
  • Preserved Spinal Stability: By minimizing disruption to muscles and tissues, the procedure helps preserve spinal stability and function.
  • Lower Infection Rates: Reduced exposure of surgical sites and shorter hospital stays contribute to lower infection rates postoperatively.

Patient Journey: From Preoperative Preparation to Postoperative Care

Preoperative Preparation

Before undergoing minimally invasive microdiscectomy, patients undergo thorough preoperative evaluations and consultations with their surgical team and medical consultants. This involves reviewing medical history, performing physical examinations, and conducting necessary imaging studies to assess the extent and severity of disc herniation. Patients will often meet with a specialized medical team and anesthesia team prior to surgery.

Patients are advised to discontinue certain medications that may interfere with surgery, such as blood thinners, and to arrange for transportation and postoperative care at home. Preoperative education sessions provide patients with detailed information about what to expect during and after surgery, including potential risks and complications.

During the Procedure

On the day of surgery, patients are admitted to the surgical facility and prepared for the procedure. Anesthesia is administered to ensure comfort and minimize pain during surgery. Your surgeon will perform the procedure with meticulous care, utilizing specialized instruments and imaging technologies to access and remove the herniated disc material. The surgical team focuses on preserving surrounding tissues and structures, including facet joints and spinal stabilizers, to maintain spinal integrity.

Postoperative Care

Following minimally invasive microdiscectomy, patients are closely monitored in the recovery room before being transferred to a hospital room or discharged home the same day. Early mobilization plays crucial roles in promoting recovery, preventing complications such as blood clots, and improving overall outcomes.

According to Phan and Mobbs, early mobilization significantly enhances postoperative recovery by promoting muscle strength, flexibility, and functional independence (Phan et al., 2016).

Long-Term Outlook and Rehabilitation

Most patients experience immediate relief from leg pain following minimally invasive microdiscectomy but this recovery can sometimes take up to a whole year. Full recovery varies depending on individual factors such as age, overall health, and severity of disc herniation and how long the shooting leg pain has been present. While some patients may notice continued improvement in symptoms over several weeks to months, others may require ongoing physical therapy, pain management and rehabilitation to optimize long-term outcomes.

Risks and Complications

While minimally invasive microdiscectomy is generally safe and effective, it is important to acknowledge potential risks and complications associated with the procedure. These may include:

  • Recurrent Disc Herniation: Although the compressive disc is removed during surgery it is possible that more of the disc can herniate after surgery. This can happen if post operative restrictions are not followed.
  • Infection: Despite precautions, there is a risk of developing surgical site infections postoperatively.
  • Fracture: Although your surgeon will take great care to preserve your bone, a fracture can occur which can require more surgery.
  • Nerve Damage: Although rare, injury to nearby nerves during surgery can lead to temporary or permanent neurological deficits.
  • Anesthesia-related Complications: Adverse reactions to anesthesia, such as respiratory depression, heart issues or allergic reactions, can occur.
  • Bleeding: There is a risk of bleeding in the surgical site which can compress the nerves again.
  • Blood Clots: Although rare after this surgery blood clots can be life threatening.

Your surgical team will prioritize patient safety through comprehensive preoperative assessments, meticulous surgical techniques, and vigilant postoperative care to minimize these risks.

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

Does a Herniated Disc Need Surgery to Heal?

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Article featured on NY Orthopedics

Back pain is one of the most common types of pain you are likely to encounter, whether that’s due to pushing yourself too hard on the field or just a result of aging. A herniated disc is one common cause of back pain that can bring people a bit of anxiety when diagnosed. The most common question people have is whether they will need surgery to relieve their pain. 

To answer these questions, let’s go over what a herniated disc is and what causes it. We’ll also look at some common ways doctors treat a herniated disc and when surgery is the right decision.  

What is a Herniated Disc? 

Your spinal column is made up of multiple vertebrae stacked upon one another. Between each vertebra is a thin disc composed of a soft nucleus surrounded by a thick layer of tissue called the annulus. These discs act as a shock absorber that provides support to the spine every time you move. 

A herniated disc occurs when the disc’s nucleus starts protruding outside the annulus and into the spinal canal. As time goes on, the disc starts putting more pressure on spinal nerves within your spinal column, causing a range of symptoms that include: 

  • Numbness and tingling in other body parts 
  • Weakness in the legs or hands that make daily activities a chore 
  • Pain you may feel in the lower back and other parts, like arms, legs, feet, and buttocks. 

What Causes a Herniated Disc? 

While injuries or sprains can certainly cause a herniated disc, it’s more commonly the cause of natural wear and tear as we age. As we get older, the annulus becomes more prone to tears, increasing the chances that a disc might slip during activity. There are also a few risk factors that can increase your chances of getting a herniated disc: 

  • Weight. The more weight placed on the vertebrae, the greater the chance a disc might slip. 
  • Sedentary lifestyles. Staying active and increasing physical strength helps to support the back and put less stress on the spinal column.  
  • Rigorous jobs. If your occupation requires a lot of heavy lifting, it may increase your chances of a herniated disc. 
  • Smoking. Studies show that tobacco can decrease oxygen to the spinal column, increasing the chances that disc tissue will break down. 
  • Genetics. People with family histories of herniated discs are more at risk. 

What Are Some Common Herniated Disc Treatments 

If you’re diagnosed with a herniated disc, that does not mean you require surgery. Depending on the severity of your herniated disc, you may only require conservative, non-surgical treatments to eliminate any pain you may feel. Some common, non-surgical treatments include:  

  • Light activity to reduce inflammation 
  • NSAIDs to help relieve mild pain. In some cases, a doctor may opt for a spinal injection to better target the area of the herniated disc.  
  • Routine physical therapy to strengthen the muscles and put less stress on the discs. 

In more severe cases, surgery may be required to correct a herniated disc if more conservative treatments are ineffective. The most common surgical procedure is a discectomy, where a doctor will remove the damaged portion of a disc. This type of surgery is performed more often with herniated discs that cause arm and leg pain. If possible, a surgeon will opt for a microdiscectomy which is less invasive than traditional discectomies, where a large incision is made to remove the entire affected disc. 

What Should I Expect During a Herniated Disc Surgery? 

During a microdiscectomy, a surgeon will place you under general anesthesia. From there, a surgeon may choose one of several approaches to reach the affected disc: 

  • Midline Microdiscectomy. Here the surgeon will make a small incision in the back and lift the nearby muscles away from the vertebrae. They will then hold the layers of muscle back as they remove portions of the damaged disc. 
  • Tubular Microdiscectomy. During this procedure, a surgeon will make a tiny incision and insert small tubes through the muscle to give them access to the damaged disc. 
  • Endoscopic Microdiscectomy. A surgeon makes a microincision in the back and inserts a small camera and instruments to remove the damaged tissue. This helps provide the least amount of trauma to the surrounding muscles and tissue. 

What Does Recovery Look Like for a Herniated Disc? 

Recovery times from a discectomy can vary depending on the type of procedure performed. However, a doctor will generally suggest around two to three weeks of rest to allow the tissue to heal. Typically, it will take around six weeks before most patients will be cleared to return to work.  

A doctor will likely suggest routine physical therapy around three weeks in to help strengthen the muscles and speed recovery. People who work in sedentary jobs that require a lot of sitting should be conscious of their posture and try not to place any additional stress on their back as it heals. 

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

Debunking the Top 10 Back Pain Myths

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Article featured on Summit Orthopedics

When it comes to avoiding, or treating, back pain, there is a lot of unreliable information out there. Knowing the difference between back pain myths and back pain facts is key to keeping your back healthy and pain-free.

  • Myth: Back pain is always dangerous

Truth: There are very few instances where back pain is life threatening or immediate medical intervention is required. Most injuries (strains, pulls, etc.) can be managed on your own. Chronic back pain is similar. In most cases, surgery is not required, although it may take more time to heal than a more acute injury.

  • Myth: Persistent or chronic back pain means something is seriously damaged

Truth: In reality, most injuries physically heal within three months. If pain persists for longer, there are likely other factors contributing to the pain. Stress, poor sleep, a sedentary lifestyle, and doing too much too soon all play a role in making your back and surrounding tissues more sensitive to movement and exercise.

  • Myth: Scans/imaging always show the cause of back pain

Truth: If everyone got a scan of their back, chances are something would be found (disc bulge, arthritis, disc degeneration). Imaging can be useful for some people, but scans don’t always predict how much pain you will be in or how disabled you are.

  • Myth: Back pain is caused by poor posture

Truth: There is no one “perfect” posture that is better than another. Your body does not like being in one position for a long time, which is why it may feel as though a “slouched” posture is causing your pain. Your body likes to move, and being in various postures is healthy for the back. You should sit or stand in a posture that’s comfortable for you and change it every 30 to 60 minutes.

  • Myth: Back pain is caused by a weak core

Truth: A weak core does not lead to back pain. Back pain can cause the core muscles to tense up in order to protect the back, so learning to relax your core can be helpful with managing your pain. You will need a strong core in certain cases, such as lifting heavy things, so strengthening your core is not a bad idea.

  • Myth: Back pain is caused by “wear and tear”

Truth: Similar to muscles, using the back will make it stronger. The back is meant to bend, extend, and twist, so lifting, pushing, and pulling will make it healthier and more resilient.

  • Myth: Flare-ups mean you are making the damage worse

Truth: Even though flare-ups are no fun, it’s unlikely you are making things worse. Common reasons for flare-ups are poor sleep, increased stress, inactivity, a depressed mood, or doing something your body was not used to nor ready to do. Addressing these issues can help with preventing flare-ups, and keeping calm when one does happen will help as well.

  • Myth: Injections, drugs, and/or surgery are the solution to back pain

Truth: Having an injection or using strong painkillers is like putting on a bandage — it might take the pain away temporarily, but it does not address the root cause of the problem. Surgery may be beneficial for some, but in most cases, it will not fix the problem, especially in those with persistent back pain.

  • Myth: You should only rest when you have back pain

Truth: It may be helpful to rest for the first few days after an injury, but after that, it’s time to get moving. Your joints and muscles will get sensitive and stiff if you rest for too long, so start gently and move through a range that you can tolerate. It’s okay if there is some pain with exercise and movement (it is usually a reflection of how sensitive things are, not how damaged things are), and it usually will calm down as you move more.

  1. Myth: You should never let your low back bend when lifting

Truth: Your back is meant to bend. If you always lift with a “straight” spine, it won’t be ready for the instance where you do have to let it bend. Your joints, discs, and muscles adapt to the forces that are and aren’t placed on it. If you never expose your back to lifting in these bent positions, it won’t be able to handle it when you do.

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

Why Back Pain is Difficult to Treat

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Article featured on WebMD
Two women come to their doctor with searing lower back pain and a fiery sensation shooting down their legs. Both women have back pain with sciatic-like symptoms, but the source and treatment of their pain are different.

Same Pain, Different Problems

Herniated disk. Helen had a herniated disk. The disk caused inflammation and nerve irritation, which resulted in fiery pain down her leg. Standard treatments for a herniated disk include physical therapy, medications, steroid injections, and time for healing. 

Nerve sensitization. Nancy’s pain stemmed from nerve sensitization or nociplastic pain. Nociplastic pain arises from abnormal pain processing in the brain and nerves. Nerves become more sensitive and reactive to stimuli, exaggerating pain signals to the brain. 

Nancy’s back and leg pain had slowly worsened over the past year. She developed pain hypersensitivity where simple, everyday movements—like getting up from the couch and walking to the kitchen—had become increasingly uncomfortable. Her symptoms also spread. Instead of pain in a small area of her back, she felt it across her back, down her thighs, and enveloping her leg. 

Although an injury may have started Nancy’s pain, it was no longer the factor perpetuating it. Over time, the pain source had shifted from an injury to the nervous system (brain and nerves). Due to nerve sensitization, her brain and nerves kept telling her she was hurt even after the injury had healed.

You Can Have Both Sources of Pain at the Same Time

A mixed pain state is when you have injury pain and sensitization pain simultaneously. For example, you have back pain arising from a herniated disk and sensitization. Sensitization amplifies the pain signal that is already present. The two pain sources overlap into one set of symptoms, making it difficult to discern where the discomfort arises from. 

For back pain, three different pain scenarios are possible:

  1. Back pain from an injury with no sensitization, meaning the nerves have not become sensitized; this situation will respond well to standard treatments. This was the case with Helen.
  2. Back pain from an injury and sensitization; in this case, there will be a partial response to standard treatments. This is a “mixed pain state.”
  3. Back pain with predominant sensitization, where most symptoms stem from sensitization; there will be minimal response to standard treatments. This was the case with Nancy.
Understanding the source of back pain is important for selecting the appropriate treatment. Standard treatments like physical therapy, anti-inflammatory medications, and steroid injections don’t work when the pain comes predominantly from sensitization. The more sensitization drives the symptoms, the less responsive they are to standard treatments because the pain source has shifted to the nervous system. For example, Helen, with a herniated disc, responded well to treatment with physical therapy and a steroid injection. On the other hand, Nancy did not respond to those interventions. The correct target for her treatment is the nervous system. You don’t put a cast on a paralyzed arm from a stroke because the cause of the injury isn’t in the arm; it’s in the brain. The problem is deeper in the nervous system. The same is true when treating sensitization.

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

Back Pain After Pregnancy

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Article featured on Spine-Health

Persistent or newly developed pain in the lower back after pregnancy, also known as postpartum back pain, usually lasts for 6 months but may continue up to a decade. Postpartum back pain mostly occurs while performing activities that involve body movements, such as walking, lifting, bending, and/or carrying the new baby, and may be relieved with rest, exercise, and home treatments. The type and severity of pain depend on the underlying cause.

Causes of Postpartum Back Pain

The vast majority of women who experience postpartum back pain develop the symptoms due to pregnancy-related changes in the musculoskeletal system that persist after delivery. In some cases, women may undergo bodily trauma during childbirth that directly involves the lower back and pelvic bones, joints, and/or soft tissues, causing additional pain and discomfort. The type of delivery—vaginal, instrumental, or cesarean section (C-section) may also have a role to play in postpartum back pain.

Loss of muscle tone and joint instability

The effects of pregnancy on the muscles and joints in the lower body vary. A surge in the levels of relaxin, estrogen, and progesterone hormones causes considerable joint relaxation during pregnancy. After delivery, the levels of these hormones decline significantly, causing the joints to return to the pre-pregnant state. It takes an average of 6 to 8 weeks for the joints and surrounding tissues to stabilize and bear weight effectively.

The sudden decrease in hormone levels may cause localized and/or overall effects, such as:

  • A general feeling of tiredness
  • Activity intolerance
  • Pain in the lower back and hip
  • Back pain while walking or performing an exercise

If unsupported posture and body mechanics are used at this time, the risk of further trauma to the lower back and hip are higher.

Diastasis recti

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

Good and Bad Exercises for Low Back Pain

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New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

3 Hamstring Stretches to Relieve Lumbar Herniated Disc Pain

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New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.