Low Back Pain Red Flags

Feb 18, 2012



low back pain red flags

Ten Steps for Massive Pecs   by Dane Fletcher

Anyone who has spent a few years in the gym can probably show some pectoral development. However, to earn that massive set of Arnold-like pecs, you have to go further, train harder and stay more focused than the rest. Here are six key steps to developing a successful pec strategy.

1. Stay Focused
Some guys train hard and disciplined, but decide to take a month or two off during summer. Then they come back to the gym and realize they’ve lost their gains, so they train their asses off again, until that Christmas party and the new girlfriend derails them for another couple of months. Then they come back, realize they’re back to square one and they’re off for another cycle of training and subsequent breaks. That won’t cut it. Consistency is a requirement for bodybuilding success, and pec training certainly is no exception. You need to stay focused on your long-term goals, come hell or high water (or summer, or a hot new girlfriend, or whatever.)

A good trick for staying on track is to review your training log every 3 months and make note of the poundages/reps you do on a separate sheet. Next, measure your flexed chest and make a note of the exact number. If you’re serious, a Polaroid snapshot can be helpful too. Why not a monthly log review? That would be too frequent – a bad day or a cold could jumble the numbers. However, with a 3-month snapshot you get a more reliable status report on how you’re progressing. This serves the dual purpose of reminding you of your long-term goals and providing valuable feedback on whether your training works or not. If you’ve added 30 lbs to your regular 8-rep bench press and you’ve gained an inch, you’re doing something right and will think twice about deviating from course. On the flip side of the coin, if you’re lifting the same weights and have the same measurements as 3 months ago, it’s time to take a good look at what isn’t working. Here you can go back and see what worked in the past, when you DID make gains.

2. Avoid Injuries
Injuries can throw the best and most well planned strategies right out the window in a matter of seconds. Rip a shoulder joint and see how much benching you’ll do in the following 6-12 months, and let’s not even talk about the atrophy you’ll have to make up for. Let’s face it: balls-to-the-wall, Hardcore training is one thing, taking unnecessary risks to flatter ones ego is another. Sure, as a serious bodybuilder you have to walk the line of insanity on a daily basis, but your objective should always be to stimulate your muscles as much as possible while subjecting them to as little risk of injury as possible.

That doesn’t mean training like a wimp. You still need to push yourself out of the comfort zone each and every workout, and you still need to use heavy enough weights to trigger growth. However, there are certain steps you can take to decrease the risk. First off, don’t skimp on the warm-up. You need 10 minutes on a treadmill, bike or stepper to get your blood flowing and get the body ready. Secondly, do 2 light sets and stretch thoroughly before your first working set. Thirdly, avoid one-rep max benching. If you’re already big, you don’t need to prove anything – just go about your business of getting even bigger by keeping your reps in the 6 to 10 rep-range, occasionally going perhaps as low as 4 reps without cheating. Last but not least, be attentive to strange joint pains. Muscle pain is what bodybuilders thrive on, but a shooting pain where the muscle ties in with the bone is a red flag that shouldn’t be ignored. Remember: Resting for a week now, is better than spending months waiting for a full-blown injury to heal.

3. Trigger Growth
As the late Mike Mentzer explained in his books about Heavy Duty, the key to effective weight training is to trigger growth without draining the energy needed for recovery. Granted, his high intensity principles may not be for everyone, but it is important to recognize the fundamental truth in what he said. You go to the gym because you want results, not for the joy of spending hours wearing down gym equipment. In a nutshell, you want to do fewer and more intense sets.

In a perfect world you can get adequate stimulation with a single set of the kind of heavy, explosive load that makes the fast-twitch fibers jolt. In reality, 2 sets are more likely to do the trick. Doing 3,4 or even 5 sets should be pointless if you did the job right in the first 2 sets. If you didn’t manage to trigger growth when the muscle was fresh, what makes you think you’ll achieve it now that you’ve banged out 4 sets and are starting a fifth? Worse yet, knowing in the back of your head that you have a ton of sets ahead of you may unconsciously cause you to hold back during the first, truly crucial sets.

4. Review Your Nutritional Intake
As a serious bodybuilder, you eat plenty of protein, take all your daily vitamins and probably have a vast array of supplements lined up on your kitchen counter.

But do you get enough carbs to fuel your brutal workouts? Carbohydrates are your primary source of energy, and if you run low before the end of your workout not even the steeliest determination can keep you going at full strength.

To ensure a reliable supply of carbs, make sure to get at least 100 grams of complex carbs 60-90 minutes before your workout, preferably with some protein and fiber. Simple sugars are only good for immediate post-workout consumption (not pre-workout, as some claim) so go for complex carbs as found in parboiled rice, beans, oatmeal, thick pasta and rough bread. Complex carbs will dissolve slowly and keep your blood sugar high and even, keeping you nicely powered throughout the workout.

5. Get Enough Rest
Most growth occurs at home, in bed. Your body releases respectable bursts of natural growth hormone while you’re happily snoring away, repairing the damage you incurred while in the gym earlier that day. Getting sufficient sleep means giving the body the time it needs to grow. It only makes sense to help your body accomplish your common goal, so make it a priority to get at least 8 to 9 hours of quality sleep per night. Many bodybuilding pros take 60-90 minute naps during the day to get further benefit of sleep. This may not be practical for the rest of us, but we can at least lock in our good night’s sleep.

To ensure restful sleep, avoid caffeine and any type of ephedrine-based fat burner late in the afternoon. Avoid alcohol as well, as it drastically cuts the quality of sleep. If you have thin walls, live in the city or have a neighbor with a love for very early lawn mowing, earplugs can be a good investment. Another good habit is to have a pure-protein drink right before hitting the sack. Since protein does not trigger a release of insulin it won’t make you store fat, but the protein will further help your body rebuild itself through the night.

6. Visualize Progress
The importance of the mental game cannot be overstated. Arnold would routinely stand in front of the mirror and visualize his biceps growing like mountain peaks. Evidence suggests it helped him stay on track quite nicely. For pecs, you can apply similar techniques. Stand in front of the mirror and flex and relax your pecs, alternating and simultaneously, while mentally projecting the image of your pecs getting thicker, broader and with deeper cuts. If you’re competing, this exercise gives you the added advantage of better muscle control while posing.

About the Author

About the Author: Dane Fletcher is the world’s foremost training authority. He writes exclusively for GetAnabolics.com, a leading online provider of Steroid Alternative. For more information, please visit http://www.getanabolics.com”
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Watch for red flags in low back pain patients.(Musculoskeletal Disorders): An article from: Family Practice News


Watch for red flags in low back pain patients.(Musculoskeletal Disorders): An article from: Family Practice News


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This digital document is an article from Family Practice News, published by International Medical News Group on June 15, 2005. The length of the article is 704 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.Citation Det…

Managing Low Back Pain


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Presenting the 4th edition of this excellent text, with the expertise of 19 leading specialists representing the fields of orthopedic surgery, neurosurgery, osteopathy, physical therapy, and chiropractic. These authorities bring you comprehensive, multidisciplinary guidance on low back pain diagnosis, prevention, and education. And, they detail the best of today’s surgical treatment approaches as well as the most effective manual manipulation methods.

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GUIDELINES Pocketcards(TM) are multifold pocketcards containing society-endorsed, evidence-based treatment guidelines in a brief algorithmic format that is most preferred by practicing clinicians, quality managers, nurses, educators, and medical students. The Low Back Pain GUIDELINES Pocketcard(TM) is endorsed by the American College of Physicians (ACP) and based on the latest ACP guidelines. This practical quick-reference tool contains screening, differential diagnosis, best practice advice on use of imaging modalities, diagnostic and treatment algorithms, drug therapy, patient monitoring, and counseling points. Applications include point-of-care, education, QI interventions, clinical trials, medical reference, and clinical research.

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Back pain is one of the most common afflictions known to man. While the greatest incidence of back pain occurs between the ages of 24 and 55, most people have a better than 80 percent chance of having an episode in their lifetime. It is the most frequent reason people visit the doctor behind the common cold, and societal cost estimates are as high as 80 billion dollars a year. In an informative and timely manner, Exercise and Low Back Pain provides an up-to-date foundation for healthcare professionals involving the use of exercise in the treatment of back pain. Among the topics covered: Reviews the economic impact of back pain, discusses who treats back pain and how it is treated, presents non-operative guidelines for the acute and chronic patient, and provides both low and high-tech exercise recommendations. Produced in cooperation with the American College of Sports Medicine.

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"Low back pain, with or without associated sciatica is one of the most common medical problems. In my days as an orthopedic resident medical officer in the 1970s, I was rather disappointed with the treatment of this condition. I have treated about 15,000 patients of low back pain with conservative management as outlined in this book with gratifying results. The booklet in English has proven to be of value in impart-ing education on the subject. Subsequently it was brought out in Hindi and Marathi to reach out to more people in India where it has received much media coverage."-Dr. Vinod A. MittalThis new edition of Low Back Pain And Low Back Care is a multilingual volume that contains a version in five languages, English, Hindi, Spanish, Haitian, and Portuguese, translated by native speakers. If used properly the instructions in this book will of course continue to have the same beneficial effect in treating this horrible ailment that cripples too many people around the world.

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Are you one of the millions of people who suffer from low back pain? While it is important that patients with low back pain educate themselves about the lower back, the information available is often more confusing than it is helpful. A single source of information should not be taken as the only truth, as this can lead to misconceptions and misunderstandings in the diagnosis and treatment of low back pain. According to author Mario A. Gutierrez, MD, "not all patients with low back pain are the same, and not all back conditions have a common cause," Dr. Gutierrez draws on more than twenty years of neurosurgery experience and direct patient contact to guide back pain sufferers in their quest for reliable information and diagnosis with topics such as: Causes of low back pain Current treatments for low back pain Low back surgery options Treatment myths Rehabilitation Health insurance/disability Prevention Whether you’re a patient seeking answers, an aspiring medical professional, or a practicing physician, "Understanding Low Back Pain" is a must-have reference, complete with medical terminology, a short medical glossary, and frequently used medical abbreviations.

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The Seventh Edition of this textbook is built upon the peer-reviewed literature and research studies in the diagnosis and treatment of low back and radicular pain, focusing on the nonsurgical chiropractic adjusting methods. This text is the culmination of twelve years of updated research and development of spinal manipulation. From spinal stenosis to rehabilitation of low back pain patients to the latest treatise on fibromyalgia, you’ll find it all in Low Back Pain, Seventh Edition.You’ll find detailed discussion of: Biomechanics of the spine involved in low back painThe neurophysiology and pathology of the intervertebral disc and neural tissues in pain production, emphasizing compressive and chemical etiology of nerve painBoth federally and non federally funded spine research reports of flexion distraction spinal biomechanics and clinical outcomes of its applicationResearched updated application of flexion distraction and decompression spinal manipulation for spinal stenosis, disc herniation, facet syndrome, spondylolisthesis, transitional segment, scoliosis, and mechanical back painResearch studies of Ram Gudavalli, PhD performed at Palmer and National Universities of Chiropractic in collaboration with the Loyola University Stritch School of Medicine and Hines VA hospitalSacroiliac joint update of anatomy and biomechanics of spinal manipulationChiropractic spinal manipulation compared to medical care and surgery of back and radicular pain for clinical outcomes and cost of careRehabilitation of the back pain patient and its necessity in clinical managementIntervertebral disc classification of degeneration, herniation types and clinical significance New chapters in the Seventh Edition cover: Nutritional factors in the treatment of intervertebral disc degeneration and osteopenia and osteoporosis of boneTreatment for back pain in the pregnant female patient with flexion distraction spinal adjustmentsFibromyalgia: updated diagnosis and treatment of this problem conditionPhysiological therapeutics used in general chiropractic clinical practice in spine careThe history and evolution of Cox flexion distraction chiropractic spinal manipulationDiagnostic testing from physical examination, diagnostic imaging, laboratory testing, and their combined input to correct diagnosis of the back pain patient

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PLAY GOLF FOREVER: Treating Low Back Pain and Improving Your Golf Swing Through Fitness is an overall look at low back pain as it relates to golf and it includes information on when you need to see a doctor as well as on types of medical treatments for low back pain. The core of the book is an exercise program designed to strengthen the lower back for the rigors of golf–functional training for core strengthening. Citing a few stories of patients from his SPorts Medicine practice in Southern California, where people can golf year round, Dr. Michael Jaffe focuses on the message that motion is life. Jaffe, who is a golfer as well as a triathlete, mixes medical information with a physiological examination of a golf swing and then offers an exercise program that is designed specifically to strengthen a golfer’s back. Low back pain is very common in golfers. What should be common knowledge among golfers–in fact, among all of us– is that exercise is the best thing you can do to ease your pain. By making clear that exercise works, PLAY GOLF FOREVER is an inspirational book that educates, motivates and demonstrates. Someone once said, "There is nothing more obvious than the gracefulness of a well-timed golf swing." Learning the mechanics of such a golf swing, especially as it relates to back health, is another cornerstone of this book. This book is split into three parts–examining the back, the game of golf as it relates to the back, and the exercise program. These three parts are book ended by two inspirational chapters explaining the power of the body to heal itself, and how functional training recharges that power. Part One of PLAY GOLF FOREVER delves into an explanation of the many kindsof lower back pain, when to see a doctor, including a list of red-flag symptoms, and then an overall look at the various treatments available. Part Two of the book examines why golfers get lower back, including a look at the four major causes, as well as a comparison between golfers with and without lower back pain. This part will also examine the golf swing in pieces so that golfers can understand exactly what their body is doing during this quick burst of athleticism. Part Three of PLAY GOLF FOREVER offers an examination of how muscles and nerves work together and then how functional training for core strengthening is designed to challenge and improve the way the body works. Finally, this part will delve into a stretching program to be used before playing as well as throughout a game on the course. PLAY GOLF FOREVER is a book for those who want to play golf but feel hampered by their lower back. Though it does include a few stories from Dr. Jaffe’s practice as well as from the world of professional golf, this book is not designed as a narrative. It is a self-help book in its most basic form. It offers information, inspiration, and instruction. It offers a way for people to play golf forever.

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Back pain and injury impairs the function of a person’s core muscles and therefore the function of that individual’s entire body. Back in Action: Contributing Factors and Corrective Exercises for Low-Back Pain reviews how this occurs, particularly as a result of common compensations that can lead to back pain. The DVD also discusses corrective exercise strategies for improving the functional status of a client’s low back. Among the topics covered: lecture, self-assessment, hands-on demonstration: foam roller, hands-on demonstration: stability ball, and hands-on demonstration: tubing. Produced in cooperation with the IDEA Health & Fitness Association.

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