European Stars And Stripes (Newspaper) - February 7, 1989, Darmstadt, Hesse To your health v strap muscle turns head to the left or right cervical ver v trapezius muscle lifts Lowers and pulls Back the shoulders """.�, pm thoracic vertebrae-1 sciatic nerve k a of sciatica a. A Phi Sofii Khan one common symptom Ofa Back in trouble is the excruciating pain that follows the body s largest nerve the sciatic. This nerve emerges from the lower spine at each Side of the hips and travels Down each leg. Sciatica pain follows the same course radiating from the lower Back into the hip and Down the legs. A herniated disc is the major cause of sciatica but infections injuries tutors degenerative arthritis and other diseases anything that presses on or stretches a Root of the sciatic nerve May also cause the pain. Deltoid muscle lifts and moves Arm Forward and backward especially when raised Large round muscle turns Arm toward the in Side pulls it toward the Back and Lowers it from a raised position. Broad Back muscle pulls Arm toward the Back and inside it is the apron string muscle glut us Maximus Large buttocks muscle moves the thigh stabilizes weight bearing leg aids in Clim Bing stairs \ exercise puts new twist on Relief of Back pain Chicago Tribune by Allan Parachini los Angeles times a growing number Lofback pain specialists inthe United states Are preaching what Wouldhave been medical heresy a decade ago that vigorous aerobic exercise is often the Best Way to help a hurting Back and that bed rest often does More harm than Good. The turnabout in thinking has been hastened recently by publication of a danish study that found that an especially strenuous exercise program was much More effective in treating pain in the lower Back than either Light exercise or rest. In the danish study 105 backache sufferers were subjected to three exercises so demanding that the researchers who described the program in the journal lancet As Well As american experts questioned by the los Angeles times cautioned that it should be initiated Only with a physical therapist in attendance. The american experts said that the danish regimen was Only one of an increasing array of exercises being chosen by progressive Back pain specialists. Many of the programs they said could be safely followed at Home without direct medical supervision. Most of us have been comfortable for years in prescribing mild exercise for Many forms of Low Back pain said c. David Tollison director of pain therapy centers of Greenville . But when you emphasize the word intensive which is consistent with the philosophy Many of us have sort of preached for the last year or two it goes from an area of Universal agreement to an area of some level of controversy he said. Tollison and or. Mark d. Brown a professor of orthopaedics at the University of Miami school of Medicine and another Back treatment expert said that changes in the therapy recommended for heart patients and new mothers which emphasizes a rapid return to Normal exercise and lifestyle prompted Ortho pudists to question the traditional prescription for the Back. In fact said Tollison Brown and or. Paul Nutter a Seattle Back pain expert bed rest or Long periods of inactivity actually have the opposite effect of what is intended because muscle structures that support the Back in the Back and abdominal area become reconditioned. When that happens Nutter said and a Back pain patient stands and moves about ligaments not Muscles then tend to hold the body erect and the result can be even More intense Back pain and the risk of serious injury. Intensive aerobic exercise the three experts said builds strength in the Back so exercise has the effect of preventing pain not risking it. The reason you do aerobics is not so much to increase strength As to increase endurance Nutter said. As you stay in the upright position your abdominal and Back Muscles Are Able to hold your body Tollison said that Back pain patients often assume erroneously that they have sustained a serious injury. But the average Case of Low Back pain is not the precursor of a major spinal catastrophe he said. Just As important but less understood perhaps Brown said is the biochemical role of exercise. Within the last decade neuroscientist have started to understand the function of a family of body chemicals called endorphins which produce a natural morphine like pain Relief when their production is stimulated. One of the factors that stimulates endorphins Brown said is vigorous aerobic exercise. This observation the experts said has led to the rethinking of Back exercise theories first developed As Early As 1937 in which Back pain treatment included cautious gentle exercise but avoided anything More vigorous. In this climate the new danish study has added confirmation to earlier work by Tollison and at least a half dozen other researchers. Tollison has published studies of 4,100 patients at his clinics that conclude vigorous exercise is valuable treatment. The new danish study by a team at the University of Copenhagen divided research subjects into groups that received one of three forms of treatment traditional rest Light exercise and intensive exercise Over a three month period. The intensive exercise group performed vigorous programs of sets of 50 repetitions of three different exercises that emphasized trunk lifting leg lifting and pull ups. We were surprised to find such a pronounced difference the Copenhagen group reported. The researchers said that the intensive nature of the program and its length were credited with its Success. On theoretical grounds the researchers concluded the treatment should probably be Tollison advocates exercise programs designed for Home use that rely on a wider variety of movements ranging from calf stretching and Back arching to Pelvic tilts and exaggerated sit ups. The program Tollison emphasized should be started Only after a Complete medical review. I think there is a psychological Benefit As Well Tollison said. You give an individual some control Over his own destiny instead of going off to bed and lying tuesday february 1989 the stars and stripes Page 17
