The incidence of low back pain(LBP) in the IC bladder pain syndrome(interstitial cystitis, vulvodynia, chronic prostatitis, IBS, GERD, and fibromyalgia) is estimated to be higher than over the general population Presently there are new anatomical observations about the mechanical carriage of the spine that suggests that there has become an too much thoracic curvature due to our sedentary culture and furniture that doesn’t support the back
While these anatomical observations and reasons are probably true they don’t explain why there is a higher than expected LBP incidence in the ICPBS poplulation Let’s discuss how the energy science anatomy looks at LBP
Vata, the energy pattern of movement, has the qualities of cold, light, mobile, dry, rough, subtle, and clear Particularly the qualities of light, mobile, and rough play prominent roles in ICBPS It is these vibrational frequencies that lead to the urinary frequency and urgency of both the overactive bladder syndrome, interstitial cystitis, and chronic prostatitis
But as we have discussed before the role that Vata plays in these disease labels begins in the GIT and then spreads from the lower rectum to the pelvic nerves to produce the varied presentation of the syndrome such as vulvodynia, intersitital cystitis, and IBS
The anatomical home for Vata is the colon, pelvic girdle, thighs and lumbosacral(LSS) spine It is this latter involvement which leads to Vata when increased to produce symptoms of pain in the lower back
How does Vata increase its qualities? First, lifestyle choices such as lack of proper rest, lack of regimen, and foods that produce Vata aggravation This is particularly important for those with a PV type of energy constitutional makeup Secondly, when agni or digestive power is affected it can lead to a progressive buildup of Vata in the rectum that then leads to symptoms in the LSS
There is no pain without Vata This is because Vata’s primary functional area of the mindbody is the nervous system So when Vata accumulates and then aggravates the tissues Vata is the first to produce complaints of pain
The qualitative reasons for LBP are cold, light, mobile, dry, rough, subtle, and clear due to the localization of the Vata energy pattern in the LLS area Another important observation already discussed is the close relationship between the pelvic and pectoral(shoulder) girdles
Pranayama(PY) Since the breath ties the pelvis(apana vayu) and the shoulders(udana vayu) together it is no surprise that breath exercises can facilitate over time back rehabilitation This stategy improves the flexibility of the musculofascial planes surrounding the LSS and the strength of the supporting muscles of the entire back PY is the best way over time to make this happen Loss of flexibility is related to the cold, dry, and rough qualities The loss of strength is related to the light, dry, rough and subtle changes
Mahanaryan oil This is an excellent penetrating oil that quiets the Vata qualities of dry, rough, and subtle There are energy science methods of oil application that are ingenious and highly effective in improving ability to loosen the tissue rigidity occurring due to cold quality
Heat The cold quality is always present in any pain complex so the liberal use of heat, preferably moist heat, is important
Become a floor dweller This may seem rather radical but even laying on the floor for brief periods of time can be very therapeutic for LBP This is because when the back’s foundation(LSS) becomes impaired all aspects of the back become involved Using the floor helps provide support to the upper thoracic back which becomes problematic due to the LSS Vata effect
Become conscious of your posture As we started in this discussion being aware of our posture becomes an important part of rehabilitation of the lower back by targeting how we carry the upper back particularly the thoracic curve This is done by paying attention to the shoulders, keeping them drawn back and down This action improves the lordotic J hook of the LSS and reduces the prominence of the thoracic spine PY helps improve the overall strength of the back so that this action on the thoracic spine can be held for long periods of time
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