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Q: Ive struggled with herniated discs, L5/S1, c1,c2,c3,c4,c5, c6-7, T1, T2…pain etc.. i want go to a gym?
hello, im tired of eating percocets, lyrika and not seeing any improvement in relation too the levels of chronic pain and or the condition of the discs in my back.. in my doctors words, you are going too be on pain meds too get through each day as long as your quality of life is concerned… and i agree with the dude… ive had all treatments for back pain, all but invasive surgery which im against as it generally creates a need for more surgeries… ive had 15 epidural injections, years of chiropractic treatment ( intermittent of course).. physical therapy, traction, dmx table treatments, more pain pills, and no improvement!
now, rather than sit on my ass and eating percocets, then up too oxycontin, then up too fentanyl ( they want me on that now… i say no).. why cant i go and hit the gym, like try too exercise and get in some kind of cardio shape? im tired of not exercising, when 3yrs ago i was hittin the gym regularly… i know i cant go in an slam barbells around etc.. but im wondering why the hell cant i get some cardio and just ease into it slowly? if i have pain issues, i can tough it out… i just dont want too sit around and let my body go to hell! if i can hack the pain, should i work out? please dont say, ask your doctor.. they dont care! they just say walk a few miles blah blah…. thats not gonna get me in shape.. im not saying i wanna hit the weights, im just saying with my back injury,how much should i allow it too hinder my goals… working out was my favorite thing too do, i competed in boyduilding etc.. i want to exercise… too me not exercising it like death… i dont wanna waste away on meds and live with this back injury like its an excuse to be inactive…. im in pain al the time no doubt but does that mean i should allow the rest of my health too slide as well? any advice? ive seen some pretty bad disc injuries on some folks in the pro bodybuilding world and they get surgeries etc.. and bounce back? am i missing something? do i need a new doctor? what the hell should i do? i just wanna get back in the gym…. slow and easy… carefully….thanks

A: You’ve got the right idea. There’s a point at which the mechanical things take a back seat to a chronic pain state. Without getting into nitty gritty details about what happens to the brain and nervous system in chronic pain, let me just say that there becomes a point at which addressing mechanical things (muscle tightness, “subluxations”, trigger points, etc) becomes pointless because the neurosignatures made in the brain and nervous system are in overdrive. Your brain begins to misinterpret sensory input, biochemical changes occur and chronic pain ensues.

Beginning a general cardiovascular exercise program should be a part of almost any chronic pain rehabilitation program. You may find that you have to find the “right activity” for you and have to do a very gradual exposure to the activity. Start with low impact activities: swimming, cycling, ellipitical. Your pain may increase somewhat during the exercise, but it should subside to your baseline pain shortly after the activity is ceased. start with a very conservative amount of time: 5-10 minutes and increase by no more than 10% each week. As long as you aren’t experiencing progressive focal motor weaknesses (such as profound loss of grip strength), your legs giving out on you and that you aren’t having difficulty urinating (which is an emergency in those with LOW back pain), starting a general fitness program is acceptable and in most cases, necessary.

If you’d like some more information on what happens to the body in a chronic pain state, I’d suggest two books:

Butler, David “Explain Pain”

Mosley, Lorrimer G. “Painful yarns”

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