55 | The truth about fixing back pain
“The spine is the tree of life. Respect it.” - Martha Graham
Unfortunately, many grapple with back pain without ever truly understanding or overcoming its root causes.
This could be you if you find yourself questioning the effectiveness of your current treatments, unable to return to pain-free activities, living in fear of worsening the pain, or feeling a lack of progress towards regaining your pre-pain confidence. It's a cycle that many find hard to break.
In light of these challenges, this discussion delves into an approach that leverages the root causes of back pain, and, the root causes of back strength. I'll be sharing a dual strategy that has proven to be the most effective way to overcome (and prevent) back pain, based on my personal experience as a mover and exercise clinician, and the comprehensive research by Professor Stuart McGill.
Causal Power
"The law of cause and effect is the law of laws." - Ralph Waldo Emerson
Every effect In our universe has specific causes, including back pain and back strength. This universal law of cause and effect holds true without exception - that’s what qualifies a law as universal.
The primary causal force shaping our life is our actions. Therefore, our behaviours and choices are the primary forces shaping our back health. Each choice can either heal or harm our back.
By mastering cause and effect through our actions, we can change back pain into strength. The strategy we are going to discuss involves two components: removing unwanted causes and enhancing wanted causes.
I. Causing Wanted Effects
“Our bodies are our gardens, to which our wills are gardeners.” - William Shakespeare
How do we reach the results we want? This aspect is often more obvious. To change something, we must do something. We need to take action to get somewhere that we are not.
Through this lens, we can identify the actions which can cause the effects we seek. Regarding back pain and strength, these actions fall into two categories: [1] restoring structural strength, and [2] developing skilful coordination. In summary, this is primarily the use of a corrective movement practice to restore strength and optimal movement patterns.
"Cause and effect are two sides of one fact." - Ralph Waldo Emerson
II. Ceasing Unwanted Effects
“An ounce of prevention is worth a pound of cure.” - Benjamin Franklin
This part of the strategy is more challenging. However, recognizing and minimizing activities that worsen back pain is critical. The primary culprit here is excessive sitting, a habit that's deeply ingrained and difficult to modify.
“Before you heal someone, ask him if he’s willing to give up the the things that made him sick.” - Hippocrates
Strategies which we will focus on involve implementing a framework called ‘spinal hygiene’ (thanks Prof. McGill) to minimize the ongoing and inescapable impacts of sitting, by minimising poor sitting postures and removing unnecessary prolonged sitting.
“Sitting is the new smoking.” - Dr. James Levine
The Dual Approach
“The part can never be well unless the whole is well.” - Plato
The surest way to guarantee success involves both reducing harmful causes and enhancing beneficial ones. One approach alone is insufficient. The dual combination creates a synergy that is often the missing, yet most powerful, ingredient in effective recovery.
This dual strategy offers a framework with two angles to think about and deal with back pain. This approach is much more than a treatment; it's about changing ourselves for the better.
Conclusion
Understanding and managing back pain hinges on comprehending the principles of cause and effect and taking personal responsibility for our actions.
The dual strategy gives us a framework for informed and deliberate action. By applying this comprehensive strategy, we transcend temporary fixes to reliably transform our back pain into a kind of confident strength that many don’t appreciate until they taste it.
Most people with back pain never get to the root of the problem. And as a result, they never fully or successfully overcome it.
This could be you, if you can't escape wondering, whether the therapy or the work you're doing, is even working.
This could be you, if you're not getting any closer to restoring or reintroducing the activities which back pain took away from you.
This could be you, if you are terrified of one wrong move, one bad posture, and that it's going to put you right back where you started.
This could be you, if you feel like nothing you are doing is building your confidence back to where it was before you had back pain.
These are some of the reasons Why we need a deeper understanding of the root causes of back pain. And why we also need a deeper understanding of the root causes of back strength.
I'm gonna share the very effective and very practical dual strategy that I've used to overcome my own back pain very successfully. A strategy which I have also used to help hundreds of other people successfully and effectively. overcome their back pain too.
And from a first principles perspective and from experience and research, this is hands down the most reliable way for you to guarantee success in overcoming your back pain.
In short, We need to prioritize finding, understanding, and addressing the root causes of our back pain, instead of just chasing quick fixes and symptomatic relief.
Let's zoom out for a moment. Our universe is governed by cause and effect. I've said this many times. All effects are caused by conditions that came before.
The appropriate and relevant conditions.
Now the thing about Universal laws of nature. Perhaps the quality which qualifies a law to be a universal law of nature is that there are no exceptions. It is an unbreakable law that governs activities in the universe as we know it.
So we have to work with cause and effect. If we want to change the effects we are experiencing or the results, Or we want to strive towards results that are other than what we are experiencing. And we have to work within the bounds of cause and effect. We have to understand the forces which will produce the results we seek.
Now of all the forces in the universe, none comes close to shaping our experience as humans, as individuals, as our own actions, as our own choices, as our own habits and behaviors. It's our personal action, which is the primary shaping force in our experience. And for this reason, this is where we will focus all of our attention.
This is why this strategy, or this approach, prioritizes
our individual action as the means to change our experience. As the primary cause producing our effects.
And so by using our own actions and understanding of cause and effect. We will be able to redesign our experience
and the dual strategy that we must use, two wings of the one bird, the two sides of the same coin. One is to remove or reduce causes which are creating unwanted effects, harmful causes and effects. The other wing is Adopting or improving causes which are producing wanted effects, the beneficial, the healing causes and effects.
Now we're going to take a look at each of these, the beneficial or wanted causes and effects, and the harmful or unwanted causes and effects. First we're looking at the beneficial or wanted causes and effects. For some reason this is much easier, this is much obvious for most people. We realize that for something to change, we need to do something.
We need to do something about it because that's how we're going to change it. It's through our action adopting some new actions which are missing and will cause the results we want.
And this is true. Two of the major things we're going to change regarding back pain are the structural weakness that we've adopted or inherited from sitting excessively over the course of our whole lifetime. And sure, we need to perform some sort of movement practice, some exercise program, to load the structures in the way they've been missing, load the structures appropriately, and then allow them to recover, to grow, to strengthen.
This is almost always a process of adopting the specific intelligent exercises we need to develop the strength
and to cause the growth in the structures which have become so weak. The same is true for our neurological development, our coordination, the skill and the complete lack of awareness and control that we've developed. Also inherited from sitting, which leads to the poor movement patterns that we experience,
or that we exhibit in our daily life, which lead to the excessive breakdown which causes back pain.
And in order to address this coordination, we need to adopt also movement practices which give us the opportunity to practice, to refine, to improve certain movement patterns, skills, coordination, to develop the awareness. And this comes from introducing things we have been missing, specific practices or exercises which give us the chance to develop in ways we are missing development.
And so I see a lot of people engage in this. They know that when they have a problem, they go seek the application of something which is missing, whether it's physical therapy applied to them. This would be seen or interpreted by most people as taking an action to produce a result, to produce a beneficial result.
Or if it's taking medication, this is, this might also be perceived as, Taking an action to feel better, to improve our experience. We're going to have a surgery much the same. We're going to make a physical change that will improve the situation beyond where it is now. This sounds like taking action or producing causes to, to get us towards the effect, improved effect from where we are.
These are somewhat true. Not nearly as sustainable or effective as a well defined or,
or a well designed movement practice. However, they would probably fall under this category. But what I see most people really struggle with is the other wing of this bird, the other side of this coin. And this is reducing or removing unwanted causes which are producing unwanted effects. Often they are wanted causes which produce unwanted effects.
Let me explain.
Now. What I believe is the reason this side of the strategy is much more difficult and missing from most people's approaches in their therapeutic plan or recovery plan. And this is because our problem, the condition or the issue we're facing, and if we break things down for a moment, we've got causes producing unwanted effects and we've got causes producing wanted effects.
And there's continuously this balance. This harmony that needs to be maintained. We can't possibly only have one side of the spectrum. Life just doesn't work like that. We're constantly exposed to stresses and placing demands on our body and dealing with different threats and challenging conditions. But the balance of the healing versus the harmful is something we would like to achieve and definitely push it a little bit, push ourselves across the spectrum a bit more towards the beneficial side, the wanted side.
And so even on a microscopic level, what a lot of us are how our body is working is this balance of breakdown and repair our body by being a dynamic, alive. system is never static. Things are, cells are maturing, they're aging, they're dying, they're being replaced. Structures are being loaded, being strengthened.
And when they are loaded and strengthened, this is also a process of applying load, stressing the structures, causing microscopic damage. And then this leads to the growth and repair, which leads to strengthening. And so when we have an injury and we have pain or we have complete breakdown, this is. The consequence of an imbalance over time, a cumulative imbalance where the breakdown has far exceeded the repair and has led to a chronic condition of either inflammation, pain or deterioration and then structural breakdown.
And this in turn implies that there is an excess of some force at play, an excessive exposure to some stressor. And then if we consider what are the kinds of things that we are likely to expose ourselves to excessively, that we are likely to
be addicted to, these are the habits that are difficult to let go of. These are the behaviors which are convenient, easy, pleasant, that we are attached to and that we have become addicted to. These are often. The behaviors which need to be addressed for us to reduce some of the excessive causes, the causes creating unwanted effects.
And because these behaviors are so convenient, are so pleasant, are so easy, whatever the reason is, that leads us to. Excessively engaging them, even over long periods of time. It's the same reason that we then find it extremely difficult to let go of them. To reduce them, to change them, to improve them.
Because these habits have become deeply ingrained. These conveniences have become deeply ingrained or familiar. And so changing them becomes really difficult. And it's quite fascinating. I don't know if this is also the exact reason that I see most people pursue their recovery or their therapy through the lens of
doing something to make a change instead of abstaining from something to make a change. And it's almost to the point that most people have blinkers on. And even when I make this clear, there is a certain denial.
And people simply just do whatever they need to avoid addressing these causes which they are so attached to.
And in this specific scenario, when it comes to back pain, the unwanted cause is sitting. And this is a tricky, difficult beast to address. First of all it's, I think it's impossible to completely escape it. You would have to not drive in cars anymore. You would have to not use public transport, planes.
You would have to never use a bicycle, sit in a meeting again, sit for meals, sit on the toilet. Sitting is inescapable. So it provides a
challenge which demands us to be intelligent about it. So then how do we improve our sitting? How do we reduce our sitting so that we're not sitting unnecessarily excessively? How do we improve the quality of our sitting so that when we are sitting it's less stressful? So this is the kind of approach we would have to deal with when it comes to sitting but asking people to change their sitting Habits is a huge ask.
You are someone who's been sitting lazily slouched without awareness Unintelligently for 10, years. Say now let's do this differently Let's be active, let's be aware, let's do it as little as possible. Let's bring awareness to this activity which by definition has allowed us to become completely unaware of our body while we use it.
That's the point of it. We can forget about our body. We can use no effort or awareness to maintain a somewhat useful posture. And that's what sitting gives us. And so to change this, especially when it's around us all the time, the kind of diligence and motivation, discipline that it requires, it's a big ask.
Now,
what is important about this dual strategy? Firstly, I have learned over and over again, trying to solve the problem through one of these lenses, through one of these approaches, is not enough. You can do your therapy till the cows come home. But if you don't address or reduce the insult itself, if you don't remove the poison causing the problem in the first place or reduce it to a manageable degree, you can do your exercises and it probably won't change.
You can go have your surgery and you might feel better temporarily, but your problem will come back.
And if we consider, think about it for a moment. When we exercise, and we are doing some of the good work to strengthen and develop the skill, stress is, exercise itself is a stress.
A stress which we also need to recover from. And so even if we're doing the best exercises in the world, and we're doing them with the best technique, and we've really got that part of the strategy down, if we sit excessively, we're a proper knowledge worker, desk bound warrior, and we're, at the desk sitting unintelligently for 12, 14, 16 hours a day.
Our back also needs to recover from that stress because it has also become a stressor. And so then these two insults can actually compound one another. Our back never gets a break. And so one of these approaches is just not enough. Second major point.
These are two Similar but different approaches. They give us two lenses to approach the problem through. We can use this to curiously analyze how we are trying to solve this problem and help us to identify different opportunities because we need to be approaching it through both angles and this gives us a framework to think about the problem.
Lastly,
What I've seen emerge when we do fully optimize both of these approaches, both reducing the harmful and increasing the healthful, there is a kind of synergy that emerges that produces miraculous results. A kind of synergy that I don't see applied often enough, that I don't see realized often enough. And so by taking full responsibility for All of our causes, all of our behaviors, by taking full responsibility for our, for the results we are experiencing, we begin to access a different kind of power.
And in this situation, it's nicely described as a synergy between these two different approaches, which are not necessarily that different, just behaviors with slightly different directions. But there is a synergy that takes us to a whole new level of possibility where our recovery becomes extremely reliable and our success becomes guaranteed.
And it's because we have a much fuller, more complete understanding of the forces at play. And we have complementary forces working for our benefit. And we understand that we are, we have dealt with the forces which We're causing our problems in the first place. So
in summary, we cannot forget the influence or the role that cause and effect place. We have to appreciate that our current effect, our current experience is the result of consequences that came before. We also need to acknowledge that it is our behavior that is the primary force shaping our experience.
And that if we want to change things, we have to identify our behaviors which have brought us to this unwanted experience. And we need to understand which behaviors we need to adopt that will take us to the experience we are seeking.
By applying it in this way, we have this dual strategy where we are reducing the harmful and increasing the healthful.
And we find ourselves with a dual strategy that, yes, it does ask us. to comprehensively approach the problem we are navigating, but it gives us a newfound power or opportunity where we can overcome the insurmountable, things which just felt impossible to master before. It also gives us a much deeper appreciation of what is happening and why these things are happening.
By using Applying this framework, your understanding of your back pain and injury will be taken to a whole new level. Mine has. This gives me such a clear and
confident approach to dealing with my back pain. To staying free of back pain. I'm constantly aware of the causes which would take me back to back pain. I'm constantly keeping the causes that strengthen me away from back pain. As a part of my program and by using both of these continuously, I feel completely immune to back pain as most common people experience, as most people commonly experience it.
Despite the fact that I work at a desk job in tech and I do have to navigate. The sedentary life, the knowledge worker's life, I feel like I am, my back is bulletproof. And this has been for years and years since I've adopted this strategy. As long as I'm constantly keeping both of these sides of the coin in check, I know I'm safe.
And the same is true for many people that I've shared this with.
So use this. framework, this dual strategy to self reflect, to understand how your behaviors are shaping your experience of back pain, and also use it to help you design a way out of it. This is what the kinetic keystone protocol is based on, and this is, these are the two forces, I can't think of a better way to.
I haven't been able to find a better way to approach these problems.
Until next time, I wish you wellness.
This lesson forms a part of the KINETIC KEYSTONE course - head to the course page to find all relevant lessons organised into a coherent curriculum. 👇🏻
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