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Pain Relief

Doctors who focus exclusively on pain symptoms often recommend treatment that is the exact opposite of what is actually needed. Historically, doctors have treated back pain with bed rest and heavy drugs to mask the patient’s discomfort. However, this type of treatment is actually more damaging to the back. It causes back muscles to weaken, which leads to more strain and pain. Patients became dependent on drugs and grew inactive and disabled.

Pain relief can actually be achieved through movement. Low-impact sports such as walking and swimming are ideal in making the back feel better and stronger.

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Preventing Back & Neck Pain

Proper multi-disciplinary rehabilitation programs are structured around returning patients to the tasks of everyday life. Once the collaborative effort has paid off, and this has been achieved, it is important to prevent future back attacks. In just about any job situation, there are going to be hazards that need to be avoided, whether it’s sitting at a desk or working in a warehouse.

Sitting at a Desk

You may have encountered the term "ergonomics," which is surfacing more and more in the workplace. Ergonomics is a science concerned with designing and arranging things people use in the safest and most efficient manner possible.

Ergonomics is often applied to people who sit at a desk all day. While it seems harmless, sitting for long periods of time can actually cause back pain. It unloads weight on the back, especially if the chair is poorly designed.

The basic rules of desk related ergonomics:

  1. Make sure your chair molds properly to your back. Many employers concerned with the safety of their workers purchase chairs that support the low back. If you are too short or too tall for your back to rest properly in these chairs, or if your company does not offer ergonomically designed chairs, consider bringing in a rolled-up towel. Place it behind your low back to reduce the amount of stress on the back.
  2. Make sure your feet rest flat on the floor. If this is a problem, use a footstool. Proper foot and leg alignment will ease back stress.
  3. While typing on a computer, your forearms and thighs should be parallel to ensure proper shoulder alignment. If necessary, use a pad to support your wrists while typing.
  4. When you type, your neck should not have to crane constantly, as your eyes dart from keyboard to monitor. The monitor should be at eye-level or slightly below eye-level.
  5. Get up and move around every half hour, even if its just a quick stretch by the side of your desk. Your back enjoys movement, so reward it occasionally.

Standing for Long Periods

Many jobs involve standing for long periods of time, such as teachers and cashiers. People rarely equally distribute their weight onto both legs while standing. Instead, they tend to shift their weight from one side to another, throwing the spine out of alignment, which can lead to back strain.

If you have difficulty standing without shifting weight, try standing with one leg on a footrest, periodically switching feet. Take a minute every now and then to do back exercises; that will help loosen up stiffness.

Driving and Back Pain

Muscles were designed to move and stretch. Sitting pulls muscles into a shortened position, causing stiffness. Also, the sciatic nerve, which runs between the spine and thighs, can be compressed by the weight of sitting for a long time.

Just like at a desk job, driving for a long period of time can cause strain on the back. Many seats in cars are designed to support the spine properly, but even if your car was designed ergonomically, your height may differ from the height of the person the seat was designed for.

Be sure to remove your wallet from your back pocket before a long drive, as it can place pressure on the sciatic nerve. To prevent back pain, stop and stretch every hour or so to keep muscles loosened up. Feel it out. If your back hurts after a long drive, roll up a towel and place it behind your low back to support the lumbar spine.

Lifting Heavy Objects at Work

A long drive in the car is often followed by an attempt to yank heavy suitcases out of the trunk. Watch out. Your back is at high risk of injury. Even if you have not been driving long distances, lifting heavy objects might be a normal part of your day-to-day tasks at work. Accidents are prone to occur during improper lifting. Mothers are also at risk when it comes to heavy lifting. Lifting a child can cause back strain if not done properly. To learn how to lift properly, click here.


TriCities Spine in Bristol, TN is a by-product of discussions with case managers, rehab nurses and managed care experts on a local and national level who believe that spine care can be improved through a multidisciplinary team approach. TriCities Spine includes a board-certified neurosurgeon who specializes in spine, Dr. Jim Brasfield, teamed with a pain management specialist and spine-specialized physical therapy. TriCities Spine physicians already see a variety of complex cases from across Eastern Tennessee, Virginia, North Carolina and Kentucky. TriCities Spine emphasizes a nonsurgical approach to back pain, recognizing that in most cases spine surgery should be the last card to be played after nonsurgical options have been tried. About half of patients are referred to TriCities Spine by other doctors in the region. TriCities Spine also cares for those who injure themselves at the workplace. The strength of TriCities Spine lies in the medical expertise brought in by a variety of specialists who complement each other, including experts in physical medicine and neurosurgery. An internal pain specialist is often able to relieve some back and neck pain symptoms with special injections that enable a patient to bridge to therapy. Dr. Fred Terry specializes in pain relieving lumbar spinal injections and as well as myelograms, which may reveal the amount of damage in the spine. Therapists who specialize in spine use customized hands-on treatments to relieve pain symptoms, along with special exercises to help make the back stronger, more flexible and resistant to injury. If nonsurgical treatments are not successful, Dr. Jim Brasfield is trained and proficient in the latest techniques in minimally invasive spine surgery. Because of the minimally invasive techniques used by Dr. Brasfield, many patients are able to have their spine surgery and then return home the same day to recover in the comfort of their own home.