The Adjustment - Is There A Chiropractor In The House?

Chiropractic Maintenance, How Frequently Should You Go To Your Chiropractor To Avoid Throwing Our Your Bad Back?

2008-10-18T11:41:00.005-05:00

Great question and there's not one schedule that fits all situations. That said, I wanted to bring up the importance of chiropractic maintenance. Yes, you're not a car or a house, but when you have a bad back, you might as well think of it that way.

Oil changes, driveway sealing, gutter cleaning, new tires, and chiropractic adjustments! That's right, lump them all together into a maintenance bucket. If you avoid maintaining any of these items, you will not end up in a good place. Your car will fail, your driveway will crack, and YOU WILL THROW YOUR BACK ONCE AGAIN, and maybe worse then you ever have. (Do I sound like I'm talking from experience?) You bet. Case in point, a few months ago.

I was working on a great new project at work and I thought I was too busy to go to Dr. Pagano. How long did I avoid going to the Chiropractor? 3.5 months! That's right, I felt invincible again...bad move. Although my back felt great, I was jogging a lot, lifting weights, lifting my kids, etc. All of that activity slowly wears down your bad back until...you can't walk! That's right, I threw out my back so badly that I could barely walk. I actually had to go to the emergency room it hurt so badly.

So, I crawled into Dr. Pagano's office, explained what I did and let him do his magic. It didn't get better overnight, but 2 weeks later I felt 1000 times better. Seriously, he had fixed me once again.

What I did wrong:
I didn't go for monthly chiropractic adjustments. Boy, that was stupid. "I'm too busy....I'm working too much..." That's ridiculous. I ended up having to go more when I got hurt than if I went for monthly adjustments in the first place!

The point of my post: You probably take care of your car and house, right? So take care of yourself for crying out loud!

Thank you Dr. Pagano for fixing my back once again. I promise I won't avoid my chiropractic maintenance ever again. I'll be in next week.

The Patient

A Year Without and Then With a Chiropractor, What a Difference a Year Can Make!

2008-01-10T10:12:00.000-05:00

As I begin 2008, I can’t help but think about how different this year is starting than last year. In December of 2006, I was in desperate need of help for my lower back. I threw it out once again, and this time…it was really bad. I could barely walk. It was the beginning of December 2006 when I decided that I’d had enough and I started looking for a chiropractor. If you’ve read my posts since then, you can see the outstanding improvement that I’ve made after going to Dr. Pagano for the past 13 months. I can tell you that it’s one of the best decisions I’ve ever made. How good of a decision? Read on.

Here is a quick comparison of December 2006 and December 2007:

Last December – I could barely walk.

This December – I just ran 4 miles yesterday. :-)

Last December – I could barely get my Christmas tree in the door and into the stand. You would have thought I was lifting a car…

This December – I grabbed the tree off of my car, pulled it into the house, lifted it into the stand, and without any pain at all. Take that Mr. Grinch.

Last December – I took a 5 hour flight for a business trip and was in pain the entire flight… I was stretching in the airport after the flight since it hurt so bad! Literally.

This December – Although I didn’t have any flights to take, I did take the train numerous times (for over 60 minutes per ride), and I can tell you that I felt no pain at all. Bring on the 5 hour flight!

Last December – I couldn’t pick up my daughter during the holidays…even when she was excited about her gifts. I tend to joke around a lot, but this one is no joke at all. If you have kids, you know exactly what I’m talking about.

This December – I easily could pick up my daughter (and now son) without any pain at all. And for Christmas, you bet I was carrying her down the steps to see what Santa brought! Again, if you are a parent, you know how good this made me feel. :-)

Last December – I couldn’t exercise at all. Working out is part of my life…it really makes me feel lousy to take off from running, lifting weights, etc. Looking back, though, I was more worried about serious, long-term back pain than working out…so I shouldn’t complain too much.

This December – I worked out regularly without much pain at all. Every now and then my back gets sore, but sore is nothing compared to not being able to get out of bed! I run, lift weights, circuit train, etc. Thank you Vito Pagano. :)

So, as you can see, what a difference a year can make! If you are experiencing back pain and not sure if a chiropractor can make a difference (like I was thinking), then I believe you should at least give it a try. That’s unless you want to drag a Christmas tree in while holding your lower back and singing “The Most Wonderful Time of the Year…” Believe me, it’s not a pretty sight. :)

The Patient

Van Halen's Jump - A Quick Reminder From Your Bad Lower Back

2007-11-17T16:15:00.000-05:00

It happens to me all the time. I have a good run with my back where I’m feeling great for a number of weeks and then I test the limits only to receive warning sign from my lower back that something's not right. You know, a shot across the bow signifying that my lower back didn’t like that last move. I’m starting to think that my back has a personality. :-)

Remember the music video for Van Halen’s song Jump? You know the leg kick that David Lee Roth does in the video? Well, my daughter loves to dance and I showed her that move the other day. She got a kick out of it, no pun intended. ;-) My back also got a kick out of it and then proceeded to give me a warning sign. It wasn’t too painful, but boy, my back definitely twinged. I immediately stopped any crazy attempt to mimic David Lee Roth again and took it easy!

The Next Day
Did I throw out my back? Thankfully no, but I was darn close. I visited Dr. Pagano for an adjustment yesterday and explained what I did. I’m pretty confident he hadn’t heard of the Van Halen lower back problem, but hey, there’s a first time for everything. :-) What’s my point? Listen to your back…it typically won’t lie to you. Even though I didn’t feel much pain, if I kept trying to be a rock star after I felt the twinge, I probably would have thrown out my back. Instead, I took it easy and went for a chiropractic adjustment and now I can dance another day.

It seems that I am getting wiser with age! Now rock on with your bad self!

The Patient

The 9 Most Dangerous Actions for Your Bad Lower Back

2007-10-08T16:33:00.000-05:00

I thought it would be a good idea to list what I believe are the 9 most dangerous actions (or movements) for your bad lower back. I’m doing this so you won’t make the same stupid mistakes I did! Call it learning from experience. :-)

Counting down from 9 to 1:

9.The Evil Sneeze or Cough
If you’ve got a bad lower back, a sneeze or cough can be your worst enemy. It sounds crazy, but I can always tell who has a bad back by the way people prepare for a sneeze. Some go running to brace themselves against a wall, others bend over while they sneeze, others sit down, and some even need a partner to grab onto. My advice? Definitely figure out how to brace for the sneeze… It doesn’t look too awkward and it truly helps combat the force.

8. Jump Rope
When I first went to see my chiropractor (Dr. Pagano), he asked about my workout routine. I do a lot of circuit training and one exercise I became addicted to was jumping rope. It’s a phenomenal workout…but one that will act like a jackhammer for your bad lower back! It makes sense if you think about it… I would probably get 90-100 jumps per minute in when I got going… If you have a bad lower back, stop jumping rope and start walking on a treadmill instead.

7. The Golf Swing
For people who don’t play golf and think it’s a wimpy sport, the golf swing can be one of the most violent swings for your lower back. Add that most amateurs score around a 100, which means you are twisting and hitting that little white ball with force about 70 times each round. Also add in hitting the ground a bunch of times, forcing the club through the rough, and of course driving the ball with a gigantic, oddly-weighted driver, and you can see how the golf swing can hurt your already damaged lower back…

6. Side Bends
If you have sacrum problems like I do, the side bend can be a brutal exercise. As my condition worsened over the past few years, side bends really irritated my lower back. Solution? Don’t do them. You can do any other type of ab exercise, just don’t do side bends. I haven’t really missed them.

5. Getting into Your Car Too Fast
This was a relatively recent problem for me… I needed to get to the train station fast and ran out the door, opened my car door, and holding my bag (which was about 15 pounds), I entered the driver’s side all at once (with my bag in hand)… I should have placed the bag in the passenger’s seat and then come around to get in. I didn’t and felt my lower back twinge. Luckily, it wasn’t bad, but I never do that anymore…

4. Kicking
One of the worst back pulls I ever had was after playing soccer with my daughter. She thought it was really cool when I kicked the ball as far as I could. So, I proceeded to do this over and over again until I felt my lower back go out… When I walked into Dr. Pagano’s, he could tell by my face that I did something stupid… It took about a week for my back to get better… Thank goodness for chiropractic adjustments.

3. Sitting at Your Desk
You might be saying, “At number 3??” You bet! Many times you are out of alignment as you sit at your desk. You might have your legs crossed, you might be leaning more to one side, and you might be sitting on the edge of your seat, so to speak… Over time, this can really irritate your back. Then, once you successfully irritate your back, sitting in front of your computer can be a horribly painful experience. Actually, read this article about a CEO who built a desk where he stands versus sits because it hurt so bad! Solution? Get up often, stretch, and make sure you catch any bad positioning early enough. i.e. Don’t cross your legs, try and sit straight in front of your computer, etc. Or, build a desk where you can stand. ;-)

2. Twisting or Turning While Holding Weight
This is somewhat similar to “getting into your car too fast”. If you have young kids, then picking up your child and turning with her in your arms can be a killer for your bad lower back. When my daughter was younger, lifting her up and putting her into her car seat would really hurt my back. My chiropractor explained how 30 pounds against your chest could be like 90 pounds away from your body. Then add twisting with 90 pounds, and you get the picture. Solution? I don’t know! You’ve got to do what you’ve got to do… Just try and avoid holding a lot of weight and then turning with it.

1. Digging
OK, this had to be the winner on my list… It was over 5 years ago that I was doing some landscaping and digging all afternoon. Then I felt a serious twinge in my lower left back. That was the beginning of my sacrum problems. Digging, especially forceful digging like I was doing, can throw your back out faster than you can say “Advil”. Solution? Stretch, take breaks often, and then alternate sides when digging. That said, if you have to dig like I had to…there may be nothing that helps avoid the inevitable back pull.

That’s my list…avoid these dangers and you might live to pick up your children another day. :-) If you think I missed something, then add it to the list!

The Patient

Don't Ignore the Warning Signs: Listen to Your Lower Back

2007-09-25T16:20:00.000-05:00

If you're not familiar with Movie-a-Minute, they basically boil down a movie into a few lines. It's actually pretty funny to read some of them... Here's the gist of what happened to me recently in Movie-a-Minute style:

My back feels great...Thank you Dr. Pagano.

I naively believe my back is better than it is....

I neglect warning signs that my back is angry.

I don't go for an adjustment.

It gets angry.

I'm in a lot of pain now.

Hello Dr. Pagano.

Whenever I speak with people about my lower back, I'm always asked for advice. This is based on my success with finding the right chiropractor and knowing that my back is much better than it was prior to my first chiropractic adjustment. Well I tell you, this is a constant a learning experience for me.

Here's a good piece of advice based on my latest experience:

Listen to your body. It typically won't lie to you. :)

For over 3 weeks, my back was giving me warning signs that it was getting dangerously close to going out on me. And...I still didn't go for an adjustment. What types of signs?

Here are a few:

1. Twinging back pains. Nothing bad, but my back was letting me know that something was wrong.

2. Having some discomfort after working out (or even when I started working out).

3. My back was a little sore in the morning after waking up.

4. Slight pain when picking up my kids.

Notice how I said "slight" or "a little" or "nothing bad". That's what gets you...

So, if you have lower back trouble and start to feel the warning signs of an angry back, don't ignore them. Go for an adjustment. I ignored the signs, and it didn't work out too well for me. I'm getting better, but I'm not there yet.

The Patient

2 Hilarious Medication Warnings : Ambien and Veramyst

2007-09-18T07:35:00.000-05:00

OK, so this doesn't have much to do with lower back pain or chiropractors, but it's worth mentioning here since it's medical-related. I recently saw two advertisements for medications on TV (that's not the hilarious part). Once they started rolling into their warnings, which they are required to do, I couldn't believe what I heard.

1. Ambien- The voiceover says, "Sleepwalking and eating or driving with no memory of the event have been reported."

Uhh, what?? Are you kidding me? Ambien might result in someone sleepwalking and then eating and driving? Then they won't even remember they did that?? Who ends up finding you? I guess the McDonalds drive thru cashier! If you think that's bad, read the rest of the Ambien warnings on the official site.

2. Veramyst - In the commercial, there is a graphic that states, "The way this drug works is not completely understood."
Really? So, the drug has been tested, approved, and launched without being completely understood? So, if someone sprays this stuff up their nose and all of their hair falls out and they sneeze for 24 hours straight, there's nobody to blame?

"We really didn't know how the drug works, so we cannot confirm that your hair falling out is from Veramyst."

Whatever.

You can't make this stuff up! Makes me want to throw out any medications I have at home...

The Patient

Holding Children and Nerve Damage - Is Their a Connection?

2007-09-06T14:45:00.000-05:00

In my last post, I mentioned how my wife needed to go see Dr. Pagano at Pagano Chiropractic since she was experiencing a lot of pain in her upper back. Even in the short time she has been going for adjustments, she is feeling much, much better. Actually, as of today, she has almost no pain in her upper back...

It ends up that she was holding our baby a certain way while feeding him over the past 6 months, and over that time, she irritated the nerves in her neck. Since it was over 6 months, it really started to cause some pain. So, a mixture of getting chiropractic adjustments over a two week period and starting to hold our son differently made a huge difference. She is now a believer in going to the chiropractor...

When it comes down to it, over years of exercising, walking, lifting your kids, bending over, sitting at your desk, etc., you are bound to throw something out of alignment. And if you do, and you don't get that corrected, then you could be in trouble down the line... If you are having back trouble or shoulder trouble, it's beyond worth it to go to a chiropractor...at least for an initial consultation. Just find a chiropractor that you are comfortable with and I'm confident you will agree with me! :)

The Patient

Getting to Your Chiropractor Quickly Can Lead to a Fast Recovery

2007-08-23T12:01:00.000-05:00

During the entire summer, my back has been in great shape. I credit my chiropractor, Dr. Pagano for that... I've been golfing, running, working out, etc. without any major lower back pain. So, when I started to feel some pain on Saturday, I wanted to do something that I rarely had done in the past...move fast! In the past, I would let the pain get worse thinking to myself that it would go away on its own. Wrong! It would eventually go full blast and I wouldn't be able to walk...then I would go to my chiropractor...but it was too late.

Moving Fast - Getting to the Chiropractor in a Hurry!
So, on Monday I went to the chiropractor (only 2 days into this latest episode) and explained what's been going on. Basically, I worked out a lot last week (4 out of 5 days), which is a lot considering I have 2 kids. :) I also have a 6 month old so carrying him around, picking him up, and also picking up my 3.5 year old probably caused some alignment issues.

Pagano to the Rescue
Anyway, Dr. Pagano performed a chiropractic adjustment and I waited to see how my back would respond. Well, it responded extremely well. The next morning my back was about 50% better than the day before. I was able to work out that afternoon with little back pain. Then, by Wednesday, my back was at 95%...and I worked out again. Today is Thursday and my back feels very little pain. I'll probably go back for another adjustment on Monday, but I'm well on my way to feeling 100% again.

Learning from your mistakes:
This time I acted quickly...definitely a change from my previous behavior! :) By acting quickly, my chiropractor could align my back and get me back to near 100% in just a few days.

On a somewhat different note, my wife started feeling some pain shooting down her arm recently. She went to visit Pagano Chiropractic today, based on how well Vito has helped me over the past 6-7 months! More on this developing story in my next post.

The Patient

2 Months Later...My Back is Still in Good Shape

2007-07-25T09:02:00.000-05:00

OK, so I haven't written a post in a while...almost 2 months to be exact. Why, you ask? I haven't had any trouble with my back at all since Dr. Pagano fixed it in late May. This is truly amazing, given I'm golfing more this year and I have two young children that I pick up all the time. With all of that, I still feel great.

I will be going to Pagano Chiropractic either this week or next week for more of a maintenance check than anything else. I don't want to go too long without having an adjustment. If all goes well, I may actually keep the one visit every other month routine. It seems to be working fine for me.

More to come after next week's adjustment.

The Patient

Knowing Your Limitations Keeps the Chiropractor Away

2007-05-31T16:34:00.000-05:00

Dr. Pagano fixed my back again...after the soccer episode I explain in a previous post. After that happened, I started to understand that knowing your limitations is critical, especially as you get older. I'm almost 35 so I can't move at the pace I used to. That's unfortunate, since I'm a highly competitive person, both professionally and personally. So, I've decided to list some things you can do to stay within your safe boundaries while performing physical activities.

Think Before You Act

Simply put, before you do something really physical, stop and ask yourself what the impact could be. Practical example: I was cutting some of the trees in my backyard recently and needed to jump to grab a branch. Before I jumped (which would have probably hurt my back), I thought about it for a second. Then I went and grabbed a ladder instead. In the old days, I would have just jumped!

Don't Overdo It

If you are going to run, don't run 10 miles, run 3 or 4. If you want to play golf, don't hit 36 holes, hit 18. If you want to play company softball, play once per week and not double headers after work. I think you get the point.

Take Care of Your Back

Visit your chiropractor on a regular basis, which is determined by you and your chiropractor. Now that my back is feeling better, I only go in once per 3 or 4 weeks versus a few times per week. Also, take hot baths, stretch, and be wary of things that can throw your back out. For me, it's alignment (whether that's running, sleeping, sitting, etc.)

Don't Be Baited Into Doing Something Stupid

When you get together with old friends or coworkers, don't be baited into doing stupid things. For example, don't bowl for 3 hours at a company event if it will kill your back! Don't golf 2 days in a row if an old friend is in town, and don't think that you are younger than you really are and go out all night only to find out the next morning that you did something stupid and threw out your back! ;-)

I hope these tips help you out...I'm learning as I'm going. I think the world of my chiropractor, but I'd rather not see him very often! :-)

The Patient

Steps I Take to Minimize Recurring Lower Back Pain

2007-05-04T08:07:00.000-05:00

OK, so I threw my back out a month ago, and as you read in my last post, my back has bounced back very quickly. I feel great overall and I am even running again. I went for a 3 mile run yesterday through Pennington. When I woke up this morning, I did feel some pain again... nothing crazy, but my back was reminding me that it wasn't too long ago that I threw it out. So what is causing that slight, but annoying pain?

The Weight of 2 Quarters:
When I first visited Dr. Pagano at Pagano Chiropractic Center, he placed two quarters on my hand, which I could barely feel. He said that even the light weight of 2 quarters would cause the pain I was feeling (which was pretty bad at the time...) When your back goes out of alignment, nerves that are trying to fit into an already small space, might have pressure on them from the misalignment. That pressure, even if it's only the weight of 2 quarters, is enough to cause some serious discomfort. That's what I am feeling now...

Now that I've been going for chiropractic adjustments for the last 5 months and educating myself on what is going on with my back, I've come up with some things to do when I feel the first hint of pain in my sacrum (lower back):

1. Stop major exercise like running, lifting weights, etc. I might still walk and do some light weights, but I'm now wise enough to know when my back is telling me something...like STOP WHATEVER YOU DID TO MAKE IT ANGRY!

2. Watch how I lift things... even small and light items. As Dr. Pagano told me, when you are about to lift something significant, you stabilize yourself, which cuts down on injury. However, when you go to lift something light or small, you don't prepare yourself. This is when you can do some damage... So, I watch my alignment when picking things up (and I definitely try and use my legs as much as possible.)

3. Hot Baths - When I start to feel a hint of pain, I start taking hot baths each night. This loosens up my back muscles and really seems to help. Heck, it's also really relaxing!

4. Go for chiropractic adjustments - When there's a sign that my back is angry, I go to Dr. Pagano and get an adjustment. There's obviously something off...and getting everything aligned is a no-brainer. If my schedule allows me to do so, I try and get in there asap.

5. Keep a log of what I did to throw out my back. I try and jot down all of the activities I performed the day before I feel my back start to hurt, which typically lets me know which one activity in particular pissed my back off! Then, I can always reference the list to remind me what I shouldn't do...I know it sounds weird, but when you are as competitive as me, you tend to do things that normal people wouldn't try!! And especially now that I'm getting older... Ouch.

I hope this list helps you when your back starts sending signals that it's out of alignment or just angry at what you did! If there is anything you do to help your back pain, please comment on this post...I'd love to hear your thoughts.

The Patient

4 Chiropractic Adjustments, 2 Weeks of Healing, and My Lower Back is Almost Ready to Go!

2007-04-16T13:41:00.000-05:00

As I wrote about two weeks ago, I threw my back out again... This was mostly due to stupidly trying to kick a soccer ball as far as I could! Yes, I did something stupid like my chiropractor told me I would eventually do. :-) When I went back to Dr. Pagano after throwing my back out, he explained that my back should heal relatively quickly since I had been doing so well up to that point. Once again, he was right...

I've had four chiropractic adjustments since then and my back has been steadily improving over a two week period. Now I can cut down my chiropractic frequency to once per week and then hopefully get back to once per month. On that note, this time I will make sure to keep it once per month! I definitely pushed it last time and I paid the price!

Golf Season is Approaching
It's supposed to warm up again this week and I plan to start swinging my clubs (with Dr. Pagano's approval of course). If all goes well, I can probably head to the range to hit a bucket of balls. Golf season is right around the corner... and I've got a new Ping G5 Driver in my bag! Can you say "Boom".

The Patient

Throwing My Back Out Again - My Chiropractor Said I Would Do Something Stupid!

2007-04-01T11:18:00.000-05:00

So most of you reading this post know that I've come a long way since I started going to Dr. Pagano, my chiropractor in Pennington, right? I've made great strides, my back has felt unbelievably well, and I've started exercising like I did in the past, including jogging. About a month ago, I was explaining to Dr. Pagano that I was really excited about where my back was, since the past 5 years of back pain have been troublesome... He quickly said, although you are doing really well, you will probably do something really stupid and throw out your back again! (of course this was said in a light-hearted way, but I could tell that he had seen this before...)

So here we are a month later and I had to rush to Dr. Pagano this week. Why, you ask? Well, I did something really stupid and threw out my back again! He was right after all... I was playing soccer with my daughter in the backyard and she thought it was really cool when I kicked the ball as far as I could (all the way across our lawn). So, I kept doing it, trying to kick it further and further... Not a good idea. I didn't feel any pain while kicking the ball, but I had a feeling it wasn't going to help my back. After about 9 or 10 heavy duty kicks, we went inside. It was the next morning that I felt a slight pull. Read on.

Traditionally, the bottom left side of my back was the problem. This time, I felt a nagging pain in the bottom right side. Nothing horrible, but my back was letting me know that it was a little angry. The pain was there the entire day. The next day, the pain was still there, but I decided to work out in the afternoon. I didn't jog, but I was using the treadmill as part of my circuit training. It was about 25 minutes in that I felt my entire lower back pull. It reminded me of when I first pulled my back 5 years ago. I stopped immediately, but knew I was in for a rough next week (or longer).

So I visited Dr. Pagano the next day and he aptly said, "I told you so!" (of course this was jokingly said again...) He performed a chiropractic adjustment and my back cracked like I never heard it crack before. He barely had to put any pressure and my lower back was popping and cracking like there was no tomorrow. Anyway, I am now stepping up my visits to him at least for the next few weeks. He believes that since my back has reacted so well over the past few months, that this back pull shouldn't last very long. I'm hoping to feel much better within the next 2 weeks. Let's hope that's the case...

The Patient

Common Concerns About Going to a Chiropractor?

2007-03-21T08:28:00.000-05:00

I started going to a chiropractor about 4 months ago and it was one of the best decisions I ever made. Just read my blog posts to learn more about my story, but I feel as if I have a new back, based on my treatments by Dr. Pagano. That said, I put off going to a chiropractor for a long time (almost 5 years), due to some concerns I had about chiropractic treatments. I think many people have the same concerns so I have decided to list some of them below.

1. Does it really work?
Why go to a chiropractor when some people the treatments don't work, other swear by it, and there is generally a lot of controversy around the subject matter? Like many, I thought I could help my own cause. I stretched, worked out, stretched more, iced my back, used heat on my back, and probably did a dozen other things that had absolutely no effect. After a few weeks at the chiropractor, my back felt great. Go figure.

2. Will the treatments worsen my back condition?
Common misconception. You hear about the cracking and popping and start to feel concerned about what your chiropractor is actually doing. Are the treatments worsening my condition? No, on the contrary, the chiropractic adjustment can do wonders for your alignment... Believe me, I was all out of whack! I feel great now, experienced no pain from going to the chiropractor, and feel as if I should have made the leap a lot sooner!

3. Will I need to go for the rest of my life?
No, not if you have the right chiropractor! For example, Dr. Pagano in Pennington New Jersey, explained that I should go to him more in the beginning and then start to space out my visits based on how my back feels. I am only going to him once per month now, when in the beginning I was going to him a few times per week. If I keep improving, then I can probably space out my visits even more, maybe once every other month. If your chiropractor tries to lock you into 3 times per week for the foreseeable future, then walk out the door.

If you are thinking about going to a chiropractor and have similar concerns, do yourself a favor and stop thinking so much! Make an appointment with a recommended chiropractor and see if it makes sense for you. If you want to live in pain the rest of your life, then keep going over your concerns time and time again. If you want to help yourself and relieve your pain, try it out.

The Patient

The Sacrum - The Source of My Back Problem

2007-03-08T08:26:00.000-05:00

I know that I was in the dark for a number of years with regard to the source of my back pain. It wasn't until my chiropractor reviewed my x-rays with me, that I actually saw the source of my back pain, the sacrum. The sacral spine (to be specific) is a triangular shaped bone that is located below the lumbar region of your back. I have included a photo below:

I injured my back when I was doing some landscaping work on my new house about 5 years ago. I felt something pull in the lower left-hand side of my back while digging. The pain wasn't immediate...but I knew something was wrong. It didn't take long for the pain to hit me, just a few hours. And, boy did it hit me! I could barely walk it hurt so bad. After speaking with a lot of people that also have back pain, I have found that many of them also have problems with their lower back, and their sacrum to be specific.

The pain can be easily located (you can point directly to where the pain originates). For me, this is about 2 inches left of the base of my spine. Then there is a shooting pain down my left leg (commonly referred to as sciatica). The sciatica actually hurts more than the origin of the pain!

I tried everything to alleviate the pain, including stretching, icing the area, back exercises, etc. with the hope that my back would heal. 4.5 years later I finally understood that without professional help, it wouldn't heal. That's when I visited my chiropractor for the first time, Dr. Pagano in Pennington New Jersey. I have now been going to Dr. Pagano for 2 full months and I'm amazed at the results so far. My adjustments have really helped my back pain subside and I can do things now that I just couldn't do for the past 4.5 years. Needless to say, I'm extremely happy with my treatment.

So, if you are experiencing pain in your lower back, originating a few inches out from your spine, and you are experiencing sciatica (or pain shooting down your leg), then it very well could be your sacrum that's the issue. It was for me. Don't waste time trying to figure it out on your own...go to an experienced chiropractor and start treatments as soon as possible. Definitely look for a chiropractor that fits your needs, and make sure they come recommended.

Good luck and knock out your back pain!

The Patient

The Impact of Stress on Lower Back Pain

2007-02-20T12:41:00.000-05:00

Quick Intro - My wife and I just had our second child last week! Mom and baby are doing great, in case you were wondering. Since this blog documents my chiropractic journey, I wanted to write a post about the effects of stress on lower back pain.

On my last visit to my chiropractor in Pennington prior to our son arriving, Dr. Pagano explained that when the baby arrives, my stress levels will naturally go up and this can impact my back. It's an exciting time, but also one that brings a lot of extra stress. The lack of sleep isn't going to help matters either! So how did my back respond to the added stress? Pretty good, actually. I wasn't completely without pain, but it held up nicely. Even when I slept in the hospital on a makeshift bed, my back felt pretty good.

When we came home from the hospital, the constant running around started to bother my back. I wanted to spend more time with my daughter also, since this was a big change for her, but that also meant more running around with a three year old! Fun, yes, but I'm not 25 years old anymore! So it was about 5 or 6 days in that my back started to feel a little funky. That said, it hasn't been bad and my stretching has really helped matters. I plan to start exercising again soon, so we'll see how the combination of a second child, more stress, lack of sleep, and working out impact my lower back issues. :-)

Here are some quick tips for those of you with bad lower backs who will be experiencing additional stress:

1. Prep before the stress hits! I knew that the baby would arrive soon, so I upped my exercise program and my stretching. I didn't want to be in a situation where I couldn't work out or stretch properly for a few weeks straight.

2. Limit the stress, if possible. Sounds funny, right? What I mean is stay away from additional drivers of stress, when you know that one area will be bringing most of it. For example, if a certain someone special really bothers you, stay away from them until the stress dies down. Then you can handle their hijinks like you normally would.

3. Even if you are tired, keep an eye on activities or movements that will bother your back. For me in the past, lying a certain way or bending a certain way could throw out my back. I haven't had that issue in a while now, but I was conscious of this during the high stress time. You might be able to catch something before it negatively impacts your back.

In closing, the stress only slightly impacted my bad back, especially since I followed the tips I mentioned above. Above all, stretching and keeping an eye on bad form really seemed to help.

Good luck.

The Patient

The Common Pitfall of Chiropractic Patients - Don't Get Overconfident Says My Chiropractor!

2007-02-06T15:16:00.000-05:00

I've been going to a chiropractor now for about 7 weeks and I must say that I feel great! My back is doing well, I'm working out, and I'm able to do things painlessly that once caused a lot of problems. I've been jogging, lifting weights, circuit training, etc. with no major problems. I'm blown away with the results of going to the chiropractor. So at my last visit to Dr. Pagano, I asked "Why do you think I'm doing so well so quickly?? My back feels incredible and I'm only 6 to 7 weeks in!" Dr. Pagano looked at me and said, "You are definitely doing well, but chances are that you'll do something careless as you test your back..." This comment stems from a lot of experience. So I asked him to explain.

Basically, as people start to feel better, they test the limits of their back, neck, or whatever problem they were once facing. Think about it, I'm doing it now. I've been increasing my running over the past few weeks along with weight training, I'm picking up my daughter more, carrying more weight, shoveling snow, etc. I wake up and feel great, but very easily I could wake up and not feel so great... Dr. Pagano knows that I'll do something in the future that doesn't agree with my back, so I shouldn't get overconfident. Good advice and I'll take it!

So for now, things are going extremely well. I'm going for a chiropractic adjustment every other week and will hopefully push that to once a month. That is, until I do something stupid!! :-)

The Patient

What to Look for in a Chiropractor

2007-01-30T18:24:00.000-05:00

Once my blog went live, I have received several questions about how to choose a chiropractor. Since I was in that position less than 2 months ago, I thought I would write a quick list of items that I think are important when looking for the right chiropractor for you.

1. Complete Transparency - Up front and honest about everything.
After I threw my back out and decided to go to a chiropractor, I really didn't know where to start. I initially ended up visiting a chiropractor in my area that has been around for a long time. To make a long story short, he wasn't right for me. It had nothing to do with how good of a chiropractor he was, but had everything to do with how he ran his practice. Then I visited Dr. Pagano in Pennington and I understood the difference between finding a chiropractor and finding the right chiropractor. Within 45 minutes, we covered pricing, his philosophy about frequency of visits, he reviewed my x-rays with me, and we are all set for my first adjustment. This is the way I work in my business and it felt right to have someone treating me the same way that I treat my clients and customers. The core point to take away from this bullet is to make sure you feel comfortable with the chiropractor. Are they personable? Are they up front with their pricing? Do they seem honest? How many times do they want to see you? If they cannot answer these questions, run. :-)

2. Philosophy About Frequency of Visits
I briefly mentioned this in my first bullet, but it's important enough to have its own line item. I'm sure you have heard stories about people that start receiving chiropractic treatments and then find themselves going back time and time again for years. They don't have much pain anymore, but they still keep going! I didn't want to find myself in that situation. Dr. Pagano's philosophy matched my expectations. Once my back started feeling better, he wanted to me to visit him every other week. Then if that worked well, I could visit him once per month. Then if that worked well, I could probably come every other month. That made sense to me... Make sure you understand your chiropractor's philosophy about frequency of visits. If you don't, you may find yourself at his office 3 times per week for the rest of your life!

3. Find a Chiropractor with Similar Types of Patients
I exercise a lot, from jogging to weight training to playing sports like baseball, tennis, and golf. Dr. Pagano has a background in training, so when I explained the back problems I was having after working out, he immediately could give me real world examples of how other patients in the same situation dealt with it and improved. This was important to me and it gave me confidence that my treatments would help my situation. For example, once I started feeling better, he gave me good recommendations for beginning to exercise again. He also explained how to start weight training again so it wouldn't affect my back, how to start running again, how to stretch, etc. This was extremely valuable to me, and should be to you.

4. A Chiropractic Plan of Action
After reviewing my x-rays with me and explaining what was wrong with my back, Dr. Pagano explained clearly how we were going to tackle the problem. This included explaining what a chiropractic adjustment was, which areas of my back we were going to focus on, how many visits it would take to get me on the right path, what my exercise schedule should look like, so on and so forth. If you cannot map out your plan, then your expectations may be improperly set, you cannot measure your improvement against the plan, and you may end up getting frustrated. This chiropractic plan of action is extremely important. Ask about it when you visit the chiropractor for the first time. If they don't believe in setting a plan, then I would find a chiropractor that does.

I'm sure I will add to this list later on, but it's a good starting point. Again, I was in your position 2 months ago and I would have liked to have seen a list like this. Good luck and ask a lot of questions. Find a chiropractor that matches up well with your needs and you'll be in good shape. No pun intended.

Pagano Chiropractic - Vito Pagano, My Chiropractor in Pennington New Jersey

2007-01-30T14:14:00.000-05:00

Although people are visiting this blog from all over the country, I've received several requests for my chiropractor's contact information. Therefore, instead of responding to each request, I figured I would just post his contact information here.

As you can tell in my blog posts, I highly recommend Dr. Pagano for many reasons, including his extensive background in training, his philosophy about frequency of visits, his demeanor, and his up front and honest opinions. If you live in the Greater Princeton Area (in New Jersey), including Pennington, Hopewell and Lawrenceville, then definitely give him a call.

Pagano Chiropractic Center
Vito Pagano, Doctor of Chiropractic
53 Hopewell Pennington Road
Pennington, NJ 08534
609-333-1172

Jogging and Back Pain - The Saga Continues...

2007-01-25T17:49:00.000-05:00

My last post about lower back pain and jogging explained how I tested the waters with running and came out feeling great! So, I pushed it and ran 3.1 miles to see how my back would respond. I feel good, but I must admit that my back is a little sore. Nothing even remotely close to the back pain I felt in early December, but it's letting me know that it's not 100% yet.

I'm actually ok with that... It would have blown me away if I felt no pain at all. I've been stretching today and it feels good. My bet is that by tomorrow the second day soreness will be gone and I'll feel fine. That said, I'm not going to jog for a few days.

I was tempted to visit Dr. Pagano, my chiropractor in Pennington, for an adjustment, but I'm sticking to my schedule, which is every other week.

Until then, I'll keep chugging along.

The Patient

1.1 Miles Through Princeton. Chiropractors Are Definitely Underrated!

2007-01-21T11:57:00.000-05:00

In my last post about my back pain and running, I explained that my chiropractor cleared me to start jogging again so I wanted to quickly follow up with the results. I tested the waters by running 1.1 miles through Princeton yesterday (about 1/3 of what I usually run). Jogging typically doesn't hurt while I'm actually running, but it's the next day that's a killer. I've been going to my chiropractor for about 5-6 weeks now and this is the first time I tried running since I threw out my back (badly in early December).

The Results:
I feel fantastic this morning! There are no after effects from my jog (none at all actually). I felt great during the run, after the run, and this morning when I woke up. Typically, I go to get up and my back lets me know it didn't appreciate the run from the day before... Not today. I'm going to keep increasing the distance over the next 2 weeks and monitor how my back responds. Needless to say, I'm thrilled with the results.

Stay tuned...

Run Forrest Run!... But Did Forrest Have to Run Through Princeton New Jersey With a Bad Back??

2007-01-19T14:20:00.000-05:00

Today I received some exciting news from my chiropractor... I can I can start running again! My back has progressed so well that I can test the waters with jogging again. I'm going to start with just a mile or so to see how my back holds up. If all goes well, I can probably start including running in my workouts. Not to beat a dead horse here... but I could barely get out of bed 5-6 weeks ago. I really threw my back out, which had been happening for the past 4+ years!

So hold on to your hat! I'm throwing my running sneakers on and going for a jog...

--If you are in Princeton, NJ and see a jogger laying in the middle of the road holding his back, please help him. ;-)

What is a Chiropractic Adjustment?

2007-01-17T09:08:00.000-05:00

I've received a lot of questions about the name of my blog and what an actual chiropractic adjustment is, so I decided to address it formally in a post. First, I will explain my non-expert description and then I will give you a formal definition and some links to more reading.

A Chiropractic Adjustment from a Patient's Perspective:
When I went in to see my chiropractor for the first time, I was experiencing extreme pain in my lower back. I learned that your spine moves in three dimensions and that there are bundles of nerves that travel down and out the spine at various points. It doesn't take much pressure to cause pain, actually Dr. Pagano placed two quarters on the top of my hand and explained the slight weight I was feeling would cause the pain I had at that time... Any more pressure and I'd be in the emergency room!

So, when your spine is out of alignment, which can be caused by a number of factors, like trauma, stress, etc., you can feel pain. My trouble is in my lower back (my sacrum to be exact). In my x-ray, it looked slightly tilted. I need it to be straight, not tilted...so how do you accomplish this? Enter the adjustment. Through a series of manual procedures, my chiropractor aligns my spine with the hope that over time, the alignment will take hold. My muscles essentially are prohibiting my spine from staying properly aligned, since my back has been out of whack for over 4 years...

The adjustment doesn't take long, typically under 10-15 minutes and you will be amazed how you feel after it. Like I have said in previous posts, I get up and the pain is typically gone... It's not until some time later that it starts to creep back in, but again, it's going to take time for my spine to stay properly aligned. Yes, you here cracks and pops, and it's scary to hear that, but it's not painful at all. You definitely start to wonder what's going on, but after a few visits, you don't even think about it. I have seen incredible results so far and there is no way it could have happened without these manual procedures being performed.

Chiropractic Adjustment from a Professional's Perspective:
Here's a good definition I found on About.com:
An adjustment is a procedure performed by a chiropractor that "influences joint and neurophysiological function"1. An adjustment uses leveraged force, combined with direction, amplitude and velocity to effect a therapeutic change in specific anatomical regions, particularly spinal joints.

More links:
ChiroWeb Definition of the Adjustment:
http://www.chiroweb.net/chiropractic/adjustment.html

Wikipedia Entry for Spinal Adjustment:
http://en.wikipedia.org/wiki/Spinal_adjustment

Answers.com:
http://www.answers.com/topic/spinal-adjustment

Taking on the Driving Range - Back Pain vs. The Golf Swing

2007-01-10T10:29:00.000-05:00

As I mentioned in my last post about lower back pain, my New Jersey based chiropractor (Dr. Vito Pagano) said that based on my improvement, I could even try out the golf range. For anyone who has golfed before, you know that the golf swing is a pretty intense motion, especially for someone with lower back pain. Over the 4 years my back has given me trouble, the day after golfing has been painful. So, how did my back do, now that I've been going to a chiropractor for a month? EXTREMELY WELL! Read on.

I hit a bucket of balls at Pennington Golf Center with almost no back pain at all. I hit my wedges, long irons, and even my driver, which is a longer, more powerful swing that would typically give me back trouble. I streteched my back out prior to going to the range and then after. The next morning would be the big test...that's typically when I would really feel the pain. I woke up and had no lower back pain! I was amazed. My sides were sore, but that had nothing to do with my back, that's just the typical "I haven't hit golf balls in a few months" soreness that goes away pretty quickly.

A few days later, and I still have no after effects from the range. You better believe I'm going to keep up my visits to Dr. Pagano.

More to come.

The Patient

Move Over Back Pain! -- Finally a Painless Night...

2007-01-05T16:32:00.000-05:00

I've been going to Dr. Pagano for about a month now and I couldn't be happier. I finally had a night without back pain. Typically I would turn over and it felt like someone was driving a dagger into my lower back (which would wake me up to say the least!) Ever since I threw my back out, I've been experiencing acute back pain in the middle of the night, only to wake up to a stiff back. The stiff back would take a while to warm up and then I would be ok. That is until recently!

I've been going to my chiropractor (Vito Pagano) twice per week and I just learned today that I can cut that down to once per week! My back is doing extremely well and I couldn't be happier. Heck, Dr. Pagano even told me that I can go to the driving range this weekend! How's that for a person who could barely get out of bed a month ago!!

This is the best my back has felt in 4 years. I'm eager to see how much more it can improve during the upcoming months.

I'll keep you posted.

The Patient

So Mr. Chiropractor, What's Wrong With My Back?

2006-12-31T14:38:00.000-05:00

On my first visit with Dr. Pagano, who is my chiropractor based in Pennington, we covered a lot of ground. First, Dr. Pagano reviewed my x-rays with me, which were taken off site, but that's another story. He had a 3-d model of the spine and explained where my pain was coming from. It made a lot of sense... Then he answered my questions and began to explain how we were going to try and correct the issue. My sacrum was essentially out of whack! It actually looked tilted in the x-ray by about 5-7%. For those of you who don't know much about sacrums, it should be perfectly straight. I saw the tilt and wondered how much of a tilt would cause pain. So I asked. That's when Dr. Pagano placed two quarters on my arm and asked if I could feel the weight. I basically couldn't, but he said the pressure from the quarters alone would cause a decent amount of pain. Go ahead an try this at home and you'll see how little pressure is needed to cause back pain!

Then I had my first adjustment and I couldn't believe how my back was popping and cracking! After about 10 minutes of work, he asked me to get up. Keep in mind, I could barely get up out of a chair the day before. As I got up, I had almost no pain...my back felt loose...and I was amazed. He explained that my muscles needed to be retrained and that I would still feel pain as my back slightly shifts out of alignment (like it was in prior to my adjustment). The goal is to keep aligning and adjusting my back with the hope that my muscles begin to keep my spine and sacrum in alignment.

I left Dr. Pagano's office with almost no pain. I got home and was able to pick up my daughter as she ran down the hall to see me. This was truly amazing, given how bad my back hurt leading up to my visit. My back wasn't healed, but I felt as if I was on the right path, especially with a chiropractor as good as Vito Pagano!

More to come...

The Patient

Enough is Enough...Find Me a Pennington Chiropractor

2006-12-29T16:25:00.000-05:00

It's 6AM on a Monday morning. I've got a lot to do today...a lunch with a business associate, three projects that I'm leading for my company, and my daughter's almost three (so for the parents out there reading my post, you know how tiring that can be!)

I go to get up from bed and the pain I feel is extraordinary. Yes, this is a nagging back issue that I've had for years, but today is different...it's more acute, more extreme, and the pain is so bad, I feel it might actually impact my life. I'm a little nervous.

I push myself and get out of bed, walking like an old man towards the kitchen. It will get better, right? The pain will subside... I think. It doesn't...not yet anyway. I eat breakfast. My back is still killing me. I check email. My back gets worse. OK, I've had enough!

TODAY IS THE DAY I CHOOSE NOT TO BE IN PAIN ANYMORE!! I turn to my wife and say, "Remember when you told me to go to a chiropractor? Well, get the phone numbers out! I've had enough pain."

Five years ago, I pulled my back while working in my yard. I had no kids at the time, I worked out 4-5 times per week, and I was in great shape. I thought the back pain would go away over time, but it kept coming back. Typically, once per month I would feel some type of back pull (sometimes bad, sometimes mild), but it always reminded me that it was there...

So I called my primary care physician and asked for a referral. The call came a few hours later and with no hesitation, the nurse told me, "Dr. Vito Pagano, a Pennington Chiropractor who is so good at what he does, some of us even go to him! You will be in good hands." OK, Dr. Pagano, I'm going to give you a shot to fix my ailing back! After looking through the listings of Hopewell Chiropractors, Pennington Chiropractors and Princeton Chiropractors, I'm glad my doctor could offer some guidance.

So my story begins...

The Patient