Primal Posture: April 2017

March 24 2017

If you go to your GP with back pain the treatment you get is based on the recommendations of the National Institute for Health and Care Excellence – or

What’s new and what’s missing in back pain treatment

 If you go to your GP with back pain the treatment you get is based on the recommendations of the National Institute for Health and Care Excellence – or 

NICE. Their role is to improve outcomes for NHS users by producing evidence-based guidance, monitoring, and information.

The latest (2016) NICE guidelines dramatically revised the medical solutions commonly offered for ‘ordinary mechanical back pain’ (that is, where disease or trauma are not the cause). Last month, the American College of Physicians (ACP) updated their equivalent guidelines in the US. 

Although there are some UK/US differences, the common ground is astonishing. Within a decade, many of the once routine interventions advised for back pain patients have been all but abandoned. Proven to be ineffective or counterproductive, out go most surgeries, such as fusions, discectomies and laminectomies, cortisone and most nerve blocking injections, X-rays, MRIs and nearly all painkillers.

Instead, both guidelines urge back-pain sufferers to stay active, and, rather vaguely, to consider some form of exercise, physical therapy or manipulation to aid recovery. 

The advice to resume normal everyday activities as early as possible would have more to recommend it if it came from an understanding that most back pain actually develops from years of every-day slumping and/or arching, walking poorly, bending rounded, and so on. Relearning natural postural patterns can therefore significantly reduce and sometimes eliminate both recurring back pain and avoid escalating damage to the body.

And when people are in severe pain, judicious surgery, injections or short-term pain meds can sometimes offer a window of opportunity to facilitate the postural learning that can get to the root of the problem.

Luckily the majority of people suffering back and joint pain do not need such drastic interventions to get started on discovering how to live in a happier body.

For information on my posture Free Workshops and Courses go to: www.gokhalemethod.com

or contact Clare: 0117 9422262